Todd Said:

what's the best source about "iron defeciency anemia" in children & its evidence based medicine?

We Answered:

Another great choice, in addition to pubmed, is scholar.google.com

There is also "up to date" if you can get access to it.

Irma Said:

Is Evidence-Based-Medicine really just an Expert System?

We Answered:

I can understand your frustration with this - being able to get a medication that has helped you and suddenly being told by another doctor it has restricted use.

I suspect evidenced based medicine means that the supply of medication is only allowed when medical procedures/tests have confirmed that the patients have a SIGN of disease (in this case - of blood clotting confirmed by angiography and insertion of stents) rather than just the patients subjective complaint of a symptom (chest pain).

Here is a link that may provide you with a way to finding some financial assistance for taking Plavix :

http://www.ptca.org/forumtopics/topic_fi…

But why don't you try taking Omega 3 Fish Oils or Flaxseed Oil ?! They help with circulatory conditions and can thin your blood. Also it wont irritate your gut like Aspirin can.

Changing your diet to include oily fish (salmon, tuna, mackerel) olive oil, and the spices ginger and turmeric can also help to stop your blood from clotting. Diets high in saturated fats (animal fats) like bacon can give you sticky blood and cause aromas/clogged arteries.

Nina Said:

How can i learn EBM(evidence based medicine)?

We Answered:

EBM is best learned through application. However, it can be divided into different areas such as:
1) statistics (ex. relative risk, numbers needed to harm, ANOVA, differences between means, differences between groups etc..)

2) Source of study - select study based on the clinical question you are trying to address ( which should be peer reviewed like pub med, embase, cochran etc. but NOT wikipedia)

3) type of study (ex. therapy study vs. harm study)

4) evaluate the literature (ex. sample size, baseline characteristics, blinding, power, bias, results etc....)

Reviewing the literature is much more involved. I recommend that you read through a text on EBM (your library may have a link to an electronic book - see reference below).

Warren Said:

what is the impactor factor for the journal "Evidence Based Medicine"?

We Answered:

BMJ's "Evidence Based Medicine" publishes abstracts and evaluations of work from other journals -- not original research. It is an 'evidence-based secondary journal" See http://ebm.bmj.com/misc/whyread.dtl for more information.

No one cites EBM's reviews -- writers cite the original article abstracted in EBM. Therefore, it has no impact factor, although it does have impact. See the 2004 article 'What do evidence-based secondary journals tell us about the publication of clinically important articles in primary healthcare journals?'; Kathleen Ann McKibbon, Nancy L Wilczynski and Robert Brian Haynes, Sept 2004 -- http://www.biomedcentral.com/1741-7015/2…

Ray Said:

who does the research for evidence based medicine?

We Answered:

This is a favorite field of public health workers. So for the most part, EBM is number crunching done by people with master's or doctorates in public health. Sometimes, of course, they are physicians who have an interest in public health.