Are Health Sciences Librarians Taking the Evidence-Based Medicine Challenge?

Author(s):  
Ping Li ◽  
Lin Wu

This study sought to find out whether and how health sciences librarians’ roles have been changing to support the evidence-based medicine (EBM) practice. Both content analysis of job advertisements and literature review were employed. Results revealed that there exist some disconnects between what are expected of health sciences librarians in…Cette étude visait à déterminer si le rôle des bibliothécaires du domaine des sciences de la santé a évolué et de quelle manière ce rôle est en mesure de subvenir aux besoins de la médecine fondée sur les preuves (MFP). L’analyse de contenu des offres d’emploi et la revue de la littérature a été employée. Les résultats ont révélé qu’il existe un fossé entre ce que l’on attend des bibliothécaires des sciences de la santé en… 

Relevance. In today's world, the first cause of death is pathology of the cardiovascular system. Vascular disease is influenced by many factors: lack of sleep, physical inertia, poorly balanced diet, obesity, heart disease. The fast pace of life forces a person to be in permanent stress, so as not to miss anything and have time for all the goals. This is why there is a demand for excipients and substances that could improve the peak of human cognitive abilities, maintain psychological stability. Today, the pharmaceutical market offers drugs that, according to pharmaceutical marketers, have solutions to the problems outlined above. These substances are classified to group of nootropic drugs (racetams). Objective. Review of high quality research on the effectiveness of nootropic drugs. Materials and methods. The literature review was performed using such scientometric databases as: PubMed, Cochrane Library, Scopus, BMJ Evidence-Based Medicine, Ingecta, Web of Science, UpToDate. The review included studies of randomized trials, placebo-controlled randomized trials, meta-analyzes, and systematic reviews. Data meet criteria A and B of evidence-based medicine. In the absence of high quality studies, studies with a lower level of evidence were selected. The search was made by topics: improving of cognitive functions, improving ability to work, improving sleep, improving mood, treatment of mental and psychiatric pathologies (Alzheimer's disease, dementia with various etiologies, depression), application in pediatrics. Results. The literature review included more than 40 high quality studies, but no conclusive evidence was found on the effectiveness of any drug. Conclusions. Data on the undeniable efficacy in relation to the cognitive functions of any of these nootropic drugs were not found in any study. In the treatment of Alzheimer's disease, some (Cerebrolysin, Nicergoline) drugs show controversial results of efficacy and safety. They require continued clinical research and they need to be approved by the FDA.


2015 ◽  
Vol 129 (7) ◽  
pp. 622-626 ◽  
Author(s):  
N C Seymour

AbstractObjective:To review the literature on the outcomes of ENT operations in order to assess whether ENT operations are effective.Methods:The value of evidence-based medicine in relation to ENT was appraised, as was the perception of effectiveness. Literature on common ENT operations, including grommet insertion, tonsillectomy and adenoidectomy, and correction of the nasal septum, was evaluated.Results and conclusion:When evaluating the effectiveness of ENT operations, the patient's overall condition and improvements after surgery should be measured. Objective and subjective factors should both be considered as good evidence, especially with the increasing role that evidence-based medicine plays in decisions of whether to operate. The literature review provides evidence that ENT operations are effective.


2016 ◽  
Vol 16 (6) ◽  
pp. e35
Author(s):  
Nathan R. Stehouwer ◽  
Diana Yan ◽  
Elise Bream ◽  
Gina Posluszny ◽  
Ross Myers ◽  
...  

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