ISEHC 2014: EBM is PM, needs SDM, more s’s, and step 0

That pretty much sums it up…!  With its 3rd successful conference in Taipei, ISEHC has cemented its presence in the EBM world. The Taipei conference attracted 537 participants from 24 countries. Over 60 oral and almost 200 poster presentations were held, and the hosts with Ken Kuo in the lead put on an excellent scientific program and a wonderful social program, including a great deal of great meals, from delicious buffets and gourmet lunch boxes to sumptuous morning and afternoon teas, not to mention the musical gala dinner….  Thank you, ISEHC2014 for 4 great days!

Below are some of the highlights and take-home messages from the keynote speakers.

Paul Glasziou defined 6 important proposals for EBHC’s future, among them “don’t skip step 0 in the EBM process” (recognise uncertainty), “take non-drug interventions seriously” (yeah, says the physio!) and “teach shared decision making alongside EBM”. Guideline recommendations are at the center of an effective evidence based practice and ambiguous, unclear recommendations are like jellyfish – without spine or structure (would take a surfer to know his sea creatures).

Brian Haynes defined, in his dithyrambic talk, 7 priorities for improving EBM success, the top one being that we “shift research (and research funding!) to the right”, meaning from basic research to implementation (knowledge translation) research. And don’t forget to accessss (that’s 4 s’s) the evidence!

Brian Alper also likes the letter S and added a few S words to the 6S pyramid – does it now have 9 s’s? Who will come up with the 10th s?

Ken Kuo chose to focused on the letter A, as in awareness to adherence, and explained about dochakuka and glocalization – global evidence, local implementation. He shared some of the excellent guideline work being done in Taiwan, as did Naohito Yamaguchi about the equally excellent guideline work being done in Japan within the MINDS network.

Gordon Guyatt walked us through the different uses of relative and absolute risks/effects and then redefined EBM as PM.  Evidence-based Medicine is Personalized Medicine!  Which leads us on to Victor Montori’s and Lyndal Trevena’s key messages – that EBM is nothing without SDM!

… which leads into the future and next years’s conference where EBM really meets SDM. Abstract submission is now open – see you in Sydney in July 2015!?

Read more about the Taipei conference, and check out the keynote slides and all the great photos at www.isehc2014.tw.

Read more about the 2015 conference in Sydney, and send in your abstract at http://www.isdm-isehc2015.org/

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The August 2014 Newletter is now available, under the Newsletter tab. Click here to read it. Read about a report from Vadodora, the ACT tool, shared decision making, teaching EBM, surrogate outcomes, and more.

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Time to prepare for Taiwan

The scientific program for the 3rd ISEHC Conference in Taipei, November 6-9, 2014, is now being finalised. Paul Glasziou will be kicking off the conference in the morning of November 7 (precon workshops on the 6th), and will be followed by plenary lectures by Brian Haynes, Naohito Yamaguchi, Gordon Guyatt, Ken Kuo, Victor Montori and Amanda Burls.

Abstracts for oral and poster presentations have now been accepted and can be found on the conference website. ISECH 2014 offers an excellent scientific program consisting of 7 pre-conference workshops, 7 plenary lectures, 8 symposia, 90 oral presentations and 260 poster presentations from 19 countries.

Please see www.isehc2014.tw for all the conference information, book your fligths and… see you on “the beautiful island” of Taiwan!

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Time to plan for Taiwan!

ISEHC is on a success path and is growing rapidly.  After two successful conferences the society is becoming an increasingly established player in the EBHC field.  It is soon time to turn our focus on the 3rd ISEHC conference in Taipei November 6-9, 2014.  Abstract submissions and workshop proposals can be submitted between February 15 and April 30. For details and abstract submission see the conference website: www.isehc2014.tw/

Happy Holidays!

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2nd ISEHC Conference in Sicily a smashing success!

The 2013 EBHC International Joint Conference was held on October 30-November 2 in Taormina, Sicily, and was a great success. For its second annual conference, ISEHC teamed up with EBHC Teachers and Developers, who have held conferences in Taormina since 2001. With the aim of promoting an evidence-based approach to health care, education and research, this turned out to be a perfect match. The commonality between the two societies is, of course, the basic principle that evidence should inform all healthcare decisions at all levels: patients, healthcare professionals, healthcare educators, and policy makers.

The Taormina conference attracted 159 participants from 30 countries, from Australia to Uruguay. The conference had an extensive scientific programme including keynote addresses from Gordon Guyatt, Paul Glasziou, Brian Haynes, Victor Montori, Amanda Burls, and Nino Cartabellotta. There were pre-conference workshops on GRADE and statistics, five plenary sessions, four parallel scientific sessions, four workshops and five theme groups. The 6 keynote lectures, 36 oral presentations and more than 50 posters contributed to highlighting the key role of Evidence-based Health Care in addressing the global challenge of the sustainability of health services.

Some key take home messages from the conference were Gordon Guyatt’s new First principle of EBM: Systematic summaries of the best available evidence should guide patient management decisions, Brian Haynes’ presentation and emphasis of the value of pre-appraised evidence to facilitate clinical decision making, and Paul Glasziou’s presentation, via link from Australia, on digestion of evidence and the use of YouTube in medicine. Other interesting highlights and outcomes of the conference were the initiation of an EBHC MOOC (Massive Open Online Course), a funding appeal/proposal for the implementation of EBP in developing countries, and a proposal on how to integrate shared decision making in EBP education. Views of the future were shared and included the move to increasingly high-tech solutions for EBHC such as smart phones, integrated EMR’s, and push services.

The Sicilian setting with sun, sea and exquisite cuisine were, of course, no small parts in the success of the conference.  The ISEHC Board sincerely thanks Nino Cartabellotta and his team at the GIMBE Foundation for a great arrangement and for the opportunity to meet old and new friends!
More on the conference at http://www.ebhc.org/
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All Trials Registered; All Results Reported – sign the petition

Thousands of clinical trials have not reported their results; some have not even been registered. Information on what was done and what was found in these trials could be lost forever to doctors and researchers, leading to bad treatment decisions, missed opportunities for good medicine, and trials being repeated unnecessarily on people and animals. Sign the petition calling on governments, regulators and research bodies to implement measures to achieve this:
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2nd ISEHC Conference, Sicily Nov 2013

The 2nd Conference of the International Society for EBHC will be held jointly with
the 6th International Conference for EBHC Teachers and Developers.

The joint conference will be held in beautiful Taormina (Sicily),
from 30th October – 2nd November 2013
For details and abstract submission see the conference website:
www.ebhc.org/

See you there!

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Belajar Pemrograman Komputer Online Untuk Pemula

Belajar Ilmu komputer telah menjadi subyek paling penting bagi siswa. Hal ini hanya subjek yang telah berhasil ditolak hampir setiap bidang yang dinamis dan berkembang. Selanjutnya, itu adalah mendapatkan popularitas dunia luas karena penggunaannya serbaguna. Akibatnya, ini sangat penting bagi para siswa untuk memiliki perintah atas berbagai komputer, pemrograman bahasa terutama program menulis bahasa C yang ada permintaan industri komputer dalam kehidupan sehari-hari . Biasanya ketika datang ke komputer tugas siswa perlu untuk menyelesaikan berbagai tugas pemrograman C, yang bukanlah tugas yang mudah seperti yang terlihat. Dalam situasi tersebut, pilihan yang paling cocok yang tersedia untuk siswa adalah untuk memperoleh C programming tugas bantuan dari sumber-sumber yang paling dapat diandalkan.

Sebagian besar siswa menghadapi kesulitan dalam menyelesaikan tugas-tugas pemrograman C mereka dan mencari bantuan tugas pemrograman C. Alasan utama di belakang siswa tidak mampu menangani tugas rumah mereka sulit dan rumit mereka sendiri adalah bahwa kelas-kelas yang diberikan oleh guru sekolah atau perguruan tinggi untuk tugas tidak cukup dan oleh karena itu, mereka mencari seseorang yang dapat membantu mereka dengan tugas-tugas mereka dan memberi mereka tugas mungkin solusi yang terbaik. Selain menyelesaikan tugas pekerjaan rumah, ini membantu online tugas yang ada memungkinkan siswa untuk memiliki perintah atas topik tugas dan memegang pemahaman yang lebih baik.

Ini adalah setiap penting bagi para siswa untuk memiliki pengetahuan yang mendalam tentang rahasia dan trik berurusan dengan C rumah tugas pemrograman didistribusikan oleh guru untuk menguji keterampilan mereka dan meraih kekuasaan. Ini kadang-kadang menjadi sulit bagi para siswa untuk mendapatkan pengetahuan yang luas tentang kedalaman yang dalam rincian yang berkaitan dengan subjek C pemrograman komputer. Selanjutnya, penyelesaian C rumah tugas pemrograman memakan waktu dan permintaan untuk banyak mental upaya untuk datang dengan segala macam solusi logis yang akan tidak hanya akan membantu dalam terkesan guru tapi juga membantu dalam mendapatkan Skor yang baik dalam tugas. Mengingat fakta ini, siswa umumnya mencari untuk beberapa terjangkau dan kepercayaan layak C pemrograman bantuan dengan tugas yang dapat memenuhi tuntutan mereka tertentu dan mempresentasikan tugas mereka sesuai.

hal ini pemrograman C tugas membantu memberikan perusahaan memiliki tim rajin ahli dan profesional pemrograman industri, yang memegang spesialisasi dalam menyerahkan apapun tugas pemrograman C dan memberikan pilihan solusi yang terbaik. Siswa dapat memperoleh bantuan cepat dan sangat terjangkau online tugas dari para ahli ini tugas sesuai persyaratan penetapan dan anggaran mereka. Mereka bisa mendapatkan tugas seperti bantuan layanan setiap mudah online dengan bantuan komputer sistem dan koneksi internet. Mendapatkan awal penetapan tersebut unik dan menarik bantuan layanan sama sekali tidak mungkin. Siswa harus tergantung pada orangtua mereka, teman atau tutor yang mungkin dapat membantu mereka dengan tugas mereka bekerja tetapi berkat teknologi, yang membuat kemungkinan sekarang.

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