last line of Defense Flashcards
sources of EBM
- electronic database: medline, pubmed
- monograph: books
- medical journals: online open acess publish
- meta analysis: statistical analysis combining results of several sources
- systemic reviews: critical reviews from mx papers & short comm: summary of 6 pages
- Clinical practice GUIDLINES: help physician w/ protocols for diff situations
- clinical TRIALS: for efficacy and safety of drugs e.g. alpha 1 blockers
postulate of EBM
any clinical decision or technological approach must be based on strict scientific evidence which comes from clinical epidemiology
medical criteria can be divede into// EBM divisions
mandatory
reccomended
optional
descending order of scientific evidences according to their reliabilitiy
MYSEEC
meta analysis
systematic reviews
expert analysis
evidenct from clinical trials
clnical appraisal of evidence
areas of action of EBM
- patient treatment must hbe based on scientific evidence
- publish scientific literature
- public health: create strategies forEFFECTIVE HEALTHCARE
types of azoospermis
- non obstructive
- obstructive
- surgical techniqes
rx of varicocele
and the 3 criteria for rx
VARICOLECTOMY if
- clinical signs of varicocele
- unexplained infertility
- oligospermia
WHO DEF for reproductive healthg
state of complete physical social and psycological wellbeing not just the abscence of disease or infirmity related to all aspects of the reproductive system functions and proceses
additional
condition free from disease in the reproductive system of both sexes
- to be able to have a safe and satisfying sexual life
- to be able to reproduce and the freedom to choose if, when, how often they want to have children
sexua health definitions
- fecundity: ability to produce offspring
- total fertility rate: no of live births a womem has by the end of her reproductive life
- infertility: failure of a couple to acheive a spontaneous pregnancy within 1 year of unprotected sexual intercourse
- subfertility: reduced but not impossible chance to acheive pregnancy
- sterility: permanent inability to conceive or induce pregnancy
- primary: no pregnancy past or present
- second:
what is primary health care
A fundamental medical care based on scientifically grounded and socially acceptable methods and technologies universally accessible to for each individuals and families with their full participation at a cost that the community and country can afford in a spirit of self-reliance and self-determination.
male sexusl definitions
primary make infertilty: a man’s oast and present failure to impregnate a woman
secondary male infertility: a mans present inabilty to impregnante a women despite doing so in the past
define dyspermia
QUANTITATIVE & QUALITATIVE changes in ejaculation
CLASSICAL