Best Practice-来自BMJ的全新的循证医学在线资源课件

1、26th June 2008 来自BMJ的全新的循证医学在线资源-帮助临床医生有效解决诊、治疑问的权威工具王赫 BMJ GrouphwangDo you ever use it?BMJ Clinical Evidence “临床证据”基于现有各种原始研究证据资源，针对重要的临床问题高度提炼后的总汇。原始研究文献系统性综述 单篇循证文献摘要性评述针对临床问题结合证据的概述 电子临床资讯系统(PubMed Clinical study search)(Clinical Evidence) (Cochrane Library / PubMed-Systematic Review)(Evidence

2、Based Medicine)26th June 2008What is new in Best Practice? 新在何处？For each condition, Best Practice covers the following categories:对每一种收录的疾病都提供了标准结构内容：Highlights 要点: Summary / OverviewBasics 基础: Definition / Epidemiology / Aetiology / Pathophysiology / ClassificationPrevention 预防: Primary / Screening

3、 / SecondaryDiagnosis 诊断: History & Examination / Tests / Differential / Step by Step / Criteria /Guidelines / Case HistoryTreatment 治疗: Details / Step by Step / Emerging / Guidelines / Evidence Follow-up 随访: Recommendations / Complications / PrognosisResources 参考资料: References and Links / Images /

4、Online resources / Patient Leaflets/CreditsA standard monograph for Vitamin C deficiencyStandard Monograph 标准界面Comprehensive information on a specific condition or group of conditions.显示单个或多个病症的综合信息It covers all aspects of the disease including: basic information, prevention, diagnosis, follow up-re

5、commendations and resourcesBasics基础Fundamental information on the topic is provided on the definition, epidemiology, aetiology, pathophysiology and classification. Prevention预防Primary and secondary prevention are discussed. Information on population screening is provided for applicable topics.Standa

6、rd Monograph 标准界面病史和检查 This section takes the user through the process of diagnosis, addressing history and examination, diagnostic tests before elaborating on any possible differential diagnosis.分步诊断 The Step-by-Step section guides the user through a verbal algorithm of the approach to diagnosis.指南

7、 Guidelines appropriate to diagnosis of the condition are listed from international and regional organisations. The user can also upload further guidelines from their local institutions.病例 Case history describes one or two patient vignettes and may also discuss other less common presentations.Diagno

8、sis诊断.Standard Monograph 标准界面Follow-up随访Recommendations, complications and prognosis are discussed. Resources文献资源 参考文献 References are listed; key references highlighted. Most references have abstract and/or full text links.图片资料 Images are presented within the image library and can also be found as i

9、mage tags providing a pop-up image within the text of the monograph. 在线资源 Online resources appropriate to the topic may be listed and link to organisations providing further information on the condition and useful resources used in diagnosis such as patient questionnaires患者教育 Patient leaflets from B

10、est Health are provided for relevant and available Best Health topics.Standard Monograph 标准界面An assessment monograph for chronic coughAssessment Monograph分析和评估界面Information on how to evaluate a symptom, clinical finding or diagnostic test finding 提供关于如何分析症状、临床发现或诊断性检测发现的信息It is presented in the foll

11、owing format: overview, emergencies, diagnosis and resources 包括概览，急诊，诊断和文献资源四个部分Summary may include information on definition, epidemiology, pathophysiology and classification as well as any additional pertinent information on the topic.Aetiology discusses or lists the various differentials causing

12、the symptom, clinical or test findingOverview 概览Assessment Monograph分析和评估界面Step-by-step section 分步诊断This section guides the user through a verbal algorithm of the approach to diagnosis and assists them to arrive at the differential diagnosis.Differential diagnosis鉴别诊断Each individual differential dia

13、gnosis is listed with details on history, examination and tests.Diagnosis诊断Assessment Monograph分析和评估界面文摘或全文链接 References are listed: key references highlighted. Abstract and/or full text links.图片和影音资料 （下载保存）Images are presented within the image library and can also be found as image tags providing a

14、 pop-up image within sections of the monograph专业网站 Online resources appropriate to the topic may be listed and link to organisations providing further information on the condition and useful resources used in diagnosis such as patient questionnaires.患者教育信息 Patient leaflets from Best Health are provi

15、ded for relevant and available Best Health topics.作者和评审专家信息 Credits list the author and peer reviewer details.Resources 文献资源Assessment Monograph分析和评估界面26th June 2008Features 特点：The BMJ Evidence Centre is a division of the BMJ Group. Clinicians know they can trust us. Our expert team search, appraise

16、 and summarise over 200,000 new research articles, in some 8,000 journals, covering over 40 medical specialities, each year BMJ的专家队伍每年检索评估筛选出自8000多种期刊的超过200，000篇新发表的研究文章,涵盖40多个医学专业领域。26th June 2008Features 特点：Best Practice is the best blend of expert opinion, guidelines and research evidence that ma

17、ke it quick and intuitive to use 整合了专家的观点、经验，诊、治指南和最新研究证据，方便用户快捷地找到需要的信息。26th June 2008适合读者范围 Best Practice is designed for26th June 2008Institutions 机构Hospitals 医院Medical schools 医学院 Large primary care practicesBiotech companiesConsumer-facing organisationsSystem vendors Policy makers 政策治定者Medical

18、publishers26th June 2008Individuals 个人Hospital doctors 医生Primary care physiciansAcademic/teaching staff 教学研究人员Student doctors Nurse practitioners 护理人员Pharmacists 药剂师Case 实例Find the answers in 3 Clicks and 30 secondsQuestion:A 56 year old man with diabetes is currently taking lisinopril to control hi

19、s essential hypertension. Today at follow-up, his blood pressure is 150/95, not at goal. How should his therapy be modified?56岁男性糖尿病患者，服用赖诺普利控制原发性高血压。今天血压测试结果为150/95，如何调整其治疗？Case 实例Click 2: 选择 TreatmentFind the answers in 3 Clicks and 30 secondsClick 3: 找到患者群，评估治疗方法Other features 其它特点Best Practice is available in 17 other langua