Objectives  Surgeons are now utilizing small incisions when performing thyroidectomy. This study evaluated the association between patient weight, nodule size, and maximum thyroid diameter and the length of an open thyroidectomy incision. Study Design  Retrospective analysis of 32 consecutive patients. Subjects and Methods  Patient demographics, clinical exam, ultrasound findings, operative fin...

Evidence based medicine is very important for success of modern medicine. It is the ongoing process of using the most reliable evidence from clinical studies, scientific understanding and medical practice to make the best possible medical choice for patients. Evidence based medicine is how medicine advances and how we get improvements in life expectancy and quality of life. It not only identifi...

healthcare decisions are often made under pressure, with varying levels of information in a changing clinical context. with limited resources and a focus on improving patient outcomes, healthcare managers and health professionals strive to implement both clinical and cost-effective care. however, the gap between research evidence and health policy/clinical practice persists despite our best eff...

the concept of quaternary prevention (p4) refers to the idea that medicine has acquired the ability to damage through the proper exercise. family medicine or general practice has the duty of recovering the ethical values and the exercise of a profession with the doctor-patient relationship serving to people’s humanity. in the fourth congress of family and community medicine, held in montevideo ...

The present study, wants to highlight and review the most prevalent disease amongst travelers. In the current review, an updated review regarding epidemiology, involved pathogens, and a brief review of current evidence-based guidelines for prevention and treatment of this disease are provided. A distinguishing feature of the current review is the discussion of the impacts of irritable bowel syn...

Evidence based medicine has had an increasing impact on primary care over the last few years. In the UK it has influenced the development of guidelines and quality standards for clinical practice and the allocation of resources for drug treatments and other interventions. It has informed the thinking around patient involvement in decision making with the concept of evidence based patient choice...

Background and aims: Evidence based medicine (EBM) is a systematic process that can lead to enhancement of clinician’s traditional skills in diagnosis and treatment. Teaching EBM to medical students will improve their performance and help them to be up-to-date in their profession. The aim of this study was to compare Shiraz (type 1 university) and Rafsanjan (type 2) students in clinical stage i...

This paper presents evidence-based clinical decision-making as a process of anticipating therapeutic benefit on the basis of thorough consideration of evidence from a variety of sources. In this process, evidence encompasses the values, beliefs, and experiences of both the client and the clinician, as well as knowledge accrued from all varieties of scientific research. In particular, we suggest...

The highest level of evidence-based medicine is a meta-analysis of all available trials. The Cochrane Library identified 13 randomised trials and concluded that thrombolysis for acute stroke within 3 hours was associated with a significant reduction in the number of dead or dependent patients (49.7% of those allocated to thrombolysis were dead or dependent compared with 60.3% of those allocated...