Our unique personalised approach to learning means your child will achieve more than they ever thought possible. 2014 Dec;49(4):475-84. doi: 10.1016/j.cnur.2014.08.003. 2023;21(3):494-506. A sample search was conducted within the Ovid platform to demonstrate functionality and available tools. Aromataris E, Fernandez R, Godfrey C, Holly C, Kahlil H, Tungpunkom P. Summarizing systematic reviews: methodological development, conduct and reporting of an Umbrella review approach. individual patient, and the expertise and professional judgment of the health The current article proposes a revised Joanna Briggs Institute Model for consideration by the international community. The JBI COVID-19 Special Collection provides health professionals and health organisations with free access to premier evidence-based point of care resources to inform and guide healthcare decision making with a focus on infection prevention and control measures, and mental health and well-being. Portuguese, Hopia H, Latvala E, Liimatainen L. Reviewing the methodology of an integrative We finally agreed that a pebble dropping into the water and the rippling effect to follow was a most appropriate metaphor for the process of knowledge sharing and practice change.. At its inception, JBI waslocated at the Royal Adelaide Hospital. JBI EVIDENCE SYNTHESIS. doi: 10.1111/scs.12327. Rev. This developmental framework for evidence-based practice situated healthcare evidence, in its broadest sense, and its role and use within complex healthcare settings. The Joanna Briggs Institute. Rehabilitation in Patients Diagnosed with Arthrogryposis Multiplex Congenita: A Systematic Review. official website and that any information you provide is encrypted 5 This is an open-access article distributed under the terms of the JBI Manual for Evidence Synthesis. Physical activity and psychological adjustment among retirees: a systematic review. . doi: 10.1093/ofid/ofac033. An official website of the United States government. official website and that any information you provide is encrypted Baine-Savanhu F, Macaulay S, Louw N, Bollweg A, Flynn K, Molatoli M, Nevondwe P, Seymour H, Carstens N, Krause A, Lombard Z. The school has a team of professors and lecturers trained from many sources, highly qualified, with scientific reputation and expertise. sciences. HHS Vulnerability Disclosure, Help This article about an organisation in Australia is a stub. The Joanna Briggs Institute (JBI) is the international not-for-profit research and development centre within the Faculty of Health and Medical Sciences at the University of Adelaide, South Australia. Institute TJB. considers international evidence related to the feasibility, appropriateness, meaningfulness and effectiveness of healthcare interventions (evidence generation), includes these different types of evidence in a formal assessment called a systematic review (evidence synthesis), globally disseminates information in appropriate, relevant formats to inform health systems, health professionals and consumers (evidence transfer). get in touch. official website and that any information you provide is encrypted Negri EC, Mazzo A, Martins JCA, Pereira GAJ, Almeida R, Pedersoli CE. doi: 10.1590/1518-8345.1807.2916. The Joanna Briggs Institute (JBI) and the Cochrane Collaboration are evidence-based organizations that were formed to develop methodologies and guidance on the process of conducting systematic reviews (2,5-8).In 2012, a working group was formed within the Joanna Briggs Institute to evaluate systematic reviews of prevalence and develop guidance for researchers wishing to conduct such reviews. 2012. The .gov means its official. 2023 May 18;13(5):e068759. Pearson A, Jordan Z & Munn Z. Translational science and evidence-based healthcare: a clarification and reconceptualization of how knowledge is generated and used in healthcare. Enfermagem. Unable to load your collection due to an error, Unable to load your delegates due to an error. 2010;8(2):97-100. Information on accessing and searching the Joanna Briggs Institute Database. professionals in the use of clinical simulation using dramatization Bethesda, MD 20894, Web Policies Rev. The Joanna Briggs Institute Evidence-Based Practice Database offers systematic reviews, practice recommendations, and consumer information designed to support evidence-based practice. Epub 2014 Oct 5. Creative Commons Attribution License. Int J Evid Based Healthc. 2003 Dec 27;147(52):2572-7. doi: 10.7759/cureus.35177. Front Genet. However, other authors suggest that integrative review requires a synthesis of BMJ Open. Unable to load your collection due to an error, Unable to load your delegates due to an error. Jordan Z, Lockwood C, Aromataris E, Munn Z. 8600 Rockville Pike 4 The https:// ensures that you are connecting to the Watch on. 2016. evidence syntheses. An official website of the United States government. eCollection 2022 Mar. 2016 Pearson A, Jordan Z & Munn Z. Translational science and evidence-based healthcare: a clarification and reconceptualization of how knowledge is generated and used in healthcare. PMC For more than 20 years, JBI has been a world leader in providing methodological guidance for the conduct of systematic reviews and evidence implementation. Unable to load your collection due to an error, Unable to load your delegates due to an error, [Article in JBI Manual for Evidence Synthesis. Bookshelf The need to support practices, especially clinical and educational, in contrast 3 The Joanna Briggs Institute Model for Evidence-Based Healthcare was first conceptualized in 2005. 2016;30(4):662669. Brazil. -. . Language links are at the top of the page across from the title. The .gov means its official. Infants, children, and youth in foster care with prenatal substance exposure: a synthesis of two scoping reviews. Protocols for these reviews may already be published or in preparation for publication within sixmonths of initial registration. Translating evidence into policy and practice. 2023 May 10;14:1137922. doi: 10.3389/fgene.2023.1137922. Joanna Briggs Institute Reviewers' Manual: 2014 Edition. Learn how and when to remove these template messages, Learn how and when to remove this template message, "Translational science and evidence-based healthcare: a clarification and reconceptualization of how knowledge is generated and used in healthcare", "The updated Joanna Briggs Institute Model of Evidence-Based Healthcare", The JBI Model of Evidence-based Healthcare, A conversation with Alan Pearson AM with Dr Kylie Porritt, https://en.wikipedia.org/w/index.php?title=The_Joanna_Briggs_Institute&oldid=1125010520, Medical and health organisations based in Australia, CS1 maint: bot: original URL status unknown, Articles lacking reliable references from April 2009, Articles with a promotional tone from June 2021, Articles needing cleanup from August 2022, Articles with bare URLs for citations from August 2022, All articles with bare URLs for citations, Articles covered by WikiProject Wikify from August 2022, All articles covered by WikiProject Wikify, Articles with multiple maintenance issues, Creative Commons Attribution-ShareAlike License 4.0, This page was last edited on 1 December 2022, at 18:51. The https:// ensures that you are connecting to the Epub 2013 Oct 3. theoretical studies, i.e., something more than mere empirical evidence HHS Vulnerability Disclosure, Help Aromataris E, Fernandez R, Godfrey CM, Holly C, Khalil H, Tungpunkom P. Int J Evid Based Healthc. The Institute collaborates internationally with over 70 entities across the world. Before 3 Joanna Briggs was the first matron of Royal Adelaide Hospital (1849-1866),and unlike other potential namesakesshe did not have any buildings on the hospital campus named after her. She recalls how the logo evolved: The logo went through several metamorphoses. 1 doi: 10.1136/bmjopen-2022-068759. Barriers to, and facilitators of, eHealth utilisation by parents of high-risk newborn infants in the NICU: a scoping review protocol. topics; are original studies; and do not require approval in Research Ethics Committees To access your Library resources, please visit the homepage. JBI Database System Rev Implement Rep. 2016 Apr;14(4):96-137. doi: 10.11124/JBISRIR-2016-1843. government site. The best available evidence, the context in which care is delivered, the individual patient and the professional judgement and expertise of the health professional inform this process. The arrows indicate that the flow can be bi-directional.[4]. 2018 Nov 14;26:e3074. Go to the playlist on YouTube for explanations in Spanish, French, Mandarin, Hindi and more. The comprehensive vision that Alan Pearson had for JBI's development included the establishment of Collaborating entities globally, training systematic reviewers, design of 'Practice Information Sheets' (nowBest Practice Information Sheets) for clinicians and the design and conduct of short courses on evidence-based nursing. Scand J Caring Sci. The JBIC is the largest global collaboration to integrate evidence-based healthcare within a theory informed model that brings together academic entities with hospitals and health systems. Fundinotots Ages 0 to 3 years old. These scholars used the term integrative review; however, a close examination For detailed information, go to the publication types tab on this guide. authors for the conduct and preparation of JBI systematic reviews and . This produces decision-making that considers the feasibility, appropriateness, 2014 May;114(5):49-56. doi: 10.1097/01.NAJ.0000446779.99522.f6. 4 JBI's critical appraisal tools assist in assessing the trustworthiness, relevance and results of published papers. When making clinical decisions, health professionals are concerned with whether their approach is Feasible, Appropriate, Meaningful and Effective (FAME). Federal government websites often end in .gov or .mil. 2021 Jul 27;69(2):265-290. doi: 10.1080/20473869.2021.1945890. 2023 Jan 28;23(1):194. doi: 10.1186/s12889-023-15080-5. Background: The Joanna Briggs Institute Model for Evidence-Based Healthcare was first conceptualized in 2005. This developmental framework for evidence-based practice situated healthcare evidence . Registration of Systematic Review Titles. 8600 Rockville Pike book online. and transmitted securely. Joanna Briggs Institute - what is the Joanna Briggs Institute? This evidence is collated and the results are appraised, synthesised and transferred to service delivery settings and health professionals who utilise it and evaluate its impact on health outcomes, health systems and professional practice. FOIA From 'Evidence . The design needed to be familiar enough to be recognisable and unusual enough to be memorable. The methodological quality assessment tools for preclinical and clinical studies, systematic review and meta-analysis, and clinical practice guideline: a systematic review. A multidisciplinary journal publishing diverse, healthcare-related systematic reviews that move beyond effectiveness. Mental Health Changes in Healthcare Workers DURING COVID-19 Pandemic: A Systematic REVIEW of Longitudinal Studies. Developing a robust evidence base for nursing. Health professionals require evidence to substantiate a wide range of activities and interventions. As part of her role, she was given the task of designing the logo. Use this article alongside the PRISMA-ScR to ensure you are using the most up-to-date approach. The credibility of the knowledge produced and the usefulness of the product generated, 2023 Feb 19;15(2):e35177. eCollection 2022. This developmental framework for evidence-based practice situated healthcare evidence, in its broadest sense, and its role and use within complex healthcare settings. (REC). Affiliation 1 1The Joanna Briggs Institute, Faculty of Health Sciences, The University of Adelaide, Adelaide, South Australia, Australia 2Queen's Joanna Briggs Collaboration, Queen's University Kingston, Ontario, Canada 3Monash University, School of Rural Health, The Centre for Chronic Diseases Management, Victoria, Australia 4The Wits-JBI Centre for Evidence-Based Practice, Faculty of Health . 4 HHS Vulnerability Disclosure, Help The final logo distinguished itself from the others with its simple but effective message of how a single act or piece of knowledge can be a powerful catalyst for continuous change. A wiki platform for resources, documentation, manuals and guidance for JBI's programs, products and networks. Am J Nurs. Joanna Briggs Institute (JBI) er et internationalt forskningssamarbejde placeret p the Faculty of Health Sciences at the University of Adelaide, South Australia. Healthcare (Basel). . Please contact the listed Primary Reviewer or the JBI Synthesis Science Unit if you would like further information about any of these registered reviews. To access the Joanna Briggs Institute Database, one must use the links on the library's home page or on a library guide. Int J Public Health. to the dispensation of the REC, and the limited knowledge of International Centers Reference: Jordan Zoe, Donnelly P, Pittman E. A short history of a big idea. Unauthorized use of these marks is strictly prohibited. We brainstormed, and I worked up a few different options. Careers. Please consult your Library Liaison directly for research assistance. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Int J Evid Based Healthc. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Before affiliated Institute of the University of Adelaide with international collaborating centres around the world. 2023 Mar 9;11(6):807. doi: 10.3390/healthcare11060807. doi: 10.1136/bmjopen-2021-057614. It also needed to reflect the ideas and activities it was meant to represent. Given the changing international discourse relating to evidence and its translation into policy and practice over the course of the last decade, it was opportune to revisit the Model and assess its ongoing applicability in its current form. 2012;10(42 Suppl):1-22. doi: 10.11124/jbisrir-2012-249. Pearson A, Wiechula R, Court A & Lockwood C. The JBI model of evidencebased healthcare, International Journal of EvidenceBased Healthcare. 2014 Mar;114(3):53-8. doi: 10.1097/01.NAJ.0000444496.24228.2c. Disclaimer. A sample search was conducted within the Ovid platform to demonstrate functionality and available tools. professionals play a role in this process Clinical simulation with dramatization gains perceived by students and health professionals. Clinical simulation with dramatization . National Library of Medicine You can help Wikipedia by expanding it. For Alan Pearson, the journey towards JBI's establishment started long before the advent of the 'evidence-based' movement. The Model was recently reviewed with a view to understanding its utility by health professionals, researchers and policy makers, and the analysis revealed a need to reconsider the composition and language of the Model to ensure its currency on the international stage. Am J Nurs. The https:// ensures that you are connecting to the Authors. eCollection 2023. Umbetkulova S, Kanderzhanova A, Foster F, Stolyarova V, Cobb-Zygadlo D. Eval Health Prof. 2023 May 4:1632787231165076. doi: 10.1177/01632787231165076. The JBI approach evidence-based healthcare. Le Gatt P, Nguyen AT, Baaroun V, Rochefort J. Cureus. When searching for Joanna Briggs on the internet, you will reach the Joanna Briggs Institute website, which does not provide full text access to publications and is different from the database. JBI Evidence Synthesis seeks to disseminate rigorous, high-quality research that provides the best available evidence to inform policy and practice through the science and conduct of systematic and scoping reviews. These tools have been revised. This site needs JavaScript to work properly. Protocol describing a systematic review and mixed methods consensus process to define the deteriorated ward patient. government site. 2005;3(8):207215. refer to how an integrative review should be performed [5] The 'inner circle' represents the pebble of knowledge while the 'inner wedges' provide the organisation's conceptualisation of the steps involved in the process of achieving an evidence-based approach to clinical decision-making. 2015 Sep;13(3):132-40. doi: 10.1097/XEB.0000000000000055. JBIs critical appraisal tools assist in assessing the trustworthiness, relevance and results of published papers. Disclaimer. Air Pollution and Chronic Kidney Disease Risk in Oil and Gas- Situated Communities: A Systematic Review and Meta-Analysis. What kind of systematic review should conduct? [The practice of systematic reviews. Clipboard, Search History, and several other advanced features are temporarily unavailable. Unauthorized use of these marks is strictly prohibited. An official website of the United States government. Specialized in Revisions guidelines have favored the dissemination of questionable Federal government websites often end in .gov or .mil. The systematic review an overview. Nursing Research and Practice. Library staff members are available to assist you during library hours. government site. Garca Aguilar CE, Garca-Muoz C, Carmona-Barrientos I, Vinolo-Gil MJ, Martin-Vega FJ, Gonzalez-Medina G. Children (Basel). End to end support for developing systematic reviews, Munn Z, Barker TH, Moola S, Tufanaru C, Stern C, McArthur A, Stephenson M, Aromataris E. Methodological quality of case series studies: an introduction to the JBI critical appraisal tool. Would you like email updates of new search results? To access the database, go to the library's home page and select the databases link. Evidence implementation is a purposeful and enabling set of activities designed to engage key stakeholders with research evidence to inform decision-making and generate sustained improvement in the quality of healthcare delivery. The updated JBI model for evidence-based healthcare. Such a systematic review seeks to synthesize and summarize existing knowledge Reviews, in theory, offer the best evidence on certain doi: 10.1097/01.NAJ.0000444496.24228.2c. Rev Lat Am Enfermagem. sharing sensitive information, make sure youre on a federal 8600 Rockville Pike Ned Tijdschr Geneeskd. items: effectiveness, experiential (qualitative), cost/economic evaluation, prevalence Thirteen downloadable checklists include checklists for RCTs, qualitative research, prevalence studies and economic evaluations. To avoid duplication, titles in this list should not be replicated by other review authors. The library offers a wide range of online resources, including databases with various journals from which to choose articles and research studies. Training and information support. If your Librarian is unavailable, please contact the Library's Reference desk at (219) 989-2676 or click on the CHAT WITHA LIBRARIANlink below to submit a question or see answers to frequently asked questions. Disclaimer. 2015;13(3):132-40. The site is secure. Since its inception JBI has strived to provide the best available evidence to inform clinical decision-making at the point of care. 2023 Apr 24;10(5):768. doi: 10.3390/children10050768. Bookshelf COVID-19 SPECIAL COLLECTION. It recognises that the results of well-designed research studies grounded in any methodological position, anecdotes or personal opinion and expertise are all deemed valid methods of generating evidence to inform policy and practice. Pearson A & Jordan Z. Evidence-based healthcare in developing countries,International Journal of Evidence-based Healthcare. 2015;13(3):179187, Chapter 2: Systematic reviews of qualitative evidence, Methodological guidance for systematic reviewers utilizing meta-aggregation, Barker TH, Stone JC, Sears K, Klugar M, Tufanaru C, Leonardi-Bee J, Aromataris E, Munn Z. Above the search box, it will state "The Joanna Briggs Institute EBP Database.". National Library of Medicine 3 For additional information on accessing the tools, go to the JBI Tools tab on the library guide. Careers. "Getting the appropriate information into the hands of those who determine health policy and who deliver healthcare is fundamental to improvements in healthcare delivery and health outcomes. . Registration of titles on this web page does not in any way constitute acceptance of the topic by JBI Evidence Synthesis. range of activities and interventions, and while making clinical decisions, they must Registration of a systematic review title on the JBI website is to promote collaboration between affiliated entities via highlighting current work to other JBI review authors and to recognise that the registered topic is currently in development to avoid any unintended and/or unnecessary duplication of research effort. 2022 Nov 10;22(22):8684. doi: 10.3390/s22228684. Global healthcare needs, as identified by clinicians or patients/consumers, are addressed through the generation of research evidence that is effective, but also feasible, appropriate and meaningful to specific populations, cultures and settings. Am J Nurs. typology and guidance for systematic reviewers in the medical and health quantitative and qualitative questions) and completed it as a rudimentary scoping Evidence synthesis is the evaluation or analysis and collation of research evidence and opinion on a specific topic to aid in decision-making in healthcare. . FOIA As of 2010, JBI became part of the Faculty of Health and Medical Sciences at the University of Adelaide. In: Aromataris E, Munn Z (Editors). FOIA This video provides an overview of the Joanna Briggs Institute Database. It incorporates active dissemination, systems integration and education. JBI was established with a grant from Royal Adelaide Hospital Research Foundation, and in acknowledgement of this the Institute was named after Mrs Joanna Briggs, the first Matron of Royal Adelaide Hospital in 1855. 2 sharing sensitive information, make sure youre on a federal 2008 Mar;6(1):78-110. doi: 10.1111/j.1744-1609.2007.00098.x. The database can also be accessed from the databases links on the library's home page. Global healthcare needs, as identified by clinicians or patients/consumers, are addressed through the generation of research evidence that is effective, but also feasible, appropriate and meaningful to specific populations, cultures and settings. Essentially it was meant to reflect the evidence-based movement and its relationship with clinical practice. The Joanna Briggs Institute Evidence-Based Practice Database offers systematic reviews, practice recommendations, and consumer information designed to support evidence-based practice. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). It helps clarify most questions you may have about the scoping review process. English, Recently published articles detail the revision. Int J Evid Based Healthc. The three main components of this wedge are systematic reviews, evidence summaries and guidelines. 5 Latino-Am. Accessibility The Effect of Meditation, Mindfulness, and Yoga in Patients with Rheumatoid Arthritis. - With a nod to its first host, and given JBI's focus was initially nursing-oriented, a list of matrons of the hospital was compiled. Student Union & Library Building: Rm 203-B. A proposed The Joanna Briggs Institute (JBI) is the international not-for-profit, research and development arm of the School of Translational Science based within the Faculty of Health Sciences at the University of Adelaide, South Australia. The Joanna Briggs Institute approach for systematic reviews. Aromataris. The Joanna Briggs Institute. Cervera-Cano M, Lpez-Gonzlez L, Valcrcel-Linares D, Fernndez-Carnero S, Achalandabaso-Ochoa A, Andrs-Sanz V, Pecos-Martn D. Sensors (Basel). The evidence generation wedge of the Model identifies discourse (or narrative), experience and research as legitimate means of knowledge generation. Off-campus users will be required to login at authentication screen. HUTECH News. Munn Z, Stern C, Aromatraris E, Lockwood, Jordan Z. 2005;3(8):207-215. . Recently published articles detail the revision. In 2017, a published article reported-on the basis of an integrative review using the Adelaide: Joanna Briggs Institute; 2014. JBI Evidence Synthesis. of the Review Centers. PMC The JBI COVID-19 Special Collection provides health professionals and health organisations with free access to premier evidence-based point of care resources to inform and guide healthcare decision making with a focus on infection prevention and control measures, and mental health and well-being. It has developed innovative methods for appraising and synthesizing evidence; facilitating the transfer of evidence to health systems, health care professionals, and consumers; and creating tools to evaluate the impact of . review.. It seeks to clarify the conceptual integration of evidence generation, synthesis, transfer and implementation, linking how these occur with the necessarily challenging dynamics that contribute to whether translation of evidence into policy and practice is successful. JBI is a global organisation promoting and supporting evidence-based decisions that improve health and health service delivery. reviews of any kind (including those of variant study designs; such as, experimental, JBI offers a unique range of solutions to access, appraise and apply the best available evidence.. JBI is driven to improving health outcomes in communities globally by promoting and supporting the use of the best available evidence to inform decisions made at the . . The revised JBI critical appraisal tool for the assessment of risk of bias for randomized controlled trials. BMJ Open. eCollection 2023. 2Universidade de So Paulo, Escola de Enfermagem, So Paulo, SP, Bookshelf 2022 Sep 19;12(9):e057614. Melbourne, The Joanna Briggs Institute, 2006. eCollection 2023 Feb. BMC Public Health. The best available evidence, the context in which care is delivered, the JBI Evidence Synthesis. Micah D. J. Peters. In 2017, a published article reported-on the basis of an integrative review using the Joanna Briggs Institute (JBI) method-the gains perceived by health students and professionals in the use of clinical simulation using dramatization 1. 2020 Nov;150:105191. doi: 10.1016/j.earlhumdev.2020.105191. The authors would like to acknowledge the assistance of Associate Professor Edoardo meaningfulness, and effectiveness of healthcare practice JBI COnNECT+ (Clinical Online Network of Evidence for Care and Therapeutics) provides you with easy access to evidence-based resources, making it easy for you to find and use evidence to inform your clinical decision-making. Fundamental to the process of evidence-based decision-making is the ability of those at the point of care to access synthesised research evidence. An official website of the United States government. The inner circle represents evidence-based healthcare. Redeveloping the JBI Model of Evidence Based Healthcare. In: Aromataris E, Munn Z (Editors). Today, the JBI red pebble of knowledge and surrounding blue ripples are recognised all over the world as JBI's trademark. JBI considers evidence-based healthcare as decision making that considers the feasibility, appropriateness, meaningfulness and effectiveness of healthcare practices. Early Hum Dev. Bethesda, MD 20894, Web Policies 2014 Feb;67(2):138-43. doi: 10.1016/j.jclinepi.2013.07.014. Registered systematic reviews that are currently underway are listed below. Clinical simulation with dramatization gains perceived by -. - Scientific development is an important priority for JBI. Identification and Illustration of Means to a Critical Assessment of Music and Health Research Literature. HUTECH reached the top 6 in UniRank 2023 Vietnam University Rankings. JBI, formerly known as the Joanna Briggs Institute, is an international research organisation which develops and delivers evidence-based information, software, education and training designed to improve healthcare practice and health outcomes. Oral Lichen Planus in Patients With Good's Syndrome: A Literature Review. 2022 Apr 11;67:1604522. doi: 10.3389/ijph.2022.1604522. The .gov means its official. Open Forum Infect Dis. It is a causal phenomenon consisting of factors that enable, facilitate and support evidence implementation that is more than just a single interaction. 6 JBI considers that health professionals require evidence to substantiate a wide Pearson A, White H, Bath-Hextall F, Salmond S, Apostolo J, Kirkpatrick P. Int J Evid Based Healthc. Slagter L, Demyttenaere K, Verschueren P, De Cock D. J Pers Med. sharing sensitive information, make sure youre on a federal Aromataris E, Pearson A. To learn more about joining the JBI Collaboration visit the JBIC resource portal or email jbic@adelaide.edu.au. In addition, it is centered on the importance of accounting for evidence of feasibility, appropriateness, meaningfulness and effectiveness. Would you like email updates of new search results? Pearson A, Wiechula R, Court A, Lockwood C. The JBI model of evidence-based healthcare.
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