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Cochrane Systematic Reviews

This systematic review analyzes the available evidence on the risk of asthma exacerbation following influenza vaccination in children with asthma.

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Cochrane Systematic Reviews

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  1. Cochrane Systematic Reviews Adrian Banning, MMS, PA-C Gary M. Childs, MS

  2. Hunting Sources: Finding Clinically Relevant Information Quickly

  3. Cochrane Systematic Reviews • A study done in 1972 showed inexpensive corticosteroids beneficial in preterm delivery. • No systematic review of the literature was done until 1989. • Had it been it would have shown that infant mortality is reduced 30-50% using this evidence that was already on hand. • VERY comprehensive analysis of the research

  4. Links To Video Tutorial Playlist http://tinyurl.com/m22fosh -OR- https://www.youtube.com/playlist?list=PLkr8XTH_bktjgj4V9mxflVvBz7wAkAPIL

  5. Clinical Question • Suzy, the mother of a 2 y/o girl with asthma is concerned about the upcoming cold and flu season. She’s interested in having her child receive the influenza vaccine, but she’s afraid that the vaccine could trigger her daughter’s asthma. What does the current available evidence suggest?

  6. PICO(T) Format • P: Patient, population, “problem” • I: Intervention • C: Comparison Intervention • O: Outcome • (T): Time

  7. Clinical Question in PICO format • P: 2 y/o girl with asthma • I: influenza vaccine • C: no influenza vaccine • O: possible asthma exacerbation risk • (T): immediately following vaccination

  8. Cochrane Library: Search Terms

  9. CDSR: Systematic Review Length

  10. CDSR: Plain Language Summary

  11. CDSR: Conclusions

  12. CDSR: References

  13. TRIP: Turning Research Into Practice

  14. TRIP: Article Abstracts

  15. DynaMed

  16. DynaMed: Search - Autocomplete

  17. DynaMed: Search With Records & Level of Evidence (LOE)

  18. DynaMed: LOE Defined

  19. DynaMed: Calculators

  20. National Guideline Clearinghouse (NGC)

  21. NGC: Search Terms

  22. NGC: Results

  23. NGC: Guideline Summaries

  24. NGC: LOE (not standardized!)

  25. NGC: Not All Guidelines Include LOE

  26. MEDLINE (PubMed)

  27. MEDLINE: Clinical Queries Search Terms

  28. MEDLINE: Limits

  29. MEDLINE: Display Settings -- Abstract

  30. Questions? ?

  31. References • Claude Moore Health Sciences Library. Information mastery: navigating the maze. University of Virginia Health System Web site. www.hsl.virginia.edu/collections/ebm/pyramid.cfm. Accessed May 11, 2012. • Dartmouth Biomedical Libraries. Evidence-based medicine (EBM) Resources. Dartmouth College Library Web site. http://www.dartmouth.edu/~biomed/resources.htmld/guides/ebm_resources.shtml. Accessed May 11, 2012. • Ebell MH, Barry HC, Slawson DC, & Shaughnessy AF. Finding POEMs in the medical literature. J Fam Pract. 1999;48(5):350-355. • Ebell M, Shaughnessy A. Information mastery: integrating continuing medical education with the information needs of clinicians. J Cont Ed Health Prof [serial online]. April 2, 2003;23:S53-62. Available from: CINAHL with Full Text, Ipswich, MA. Accessed May 30, 2013. • Johnson CA. The Information Diet. Sebastopol, CA; O’Reilly Media, Inc.; 2011  • Marks S, McKibbon KA. Posing clinical questions: Framing the question for scientific inquiry. AACN Clin Issues. 2001;12(4):477-481. • Mayer, D. (2009). Essential Evidence-Based Medicine. Oxford, UK. Oxford University Press. • McConaghy JR. Evolving medical knowledge: moving toward efficiently answering questions and keeping current. Prim Care: Clin in Office Prac. 2006 December; 33(4): 831-837

  32. References • Pearce-Smith N, Hunter J. The introduction of librarian tutors into the teaching evidence-based medicine week in Oxford, UK. Health Info Libr J. 2005;22(2):146-149. • Shaughnessy A, Gupta P, Erlich D, Slawson D. Ability of an information mastery curriculum to improve residents' skills and attitudes. Fam Med. 2012 April; 44(4): 259-64. • Shaughnessy AF, Slawson DC, & Bennett JH. Becoming an information master: A guidebook to the medical information jungle. J FamPract. 1994;39(5):489-499. • Slawson DC, Shaughnessy AF, & Bennett JH. Becoming a medical information master: Feeling good about notknowing everything. J FamPract. 1994;38(5):505-513. • Slawson, D.C. & Shaughnessy, A. Information mastery: evidence-based medicine in everyday practice. 2003. Accessed May 11, 2012 from http://www.bibalex.org/supercourse/bmj/bmj.htm. • Slawson, D.C. & Shaughnessy, A. 2003. Information Mastery: Evidence-Based Medicine in Everyday Practice. PowerPoint file retrieved February 17, 2011 from http://www.bmj.com. • http://www.theatlantic.com/international/archive/2012/07/is-it-walter-cronkites-fault-why-olympic-announcers-keep-saying-beizhing/260556/ • http://cdn.sheknows.com/articles/2013/08/ron-burgundy-memoir.jpg

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