Evidence-based medicine in mass gathering public health and emergency medicine literature review – Pubrica

1. Levels ofevidence-based medicine in mass gathering public health and emergencymedicine literaturereview An Academic presentationby Dr. Nancy Agnes, Head, Technical Operations, Pubrica Group:www.pubrica.com Email:sales@pubrica.com

2. Inbrief Mass gathering science is a verynew and emerging area, and it is now necessary to summarise the rigour of knowledge collected regarding the intricate interrelationships between significant event aspects, spectator profiles, and health concerns.

3. This study aims to describe the levels of evidence found in peer- reviewed academic papers about mass collecting public health and emergencymedicine. The data supporting the science of public health and evidence-based medicine practice has not been rigorously examined untilnow.

4. Introduction Several principal literatureevaluations on various elements ofmass collecting evidence-based medicine in research have been conducted in thepast. Theyreleasedapaperatthetimethat examined the level of scientific knowledge and urged scholars to address critical concerns in the provision of good healthcare during a large-scalemeeting.

6. In effect, throughout five years, the took stock of development in this specific area ofmass gatherings. Massgatheringscienceisaverynewandemergingarea. Therefore,itisnecessarytosummarisethedepthofknowledgecollected regarding the intricate interrelationships between key event features, patient profiles, and public healthconsequences. This study aims to conduct an online review of peer-reviewed scientific literature published between 2001 and 2011 about mass collecting public health and emergencymedicine.

7. The publications in this study are organized into specified World Health Organization (WHO) categories, and the degrees of evidence-based practice quantitative research is measured using the effectiveness classificationsdevised. The WHO categories are section titles that have been provisionally defined to reconstruct the WHO Guidelines for Mass Gathering Health. This helps comprehend the evolution of mass collecting literature sinceit offersinformationonthedegreeofevidenceinpublications.

8. Methods Thefollowingonlinedatabaseswere searched: GALE, NLM, Web ofScience, Elsevier,Wiley,BMJJournals,OUP, and IngentaConnect,RMIT,DOAJ, JSTOR. Grey literature and published news stories wereremoved. The levels of evidence were examined using the effectiveness classifications generated after the peer-reviewed publicationswere organized into pre- determined World Health Organization categories.

9. The articles were gathered into their subject matter category, as resolute by the WHO. The types comprisedof: Epidemiology EventOperations Disease Surveillance and OutbreakResponse Point of EntryHealth PsychosocialConsiderations Public Information and HealthPromotion Emergency Medical Services EnvironmentalDeliberations

10. In addition, each publication was categorized using the JBI stages of evidenceabouttheeffectivenessasfollows: Meta-analysis of experimental trials(with homogeneity) (e.g., RCT with hiddenrandomization)ORAsignificantnumberofexperimentaltrialswith small confidenceintervals

11. one or smaller RCTs with broader confidence intervals Studies using a quasi-experimental design (withoutrandomization) a)Cohortstudies(includingacontrolgroup),b)Case-controlledstudies,and c) Observational studies (without controlgroup) Consensus,expertopinion,orphysiologicalbenchresearch

12. Discussion Although high-level evidence studies may not be practicable in the setting of a mass gathering, investigations at the intermediate level should be promoted, so event management techniques are less reliant on experience and expertopinion.

13. To construct a substantial body of knowledge, it is still necessary to carefully focus and further improve research in certain areas of mass collectingscience. Thisprevalenceoflowerevidence-basedpracticeliteraturereviewlevelsin the literature does not indicate that these research are uninformative or unusable inpractice.

14. The creation of theoretical models supported by more significant levelsof evidence and capable of underlying preventative and response strategies that are successful and suited for implementation across diverse event typesinvaryingsituationsandgeographiesmayremainthefocusofmass gatheringresearch. Identifying the most significant levels of evidence in each mass collecting healthareawillbecriticaltocreatingtheory.Acounterparttothisdemand is the need for increased research effort, particularly in disciplines where thevolumeandqualityofresearcharewoefullylacking.

15. CONCLUSION The development of theoretical models supported by more significant levels of evidence is required to underlie the creation of effective preventative and response modelsthat can be used in various types and situations of mass gatherings. Some areas of mass information collection are still underdeveloped and require muchwork.

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