I would compliment your colleague on using evidence-based guidelines and
then suggest to him the recent articles questioning their validity.
-----Original Message-----
From: Evidence based health (EBH) is the integration of individual
knowledge [mailto:[log in to unmask]] On Behalf Of
padmanabhan badrinath
Sent: Monday, February 04, 2002 12:29 PM
To: [log in to unmask]
Subject: Evidence in journals?
Dear All,
Greetings from Al-Ain the oasis city. This morning I presented a seminar
titled "Aids, past, present & future" in the "AIDS - Update" organised
by our health district. Over 150 health professionals attended. There
were presentations on AIDS epidemiology, management, basic research etc
at the update. In the panel discussion a question was raised by a member
of the audience. Is there any data to show the harms/benefits to the
infants of HIV infected mothers if the babies are breastfed? I mentioned
the results of this trial from JAMA. Morbidity and mortality in
breastfed and formula-fed infants of HIV-1-Infected women. A randomised
clinical trial. Mbori-Ngacha D, Nduati R et al. JAMA. 2001;286:2413-2420
The paediatrician (a senior clinician and an academic)in the panel
immediately responded. "In journals you can find what ever you are
looking for. If you are looking for a donkey you will find it. If you
are looking for a monkey you will find it. I only use CDC or AAP
guidelines".
I did not pick up an argument with him in front of the audience and kept
quite. Any thoughts on how I should have handled the situation?
Cheers & regards,
Badri
Dr.P.Badrinath M.D.,M.Phil.,(Epid) PhD(Cantab)DFPHM(UK).,MPH(Distinc)
Clinical Assistant Professor & Hon Consultant in Preventive Medicine,
Department of Community Medicine, UAE University, PO Box 17666, Al Ain,
United Arab Emirates.
Tel: 00 971 3 7039 652
Fax: 00 971 3 7672022.
http://myprofile.cos.com/badrishanthi
"For an excellent review of the current medical literature, go to
Journals Scan www.uaeu.ac.ae/jscan/" - BMJ 3rd June 2000, Netlines
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