循证医学eb喂m介绍.ppt

生理學與病理學是瞭解疾病機轉及治療患者的基礎，然而…;何謂實證醫學;;我們為什麼要提倡實證醫學 ?;;評讀文獻常犯的錯誤;;;;實證醫學的五大步驟;教授實證醫學時 需要特別提醒大家的… ;如何明確的分析臨床問題;實證醫學的五大步驟;Ask Answerable Clinical Questions ;Clinical scenario (I);How to ask a meaningful question?;The specific,answerable clinical question:;用什麼治療, 比較什麼治療…;有什麼好處?;療效是不是大於副作用?;Clinical scenario (II);How to ask a meaningful question?;The specific,answerable clinical question:;The specific,answerable clinical question:;The specific,answerable clinical question:;國際間常用的實證醫學評估報告資料庫;案例一;The specific,answerable clinical question:;案例二;The specific,answerable clinical question:;案例三;The specific,answerable clinical question:;案例四;The specific,answerable clinical question:;案例五;案例六;案例七;其它常用的網路資源;How Should I Use Articles about Therapy / Prevention?;How to ask a meaningful question?;The specific,answerable clinical question:;什麼樣的人…;用什麼治療, 比較什麼治療…;有什麼好處?;該如何證明 LGG 的療效呢?;該如何證明 LGG 的療效呢?;Users’ Guides to the Medical LiteratureUsing Electronic Health Information resources;MEDLINE Search: Hierarchy and Methodological Filter;健康的小朋友長期飲用LGG牛乳 能將 感染性腹瀉的危險性降低多少?;What we have now…;Effect of Long Term Consumption of Probiotic Milk on Infections in Children ;Effect of Long Term Consumption of Probiotic Milk on Infections in Children;Are the results of the study valid (I)?;Characteristic;Are the results of the study valid (II)?;另一篇主題類似的研究有什麼弱點?;Clinical characteristics of study and control groups;What were the results?;研究的結果可有不同的方式表達;Why use NNT?;;其他有關益生菌是否能預防小兒腹瀉的研究結果如何?;Oxford Center for Evidence-based Medicine Levels of Evidence (May 2019);How Should I Use Articles about Diagnosis?; Physicians have always had their favorite strategies for the diagnostic management of most problems. But as new tests become available, strategies have changed, are changing, and will continue to change… Paul Cutler MD.;Clinical scenario ;臨床診斷常犯的錯誤;What we will learn today…;How to ask a meaningful question?;;The specific,answerable clinical question:;;The role of clinical suspicion in evaluating a