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MD Consult

MD Consult. Presented By: 莊立信 LiHsin Chuang L.chuang@elsevier.com Elsevier Taiwan LLC 0928- 367- 356. MD Consult is designed to help physicians answer clinical questions and stay current with new developments in medicine. Over 80 full-text journals and Clinics of North America with MEDLINE

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MD Consult

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  1. MDConsult Presented By:莊立信 LiHsin Chuang L.chuang@elsevier.com Elsevier Taiwan LLC 0928- 367- 356

  2. MD Consult is designed to help physicians answer clinical questions and stay current with new developments in medicine. • Over 80 full-text journals and Clinics of North America with MEDLINE • About 50 leading medical reference books • Drug Database provided by Gold Standard • The latest medical news • More than 1,000 peer-reviewed practice guidelines • Over 50,000 images that can be downloaded or printed • POCKET Consult – free for your PDA

  3. Reference Books

  4. The Top 8 Journal Titles Journal of Allergy and Clinical Immunology The Lancet Infectious Diseases Annals of Emergency Medicine The Lancet Neurology Journal of the American Academy of Child and Adolescent Psychiatry Critical Care Medicine Journal of Pediatrics Anesthesiology

  5. Top Clinics Series

  6. Patient Education

  7. Drugs • 提供藥物商品的圖片 • 藥物資訊包含： • 藥物分類、別名、學名 • 副作用 • 交互作用 • 藥物動力學、機轉 • 分子結構…等相關藥物資訊

  8. Guidelines (臨床指引) • 超過1,000份同儕評鑑臨床診療指南(Peer-Review Articles) • 按照作者、機構、專科及主題方式分類 • 每篇全文文章均包括書目資料及目錄

  9. MD Consult操作

  10. 何謂實證醫學? • 以流行病學和統計學的方法，從龐大的醫學資料中嚴格評讀、綜合分析並找出值得信賴的部分，並將所能獲得的最佳文獻證據，應用於臨床工作中，使病人獲得最佳的照顧。

  11. 實證醫學五大步驟 • 提出問題(Question Formulation) • 將資訊需求轉變成可以回答的臨床問題 • 搜尋證據 (Evidence Search) • 實證醫學資料庫 • 嚴格評讀 (Critical Appraisal) • 以批判的方法檢驗證據的可信度 • 恰當運用 (Evidence Application) • 結論是否能應用於我的病人? • 衡量結果 (Outcome Evaluation) • 評估執行實證醫學的效用和效率

  12. 問題的結構(PICO或PICOT) • Patient character or Problem • Intervention • Comparison intervention • Clinical Outcome • Time

  13. 背景問題 vs 前景問題 • Background question (背景問題) • 有關某種疾病的基本知識 • A question root (who, when, what, where, why, how...) • Foreground question (前景問題) • 有關病人處置的特殊問題（PICO格式）

  14. 問題與臨床經驗

  15. Case • 對於 慢性蕁麻疹(chronic urticaria)， • Xyzal與Allegra的那一種治療效果比較好呢？ PICO

  16. Thank You!

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