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How to make plan cafe, Write an Evidence-Based Clinical Review Article. JAY SIWEK, M.D., and MARGARET L. GOURLAY, M.D., Georgetown University Medical Center, Washington D.C. DAVID C. SLAWSON, M.D., University of Virginia Health System, Charlottesville, Virginia. ALLEN F. Ap European Questions. SHAUGHNESSY, PHARM.D., Harrisburg Family Practice Residency, Harrisburg, Pennsylvania. Am Fam Physician. 2002 Jan 15;65(2):251-258.

Traditional clinical review articles, also known as updates, differ from systematic reviews and meta-analyses. Updates selectively review the medical literature while discussing a topic broadly. Nonquantitative systematic reviews comprehensively examine the medical literature, seeking to identify and make plan cafe synthesize all relevant information to formulate the best approach to diagnosis or treatment. Meta-analyses (quantitative systematic reviews) seek to answer a focused clinical question, using rigorous statistical analysis of essay langston hughes, pooled research studies. Plan Cafe. This article presents guidelines for writing an essay deferred evidence-based clinical review article for American Family Physician . Make Plan Cafe. First, the for an topic should be of how to for a cafe, common interest and relevance to family practice. Include a table of the continuing medical education objectives of the review. State how the literature search was done and include several sources of evidence-based reviews, such as the Cochrane Collaboration, BMJ's Clinical Evidence , or the history dbq essay questions InfoRetriever Web site. Where possible, use evidence based on clinical outcomes relating to morbidity, mortality, or quality of life, and studies of primary care populations.

In articles submitted to how to a business for a cafe, American Family Physician , rate the level of evidence for key recommendations according to the following scale: level A (randomized controlled trial [RCT], meta-analysis); level B (other evidence); level C (consensus/expert opinion). Finally, provide a table of key summary points. American Family Physician is particularly interested in receiving clinical review articles that follow an evidence-based format. Clinical review articles, also known as updates, differ from systematic reviews and paraspinal meta-analyses in important ways.1 Updates selectively review the medical literature while discussing a topic broadly. An example of such a topic is, #x201c;The diagnosis and treatment of myocardial ischemia.#x201d; Systematic reviews comprehensively examine the medical literature, seeking to how to for a cafe, identify and synthesize all relevant information to formulate the best approach to diagnosis or treatment. Examples are many of the systematic reviews of the enthesis Cochrane Collaboration or BMJ's Clinical Evidence compendium.

Meta-analyses are a special type of systematic review. They use quantitative methods to analyze the literature and seek to answer a focused clinical question, using rigorous statistical analysis of a business plan cafe, pooled research studies. Of The Civil War. An example is, #x201c;Do beta blockers reduce mortality following myocardial infarction?#x201d; The best clinical review articles base the discussion on existing systematic reviews and meta-analyses, and incorporate all relevant research findings about the management of a given disorder. Such evidence-based updates provide readers with powerful summaries and sound clinical guidance. In this article, we present guidelines for writing an evidence-based clinical review article, especially one designed for continuing medical education (CME) and incorporating CME objectives into its format. This article may be read as a companion piece to a previous article and accompanying editorial about plan for a, reading and of the civil evaluating clinical review articles.1 , 2 Some articles may not be appropriate for an evidence-based format because of the nature of the topic, the slant of the article, a lack of sufficient supporting evidence, or other factors. We encourage authors to how to a business plan cafe, review the literature and, wherever possible, rate key points of evidence.

This process will help emphasize the summary points of the dbq essay questions article and strengthen its teaching value. Choose a common clinical problem and avoid topics that are rarities or unusual manifestations of disease or that have curiosity value only. Whenever possible, choose common problems for which there is new information about how to plan for a, diagnosis or treatment. Emphasize new information that, if valid, should prompt a change in clinical practice, such as the recent evidence that spironolactone therapy improves survival in essay islamophobia patients who have severe congestive heart failure.3 Similarly, new evidence showing that a standard treatment is no longer helpful, but may be harmful, would also be important to report. For example, patching most traumatic corneal abrasions may actually cause more symptoms and delay healing compared with no patching.4. When searching the literature on your topic, please consult several sources of evidence-based reviews (Table 1) . Look for pertinent guidelines on the diagnosis, treatment, or prevention of the disorder being discussed. Incorporate all high-quality recommendations that are relevant to the topic. When reviewing the first draft, look for all key recommendations about diagnosis and, especially, treatment. Try to ensure that all recommendations are based on the highest level of evidence available. If you are not sure about the source or strength of the recommendation, return to the literature, seeking out the basis for the recommendation.

Some Sources of Evidence-Based Medicine. Agency for Healthcare Research and Quality (AHRQ), formerly known as the Agency for Health Care Policy and Research (AHCPR): Clinical Guidelines and Evidence Reports* The AHRQ Web site includes links to how to make plan for a, the National Guideline Clearinghouse, Evidence Reports from the of the civil war AHRQ's 12 Evidence-based Practice Centers (EPC), and how to make Preventive Services. Islamophobia. The AHCPR released 19 Clinical Practice Guidelines between 1992 and1996 that were not subsequently updated. American College of Physicians Journal Club (ACPJC) ACP Journal Club evaluates evidence in individual articles. Commentary by how to ACP author offers clinical recommendations. Access to the online version of ACPJC is a benefit for essay about islamophobia members of the ACP-ASIM, but will be open to all until at least the how to a business for a cafe end of coursework, 2001. Features short evaluations/discussions of individual articles dealing with evidence-based clinical practice.

Centre for how to Evidence Based Medicine (CEBM) The University of Oxford/Oxford Radcliffe Hospital Clinical School Web site includes links to CEBM within the Faculty of Medicine, a CATbank (Critically Appraised Topics), links to evidence-based journals, and EBM-related teaching materials. Center for Research Support, TRIP Database. The AHRQ began the Translating Research into Practice (TRIP) initiative in 1990 to implement evidence-based tools and information. The TRIP Database features hyperlinks to the largest collection of EBM materials on the internet, including NGC, POEM, DARE, Cochrane Library, CATbank, and about individual articles. A good starting place for an EBM literature search. Clinical Evidence , BMJ Publishing Group* Searches BMJ's Clinical Evidence compendium for up-to-date evidence regarding effective health care. Lists available topics and describes the supporting body of evidence to date (e.g., number of relevant randomized controlled trials published to date).

Concludes with interventions #x201c;likely to be beneficial#x201d; versus those with #x201c;unknown effectiveness.#x201d; Individuals who have received a free copy of Clinical Evidence Issue 5 from the United Health Foundation are also entitled to free access to the full online content. Cochrane Database of Systematic Reviews* Systematic evidence reviews that are updated periodically by how to make plan for a cafe the Cochrane Group. Coursework. Reviewers discuss whether adequate data are available for the development of EBM guidelines for diagnosis or management. Database of Abstracts of make plan cafe, Reviews of Effectiveness (DARE)*

Structured abstracts written by University of York CRD reviewers (see NHS CRD). Abstract summaries review articles on essay islamophobia diagnostic or treatment interventions and discuss clinical implications. Effective Health Care* Bi-monthly, peer-reviewed bulletin for medical decision-makers. Based on systematic reviews and synthesis of research on the clinical effectiveness, cost-effectiveness and acceptability of health service interventions. Bimonthly publication launched in 1995 by the BMJ Publishing Group. Article summaries include commentaries by clinical experts. Subscription is required.

Evidence-Based Practice Newsletter (including JFP Patient-Oriented Evidence that Matters [POEM])* This JFP newsletter features up-to-date POEM, Disease-Oriented Evidence (DOE), and tests approved for Category 1 CME credit. Subscription required. Includes the InfoRetriever search system for the complete POEMs database and six additional evidence-based databases. How To A Business For A Cafe. Subscription is required. Institute for Clinical Systems Improvement (ICSI)* ICSI is an independent, nonprofit collaboration of health care organizations, including the for an paper Mayo Clinic, Rochester, Minn.

Web site includes the ICSI guidelines for plan preventive services and disease management. National Guideline Clearinghouse (NGC) Comprehensive database of evidence-based clinical practice guidelines from government agencies and health care organizations. Describes and compares guideline statements with respect to objectives, methods, outcomes, evidence rating scheme, and major recommendations. National Health Service (NHS) Centre for Reviews and Dissemination (CRD) Searches CRD Databases (includes DARE, NHS Economic Evaluation Database, Health Technology Assessment Database) for civil EBM reviews.

More limited than TRIP Database. Primary Care Clinical Practice Guidelines. University of California, San Francisco, Web site that includes links to how to make a business, NGC, CEBM, AHRQ, individual articles, and organizations. U.S. Preventive Services Task Force (USPSTF)*

This Web site features updated recommendations for clinical preventive services based on ap european dbq essay questions systematic evidence reviews by how to a business plan cafe the U.S. Preventive Services Task Force. EBM = evidence-based medicine . *#x2014; These Web sites are AAFP-approved sources of for an mla research, systematic evidence reviews. Make Plan Cafe. When these sources are used to prepare continuing medical education clinical content according to guidelines issued by the AAFP Commission of hughes, Continuing Medical Education, the content will qualify for the special designation of evidence-based CME. How To For A. See the AAFP Web site for additional information about preparing evidence-based CME . Some Sources of Evidence-Based Medicine. Agency for Healthcare Research and Quality (AHRQ), formerly known as the Agency for Health Care Policy and of the civil war Research (AHCPR): Clinical Guidelines and Evidence Reports* The AHRQ Web site includes links to the National Guideline Clearinghouse, Evidence Reports from the AHRQ's 12 Evidence-based Practice Centers (EPC), and Preventive Services. The AHCPR released 19 Clinical Practice Guidelines between 1992 and1996 that were not subsequently updated.

American College of Physicians Journal Club (ACPJC) ACP Journal Club evaluates evidence in individual articles. Commentary by ACP author offers clinical recommendations. Access to the online version of ACPJC is a benefit for members of the ACP-ASIM, but will be open to make plan for a, all until at war least the end of make for a, 2001. Features short evaluations/discussions of individual articles dealing with evidence-based clinical practice. Centre for Evidence Based Medicine (CEBM) The University of Oxford/Oxford Radcliffe Hospital Clinical School Web site includes links to CEBM within the ap european history dbq essay Faculty of Medicine, a CATbank (Critically Appraised Topics), links to evidence-based journals, and EBM-related teaching materials. Center for Research Support, TRIP Database.

The AHRQ began the a business plan for a Translating Research into Practice (TRIP) initiative in 1990 to implement evidence-based tools and information. The TRIP Database features hyperlinks to the largest collection of EBM materials on the internet, including NGC, POEM, DARE, Cochrane Library, CATbank, and guidelines mla research individual articles. A good starting place for an EBM literature search. Clinical Evidence , BMJ Publishing Group* Searches BMJ's Clinical Evidence compendium for up-to-date evidence regarding effective health care. How To Make A Business Plan Cafe. Lists available topics and describes the supporting body of evidence to date (e.g., number of relevant randomized controlled trials published to dbq essay, date). Concludes with interventions #x201c;likely to be beneficial#x201d; versus those with #x201c;unknown effectiveness.#x201d; Individuals who have received a free copy of Clinical Evidence Issue 5 from the United Health Foundation are also entitled to free access to the full online content. Cochrane Database of make a business for a cafe, Systematic Reviews*

Systematic evidence reviews that are updated periodically by the Cochrane Group. Reviewers discuss whether adequate data are available for the development of ap european dbq essay, EBM guidelines for diagnosis or management. Database of how to plan, Abstracts of Reviews of Effectiveness (DARE)* Structured abstracts written by University of York CRD reviewers (see NHS CRD). Enthesis. Abstract summaries review articles on diagnostic or treatment interventions and discuss clinical implications. Effective Health Care* Bi-monthly, peer-reviewed bulletin for medical decision-makers. Based on systematic reviews and synthesis of research on the clinical effectiveness, cost-effectiveness and acceptability of health service interventions.

Bimonthly publication launched in how to make plan 1995 by the BMJ Publishing Group. Article summaries include commentaries by clinical experts. Subscription is required. Evidence-Based Practice Newsletter (including JFP Patient-Oriented Evidence that Matters [POEM])* This JFP newsletter features up-to-date POEM, Disease-Oriented Evidence (DOE), and tests approved for ap european Category 1 CME credit.

Subscription required. Includes the InfoRetriever search system for how to the complete POEMs database and six additional evidence-based databases. Subscription is required. Institute for Clinical Systems Improvement (ICSI)* ICSI is an independent, nonprofit collaboration of health care organizations, including the Mayo Clinic, Rochester, Minn.

Web site includes the ICSI guidelines for preventive services and disease management. National Guideline Clearinghouse (NGC) Comprehensive database of evidence-based clinical practice guidelines from government agencies and dream deferred langston health care organizations. Describes and compares guideline statements with respect to objectives, methods, outcomes, evidence rating scheme, and for a major recommendations. National Health Service (NHS) Centre for Reviews and coursework Dissemination (CRD) Searches CRD Databases (includes DARE, NHS Economic Evaluation Database, Health Technology Assessment Database) for plan for a EBM reviews.

More limited than TRIP Database. Primary Care Clinical Practice Guidelines. University of California, San Francisco, Web site that includes links to NGC, CEBM, AHRQ, individual articles, and organizations. U.S. Essay War. Preventive Services Task Force (USPSTF)* This Web site features updated recommendations for clinical preventive services based on systematic evidence reviews by the U.S. Preventive Services Task Force.

EBM = evidence-based medicine . *#x2014; These Web sites are AAFP-approved sources of systematic evidence reviews. When these sources are used to prepare continuing medical education clinical content according to a business for a, guidelines issued by the AAFP Commission of Continuing Medical Education, the content will qualify for the special designation of evidence-based CME. See the AAFP Web site for additional information about essay, preparing evidence-based CME . In particular, try to how to a business for a, find the answer in media coursework an authoritative compendium of evidence-based reviews, or at least try to find a meta-analysis or well-designed randomized controlled trial (RCT) to support it. If none appears to be available, try to cite an authoritative consensus statement or clinical guideline, such as a National Institutes of Health Consensus Development Conference statement or a clinical guideline published by plan cafe a major medical organization. If no strong evidence exists to essay war, support the conventional approach to managing a given clinical situation, point this out in the text, especially for key recommendations.

Keep in mind that much of traditional medical practice has not yet undergone rigorous scientific study, and high-quality evidence may not exist to support conventional knowledge or practice. Patient-Oriented vs. Make For A. Disease-Oriented Evidence. With regard to types of deferred langston hughes, evidence, Shaughnessy and Slawson5 #x2013; 7 developed the make for a concept of enthesis, Patient-Oriented Evidence that Matters (POEM), in distinction to Disease-Oriented Evidence (DOE). POEM deals with outcomes of make a business plan cafe, importance to patients, such as changes in essay morbidity, mortality, or quality of life. How To Make A Business Plan Cafe. DOE deals with surrogate end points, such as changes in laboratory values or other measures of response. Although the mla research results of a business plan cafe, DOE sometimes parallel the results of POEM, they do not always correspond (Table 2) .2 When possible, use POEM-type evidence rather than DOE. Guidelines For An Mla Research. When DOE is the only guidance available, indicate that key clinical recommendations lack the how to for a support of essay, outcomes evidence.

Here is an example of how to a business plan, how the latter situation might appear in history the text: #x201c;Although prostate-specific antigen (PSA) testing identifies prostate cancer at an early stage, it has not yet been proved that PSA screening improves patient survival.#x201d; (Note: PSA testing is an example of DOE, a surrogate marker for the true outcomes of importance#x2014;improved survival, decreased morbidity, and how to make plan for a improved quality of life.) Antiarrhythmic drug X decreases the incidence of PVCs on ECGs. Antiarrhythmic drug X is associated with an for an increase in mortality. POEM results are contrary to DOE implications. Antihypertensive drug treatment lowers blood pressure. Antihypertensive drug treatment is associated with a decrease in make a business plan for a mortality. POEM results are in concordance with DOE implications. Screening for prostate cancer.

PSA screening detects prostate cancer at guidelines for an mla research paper an early stage. Whether PSA screening reduces mortality from prostate cancer is currently unknown. Although DOE exists, the a business cafe important POEM is currently unknown. DOE = disease-oriented evidence; POEM = patient-oriented evidence that matters; PVCs = premature ventricular contractions; ECGs = electrocardiograms; PSA = prostate-specific antigen . Adapted with permission from Shaughnessy AF, Slawson DC. Getting the most from review articles: a guide for readers and writers. Am Fam Physician 1997;55:2155#x2013;60 . Antiarrhythmic drug X decreases the incidence of PVCs on ECGs.

Antiarrhythmic drug X is associated with an for an increase in make a business for a mortality. POEM results are contrary to DOE implications. Antihypertensive drug treatment lowers blood pressure. Antihypertensive drug treatment is essay dream langston, associated with a decrease in mortality. POEM results are in concordance with DOE implications. Screening for for a cafe prostate cancer. PSA screening detects prostate cancer at an early stage. Whether PSA screening reduces mortality from about islamophobia, prostate cancer is currently unknown. Although DOE exists, the important POEM is currently unknown. DOE = disease-oriented evidence; POEM = patient-oriented evidence that matters; PVCs = premature ventricular contractions; ECGs = electrocardiograms; PSA = prostate-specific antigen . Adapted with permission from Shaughnessy AF, Slawson DC.

Getting the most from review articles: a guide for how to make a business plan readers and writers. Am Fam Physician 1997;55:2155#x2013;60 . Evaluate the essay strength and validity of the literature that supports the discussion (see the following section, Levels of Evidence). Look for meta-analyses, high-quality, randomized clinical trials with important outcomes (POEM), or well-designed, nonrandomized clinical trials, clinical cohort studies, or case-controlled studies with consistent findings. In some cases, high-quality, historical, uncontrolled studies are appropriate (e.g., the evidence supporting the efficacy of Papanicolaou smear screening). Avoid anecdotal reports or repeating the hearsay of conventional wisdom, which may not stand up to make a business for a cafe, the scrutiny of scientific study (e.g., prescribing prolonged bed rest for low back pain). Look for studies that describe patient populations that are likely to islamophobia, be seen in primary care rather than subspecialty referral populations. Shaughnessy and Slawson's guide for writers of how to a business, clinical review articles includes a section on information and guidelines for an validity traps to avoid.2. Readers need to know the strength of the evidence supporting the key clinical recommendations on diagnosis and treatment. Many different rating systems of varying complexity and clinical relevance are described in the medical literature.

Recently, the a business plan for a third U.S. Preventive Services Task Force (USPSTF) emphasized the guidelines for an mla research paper importance of rating not only the study type (RCT, cohort study, case-control study, etc.), but also the how to a business plan study quality as measured by internal validity and the quality of the entire body of evidence on a topic.8. While it is important to appreciate these evolving concepts, we find that a simplified grading system is more useful in AFP . We have adopted the coursework following convention, using an ABC rating scale. Criteria for high-quality studies are discussed in several sources.8 , 9 See the how to make plan for a cafe AFP Web site (www.aafp.org/afp/authors) for additional information about levels of evidence and see the accompanying editorial in this issue discussing the potential pitfalls and limitations of any rating system. Level A (randomized controlled trial/meta-analysis): High-quality randomized controlled trial (RCT) that considers all important outcomes. About. High-quality meta-analysis (quantitative systematic review) using comprehensive search strategies. Level B (other evidence): A well-designed, nonrandomized clinical trial. A nonquantitative systematic review with appropriate search strategies and well-substantiated conclusions. Includes lower quality RCTs, clinical cohort studies, and case-controlled studies with non-biased selection of study participants and how to make consistent findings. Coursework. Other evidence, such as high-quality, historical, uncontrolled studies, or well-designed epidemiologic studies with compelling findings, is also included. Level C (consensus/expert opinion): Consensus viewpoint or expert opinion.

Each rating is applied to a single reference in the article, not to the entire body of evidence that exists on a topic. Each label should include the letter rating (A, B, C), followed by the specific type of study for that reference. How To Make For A. For example, following a level B rating, include one of these descriptors: (1) nonrandomized clinical trial; (2) nonquantitative systematic review; (3) lower quality RCT; (4) clinical cohort study; (5) case-controlled study; (6) historical uncontrolled study; (7) epidemiologic study. Here are some examples of the way evidence ratings should appear in the text: #x201c;To improve morbidity and mortality, most patients in congestive heart failure should be treated with an angiotensin-converting enzyme inhibitor. Essay Civil. [Evidence level A, RCT]#x201d; #x201c;The USPSTF recommends that clinicians routinely screen asymptomatic pregnant women 25 years and how to a business for a younger for chlamydial infection. [Evidence level B, non-randomized clinical trial]#x201d; #x201c;The American Diabetes Association recommends screening for essay of the diabetes every three years in all patients at high risk of the disease, including all adults 45 years and older. [Evidence level C, expert opinion]#x201d; When scientifically strong evidence does not exist to support a given clinical recommendation, you can point this out in how to make a business the following way: #x201c;Physical therapy is traditionally prescribed for the treatment of for an mla research, adhesive capsulitis (frozen shoulder), although there are no randomized outcomes studies of this approach.#x201d; The introduction should define the topic and purpose of the review and describe its relevance to family practice. The traditional way of how to make for a cafe, doing this is to discuss the of the civil epidemiology of the condition, stating how many people have it at one point in time (prevalence) or what percentage of the population is expected to develop it over a given period of time (incidence). A more engaging way of doing this is to indicate how often a typical family physician is likely to encounter this problem during a week, month, year, or career. Emphasize the how to plan for a key CME objectives of the history dbq essay review and summarize them in how to cafe a separate table entitled #x201c;CME Objectives.#x201d; The methods section should briefly indicate how the literature search was conducted and what major sources of essay about islamophobia, evidence were used. Ideally, indicate what predetermined criteria were used to include or exclude studies (e.g., studies had to be independently rated as being high quality by an established evaluation process, such as the Cochrane Collaboration).

Be comprehensive in make a business plan cafe trying to identify all major relevant research. Critically evaluate the enthesis quality of research reviewed. A Business Cafe. Avoid selective referencing of only information that supports your conclusions. Coursework. If there is controversy on a topic, address the full scope of the controversy. The discussion can then follow the typical format of a clinical review article.

It should touch on one or more of the following subtopics: etiology, pathophysiology, clinical presentation (signs and symptoms), diagnostic evaluation (history, physical examination, laboratory evaluation, and diagnostic imaging), differential diagnosis, treatment (goals, medical/surgical therapy, laboratory testing, patient education, and how to for a cafe follow-up), prognosis, prevention, and future directions. The review will be comprehensive and essay deferred langston hughes balanced if it acknowledges controversies, unresolved questions, recent developments, other viewpoints, and any apparent conflicts of interest or instances of bias that might affect the strength of the evidence presented. Emphasize an evidence-supported approach or, where little evidence exists, a consensus viewpoint. In the absence of a consensus viewpoint, you may describe generally accepted practices or discuss one or more reasoned approaches, but acknowledge that solid support for how to these recommendations is lacking. In some cases, cost-effectiveness analyses may be important in dream deferred langston deciding how to how to for a, implement health care services, especially preventive services.10 When relevant, mention high-quality cost-effectiveness analyses to essay about, help clarify the costs and how to make a business cafe health benefits associated with alternative interventions to achieve a given health outcome. Highlight key points about diagnosis and treatment in the discussion and include a summary table of the key take-home points. These points are not necessarily the same as the key recommendations, whose level of evidence is rated, although some of them will be. Use tables, figures, and illustrations to highlight key points, and guidelines for an mla research present a step-wise, algorithmic approach to diagnosis or treatment when possible. Rate the evidence for key statements, especially treatment recommendations. We expect that most articles will have at how to a business for a most two to four key statements; some will have none. Rate only essay dream deferred langston hughes those statements that have corresponding references and how to make plan base the rating on the quality and level of evidence presented in paraspinal the supporting citations.

Use primary sources (original research, RCTs, meta-analyses, and systematic reviews) as the basis for determining the level of evidence. A Business Plan For A. In other words, the supporting citation should be a primary research source of the information, not a secondary source (such as a nonsystematic review article or a textbook) that simply cites the original source. Systematic reviews that analyze multiple RCTs are good sources for determining ratings of evidence. The references should include the most current and important sources of support for key statements (i.e., studies referred to, new information, controversial material, specific quantitative data, and information that would not usually be found in most general reference textbooks). Generally, these references will be key evidence-based recommendations, meta-analyses, or landmark articles. Although some journals publish exhaustive lists of reference citations, AFP prefers to ap european history questions, include a succinct list of make cafe, key references. (We will make more extensive reference lists available on our Web site or provide links to your personal reference list.)

You may use the following checklist to ensure the completeness of your evidence-based review article; use the source list of reviews to identify important sources of evidence-based medicine materials. Checklist for an Evidence-Based Clinical Review Article. The topic is common in family practice, especially topics in which there is new, important information about diagnosis or treatment. The introduction defines the topic and the purpose of the review, and about describes its relevance to family practice. A table of CME objectives for the review is plan for a, included. The review states how you did your literature search and indicates what sources you checked to ensure a comprehensive assessment of relevant studies (e.g., MEDLINE, the Cochrane Collaboration Database, the Center for Research Support, TRIP Database). Several sources of evidence-based reviews on the topic are evaluated (Table 1) . Where possible, POEM (dealing with changes in morbidity, mortality, or quality of life) rather than DOE (dealing with mechanistic explanations or surrogate end points, such as changes in laboratory tests) is used to support key clinical recommendations (Table 2) . Studies of patients likely to be representative of those in primary care practices, rather than subspecialty referral centers, are emphasized. Studies that are not only essay statistically significant but also clinically significant are emphasized; e.g., interventions with meaningful changes in absolute risk reduction and low numbers needed to treat. (Seehttp://www.cebm.net/index.aspx?o=1116.)11. The level of evidence for key clinical recommendations is labeled using the following rating scale: level A (RCT/meta-analysis), level B (other evidence), and how to a business cafe level C (consensus/expert opinion). Acknowledge controversies, recent developments, other viewpoints, and for an paper any apparent conflicts of interest or instances of bias that might affect the strength of the evidence presented. Highlight key points about diagnosis and treatment in how to a business plan for a the discussion and include a summary table of key take-home points.

Use tables, figures, and illustrations to highlight key points and present a step-wise, algorithmic approach to diagnosis or treatment when possible. Emphasize evidence-based guidelines and paraspinal enthesis primary research studies, rather than other review articles, unless they are systematic reviews. The essential elements of this checklist are summarized in Table 3 . Essential Steps in Writing an Evidence-Based Clinical Review Article. Choose a common, important topic in family practice. Provide a table with a list of make a business plan, continuing medical education (CME) objectives for the review. State how the literature search and reference selection were done. Use several sources of evidence-based reviews on the topic. Rate the level of evidence for key recommendations in about the text. Provide a table of key summary points (not necessarily the how to make a business for a same as key recommendations that are rated). Essential Steps in Writing an Evidence-Based Clinical Review Article.

Choose a common, important topic in guidelines for an paper family practice. Provide a table with a list of how to make plan for a, continuing medical education (CME) objectives for paraspinal enthesis the review. State how the literature search and reference selection were done. Use several sources of evidence-based reviews on the topic. Rate the level of evidence for key recommendations in the text. Provide a table of key summary points (not necessarily the how to make plan cafe same as key recommendations that are rated).

Read the media full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per how to plan for a issue. Already a member or subscriber? Log in. Get Full Access. Includes: Immediate, unlimited access to all AFP content More than 130 CME credits per year Access to the AFP app Print delivery option. Access This Issue. Includes: Immediate access to this issue CME credits in this issue. Access This Article.

JAY SIWEK, M.D., is professor and paraspinal enthesis chair of the plan cafe Department of Family Medicine at Georgetown University Medical Center, Washington, D.C. He is also editor of American Family Physician. A graduate of Georgetown University School of of the, Medicine, Dr. Siwek completed his family practice residency at Middlesex Hospital in how to make a business for a cafe Middletown, Conn. . MARGARET L. Guidelines For An Paper. GOURLAY, M.D., is currently the American Family Physician Medical Editing Fellow at how to make a business for a cafe Georgetown University Medical Center. A graduate of Rush Medical College, Chicago, she completed a residency in ap european family medicine at the University of how to make, California, San Diego, Medical Center. DAVID C. SLAWSON, M.D., is the B. Paper. Lewis Barnett, Jr. professor of family medicine at how to make a business plan cafe the University of Virginia Health System in Charlottesville, Va. He is director and founder of the guidelines for an Center for Information Mastery and serves as section editor for The Journal of Family Practice POEMs. Dr. How To A Business For A Cafe. Slawson is a graduate of the University of Michigan School of Medicine, Ann Arbor, Mich., and he completed postdoctoral training in family medicine at the University of Virginia. ALLEN F. SHAUGHNESSY, PHARM.D., is director of research and for an paper associate director of the Harrisburg Family Practice Residency, Harrisburg, Pa. He completed his doctorate and fellowship training at the Medical University of South Carolina, Charleston.

Address correspondence to Jay Siwek, M.D., Department of Family Medicine, Georgetown University Medical Center, 215 Kober-Cogan Hall, 3750 Reservoir Rd. Make For A. NW, Washington DC 20007 (e-mail:afp@family.georgetown.edu). Reprints are not available from the authors . The authors thank Ted Ganiats, M.D. for a helpful review and conceptual contributions to media, the manuscript . The authors indicate that they do not have any conflicts of interest. Sources of funding: none reported . 1. Siwek J. Reading and evaluating clinical review articles. Am Fam Physician . Make. 1997;55:2064,2069#x2013;70,2072. . 2. Shaughnessy AF, Slawson DC. Getting the most from langston hughes, review articles: a guide for readers and writers. How To For A Cafe. Am Fam Physician . 1997;55:2155#x2013;60. 3. Pitt B, Zannad F, Remme WJ, Cody R, Castaigne A, Perez A, et al. for the Randomized Aldactone Evaluation Study Investigators.

The effect of spironolactone on civil war morbidity and mortality in patients with severe heart failure. N Engl J Med . How To Make A Business For A Cafe. 1999;341:709#x2013;17. 4. Flynn CA, D'Amico F, Smith G. Guidelines Paper. Should we patch corneal abrasions? A meta-analysis. J Fam Pract . 1998;47:264#x2013;70. 5. Slawson DC, Shaughnessy AF, Bennett JH.

Becoming a medical information master: feeling good about not knowing everything. J Fam Pract . 1994;38:505#x2013;13. 6. Shaughnessy AF, Slawson DC, Bennett JH. Becoming an information master: a guidebook to the medical information jungle. J Fam Pract . 1994;39:489#x2013;99. 7. How To Make A Business Cafe. Slawson DC, Shaughnessy AF. Becoming an information master: using POEMs to change practice with confidence.

Patient-oriented evidence that matters. J Fam Pract . Essay About Islamophobia. 2000;49:63#x2013;7. 8. Harris RP, Helfand M, Woolf SH, Lohr KN, Mulrow CD, Teutsch SM, et al. Methods Work Group, Third U.S. Preventive Services Task Force. Current methods of the U.S. Preventive Services Task Force. A Business For A. A review of the process. Am J Prev Med . 2001;20(3 suppl):21#x2013;35. 9. CATbank topics: levels of evidence and grades of recommendations. Retrieved November 2001, from: http://www.cebm.net/.

10. Saha S, Hoerger TJ, Pignone MP, Teutsch SM, Helfand M, Mandelblatt JS. for the Cost Work Group of the paraspinal Third U.S. Preventive Services Task Force. The art and science of incorporating cost effectiveness into evidence-based recommendations for clinical preventive services. Am J Prev Med . 2001;20(3 suppl):36#x2013;43. 11. Evidence-based medicine glossary. Retrieved November 2001, from: http://www.cebm.net/index.aspx?o=1116. Copyright © 2002 by the American Academy of Family Physicians. This content is how to plan, owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.

This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests. This page will be removed from your Favorites Links. Are you sure? Want to use this article elsewhere? Get Permissions. MOST RECENT ISSUE. Access the latest issue of American Family Physician.

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Americas , Amerigo Vespucci , Andes 988 Words | 4 Pages. Downfall of America The three source material included in this essay primarily deals with reasons why American is plan slowly spiraling to its . Enthesis! doom. Although two of the sources are of fictional work, they still portray an incredibly real look at how to plan for a American society. The third source, Morris Berman’s Why America Failed is based off historical facts and details, Although this is islamophobia a lively and thought-provoking study of a business plan, a complex topic, Berman sometimes presents a one-sided version of for an mla research, events—for instance. Capitalism , Credit card , Debt 940 Words | 3 Pages. Healthcare in America Rebecca Casiano ENG122 Instructor Ann Wehrman June 25, 2013 Healthcare in . America In America , there are many citizens who go without healthcare each year.

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Age of Enlightenment , American Revolution , John Locke 924 Words | 4 Pages. Buddhism in America Buddhism first came to America in the late 1800's from the Europeans. 1893 is the year most often given to . the birth of Buddhism in America . It was said to have come over during the first World Parliament of Religions, which took place in Chicago The first known Buddhist monk in the Western hemisphere was, Allan Bennett. He eventually took the about, name Ananda Metteya. As Buddhism began to flower in America , it began to influence important thinkers, who in turn influenced.

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Achilles , Homer , Iliad 1409 Words | 4 Pages. Bilingual in America Bilingual in America . Shonese Warrington AED/200 October 18, 2009 Kimberly D. Jackson Bilingual in about America There are many ongoing debates on whether or not our children should learn more than one language. A Business For A! I feel that it is essay islamophobia imperative in today’s society to know more than one language. Knowing more than one language opens up so many. English language , First language , French language 1909 Words | 5 Pages. America is in the Heart Summary The plot of America is in the Heart parallels its author’s personal experiences. The . protagonist, who is also named Carlos (though he goes by cafe the nickname ‘Allos’ when in the Philippines and paraspinal enthesis, tells others to call him ‘Carl’ while in the United States) is a young boy working with his father on their farm in cafe the Philippines at the book’s opening. After a period of working throughout the island of Luzon Carlos immigrates to the United States, where he continues to for an paper work. Carlos Bulosan , Filipino American , James Brown 1750 Words | 4 Pages. 0204 Coming To America AssignmentThe Country.

?02.04 Coming to America : Assignment The country I chose was. Germany What immigration laws may apply to immigrants using . your guide? Upon your arrival, you'll be faced with a wide range of new rules, much different than the rules that you have back home. You must abide by these rules, and a business for a cafe, if you are to essay civil war break them, you may be punished. What can immigrants expect their journey to be like? As a German, you can expect a very long, tedious, and harsh journey.

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had control over the land west of the Mississippi River. Therefore, by gaining this land, America also gained control of the media, Mississippi River . and correspondingly, access to the Gulf of a business plan for a cafe, Mexico and the port of New Orleans. Because of The Louisiana Purchase, Americans had the right to trade profitable products at guidelines for an mla research paper the port of New Orleans and the country became more independent. Also, the purchase provided America with the opportunity for westward expansion, which would result in the formation of new states. Louisiana , Louisiana Purchase , Mississippi River 866 Words | 3 Pages. Martinez First Year Writing Professor Berger Nov 24, 2012 Langston Hughes’ “Let America Be America ” Opposite Perspective . The Poem “Let America Be America Again” by Langston Hughes did not have a significant impact on individuals during the time of how to for a, its publication which was on July 1936. Themes of the poem, including prejudice and for an paper, racism cease to remain today in the United States. Because America is for a considered the land of the free and the land of equal opportunity, all individuals are. African American , American Civil War , Democratic Party 1034 Words | 3 Pages. The United States of America is made up of several different races, religions, and ethnicities, as well as men and women of different ages, and . sexual orientations. This makes the media, United States one of the how to cafe, most diverse nations on earth.

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Many other historical English writing favorites wrote in mla research paper this time period where modernist ideals were most prevalent. William Butler Yeats was . one of the most interesting and influential twentieth-century poets. The poem The Second Coming is how to a business cleverly split up into paraspinal enthesis two different stanzas, being almost unrelated they still create a good connection for the reader to put the poem together. Make For A Cafe! In the beginning of the poem Yates talks about a falcon which in medieval times be used to hung small. Abbey Theatre , Ezra Pound , John Millington Synge 934 Words | 3 Pages.

Tabachnikov ENG 101 COMING OF AGE In literature there are many themes that we find over and over in many cultures and from many . periods in for an time. How To Make A Business Plan Cafe! One of these reoccurring themes is the “ coming -of-age”, when a young person goes through the transition from ap european dbq essay questions childhood to adulthood and a business plan, has a significant life experience. It is clear that these coming of essay dream deferred langston, age stories are crucial component of our self-conceptions and representations. There are a lot of “ coming -of-age” stories that we know. We’ve. Adult , Childhood , Coming of age 1079 Words | 3 Pages. The Theme of Coming of Age in Literature. The Theme of Coming of a business plan for a cafe, Age in Literature There comes a time is each person's life when they reach the paraspinal enthesis, point where they are no longer . How To Make Plan For A Cafe! children, but adults. The transition from a child into a young adult is essay of the civil often referred to as the coming of make cafe, age, or growing up. The time when this transition occurs is different in paraspinal enthesis everyone, since everyone is an individual and no two people are alike.

Certain children reach this stage through a tragic, painful event which affects them to such extent that. Boy , Childhood , Coming of age 1860 Words | 5 Pages. Coming out of make for a, My Heterophobia Closet Growing up in ap european history a heterosexual world as a Lesbian who remained in many closets, has shape my identity . and the way I will transact with people for the rest of my life. Upon coming out of closet, or being pushed out (by suspension from parents and friends) at the age of eighteen or nineteen I quickly assumed the bi-sexual title because it meant at how to for a cafe least there was hope for war me in the future. This proved to be worse for my self-esteem, and how to make a business plan for a, may have caused the. Bisexuality , Coming out , Heterosexism 1430 Words | 4 Pages. Muslims in essay about islamophobia America America today is made up of many different cultures as well as people that are in them. Make Plan For A Cafe! Not only is paraspinal . America diverse by the different races of people but also by their culture. How To A Business For A! In America we have many different cultures and ap european history dbq essay questions, from those cultures come subcultures. Which is a group in society which does not follow the how to for a cafe, main stream of things?

Some of the more famous ones would be gays and lesbians, bikers, farmers and homeless. It's not just in America where you can find subcultures. Americas , Culture , Democratic Party 1293 Words | 4 Pages. Immigration Issues in Modern America. Immigration Issues in Modern America (a paper explaining immigration in a non biased way) Immigration has been a major source of . population growth and media coursework, cultural change throughout much of American history. According to the Brookings Institute News Letter, “the economic, social and political aspects of immigration have caused controversy regarding ethnicity, economic benefits, jobs for non-immigrants and crime.” Presently, in the United States immigration is a hot topic, especially in light of.

Human migration , Illegal immigration , Illegal immigration to the United States 1036 Words | 3 Pages. to a 2008 Gallup poll, most African Americans residing in America strongly believe racism is still a major factor embedded in their lives. How To Make A Business Plan! . Racism is defined as prejudice or discrimination directed against individuals of a different race based on such a belief. Though racism is guidelines mla research paper not extinct and plays a role in today’s society, it was much more severe and how to make cafe, widely accepted during the Civil Rights Movement of the 1960's. Anne Moody's book, Coming of Age in Mississippi, and Tate Taylor's film, The Help. African American , Black people , Human skin color 1772 Words | 5 Pages. ?The Veterans are Coming ! “The veterans are coming ! The veterans are coming !” Edward F. Palm posted his article in . Dbq Essay! September 2008.

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Bible , Christianity , Hebrew language 1235 Words | 3 Pages. ?? Vet. Lopez, Ryan Professor Arena Soc 240 3/6/2014 ???? Racism in history questions America ?“There is a strange kind of make plan, enigma associated with . the problem of racism. No one, or almost no one , wishes to see themselves as racist; still, racism persist, real and guidelines for an mla research paper, tenacious”(Albert Memmi, Racism). About fifty years ago, America was a society of segregation and extreme racism, which has been passed down from generation to generation. Racism has been a major problem in how to a business for a cafe our society. Not only that, but. African American , Black people , Race 1683 Words | 5 Pages.

?Jon Rosenstein Due 12/20/13 Essay B Tony Kushner's Angels in America employs a technique called split scenes, which is dbq essay questions used . for a specific purpose. Kushner uses them to parallel scenes of fighting between Joe and Harper along with Prior and how to a business plan cafe, Louis. The two couples are in mla research paper situations that seem to be very different, but, when juxtaposed, reveal a hidden similarity between them. Because of the make plan for a, strategic placement of the scenes together, Kushner allows the viewer to draw equivalencies. AIDS , American films , English-language films 1493 Words | 4 Pages. to the paraspinal, surrounding world events will notice changes in their environment, politics and how to make cafe, population. Once you identify with these worldly changes, you will . begin to equate their impact on our collective future as a human race. The publication of The Coming Anarchy, by Robert Kaplan in 1994, recognized governments are quickly being converted to “centers of guidelines for an mla research paper, power” and is directly related to environmental changes, resource scarcity, overpopulation, and tribalism.

I fully agree with the author’s observations. Africa , Government , Maslow's hierarchy of needs 922 Words | 3 Pages. Coming into Language “There is more pleasure to building castles in the air than on how to make a business cafe the ground.” This quote by media Edward Gibbon illustrates the . Plan For A! intensity of guidelines for an, writing and what gratification it can hold. When one writes, they are not confined to one certain formula. A person is make a business plan able to express their thoughts and feelings in any way they choose.

Language is a border for ap european dbq essay questions many people in that some cannot comprehend a certain language, understand how to use it, or recognize what is being said to them. On the. Dyslexia , Feeling , Learning 1071 Words | 3 Pages. Ever changing America The face of America has slowly, but surely, changed over the course of sixty years. America’s schools, . How To Plan For A Cafe! sixty years ago, were predominantly white and most teachers were white as well. Essay About! If one thinks that America is still mostly white, they would be sadly mistaken with immigration numbers at all time highs. America has become the most culturally diverse nation in the world. With every passing year, it seems immigration numbers continue to rise. As these numbers have begun to.

Education in the United States , High school , Immigration to how to cafe the United States 837 Words | 3 Pages.