Blog Tag: Evidence 
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Doctors need help to make decisions---but what kind of help?
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Source: Notes from Dr. RW - September 7, 2011 Category: Internists and Doctors of Medicine Tags: politics and policy evidence based medicine Source Type: blogs
The problems with guidelines - the elephant in the roomEmail this article to a colleague.
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Infertile couples often get upset when their doctor refuses to provide them with the treatment they want. This is especially a problem in places like the UK where the NHS pays for IVF treatment. Because IVF treatment is expensive , doctors need to follow guidelines which have been laid down in order to ensure cost-effective use of limited resources. The one who pays the piper calls the tune !
Because these guidelines are laid down by bureaucrats they're all in black and white, which means the ability of the doctor to make decisions is remarkably curtailed . He has little autonomy and cannot break the guidelines or tailor ...
Source: The Patient's Doctor - September 7, 2011 Category: Obstetricians and Gynecologists Tags: Medicine Health evidence-based medicine In vitro fertilisation India Professional patient Physician Source Type: blogs
Beliefs about Memory: Interview with Dan SimonsEmail this article to a colleague.
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In a recent survey of the U.S. population, researchers Daniel Simons and Christopher Chabris assessed common beliefs about memory. They found that common beliefs are often incongruent with scientific findings. Recently I had an opportunity to ask Simons about some of the implications of the survey.
What motivated this survey on understanding memory?
Our goal in conducting the study was to supplement the research we had done for our book, The Invisible Gorilla. The book focuses on everyday illusions, cases in which people’s intuitive beliefs about how the mind works are faulty. In writing the book, we realized tha...
Source: World of Psychology - August 29, 2011 Category: Psychiatrists and Psychologists Authors: Jamie Hale Tags: Brain and Behavior General Interview Memory and Perception Psychology Research Daniel Simons Demonstration Discrepancy Documentary evidence Experiences Fluency Good Reason Gorilla How The Mind Works Illusions Memories Mis Source Type: blogs
Medical News Stories: Beware Of Insufficient EvidenceEmail this article to a colleague.
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After seeing the NBC Nightly News last night, a physician urged me to write about what he saw: a story about a “simple blood test that could save women’s lives.”
Readers – and maybe especially TV viewers – beware whenever you hear a story about “a simple blood test.”
And this is a good case in point.
Brian Williams led into the story stating:
“Two of three women who die suddenly of cardiac heart disease have no previous symptoms which is all the more reason women may want to ask their doctors about a blood test that can be a lifesaver.”
Then NBC News chief medical edito...
Source: Better Health - August 28, 2011 Category: Health Medicine and Bioethics Commentators Authors: GarySchwitzer Tags: Health Tips News Brian Williams Cardiology Coronary Heart Disease CRP Heart Disease-Related Death Howard Brody John Abramson Lacking evidence Life Saving Medical History Merrill Goozner Nancy Snyderman NBC Nieman Reports Pa Source Type: blogs
PubMed’s Higher Sensitivity than OVID MEDLINE… & other Published Clichés.Email this article to a colleague.
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Is it just me, or are biomedical papers about searching for a systematic review often of low quality or just too damn obvious? I’m seldom excited about papers dealing with optimal search strategies or peculiarities of PubMed, even though it is my specialty. It is my impression, that many of the lower quality and/or less relevant papers are [...]
Source: Laika's MedLibLog - August 21, 2011 Category: Medical Librarians Authors: laikaspoetnik Tags: evidence Based Searching PubMed/MEDLINE Researchblogs Systematic Review Clinical Trial Free Text Limits MeSH Meta-analysis Randomized Controlled Trial Search Strategies Source Type: blogs
#FollowFriday #FF @DrJenGunter: EBM Sex Health Expert Wielding the Lasso of TruthEmail this article to a colleague.
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If you’re on Twitter you probably seen the #FF or #FollowFriday phenomenon. FollowFriday is a way to recommend people on Twitter to others. For at least 2 reasons: to acknowledge your favorite tweople and to make it easier for your followers to find new interesting people. However, some #FollowFriday tweet-series are more like a weekly [...]
Source: Laika's MedLibLog - August 18, 2011 Category: Medical Librarians Authors: laikaspoetnik Tags: evidence Based Medicine Twitter Favorites #FF EBM Followfriday Health ObGyn Online Communities Sex Health Social Network social networking Twitter Lists Source Type: blogs
Book Review: Food Truths, Food LiesEmail this article to a colleague.
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Food Truths, Food Lies, written by family physician Eric Marcotte, M.D., may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods, magical berries, or supplement “must-haves” in the entire book. What you will find is the cold, hard truth about why many Americans are overweight, and what it takes to become a healthy eater.
Marcotte writes for the average American – his simple language, matter-of-fact tone, and regular reminders of what the reader has learned, make for a quick and memorable read. Although it’s clear that Marcotte has car...
Source: Better Health - August 18, 2011 Category: Health Medicine and Bioethics Commentators Authors: Dr. Val Jones Tags: Book Reviews Amazon Diet Eric Marcotte evidence Based Medicine Exercise Fitness Food Truths Food Lies Healthy Eating Weight Loss Source Type: blogs
RIP Statistician Paul Meier. Foster-Parent not Father of the RCTEmail this article to a colleague.
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This headline in Boing Boing caught my eye today: RIP Paul Meier, father of the randomized trial Not surprisingly, I knew that Paul Meier (with Kaplan) introduced the Kaplan-Meier estimator (1958), a very important tool for measuring how many patients survive a medical treatment. But I didn’t know he was “father of the randomized trial”…. But is he really?: [...]
Source: Laika's MedLibLog - August 14, 2011 Category: Medical Librarians Authors: laikaspoetnik Tags: Clinical Trial evidence Based Medicine Therapy EBM James Lind Kaplan–Meier estimator Paul Meier Randomization Randomized Controlled Trial RCT Source Type: blogs
RIP Statistician Paul Meier. Proponent not Father of the RCT.Email this article to a colleague.
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This headline in Boing Boing caught my eye today: RIP Paul Meier, father of the randomized trial Not surprisingly, I knew that Paul Meier (with Kaplan) introduced the Kaplan-Meier estimator (1958), a very important tool for measuring how many patients survive a medical treatment. But I didn’t know he was “father of the randomized trial”…. But is he really?: [...]
Source: Laika's MedLibLog - August 14, 2011 Category: Medical Librarians Authors: laikaspoetnik Tags: Clinical Trial evidence Based Medicine Therapy EBM James Lind Kaplan–Meier estimator Paul Meier Randomization Randomized Controlled Trial RCT Source Type: blogs
Anonymous Blogger Reviews The Lack Of Evidence For Robotic SurgeryEmail this article to a colleague.
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The surgeon who blogs as Skeptical Scalpel writes that he (she?) is unable to contain him(her)self any longer and then lunges into a review of evidence (or lack thereof) for robotic surgery.
You may disagree with Skeptical Scalpel’s decision to be anonymous, but he/she explains:
“I’ve been a surgeon for almost 40 years and a surgical department chairman for over 23 of those years. During much of that time, conforming to the norms, rules and regulations of government agencies, accrediting bodies, hospitals, societies, and social convention was necessary for survival. I was always somewhat outspoken but in ...
Source: Better Health - August 8, 2011 Category: Health Medicine and Bioethics Commentators Authors: GarySchwitzer Tags: Opinion Research Abdominal Surgery Colorectal Surgery Conventional Surgery Esophageal Reflux Disease evidence Based Medicine Gynecologic Surgery Laparoscopic Cholecystectomy Laparoscopic Prostatectomy Medical Devices Prostate Cancer Source Type: blogs
What's wrong with performance measures?Email this article to a colleague.
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Source: Notes from Dr. RW - July 26, 2011 Category: Internists and Doctors of Medicine Tags: politics and policy evidence based medicine Source Type: blogs
Trends in elective PCI post-COURAGEEmail this article to a colleague.
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Source: Notes from Dr. RW - July 25, 2011 Category: Internists and Doctors of Medicine Tags: cardiovascular evidence based medicine Source Type: blogs
‘Keeping Up With EM’ is back!Email this article to a colleague.
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Great news LITFLers, Keeping Up with Emergency Medicine is back! Once again, you can stay up to date with the literature in 10 minutes a week, for free!
Source: Life in the Fast Lane - July 16, 2011 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: eLearning Emergency Medicine evidence Based Medicine Podcast clay smith EBM jim fiechtl keeping up with emergency medicine vanderbilt Source Type: blogs
Meta-Analyses And A Capricious Drug Approval Process: The Actos And Avandia StoriesEmail this article to a colleague.
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Both Germany and France have now suspended the marketing of Actos (pioglitazone) due to concerns of a link between Actos and bladder cancer. Though we have known about bladder cancer concerns for some time, these recent concerns about the bladder cancer link stem from a recent report analyzing the FDA’s Adverse Event Reporting System (AERS), which found that 93 cases of cancer were recorded between 2004 and 2009 in patients treated with antidiabetic drugs, of which 31 patients were treated with pioglitazone, representing a statistically significant increased risk of bladder cancer (ROR 4.30, 95% confidence interval, ...
Source: Better Health - July 13, 2011 Category: Health Medicine and Bioethics Commentators Authors: admin Tags: Opinion Bladder Cancer Diabetes Drug Approval Process Drug Interactions evidence Based Medicine FDA Heart Disease Meta-Analysis Politics Primary Care Subjective Source Type: blogs
Approaches to Knowledge 2: Interview with Nathaniel B. JonesEmail this article to a colleague.
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This is the second article of a two-part interview with Dr. Brian Jones. Dr. Jones has a PhD in exercise science and is a full-time professor at the University of Louisville where he teaches both undergrad and graduate courses. He approaches his classes from a scientific standpoint with an emphasis on critical thinking.
In a nutshell, what is science? Does science really prove anything?
Science is a process. It is a system for evaluating information based on formulating a hypothesis, carefully testing that hypothesis through data collection and analysis, and revising the hypothesis. If the hypothesis withstands the r...
Source: World of Psychology - July 13, 2011 Category: Psychiatrists and Psychologists Authors: Jamie Hale Tags: General Interview Policy and Advocacy Psychology Research Anecdotal Data Anecdotal evidence Anecdotes B Jones Careful Manipulation Control Group Control Groups critical thinking Dr Brian Dr Jones Experimental Research Designs Source Type: blogs
Matthew Israel, Founder of Judge Rotenberg, Steps Down in DisgraceEmail this article to a colleague.
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We missed reporting this at the end of May when it happened, but I like to close the loop on stories we’ve discussed in the past, so I thought it relevant to mention here.
We’ve previously detailed how the Judge Rotenberg Educational Center in Canton, Mass. has a “treatment” for out-of-control children where electric shocks are given in order to curb their behavior (ala BF Skinner). We’ve also noted the horror of the incident where a former patient was able to make a single phone call and cause the staff to shock two children in its care over 100 times.
Now, finally, the founder of the school,...
Source: World of Psychology - July 12, 2011 Category: Psychiatrists and Psychologists Authors: John M. Grohol, PsyD Tags: Brain and Behavior Children and Teens General Policy and Advocacy Psychology Treatment Ala Attorney General Bf Skinner Brief Description Canton Mass Care2 Cen Criminal Charges Destroying evidence Disgrace Electric Shocks Source Type: blogs
Exaggerated Claims Can Be Found In Respected Medical JournalsEmail this article to a colleague.
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e-Patients who want to collaborate with their physicians, and be responsible for their medical decisions, need to clearly understand what constitutes good evidence. It’s not always easy.
Now Richard Smith, a 25 year editor of the British Medical Journal, has written another piece for the BMJ blog, citing a JAMA study showing “that of the 49 most highly cited papers on medical interventions published in high profile journals between 1990 and 2004 a quarter of the randomised trials and five of six non-randomised studies had been contradicted or found to be exaggerated by 2005.”
What’s an e-patient to do?? Especiall...
Source: Better Health - July 2, 2011 Category: Health Medicine and Bioethics Commentators Authors: DavedeBronkart Tags: Opinion BMJ ePatients evidence JAMA Medical Journals Science Understanding Statistics Source Type: blogs
HOT TOPIC: Does Soy Relieve Hot Flashes?Email this article to a colleague.
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The theme of the Upcoming Grand Rounds held at June 21th (1st day of the Summer) at Shrink Rap is “hot”. A bit far-fetched, but aah you know….shrinks“. Of course they hope assume that we will express Weiner-like exhibitionism at our blogs. Or go into spicy details of hot sexpectations or other Penis Friday NCBI-ROFL posts. But no, not me, [...]
Source: Laika's MedLibLog - June 19, 2011 Category: Medical Librarians Authors: laikaspoetnik Tags: CAM evidence Based Medicine Food Researchblogs Therapy Estrogen Genistein Health Hormone replacement therapy Hot flash Menopause Phytoestrogens Research Blogs Researchblogging soy Soybean Womens Health Source Type: blogs
Confusing cookie cutter medicine with evidence based medicineEmail this article to a colleague.
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Source: Notes from Dr. RW - June 15, 2011 Category: Internists and Doctors of Medicine Tags: politics and policy evidence based medicine endocrinology Source Type: blogs
Indian doctors , learning, and CMEEmail this article to a colleague.
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In reality, all learning is self-learning. We talk about teaching doctors to help them keep uptodate, but in reality, no one can teach anyone else - it's only the student who can learn ! A good teacher will provide as many avenues and opportunities as possible, so that students can learn for themselves.Adult learners are a different breed - and this is especially true for doctors, who are highly qualified and very busy professionals, with major time constraints.Not only is it hard for them to take time out of their busy schedules to learn, it's even more important for us to ensure that whatever techniques we use to teach d...
Source: The Patient's Doctor - June 12, 2011 Category: Obstetricians and Gynecologists Tags: Medicine Health evidence-based medicine Health care learning BioMedCentral Physician Continuing medical education Source Type: blogs
Cell Phones And Brain Cancer: Evidence Of A Link Is LimitedEmail this article to a colleague.
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If the recent announcement by the International Agency for Research on Cancer (IARC) that cell phones may cause brain cancer has you worried, you might want to wait a bit before trashing your mobile phone and going back to a land line.
Last week, the IARC convened experts from around the world to assess what, if any, cancer threat cell phones pose to the 5 billion or so people who use them. After reviewing hundreds of studies, the IARC panel concluded that cell phone use may be connected to two types of brain cancer, glioma and acoustic neuroma.
That sounds mighty scary. But the IARC said the evidence for this conclusion ...
Source: Better Health - June 10, 2011 Category: Health Medicine and Bioethics Commentators Authors: PJSkerrett Tags: Health Tips News Brain Cancer Cell Phones evidence IARC Neurosurgery Not Dangerous Oncology Technology Source Type: blogs
Traumatic Hand InjuriesEmail this article to a colleague.
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LITFL reviews the June edition of Emergency Medicine Practice on Traumatic Hand Injuries. Are you ready for the Top 10 Review Questions?
Source: Life in the Fast Lane - June 9, 2011 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: EB Medicine EBM Lecture Emergency Medicine evidence Based Medicine Health Reviews Hand Injury Traumatic Hand Injuries Source Type: blogs
Own the FEAST!Email this article to a colleague.
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We recently featured a video on what could turn out to be the emergency medicine/ critical care 'Trial of the Year'... That's right, the FEAST Trial:
Source: Life in the Fast Lane - June 6, 2011 Category: Emergency Medicine Doctors Authors: Gerard Fennessy Tags: eLearning Emergency Medicine evidence Based Medicine Featured Intensive Care Pediatrics Resuscitation FEAST fluid bolus trial Source Type: blogs
A better way of making sure doctors learn and update themselvesEmail this article to a colleague.
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If conferences are such a poor way of teaching doctors, then what can the profession do to ensure that doctors remain updated ? Is it possible to trust that all doctors are responsible professionals who will take the time and trouble to educate themselves on an ongoing continual basis ? Sadly, no. While most doctors are conscientious and will make a concerted effort to learn, not all will do so .So what's a better option which will ensure that doctors learn reliable, updated, accurate evidence based medicine, without wasting time and money ?The answer is surprisingly simple ! In medical college, doctors are used to memoris...
Source: The Patient's Doctor - June 3, 2011 Category: Obstetricians and Gynecologists Tags: Medicine Health evidence-based medicine Health care doctors patient learning Education Source Type: blogs
A Surprising FEASTEmail this article to a colleague.
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A surprising FEAST: "Fluid boluses significantly increased 48-hour mortality in critically ill children with impaired perfusion in... resource-limited settings in Africa."
Source: Life in the Fast Lane - June 2, 2011 Category: Emergency Medicine Doctors Authors: Gerard Fennessy Tags: Emergency Medicine evidence Based Medicine Featured Pediatrics Resuscitation Tropical Medicine Video africa bolus developing countries FEAST fluid Source Type: blogs
Press Release Contains Ridiculous Health Claim Of The WeekEmail this article to a colleague.
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Every once in a while, a press release comes along that’s worth mocking publically. Here’s one of them.
In honor of National Mental Health Month, one PR flack pitched Philip Stein watches. In the flack’s words: “The highlighted element of the watch is the brand’s exclusive wellness technology that helps wearers improve sleep and reduce stress. The watch is embedded with a metal disk that emits natural frequencies into the body wearer and in turn, affects the wearer’s energy field. It’s called ‘Natural Frequency Technology’ and is a new patented technology studies sugges...
Source: Better Health - May 23, 2011 Category: Health Medicine and Bioethics Commentators Authors: RyanDuBosar Tags: Humor Quackery Exposed True Stories Alternative Medicine evidence Based Medicine Jeff Gardere Natural Frequency Technology Philip Stein Press Release Psychology Watch Source Type: blogs
We should so blatantly do more randomised trials on policyEmail this article to a colleague.
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Ben Goldacre, The Guardian, Saturday 14 May 2011 Politicians are ignorant about trials, and they’re weird about evidence. It doesn’t need to be this way. In international development work, resources are tight, and people know that good intentions aren’t enough: in fact, good intentions can sometimes do harm. We need to know what works. In [...]
Source: badscience - May 23, 2011 Category: Health Medicine and Bioethics Commentators Authors: Ben Goldacre Tags: africa evidence based policy politics Source Type: blogs
Lost in the health information maze ?Email this article to a colleague.
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50 years ago, the major problem was that patients had too little information. All of this was locked up in medical books and journals, and this information asymmetry meant that the patient was often forced to put the doctor on a pedestal, because he had all the knowledge. Patients felt helpless because they did not know enough.Today, there's been a sea change, and patients still feel helpless - but this is because they have access to too much information - most of which is wrong, inaccurate or outdated ! Thanks to google, it's become very easy for patients to unearth thousands of pages of information on any topic - but bec...
Source: The Patient's Doctor - May 19, 2011 Category: Obstetricians and Gynecologists Tags: Medicine Health evidence-based medicine Health care patient google Website Information Therapy Source Type: blogs
Myths about MemoryEmail this article to a colleague.
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Memory is important in everyday judgments and decision-making. In some way or another, memory affects most aspects of our lives. It is no surprise that there are many myths about memory.
Memory involves processing of information in different stages: sensory, short-term, and long-term. However, the mechanics of memory are not my concern in this article.
Here, I’ll focus on a couple of popular myths about memory. Donald Varakin, cognitive scientist, sheds light on these myths. So I posed the following question to Dr. Varakin…
I am aware there are numerous myths about memory. What have you found to be t...
Source: World of Psychology - May 19, 2011 Category: Psychiatrists and Psychologists Authors: Jamie Hale Tags: Brain and Behavior General Memory and Perception Psychology Amp Best evidence Cognitive Scientist Common Myths Different Stages Images Nature Journal Nature Judgments Mechanics Memory Memory People Photographic Memory Photo Source Type: blogs
From Spain: Drug Prescription Habits Are Often Emotionally DrivenEmail this article to a colleague.
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I recently stumbled upon a very interesting editorial opinion in the ‘European Journal of Clinical Pharmacology’: ‘The use of drugs is not as rational as we believe…but it can’t be! The emotional roots of prescribing’, authored by Albert Figueras, from Fundació Institut Català de Farmacologia (Catalonia Institute of Pharmacology Foundation at Vall d’Hebron Hospital, in Barcelona).
Since more than 40 years ago when Archie Cochrane said that “there must be solid scientific evidence behind any statement, decision and prescription made by medical staff”, and all the way until today’s WHO promotion of rati...
Source: Better Health - May 19, 2011 Category: Health Medicine and Bioethics Commentators Authors: VicenteBaosMD Tags: Opinion Research Diario Medico emotionally driven evidence Based Medicine Irrational medication choices prescribing habits prescription patterns Spain Source Type: blogs
Cutting Healthcare Costs In Spain: Evidence-Based DisinvestmentEmail this article to a colleague.
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In an economic downturn, two classic cost-reducing solutions come to mind in the healthcare services industry: reduce offerings (give fewer services) or control demand (limit access to healthcare or increase copayments). There are many more but these two are the most frequently used. Actually, budget cuts in the Spanish region of Catalonia fit in the first type: they will need fewer resources (both human and material) because their services offered will shrink.
It’s always controversial to cut healthcare services in Spain. Even talking about it leads to accusations of promoting total privatization, attacking the Welfar...
Source: Better Health - May 16, 2011 Category: Health Medicine and Bioethics Commentators Authors: admin Tags: Health Policy Controversy Cost cutting Costs Diario Medico evidence-Based Disinvestment healthcare Reducing Services Spain Source Type: blogs
Healthwise Patient Education SolutionEmail this article to a colleague.
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The Healthwise Patient Education Solution provides evidence-based patient instructions for virtually any moment in care. The meaningful health content includes instructions on how to prepare for upcoming procedures, after-care instructions, drug leaflets, and guidelines for when to call for help. And the patient instructions include “Go to Web” codes that directly link patients to more health information and interactive decision aids in the Healthwise® Knowledgebase, an online health encyclopedia. The Patient Information Education Trust is the Indian distributor for Healthwise !
Source: The Patient's Doctor - May 11, 2011 Category: Obstetricians and Gynecologists Tags: Medicine Health informatics evidence-based medicine Health care Professional patient EHealth Source Type: blogs
Patient centered conversations about ICDsEmail this article to a colleague.
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Source: Notes from Dr. RW - May 5, 2011 Category: Internists and Doctors of Medicine Tags: cardiovascular evidence based medicine Source Type: blogs
Analyzing the Thinking Process: Interview with Diane HalpernEmail this article to a colleague.
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Diane Halpern is a professor of psychology at Claremont McKenna College; she is the former president of the American Psychological Association and former president of the Western Psychological Association. Halpern has won many awards for her teaching and research, including the 2002 Outstanding Professor Award from the Western Psychological Association, the 1999 American Psychological Foundation Award for Distinguished Teaching, and the Silver Medal Award from the Council for the Advancement and Support of Education. She has also authored a variety of books.
Here are some of Halpern’s views on the thinking proces...
Source: World of Psychology - April 24, 2011 Category: Psychiatrists and Psychologists Authors: Jamie Hale Tags: Brain and Behavior General Interview Psychology American Psychological Association American Psychological Foundation Body Of evidence Book Sex Claremont Mckenna College Clear Thinking Complicated Questions Council For The Advancement Source Type: blogs
Physicians Against Dr. Oz’s Misinformation – A Battle They Cannot Win?Email this article to a colleague.
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A handful of physicians are collaborating to take Mehmet Oz, MD, to task on what they’re calling outlandish claims and bad medical advice. Their suggestion is to no longer pay attention to that man behind the curtain.
David H. Gorski, MD, PhD, at the blog Science-Based Medicine went after Dr. Oz for hosting segments about faith healing and consulting psychics. Dr. Gorski pulls no punches, saying, “Dr. Oz has in some ways imitated Oprah and in some ways gone her one better (one worse, really) in promoting the Oprah-fication of medicine. And this season has been a particularly bad one for science-based medicine o...
Source: Better Health - April 23, 2011 Category: Health Medicine and Bioethics Commentators Authors: RyanDuBosar Tags: Quackery Exposed Alternative Medicine Deepak Chopra Dr. Andrew Weill Dr. Mehmet Oz evidence Based Medicine Snake Oil Source Type: blogs
Research brief: Effect of victim impact evidence on capital decision makingEmail this article to a colleague.
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Paternoster, R., & Deise, J. (2011). A HEAVY THUMB ON THE SCALE: THE EFFECT OF VICTIM IMPACT EVIDENCE ON CAPITAL DECISION MAKING. Criminology, 49(1), 129-161.The past several decades have seen the emergence of a movement in the criminal justice system that has called for a greater consideration for the rights of victims. One manifestation of this movement has been the “right” of victims or victims' families to speak to the sentencing body through what are called victim impact statements about the value of the victim and the full harm that the offender has created. Although victim impact statements have been a relativel...
Source: Intelligent Insights on Intelligence Theories and Tests (aka IQ's Corner) - April 16, 2011 Category: Neurologists Tags: evidence juries newtag Source Type: blogs
Postcardiac Arrest Therapeutic HypothermiaEmail this article to a colleague.
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It's April 2011 and time for @EBMedicineʼs Emergency Medicine Practice. This month the focus on the hottest of hot topics, therapeutic hypothermia.
Source: Life in the Fast Lane - April 14, 2011 Category: Emergency Medicine Doctors Authors: Gerard Fennessy Tags: Cardiology EB Medicine eLearning Emergency Medicine evidence Based Medicine Featured Intensive Care EBMEDICINE Emergency Medicine Practice postcardiac arrest Reviews Therapeutic Hypothermia Source Type: blogs
Sensory integration research: Who is it for?Email this article to a colleague.
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This article is another factor analysis study that has to be considered in the context of a number of other studies including Ayres (1989) original cluster and factor analyses that went into SIPT standardization, Mulligan's 1998 and 2000 cluster and factor analyses, and the critically appraised topic written by Davies and Tucker (2008). I'm not sure how many street level practitioners read cluster and factor analysis studies but I don't think that most people put this on top of their reading list. I think this is because we don't spend a lot of time educating practitioners on these methods and what they mean. I personally ...
Source: ABC Therapeutics Occupational Therapy Weblog - April 13, 2011 Category: Occupational Therapists Tags: evidence-based practice sensory integration OT practice Source Type: blogs
Does Your Doctor Trust You?Email this article to a colleague.
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Members of the American public are frequently surveyed about their trust in various professionals. Doctors and nurses usually wind up near the top of the list, especially when compared to lawyers, hairdressers and politicians. Trust in professionals is important to us: they possess expertise we lack but need, to solve problems ranging from the serious (illness) to the relatively trivial (appearance).
How much professionals trust us seems irrelevant: our reciprocity is expressed in the form of payment for services rendered or promised, our recommendations to friends and families and repeat appearances.
So I was surpri...
Source: Better Health - April 2, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrJessieGruman Tags: Opinion Annals Of Internal Medicine Does Your Doctor Trust You? evidence Based Medicine Gastric Cancer Patient Engagement Shared Decision-Making Source Type: blogs
Celebrate the Root Canal!Email this article to a colleague.
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What was the dentist doing in Panama? …Looking for the Root Canal Root Canal Awareness Week The American Association of Endodontists has designated March 27-April 2 as Root Canal Awareness Week. This event is a national effort to raise awareness of endodontists and to teach the public that root canals should not be [...]
Source: Bibby Library News and Tips - March 29, 2011 Category: Dentists Authors: bibby1 Tags: American Academy of Endodontists Dentistry Events evidence Based Dentistry Root Canal Root Canal Awareness Week Root Canals Endodontics Source Type: blogs
Sunday News Round-UpEmail this article to a colleague.
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Assorted items of interest collected over the last week or so; as usual, the Sunday round-up is more socially than medically oriented, this week with several items on transgender women and related rights, issues, and prejudices as I’ve been trying to read more about these topics.
Scientific American has an excerpt from a new book, Demand Better! Revive Our Broken Health Care System. It’s a pretty clear explanation of how little doctors apply the best, most current evidence to medical treatment, and might be pretty shocking for folks who are not involved in evidence-based medicine issues. For example:
Even tho...
Source: Women's Health News - March 27, 2011 Category: Medical Librarians Authors: Rachel Tags: Abortion Abuse, Rape, & Safety Access, Rights, & Choice Birth Drugs Ethics Government Libraryland Miscellaneous News Round-Ups Pregnancy Women's Health birth certificates cesarean drug labels emergency responders evidence-b Source Type: blogs
Are Urologists Being Seduced By Robots?Email this article to a colleague.
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Maggie Mahar’s Health Beat blog tipped me off about a Bloomberg opinion piece by an Oregon urologist that begins by stating:
“The decision to opt for medical care that relies on the most costly technology is often based on blind faith that newer, elaborate and expensive must be better.”
Later, he focuses specifically on robotic surgery devices:
“They are costly and require significant re-training for surgeons. Yet consumers hungrily seek out surgeons versed in their use. If a surgeon recommends an older, less expensive technology, many patients will shop for a surgeon willing to use the newest and c...
Source: Better Health - March 24, 2011 Category: Health Medicine and Bioethics Commentators Authors: GarySchwitzer Tags: Opinion evidence Based Medicine Medical Devices Prostate Cancer Quality of Care Robotic Surgery Urology Source Type: blogs
Heart attack equipoiseEmail this article to a colleague.
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Musings on the point of equipoise for investigating and discharging chest pain patients in light of a new paper in the Lancet describing a rapid rule-out protocol for acute coronary syndromes (the ASPECT trial).
Source: Life in the Fast Lane - March 23, 2011 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Cardiology Emergency Medicine evidence Based Medicine Health Science acute coronary syndrome chest pain emergency department equipoise heart attack risk trial Source Type: blogs
Enough About Physician EmpathyEmail this article to a colleague.
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Is anyone else tired of hearing about how important empathy is in the doctor-patient relationship? Every other day it seems a new study is talking about the therapeutic value of empathy. Enough already!
It’s not that I don’t believe that empathy is important — I do. I also believe the data that links physician empathy with improved patient outcomes, increased satisfaction, and better patient experiences.
A recent study released in Academic Medicine reported that “patients of physicians with high empathy scores were significantly more likely to have good control over their blood sugar as well as cholesterol, whi...
Source: Better Health - March 16, 2011 Category: Health Medicine and Bioethics Commentators Authors: StevenWilkinsMPH Tags: Opinion Research Academic Medicine Clinical Empathy Doctor Patient Relationship Doctor-Patient Communication Doctors' Behavior Doctors' Understanding Empathy For Patients Empathy Research evidence Based Medicine evidence-Based Health Source Type: blogs
Providing feedback to doctors to help them to learnEmail this article to a colleague.
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What makes a good doctor good is the fact that he has good clinical judgment. This is a term which is hard to define, but basically a good doctor is one has seen and treated and learned from lots of patients, each of whom adds to his knowledgebase and clinical wisdom. As the saying goes, "Good judgment comes from experience. Experience comes from bad judgment."However, the mere passage of time does not provide good judgment . After all, 20 years of being a doctor could simply mean 20 years of doing the wrong thing ! It's important that doctors learn from their experience - and the only way they can do so is by tracking the...
Source: The Patient's Doctor - March 16, 2011 Category: Obstetricians and Gynecologists Tags: Medicine Health evidence-based medicine Health care patient Family medicine Education Physician Source Type: blogs
Emergency UltrasoundEmail this article to a colleague.
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March 2011 sees @EBMedicineʼs Emergency Medicine Practice examine the evidence surrounding the use of Ultrasound in the Emergency Department.
Source: Life in the Fast Lane - March 15, 2011 Category: Emergency Medicine Doctors Authors: Steve De Luca Tags: EB Medicine eLearning Emergency Medicine evidence Based Medicine Featured Radiology Cochrane Review EBMEDICINE Emergency Medicine Practice Reviews sonography Ultrasound Source Type: blogs
Yet more dangerous nonsense inflicted on students by Edinburgh Napier UniversityEmail this article to a colleague.
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As promised in my last post about Edinburgh Napier University, I wrote to the vice-chancellor of the university, Professor Dame Joan K. Stringer DBE, BA (Hons) CertEd PhD CCMI FRSA FRSE, to invite her to respond.
7 February, 2011
Dear Professor Stringer,
I should be grateful if you could let me know about your opinion of the degrees that you offer in Aromatherapy and Reflexology
I have posted on my blog a bit of the material that was sent to me as result of recent FoI requests. See http://www.dcscience.net/?p=4049
I submit that degrees like this detract from the intellectual respectability of what is, not doubt, in o...
Source: DC's goodscience - March 14, 2011 Category: Professors and Educators Authors: David Colquhoun Tags: aromatherapy badscience CAM Edinburgh Napier University evidence Joan Stringer reflexology Universities vice-chancellors Academia quackademia Source Type: blogs
Coffee And Stroke: Another Study The Media Got WrongEmail this article to a colleague.
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Here we go again. Headlines across America blaring lines like, “Coffee may reduce stroke risk.”
It was a big study, but an observational study. Not a trial. Not an experiment. And, as we say so many times on this website that you could almost join along with the chorus, observational studies have inherent limitations that should always be mentioned in stories. They can’t prove cause and effect. They can show a strong statistical association, but they can’t prove cause and effect. So you can’t prove benefit or risk reduction. And stories should say that.
USA Today, for example, did not explain ...
Source: Better Health - March 14, 2011 Category: Health Medicine and Bioethics Commentators Authors: GarySchwitzer Tags: News Research ABC News Association Vs. Causation Cause-And-Effect CBS News Coffee Consumption Correct Medical Language Duke University Medical Center evidence-Based Health Reporting Gary Schwitzer HealthDay HealthNewsReview.org I Source Type: blogs
