Research is essential in that it is required to provide the scientific evidence that helps ensure patients receive the appropriate treatment. Evidence based medicine is now recognised as essential for all patients. Historically, both pregnant women and paediatric patients have been neglected by researchers. Clinical trials are more challenging in both of these patient groups. Additionally, the ...

Modern medical care is influenced by two paradigms: 'evidence-based medicine' and 'patient-centered medicine'. In the last decade, both paradigms rapidly gained in popularity and are now both supposed to affect the process of clinical decision making during the daily practice of physicians. However, careful analysis shows that they focus on different aspects of medical care and have, in fact, l...

Matters of hospital management do not figure prominently on the medical ethics agenda. However, management decisions that have to be taken in the area of hospital care are in fact riddled with ethical questions and do have significant impact on patients, staff members, and the community being served. In this decision making process evidence based medicine (EBM) plays an increasingly important r...

The percentage of combat wounds involving the eyes, maxillofacial, and neck regions reported in the literature is increasing, representing 36% of all combat-related injuries at the start of the Iraq War. Recent meta-analysis of 21st century eye, maxillofacial, and neck injuries described combat injury incidences of 8% to 20% for the face, 2% to 11% for the neck, and 0.5% to 13% for the eye and ...

At the present time, there are many calls, mainly from the orthodox medical profession and regulatory authorities, for medical interventions of all types to be practised and regulated on the basis of whether they work as determined by clinical trials. Medicine of this sort is called ‘Evidence Based Medicine’ (EBM). On the surface, EBM seems eminently reasonable. However, for Complementary and A...

Introduction: Journal clubs play an important role in teaching Evidence Based Medicine (EBM). Evidence based journal clubs focus on real problems of the group, and set a minimum level of evidence for articles to be presented, and in the end a clinical bottom line is set to be used in the daily clinical practice. In this article, we have explained our experience in running evidence based journal...

For a few years and since the release of the expression on Medline in 1992 by Gordon Guyatt et al., interest in the Evidence Based Medicine (EBM) had skyrocketed and had induced a kind of globalization of its teaching. Undoubtedly, we live in the era of EBM in which scientific knowledge and research works are classified in a pyramid hierarchy according to their levels of evidence. At the top of...

The 2009 Academic Emergency Medicine Consensus Conference working group session participants developed recommendations and research questions for violence prevention in the emergency department (ED). A writing group devised a working draft prior to the meeting and presented this to the breakout session at the consensus conference for input and approval. The recommendations include: 1) promote a...

Evidence based medicine (EBM) has drawn the attention of the medical community around the world and is rapidly becoming the standard in medical research. EBM requires both rigorous clinical trial research design, including adequate randomization and appropriate control, and accurate and thorough reporting of the findings of trials. Despite China's active research program, the majority of tradit...

Traditionally, surgical practice has been experiential and based on the contemporary understanding of basic mechanisms of disease. It was both a science and an art and depended to far too great an extent on the individualism and self belief of its main exponents. ‘‘Evidence based medicine’’ (EBM) emerged in the 1980s and a new gospel of ‘‘Rules of Evidence’’ was introduced. There is no doubt th...