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Articles 1261 - 1290 of 1295
Full-Text Articles in Medical Education
Anticoagulation Following Gastrointestinal Bleeding: Assessing Harms And Benefits, Jacob Jeffers
Anticoagulation Following Gastrointestinal Bleeding: Assessing Harms And Benefits, Jacob Jeffers
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Sengupta N, Feuerstein JD, Patwardhan VR, et al. The risks of thromboembolism vs. recurrent gastrointestinal bleeding after interruption of systemic anticoagulation in hospitalized in patients with gastrointestinal bleeding: a prospective study. Am. J. Gastroenterol. 2014;110:328-335. doi: 10.1038/ajg.2014.398
Restriction Therapy In Acute Heart Failure Is Not Shown To Be Effective, Amrit K. Basi, Colleen W. Harkreader, Nicholus H. Yee M.D., Shadia A. Yeihey M.D., Suraiya K. Azom M.D.
Restriction Therapy In Acute Heart Failure Is Not Shown To Be Effective, Amrit K. Basi, Colleen W. Harkreader, Nicholus H. Yee M.D., Shadia A. Yeihey M.D., Suraiya K. Azom M.D.
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Travers B, O’Loughlin C, Murphy NF, et al. Fluid restriction in the management of decompensated heart failure: no impact on time to clinical stability. J Card Fail. 2007;13(2):128-132. doi: 10.1016/j.cardfail.2006.10.012
Vedolizumab Should Be The Next Line Agent For The Treatment Of Refractory Crohn’S Disease, Mitchell Kentor
Vedolizumab Should Be The Next Line Agent For The Treatment Of Refractory Crohn’S Disease, Mitchell Kentor
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Shelton E, Allegretti J, Stevens B et al. Efficacy of Vedolizumab as Induction Therapy in Refractory IBD Patients. Inflammatory Bowel Diseases. 2015 Dec;21(12):2879-2885. doi:10.1097/mib.0000000000000561
Statin Therapy For Elderly Patients Should Be Assessed For Each Individual, Raymond Gong
Statin Therapy For Elderly Patients Should Be Assessed For Each Individual, Raymond Gong
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Shepherd J, Blauw GJ, Murphy MB, et al. Pravastatin in elderly individuals at risk of vascular disease (PROSPER): a randomised controlled trial. Lancet. 2002;360(9346):1623-30. doi:10.1016/S0140-6736(02)11600-X
It Is Reasonable To Treat Patients With Type 1 Hepatorenal Syndrome With Midodrine And Octreotide, William Kane
It Is Reasonable To Treat Patients With Type 1 Hepatorenal Syndrome With Midodrine And Octreotide, William Kane
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Esrailian E, Pantangco ER, Kyulo NL, Hu KQ, Runyon BA. Octreotide/midodrine therapy significantly improves renal function and 30-day survival in patients with type 1 hepatorenal syndrome. Dig Dis Sci. 2007;52(3):742-748. doi: 10.1007/s10620-006-9312-0
Salvage Therapy For Non-Acetaminophen-Induced Acute Liver Failure Includes N-Acetylcysteine, David Robinson
Salvage Therapy For Non-Acetaminophen-Induced Acute Liver Failure Includes N-Acetylcysteine, David Robinson
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Lee WM, Hynan LS, Rossaro L, et al. Intravenous N-acetylcysteine improves transplant-free survival in early stage non-acetaminophen acute liver failure. Gastroenterology. 2009;137(3):856-864. doi: 10.1053/j.gastro.2009.06.006
From The Editors, Thomas C. Bolig, William Kane, Mitchell Kentor
From The Editors, Thomas C. Bolig, William Kane, Mitchell Kentor
Clinical Research in Practice: The Journal of Team Hippocrates
Introduction to Volume 2, Issue 2 by the new Senior Student Editors.
Guidelines Are Not Evidence, James P. Meza Md, Phd, Nicholus H. Yee Md
Guidelines Are Not Evidence, James P. Meza Md, Phd, Nicholus H. Yee Md
Clinical Research in Practice: The Journal of Team Hippocrates
Guidelines are inherently flawed when caring for an individual patient, because they apply to populations, not individuals. A strong competency in reading and interpreting clinical research gives doctors the power to evaluate guidelines and make appropriate shared decisions with their patients.
There Is Relief For Constipated Patients Taking Opioids., Ahmad Mohammadieh, James Choi, Md, Chelsea Gonzalez, Do, Diyanah Elyaman, Md
There Is Relief For Constipated Patients Taking Opioids., Ahmad Mohammadieh, James Choi, Md, Chelsea Gonzalez, Do, Diyanah Elyaman, Md
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Tack J, Lappalainen J, Diva U, Tummala R, Sostek M. Efficacy and safety of naloxegol in patients with opioid-induced constipation and laxative-inadequate response. United European Gastroenterol J. 2015 Oct;3(5):471-80. doi: 10.1177/2050640615604543
Carotid Ultrasound Is Not Helpful In Simple Syncope, Nicholus Yee M.D., Shilin Patel M.D., Raymond Gong
Carotid Ultrasound Is Not Helpful In Simple Syncope, Nicholus Yee M.D., Shilin Patel M.D., Raymond Gong
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Scott JW, Schwartz AL, Gates JD, Gerhard-Herman M, Havens JM. Choosing wisely for syncope: low-value carotid ultrasound use. J Am Heart Assoc. 2014 Aug 13;3(4). pii: e001063. doi: 10.1161/JAHA.114.001063
Advocating For Our Patients Using Clinical Research, Brandon Baker
Advocating For Our Patients Using Clinical Research, Brandon Baker
Clinical Research in Practice: The Journal of Team Hippocrates
This reflection is about experiences trying to relate medical research evidence to actual patient care. This piece talks about shared decision-making about screening mammography.
Splenic Biopsies Are Underutilized Due To Overestimation Of Bleeding Risks, Nicholas Destefano
Splenic Biopsies Are Underutilized Due To Overestimation Of Bleeding Risks, Nicholas Destefano
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Civardi G, Vallisa D, Berte R, et al. Ultrasound-guided fine needle biopsy of the spleen: high clinical efficacy and low risk in a multicenter Italian study. Am J Hematol. 2001 Jun;67(2):93-9. doi:10.1002/ajh.1085
New Journals For Publishing Medical Case Reports, Katherine G. Akers Phd
New Journals For Publishing Medical Case Reports, Katherine G. Akers Phd
Library Scholarly Publications
Because they do not rank highly in the hierarchy of evidence and are not frequently cited, case reports describing the clinical circumstances of single patients are seldom published by medical journals. However, many clinicians argue that case reports have significant educational value, advance medical knowledge, and complement evidence-based medicine. Over the last several years, a vast number (~160) of new peer-reviewed journals have emerged that focus on publishing case reports. These journals are typically open access and have relatively high acceptance rates. However, approximately half of the publishers of case reports journals engage in questionable or "predatory" publishing practices. Authors …
Abnormal Uterine Bleeding Guidelines And Clinical Practice Are Based On Poor Quality Evidence, Mirek Mychajlowycz
Abnormal Uterine Bleeding Guidelines And Clinical Practice Are Based On Poor Quality Evidence, Mirek Mychajlowycz
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Munro MG, Mainor N, Basu R, Brisinger M, Barreda L. Oral medroxyprogesterone acetate and combination oral contraceptives for acute uterine bleeding: A randomized controlled trial. Obstet Gynecol. 2006 Oct;108(4):924-929. doi:10.1097/01.AOG.0000238343.62063.22
Induced Hypothermia Post Cardiac Resuscitation Works In Hospitalized Patients But Not During Transport To Hospital, A Logical Inconsistency Of Evidence, Joshua Frederick
Induced Hypothermia Post Cardiac Resuscitation Works In Hospitalized Patients But Not During Transport To Hospital, A Logical Inconsistency Of Evidence, Joshua Frederick
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Kim F, Nichol G, Maynard C, et al. Effect of prehospital induction of mild hypothermia on survival and neurological status among adults with cardiac arrest. JAMA 2013;311(1):45-52. doi:10.1001/jama.2013.282173
Defining Quality In Medical Practice, Nicholas E. Boggs
Defining Quality In Medical Practice, Nicholas E. Boggs
Clinical Research in Practice: The Journal of Team Hippocrates
We need physicians who are willing to participate in creating the standard of care, and to hold insurance companies accountable for real evidence-based quality markers. Only then will patients receive adequate care and we as educators in medicine be able to adequately teach the next generation of physicians.
From The Editors, John Dawdy, J. Timothy Caldwell
From The Editors, John Dawdy, J. Timothy Caldwell
Clinical Research in Practice: The Journal of Team Hippocrates
Editorial introduction to the third issue of Clinical Research in Practice: The Journal of Team Hippocrates.
Use Of Mobile Devices To Access Resources Among Health Professions Students: A Systematic Review, Misa Mi, Wendy Wu, Maylene Qiu, Yingting Zhang, Lin Wu, Jie Li
Use Of Mobile Devices To Access Resources Among Health Professions Students: A Systematic Review, Misa Mi, Wendy Wu, Maylene Qiu, Yingting Zhang, Lin Wu, Jie Li
Library Scholarly Publications
This systematic review examines types of mobile devices used by health professions students, kinds of resources and tools accessed via mobile devices, and reasons for using the devices to access the resources and tools. The review included 20 studies selected from articles published in English between January 2010 and April 2015, retrieved from PubMed and other sources. Data extracted included participants, study designs, mobile devices used, mobile resources/apps accessed, outcome measures, and advantages of and barriers to using mobile devices. The review indicates significant variability across the studies in terms of research methods, types of mobile programs implemented, resources accessed, …
Differing Cognitive Strategies Between Evidence-Based Medicine And Evidence-Based Practice, James P. Meza Md, Phd
Differing Cognitive Strategies Between Evidence-Based Medicine And Evidence-Based Practice, James P. Meza Md, Phd
Clinical Research in Practice: The Journal of Team Hippocrates
Clinical care requires both evidence-based medicine (abstract, not applied, knowledge) and evidence-based practice (derived from knowledge of a specific patient's concerns). Clinical Research in Practice encourages an apprenticeship model that embraces both.
Extrapolating Evidence About Preventing Recurrent Cellulitis For An Individual Patient Concern, Christina L. Benkert D.O., Amrit K. Basi, Kristina L. Bahrou M.D., Catherine R. Cherri M.D., Suraiya K. Azom M.D., Nicholus H. Yee M.D.
Extrapolating Evidence About Preventing Recurrent Cellulitis For An Individual Patient Concern, Christina L. Benkert D.O., Amrit K. Basi, Kristina L. Bahrou M.D., Catherine R. Cherri M.D., Suraiya K. Azom M.D., Nicholus H. Yee M.D.
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Thomas KS, Crook AM, Nunn AJ, et al. Penicillin to prevent recurrent leg cellulitis, N Engl J Med. 2013, May 2;368(18):1695-1703. doi: 10.1056/NEJMoa1206300
Rectal Indomethacin Reduces The Risk Of Post-Ercp Pancreatitis, John Dawdy
Rectal Indomethacin Reduces The Risk Of Post-Ercp Pancreatitis, John Dawdy
Clinical Research in Practice: The Journal of Team Hippocrates
A clinical appraisal and clinical application of Elmunzer BJ, Scheiman JM, Lehman GA, Chak A, Mosler P, et al. A randomized trial of rectal indomethacin to prevent post-ERCP pancreatitis. N Engl J Med. 2012;366:1414–22. doi: 10.1056/NEJMoa1111103
Research Design Creates Ambiguity Related To Efficacy Of Sickle Cell, Chronic Disease Specialty Clinic, Scott J. Dawsey
Research Design Creates Ambiguity Related To Efficacy Of Sickle Cell, Chronic Disease Specialty Clinic, Scott J. Dawsey
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Koch KL, Karafin MS, Simpson P, Field JJ. Intensive management of high-utilizing adults with sickle cell disease lowers admissions. Am J Hematol. 2015 Jan;90(3):215-219. doi:10.1002/ajh.23912
New Evidence Prompts Rethinking The Clinical Management Of Community Acquired Pneumonia In Patients Admitted To General Medical Services., J. Timothy Caldwell
New Evidence Prompts Rethinking The Clinical Management Of Community Acquired Pneumonia In Patients Admitted To General Medical Services., J. Timothy Caldwell
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Postma DF, van Werkhoven CH, van Elden LJR, et al. Antibiotic treatment strategies for community-acquired pneumonia in adults. N Engl J Med. 2015;372(14):1312-1323. doi:10.1056/NEJMoa1406330
Idiopathic Pulmonary Fibrosis: Bnp And Echocardiogram Guide Difficult But Necessary Discussions Related To Prognosis, Jacob A. Vander-Starre
Idiopathic Pulmonary Fibrosis: Bnp And Echocardiogram Guide Difficult But Necessary Discussions Related To Prognosis, Jacob A. Vander-Starre
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Song JW, Song J-K, Kim DS. Echocardiography and brain natriuretic peptide as prognostic indicators in idiopathic pulmonary fibrosis. Respir Med 2009;103(2):180-186. doi:10.1016/j.rmed.2008.11.012.
Dental Extraction Is Probably Safe For Patients With Thrombocytopenia: The Standard Of Care Is A Guide For Clinical Decision Making Related To Platelet Transfusion., Phillip So
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Fillmore WJ, Leavitt BD, Arce K. Dental extraction in the thrombocytopenic patient is safe and complications are easily managed. J Oral Maxillofac Surg. 2013 Oct;71(10):1647-1652. doi:10.1016/j.joms.2013.05.011.
Re-Issuing The Screening Mammography Challenge, Daniel Passerman
Re-Issuing The Screening Mammography Challenge, Daniel Passerman
Clinical Research in Practice: The Journal of Team Hippocrates
The author reissues the challenge to monitor the to monitor the discussion related to screening mammography in the reader's own clinical setting.
Evidence-Based Practice In The New Millenium, Nicholus H. Yee
Evidence-Based Practice In The New Millenium, Nicholus H. Yee
Clinical Research in Practice: The Journal of Team Hippocrates
A reflection on learning and education in practice.
Screening Mammography Requires Informed Consent, James P. Meza Md, Phd
Screening Mammography Requires Informed Consent, James P. Meza Md, Phd
Clinical Research in Practice: The Journal of Team Hippocrates
In concert with the titular opinion, CRP Faculty Editor James P. Meza encourages established medical educators and practitioners to speak up when evidence contradicts established practice, as an example to future medical professionals.
Transesophageal Echocardiogram: Accurate Enough To Make Definitive Clinical Decisions Related To Endocarditis, Brian Jackson, Paul Thomas, Tiffany Dehondt, Leanne Swiderski, Rachel Fuller, Amal Raychouni
Transesophageal Echocardiogram: Accurate Enough To Make Definitive Clinical Decisions Related To Endocarditis, Brian Jackson, Paul Thomas, Tiffany Dehondt, Leanne Swiderski, Rachel Fuller, Amal Raychouni
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of: Daniel WG, Mugge A, Martin RP, et al. Improvement in the diagnosis of abscesses associated with endocarditis by transesophageal echocardiography. N Engl J Med. 1991 Mar 21;324(12):795-800. doi: 10.1056/NEJM199103213241203
Becoming A Competent Doctor: Ongoing Responsibilities, Stephen Simmer
Becoming A Competent Doctor: Ongoing Responsibilities, Stephen Simmer
Clinical Research in Practice: The Journal of Team Hippocrates
The author reflects on the experience surrounding his critical appraisal of DeVore GR, Owens O, Kase N. Use of intravenous Premarin in the treatment of dysfunctional uterine bleeding--a double-blind randomized control study. Obstet Gynecol. 1982 Mar;59(3):285-91.