Additional Tissue Sampling Trials Did Not Change Our Thyroid Practice

Can orthopedic trials change practice?

BACKGROUND AND PURPOSE The impact of large, randomized trials in orthopedic surgery on surgeons' preferences for a particular surgical approach remains unclear. We surveyed surgeons to assess whether they would change practice based upon results of a large, multicenter randomized controlled hip fracture trial. METHODS We conducted a cross-sectional survey among International Hip Fracture Rese...

Oral vitamin B12 can change our practice.

Oral vitamin B12 can provide an effective alternative to intramuscular injections, so giving patients a choice and reducing costs in primary care. This study investigated the effectiveness, safety, and acceptability of oral vitamin B12 as replacement therapy in patients with vitamin B12 deficiency in a city general practice population. Forty patients previously maintained on vitamin B12 injecti...

robotic anesthesia: how is it going to change our practice?

What did our ancestors eat?

Over the millennia various hominoids and hominids have subsisted on very different dietaries, depending on climate, hunting proficiency, food-processing technology, and available foods. The Australopithecines were not browsers and fruit-eaters with very high intakes of vitamin C; rather they were scavengers of kills made by other animals. The hominids who followed did include some cold-climate ...

How the electronic health record did not measure up to the demands of our medical home practice.

The American Recovery and Reinvestment Act (ARRA) of 2009 will soon provide billions of dollars to small physician practices nationwide to encourage adoption of electronic health records. Although shifting from paper to computers should lead to better and cheaper care, the transition is complex. In this paper we describe our struggles to adapt a commercial electronic health record to an innovat...