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Abu Ali Husein bin Abdullah bin Sina (Avicienna) abad 11 The Canon of MedicineArchie Cochrane, Effectiveness & Efficiency : Random Reflection on Health Services(1972)David Sacket & Gordon Guyatt Best EvidenceDavid Eddy, 1990 Evidence BasedGuyatt et al 1992 Evidence-Based MedicineCommunity Department

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The Evidence PyramidCommunity Department

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Tergantung atas pertanyaan dan jawaban yang ingin dicariPenyakit, penyebab, pengobatan, diagnosis dsb.

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Jenis pertanyaan akan mempengaruhi penggunaan sumber/ resourcesJenis pertanyaan akan mempengaruhi jawaban yang diinginkanJenis pertanyaan akan mempengaruhi cara menganalisa

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Primary sourcesMedline: Pubmed, Webspirs, OVID, Secondary sourcesCochrane http://cochrane.orgACP journal club http://acpjc.orgClinical evidence http://clinicalevidence.comGeneva Foundation for Medical Education and Research http://www.gfmer.ch/Medical_journals/Free_medical.phpEvidence-Based Guideline http://guideline.govAgency for Healthcare Research and Quality http://www.ahrq.govCommunity Department

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Summaries of the primaryClinical evidenceACP Journal ClubeMedicineFPIN Clinical InquiriesInfoPOEMsUpToDateDatabasesMEDLINECochrane LibraryCommunity Department

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Electronic textbooks & librariesACP MedicineHarrisonsMD ConsultStat!RefMeta-Search EnginesSUMsearchTripdatabaseNLH/National Library for Health

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Located in clinical settingEasy to useFast Reliable connectionComprehensive/Full textEffective search engineProvides primary dataCommunity Department

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Punya pilihan secondary sourcesCochraneACP journal club

Tidak ada pilihan primary resourcesMedlineMenghabiskan waktu!!!!!Community Department

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Cochrane : http://www.cochrane.orgPubMed: http://www.pubmed.govBMJ: http://www.bmj.comNew England Journal of Medicine: http://www.nejm.comOther search portals or journal websites (free or by subscription)

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MedlineEmbase Cochrane Trials RegistryMedline = Pubmed, Webspirs, OVID, Community Department

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Try all buttonsMake lots of mistakesHave funCommunity Department

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(Population OR synonym 1 OR ) AND(Intervention OR synonym 1 OR ) AND(Comparator OR synonym 1 OR ) AND(Outcome OR synonym 1 OR ) AND FILTER (for best study type)

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FeatureKeyExplanationTruncation* Or $Analy* = analysis, analytic, analytical, analyse, etcExact phrase Words must be adjacent to each otherheart attackWildcard?Gyn?ecology = gynaecology, gynecologyRandomi?* = randomisation, randomization, randomised

BooleanANDArticle must include both termsORArticle can include either termNOTExclude article containing the termExp: econom* NOT economy

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ANDCommunity Department

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ORCommunity Department

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NOTCommunity Department

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Scenario - An immunization and screening booklet asks parents whether they think their child has any problems with hearing. While on a committee reviewing these questions, you wonder about the usefulness of this.QuestionPopulation In well childrenIndicator - does parental report of concern Comparator - nilOutcome predict true hearing problems?Question Type : Diagnostic AccuracyDatabase PubMed: Clinical Queries - diagnosis

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QuestionPopulation (child OR children) ANDIndicator (parent OR parental) ANDComparator - nilOutcome (hearing)Question TypeDx Diagnostic AccuracyDatabase PubMed: Clinical QueriesCommunity Department

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QuestionPopulation (child*) ANDIndicator (parent*) ANDComparator - nilOutcome (hearing) ANDQuestion TypeDx Diagnostic AccuracyDatabase PubMed: Clinical QueriesCommunity Department

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Community DepartmentPubMedhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi

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* Means any other lettersAND means both terms requiredCheck the question typeCheck the emphasisCommunity Department

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British Medical Journalwww.bmj.comCommunity Department

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.PDF file(Open using Adobe Acrobat)

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*