109 research outputs found
Effect of entropy on the dynamics of supercooled liquids: New results from high pressure data
We show that for arbitrary thermodynamic conditions, master curves of the
entropy are obtained by expressing S(T,V) as a function of TV^g_G, where T is
temperature, V specific volume, and g_G the thermodynamic Gruneisen parameter.
A similar scaling is known for structural relaxation times,tau = f(TV^g);
however, we find g_G < g. We show herein that this inequality reflects
contributions to S(T,V) from processes, such as vibrations and secondary
relaxations, that do not directly influence the supercooled dynamics. An
approximate method is proposed to remove these contributions, S_0, yielding the
relationship tau = f(S-S_0).Comment: 10 pages 7 figure
Reporting of conflicts of interest in guidelines of preventive and therapeutic interventions
BACKGROUND: Guidelines published in major medical journals are very influential in determining clinical practice. It would be essential to evaluate whether conflicts of interests are disclosed in these publications. We evaluated the reporting of conflicts of interest and the factors that may affect such disclosure in a sample of 191 guidelines on therapeutic and/or preventive measures published in 6 major clinical journals (Annals of Internal Medicine, BMJ, JAMA, Lancet, New England Journal of Medicine, Pediatrics) in 1979, 1984, 1989, 1994 and 1999. RESULTS: Only 7 guidelines (3.7%) mentioned conflicts of interest and all were published in 1999 (17.5% (7/40) of guidelines published in 1999 alone). Reporting of conflicts of interest differed significantly by journal (p=0.026), availability of disclosure policy by the journal (p=0.043), source of funding (p < 0.001) and number of authors (p=0.004). In the entire database of 191 guidelines, a mere 18 authors disclosed a total of 24 potential conflicts of interest and most pertained to minor issues. CONCLUSIONS: Despite some recent improvement, reporting of conflicts of interest in clinical guidelines published in influential journals is largely neglected
A philosophical analysis of the evidence-based medicine debate
BACKGROUND: The term "evidence-based medicine" (or EBM) was introduced about ten years ago, and there has been considerable debate about the value of EBM. However, this debate has sometimes been obscured by a lack of conceptual clarity concerning the nature and status of EBM. DISCUSSION: First, we note that EBM proponents have obscured the current debate by defining EBM in an overly broad, indeed almost vacuous, manner; we offer a clearer account of EBM and its relation to the alternative approaches to medicine. Second, while EBM proponents commonly cite the philosophical work of Thomas Kuhn and claim that EBM is a Kuhnian 'paradigm shift,' we argue that such claims are seriously mistaken and unduly polarize the EBM debate. Third, we suggest that it is much more fruitful to understand the relationship between EBM and its alternatives in light of a different philosophical metaphor: W.V. Quine's metaphor of the web of belief. Seen in this way, we argue that EBM is an approach to medical practice that is indeed importantly different from the alternatives. SUMMARY: We can have a more productive debate about the value of EBM by being clearer about the nature of EBM and its relationship to alternative approaches to medicine
Imported malaria in a cosmopolitan European city: A mirror image of the world epidemiological situation
© 2008 Millet et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution Licens
Informed recruitment in partner studies of HIV transmission: an ethical issue in couples research
Curricular priorities for business ethics in medical practice and research: recommendations from Delphi consensus panels
Testosterone modulates cardiac contraction and calcium homeostasis: cellular and molecular mechanisms
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