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SEA-ORCHID Update March 2007


SEA-ORCHID Project meetings a success
“Days of our Cochrane Lives”
Evidence-based patient care for medical librarians in Thailand
AUS Educator workshops in Thailand
Clinical Practitioner Interviews in Thailand
Pregnancy plus series in BMJ
Cochrane systematic reviews update
Fellowship update
Free antivirus software
Cochrane Developing Countries Network
Next newsletter – Please submit!


SEA-ORCHID Project meetings a success



The recent SEA-ORCHID Project meetings in Khon Kaen were very successful, with activity plans established for all SE Asian nodes and 2007 fellowships organised. It was a wonderful opportunity to have the entire SEA-ORCHID team together for the first time (Investigators, Educators and Fellows), and a special thanks again to the Thai team for their hospitality and organisation. All participants received CDs containing all presentations from our meetings as well as photos taken throughout the week.


“Days of our Cochrane Lives”



Mrs Big Nose Mr Potter Mrs Silver Forest-Plot

During the SEA-ORCHID meeting we were visited by the ‘local Thai TV station’ to shoot an episode of the “Days of our Cochrane Lives”. The episode consisted of a panel of distinguished guests who were involved with Cochrane reviews at various stages. The experience of the panel ranged from one guest having just submitted his first Cochrane protocol to a guest who had completed 42 Cochrane reviews.

All nine panel members shared their ‘days of their Cochrane lives’ experiences: Mr Confidence Interval (understanding statistics); Mrs Silver Forest Plot (interpreting a forest plot); Mr and Mrs Blow Hard (overcoming hard blows when a protocol is rejected); Mrs Red Nose and Mrs Big Nose (both nosing and sniffing around for relevant RCTs); Mr Potter (who potters along finishing his review magically); Mrs Bright Star (who has seen amazing effects in clinical practice as a direct result of a Cochrane review); and Mrs Research Gap (how Cochrane reviews can identify research gaps).

A fun and informative time was had by all, and as Mrs Research Gap so aptly summarised:


“Life is too short not to do a Cochrane review, and there is never a better time than now to do a Cochrane review. But be aware! Once you are hooked it becomes an incurable disease and network links and friendships are established for life.”

Thank you for the wonderful acting abilities that became evident through this episode of the “Days of our Cochrane Lives”: Alvin Chang, Caroline Crowther, David Henderson-Smart, Jackie Ho, Malinee Laopaiboon, Ova Emilia, Pisake Lumbiganon, Sally Green, and Sangari Subramaniam.

Ruth Martis



Evidence-based patient care for medical librarians in Thailand



On 2 February 2007, our Thai SEA-ORCHID medical librarians, Songsri Deesrikaew and Butsakorn Ussahgji, organised a one-day course on Evidence-Based Patient Care for Medical Librarians which was held in the Library and Information Center at Mahidol University, in Salaya, Bangkok.

The course was attended by over 50 medical librarians from all over Thailand, as well as some clinical staff. Professor Amorn Leelarasamee, Vice-President of the University, opened the course, and Professor Visanu Thamlikitkul gave a fascinating introduction to evidence-based patient care. Songsri and Butsakorn introduced the concepts of PICO and searching for the best available evidence. Steve and Tari were honoured to be involved in presenting sections of the program over the day.

The attendees thoroughly enjoyed the course with many expressing a desire to support evidence-based patient care in their own library work.

Congratulations to Songsri and Butsakorn on such a great achievement!

Tari Turner


AUS Educator workshops in Thailand
After the successful SEA-ORCHID meeting in Khon Kaen, the Australian Educators presented a number of workshops.

Ruth visited all three Thai sites and gave seven workshops with a total of 212 participants.


MgS04 workshop
Khon Kaen Hospital
Mobility & Support During Labour workshop
Khon Kaen Hospital

Evidence-Based Medicine workshop
Srinagarind Hospital
Evidence-Based Practice &
Exclusive
Breastfeeding workshop
Kalasin Hospital


Kalasin Hospital
– attended mainly by nurses and midwives - how to achieve clinical change in their environment, particularly with regards to exclusive breastfeeding.

Khon Kaen Hospital
– attended mainly by medical students and specialists – how to overcome clinical issues for pain relief in neonates; increased interest in writing clinical practice guidelines.

Srinagarind Hospital
- attended mainly by medical students and interns (some from Laos) – how medical students can achieve clinical practice change with some constructive suggestions emerging.

The evidence-based practice and exclusive breastfeeding workshop was attended by a number of nurses and midwives and two medical librarians, as well as a representative from UNICEF. The scenarios discussed in small groups really encouraged participants to assess clinical practice and some exciting initiatives arose from this:
  • the medical librarians are planning to have an exclusive breastfeeding display in their library
  • the head nurse in charge of the knowledge bank on the hospital’s website is going to add a whole new section on breastfeeding and create a link to the Thai Breastfeeding Centre in Bangkok (www.thaibreastfeeding.com)
  • the obstetrician in charge is interested in developing a clinical practice guideline on exclusive breastfeeding.
Once again it was such a privilege to meet many wonderful clinicians in Thailand who are so committed to making a difference for mothers and babies. Khob Khun Kha. Thank you.

Ruth Martis
 
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Jacki facilitated two workshops on the Psychology of Learning and Behaviour Change to a total of 51 participants. Participants were actively involved in thinking about and planning behaviour change strategies using five different psychological methods.

Kalasin Hospital
– workshop attended mainly by nurses and midwives. The clinical practice changes of 2006 were reviewed and strategies considered for realising continued change in 2007.

Srinagarind Hospital
– workshop attended mainly by medical students and interns. Students considered strategic approaches to optimising learning and teaching methods and achieving ongoing clinical practice change in their hospital.



Clinical Practitioner Interviews in Thailand
As part of the qualitative assessment of factors that enable and limit evidence-based practice changes, interviews were conducted with doctors and nurses at each of the site hospitals in Thailand. The seven practioners interviewed were incredibly generous in sharing their time and knowledge. Thanks also to Malinee and Jadsada who did an expert job as always in providing us with translation support.

Jacki Short



Pregnancy plus series in BMJ

The BMJ is publishing a series of articles which you may find of interest.

The 'pregnancy plus' Practice series is a series of articles for generalists and obstetricians about how to manage a woman with a pre-existing medical condition during pregnancy. All articles discuss the prevalence of a particular illness amongst pregnant women, and both the effects of the illness on the outcome of pregnancy and the 'condition' of pregnancy on the course of the illness. Many women with chronic medical or psychiatric conditions take medication that may not be safe for the developing fetus; thus management is discussed from before conception, through the trimesters of pregnancy, and into the postnatal (and breast feeding) period. The series covers such topics as diabetes, depression, skin disorders, addiction and eating disorders in pregnancy.

The first article 'Asthma and pregnancy' was published on 17 March 2007 and can be accessed at
www.bmj.com/cgi/content/full/334/7593/582.


Cochrane systematic reviews update
Short-term follow-up from the ‘Days of our Cochrane Lives’ broadcast shows it has been very effective in inspiring people to do reviews! Already this year four new Pregnancy and Childbirth Group reviews have been registered from Thai authors and involving members of the Thai SEA-ORCHID team:
  • Calcium supplementation (other than for preventing or treating hypertension) for improving pregnancy outcomes
  • Interventions for preventing excessive weight gain during pregnancy
  • Music therapy during caesarean section for improving maternal and infant outcomes
  • Relaxation therapy for preventing preterm labour
We now have 25 registered titles/protocols/reviews relating to the care of mothers and babies, nearly all of which involve SEA-ORCHID fellows, educators and investigators. It’s also very encouraging to see titles now being registered in other clinical areas from participants who attended Cochrane review training in Malaysia and Thailand in Oct/Nov last year.

At least three more SEA-ORCHID titles have been submitted recently (two from the Philippines; one from Malaysia) and we’ll feature these in the next newsletter.

Congratulations on a great effort and a big thank you to everyone who helped complete title registration forms in Khon Kaen and help progress people’s reviews – the benefits of meeting face-to-face.

There’ll be no time to relax because over the next few months many of the SEA-ORCHID Fellows coming out to Melbourne and Adelaide will be working on their protocols and reviews.

For full details of Cochrane systematic review activity, visit:
www.seaorchid.org/knowledgebank/activities/SRUpdate.php.


Fellowship update
The SEA-ORCHID fellowships page has been updated on the website at www.seaorchid.org/knowledgebank/activities/fellowships.php. The Melbourne team is looking forward to hosting four Fellows in April/May and four in June, and the Adelaide team will be hosting four Fellows during July/August.
 

Free antivirus software
For anyone still trying to remove the toy.exe virus that was going round our USB memory sticks during our Khon Kaen meeting, Jackie Ho came across this free software on the Internet which fixed the problem: www.pandasoftware.com/products/ActiveScan.htm.


Cochrane Developing Countries Network

News from the Cochrane Collaboration which will be of interest to SEA-ORCHID members.

We are pleased to announce the establishment of the Cochrane Developing Countries Network (CDCN), a new entity inside the Collaboration that intends to raise awareness about the participation of people living in developing countries in the overall activities of the CC.

Recognising that there are many activities in the Collaboration addressed to or conducted by people from developing countries, the CDCN will take advantage of existing experiences and resources and the potential of a better co-ordination. In the CDCN we look forward to working collaboratively with everyone interested so we can move this important initiative forward.

For further information, you can contact: cochrane.dcn@gmail.com dcn.cochrane.org.



Next newsletter – Please submit!
Do you have any news from your site that you would like to share with the team? If so, please email Melissa text and photos for inclusion in our next issue (mthomas@usyd.edu.au).

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