Clinical practice




Clinical practice guidelines
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NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute ofThe principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice . Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to

Clinical practice of the dental hygienist
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This course will introduce the ADS students to the current knowledge in the prevention of dental diseases and the dental hygienists important role in this field. The course will cover the dental preventive strategies that could be applied to prevent dental diseases andDown syndrome (DS) is one of the most common chromosomal abnormalities. Because of medical advances and improvements in overall medical care, the median survival of individuals with DS has increased considerably. This longer life expectancy requires giving

HIV viral load markers in clinical practice
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RT-PCR, and Nucleic Acid Sequence-Based Amplification (NASBA) have not yet been approved by the US Food and Drug Administration for use in routine patient management. The bDNA technique amplifies the signal from a captured viral RNA target by sequential

Users guides to the medical literature: a manual for evidence-based clinical practice
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The evidence based medicine philoso-phy has become so embedded in the activities and motives of the healthcare enterprise that it is hard to believe that it has been only 20 years since the term evidence based medicine (EBM) was first coined. Credited with changing the

Fertility preservation in patients with cancer: ASCO clinical practice guideline update
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Purpose To provide current recommendations about fertility preservation for adults and children with cancer. Methods A systematic review of the literature published from January 2013 to March 2017 was completed using PubMed and the Cochrane Library. An Update Panel reviewed the

Antiemetics: American Society of Clinical Oncology clinical practice guideline update
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Purpose To update the ASCO guideline for antiemetics in oncology. Methods ASCO convened an Expert Panel and conducted a systematic review of the medical literature for the period of November 2009 to June 2016. Results Forty-one publications were included in this systematic

Staging classifications and clinical practice guidelines for gynaecological cancers
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The third edition of the Good Practice Guidelines on Gynaecologic Cancers was a collaborative effort between FIGO and the International Gynecologic Cancer Society. Both organisations put womens health and combat female cancers as their priority objectives

Clinical practice guidelines we can trust
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In the early 1990s, the Institute of Medicine (IOM) issued several reports on clinical practice guidelines (CPGs). In the ensuing years, CPGs and guideline development groups have proliferated enormously to the point that the Agency for Healthcare Research and Qualitys

Postmastectomy radiotherapy: clinical practice guidelines of the American Society of Clinical Oncology
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Objective: To determine indications for the use of postmastectomy radiotherapy (PMRT) for patients with invasive breast cancer with involved axillary lymph nodes or locally advanced disease who receive systemic therapy. These guidelines are intended for use in the care of

The importance of race and ethnic background in biomedical research and clinical practice
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A debate has recently arisen over the use of racial classification in medicine and biomedical research. In particular, with the completion of a rough draft of the human genome, some have suggested that racial classification not be useful for biomedical studies, since it

Advanced colorectal cancer: ESMO Clinical Practice Guidelines for treatment
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In 2006 there were 412 900 new cases of colorectal cancer (CRC) in Europe. This is 12.9% of all cancer cases. CRC was responsible for 217 400 deaths in Europe in 2006. This represents 12.2% of all cancer deaths. Approximately 25% present with metastases at initial

Medical guidelines for clinical practice for the diagnosis and management of thyroid nodules
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Thyroid nodules are a frequent clinical finding for which the exclusion of thyroid cancer or thyroid autonomy is necessary. The management of thyroid nodules has significantly changed due to the widespread availability of novel diagnostic and therapeutic resources

Religion, spirituality, and medicine: research findings and implications for clinical practice
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A growing body of scientific research suggests connections between religion, spirituality, and both mental and physical health. The findings are particularly strong in patients with severe or chronic illnesses who are having stressful psychologic and social changes, as

Clinical practice
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Henoch Sch nlein purpura (HSP) is the most common vasculitis of childhood. In this review, the main clinical features and complications are described. Although most features are self-limiting, renal disease is the most likely to result in long-term morbidity. Treatment of

Application of the International Classification of Functioning, Disability and Health (ICF) in clinical practice
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Rehabilitation medicine is dedicated to optimizing patient fünctioning and health. Models of fünctioning and health are the basis for clinical practice teaching and research. The ICF (International Classification of Functioning Disability and Health, formerly ICIDH-2

New pathologic classification of lung cancer: relevance for clinical practice and clinical trials
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We summarize significant changes in pathologic classification of lung cancer resulting from the 2011 International Association for the Study of Lung Cancer/American Thoracic Society/European Respiratory Society (IASLC/ATS/ERS) lung adenocarcinoma

Breast cancer follow-up and management after primary treatment: American Society of Clinical Oncology clinical practice guideline update
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Breast Cancer Follow-Up and Management After Primary Treatment: American Society of Clinical Oncology Clinical James L. Khatcheressian, Patricia Hurley, Elissa Bantug, Laura J. Esserman, Eva Grunfeld, Francine Halberg, Alexander Hantel, N. Lynn Henry, Hyman B

Oxidative stress and male infertility: from research bench to clinical practice
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Extensive research in our center at the Cleveland Clinic indicates that the seminal oxidative stress test has diagnostic and prognostic capabilities beyond those of conventional tests of sperm quality or functions. An oxidative stress test can accurately discriminate between