scholarly journals Migraine: features of the principally of treatment

2016 ◽  
pp. 4-8
Author(s):  
V. Svystun ◽  
T. Cherednichenko ◽  
L. Drigant ◽  
T. Parnikosa ◽  
V. Sereda ◽  
...  
Keyword(s):  
Evidence Based Medicine ◽  
Treatment Selection ◽  
Controlled Trials ◽  
Evidence Based ◽  
Number Of Patients ◽  
Based Medicine

The questions of relevance, the prevalence of migraine are recommendations for the treatment of migraine, founded on the principles of evidence-based medicine. The effectiveness of the recommended therapies, including the use of triptans, confirmed by large placebo-controlled trials. Due to the fact that the number of patients with migraine growing diagnosis of migraine attacks, treatment selection, in accordance with international recommendations will help facilitate this type of headache.

scholarly journals Breast Cancer Research to Support Evidence-Based Medicine in Nigeria: A Review of the Literature

2021 ◽  
pp. 384-390
Author(s):  
Omolara A. Fatiregun ◽  
Temiloluwa Oluokun ◽  
Nwamaka N. Lasebikan ◽  
Emmanuella Nwachukwu ◽  
Abiola A. Ibraheem ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Research ◽  
Randomized Controlled Trials ◽  
Evidence Based Medicine ◽  
Treatment Guidelines ◽  
Breast Cancer Research ◽  
Controlled Trials ◽  
Evidence Based ◽  
Randomized Controlled ◽  
Based Medicine

PURPOSE Breast cancer is the most common malignancy in women worldwide. In Nigeria, it accounts for 22.7% of all new cancer cases among women. Evidence-based medicine (EBM) entails using the results from healthcare research to enhance the clinical decision-making process and develop evidence-based treatment guidelines. Level 1 and 2 studies, such as randomized controlled trials, meta-analyses, and systematic reviews of randomized controlled trials, yield more robust types of evidence. This study reviewed the levels of evidence of breast cancer publications in Nigeria. METHODS We conducted an electronic literature search of all studies published on breast cancer in Nigeria from January 1961 to August 2019. We reviewed all the articles found under the search term “Breast Cancer in Nigeria” on medical databases. RESULTS Our search identified 2,242 publications. One thousand two hundred fifty duplicates were removed, and 520 were excluded. A total of 472 articles were considered eligible for this review. Most of these articles were case series or reports (30.7%), qualitative studies (15.7%), followed by cross-sectional studies (13.3%), laboratory studies (12.9%), case-control studies (6.1%), case reports (7%), and cohort (5.7%). CONCLUSION Breast cancer research in Nigeria is yet to produce much evidence of the types considered to best support EBM. The scarcity of data hampers the implementation of EBM in Nigeria. Currently, most treatment guidelines are adapted from those developed in other countries, despite genetic differences among populations and different environmental influencing factors.

scholarly journals Knowledge, Attitude, and Practice of Evidence-Based Medicine among Emergency Doctors in Kelantan, Malaysia

2021 ◽  
Vol 18 (21) ◽  
pp. 11297
Author(s):  
Mohd Ghouse Ahmad Ghaus ◽  
Tuan Hairulnizam Tuan Kamauzaman ◽  
Mohd Noor Norhayati
Keyword(s):  
Evidence Based Medicine ◽  
Positive Attitude ◽  
Skill Training ◽  
Good Practice ◽  
Cross Sectional Study ◽  
Evidence Based ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Based Medicine ◽  
Emergency Doctors

This study aimed to determine the prevalence of high levels of knowledge, positive attitude, and good practice on evidence-based medicine (EBM) and identify the associated factors for practice score on EBM among emergency medicine doctors in Kelantan, Malaysia. This cross-sectional study was conducted in government hospitals in Kelantan. The data were collected from 200 emergency physicians and medical officers in the emergency department using the Noor Evidence-Based Medicine Questionnaire. Simple and general linear regressions analyses using SPSS were performed. A total of 183 responded, making a response rate of 91.5%. Of them, 49.7% had a high level of knowledge, 39.9% had a positive attitude and 2.1% had good practice. Sex, race, the average number of patients seen per day, internet access in workplace, having online quick reference application, and attitude towards EBM were significantly associated with EBM practice scores. It is recommended that appropriate authorities provide emergency doctors with broader access to evidence resources. EBM skill training should be enhanced in the current medical school curriculums.

scholarly journals Evidence‐based medicine—When observational studies are better than randomized controlled trials

Nephrology ◽  
2020 ◽  
Vol 25 (10) ◽  
pp. 737-743
Author(s):  
Jizzo R. Bosdriesz ◽  
Vianda S. Stel ◽  
Merel van Diepen ◽  
Yvette Meuleman ◽  
Friedo W. Dekker ◽  
...  
Keyword(s):  
Randomized Controlled Trials ◽  
Evidence Based Medicine ◽  
Observational Studies ◽  
Controlled Trials ◽  
Evidence Based ◽  
Randomized Controlled ◽  
Based Medicine ◽  
Better Than

Evidence-Based Medicine: Determining Quality of Randomized Controlled Trials

2014 ◽  
Vol 19 (4) ◽  
pp. 3-5
Author(s):  
Melissa Cheng
Keyword(s):  
Randomized Controlled Trials ◽  
Evidence Based Medicine ◽  
Internal Validity ◽  
Cochrane Collaboration ◽  
Dropout Rate ◽  
Controlled Trials ◽  
Evidence Based ◽  
Double Blind ◽  
Randomized Controlled ◽  
Based Medicine

Abstract Evidence-based medicine is based on evidence gathered by randomized controlled trials (RCTs), which are considered the “gold standard” of research studies. Users of the medial literature must be able to read critically and evaluate RCTs. The present article uses the standards of the American College of Occupational and Environmental Medicine (ACOEM) practice guidelines in evaluating RCTs according to 11 criteria; these criteria follow those used by the Cochrane Collaboration in their evidence-based reviews. Well-written articles present their randomization schemes to create comparable groups, and studies must be controlled for co-interventions; in a double-blind trial, the co-interventions would be used equally in both groups, and treatment allocations should be concealed. Readers should ask if the study had acceptable compliance; that is, were patients doing what they were asked, and was the dropout rate acceptable (typically, less than 20%)? RCTs should be analyzed by an intention-to-treat analysis that includes all study subjects who were randomized, not just those who completed the study. Having high internal validity ensures a more accurate study that can be reproduced by others, so readers may ask if results are likely to be affected by observational bias, confounding, or chance variation. Readers can determine external validity by assessing study participants according to inclusion and exclusion criteria and baseline characteristics.

scholarly journals Evidence biased psychiatry?

2001 ◽  
Vol 25 (8) ◽  
pp. 290-291 ◽  
Author(s):  
David Healy
Keyword(s):  
Evidence Based Medicine ◽  
Randomised Controlled Trials ◽  
Controlled Trials ◽  
Evidence Based ◽  
Bradford Hill ◽  
The 1960S ◽  
Randomised Controlled ◽  
Based Medicine

For a variety of reasons evidence-based medicine is currently in vogue. The evidence most commonly appealed to comes from randomised controlled trials (RCTs), even though the creator of the RCT, Austin Bradford Hill, argued in the 1960s that while it was good to see some swing toward using RCTs, if we ever ended up thinking that RCTs were the only method to evaluate a treatment the pendulum would not only have swung too far, it would have come off its hook (Hill, 1966).

scholarly journals How to Design the Control Group in Randomized Controlled Trials of Acupuncture?

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Jaung-Geng Lin ◽  
Chao-Hsun Chen ◽  
Yu-Che Huang ◽  
Yi-Hung Chen
Keyword(s):  
Randomized Controlled Trials ◽  
Evidence Based Medicine ◽  
Control Group ◽  
Controlled Trials ◽  
Evidence Based ◽  
Randomized Controlled ◽  
Based Medicine

In evidence-based medicine, randomized controlled trials (RCTs) are the preferred method for evaluating the efficacy of interventions. In regard to acupuncture RCTs, the most difficult issues are the design of the control group and implementation of the principle of “double-blinding.” We compared the advantages and limitations associated with different control group designs in acupuncture RCTs, to assist researchers in this field.

scholarly journals Biological Reset and Chronic Glaucoma Healing

2021 ◽  
Keyword(s):  
Evidence Based Medicine ◽  
Evidence Based ◽  
Specific Diagnosis ◽  
Chronic Glaucoma ◽  
Number Of Patients ◽  
Private Eye ◽  
Based Medicine

The Author reports in this Article, how, after being affected by Chronic Glaucoma for 40 years, he could finally, through the consistency of the “Evidence Based Medicine”, find the causes of the Sickness and a local and general Cure “Effective and often Decisive” against it, with specific Omotoxicological-Organotherapeutic Chemistries. Summary: The Author reports with this Article how, after having suffered a Chronic Glaucoma Disease himself (for 40 years), he found an Effective and “often” Resolving Cure with Local and General Therapy against Chronic Glaucoma with Homotoxicological and Organotherapeutic Drugs. Epidemiology: A rough estimate is that Glaucoma affects about 80,000,000 patients worldwide by calculating the number of patients followed by the various (and not all connected) “Anti-Glaucoma Centers” In my opinion, this value indicated by the O.M.S. only the “Tip of the Iceberg” and does not take into account Asia and Africa where only a few centers are connected with O.M.S. and furthermore in the Westernized World it is likely that there are patients not followed by the Centers but by hospital’ borrowed Eye’ Doctors and / or private Eye Doctors without counting “all those who suffer from it” but have not yet reached a “specific diagnosis” these considerations lead to an “only assumed Estimate” for a total of 600,000,000 patients and for many researchers also this Estimate appears largely approximate.

Levels of evidence of articles in podiatric medical journals

2000 ◽  
Vol 90 (6) ◽  
pp. 300-302 ◽  
Author(s):  
MA Turlik ◽  
D Kushner
Keyword(s):  
Randomized Controlled Trials ◽  
Evidence Based Medicine ◽  
Medical Profession ◽  
Controlled Trials ◽  
Evidence Based ◽  
Level Of Evidence ◽  
Medical Journals ◽  
Levels Of Evidence ◽  
Randomized Controlled ◽  
Based Medicine

The authors reviewed 322 articles in podiatric medical journals to determine their level of evidence. Only 1% of the articles reviewed were randomized controlled trials. The authors concluded that if the podiatric medical profession wishes to become a participant in evidence-based medicine, greater emphasis must be placed on studies that assess hypotheses.

Thinking about medicine

2017 ◽  
pp. 0-23
Author(s):  
Ian B. Wilkinson ◽  
Tim Raine ◽  
Kate Wiles ◽  
Anna Goodhart ◽  
Catriona Hall ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Randomized Controlled Trials ◽  
Communication Skills ◽  
Evidence Based Medicine ◽  
Hippocratic Oath ◽  
Controlled Trials ◽  
Evidence Based ◽  
Bedside Manner ◽  
The Subject ◽  
Based Medicine

This chapter explores the subject of medicine. It includes the Hippocratic oath, medical care, diagnosis, bedside manner, communication skills, prescribing drugs, life on the wards, dealing with death, medical ethics, psychiatry, the older person, the pregnant woman, epidemiology, randomized controlled trials, medical mathematics, evidence-based medicine, and medicalization.

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