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1

Mann, Abbey. "Evidence Based Medicine." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/6442.

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Blunt, Christopher. "Hierarchies of evidence in evidence-based medicine." Thesis, London School of Economics and Political Science (University of London), 2015. http://etheses.lse.ac.uk/3284/.

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Hierarchies of evidence are an important and influential tool for appraising evidence in medicine. In recent years, hierarchies have been formally adopted by organizations including the Cochrane Collaboration [1], NICE [2,3], the WHO [4], the US Preventive Services Task Force [5], and the Australian NHMRC [6,7]. The development of such hierarchies has been regarded as a central part of Evidence-Based Medicine (e.g. [8-10]), a movement within healthcare which prioritises the use of epidemiological evidence such as that provided by Randomised Controlled Trials (RCTs). Philosophical work on the m
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Conocimiento, Dirección de Gestión del. "Evidence Based Medicine Reviews - EBMR." Wolters Kluwer, 2004. http://hdl.handle.net/10757/655292.

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Kerry, Roger. "Causation in evidence based medicine." Thesis, University of Nottingham, 2017. http://eprints.nottingham.ac.uk/40494/.

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Evidence based medicine (EBM) offers an established framework for the generation, interpretation, and utilisation of information in medicine and the health sciences. Central to the practice of EBM is, I argue, the notion of causation. This thesis makes an original contribution to the philosophy of EBM through a unique identification of a causal theory in EBM, and then by demonstrating a reconceptualised theory of causation better suited to evidence based person centred care. PART 1 of this thesis demonstrates that a very specific idea of causation can be witnessed within the structure of EBM.
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Vere, Joseph. "Evidence based medicine : a critical analysis." Thesis, University of Sheffield, 2018. http://etheses.whiterose.ac.uk/20659/.

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Evidence based medicine uses hierarchies of evidence to justify knowledge claims that are made. These knowledge claims are important because they dictate which treatment interventions are provided and funded, medicolegal standards and the medical research agenda. It is therefore interesting that different hierarchies can be used as this suggests that knowledge claims can be justified in different ways. This thesis presents a critical analysis of evidence based medicine, using the method of analytical philosophy, to improve understanding of the concept. The thesis is divided into two sections.
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Rychetnik, Lucie. "Matters of Judgement: Concepts of evidence among teachers of medicine and public health." Thesis, The University of Sydney, 2001. http://hdl.handle.net/2123/2076.

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Introduction The aim of this study was to examine how the term “evidence” was conceived and used among academics and practitioners who teach medicine and public health. The rationale for the study was the widespread debate in the 1990s about evidence in health care. Methods Qualitative data were collected between 1996 to 1999. The core data came from unstructured interviews with researchers and practitioners linked to the Faculty of Medicine, University of Sydney. Other sources of data were: participant observation of group interactions in the Faculty of Medicine and at national and inte
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Rychetnik, Lucie. "Matters of Judgement: Concepts of evidence among teachers of medicine and public health." University of Sydney, 2001. http://hdl.handle.net/2123/2076.

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Doctor of Philosophy (PhD)<br>Introduction The aim of this study was to examine how the term “evidence” was conceived and used among academics and practitioners who teach medicine and public health. The rationale for the study was the widespread debate in the 1990s about evidence in health care. Methods Qualitative data were collected between 1996 to 1999. The core data came from unstructured interviews with researchers and practitioners linked to the Faculty of Medicine, University of Sydney. Other sources of data were: participant observation of group interactions in the Faculty of Medic
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Ivander, Christin, and My Olsson. "Webbplats för kursen EBM : Evidence Based Medicine." Thesis, Blekinge Tekniska Högskola, Sektionen för teknokultur, humaniora och samhällsbyggnad, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-3757.

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Vi har gjort vårt kandidatarbete på en webbyrå i Stockholm som heter Boman Communication. Där har vi gjort en databasdriven webbplats i flash och asp. Webbplatsen är ett komplement till en kurs som heter EBM. Kursen EBM hålls av myndigheten SBU som i sin tur är en kund till Boman. Målgruppen för EBM och därmed också webbplatsens målgrupp är bland annat professorer och läkare inom medicin och vård. På kursen tar man upp riktlinjer för hur man botar olika sjukdomar eller skador. Webbplatsen innehåller information om och till kursen. Den är uppdelad i tre delar: Allmän, Före kursen och Efter kurs
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Smith, Luisa J. "Evidence-based medicine in equine clinical practice." Thesis, University of Glasgow, 2006. http://theses.gla.ac.uk/5004/.

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The principles of Evidence-Based Medicine (EBM) have been well documented in the medical literature, with many examples of the successful application of these principles to the clinical environment. Despite this widespread acceptance of these principles throughout the medical profession, there has been resistance to adopt such an approach in the veterinary profession. To date, there are. few examples in the literature of the application of the principles of evidence-based medicine to either clinical or scientific research. The aim of this study was to design a series of investigations of equin
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Yip, Yun-chi, and 葉潤芝. "Barriers to implement evidence-based Chinese medicine." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46373524.

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Waters, Donna. "Evidence : the knowledge of most worth." University of Sydney, 2006. http://hdl.handle.net/2123/1903.

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Doctor of Philosophy<br>Similar to their colleagues throughout the world, nurses and midwives in New South Wales (NSW), Australia, welcome evidencebased practice (EBP) as a means to improve patient or client outcomes. This thesis explores the way nurses and midwives understand evidence for EBP and aims to determine whether members of these professions currently have the knowledge and skills necessary to implement evidence‐based care. Three separate studies were conducted to explore NSW nurses’ readiness for EBP. Attitudes, knowledge and skill were investigated using an EBP questionnaire return
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Turner, Andrew James. "Evidence-based medicine, "placebos" and the homeopathy controversy." Thesis, University of Nottingham, 2012. http://eprints.nottingham.ac.uk/12577/.

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Homeopathic treatment has been available on the UK’s National Health Service (NHS) since 1948. In recent years the continued provision of homeopathy through the NHS has been increasingly questioned as part of the ascendency of evidence-based medicine (EBM). Indeed, in 2009 the House of Common’s Science and Technology committee commenced an ‘Evidence Check’ inquiry into Government policy supporting the NHS provision of homeopathic treatments. The controversy over whether homeopathic treatments ‘really’ work and whether they should be available through the NHS has generated much debate: at the h
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Costanzo, Pierluigi. "Strategies for cardiovascular prevention by evidence based medicine." Thesis, University of Hull, 2015. http://hydra.hull.ac.uk/resources/hull:14574.

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Cardiovascular prevention aims to early identify patients at higher risk of developing a cardiovascular event, Prompt identification and treatment of those can potentially reduce the risk of events to occur. The purpose of this study was to assess the efficacy of drug therapy in primary and secondary cardiovascular prevention using the evidence based medicine approach. In the first part of this thesis, the focus is on the role of two main surrogate end points for cardiovascular events, for which the prognostic role is still unclear (serial measurement of carotid intimamedia thickness (IMT) and
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Brown, Bernadette. "Clinician-Led Improvement in Cancer Care (CLICC): Complementing Evidence-Based Medicine with Evidence-Based Implementation." Thesis, The University of Sydney, 2016. http://hdl.handle.net/2123/15660.

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This thesis explores whether a multifaceted intervention implemented through the NSW Agency for Clinical Innovation (ACI) Urology Clinical Network can improve the rates of referral of men with high-risk prostate cancer post-radical prostatectomy for consideration for adjuvant radiotherapy in line with clinical practice guideline recommended care. It comprises seven iterative studies that address urologists’ knowledge, attitudes and equipoise for the use of adjuvant radiotherapy for high-risk prostate cancer, the development of a clinical network embedded intervention and the evaluation of this
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Conocimiento, Dirección de Gestión del. "Guía de acceso para Evidence Based Medicine Reviews (EBMR)." Wolters Kluwer, 2021. http://hdl.handle.net/10757/655292.

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Flores, Sepulveda Luis Jose. "Clinical judgement in the era of evidence based medicine." Thesis, King's College London (University of London), 2017. https://kclpure.kcl.ac.uk/portal/en/theses/clinical-judgement-in-the-era-of-evidence-based-medicine(d05f12b7-05fd-45a2-b1ff-78060d1d8520).html.

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“Evidence Based Medicine” (EBM) urges that medical recommendations be based on the best research evidence, rather than on clinical judgement. While I strongly endorse attention to relevant research evidence, I argue that the related downplaying of clinical judgement is a step backwards. This is because actual models of EBM encourage physicians to focus exclusively on research probabilities and so to neglect relevant information about patients. I call this feature of EBM the “Problem of Extra Information” (PEI), and contend that it leads to predictions and prescriptions based on the wrong proba
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Tudiver, Fred, Jeri Ann Basden, and Ivy A. Click. "Bringing Family Medicine Residents into the Future: Integrating Evidence-Based Quality Improvement into a Family Medicine Residency." Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/6404.

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Deppe, Maren. "Umsetzung der "evidence based medicine" anhand der perkutanen transforaminalen Sequestektomie." [S.l.] : [s.n.], 2004. http://www.diss.fu-berlin.de/2004/217/index.html.

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Rexhepi, Hanife. "Improving healthcare information systems : A key to evidence based medicine." Licentiate thesis, Högskolan i Skövde, Institutionen för informationsteknologi, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-11019.

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Delivering good quality care is a complex endeavor that is highly dependent on patient information and medical knowledge. When decisions about the care of a patient are made, they must, as far as possible, be based on research-derived evidence rather than on clinical skills and experience alone. Evidence based medicine (EBM) is the conscientious and judicious use of current best evidence in conjunction with clinical expertise as well as patient values and preferences to guide healthcare decisions. Following the principles of EBM, healthcare practitioners are required to formulate questions bas
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Poerschke, Gabriele. "Key issues of evidence-based vaccinology as illustrated by pneumococcal vaccine development." Thesis, Click to view the E-thesis via HKUTO, 2001. http://sunzi.lib.hku.hk/hkuto/record/B3197076X.

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Yuen, Kam-tong. "How to promote evidence-based practice (EBP) in clinical oncology by the continuous quality improvement approach." Click to view the E-thesis via HKUTO, 2005. http://sunzi.lib.hku.hk/hkuto/record/b39724323.

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Yuen, Kam-tong, and 袁錦堂. "How to promote evidence-based practice (EBP) in clinical oncology by the continuous quality improvement approach." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B39724323.

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Kelly, Gregory Patrick. "Influences that affect the clinical reasoning of paediatric occupational therapists : the importance of articulating personal models of practice." Thesis, University of Ulster, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.270450.

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Polaha, Jodi, Jennifer Funderburk, Andrea Auxier, and Jeff Goodie. "Evidence Based? Prove It! Real World Strategies for Showing Your Work.. Works!" Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/6581.

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Do you want to demonstrate the significance or vaIue of your integrated program? In this presentation, four researchers will tell their stories about how they collected good data in "real world" clinic settings. Practical recommendations will be provided for getting started in program evaluation in a way that will impact not only your developing program but also the field of integrated care. The audience will have the opportunity to frame their own questions and begin developing methods with feedback.
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Maigeh, Elias Peterson. "The perceived attitudes, knowledge and barriers towards evidence-based practice (EBP) amongst physiotherapists in the United Republic of Tanzania." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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There has recently been an increased pressure in all-healthcare disciplines to provide interventions that are scientific, safe, efficient and cost-effective. Evidence-based practice is said to be the current best approach to address these attributes. All healthcare professionals including physiotherapists need to adopt it. Numerous physiotherapy studies have been carried out to ascertain the attitudes towards, knowledge of, engagement in as well as the barriers of evidence-based practice. These studies were mostly carried out in the developed countries and almost none in the devloping African
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Wagh, Sunil Dinakarpandian Deendayal. "Semantic templates for summarizing the results from evidence based medicine analysis." Diss., UMK access, 2006.

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Thesis (M.S.)--School of Computing and Engineering. University of Missouri--Kansas City, 2006.<br>"A thesis in computer science." Typescript. Advisor: Deendayal Dinakarpandian. Vita. Title from "catalog record" of the print edition Description based on contents viewed Jan. 29, 2007. Includes bibliographical references (leaves 47-51). Online version of the print edition.
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Denagamage, Thomas Nishantha. "Application of evidence-based medicine to veterinary science and food safety." [Ames, Iowa : Iowa State University], 2008.

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Pope, Catherine Jane. "Assessing evidence based medicine : an investigation of the practice of surgery." Thesis, London School of Hygiene and Tropical Medicine (University of London), 1999. http://researchonline.lshtm.ac.uk/682272/.

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Objectives: The thesis seeks to provide an analysis of surgical work and decision making, to identify the basis of the widely observed variation in surgical practice and to indicate what surgeons see as the source(s) of that variation. Against this background, it examines the strengths and limitations of the approach promoted by the evidence-based medicine movement to surgical work. Methods: A qualitative study of surgical practice by urological and gynaecological surgeons in England and the USA involved in the treatment of female urinary stress incontinence. Depth interviews with 29 English s
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Grenet, Guillaume. "Challenges in personalized evidence-based medicine, applications in type 2 diabetes." Thesis, Lyon, 2019. https://n2t.net/ark:/47881/m62f7ms7.

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La médecine basée sur les preuves requiert des essais cliniques randomisés, qui permettent d'estimer un effet moyen du traitement. La personnalisation de l'estimation de l'effet du traitement nécessite l'estimation du risque spontané de la maladie (biomarqueur pronostique), la recherche de facteurs modifiant l'effet du traitement (biomarqueur théranostique). Des critères de substitution sont également proposés, dont la mesure devrait permettre d'évaluer l'effet du traitement sur l'événement clinique. La prise en charge des patients présentant un diabète de type 2 repose sur les médicaments hyp
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Holt, Jim. "Evidence-Based Nutritional Recommendations: Vitamins C and E." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6463.

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Bowers, Candice Andrea. "Barriers to implementation of evidence-based practices in a critical care unit." Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1013612.

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Over the last three decades there has been a greater need for health care practitioners to base their decision on the best available in order to optimise quality and cost-effective patient care. Evidence-based practice necessitates guideline development, education and review in order to achieve improved patient outcomes. However, initiatives that endeavour to disseminate and implement evidence-based practice have faced barriers and opposition. Barriers that might hamper the implementation of evidence-based practice include characteristics of the evidence itself, personal, institutional or orga
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Al-Ojaimi, Abdulkarim. "Evidence based models for evaluating operating room performance." Thesis, Cardiff University, 2012. http://orca.cf.ac.uk/47338/.

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The operating room (OR) within a hospital environment is one of the most expensive functional areas, yet the use of the OR also provides hospitals with an essential source of income. However, at present, there are variations on how to evaluate the performance of ORs, since there is no clear and full explanation of the concept and methods used for evaluation. The overall aim of this thesis is to develop an evidence based Operating Room Assessment Framework (ORAF) to evaluate Operating Room performance with clear and complete guidelines that can be used by operating room managers, directors or a
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Tahiri, Hassani Youssef. "Improving breast reconstruction outcomes: an evidence-based analysis." Thesis, McGill University, 2011. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=103554.

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Background: As breast reconstruction evolves, plastic surgeons continue to find ways to improve their reconstruction' outcomes. The aim of our study is to demonstrate how plastic surgery research impacts and improves current surgical practices. For instance, we designed three clinical studies which illustrate how research can affect current popular surgical practices, not only during the pre-operative period, but also intra-operative and post-operative periods. Methods: In the first study, we performed a meta-analysis to evaluate first the safety and efficacy of Thoracic ParaVertebral Block (T
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Beniuk, Kathleen. "Integrating evidence-based medicine and service design : a study of emergency department crowding." Thesis, University of Cambridge, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.610514.

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Lin, Enxuan. "Some new developments in data transformation and meta-analysis with small number of studies." HKBU Institutional Repository, 2019. https://repository.hkbu.edu.hk/etd_oa/636.

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Meta-analysis is an important statistical tool for systematic reviews and evidence-based medicine. Extracting the observed effect sizes, assessing the magnitude of heterogeneity, choosing the suitable statistical model, and interpreting the summary effect size are four key steps in meta-analysis. It is known that each of the above steps has its own unique characteristics and may require some specific attention. As an example, the observed effect sizes from individual studies may not be reported in the same scale and hence cannot be combined directly. Another example is on selecting a model for
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Eckermann, Simon Economics Australian School of Business UNSW. "Hospital performance including quality: creating economic incentives consistent with evidence-based medicine." Awarded by:University of New South Wales. School of Economics, 2004. http://handle.unsw.edu.au/1959.4/22011.

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This thesis addresses questions of how to incorporate quality of care, represented by disutility-bearing effects such as mortality, morbidity and re-admission, in measuring relative performance of public hospitals. Currently, case-mix funding and performance, measured with costs per case-mix adjusted separation, hold hospitals accountable for costs, but not effects, of care, creating economic incentives for quality of care minimising cost per admission. To allow an appropriate trade-off between the value and cost of quality of care a correspondence is demonstrated between maximising net benef
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Kelly, Ann Horton. "Evidence-based medicine and pragmatic populations : fact-making in human subjects research." Thesis, University of Cambridge, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.612720.

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Bowden, Adelle. "Maximising the impact of evidence-based medicine on equine health and welfare." Thesis, University of Nottingham, 2018. http://eprints.nottingham.ac.uk/52194/.

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Evidence-based veterinary medicine (EVM) has the potential to improve welfare of equine patients in primary care practice by ensuring that decision making at the point of care is underpinned by credible research. Patient focussed care requires consideration of a combination of evidence, veterinary judgement, experience and owner associated variables to ensure the best possible outcomes for the animal, whilst maximising the impact of EVM on equine health and welfare. A holistic approach to development and implementation of EVM, that involves horse owners, other equine stakeholders and veterinar
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Marshall, Iain James. "Evidence-based medicine and the patient : the example of cardiovascular disease prevention." Thesis, King's College London (University of London), 2016. https://kclpure.kcl.ac.uk/portal/en/theses/evidencebased-medicine-and-the-patientthe-example-of-cardiovascular-disease-prevention(ef1297fe-7b0f-419d-8e33-04141cc27744).html.

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Background: Patient ideas about cardiovascular diseases (CVDs) differ widely from those of clinicians. The failure to understand these explanatory models has been suggested to be a key barrier to effective CVD prevention. Nonetheless, currently available decision-support interventions for cvd prevention have had limited patient involvement in their development. Aims: Through four studies, this thesis seeks to use qualitative and quantitative methods to identify barriers and recommend best practices for supporting decisions in cvd prevention: both for education, and communicating the risk of be
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Schultz, Abby, L. Crosnoe-Shipley, Brett T. Morgan, and Ivy A. Click. "Improving Evidence-Based Contraceptive Management Among Clinicians in Rural Tennessee." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6384.

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Polaha, Jodi. "Dissemination of Evidence Based Treatments to Rural Communities: Exploring the Role of Telehealth." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/6684.

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Camacho-Walsh, Mercedes. "Evidence-Based Practice| Reducing Unnecessary Antibiotic Prescriptions for Pediatric Pharyngitis." Thesis, Saint Peter's University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10742646.

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<p> The purpose of this project was to decrease of the rate of unnecessary antibiotic prescribing for pharyngitis by implementing an evidence-based training session for physicians in an outpatient pediatric setting. The PICOT question explored was, "For health providers treating children aged 4&ndash;15 presenting with sore throat, will the use of a power point training session presenting the rapid antigen detection test (RADT) with reflexive culture, combined with the ICE (ideas, concern and expectations) method, improve knowledge and reduce antibiotic prescribing compared to RADT alone in a
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White, Elizabeth, Brandon Mizell, Jodi Polaha, et al. "Evidence-Based Heart Failure Management Process Implementation at a Residency Teaching Family Medicine Clinic." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6567.

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Background/Purpose: The American College of Cardiology/American Heart Association/Heart Failure Society of America guidelines for management of heart failure were recently updated to include use of sacubitril/valsartan due to its ability to reduce mortality and hospitalizations over the current standard of therapy. Based on these guideline updates, a champion research team at East Tennessee State University (ETSU) Family Medicine Associates worked to create and implement a process that identified patients with systolic heart failure and provided access to medications with mortality and morbidi
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Luo, Dehui. "Statistical learning of median in meta-analysis." HKBU Institutional Repository, 2017. https://repository.hkbu.edu.hk/etd_oa/469.

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As one of the most recommended strategies in decision making of contemporary medicine, evidence-based medicine (EBM) is attracting more and more attention. For EBM, the scientific evidences are obtained mainly from the randomized controlled trials (RCTs), systematic review and meta-analysis. In particular, meta-analysis can help researchers statistically combine several independent studies for a same clinical problem. In meta-analysis, Cohen's d and Hedges' g are among the most commonly used effect size measurements for continuous data. To compute these mean difference criteria, the sample mea
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Wieten, Sarah Elizabeth. "What counts as 'what works' : expertise, mechanisms and values in Evidence-Based Medicine." Thesis, Durham University, 2018. http://etheses.dur.ac.uk/12606/.

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My doctoral project is a study of epistemological and ethical issues in Evidence-Based Medicine (EBM), a movement in medicine which emphasizes the use of randomized controlled trials. Much of the research on EBM suggests that, for a large part of the movement's history, EBM considered expertise, mechanisms, and values to be forces contrary to its goals and has sought to remove them, both from medical research and from the clinical encounter. I argue, however, that expertise, mechanisms and values have important epistemological and ethical roles to play and can be incorporated into the current
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de, Wet Wouter. "Knowledge, attitude and perception of private practitioners based in Gauteng, South Africa, regarding evidence-based practice." Thesis, Stellenbosch : Stellenbosch University, 2010. http://hdl.handle.net/10019.1/20441.

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Thesis (MMed) -- Stellenbosch University, 2010.<br>Bibliography<br>Background: Evidence-based medicine (EBM) involves the care of patients using the best available evidence from the results of good quality clinical research to guide clinical decision making 1 – 3. By incorporating the principles of Evidence-based Medicine (EBM), the family practitioner would be able to treat a patient according to the best clinical research available. This principle is implemented widely in the USA, Canada, the United Kingdom and Europe. In South Africa, however, EBM is not yet as widely incorporated into fami
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Cheah, Su-Yin. "Methotrexate, cyclosporin and sulfasalazine in the treatment of rheumatoid arthritis : a systematic review." Thesis, University of Nottingham, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.285683.

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Muttiah, Nimisha. "Controversial therapy and evidence-based practice the clinicians' perspective /." Bowling Green, Ohio : Bowling Green State University, 2008. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1206325052.

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Sjögren, Petteri. "Randomised clinical trials and evidence-based general dentistry /." Linköping : Univ, 2004. http://www.bibl.liu.se/liupubl/disp/disp2004/med865s.pdf.

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Rogerson, Thomas Edward. "Evidence based testing and outcomes in transplantation." Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/12859.

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Streszczenie:
The use of diagnostic tests is central to the practice of modern medicine, but knowing which test to use, and when, can be problematic. To make evidence-based diagnoses, clinicians need efficient ways of accessing diagnostic studies, interpreting the results of several studies, and checking the applicability of studies to their own setting. The aim of this thesis was to explore solutions to these problems by addressing a specific clinical question; What is the best screening test for latent tuberculosis in patients undergoing transplantation? In a study of diagnostic filter performance in MED
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