(Ebook) Behavioral Pediatrics An Issue of Primary Care Clinics in Office Practice 1st Edition by Donald E Greydanus, Helen Pratt, Dilip R Patel ISBN 9781416043607 1416043608

(Ebook) Behavioral Pediatrics An Issue of Primary Care Clinics in Office Practice 1st Edition by Donald E Greydanus, Helen Pratt, Dilip R Patel ISBN 9781416043607 1416043608

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Product details:

ISBN 10: 1416043608
ISBN 13: 9781416043607
Author: Donald E Greydanus, Helen Pratt, Dilip R Patel

(Ebook) Behavioral Pediatrics An Issue of Primary Care Clinics in Office Practice 1st Edition Table of contents:

An Introduction to Evidence-Based Medicine

• Definition of evidence-based medicine

• Evidence-based medicine focuses on patient outcomes

• Step 1: Develop a specific answerable question from a clinical problem

• Step 2: Search the best evidence that answers that question

• Step 3: Critically assess that evidence for its relevance, validity, and usefulness to the patient and practice

• Step 5: Evaluate the performance of that practice and revise as new evidence becomes available

• Summary

• References

Evolving Medical Knowledge: Moving Toward Efficiently Answering Questions and Keeping Current

• References

Is the Article from a Peer-Reviewed Journal?

• Step one: Conduct an initial validity and relevance screen

• Is the study sponsored by an organization that may influence the study design or results?

• Will this information, if true, require me to change my current practice?

• Step three: Evaluate the validity of the article based on its intent

• Is the study a randomized controlled trial?

• Are the subjects in the study similar to mine?

• Are all participants who entered the trial properly accounted for at its conclusion?

• Are the results clinically as well as statistically significant?

• Were there other factors that might have affected the outcome?

• Suggested readings on critical reading skills

Step One in Critically Assessing an Original Research Article

• Determining validity of an article about therapy

• Determining validity of an article about causation

• Determining validity of an article about prognosis

• References

Cardiovascular Health and Interventions

• Smoking cessation

• Estimating probability of significant coronary artery disease in the asymptomatic patient

• Cardiac stress imaging

• Invasive testing

• Screening diabetic patients

• Preoperative evaluation

• Antiplatelet therapy and anticoagulation

• Lipid-lowering therapy

• Angiotensin-converting enzyme inhibitor therapy

• Revascularization

• Risk factor modification

• Counseling

• Alternative therapies

• Monitoring patients with known coronary artery disease

• Use of cardiac testing during follow-up

• References

Heart Failure

• Prognosis

Hypertension

• The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure

• Evaluation

• Treatment: Lifestyle modification

• Essential hypertension

• Patients who have concomitant diagnoses

  • Coronary artery disease

  • Diabetes

• Shape Up America

• References

Mortality and Evidence Summaries

• All-cause and cardiovascular mortality

• Bottom line

• Evidence summary

• Clinical commentary

• Evidence summary

• Bottom line

• Evidence summary

• Evidence summary

Diabetes Mellitus

• Evidence summary

• Bottom line

• Evidence summary

• Evidence summary

• Evidence summary

• Summary

• References

An Evidence-Based Approach to the Management of Depression

• Should physicians screen for depression and which screening tool should be used?

• Are there any meaningful differences between newer and older antidepressants?

• What drugs should primary care physicians prescribe first-line for depression?

• If patients are not responding to treatment, what should be done next?

• How long should patients who have depression be treated with antidepressants?

• Which antidepressants are safe in pregnancy?

• Should antidepressants be used in patients who have experienced a myocardial infarction or stroke?

• Does counseling provide a measurable therapeutic effect in depressed patients?

• Should health care providers recommend an exercise program for their patients who suffer from depression?

• What is evidence behind hormonal supplements?

• Is there any proven benefit of light therapy in the treatment of depression?

• What about collaborative therapy and disease management programs?

• Are there any other treatment modalities that are supported by evidence?

• References

Osteoporosis

• Vitamin D

• Risk factors

• Screening frequency

• Bisphosphonates

• Raloxifene

• Parathyroid hormone

• References

Women’s Health

• Women’s Health Initiative

• Other studies and the type of breast cancer

• North American Menopause Society

• Nonoral estrogens

• Botanicals

• “Off-label” therapy

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Tags: Donald E Greydanus, Helen Pratt, Dilip R Patel, Behavioral Pediatrics, Primary Care Clinics