Understanding, training, search engines, databases, EBM journals

August 29, 2013 – 01:53
EBSCO Information Services | Databases, e-Journals, eBooks, Discovery

Definition

. The Evidence-Based Medicine (or evidence-based medicine) is defined as the current conscientious and judicious use of best evidence (evidence) of clinical research in personalized care for each patient (1).
The evidence from systematic clinical studies, such as randomized controlled trials, meta-analyzes, possibly cross-sectional studies or well built up.

(1) Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson. Evidence based medicine: what it is and what it Is not. BMJ. 1996 312:71-2.

Search engines of the EBM

Medline has filters that allow you to select meta-analyzes, systematic reviews and clinical articles relevant to the practice of good methodological quality. This service offers business practitioners quick access to the original test data. Its boundaries are unable to access the full text of all items found.

This métateur used to explore Medline, the 'Clinical Queries' PubMed, and additional filters (Treatment, Prognosis, Diagnosis, Etiology / causation, Physical findings, Adverse treatment effects, screening / prevention, no focus). Unlike PubMed, this tool extends its search to other sources of information and also allows users to find guidelines on good clinical practice (National Guideline Clearinghouse, USA), summaries of systematic reviews based DARE (Database of data Abstracts of Reviews of Effectiveness, United Kingdom), newspaper articles available in full text (BMJ and NEJM) and the Merck Manual.

Another meta-oriented Evidence-Based Medicine.

Databases and journals EBM

The Cochrane Collaboration is an international nonprofit organization. It hosts the Cochrane Library , the most popular databases of HBS data. It provides high quality information, updates, and readily available in English. Access to all documents but is paying a portion of its content available for free.

It consists of several databases:
SRDC-(full text systematic reviews that are produced and regularly updated by members of the Cochrane Collaboration)
-CCHT (register containing references to all the ongoing studies on a specific topic). It is an unbiased source of data for systematic reviews.
-DGRC (references to books and journal articles on methodological aspects of literature reviews and meta-analyzes)
- And the three databases CRD

The Centre for Reviews and Dissemination (CRD) at the University of York conducts systematic reviews of the results of research, disseminates summaries of important and reliable overviews published elsewhere and participates in collaborative research. Access is free.

CRD produces three databases:
-DARE (structured abstracts of systematic reviews from different sources and critically assessed by specialists CRD)
NHS-EED (summaries used in economic evaluations of different medical practices estimated in terms of cost-benefit analysis and cost-effectiveness)
-HTA (summaries of evaluations of the technologies used in the field of health care).

Source: www.entremed.fr

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This is my first too

2009-06-22 11:15:28 by Jochebed

And I actually think my husband was the first to suggest a homebirth. We did a lot of reading and research, particularly in medical journals since I'm a vet student and have access to a lot of different journal databases. And we just found that for health moms, healthy babies, with a skilled attendant that homebirth is just as safe (if not safer - particarly as far as C-sections go) as a hospital birth, so we're going for it. We also live less than 10 minutes from the hospital so if for any reason we needed to transfer we could be there very quickly.
We live in a TINY house too, but we're gonna just move all the furniture in the living room, set up the birth pool there (not sure if I'll have a waterbirth, but I'll definitely use it during labor)

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