Escolar Documentos
Profissional Documentos
Cultura Documentos
RETRIEVEING
INFORMATION
Why do we need EBM?
Save LIVES!
Encainide and flecainide for ventricular arrhythmia
Well proven to decrease the number of premature ventricular
beats became widely used 1980s
BUT
Further studies showed significant INCREASE in
MORTALITY died from other cardiac complications and
dysrhythmias ( a dangerous DOE)
Thrombolytics for acute MI
CLEAR evidence of benefit in the 1970s
Not widely recommended until 1988 almost 13 yrs later
How many thousands of people died unnecessarily in the
years in between?
SHIFTING PARADIGM
Scientific/medical
information
Clinical
problems
Evidence-based Medicine
Why do we need EBM?
We want to do the right thing what is
best for our patients
Practice variations that do not make
sense . . .
Not to doctors
Not to patients
Not to payors
Not to policy makers
Current vs future knowledge
validity
Established technology
Late adopters
OR
OR
College 17,320,770
University 33,685,205
college OR university 33,702,660
The more terms or concepts we
combine in a search with OR logic, the
more records we will retrieve
Search terms Results
College 17,320,770
University 33,685,205
College OR university 3,702,660
College OR university OR campus 33,703,082
AND
Poverty 783,447
Crime 2,962,165
poverty AND crime 1,677
The more terms or concepts we combine in a
search with AND logic, the fewer records we will
retrieve
Search terms Results
Poverty 783,447
Crime 2,962,165
poverty AND crime 1,677
poverty AND crime AND gender 76
NOT
Cats 3,651,252
Dogs 4,556,515
cats NOT dogs 81,497
Full Boolean logic with the use of the
logical operators
protein kinase c
Purdue
Author
signal transduction
"signal transduction"
child*
phospha*
thrombin
Thrombin
How to search
Where to search
What to search
Which one could answer the
question
Why do you choose the final one