The Era of Evidence-Based Exercise Medicine

Evidence-based medicine in the EMR era.

n engl j med 365;19 nejm.org november 10, 2011 1758 over the past decade. We must do better over the next decade. EHRs can improve the safety and culture of U.S. health care, but only if the federal government, as the nation’s largest health care payer, demonstrates that it is serious about improving patient safety. Disclosure forms provided by the authors are available with the full text of th...

Medical futility in the era of evidence-based medicine

One definition of futility is any treatment that merely preserves permanent unconsciousness or fails to end total dependence of a patient on intensive medical care [1] . However, no agreement has ever been reached on what the exact definition of futility is, as it is not only based on temporary values but also evolves into different subtypes, making it harder to define [2] . The difficulty in d...

Hemodynamic monitoring in the era of evidence-based medicine

Hemodynamic instability frequently occurs in critically ill patients. Pathophysiological rationale suggests that hemodynamic monitoring (HM) may identify the presence and causes of hemodynamic instability and therefore may allow targeting therapeutic approaches. However, there is a discrepancy between this pathophysiological rationale to use HM and a paucity of formal evidence (as defined by th...

Case reports in the era of evidence-based medicine.

The Trace of Evidence Based Medicine in Avicenna\'s Approaches

Many factors underlie the growing popularity of herbal treatments for a variety of chronic conditions. Interestingly, people who use alternative therapies are not necessarily uninformed. If anything, they are more "culturally creative" (i.e., comfortable with cultural changes) and more highly educated. Many people using herbal medicines find the health care alternatives are more congr...