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141. No Clear Best Treatment for Oral Lichen Planus

No Clear Best Treatment for Oral Lichen Planus UTCAT2091, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title No Clear Best Treatment for Oral Lichen Planus Clinical Question Which intervention is the best for the treatment of Oral Lichen Planus? Clinical Bottom Line No specific intervention for oral lichen planus is proven more beneficial than another intervention. Best Evidence (you may view more info by clicking (...) efficacy studies are often lacking placebo. There is no evidence to show that any specific steroid drugs or immunosuppressant/immunomodulator treatment is superior to other drugs/therapies. Specialty/Discipline (Oral Medicine/Pathology/Radiology) (General Dentistry) Keywords Lichen Planus, Interventions, steroid therapy ID# 2091 Date of submission: 10/07/2011 E-mail mullanes@livemail.uthscsa.edu Author Shane Mullane Co-author(s) Co-author(s) e-mail Faculty mentor/Co-author Chih-ko Yeh, BDS, PhD Faculty

2011 UTHSCSA Dental School CAT Library

142. Best Attachment For An Implant-Supported Over-Denture Is One Retained By Two Implants With A Single Bar

Best Attachment For An Implant-Supported Over-Denture Is One Retained By Two Implants With A Single Bar UTCAT2080, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Best Attachment For An Implant-Supported Over-Denture Is One Retained By Two Implants With A Single Bar Clinical Question Is there a specific attachment that provides improved patient satisfaction with implant-supported over-dentures? Clinical Bottom Line (...) Based on patient satisfaction, the best treatment option for an implant-supported mandibular over-denture is one retained with two implants and a single bar. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Timmerman / 2004 110 edentulous patients Randomized Controlled Trial Key results Three treatment groups were tested: tissue-retained over-denture on two implants with ball attachments, a combined

2011 UTHSCSA Dental School CAT Library

143. My future as a physician looks mediocre at best

My future as a physician looks mediocre at best My future as a physician looks mediocre at best My future as a physician looks mediocre at best | | November 5, 2016 1K Shares I am currently a fourth-year medical student, and I will not accept mediocrity in my life any longer (and neither should you). When you were growing up did you ever wish for happiness? Did you ask for a good life? Did you want to feel fulfilled and self-actualized? Yeah me too. We are meant to reach for the stars, we (...) are meant to go for our dreams, and we are meant to climb mountains. What happened? When I decided I wanted to be a doctor, I had this ideal image of how things should be run. I wrote a personal statement that provided my explanation as to why I wanted to dedicate my life to “help people.” I wanted to be able to hear any problem and work with my patients the best that I could. I wanted to be able to connect on a deep level and overcome any fears that my patients possessed. I wanted to develop trust

2016 KevinMD blog

144. Standards of practice of computed tomography coronary angiography (CTCA) in adult patients

Standards of practice of computed tomography coronary angiography (CTCA) in adult patients www.rcr.ac.uk Standards of practice of computed tomography coronary angiography (CTCA) in adult patients2 www.rcr.ac.uk Standards of practice of computed tomography coronary angiography (CTCA) in adult patients Contents Foreword 3 1. Recommended standards 4 2. Introduction 5 3. Patient information prior to CTCA 6 4. Important patient-specific information 6 before the scan 5. Safe drug administration (...) prior to CTCA Appendix 5. Treatment of adverse events 23 after heart rate-lowering medication Appendix 6. Monitoring checklist for 24 adult patients receiving beta-blockers for lowering heart rate +/- sublingual GTN for CTCA Appendix 7. Auditing patient radiation 25 doses in CTCA Standards of practice of computed tomography coronary angiography (CTCA) in adult patients 3 www.rcr.ac.uk Standards of practice of computed tomography coronary angiography (CTCA) in adult patients Foreword Together

2014 Royal College of Radiologists

145. Variation in paediatric clinical practice

Variation in paediatric clinical practice Variation in paediatric clinical practice An Evidence Check rapid review brokered by the Sax Institute for NSW Kids and Families November 2014 An Evidence Check rapid review brokered by the Sax Institute for NSW Kids and Families November 2014 This report was prepared by: Harriet Hiscock, Prescilla Perera, Karen McLean, Gehan Roberts March 2015 © Sax Institute 2015 This work is copyright. It may be reproduced in whole or in part for study training (...) in paediatric clinical practice: An Evidence Check review brokered by the Sax Institute (www.saxinstitute.org.au) for NSW Kids and Families, November 2014. Disclaimer: This Evidence Check Review was produced using the Evidence Check methodology in response to specific questions from the commissioning agency. It is not necessarily a comprehensive review of all literature relating to the topic area. It was current at the time of production (but not necessarily at the time of publication). It is reproduced

2014 Sax Institute Evidence Check

146. Ultrasound imaging in the practice of anaesthesia

-effectiveness due to additional costs not captured in the economic model and the potential for significant additional cost to the MBS. MSAC acknowledged that ultrasound imaging is current best practice care in the practice of anaesthesia and did not consider an MBS listing was necessary. MSAC further noted that in most cases ultrasound imaging would be provided at limited or no cost to the anaesthetist, who would benefit from reduced complexity and improved efficiency of providing the service using (...) Ultrasound imaging in the practice of anaesthesia 1 Public Summary Document Application 1183 – Ultrasound Imaging in the practice of anaesthesia Applicant: Australian Society of Anaesthetists Date of MSAC consideration: MSAC 62 nd Meeting, 26-28 November 2014 Context for decision: MSAC makes its advice in accordance with its Terms of Reference, see at www.msac.gov.au 1. Purpose of application and links to other applications An application requesting MBS listing of ultrasound imaging

2014 Medical Services Advisory Committee

147. Developing a Clinical Pediatric Interventional Practice: A Joint Clinical Practice Guideline from the Society of Interventional Radiology and the Society for Pediatric Radiology

inherent in the system of having different physicians performing the procedure and managing the patient (37,38). The interventional service is best informed about preprocedural workup and preparation, postinterventional care and management of related po- tential complications, and the appropriate timing of hospital discharge and outpatient follow-up of patients within their scope of practice. Therefore, the ability to accept patient referrals for admission and management is important (...) Developing a Clinical Pediatric Interventional Practice: A Joint Clinical Practice Guideline from the Society of Interventional Radiology and the Society for Pediatric Radiology STANDARDS OF PRACTICE Developing a Clinical Pediatric Interventional Practice: A Joint Clinical Practice Guideline from the Society of Interventional Radiology and the Society for Pediatric Radiology Kevin M. Baskin, MD, Mark J. Hogan, MD, Manrita K. Sidhu, MD, Bairbre L. Connolly, MB, Richard B. Towbin, MD, Wael E.A

2011 Society of Interventional Radiology

148. Do smaller, independent practices have happier doctors?

practitioners. In fact, a recent survey polled more than 15,000 physicians from 29 specialties and found that reported feelings of burnout. Several of the specialties reporting the highest levels of burnout were within the realm of primary care and included family medicine (47 percent), obstetrics and gynecology (46 percent) and internal medicine (46 percent). Does this mean choosing to practice primary care unavoidably increases your likelihood of eventual burnout? Not exactly — especially if you work (...) if you’d rather not work within a health care system. Independent practice associations, like the (AID), are working to educate patients, insurance providers and the government about the importance of independent physicians as well as looking out for their best interests. “The Association of Independent Doctors was founded in 2013 to give independent doctors a collective voice,” explains executive director Marni Carey. “While hospitals are fantastic at marketing their physicians, independent doctors

2019 KevinMD blog

149. How physicians can successfully wind down their practice

five years anyway. However, I do wish that I had some inkling about the career paths at some point as during my medical school rotations. Knowing how medicine is practiced and how practice patterns affect retirement would have probably influenced my career choices. Interestingly, the specialty that you choose determines the means that you can even wind down. This is because different specialties lend themselves to different work situations. If you are a thoracic surgeon, you could work for yourself (...) How physicians can successfully wind down their practice How physicians can successfully wind down their practice How physicians can successfully wind down their practice | | January 14, 2019 5 Shares A retirement plan isn’t usually a top priority for fresh doctors looking for their first jobs, whether that final date is in five years or thirty. Perhaps knowing when to hang up your hat is immaterial so early in your career since most doctors will end up leaving their first job within the first

2019 KevinMD blog

150. #DecolonisingContraception – The Importance of Preventing Unethical Practice in SRH and Learning from History

. Increasingly the specialty takes a more global stance on SRH issues and it is vital that alongside this we acknowledge past practice to better understand socio-cultural dynamics within the field. Examples of Colonised Contraception The most commonly cited example of colonised contraception is the forced sterilisation of men and women. It is difficult to estimate how many women and men have been subjected to forced sterlisation, but the practice has been extensively used as a means of population control (...) , they may have a historical basis. Stay informed and read about some of the issues brought up in this article. Many of these events occurred because doctors thought that they were acting in the best interest of society, rather than for a particular patient. To prevent history repeating itself and make progress we need to acknowledge previous ethical misdemeanours and continue to interrogate our own clinical practice. #DecolonisingContraception will be hosting a panel discussion + Q&A at SOAS on 23 rd

2018 Journal of Family Planning and Reproductive Health Care blog

151. Clinical Practice Guidelines for Pain Management in Acute Musculoskeletal Injury. (PubMed)

described by the Grading of Recommendations Assessment, Development, and Evaluation Working Group were applied to each recommendation. The guideline was submitted to the Orthopaedic Trauma Association (OTA) for review and was approved on October 16, 2018.We present evidence-based best practice recommendations and pain medication recommendations with the hope that they can be utilized by orthopaedic practices as well as other specialties to improve the management of acute pain following musculoskeletal (...) Clinical Practice Guidelines for Pain Management in Acute Musculoskeletal Injury. We aimed to produce comprehensive guidelines and recommendations that can be utilized by orthopaedic practices as well as other specialties to improve the management of acute pain following musculoskeletal injury.A panel of 15 members with expertise in orthopaedic trauma, pain management, or both was convened to review the literature and develop recommendations on acute musculoskeletal pain management. The methods

2019 Journal of Orthopaedic Trauma

152. Familiarity and Self-Reported Compliance with American Urological Association (AUA) Best Practice Recommendations for Use of Thromboembolic Prophylaxis Amongst American Urological Association Members. (PubMed)

Practice Statement, assessed practice patterns in terms of perioperative thromboprophylaxis and specifically examined self-reported compliance in high risk patients undergoing radical cystectomy.An electronic survey was sent to AUA members with valid e-mail addresses (10,966). Associations between AUA Best Practice Statement adherence and factors such as urological specialty, graduation year and guideline familiarity were assessed using chi-square analyses and generalized estimating equations.With (...) Familiarity and Self-Reported Compliance with American Urological Association (AUA) Best Practice Recommendations for Use of Thromboembolic Prophylaxis Amongst American Urological Association Members. Thromboprophylaxis with subcutaneous heparin or low molecular weight heparin is now an integral part of national surgical quality and safety assessment efforts, and has been incorporated into the current AUA Best Practice Statement. We evaluated familiarity and compliance with the AUA Best

2013 Journal of Urology

153. Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada : Hyperglycemic emergencies in adults

Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada : Hyperglycemic emergencies in adults My Site - Chapter 15: Hyperglycemic Emergencies in Adults Diabetes Canada | Clinical Practice Guidelines The Canadian Diabetes Association has become Diabetes Canada* Search: Guidelines Key Messages For Health-Care Providers For People with Diabetes Other Languages Links Hyperglycemic Emergencies in Adults Diabetes Canada Clinical Practice (...) in . A summary of fluid therapy is outlined in , and a management algorithm and formulas for calculating key measurements are provided in . People with DKA and HHS are best managed in an intensive care unit or step-down setting with specialist care . Protocols and insulin management software systems may be beneficial , but there can be challenges with achieving adherence . Volume status (including fluid intake and output), vital signs, neurological status, plasma concentrations of electrolytes, anion gap

2013 CPG Infobase

154. Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada : Introduction

the opportunity to work with regulatory agencies to enhance research in Canada and, ultimately, to improve the care of people with diabetes. Cost Considerations These clinical practice guidelines, like those published before, have purposefully not taken into account cost effectiveness in the evaluation of the evidence surrounding best practice for a variety of reasons, including the paucity of cost-effectiveness analyses using Canadian data; the difficulty in truly accounting for all relevant diabetes-related (...) that provide a useful reference tool to help health-care providers translate the best available evidence into clinical practice as well as for people with diabetes and at risk of diabetes to make informed choices. It is hoped that these guidelines will also continue to provide all levels of government with the evidence they need when rationalizing access to health care so that the potentially beneficial health outcomes are maximized for people living with diabetes. Finally, Canada has much to teach

2013 CPG Infobase

155. Nishma Manek and David Haslam: Denigration of general practice is still rife

Nishma Manek and David Haslam: Denigration of general practice is still rife Nishma Manek and David Haslam: Denigration of general practice is still rife - The BMJ ---> We must confront systematic denigration within medical training, and foster mutual respect between specialties “If you students don’t start working harder, you risk ending up as paediatric cardio-thoracic surgeons.” Can you imagine anyone ever saying those words? It would be quite ridiculous. However, replace those last four (...) the prejudice still runs in places. Yet many of these consultants won’t have stepped foot in general practice since their student days. Consider the total amount of time a student spends in a hospital setting compared to general practice in their training. Very quickly these off-the-cuff remarks add up, leaving general practice tarnished with a reputation that’s hard to undo. Disparaging remarks about GPs carry another implication: that their patients shouldn’t expect the best and the brightest doctors. Yet

2017 The BMJ Blog

156. Clinical Guidelines and Standardization of Practice to Improve Outcomes

of checklists and protocols clearly has been demonstrated to improve outcomes and their use is strongly encouraged. Checklists and protocols should be incorporated into systems as a way to help practitioners provide the best evidence-based care to their patients. Recommendations The American College of Obstetricians and Gynecologists (the College) makes the following recommendations regarding clinical guidelines and standardization of practice to improve outcomes: Protocols and checklists should (...) and gynecologic practitioners—the leaders in women’s health—create and follow their own protocols instead of following orders from outside parties on how to practice medicine or being driven by payor incentives ( ). For example, the College, in collaboration with other specialty societies, has strongly cautioned against legislative intrusion into clinical decision making ( ). The motivation and intent for any protocol or checklist should be to ensure high quality, safe and, when possible, evidence-based

2015 American College of Obstetricians and Gynecologists

157. ASGE Position Statement: endoscopic bariatric therapies in clinical practice

obtain obesity treatment educa- tionasdescribedinthefollowing. Obesity treatment education To perform EBT in practice, physicians should be competent to determine the appropriateness of adjunctive bariatric therapy for the patient and which adjunctive ther- apy best suits the patient’s needs, whether pharmacologic, endoscopic, or surgical, as outlined in the joint ASGE/ www.giejournal.org Volume 82, No. 5 : 2015 GASTROINTESTINAL ENDOSCOPY 769 Sullivan et al ASGE position statement on endoscopic (...) ASGE Position Statement: endoscopic bariatric therapies in clinical practice GIE POSITION STATEMENT ASGE position statement on endoscopic bariatric therapies in clinical practice Prepared by: ASGE BARIATRIC ENDOSCOPY TASK FORCE Shelby Sullivan, MD, 1 Nitin Kumar, MD, 2 Steven A. Edmundowicz, MD, FASGE, 1 Barham K. Abu Dayyeh, 3 SreenivasaS.Jonnalagadda,MD,FASGE, 4 MichaelLarsen,MD, 5 ChristopherC.Thompson,MD,MSc,FASGE 2 This document was reviewed and approved by the Governing Board

2015 American Society for Gastrointestinal Endoscopy

158. Treatment of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians (Full text)

Treatment of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians Treatment of Pressure Ulcers | Annals of Internal Medicine | American College of Physicians '); } Sign in below to access your subscription for full content INDIVIDUAL SIGN IN | You will be directed to acponline.org to register and create your Annals account INSTITUTIONAL SIGN IN | | Subscribe to Annals of Internal Medicine . You will be directed to acponline.org to complete your purchase. Search (...) Clinical Guidelines | 3 March 2015 Treatment of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians Free Amir Qaseem, MD, PhD, MHA; Linda L. Humphrey, MD, MPH; Mary Ann Forciea, MD; Melissa Starkey, PhD; Thomas D. Denberg, MD, PhD; for the Clinical Guidelines Committee of the American College of Physicians Amir Qaseem, MD, PhD, MHA From the American College of Physicians and University of Pennsylvania Health System, Philadelphia, Pennsylvania; Oregon Health & Science

2015 American College of Physicians PubMed

159. AUA White Paper on Implementation of Shared Decision Making into Urological Practice

and made suggestions for how it might best be implemented into urological practice. Shared Decision Making SDM is a collaborative decision-making process between patients and their health care providers relevant to medical decisions where multiple options are considered clinically acceptable. This approach is particularly relevant to clinical scenarios where the ratio of benefits to harms is uncertain, equivalent or “preference sensitive” (e.g., dependent on the value that an individual patient may (...) of nerve-sparing prostatectomy. 23 With physician assistance, patients and families can prioritize their values and make rational choices with more realistic expectations, less decisional conflict and increased long-term satisfaction. 18 Use of Shared Decision Making in Clinical Practice Despite the prevalence of preference-sensitive conditions encountered in urologic practice, there are few data regarding the frequency with which SDM is employed in practice. A large, cross-specialty physician survey

2015 American Urological Association

160. Clinical Practice Guideline on management of patients with diabetes and chronic kidney disease stage 3b or higher (eGFR <45 mL/min) (Full text)

, Issue suppl_2, May 2015, Pages ii1–ii142, Download citation file: © 2019 Oxford University Press Navbar Search Filter Mobile Microsite Search Term Close search filter search input 1. ABBREVIATIONS AND ACRONYMS CKD Chronic kidney disease ACE-I ACE inhibitor ERA-EDTA European Renal Association – European Dialysis and Transplant Association ERBP European Renal Best Practice MD Mean difference OR Odds ratio RR Relative risk 95% CI 95% Confidence interval CKD Chronic kidney disease ACE-I ACE inhibitor (...) ERA-EDTA European Renal Association – European Dialysis and Transplant Association ERBP European Renal Best Practice MD Mean difference OR Odds ratio RR Relative risk 95% CI 95% Confidence interval 2. FOREWORD Diabetes mellitus is becoming increasingly prevalent and is considered a rapidly growing concern for healthcare systems. Besides the cardiovascular complications, diabetes mellitus is associated with chronic kidney disease (CKD). CKD in patients with diabetes can be caused by true diabetic

2015 European Renal Best Practice PubMed

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