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“Iatrogenesis is not restricted to conventional medicine”

From Wikipedia, the free encyclopedia Ancient Greek painting in a vase, showing a physician (iatros) bleeding a patient Iatrogenesis, or an iatrogenic artifact (/aɪˌætroʊˈdʒɛnɪk/; “originating from a physician”) is an inadvertent adverse effect or complication resulting from medicaltreatment or advice, including that of psychologists, therapists, pharmacists, nurses,physicians and dentists. Iatrogenesis is not restricted to conventional medicine: It can also result from complementary and alternative medicine treatments. Some iatrogenic artifacts are … Continue reading

USP Verified Dietary Supplements

USP Verified The United States Pharmacopeia (USP) is the official public standards-setting authority for all prescription and over-the-counter medicines, dietary supplements, and other healthcare products manufactured and sold in the United States. USP tests the purity, potency, and quality of dietary supplement finished products that are voluntarily entered by their manufacturer in the program. Dietary supplements are … Continue reading

1. What Is EBM

What is Evidence-Based Practice (EBP)? The EBP Process The most common definition of EBP is taken from Dr. David Sackett, a pioneer in evidence-based practice. EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the … Continue reading

2. The Clinical Question

The Well-Built Clinical Question ASSESS the Patient 1. Start with the patient: a clinical problem/question arises from the care of the patient ASK the Question 2. Construct a well-built question derived from the case EBM always begins and ends with the patient. To begin this process, consider the following clinical scenario: This is a new … Continue reading

3. The Literature Search

ACQUIRE the evidence 3. Select the appropriate resource(s) and conduct a search In the previous module, we learned how to construct a well-built clinical question. Using that question, we will move on to the literature search. For our patient, the clinical question is:In elderly patients with heart failure and an ejection fraction of 40%, is … Continue reading

5. Testing Your Knowledge

Case: Acupuncture for the old knee This is a self-correcting exercise. Click on Answer for a pop-up box with the response. Note: If you do not see a pop-up box, check your pop-up blocker settings in the browser. If that is not the problem, try closing the previous pop-up box or check to see if the pop-up box … Continue reading

4. Evaluating the Evidence

APPRAISE the evidence 4. Appraise that evidence for its validity (closeness to the truth) and applicability (usefulness in clinical practice) Step 1: Evaluating the Validity of a Therapy Study We have now identified current information which can answer our clinical question. The next step is to read the article and evaluate the study. There are … Continue reading

Finding What Works in Health Care: Standards for Systematic Reviews

Released: 3/23/2011 Download:PDF Healthcare decision makers in search of reliable information comparing health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies and can help clarify what is known and not known about the potential benefits and … Continue reading

Systematic Review and Meta-analysis: When One Study Is Just not Enough

Amit X. Garg*, Dan Hackam † , Marcello Tonelli ‡ +Author Affiliations *Division of Nephrology and Department of Epidemiology and Biostatistics, University of Western Ontario, London, and †Division of Clinical Pharmacology and Toxicology, University of Toronto, and Cardiac Rehabilitation and Secondary Prevention Program, Toronto Rehabilitation Institute, Toronto, Ontario, and ‡Division of Nephrology and Department of Public Health Sciences, University of … Continue reading

A verdade sobre a “medicina alternativa”, no TAM 2012

Video maravilhoso sobre Medicina Baseada em Evidencia, no congresso TAM deste ano (2012). Steven Novella, Harriet Hall, David Gorski já conhecidos por escreverem mais famoso blog sobre o assunto, discutem vários tópicos. Aqui estão algumas frases (o vídeo está em inglês) ” A maioria dos médicos não é cientista, odeio dizer isso por ser um, mas … Continue reading