Controversies in Perinatal Medicine: the Fetus as a Patient by Jose M. Carrera, Frank A. Chervenak, Asim Kurjak

By Jose M. Carrera, Frank A. Chervenak, Asim Kurjak

The advent of recent diagnostic applied sciences equivalent to Doppler know-how and third-dimensional ultrasonography has replaced the character of perinatal drugs. notwithstanding, the frenzy to introduce new strategies has occasionally compromised the rigor beneficial within the preliminary analyses in their makes use of. the sphere is relocating forward so quickly that health-care protocols can speedy lose their validity and controversy quickly arises.Controversies in Perinatal medication examines the present nation of the technological know-how throughout the lens of evidence-based drugs. With professional editorial course and contributions from leaders within the box, the ebook courses readers in the course of the maze of recent applied sciences and techniques and explores the problems they elevate by way of clinical technique. It makes a speciality of chosen matters in caliber care of the fetus and the mum; early analysis and determination making; how and if new diagnostic applied sciences impact results; contributions of ultrasou nd know-how to the physique of information; screening and remedy for prematurity; adjustments in cesarean part premiums; and moral issues.Controversies in Perinatal medication supplies a transparent photo of the advancements in prognosis and remedy made attainable through new applied sciences and the perception to unravel the problems serious about utilizing them.

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Controversies in Perinatal Medicine: the Fetus as a Patient

The creation of recent diagnostic applied sciences reminiscent of Doppler know-how and third-dimensional ultrasonography has replaced the character of perinatal medication. besides the fact that, the frenzy to introduce new methods has occasionally compromised the rigor helpful within the preliminary analyses in their makes use of. the sector is relocating forward so quickly that health-care protocols can quick lose their validity and controversy quickly arises.

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There are various searching modes on the Internet. The initial screen offers to search by terms, sentences, authors, etc. There are limits to searching. The Index option shows the present terms on different indexes: descriptor (Medical Subject Headings; MeSH), author, title words, abstract, journal, etc. The MeSH Browser menu allows direct descriptor consulting. It is also possible to visit a specific journal with Journal Browser. Personnel from NML assign MeSH terms to articles and describe their contents8.

Medicina basada en la evidencia. Arch Arg Pediatr 2001; 99:366–71 3. Sackett DL, Rosenberg WMC, Gray JAM, et al. Evidenced-based medicine: what it is and what it isn’t. Br Med J 1996; 312:7l–2 4. Richardson WS, Wilson MC, Nishikawa J, et al. The well-built clinical question: a key to evidence-based decisions. ACP J Club 1995; 123:A12–13 5. Institute of Medicine. Clinical Practice Guidelines. Directions for a New Program.

Good-quality systematic reviews help a doctor in critical evaluation of all available information on the specific health problem with which he is concerned. Good systematic reviews give us information without the bias of selection on the analysis of evidence from multiple information sources. WHAT IS EVIDENCE-BASED MEDICINE? The words ‘evidence-based medicine’ may generate anger as well as scepticism or excitement. These reactions are difficult to understand, considering its main objective: the conscientious and judicious use of current best evidence from clinical care research in the management of the individual patient3.

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