Objective To give an individualized treatment to a young woman with primary dysmenorrhea. Methods According to the basic principle and methods of evidence-base medicine, we searched The Cochrane Library (Issue 1, 2009), MEDLINE (PubMed, January 1950 to May 2009), ACP Journal Club (OVID, January 1991 to May 2007) for systematic reviews and randomized controlled trials (RCTs) to acquire the best clinical evidence on the treatment of primary dysmenorrhea. Results A total of 11 systematic reviews and 1 RCT were identified. A reasonable treatment plan was made through combining the patient’s will with her family members’. Conclusion The treatment effect on primary dysmenorrhea of the young woman is improved by an individualized treatment plan based on an evidence-based method.
Although anaphylaxis induced by vitamin K1 seldom happens, 4 allergic cases were observed in the patients we treated recently who were given intramuscular injection of vitamin K1 before renal biopsy. To provide the best clinical evidence, we searched MEDLINE （-May 2005） and evaluated the studies. The studies were only case reports and retrospective reviews which showed the anaphylaxis were mainly allergic dermatitis with different manifestation and reaction time. The serious reactions such as allergic shock was very rare. We conclude that although vitamin K1 anaphylaxis is rare, strict indications should be followed and the drug surveillance on adverse events should be strengthened.
①供体授精:我们发现,在供体授精的效果方面,尚缺乏高质量证据.②胞浆内精子注射+体外授精:1篇系统评价发现,尚无足够的证据说明胞浆内精子注射+体外授精与单独使用体外授精何者效果更好.③宫腔内人工授精:两篇系统评价发现,宫腔内人工授精较宫颈内授精或自然性交,能明显增加每个周期的妊娠率.④体外授精与配子输卵管内移植:1个RCT显示,尚无足够证据证明体外授精与配子输卵管内移植何者效果更好.
Perineal care is a classic topic for obstetrics. After thousands of years of practice, we have accumulated some experience and meanwhile, we are also taking some attempts. The effectiveness and reliability of these methods need evaluation. Nowadays, the best evidence comes from randomized controlled trials (RCT) and systematic reviews (SR). We searched The Cochrane Library (Issue 3, 2007), MEDLINE (Jan. 1980 to May 2007) databases and CBM-disc (Jan. 1980 to May 2007) to obtain current best evidence for perineal care.
Objective To retrieve and summarize the best evidence for fall prevention after total hip arthroplasty in elderly patients. Methods BMJ Best Practice, UpToDate, JBI evidence-based healthcare center database, National Institute for Health and Clinical Excellence, Scottish Intercollegiate Guidelines Network, Cochrane Library, PubMed, Web of Science, EBSCO, International Collaboration of Orthopaedic Nurisng website, American Academy of Orthopaedic Surgeons website, European Society for Trauma and Emergency Surgery website, Medlive, China National Knowledge Infrastructure, Wanfang, Chongqing VIP, and SinoMed were systematically searched. The retrieval time was from the establishment of the databases to June 30, 2024. The quality of literature was evaluated, and evidence was extracted, evaluated, and summarized. Results A total of 12 articles were included, including 4 guidelines, 2 randomized controlled trials, 2 cohort studies, and 4 expert consensus studies. A total of 18 pieces of evidence were extracted, including 13 A-level recommendations and 5 B-level recommendations. The evidence covers six major themes of risk factors, assessment, multidisciplinary team support, health education, medication management, safety environment, and assistive devices. Conclusions The fall prevention after total hip arthroplasty in elderly patients involves multiple factors, and the fall prevention should be based on multidisciplinary team cooperation, achieving linkage between the hospital and the family to jointly ensure patient safety. In the future, it is recommended to combine individual patient differences with actual clinical scenarios when applying evidence.
Objective To summarize the best evidence for discharge planning of elderly patients with hip fracture. Methods UpToDate, BMJ Best Practice, BMJ Evidence-Based Medicine, Guidelines International Network, National Institute for Health and Clinical Excellence, Registered Nurses’ Association of Ontario, Agency for Healthcare Research and Quality, Scottish Intercollegiate Guidelines Network, Web of Science, PubMed, CINAHL, Embase, Cochrane Library, VIP data, China National Knowledge Infrastructure, SinoMed, Wanfang were searched by computer for literature about discharge planning of elderly patients with hip fracture. The retrieval time was from the establishment of the databases to July 31, 2023. The quality of the included literature was evaluated by 2 researchers with evidence-based training. Results A total of 15 articles were included, including 1 clinical decision, 3 guidelines, 3 expert consensuses, 4 evidence summaries, and 4 systematic reviews, covering 5 aspects of implementers and participants of discharge services, pre-discharge preparation during hospitalization, pre-discharge assessment, discharge guidance, and post-discharge follow-up. A total of 22 best evidences of discharge planning of elderly patients with hip fracture were extracted, including 15 A-level recommendations and 7 B-level recommendations. Conclusions There are many aspects involved in the discharge planning of elderly patients with hip fracture. In future clinical practice, healthcare professionals should develop individualized plans based on the actual conditions of each patient, aiming to meet their specific discharge needs. This approach can help reduce adverse outcomes such as recurrent fractures and readmission rates, while promoting better physical and mental recovery and facilitating the patient’s return to society.
Rapid, living evidence-based points, as a new model promoting the rapid translation of evidence, aim to integrate the current best evidence, clinical status, public/patient preferences and values, and provide concise and practical guidance rapidly to important questions concerned in clinical medicine and public health. This paper introduces the methodological framework for the development of "Rapid, Living Evidence-Based Points" from 4 aspects: initiation and planning, evidence search and review, development, update, publication and dissemination of evidence-based points, in order to provide a reference for domestic scholars in developing rapid, living evidence-based points.
Objective To evaluate and summarize the relevant evidence of oxygenation strategies with tracheal intubation after extubation for adult in intensive care unit (ICU), and to provide evidence-based practice for the development of scientific and effective strategies tracheal intubation after extubation for ICU adult patients. Methods Evidence-based databases, related guideline websites, association websites and original databases were searched by computer for literature about oxygenation strategies with tracheal intubation after extubation for ICU adults patients was extracted. The retrieval time was from the establishment of the databases to May 2023. Two researchers trained in evidence-based practice evaluated the quality of the included literature and extracted evidence from the literature that met the quality evaluation criteria. Results A total of 18 articles were included, including 7 guidelines, 4 clinical decisions, 2 expert consensus, 4 systematic reviews and 1 randomized controlled trial. A total of 22 pieces of best evidence were formed, including 7 aspects of basic principles, evaluation, selection, parameter setting, withdrawal, effect evaluation and precautions. ConclusionThe medical staff should select the best evidence based on the actual clinical situation and the patient’s own needs, and adjust the oxygenation strategies to reduce the rate of tracheal intubation and improve the prognosis of patients.
In recent years, scholars from diverse fields have initiated explorations into the integration of multimodal data, leveraging the unique advantages of various data types to enhance the perceptual and cognitive capabilities of models. Storyboarding is a visual tool for presenting stories. It has been introduced into the field of evidence-based medicine as an analytical technique for qualitative evidence synthesis (QES), which helps researchers organize and present research results and facilitates the interaction of evidence between doctors and patients. By integrating visual, textual, and other multimodal elements, storyboards effectively communicate intricate and multifaceted qualitative information. Storyboarding, as an innovative approach to evidence synthesis and presentation, has yet to gain widespread adoption in the field. This paper introduces storyboarding within the context of qualitative evidence synthesis, detailing its methodology and process. Through case analysis, it demonstrates how storyboarding can facilitate multimodal data analysis, thereby enhancing the readability and dissemination of evidence. It offers new methodologies for evidence synthesis, promoting knowledge translation and evidence communication. Storyboarding is particularly well-suited as a premier tool for evidence transformation and application in healthcare research. By refining information presentation, it significantly improves content readability, enabling users to more effectively understand and apply information in stakeholders. Although storyboarding technology remains underutilized in evidence-based medicine, its potential will likely be increasingly recognized as multimodal evidence grows and the demand for effective evidence transformation rises. In the future, this method promises to play a pivotal role in advancing evidence-based medicine.