Evidence-Based Diagnosis explains diagnostic, screening, and prognostic tests in clinical medicine. The authors' approach is based on many years of experience teaching physicians in a clinical research training program. Although needing only a minimum of mathematics, the quantitative discussions in this book are deeper and more rigorous than in most introductory texts. The book includes numerous worked examples and 60 problems (with answers) based on real clinical situations and journal articles. This book is a great choice for anyone looking to select, develop, or apply medical tests. Topics covered include: the diagnostic process; test reliability and accuracy; testing and treatment thresholds; critical appraisal of studies of diagnostic, screening and prognostic tests; test independence and methods of combining tests; quantifying treatment benefits using randomized trials and observational studies; Bayesian interpretation of P values and confidence intervals; challenges for evidence-based diagnosis; likelihood ratios and ROC curves.
Covering a full range of topics from cardiovascular and pulmonary disease to ophthalmology, hematology and pediatrics, this is the only single volume, quick reference designed for use in daily practice. The 150+ clinical prediction rules as well as the background information necessary to determine its validity and relevance are essential for every physician in a time of limited health care resources. Designed as an aid in diagnosis and treatment, these rules allow more accurate diagnosis and treatment decisions while eliminating superfluous testing.
British Medical Association Book Awards 2009 - First Prize Winner, Primary Care Category Evidence-Based Diagnosis in Primary Care provides guidance on diagnosis in general practice, from the patient’s first presentation with a symptom to the final establishment of a diagnosis or referral for further investigation. The book is divided into two parts: • Symptoms; which details the steps necessary to reach a provisional diagnosis when a patient presents; and • Disorders; in which the more detailed assessment of that initial diagnosis is described. This is the first book to be written about diagnosis in primary care that attempts to base its guidance on the research evidence. Enough information is provided on each symptom, or condition, to decide on the pre-test probability of each possible disorder, and how the symptoms, signs and investigations alter those probabilities to allow a conclusion to be reached about the most likely diagnosis. Evidence-Based Diagnosis in Primary Care also explains the principles of evidence-based diagnosis – with special emphasis on the issues raised by attempting an evidence-based approach in primary care – and clearly demonstrates the power, and the difficulties, of an evidence-based approach. Many chapters also feature ‘red flags’ – elements of the history or examination that should alert the practitioner to the possibility of serious disease, which is vital for general practice.
Translating the evidence from the bedside topopulations This sixth edition of the best-selling Epidemiology,Evidence-based Medicine and Public Health Lecture Notes equipsstudents and health professionals with the basic tools required tolearn, practice and teach epidemiology and health prevention in acontemporary setting. The first section, ‘Epidemiology’, introduces thefundamental principles and scientific basis behind work to improvethe health of populations, including a new chapter on geneticepidemiology. Applying the current and best scientific evidence totreatment at both individual and population level is intrinsicallylinked to epidemiology and public health, and has been introducedin a brand new second section: ‘Evidence-basedMedicine’ (EBM), with advice on how to incorporate EBMprinciples into your own practice. The third section, 'PublicHealth', introduces students to public health practice, includingstrategies and tools used to prevent disease, prolong life, reduceinequalities, and includes global health. Thoroughly updated throughout, including new studies and casesfrom around the globe, key learning features include: Learning objectives and key points in every chapter Extended coverage of critical appraisal and datainterpretation A brand new self-assessment section of SAQs and’True/False’ questions for each topic A glossary to quickly identify the meaning of key terms, all ofwhich are highlighted for study and exam preparation Further reading suggestions on each topic Whether approaching these topics for the first time, starting aspecial study module or placement, or looking for a quick-referencesummary, this book offers medical students, junior doctors, andpublic health students an invaluable collection of theoretical andpractical information.
Evidence-Based Physical Diagnosis helps you choose the diagnostic approaches that have been proven most effective! Dr. Steven McGee puts the most current evidence at your fingertips, equipping you to easily select the best test for diagnosing a given condition and understand the diagnostic significance and accuracy of your findings. A remarkably easy-to-reference organization makes it simple to find the answers you need; and full-text online access at www.expertconsult.com lets you quickly reference the book from any computer or mobile device. Quickly review the history, pathogenesis, examination technique, and interpretation of physical findings for all areas of the body thanks to a very reader-friendly outline format, including more than 90 "EBM boxes" and accompanying "EBM ruler" illustrations. Get expert advice from Dr. Steven McGee, an internationally respected authority in physical examination and assessment, pain management, and education in general internal medicine. See exactly which studies document the significance of various findings thanks to thousands of up-to-date references. Access the complete contents online at www.expertconsult.com, plus a downloadable image collection and an evidence-based calculator that helps you determine probability ratios based on the evidence criteria. Apply the latest knowledge on hot topics such as the value of physical examination in taking care of the ICU patient, accurately diagnosing the etiology of systolic murmurs, diagnosing osteoarthritis and acute vertigo in the dizzy patient, diagnosing hemorrhagic stroke, and diagnosing pleural effusions. Implement the most current evidence-based approaches for evaluating stance and gait, Schamroth's sign (for clubbing), dementia, prediction of falls, hepatopulmonary syndrome, atrial fibrillation, relative bradycardia, tourniquet test (for dengue infections), acute stroke, and pleural effusion. Assess the pretest probability of disease, given particular signs or symptoms, with new at-a-glance tables. Make effective decisions thanks to updated content throughout, including new EBM boxes covering over 250 recent studies on physical diagnosis-ensuring that all diagnostic information (i.e., sensitivity, specificity, and likelihood ratios) is up to date. Increase diagnostic confidence with McGee!
An engaging case-based approach to learning the diagnostic process in internal medicine "All clinicians caring for patients, from medical students to residents and attending physicians, are the intended audience. The book is well written for all levels, and the authors are well-respected educators and experts in the field. 3 Stars."--Doody's Review Service Symptom to Diagnosis teaches you an evidence-based, step-by-step process for evaluating, diagnosing, and treating patients based on their clinical complaints. By applying this process you will be able to recognize specific diseases and prescribe the most effective therapy. Each chapter is built around a common patient complaint that illustrates essential concepts and provides insight into the process by which the differential diagnosis is identified. Coverage for each disease includes: Textbook Presentation: offers a concise statement of the common or classic presentation of the particular disease Disease Highlights: covers the most pertinent epidemiologic and pathophysiologic information for the disease Evidence-Based Diagnosis: reviews the accuracy of the history, physical exam, laboratory and radiologic tests for the disease. In this unique section, the author points out the findings that help you “rule in” or “rule out” the various diseases. Treatment: details the basics of therapy for the disease discussed Filled with algorithms, summary tables, and questions that direct evaluation, Symptom to Diagnosis is a true must read before your first clinical encounter.
Rev. ed. of: Evidence-based dermatology / [edited by] Howard I. Maibach, Saqib J. Bashir, Ann McKibbon. Hamilton, Ont.: B.C. Decker, 2002.
An engaging case-based approach to learning the diagnostic process in internal medicine "All clinicians caring for patients, from medical students to residents and attending physicians, are the intended audience. The book is well written for all levels, and the authors are well-respected educators and experts in the field. 3 Stars."--Doody's Review Service Symptom to Diagnosis teaches you an evidence-based, step-by-step process for evaluating, diagnosing, and treating patients based on their clinical complaints. By applying this process you will be able to recognize specific diseases and prescribe the most effective therapy. Each chapter is built around a common patient complaint that illustrates essential concepts and provides insight into the process by which the differential diagnosis is identified. Coverage for each disease includes: Textbook Presentation: offers a concise statement of the common or classic presentation of the particular disease Disease Highlights: covers the most pertinent epidemiologic and pathophysiologic information for the disease Evidence-Based Diagnosis: reviews the accuracy of the history, physical exam, laboratory and radiologic tests for the disease. In this unique section, the author points out the findings that help you “rule in” or “rule out” the various diseases. Treatment: details the basics of therapy for the disease discussed Filled with algorithms, summary tables, and questions that direct evaluation, Symptom to Diagnosis is a true must read before your first clinical encounter.
This unique book presents a framework for the strategy and methodology of diagnostic research, in relation to its relevance for practice. Now in its second edition The Evidence Base of Clinical Diagnosis has been fully revised and extended with new chapters covering the STARD guidelines (STAndards for the Reporting of Diagnostic accuracy studies) and the multivariable analysis of diagnostic data. With contributions from leading international experts in evidence-based medicine, this book is an indispensable guide on how to conduct and interpret studies in clinical diagnosis. It will serve as a valuable resource for all investigators who want to embark on diagnostic research and for clinicians, practitioners and students who want to learn more about its principles and the relevant methodological options available.
This book provides the skills and knowledge to use information effectively when exercising professional judgement and clinical decisions. By integrating theory with practical examples, it provides an overview of the key issues facing nurses in decision making today. Review of up-to-date research into clinical professional judgement and decision making Focus on evidence and skills and knowledge relevant to nursing practice Combines current theory with analysis of applications in practice Learning exercises and self-assessment components in each chapter Comprehensive coverage of subject
Fully updated from cover to cover, incorporating over 200 new studies on the evidence-based approach to diagnosis, the 4th Edition of Evidence-Based Physical Diagnosis remains your go-to resource for guidance on interpreting physical signs, enabling you to determine the most appropriate physical finding to confirm a diagnosis. Internationally renowned author Dr. Steven McGee puts the most current evidence at your fingertips, allowing you to quickly compare all physical signs for a given diagnosis, understand their significance, and then select the most accurate ones. Includes a unique evidence-based calculator online that enables you to easily determine probability using likelihood ratios. Features a reader-friendly outline format, including dozens of "EBM boxes" and accompanying "EBM ruler" illustrations. Provides new evidence on the scientific value of many physical findings, including Cheyne-Stokes respirations, subclavian stenosis, fever of unknown origin, porto-pulmonary hypertension, localization of stroke, and many more. NEW Key Teaching Points at the beginning of every chapter, ideal for teachers of bedside medicine.
Facts101 is your complete guide to Nursing Diagnosis Handbook, An Evidence-Based Guide to Planning Care. In this book, you will learn topics such as as those in your book plus much more. With key features such as key terms, people and places, Facts101 gives you all the information you need to prepare for your next exam. Our practice tests are specific to the textbook and we have designed tools to make the most of your limited study time.
As the first attempt to synthesize the movement toward widespread implementation of evidence-based mental health practices, this groundbreaking collection articulates the basic tenets of evidence-based medicine and shows how practices proven effective by clinical services research could improve the lives of many people. Intended to stimulate much-needed public discussion, these remarkable contributions cover both general issues, such as Implementing practices in routine mental health settings, including strategies for disseminating evidence-based practices to staff members Ensuring that efforts to implement such practices are informed by the knowledge and experience of administrators, clinicians, patients, and advocates Integrating evidence-based practices with the recovery model and focusing on guidelines and algorithms for pharmacologic treatment of people with severe mental illness Identifying the policy implications of the movement, particularly in public-sector settings, and describing eight courses of action for addressing the gap between science and practice and specific practices, such as Describing critical components of practices for which substantial evidence exists, such as supported employment, dual diagnosis services, and assertive community treatment Developing an evidence base for particular populations, such as children and adolescents and geriatric patients; and for clinical subgroups, such as patients with severe mental illness and posttraumatic stress disorder-and implementing a range of practices for each population Debate in public forums is critical to explaining the benefits of evidence-based care and allaying the fears of patients, practitioners, administrators, policy makers, and vested interest groups that evidence-based care excludes them from the decision-making process. Patients need to know that their individual characteristics, preferences, and autonomy are highly valued and won't be discounted by rigid adherence to the particular treatments. Practitioners need to know about the credibility of the evidence base and about new techniques and responsibilities and to understand that their favorite practices won't necessarily be excluded during initial attempts to implement evidence-based practices. Administrators and policy makers need to know about financing, organizing, implementing, and sustaining new practices. Finally, vested interest groups need to know that the introduction of evidence-based practices doesn't mean that what they do now is ineffective. This unique and densely informative volume will be welcomed by mental health care professionals and by lawmakers, planners, administrators, and others who are charged with the responsibility of providing effective care to vulnerable populations.
Featuring more than 1700 clinical, pathological and surgical photographs, this atlas is a comprehensive reference guide to the diagnosis and management of numerous obstetrical and gynaecological disorders. Divided into two sections (obstetrics and gynaecology), each section is further divided into sub sections covering key clinical aspects and disorders in each of the disciplines. Presented in an easy to read three column format throughout, each topic provides high quality photographs with a concise, clinical description, and management techniques. Each chapter includes ‘Evidence based breakthrough facts’ with source details, for further research. Key points Comprehensive reference to diagnosis and management of obstetrical and gynaecological disorders Features more than 1700 full colour clinical, pathological and surgical photographs and illustrations Easy to read, three column format Evidence based breakthrough facts with source included in each chapter
This book covers the management of all major renal diseases from an evidence-based and patient-centred approach. With contributions from leading international experts who have a real understanding of evidence-based medicine it provides recommendations on treatment regimens to adopt for individual patients that are most strongly supported by the evidence. The inclusion of the latest observational and epidemiological data, as well as randomized controlled trial evidence ensures that the book properly reflects the current state of evidence available for nephrological practice. It will be a useful aid to all clinicians, including those caring for transplant and pediatric patients, as it covers the major clinical questions encountered by nephrologists. This reference is an invaluable source of evidence-based information distilled into guidance for clinical practice which will be welcomed by practitioners, trainees and associated health professionals.
Awarded second place in the 2013 AJN Book of the Year Awards in the Nursing Education/Continuing Education category This AJN award-winning text is the only book to teach evidence-based practice (EBP) content grounded in a tested philosophy of teaching and learning. It provides the tools, perspective and context for health educators and practitioners to implement evidence-based care practices and evaluate their efficacy. Reflecting four years of successful experiences in helping academic agencies understand and implement EBP, this new edition has been reorganized to include updated information and five new chapters. It stresses the importance of mentorship in creating EBP and illustrates how mentorship can be designed and implemented to promote EBP. The text clarifies three principal values: How to integrate EBP into academic curricula How to implement an EBP model in clinical settings (for graduate, second career, and CE students) How to address teaching and learning strategies for specific user groups Teaching Evidence-Based Practice in Nursing will be of value to clinical and academic educators, educational and clinical administrators, unit managers, students attending CE programs, and students in nursing education graduate programs. Key Features: Revises and expands upon AJN Book of the Year Award first edition Reflects knowledge gained from four years of successful experiences in teaching and learning EBP since publication of first edition Provides comprehensive and innovative strategies for mentoring and teaching EBP in education and practice scenarios Describes how to implement EBP at undergraduate levels, for second career students, and in continuing education
Now in its fourth edition, Rational Diagnosis and Treatment: Evidence-Based Clinical Decision-Making is a unique book to look at evidence-based medicine and the difficulty of applying evidence from group studies to individual patients. The book analyses the successive stages of the decision process and deals with topics such as the examination of the patient, the reliability of clinical data, the logic of diagnosis, the fallacies of uncontrolled therapeutic experience and the need for randomised clinical trials and meta-analyses. It is the main theme of the book that, whenever possible, clinical decisions must be based on the evidence from clinical research, but the authors also explain the pitfalls of such research and the problems involved in applying evidence from groups of patients to the individual patient. For this new edition, the sections on placebo and meta-analysis and on alternative medicine have been thoroughly updated, and there is more focus on insufficient reporting of harms of interventions. The sections on different research designs describe advantages and limitations, and the increased medicalisation and the effects of cancer screening on health people are noted. A section on academic freedom when clinicians collaborate with industry and ghost authors is added. This essential reference work integrates the science and statistical approach of evidence-based medicine with the art and humanism of medical practice; distinguishing between data, sets of data, knowledge and wisdom, and their application. Such an intellectually challenging book is ideal for both medical students and doctors who require theoretical and practical clinical skills to help ensure that they apply theory in practice.
This multidisciplinary textbook presents a unique approach to diagnosis and management of the various temporomandibular disorders. Written by a large group of eminent researchers and clinicians, it links current scientific concepts of basic anatomy, physiology, biomechanics, and pathology of the temporomandibular joint with specific diagnostic and treatment protocols that are based on sound clinical data. Thus, in keeping with the current thrust in medicine and dentistry, the book provides access to the best available evidence so that clinicians can make informed rather than empirical decisions about what is appropriate therapy. Where lack of data or rapid changes in a particular discipline do not allow for evidence-based conclusions or recommendations, the book highlights the areas of agreement and disagreement in order to expose the deficiencies in our present knowledge base. In a field of treatment long associated with controversy, this book educates readers about which current practices of diagnosis and treatment are strongly supported by scientific research and which are supported only by practical experience and/or anecdotal evidence.

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