1.On acupuncture-moxibustion research needing dependence on clinical practice.
Chinese Acupuncture & Moxibustion 2010;30(1):3-5
In this present paper, the current situation and the main features in acupuncture-moxibustion clinic are analyzed. The preliminary conclusion is that acupuncture-moxibustion research should proceed from the actual situation, take the treatment as the carrier, be scientifically designed and study in a deep-going way according to the methods of medical science for the acupuncture-moxibustion treatment with obvious clinical effect and specific action, then can get the scientific data and conclusion to illustrate the clinical problem and increase the therapeutic effect with important instruction significance for clinical practice. Clinical practice of acupuncture and moxibustion is the basis of all acupuncture-moxibustion research.
Acupuncture Therapy
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Humans
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Moxibustion
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Practice Patterns, Physicians'
2.Descriptive survey on the practice patterns of Filipino speech-language pathologists on voice disorders
Kathy B. Reyes ; Kerwyn Jim C. Chan
Philippine Journal of Health Research and Development 2021;25(3):15-26
Purpose:
Filipino speech-language pathologists (SLPs) face challenges in applying evidence-based practice (EBP) due to lack of training, exposure, and experience. Without EBP being embedded in the educational curricula and clinical practice guidelines (CPGs), SLPs will continue to face barriers in providing evidencebased services. This study aimed to map the practice patterns of SLPs on voice disorders and benchmark these practices with international evidence-based practice guidelines.
Methodology:
A cross-sectional descriptive survey design was used. Seventeen out of 61 (28%) Filipino SLPs with clinical experience in voice disorders responded to an online survey form. The form was composed of these sections: (1) Practice Profile, (2) Etiologies of Voice Disorders, (3) Case Study, and (4) Clinical Practice Perspectives. The quantitative and qualitative data sets were analyzed to obtain the practice profiles of SLPs and identify gaps in relation to established evidence-based practice patterns.
Results:
The study revealed that 70% (n=12) of clinicians fall within five years of practice and work at hospitals. Majority of their clients are adults between 26 to 80 years old. On average, clinicians see one to two clients with voice disorders every week and hold around seven to nine voice therapy sessions prior to discharge. Structural pathologies were the most frequent etiology reported. Content analysis revealed that clinicians rely on the use of clinical experience and patient values for assessment and intervention of voice disorders.
Conclusion
The findings suggest that Filipino SLPs managing voice disorders predominantly rely on clinical experience and patient values for clinical decision-making. They sparsely use external evidence in assessment, differential diagnosis, and intervention which might compromise the quality of care. To ensure the best patient care, EBP needs to be incorporated in undergraduate education, professional development, and regulatory requirements of the Philippine Association of Speech Pathologists.
Practice Patterns, Physicians'
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Voice Disorders
6.Chinese medicine pattern differentiation and its implications for clinical practice.
Arthur Sá FERREIRA ; Agnaldo José LOPES
Chinese journal of integrative medicine 2011;17(11):818-823
Chinese medicine practitioners apply the differentiation reasoning for decision-making. The wide scope of Chinese medicine intervention provides coverage of methods and techniques with applications to primary, secondary and tertiary levels of prevention. The rapid evolution of mathematical and computational techniques allowed the implementation of several models for pattern differentiation that were tested for several physiologic systems. Concurrently, it is argued that pattern differentiation might improve the efficacy of either traditional or conventional medical interventions. This article reviewed the influence of pattern differentiation into clinical practice organized by medical field: general pattern differentiation; genitourinary (recurrent cystitis); cardiovascular (coronary heart disease; arterial hypertension; angina pectoris); neurology (stroke); surgery; metabolic (diabetes mellitus); hepatic (cirrhosis); gastrointestinal (chronic superficial gastritis); orthopedic (low back pain; rheumatoid arthritis; cervical spondylosis; elbow arthritis); oncology (gastric mucosal dysplasia; lung cancer); gynecologic and obstetric manifestations (nausea and vomiting). The reviewed studies presented achievements that have contributed to the integration of Chinese medicine and evidence-based medicine in the treatment of many mild and severe diseases. Target diseases considered as major public health problems were also investigated and the results are promising regarding the possibility to treat guided by pattern differentiation.
Disease
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Humans
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Medicine, Chinese Traditional
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methods
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Practice Patterns, Physicians'
7.The localization diagnosis of OSAHS patients.
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2012;26(9):431-432
The obstruction localization methods of OSAHS patients were reviewed in this article. And the advantages and disadvantages of each method were analyzed. Clinical doctors need to choose suitable method according to patients situation.
Humans
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Practice Patterns, Physicians'
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Sleep Apnea, Obstructive
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diagnosis
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etiology
8.Characteristics of the guidelines of acupuncture clinical practices.
Ming-Jie ZI ; Xi WU ; Bao-Yan LIU ; Hong ZHAO ; Zhi-Shun LIU ; Ji-Ping ZHAO ; Fan-Rong LIANG
Chinese Acupuncture & Moxibustion 2010;30(12):1038-1040
Based on the optimum clinical evidence, consulting the international guide, the outstanding guidelines of acupuncture clinical practices is formulated in order to promote the process of acupuncture modernization and internationalization. According to consensus of experts, using the questionnaire method, integrating the characteristics and requirements for acupuncture clinical practices, the guidelines reflect the characteristics of acupuncture, for instance, applicability, inheritance, holism, and the discipline characteristics. Thus, the guidelines will standardize the treatments in acupuncture clinical practices, strengthen medical service quality management, control medical costs, and promote the process of acupuncture modernization and internationalization.
Acupuncture Therapy
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standards
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Humans
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Practice Guidelines as Topic
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Practice Patterns, Physicians'
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standards
10.Chinese medicine approach in clinical practice for breast cancer survivors.
Jie-Jia LI ; Jian-Ping FU ; Jack Thomas LI
Chinese journal of integrative medicine 2012;18(4):308-315
A Chinese medicine (CM) approach, designed based on the clinical experiences of the West Los Angeles Center for Traditional Chinese Medicine, is a practical path for assessing and treating breast cancer survivors. The approach consists of balancing the body with deciphering the cause of the patient's chief complaints by assessing and recognizing the six physiological dysfunctions that include gastrointestinal problems, sleeps problems, emotional imbalance, low body energy, menstrual change and pain. Multifaceted interventions are used for eliminating various CM pathologies based on identifying the basic CM patterns (syndromes) differentiation. Watching to assess the above two situations dynamically is used for outcome evaluation and predicting prognosis. Therefore this approach is called BMW. It can serve as a reference for CM clinical practice and integrative clinical care. It also can be used to simplify the clinical interpretation of CM and provide an easier way for CM doctors to communicate with Western medical doctors and patients. Additionally, it can be used as a guide for patients to assess their own symptoms for self-monitoring and self-care.
Breast Neoplasms
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therapy
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Female
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Humans
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Medicine, Chinese Traditional
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methods
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Middle Aged
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Practice Patterns, Physicians'
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Survival Analysis