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Dear Readers,
For more than a decade healthcare practitioners have been discussing the merits of evidence-based medicine. But what is evidence? Most use this term to mean the best available research evidence? And when one wants to know how well a particular diagnostic, therapeutic or preventive intervention works, the preferred type of research is using randomised controlled trails (RCTs). The Canadian task force on preventive health care, which formally introduced the concept of “levels of evidence”, has assigned RCTs the highest level of evidence. Other types of research evidence, for example, controlled observational studies and case series, are considered to be at a lower level, and expert opinion is lowest of all.

This issue of Site News explores the Introduction of Evidence-based Medicine and Ophthalmology, EBO on Cataract, Low Vision, Glaucoma, Amblyopia, Optometry, and Endophthalmitis. Also this issue covered the Evidence strategy and Evidence cases. Also there is a Protocol of EBO and Manual.



Your feedback will help us improve the newsletter. Please send in your feedback at eyesite@aravind.orgThank You. Have a happy reading.

Regards,
Library Team
The Issue Features...
Evidence-based Ophthalmology
Vol.11 No.4 July & August 2014
•INTRODUCTION
•EVIDENCE BASED MEDICINE
•LOW VISION
•CATARACT
•GLAUCOMA
•AMBLYOPIA
•ENDOPHTHALMITIS
•OPTOMETRY
•PROTOCOL
•EVIDENCE STRATEGY
•EVIDENCE OF CASE
•MANUALS

• Past Issues




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  • EVIDENCE-BASED MEDICINE IN EYE CARE – RELEVANT RESEARCH TO INFORM PRACTICE

  • Evidence-based medicine aims to help clinicians and practitioners with information on how to care for their patients by making use of the best evidence available. This evidence invariably derived from deliberations at conferences, meetings, or unpublished and published scientific literature. “Hunches” or “gut feelings” or “expert opinions” have had an informal burial with the birth of the more formal evidence­ based medicine, which now influences clinical decision-making and practice.

  • BRIDGING THE GAP TO EVIDENCE-BASED EYE CARE

  • An evidence-based practitioner as one who combines their individual knowledge and expertise with the best available external clinical evidence from systematic research.

  • WHAT IS EVIDENCE-BASED OPHTHALMOLOGY? INTRODUCING THE COCHRANE EYES AND VISION GROUP

  • The modern approach is to teach doctors how to ask questions and challenge established values. What is the evidence that one treatment is better than another? How precise is a test inseparating people affected by a condition from those who are not?.

  • IS OPHTHALMOLOGY EVIDENCE BASED? A CLINICAL AUDIT OF THE EMERGENCY UNIT OF A REGIONAL EYE HOSPITAL

  • This study demonstrated that the majority of interventions in the ophthalmic unit were evidence based and comparable to the experience of other specialties.

  • ESTABLISHING THE EVIDENCE-BASE FOR THE PREVENTION AND MANAGEMENT OF OCULAR INJURIES



  • BEST PRACTICE EYE CARE MODELS

  • Practical and unique comprehensive eye care services provision models have evolved targeting the underserved populations in different parts of the World. At places the rapid assessment of the burden of eye diseases in confined areas or utilizing the key informants for identification of eye diseases in the communities are promoted for better planning and evidence based advocacy for getting / allocation of resources for eye care.

  • COMPENDIUM OF EVIDENCE-BASED EYE CARE

  • The Compendium of Evidence-Based Eye Care will be a collection of clinical practice guidelines based on clinical evidence and expert consensus to assist the clinician in decision-making about treating specific diseases. The successful implementation of such clinical guidelines should improve quality of care by decreasing in appropriate variation and by expediting the application of effective advances into everyday practice.




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  • EVIDENCE-BASE FOR LOW VISION REHABILITATION

  • This is of course a complex problem since rehabilitation covers many different aspects of activity; mobility is one (use of cane or guide dog) and reading aids another. Other aspects include help in the home with daily tasks and social rehabilitation; ensuring particularly elderly visually impaired people do not become isolated.




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  • EVIDENCE FOR THE EFFECTIVENESS OF INTERVENTIONS FOR CONGENITAL, INFANTILE AND CHILDHOOD CATARACT

  • Cataract in children is an important cause of childhood blindness and treatment can make a difference if it can be delivered effectively and in time. But there are many questions about how this is best achieved clinical questions which need good evidence for an answer. And before addressing these, there are others about how best to detect cataracts in babies (there are no randomized trials as yet) and whether or not there is any potential for prevention.

  • SEARCHING FOR EVIDENCE-BASED INFORMATION IN EYE CARE

  • Reliable websites and initiatives, which appraise and disseminate up-to-dateinformation to produce the best available evidence, are extremely valuabe.




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  • EVIDENCE-BASED APPROACH TO GLAUCOMA MANAGEMENT

  • Evidence-based medicine is an evolving new paradigm. With the advent of numerous new diagnostic techniques and therapeutic interventions, one needs to critically evaluate and validate them by appropriate methods before adopting them into day-to-day patient care. The concepts involved in the evaluation of diagnostic tests and therapy are discussed. For delivering the highest level of clinical care, evidence alone is not sufficient. Integrating individual clinical experience and patients perspectives with the best available external evidence is essential.




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  • EVIDENCE-BASED PRACTICE IN OPTOMETRY

  • Essentially, evidence-based practice can be thought of as a process in which clinical decisions are made in light of the best research evidence, existing practitioner expertise and knowledge and the patient’s preferences within the context of the clinic environment.




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  • A GUIDE TO COMPLETING THE EVIDENCE BASE FOR A LOCAL VISION STRATEGY

  • This guide is one of the resources developed by Thomas Pocklington Trust to support local vision strategies. It accompanies the template for an evidence base for a local vision strategy and suggests where to find the evidence that underpins a local vision strategy.

  • EVIDENCE BASE TO SUPPORT THE UK VISION STRATEGY

  • The UK Vision Strategy launch will mark an important new initiative, which should draw support and active co-operation from all involved in eye care. In line with Vision 2020 – a global initiative, coordinated jointly by the World Health Organization (WHO) and the International Agency for the Prevention of Blindness (IAPB) – the UK Vision Strategy aims to promote the elimination of avoidable sight loss, and improvement in the care, quality of life and opportunities of individuals and families affected by sight problems.




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  1. April & May 2013 2013 -Cataract Surgical Monitoring
  2. May & June 2014 2014 -Ocular Anaesthesia
  3. July & August 2014 2014 -Evidence-based Ophthalmology
  4. March 2013 2013 -Sterilization
  5. January & February 2014 2014 -Optical Dispensing
  6. January & February 2013 2013 -Instruments and Maintenance
  7. March & April 2014 2014 -Ocular Prosthesis
  8. May & June 2012 2012 -Research in Eye Care
  9. November & December 2012 2012 -IT Applications in Eye Care
  10. August 2012 2012 -Primary Eye Care
  11. July 2012 2012 -Refractive Error
  12. Jan & Feb 2012 - Human Resoure in Eye Care
  13. Oct 2011-SUSTAINABILITY IN EYE CARE
  14. Sep 2011-REACHING THE UNREACHED EYE CARE SERVICES
  15. Feb 2011-HEALTH INSURANCE
  16. Jan 2011-PATIENT SAFETY
  17. Oct 2010-COMMUNITY OPHTHALMOLOGY
  18. Aug 2010-DIABETIC RETINOPATHY
  19. Jul 2010-GLAUCOMA SCREENING
  20. Jun 2010-TYPES OF CATARACT
  21. May 2010-STRABISMUS
  22. Apr 2010-EYECARE FOR BABIES
  23. Mar 2010-CONGENITAL CATARACT
  24. Feb 2010-EYE CARE STATUS – WHO REGIONS
  25. Jan 2010-EYE CARE STATUS – WHO REGIONS
  26. Dec 2009-ENHANCING COMPLIANCE TO TREATMENT
  27. Nov 2009-DIABETES AND EYE
  28. Oct 2009-COST OF EYE CARE
  29. Sep 2009-GENDER and EYE HEALTH
  30. Aug 2009-Vision Rehabilitation
  31. Jul 2009-Patient Empowerment
  32. Jun 2009-Service Marketing
  33. May 2009-Medical Tourism
  34. Apr 2009-Pharmacy Management
  35. Mar 2009-Hospital accreditation
  36. Feb 2009-Hospital accreditation
  37. Jan 2009-Monitoring In Eye Care
  38. Dec 2008-Monitoring In Eye Care
  39. Nov 2008-Inpatient Management In Eye Care
  40. Oct 2008-Advocacy in Eye Care
  41. Sep 2008-Macular Degeneration
  42. Aug 2008-Amblyopia
  43. Jul 2008-Computer Vision Syndrome
  44. Jun 2008-Creating Awareness about Eye Care
  45. May 2008-Resource Utilization
  46. Apr 2008-Eye Care Barriers
  47. Mar 2008-Global Eye Care Programme
  48. Feb 2008-Standardization through Clinical Protocols
  49. Jan 2008-Materials Management in Hospitals
  50. Dec 2007-Glaucoma Management
  51. Nov 2007-Outpatient Management
  52. Oct 2007-Demand Generation
  53. Sep 2007-Trachoma
  54. Aug 2007-Eye Banking
  55. Jul 2007-Diabetic Retinopathy
  56. Jun 2007-Paediatric Eye Care Services
  57. May 2007-Managing People
  58. Apr 2007-Ophthalmic Emergencies in Eye Care
  59. Mar 2007-Eye Care Information Resource Center
  60. Feb 2007-Patient Education Resources
  61. Jan 2007-Financial Planning for Eye Hospital
  62. Dec 2006-Patient Satisfaction
  63. Nov 2006-MLOP for Effective Delivery of Eye Care
  64. Oct 2006-Low Vision & Refractive Error
  65. Sep 2006-Tele Ophthalmology
  66. Aug 2006-Medical Records in Hospitals
  67. Jul 2006-Housekeeping in Hospitals
  68. Jun 2006-Quality Assurance in Eye Care
  69. May 2006-Refractive Correction
  70. Apr 2006-Evidence for Action - Cataract Control
  71. Mar 2006-Leadership
  72. Feb 2006-Community Outreach - Cataract
  73. Jan 2006-Counselling
  74. Dec 2005-Vision Centre
  75. Nov 2005-Human Resources in Eye Care
  76. Oct 2005-Ophthalmic Equipment and Instruments
  77. Sep 2005-IEC
  78. Aug 2005-Start up eye Hospital
  79. Jul 2005-Refractive Error
  80. Jun 2005-Low Vision
  81. May 2005-Cataract
  82. Apr 2005-Paediatric Eye Care Service Delivery
  83. Mar 2005-Strategic Planning Tools
  84. Feb 2005-Frequently Asked Questions on Eye Glasses!
  85. Jan 2005-Refractive Error Service Resources
  86. Dec 2004-Highlighting Starting a New Eye Hospital Tool
  87. Nov 2004-Diabetic Retinopathy Knowledge, Attitude and Practice Study
  88. Oct 2004-Strategy worksheet for continually improving quality of services and checklist
  89. Sep 2004-Quality Cataract Series - Paramedical Contributions Module
  90. Aug 2004-Sterilization Protocol
  91. Jul 2004-Medical Records Protocol
  92. Jun 2004-Magnitude of Cataract Blindness Estimation Tool
  93. May 2004-Cataract Frequently Asked Questions
  94. Apr 2004-Introduction to SiteNews
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