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Tools used by practitioners of evidence based medicine include:Evidence based medicine attempts to objectively evaluate the quality of clinical research by critically assessing techniques reported by researchers in their publications. There are a number of limitations and criticisms of evidence based medicine. Two widely cited categorization schemes for the various published critiques of EBM include the three fold division of Straus and McAlister "limitations universal to the practice of medicine, limitations unique to evidence based medicine and misperceptions of evidence based medicine" and the five point categorization of Cohen, Stavri and Hersh EBM is a poor philosophic basis for medicine, defines evidence too narrowly, is not evidence based, is limited in usefulness when applied to individual patients, or reduces the autonomy of the doctor/patient relationship. A 2018 study, "Why all randomised controlled trials produce biased results", assessed the 10 most cited RCTs and argued that trials face a wide range of biases and constraints, from trials only being feasible to study a small set of questions amenable to randomisation and generally only being able to assess the average treatment effect of a sample, to limitations in extrapolating results to another context, among many others outlined in the study. Despite the emphasis on evidence based medicine, unsafe or ineffective medical practices continue to be applied, because of patient demand for tests or treatments, because of failure to access information about the evidence, or because of the rapid pace of change in the scientific evidence. For example, between 2003 and 2017, the evidence shifted on hundreds of medical practices, ranging from whether hormone replacement therapy was safe to whether babies should be given certain vitamins to whether antidepressant drugs are effective in people with Alzheimer's disease.


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According to deputy governor Darboe, the descision by the sponsors to build a nursery school in Nema that will provide free childhood education to two hundred students, is in line with the Gambia government policies and priorities in providing quality, accessible and affordable education to all. He challenged parents to inculcate good morals and learning aptitude into their children as well as to nurture discipline, which he said, is the cornerstone of any viable and decent society. He then assured the sponsors of his office's unflinching support to the nursery school. Speaking on behalf of the sponsors, Anbjorg Juliussen, head of the Norwegian group expressed his delight. She hailed the people of Kiang Nema for their loyalty towards the project, adding that more projects for the village are in the pipeline. Mrs Juliussen used the occasion to disclose some of their projects in the country such as the Butterfly Number 1 ursery school, Jeshwang health centre and the Ebo Town school projects amongst others.



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If you are just interested in parsing you may want to read Parsing Techniques, a book that is as comprehensive as it is expensive. It obviously goes much more in depth what we could, but it also cover less used parsing algorithms. Necessary cookies are absolutely essential for the website to function properly. This category only includes cookies that ensures basic functionalities and security features of the website. These cookies do not store any personal information. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non necessary cookies. It is mandatory to procure user consent prior to running these cookies on your website. The . gov means its official. Federal government websites often end in . gov or .



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R. AnujaEnglish: Literature and Social Issues . Editor: T. Vembu, M. A. , M.



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