数据库使用说明

UpToDate循证医学数据库内容说明以及使用操作 鄭如雅ccheng 大纲 什么是UpToDateUpToDate主要特点EvidenceGrading证据等级检索UpToDate问题与讨论 2 什么是UpToDate 3 填补空白 4 UpToDate的主要特点 5 使用UpToDate的医院 UnitedStates美国JohnsHopkinsHospitalMayoFoundationUCLCMedicalCenterMassachusettsGeneralHospitalUniversityofCalifornia SanFranciscoMedicalCenterAustralia澳大利亚QueenslandHealthNorthernSydneyHealthRoyalPerthHospital 6 亚洲使用UpToDate的医院 SingaporeGeneralHospitalNationalUniversityHospital SingaporeNationalTaiwanUniversityHospitalChangGungMemorialHospitalSeoulNationalUniversityHospital KoreaYonseiUniversityMedicalCenter KoreaUniversityofMalayaMedicalCenter MalaysiaPenangAdventistHospital MalaysiaKingChulalongkornMemorialHospital ThailandAngkorHospitalforChildren Cambodia 7 UpToDate的主要特点 8 EvidenceGrading循据等级 In2001 webeganacollaborationwithGordonGuyatt aworldleaderinEBM andhiscolleaguesintheinternationalGRADEcollaborativetoimplementagradingsystemforrecommendationsUpToDategradesspecifictreatmentandscreeningrecommendations 9 EvidenceGrading循据等级 10 检索UpToDate 11 NewSearch单一检索方式Search displayresults topicreview output检索 浏览检索结果 如何使用内容 输出Others其它功能Evidencegrading如何找到证据等级RECOMMENDATIONSPatientInformation卫教资料What snew各科新知125Calculators医学电子表格DrugInteractions药物交互作用 HowtouseUpToDatebasedonaClinicalscenario A50yearoldwomanisobese BMI 32 andhashypertension Shehasnotachievedweightlossdespitecounselingfordietandlifestylechanges Whatisthebestmedicationforpharmacologicmanagementofherobesity 有一位50岁的女性 BMI是32 而且有高血压 她透过节食和改变生活习惯来减肥 但是失败了 现在希望可以直接吃药来达到减肥的目的 什么药物可以让她减肥又不会影响到她的高血压的症状呢 Keyword Obesitydrug 12 Q A 13 Specialties AdultandPediatricEmergencyMedicine急诊AdultPrimaryCare InternalMedicine一般内科AllergyandImmunology过敏免疫CardiovascularMedicine心脏内科Endocrinology Diabetes内分泌及糖尿病FamilyMedicine家庭医学Gastroenterology Hepatology肝胆肠胃科Hematology血液科HospitalMedicine医院医学InfectiousDiseases感染科Nephrology Hypertension肾脏科及高血压Neurology神经内科Obstetrics Gynecology Women sHealth妇产科Oncology肿瘤科Pediatrics小儿科Pulmonary CriticalCare SleepMedicine胸腔内科以及重