scholarly journals An ethical review on the search for performance: evidence-based nutrology and the use without indication of anabolic steroids

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Limiro Luiz da Silveira Neto ◽  
Ludmilla Rodrigues de Souza Mol Santos
Keyword(s):  
Current Literature ◽  
Anabolic Steroids ◽  
Clinical Indication ◽  
Ethical Review ◽  
Evidence Based ◽  
Cardiovascular Safety ◽  
Extensive Review ◽  
Scientific Foundation ◽  
The Subject

This study aimed to evaluate what is new in the controversial use of testosterone, as an indication in pathologies such as hypogonadism or its use by athletes and bodybuilders in search of performance. Much is said about the subject and many myths were created without any scientific foundation, one of the objectives of the monograph is to show that when there is a precise clinical indication, testosterone is necessary and extremely beneficial to the patient. It was evaluated in current literature through books and articles, advances in physiology, regulation, treatment of late adult hypogonadism, incidence of use and the most common analogues used by athletes, the harms and benefits expected from the use of the hormone and especially what we have again on cardiovascular safety in testosterone use. After an extensive review, it is still not possible to affirm all the benefits and harms of using the hormone, many old studies are disputed in new studies and even presented results opposite to what was previously believed.

Conceptualising the Benefit Framework of an Enterprise Content Management System (ECMS)

2018 ◽  
Vol 15 (2) ◽  
pp. 17
Author(s):  
Mohamad Rahimi Mohamad Rosman ◽  
Mohammad Azhan Abdul Aziz
Keyword(s):  
Management System ◽  
Content Management ◽  
Extensive Review ◽  
Content Management System ◽  
Field Of Study ◽  
Factors Influencing ◽  
Digital Format ◽  
Enterprise Content Management ◽  
The Subject

Content management is an organisational effort of managing content, particularly in digital format. Although it has been over 25 years since content management was introduced, this field of study is still considered an emerging topic with unresolved issues-in particular, the subject of benefit achievement. Therefore, grounded on an extensive review of 135 articles, the purpose of this study is to investigate the benefits that organisations can gain through the proper use of an Enterprise Content Management System (ECMS). Subsequently, this paper identifies a list of ECMS benefits and proposes an ECMS benefit framework for further exploration into this field. Our result shows that although ECMS does bring benefits to organisations, these benefits are diverse; indicating that there are certain determinants or factors influencing the achievement of such benefits. Moreover, it is also found that in the context of the benefit framework of Shang and Seddon [10], three categories were found relevant to the field of content management: operational benefit, managerial benefit, and strategic benefit.

Reality and its Structure

2018 ◽  
Keyword(s):  
Current Literature ◽  
Dependence Relations ◽  
Metaphysical Dependence ◽  
The Subject

This volume brings together fourteen essays from leading and emerging scholars that address issues relating to the view that has come to be known as metaphysical foundationalism, and explore possibilities regarding its alternatives. According to the foundationalist, reality is hierarchically arranged with chains of entities ordered by metaphysical dependence relations that terminate in a fundamental ground populated by consistent and contingent entities. Each essay in this volume addresses some aspect or other of at least one of these core commitments. Must there be anything fundamental? Is reality hierarchically structured? Why should we be foundationalists? Is metaphysical infinitism possible? Is metaphysical coherentism possible? What does reality look like if we allow inconsistent fundamentalia? These are the sorts of pertinent questions seldom asked in the current literature, and exactly the kinds of questions addressed in this volume. The volume, then, aims to open up a much broader perspective on metaphysical dependence than currently exists, and point to ways of exploring new avenues of thought on the subject.

Essential Dental Public Health

2013 ◽  
Author(s):  
Blánaid Daly ◽  
Paul Batchelor ◽  
Elizabeth Treasure ◽  
Richard Watt
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Vital Role ◽  
Evidence Based ◽  
Dental Public Health ◽  
Oral Health Promotion ◽  
Dental Practitioners ◽  
The World ◽  
The Subject ◽  
Based Medicine

Public health is a key concern of modern dental practitioners as they continue to play a vital role in the health of populations across the world. The second edition of Essential Dental Public Health identifies the links between clinical practice and public health with a strong emphasis on evidence-based medicine. Fully revised and updated for a second edition, this textbook is split into four parts covering all the need-to-know aspects of the subject: the principles of dental public health, oral epidemiology, prevention and oral health promotion, and the governance and organization of health services. Essential Dental Public Health is an ideal introduction to the field for dentistry undergraduates, as well as being a helpful reference for postgraduates and practitioners.

Sustaining corporate culture in a world of hybrid work

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Peter Buell Hirsch
Keyword(s):  
Corporate Culture ◽  
Current Literature ◽  
Design Methodology ◽  
White Collar ◽  
Subjective Assessment ◽  
Social Implications ◽  
Content Type ◽  
The Subject ◽  
The Impact ◽  
Practical Implications

Purpose This paper aims to examine the challenges to sustaining corporate culture in a world of hybrid working. Design/methodology/approach This paper is a review of current literature on the impact of remote and hybrid working on white-collar employees. Findings There is little consensus on whether remote/hybrid working will harm or strengthen corporate culture. Research limitations/implications The viewpoint is a subjective assessment of a limited number of articles on the subject Practical implications It is not entirely clear how those responsible for corporate culture can act on the findings. Social implications In a world in which corporations are experiencing a shortage of talent, how they handle corporate culture will be increasingly important. Originality/value While much has been written on the impact of remote working, this viewpoint takes the original view that strong corporate cultures rely more on the attitudes and actions of individual employees that company programs or initiatives.

The Diagnostic Assessment of Suspected Pulmonary Embolism on the Acute Medical Take: An Evidence Based Guide

2007 ◽  
Vol 6 (1) ◽  
pp. 20-26
Author(s):  
Alastair Proudfoot ◽  
◽  
Derek Bell ◽  
Keyword(s):  
Risk Factors ◽  
Pulmonary Embolism ◽  
Venous Thromboembolism ◽  
Clinical Presentation ◽  
Diagnostic Assessment ◽  
Evidence Based ◽  
Suspected Pulmonary Embolism ◽  
The Subject ◽  
Adjusted Incidence ◽  
Age And Sex

Pulmonary Embolism is a common cardiopulmonary illness with an age and sex adjusted incidence of around 117 cases per 100 000 person years. The clinical presentation is extremely heterogeneous and non specific. Risk factors for venous thromboembolism are well established. When combined with presenting features and investigations. a multimodality algorithm has led to significant changes in the diagnostic approach of suspected PE. While the best combination of tests for any individual patient remains the subject of controversy this article aims to rationalise the acute physician’s approach to diagnosis and use of available investigations.

scholarly journals Mental and neurological health profile of Ecuador

2008 ◽  
Vol 5 (4) ◽  
pp. 93-95
Author(s):  
Marcelo E. Cruz ◽  
Rachel Jenkins ◽  
Clare Townsend ◽  
Donald Silberberg
Keyword(s):  
Evidence Based ◽  
Health Profile ◽  
Extensive Review ◽  
Review Of The Literature ◽  
The Government

We assessed the mental and neurological health (MNH) situation of Ecuador in 2006–8, using the Mental and Neurological Health Country Profile (MNHCP) (Gulbinat et al, 2004; Jenkins, 2004; Jenkins et al, 2004), an instrument which helps to develop evidence-based MNH policy and services (Townsend et al, 2004). An extensive review of the literature was undertaken and consultations and consensus meetings (Schilder et al, 2004) were conducted with key mental and neurological health stakeholders, including consumers, carers and clinicians from the government and non- government sectors.

scholarly journals Apprehensions of nurse managers on evidence-based practice

2017 ◽  
Vol 22 (1) ◽  
Author(s):  
Fernanda Carolina Camargo ◽  
Mayla Borges Goulart ◽  
Helena Hemiko Iwamoto ◽  
Maria Rizoneide Negreiros de Araújo ◽  
Divanice Contim
Keyword(s):  
Teaching Hospital ◽  
Diffusion Of Innovations ◽  
Nurse Managers ◽  
Evidence Based Practice ◽  
Scientific Production ◽  
Evidence Based ◽  
Semantic Categories ◽  
Timely Access ◽  
The Subject ◽  
Textual Records

Abstract Objective: To analyze the apprehensions of nurse managers in the implementation of the Evidence Based Practice in a Teaching Hospital of Triângulo Mineiro. Method: Qualitative research guided by the Theory of the Diffusion of Innovations. Five workshops were conducted per focal group (n = 18 participants), conducted by hermeneutic-dialectic interactions between August and September/2016. Textual records resulting from each workshop were analyzed by semantic categories. Results: Aspects conditioning to the implementation of the Evidence Based Practice permeate from elements related to the fragmentation of the care network to the necessary expansion of the governability of the nurse managers to put changes into practice in their sectors. Most importantly, timely access to the results of research conducted at the teaching hospital was mentioned as crucial to guide better practices. Final considerations: The approach allowed the recognition of contextual conditions for the implementation of the Evidence-Based Practice, which may coincide with similar scenarios, as well as increase the national scientific production on the subject, which is still scarce.

Secondary Inertia Effects in the Torsional Vibration of Reciprocating Engines—A Literature Review

1995 ◽  
Vol 209 (1) ◽  
pp. 11-15 ◽  
Author(s):  
D C Hesterman ◽  
B J Stone
Keyword(s):  
Literature Review ◽  
Recent Work ◽  
Current Literature ◽  
Torsional Vibration ◽  
Angular Position ◽  
Inertia Effect ◽  
Secondary Resonance ◽  
Inertia Effects ◽  
Reciprocating Engines ◽  
The Subject

It has been known for some time that the torsional vibration of reciprocating engines and pumps cannot be modelled accurately by representing the reciprocating mechanism by a constant inertia. There have been many publications describing better models than those that use constant inertia and these indicate that the effective inertia of a reciprocating mechanism varies with angular position. The major component of this variation is a twice per revolution cyclic effect—hence the term ‘secondary inertia’. The consequences of this secondary inertia effect can be serious for torsional vibration causing ‘secondary resonance,’ and even instability. This paper contains a review of the current literature on the subject and introduces some recent work by the authors.

scholarly journals The internet racing ahead of the scientific evidence: the case of "liberation treatment" for multiple sclerosis

2011 ◽  
Vol 69 (3) ◽  
pp. 525-527 ◽  
Author(s):  
Yára Dadalti Fragoso
Keyword(s):  
Multiple Sclerosis ◽  
Neurological Disease ◽  
Venous Insufficiency ◽  
Scientific Evidence ◽  
The Internet ◽  
Evidence Based ◽  
The World ◽  
Internet Discussion ◽  
The Central Nervous System ◽  
The Subject

Multiple sclerosis (MS) is a chronic neurological disease that typically affects young adults. A recent publication suggested that MS might originate from insufficient blood drainage in certain areas of the central nervous system. The condition was named chronic cerebrospinal venous insufficiency (CCSVI). Other papers have not confirmed these findings and, therefore, the matter remains controversial. Nineteen months after the original publication on CCSVI and MS, another 22 papers have been published addressing the matter. No clinical trials have been carried out on the subject and there is no evidence-based indication to perform surgical vascular procedures in MS patients. However, over the same nineteen-month period, the internet discussion on the subject of CCSVI and MS has led to countless websites advertising treatment using vascular surgery for patients with MS all over the world. The treatment based on the CCSVI theory has appealingly been called "liberation treatment", thus making it difficult to explain to patients why a treatment that has been highly praised (on the internet) cannot be recommended based on partial medical results that await confirmation.

scholarly journals Comparison of Traditional Versus Evidence-Based Journal Club Formats

2011 ◽  
Vol 2 (1) ◽  
Author(s):  
Kathleen Packard ◽  
Megan Herink ◽  
Thomas L. Lenz
Keyword(s):  
Clinical Practice ◽  
Current Literature ◽  
Clinical Pharmacy ◽  
Journal Club ◽  
Critical Evaluation ◽  
Primary Objective ◽  
Effective Alternative ◽  
Evidence Based ◽  
Study Analysis ◽  
Background Characteristics

Purpose: The objective of the study was to compare a traditionally structured journal club with an evidence based structured journal club during an advanced clinical pharmacy rotation and to determine the best utilization that aligns with recent changes to the pharmacy school accreditation standards. Methods: The study included 21 students who completed journal club utilizing the traditional journal club format and 24 students who utilized an evidence based journal club format. Background characteristics, student reported beliefs, and mean critical evaluation skills scores were evaluated and compared in each group. Results: There were no statistically significant differences between the two cohorts in mean overall percentage grade for the activity. Students in the traditional cohort received significantly higher grades for the Study Analysis and Critique section (90.97 + 12.18 versus 81.25 + 11.18, P=0.01) as well as for the Preparedness section (96.11 + 8.03 versus 85.0 + 17.13, P=0.002). Students in the evidence based cohort received statistically superior grades for the Presentation Skills section (96.43 + 6.39 versus 82.47 + 14.12, P=0.0004). Conclusion: An evidence based journal club is a reasonable and effective alternative to the traditionally structured journal club when the primary objective is to assist students in understanding evidence based concepts and to apply current literature to clinical practice.

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