Randomized controlled trial Essays

Randomized controlled trials (RCT) form the basis for translating research data into clinical practice and are the trademark of evidence-based practice. Random controlled trials are the standard of a scientific test for new medical interventions. RCT’s have predefined study samples built out of the target population and randomly assigned to different groups (placebo vs. new treatment). The observed effects of investigational treatments at defined time points constitute predefined endpoints. Pharmaceutical

The most crucial component of searching databases is determining which terms to use. Through trial and error, I found that using the words nausea and vomiting yielded many articles on my subject. Under the Cochran Database of Systematic Reviews, Joanna Briggs Institute and Database of Abstract of Reviews of Effects (DARE) there is a total of 472

CHAPTER ONE: BACKGROUND AND LITERATURE REVIEW 1.1 Background Carpal tunnel syndrome is the entrapment of median nerve at the wrist. The median nerve originates from the brachial plexus at level of C5 to T1. It passes down through the midline of the arm in front of the elbow joint supplying muscles of the forearm continuing to the hand supplying the front of the thumb, the two first fingers and the lateral half of the third finger (Elsevier 2001). The symptoms in carpal tunnel syndrome include numbness

In nursing practice, a nurse shoulders the responsibility of making decisions that affect their patient's life. In order to effectively make the best decision, they must be able to use critical thinking. Critical Thinking is important because it is the difference between simply believing what is given and being able to make one's own educated decisions based upon evidence provided in the field. Multiple aspects make up critical thinking, and who is equipped to be an effective critical thinker. Most

4.4.2 Acceptability of the Instrument Acceptability or ease of use is determined by the number of participants who completed the questionnaire scale without omitting any items in addition to the required time to complete it (Kalisch et.al, 2010). 90.96% of the participants (N= 181) completed the instrument without omitting any items. Another 7.54% omitted only one item and only 3 participants (1.51%) omitted 2 items. Most participants were able to complete the questionnaire within 15 minutes. Accordingly

It is evident that goal setting and patient-centred practice are concepts that have increasingly dominated discourse in stroke rehabilitation (Levack et al., 2011). Goal setting has fundamentally been considered a key component in current rehabilitation and is described as ‘the essence’ of effective stroke rehabilitation (Barnes and Ward, 2000, p. 8). However despite this, there is a demand for critical inquiry into the process of goal setting and the determination of outcome relative to goals in

CONCEPT AND THEORIES OF HEALTH Introduction In the past years there has been an observable rise in the delivery of nursing services in home settings. Home health nursing practice varies from nursing in acute care settings in many ways. Home health nurses undertake a higher degree of autonomy and independence. Home health care is flowing to the forefront as a feasible entry point in the health care structure. In the recent past, home health care happened at the end of the patient care scale-that is

EFFECTIVE COORDINATION OF ACTIVITIES OF THE HOSPITAL TO IMPROVE PATIENT’S CARE SIGNIFICANCE OF THE CONCEPT Coordination is one of the management functions and it is defined by Merriam Webster dictionary as the process of organizing people or groups so that they work together properly and well. It could also be defined as the process of organizing the various elements of a complex whole to function accurately and efficiently. Coordination in any organization is very vital as organization and also

The perioperative experience involves the preoperative, intraoperative, and postoperative phase. I had the opportunity to closely observe the health care staff during the last two phases of the perioperative process. This experience allowed be to gain a better understanding of the role of nurses throughout these different phases. It was apparent that their day to day duties are different than registered nurses in other areas of the hospital. During the perioperative experience, I was able to observe

Gatekeeping is referring to the New Zealand healthcare system and non-gatekeeping is referring to the United States’ healthcare system. Countries undergo specific health systems tailored towards what they believe will make their health system more effective. These may include concepts similar or different. In this case, people living in one country can visit a specialist when desired, whereas other countries require patients to have a referral from their primary physician to seek further attention

HRM2036-N - Leadership and Mentoring Assignment Introduction This essay will be divided into two parts. Part A is the literature reviews on leadership and mentoring. In this literature review assignment, leadership and mentoring models, theories, benefits, the skills and competences in these two areas will be discussed. In the second part of the assignment, leadership and mentoring models will be applied into some situations. Example will be given by using a context of literature. Also, appropriate

Introduction This essay is a reflective piece of writing about the critical indecent of a medication error that occurred during my placement. It is a very concise piece of writing due to limited word count of 1500 words. Duke and Appleton (2000) did a literature review and devised a framework of critical reflection, which illustrates eight stages as compare to Gibbs’s (1998) reflective model that consist of six stages. I chose Gibbs reflective model not only it is easy to comprehend but also to illustrate

Nursing Profession Paper Several self-reflective thoughts come to mind in responding to the query ‘what does it mean to think like a nurse’. The first thought which comes to mind is that of critical thinking. A nurse that applies critical thinking to their accountabilities is a professional who is able to organize their situational understanding across a broad spectrum of patient interaction. One who can take into consideration all of the patient data available to piece together a solution and/or

Introduction Professionalism has been described by the American Board of Internal Medicine as “constituting those attitudes and behaviors that serve to maintain patient interest above physician self-interest.”(1) The word profession is derived from profess which means 'to proclaim something publicly'. Physicians profess two things: to be competent to help the patients and to have the patient’s best interests in mind. Such commitment invites trust from their patients. (1) Professionalism is critical

Methodology 3.1. Study design A comparative cross-sectional study will be conducted within a period of six months at Health Services Partner Cameroon Polyclinic and the Kumba town health area. Participants who present to the hospital with a clinical suspicion of malaria will be matched for age and sex on a one on one basis with healthy participants from the community. The study will be designed in accordance with the STARD guidelines for the presentation of diagnostic studies (27) 3.2. Study area

Evaluation and Management of Pain Related to Orthodontic Treatment(Comparison bet preoperative analgesia and BW in orthod ttt) Abstract: The aim of the study was to evaluate the onset and intensity of pain induced after the insertion of fixed orthodontic appliances and the following activations. And to compare analgesics versus non-analgesics pain managements approaches (protocols). One hundred and fifty patients (40 males, 60 females) were selected from patients whom attending

His ultimate goal was to make the research summaries of clinical trials readily accessible to healthcare providers. In 1993 between his work and the era of informatics explosion the initiation of the Cochrane Collaboration was officially founded. The Cochrane Collaboration enables health care providers to make sound

CAM-ICU Quantitative Analysis Critically ill patients admitted to the Intensive Care Unit (ICU) are at an increased risk for developing delirium. A prevalence is seen with acute brain dysfunction, such as brain attacks, and increases morbidity and mortality rates. The Confusion Assessment Method for the Intensive Care (CAM-ICU) is an assessment tool utilized by critical care nurses to evaluate and distinguish the development of delirium in ICU patients. Implementing CAM-ICU will provide a consistent

Efficacy of topical cyclosporine 0.05% eye drops in the treatment of dry eyes Haitham Y. Al-Nashar J Egypt Ophthalmol Soc 108:233?236 Purpose: The aim of the present study was to detect the effectiveness of cyclosporine 0.05% eyedrops for treatment of patients with dry-eye disease. Patients and methods: A total of 35 eyes of 20 dry-eye patients were included in the present study. Ten patients (20 eyes) had dry eyes associated with systemic rheumatologic disease (Sj?gren?s syndrome), five patients

Abdelrahman Ismail,MD. Abstract Purpose: To compare the efficacies of Botulinum toxin type A injection and punctal plugs insertion in dry eye diseases not responding to topical ordinary medications. Materials and Methods: A randomized clinical trial of two parallel groups of 54 dry eye patients seen in our clinic not responding to ordinary topical medications were divided into two groups. One group received Botulinum toxin type A injections and the other group received punctal plugs