The impetus for these essays on evidence in medicine and law is commonly called evidence-based medicine: the movement to evaluate the safety, effectiveness, and cost of medical practices using tools from science and social science and to base clinical practice on such knowledge. Evidence-based medicine is portrayed as an alternative to medicine based on authority, tradition, and the physician’s...

DIOPATHIC thrombocytopenic purpura (ITP, also I known as primary immune thrombocytopenic purpura) is a hematologic disorder for which appropriate diagnostic and treatment strategies are uncertain. In 1994, the American Society of Hematology (ASH) established a panel to produce explicitly developed practice guidelines for the diagnosis and management of ITP. “Explicitly developed,” evidencebased...

The impetus for these essays on evidence in medicine and law is commonly called evidence-based medicine: the movement to evaluate the safety, effectiveness, and cost of medical practices using tools from science and social science and to base clinical practice on such knowledge. Evidence-based medicine is portrayed as an alternative to medicine based on authority, tradition, and the physician’s...

During the post-World War II era there has been a huge boom in introduction of new medical therapies and in improvement of health care systems. New methods are used to increase the efficiency of medical treatment by combination of knowledge derived from the literature, clinical guidelines made on practice-based evidence, and a dialogue between healthcare professionals, clinicians and patients. ...

http://ccn.aacnjournals.org if validated, reliable, and useful evidence leads to such change. Nurses are at the forefront of evidence-based approaches. The Institute of Medicine defines evidence-based practice (EBP) as “the integration of best research, clinical expertise, and patient values in making decisions about the care of individualized patients.” Research findings are a collection of fa...

As the physical therapy profession continues the paradigm shift toward evidencebased practice, it becomes increasingly important for therapists to base clinical decisions on the best available evidence. Defining the best available evidence, however, may not be as straightforward as we assume, and will inevitably depend in part upon the perspective and values of the individual making the judgmen...

Many, many years ago, when it was time to apply for internships and residencies, I found myself in a family medicine program interview quoting a paper I had recently read that claimed no substantial differences in the practice patterns of general practitioners a few years after rotating internship and of family doctors a few years after family medicine residency.1 It was a tactless point to rai...

OBJECTIVE To outline new guidelines for the management of mild traumatic brain injury (MTBI) and persistent postconcussive symptoms (PPCS) in order to provide information and direction to physicians managing patients’ recovery from MTBI. QUALITY OF EVIDENCE A search for existing clinical practice guidelines addressing MTBI and a systematic review of the literature evaluating treatment of PPCS...

The academic goal of an internship at Southmoor Dental Group in the summer of 2009 was to learn how a practicing dentist incorporates emerging scientific research into his clinical practice. Ethical responsibilities to their patients oblige dentists to replace or augment present treatments if new information indicates that new treatment methods offer significant advantages. As a result dentists...