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At least 163 records · Page 9Linked to original sources

Is there an evidence-based practice for burns?

Doubts and questions about clinical decision making need to be answered. Evidence-based medicine aims to provide answers by systematically finding information from the vast assortment of research papers in the literature and bringing it together to use in everyday practice and in the best interests of the patient. Although clinical (and experimental) studies have a variety of methodologies, ranging from small descriptive studies to large multi-centre trials all are vital in describing or posing questions about the array of responses elicited when human beings are burned and subsequently treated. When it comes to treatment (be it a drug, a dressing, an enteral feed for example) the 'gold standard' for establishing whether it is effective is the randomized controlled trial (RCT). Using contemporary information retrieval systems and the numerous establishments set up to help track down information of research in medicine relevant to health practice and policy the numbers of RCTs, systematic reviews and meta-analyses of burn care have been established. Whilst the numbers of RCTs are increasing there is little evidence that burn care is an evidence-based practice.

Bandages↗

The diabetes education study group and its activities to improve the education of people with diabetes in Europe.

In this article the activities of the diabetes education study group (DESG) are presented. It is an important example of the coordination of the European patient education in the field of diabetes. Given the therapeutic role of patient education, doctors must be involved in the entire process, as members of the multi-professional team, who carry the responsibility for the planning and implementation of the educational process. Based on these assumptions, the DESG concentrated on the following activities: workshops, congresses, teaching letters, a 5-min education kit, a web-site, and a basic curriculum in therapeutic patient education. The future of therapeutic patient education in the field of diabetes is discussed.

Diabetes Mellitus↗

Patient education in nursing-Polish literature condition.

The aim of the review is to present the results of an analysis and evaluation of the state of research on patient education based on the Polish nursing literature. A review and analysis of 139 research works was carried out, which during the years of 1990-2001 appeared in Polish nursing journals as well as in post-conference and convention proceedings and reports. The collected material was evaluated according to the following criteria: defining the research problem, defining and operationalising the variables studied, the research tool applied, the research method used, the size and selection of the research sample, the results achieved. The analysis of research works carried out in the area of patient education became the basis of the objective knowledge of the current state of research and its relation to the nursing practice in this area.

Adaptation, Psychological↗

Reassuring the woman facing menopause: strategies and resources.

Reassurance and reliable information are the prime requirements of women in premenopause, perimenopause and postmenopause. Women in premenopause want to know what to expect; women in perimenopause want to know that their experiences fall within the range of 'normal'; women in peri- and postmenopause need help in making sensible decisions about the use of hormone therapy. Based on the concerns expressed in over 7000 letters and other messages sent to the international newsletter, A Friend Indeed, this article discusses the concerns of North American women facing menopause in the last decade of the 20th century.

Adaptation, Psychological↗

Characteristics of meta-analyses related to acceptance for publication in a medical journal.

Editors of medical journals select manuscripts for publication based, in part, on the perceived quality of the manuscript submitted. The objective of this study was to describe associations between acceptance for publication and quality-related methodologic characteristics of meta-analyses. This was a prospective observational study. The setting was editorial offices of JAMA and offices of external reviewers. The manuscripts reviewed were 112 consecutive meta-analyses submitted to JAMA during 1996 and 1997 whose authors agreed to participate. The main outcome measures were ratings of 16 methodologic characteristics reflecting quality of the meta-analysis and acceptance for publication. A "high" rating for one methodologic characteristic, whether the report of the meta-analysis provided sufficient detail to enable replication, was related significantly to publication (RR = 2.79, 95% CI = 1.13-6.89). This relationship persisted when other variables were controlled for in the model. Generally, rejected manuscripts had fewer factors rated "high," but differences were not significant. We found that inclusion of sufficient detail to allow a reader to replicate meta-analytic methods was the only characteristic related to acceptance for publication.

Manuscripts, Medical as Topic↗

Genome jumpers.

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Genome↗

Developing drug literatures. 1. Bibliometrics of baclofen and dantrolene sodium.

The literatures of two antispastic drugs, baclofen and dantrolene sodium, were studied bibliometrically for their first decade and were found to be generally similar. Baclofen had 93 papers and dantrolene sodium had 70. About a quarter of the baclofen papers were in a foreign language, whereas almost all dantrolene sodium papers were in English. Baclofen literature had a lower nonscholarly content, but the scholarly increase, 5%, was the same for both. Both drugs had an average of 12 references per paper. The literatures of both drugs had a similar degree of internal cohesiveness; almost half of their papers referred to other papers in the same drug collection. The first human paper for baclofen was the second published; for dantrolene sodium, it was the eleventh. The distribution of journals carrying papers on each of these drugs followed Bradford's law. Two authors per paper was the average for each drug. The productivity of authors approximated Lotka's law for both drugs. About two-thirds of the papers of both drugs had a drug-word in their titles. The literature of both drugs contained about 15% legendary papers, typical of clinical pharmacology. The most intense papers, 15 for baclofen and 11 for dantrolene sodium, were identified, using citation, bibliographic coupling, and co-citation frequencies. A generalization predicts what might be expected from the literature of future antispastic drugs.

Aminobutyrates↗

Using bibliometric analyses of patent literature for predicting the clinical fates of developing drugs.

Certain bibliometric features of the early literatures of developing drugs can be used to predict their ultimate clinical fates. The chronological sequence of publications is expressed as a binary vector with 1 for a patent and 0 for a nonpatent. The decimal equivalents for standardized vector lengths provide scalar values for comparing one drug with another. In order to incorporate concordant patents, fuzzy subsets are employed, with the number of attempts required to achieve transitive closure being the values for comparison. The methods involved are described using minoxidil as an example.

Bibliographies as Topic↗

[Formulary].

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Analgesics↗