Social Context

2021 ◽  
pp. 845-865
Author(s):  
Emilia Mikołajewska ◽  
Tomasz Komendziński ◽  
Dariusz Mikołajewski
Keyword(s):  
Social Context ◽  
Social Issues ◽  
Data Interpretation ◽  
Evidence Based ◽  
Medical Practitioners ◽  
Computer Interfaces ◽  
Personal Experiences ◽  
Difficult Area ◽  
Clinical Pictures ◽  
Based Medicine

Evidence-based medicine (EBM) and Evidence-based practice (EBP) are sets of standards and procedures created to search, verify, and select up-to-date findings implemented by medical staff as a basis for decision-making process in a daily clinical practice. Despite efforts of scientists and clinicians, neurorehabiltiation is regarded as a difficult area for EBM/EBP practices due to huge diversity of cases, clinical pictures, interventions, and scientific methodologies. More advanced tasks, including application of brain-computer interfaces and neuroprosteheses, show the need for a new approach from medical practitioners. This chapter presents challenges, barriers, and solutions in the aforementioned area based on the personal experiences of the authors. Visualisation tools provide cognitive support for social context, cooperation patterns, and data interpretation. Taking into consideration that social issues may extend the visibility of the results and allow for easier dissemination of the results, the aim was to show how visualisation helps identify cooperation networks and disseminate research results.

Social Context

2018 ◽  
pp. 274-293
Author(s):  
Emilia Mikołajewska ◽  
Tomasz Komendziński ◽  
Dariusz Mikołajewski
Keyword(s):  
Social Context ◽  
Social Issues ◽  
Data Interpretation ◽  
Evidence Based ◽  
Medical Practitioners ◽  
Computer Interfaces ◽  
Personal Experiences ◽  
Difficult Area ◽  
Clinical Pictures ◽  
Based Medicine

Evidence-based medicine (EBM) and Evidence-based practice (EBP) are sets of standards and procedures created to search, verify, and select up-to-date findings implemented by medical staff as a basis for decision-making process in a daily clinical practice. Despite efforts of scientists and clinicians, neurorehabiltiation is regarded as a difficult area for EBM/EBP practices due to huge diversity of cases, clinical pictures, interventions, and scientific methodologies. More advanced tasks, including application of brain-computer interfaces and neuroprosteheses, show the need for a new approach from medical practitioners. This chapter presents challenges, barriers, and solutions in the aforementioned area based on the personal experiences of the authors. Visualisation tools provide cognitive support for social context, cooperation patterns, and data interpretation. Taking into consideration that social issues may extend the visibility of the results and allow for easier dissemination of the results, the aim was to show how visualisation helps identify cooperation networks and disseminate research results.

Evidence-Based Medicine for Rare Diseases: Implications for Data Interpretation and Clinical Trial Design

2007 ◽  
Vol 14 (2) ◽  
pp. 160-166 ◽  
Author(s):  
Madhusmita Behera ◽  
Ambuj Kumar ◽  
Heloisa P. Soares ◽  
Lubomir Sokol ◽  
Benjamin Djulbegovic
Keyword(s):  
Clinical Trial ◽  
Rare Diseases ◽  
Evidence Based Medicine ◽  
Trial Design ◽  
Clinical Trial Design ◽  
Data Interpretation ◽  
Evidence Based ◽  
Based Medicine

Awareness and Practice of Evidence-Based Medicine among Medical Practitioners in a Nigerian Community

2011 ◽  
Vol 9 (8) ◽  
Author(s):  
Charles Oluwole Omolase ◽  
Olakunle Tolulope Ogunleye ◽  
Bukola Olateju Omolase ◽  
Ericson Oluseyi Omolade ◽  
Chidi Oliver Ihemedu ◽  
...  
Keyword(s):  
Evidence Based Medicine ◽  
Evidence Based ◽  
Medical Practitioners ◽  
Based Medicine

scholarly journals CARCINOMA OF THE BREAST : TIME TO PRACTICE EVIDENCE BASED MEDICINE

2003 ◽  
Vol 42 (150) ◽  
pp. 368-376
Author(s):  
Digvijay S Timilsina
Keyword(s):  
Breast Screening ◽  
Multimodal Therapy ◽  
Screening Mammography ◽  
Evidence Based ◽  
National Guidelines ◽  
Carcinoma Of The Breast ◽  
Carcinoma Breast ◽  
Disease Mortality ◽  
Personal Experiences ◽  
Based Medicine

Breast cancer is a common, dangerous and to some extent curable disease. Mortality from this disease hasjust now beginning to fall after remaining stagnant for 40 years. Screening and multimodal therapy basedon our paradigm changes are responsible for this happy trend. There is a very individualistic trend amongsurgeons to manage such cases, based on their own personal experiences. We are in a situation where samestaged disease is managed very differently and thus comparison of results and national guidelines are veryfar off. We have very few indexed publications listed on this subject from Nepal.Here an attempt is madeto review the recent publications and rationalizations from the abundance of information available.Key Words: Carcinoma, breast, screening, mammography, radiotherapy, mastectomy.

scholarly journals Proposal for a 4-type Classification of Acne: An Evidence-Based Review of the Literature

2020 ◽  
Vol 14 (1) ◽  
pp. 38-43
Author(s):  
O. Prapapan ◽  
C. C. Chatchavarn ◽  
P. Suvanprakorn ◽  
H. A. M. Neumann ◽  
R. Knobler ◽  
...  
Keyword(s):  
Acne Vulgaris ◽  
Risk Of Bias ◽  
Evidence Based ◽  
Review Of The Literature ◽  
Medical Practitioners ◽  
Acne Treatment ◽  
Evidence Based Guideline ◽  
Based Medicine ◽  
Type Classification

Background: Proper evidence-based classification and grading of a disease such as acne are important in guiding medical practitioners to properly diagnose diseases and treat patients. Objective: This is a review of the present classification of acne in order to delineate modified approaches of acne treatment. Methods: The available literature was reviewed, including searches from 7 databases based on the terms “classification of acne vulgaris and pathophysiology”, according to evidence-based medicine using the Cochrane risk of bias tool. Results: From a total of 10,121 studies on acne classification, 51 full-text articles were assessed and 13 studies were included after screening for acne classification. Conclusion: The European-evidence-based guideline (EDF) classification fits best. We propose a modified classification in 4 categories to improve the management of each stage of acne.

scholarly journals Evidence-Based Medicine: An Overview of Available Evaluation Instruments

2019 ◽  
Vol 2 (1) ◽  
pp. 28-32
Author(s):  
Romulo N. Aguilar ◽  
Keyword(s):  
Medical Education ◽  
Evidence Based Medicine ◽  
Paradigm Shift ◽  
Medical Literature ◽  
Evidence Based ◽  
Well Performance ◽  
Medical Practitioners ◽  
Evaluation Instruments ◽  
Available Information ◽  
Based Medicine

The paradigm shift to evidence-based medical education was introduced many years back, driven mainly by the voluminous amount of medical literature available to both the medical student and practitioner as well. In essence, it provided a process for critically appraising available information for the purpose of obtaining the “best available evidence.” Presently, as we continue to teach evidence-based medicine (EBM), we find it most useful to evaluate its effectiveness by devising ways to evaluate the performance not only of the students but, of medical practitioners and teachers of EBM as well. Performance evaluation of students involve evaluating the ability to ask answerable questions, perform a systematic search of literature, critically appraise the evidence and, integrate evidence and patient’s values. A step further is to ask whether what we have learned has been translated into better clinical outcomes. Finally, we evaluate the teaching of EBM. This would necessitate much introspection as teachers ask themselves whether they have taught EBM effectively. Several evaluation instruments have already been developed over the years, but studies have shown that better tools still need to be developed.

scholarly journals Teaching Evidence Based Medicine in Surgical Education; the Challenges and Techniques in Training

2016 ◽  
Vol 3 (1) ◽  
pp. 337-345
Author(s):  
M Griffin ◽  
DJ Jordan ◽  
A El Gawad
Keyword(s):  
Clinical Practice ◽  
Evidence Based Medicine ◽  
Management Plan ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Medical Practitioners ◽  
Excellent Teaching ◽  
Journal Clubs ◽  
Surgical Trainees ◽  
Based Medicine

Evidence Based Medicine integrates clinical expertise, best available clinical evidence, as well as patient’s values and preferences to manage the care of patients. Surgeons have traditionally performed surgery according to their mentor teachings, these techniques being passed down through several generations. Current surgeon culture must evolve to integrate EBM into their clinical practice. The knowledge and skills required for searching and appraising critical literature needs to be taught to enable surgeons to implement it effectively. Evidence based surgery (EBS) will encourage surgeons to apply the best up-to-date knowledge to find the most effective surgical management plan for their patients. Several methods of teaching EBS to surgical trainees have shown to be effective including workshops, small group discussions, lecture style teaching and courses involving a combination of techniques. Journal clubs have gained in popularity and provided excellent teaching environments for surgeons to learn critical appraisal. Recently EBM has been introduced into the undergraduate programme to provide young medical practitioners with a strong foundation in EBM competency, and a positive attitude towards applying EBM to clinical practice. In this review, we aim to provide an overview of the principles of EBM and the success and challenges of teaching methods to deliver EBM for the surgical field.

Overtreating Alzheimer’s Disease

2020 ◽  
pp. 1-3
Author(s):  
M. Canevelli ◽  
N. Vanacore ◽  
A. Blasimme ◽  
G. Bruno ◽  
M. Cesari
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Older Persons ◽  
Social Issues ◽  
Real Life ◽  
Clinical Manifestations ◽  
Evidence Based ◽  
Biological Complexity ◽  
Beneficial Effects ◽  
Based Medicine

The management of frailty in older persons is not easy, implying interventions beyond the simple prescription of medications. Biological complexity, multimorbidity, polypharmacy, and social issues often hamper the possibility to directly translate the evidence coming from research into clinical practice. Frailty indeed represents the most relevant cause of the “evidence-based medicine issue” influencing clinical decisions in geriatric care. Today, patients with Alzheimer’s disease (AD) are much older and frailer than some decades ago. They also tend to have more drugs prescribed. In parallel, research on AD has evolved over the years, hypothesizing that anticipating the interventions to the earliest stages of the disease may provide beneficial effects (to date, still lacking). In this article, we argue that, by focusing exclusively on “the disease” and pushing to anticipate its detection (sometimes even before the appareance of its clinical manifestations) may overshadow the person’s values and priorities. Research should be developed for better integrating the concept of aging and frailty in the design of clinical trials in order to provide results that can be implemented in real life. On the other hand, clinicians should be less prone to the easy (but unsupported by evidence) pharmacological prescription.

scholarly journals "Doctor Knows Best"

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Dylan Mirek Popowicz
Keyword(s):  
Decision Making ◽  
Medical Decision Making ◽  
Medical Decision ◽  
Evidence Based ◽  
Patient Relationship ◽  
Medical Practitioners ◽  
Making Sense ◽  
Decision Making Processes ◽  
Based Medicine

We often consider medical practitioners to be epistemic authorities: “Doctor knows best,” as the saying goes. The place of expert judgment in evidence-based medicine hierarchies, and the crucial role of patient preferences and values in medical decision-making, however, pose problems for making sense of such authority. I argue that there is an account of such medical epistemic authority that does justice to the complexities of the doctor–patient relationship, while maintaining that medical practitioners hold an epistemically privileged position. Such a view can better inform medical practice by clearly illuminating the distinct roles of patients and doctors in decision-making processes.

scholarly journals Clinical Decision Science emphasizes unique social context in a way that Evidence-Based Medicine does not

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Karen Weaver ◽  
Michelle Diebold ◽  
Zeinab Rizk ◽  
Ghada Mustapha ◽  
Wafa Algahmi ◽  
...  
Keyword(s):  
Social Interaction ◽  
Social Context ◽  
Evidence Based Medicine ◽  
Research Evidence ◽  
Clinical Decision ◽  
Evidence Based ◽  
Decision Science ◽  
Patient Values ◽  
Based Medicine ◽  
New Framework

INTRODUCTION: The ideal of evidence-based medicine includes the integration of clinical experience and patient values with research evidence. We introduce clinical decision science, a new framework that includes patient social context to demonstrate this integration, which has been absent from evidence-based medicine sources. METHODS: This is an observational study comparing published articles within the domains of clinical decision science and evidence-based medicine. In a standardized manner, investigators identified and counted instances of social interaction within the publications. RESULTS: Publications of Clinical Decision Science had a higher number of markers of social interaction per paper and greater proportion of papers that included any markers of social interaction compared to publications in the Evidence-based medicine domain. DISCUSSION: We identified a framework that allows exploration of a new scientific domain that includes both research evidence and individual patient social context.

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