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EVIDENCE-BASED-HEALTH  March 2012

EVIDENCE-BASED-HEALTH March 2012

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Subject:

Re: sneezing into the elbow

From:

"Dawes, Martin" <[log in to unmask]>

Reply-To:

Dawes, Martin

Date:

Fri, 2 Mar 2012 10:32:48 -0800

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (87 lines)

Thanks to responders 
So after one hour - normal time to reach 50% saturation in this list - we have the catch it, bin it, kill it, from the NHS,  sesame street and myth busters and a couple of pubmed citations 

If anyone has a resident, trainee who wants to do a study that nails this issue I would say it was perfect. Choice of trial design might be tricky.
And then the acronym....

Do it around the world and we could recruit over the next 12 months? Someone would write the app for the data collection - the first apple a day trial, yes I know robin hood did an n of 1 apple trial but that was an arrow impact study 
would anyone like to guess what the NNT for elbow sneezing would be over hand sneeze for an outcome of > 3 days of cold per year per year - and of course an economic article relating this to prevention of hospital admissions assuming we could find evidence of coryza rate and hospital admissions (another failed search)

Martin

On 2012-03-02, at 9:11 AM, Andy Hutchinson wrote:

> Ah but here in the UK, we 'catch it, bin it, kill it'
> 
> http://www.dh.gov.uk/en/MediaCentre/Media/DH_098663
> 
> 
> Personally, I'd prefer a snotty tissue to a snotty elbow. 
> 
> Andy Hutchinson MEd, PHARMACIST
> Education and Development Manager
> National Prescribing Centre
> Provided by the National Institute for Health and Clinical Excellence
> Ground Floor Building 2000 | Vortex Court | Enterprise Way | Wavertree Technology Park | Liverpool L13 1FB 
> Tel: 07824 604962 
> Web: www.npc.nhs.uk
> email: [log in to unmask]
> 
> Disclaimer: This e-mail may contain confidential and/or proprietary information some or all of which may be legally privileged. It is for the intended recipient only. If any addressing or transmission error has misdirected this e-mail, please notify the author by replying to this e-mail and destroy any copies. If you are not the intended recipient you must not use, disclose, distribute, copy, print or rely on this e-mail
> 
> 
> -----Original Message-----
> From: Evidence based health (EBH) [mailto:[log in to unmask]] On Behalf Of Alligood, Elaine C
> Sent: 02 March 2012 17:07
> To: [log in to unmask]
> Subject: Re: sneezing into the elbow
> 
> But wait, Elmo is the purveyor of this information.  Would Elmo lie to all the children?  Surely, he's carried out all the proper evidence gathering RCTs amongst the entire Sesame Street neighborhood?  
> 
> http://www.youtube.com/watch?v=QW1yodZJpG8   
> 
> Elaine Alligood, MLS
> Informationista & Chief Library Service
> VA Boston Healthcare System
> 857-364-5778
> What do You Need to Know Today?
> Email us:  [log in to unmask]
> 
> Register for Athens - remote access to the library's online resources https://register.athensams.net/vhs/
> 
> Virtual reference service--available when the library is not! 
> Just click - VA Librarians on Call
> Monday -Friday , 8:00a-7:30p  for assistance
> 
> 
> -----Original Message-----
> From: Evidence based health (EBH) [mailto:[log in to unmask]] On Behalf Of Dawes, Martin
> Sent: Friday, March 02, 2012 11:57 AM
> To: [log in to unmask]
> Subject: sneezing into the elbow
> 
> Apologies for this but I am stuck
> A nursing student asked me for the evidence for sneezing into the elbow Trip search  "sneezing into the elbow" 0 sneezing into the elbow 10 - one unreferenced suggestion in a Canadian guideline using the word sneeze did not help the search
> 
> a Pubmed search found two articles but no evidence
> 
> clinical trials elbow and sneeze - no trials
> 
> evidence-based- health jisc search - one reference from James McCormack in the early 2000's but no evidence (incidentally searching this list is one of the most effective tools for ebm)
> 
> so - have we changed all human behaviour on a whim? - Help!
> Thanks
> 
> Martin
> 
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