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...

Objective. This study explores the challenges faced by the research implementation team in engaging new mothers in a community oral health prevention intervention in an American Indian (AI) reservation community. Methods. Qualitative methods in the form of in-depth interviews were used in the study. Qualitative data were collected from research staff workers at a field site, who were involved i...

A variety of dental caries patterns encompassing differing teeth have been proposed, and their use may have utility in Early Childhood Caries (ECC) investigations by minimizing case misclassification. Recent reports have proposed multiple pattern schemes. The purpose of this paper was to review the historical evolution of ECC patterns to assist the clinician and researcher in understanding the ...

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...

This study, based on the Theory of Planned Behaviour (TPB), assesses the impact of entrepreneurship education programs (EEPs) on entrepreneurial intentions of 205 students following entrepreneurship courses at six Iranian universities. Data were collected by a questionnaire before and after completing EEPs. Result indicated that EEPs significantly influence perceived behavioral control and subj...

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 ...

The increased vulnerability of network attached computers has elevated the need for strong security methods. At the same time, advancements in the the area of cryptography have risen to meet this challenge. This report concerns one particular form of cryptography which uses the mathematics of elliptic curves. In particular, the suitability of enhancing current methods with specialized hardware ...

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...