15. 2º elemento 3 er elemento 1er elemento Elementos o componentes de la pregunta clínica bien formulada Términos : ________ ________ ________ Términos : ________ ________ ________ Términos : ________ ________ ________ P aciente I ntervención O utcomes sinónimos sinónimos sinónimos
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19. Identificar y seleccionar las herramientas de búsqueda de acuerdo con : con que rapidez ¿que se necesita? de acuerdo con: Tipo de pregunta Tipo de evidencia requerido
El primer paso es convertir el problema o caso clínico en una pregunta susceptible de ser respondida, a menudo surgen varias interrogantes o preguntas dentro de un “caso clínico”. Se debe elegir la pregunta mas relevante, y una vez elegida se debe formular. ¿Que es formular una pregunta ? Formular una pregunta es reducirla a términos claros y precisos, básicamente consiste en dividirla en sus elementos principales. El ejercicio de escribir y descomponerla en sus componentes es útil para simplificarlas y aclararlas, seguir una sistemática, y sobre todo para facilítanos la búsqueda de las "evidencias" o pruebas
Go back to the three questions you wrote down about our patient. Are they “background” or “foreground” questions? Do your “background” questions specify the two components (root with verb and condition) Do your “foreground” questions contain three or four components (patient/problem, intervention, comparison, and outcome)? If not, try rewriting them to include these components, and consider whether these revised questions are clearer.
BMJ 1997;315:1636 (20 December) Choosing the best research design for each question It's time to stop squabbling over the "best" methods Our thesis is short: the question being asked determines the appropriate research architecture, strategy, and tactics to be used—not tradition, authority, experts, paradigms, or schools of thought. http://www.bmj.com/cgi/content/full/315/7123/1636
Poner ejemplo a elegir
De wikipedia GoPubMed es un buscador basado en conocimientos (knowledge-based) para textos biomédicos. Gene Ontology (GO) y Medical Subject Headings (MeSH) sirven como una “tabla de contenidos” con el objeto de organizar millones de publicaciones de MEDLINE . La tecnología usada en GoPubmed es genérica y puede ser aplicada a toda clase de textos. GoPubMed es uno de los primeros buscadores de la Web 2.0 . El buscador fue desarrollado por la Universidad Técnica de Dresde , Alemania en el grupo del Profesor Michael Schroeder en conjunto con Transinsight. GoPubmed.com, el buscador semántico de Transinsight, ha sido galardonado con el prestigioso premio “red dot“ en la categoría “best of the best” 2009 en diseño de comunicación (interfaz gráfica del usuario y herramientas interactivas). En el 2009 hubo un total de 6.112 participantes de 42 diferentes países. El jurado seleccionó a 470 para el premio “red dot” y sólo 56 fueron galardonados con el “best of the best red dot“. Estos últimos participarán en la ronda final por el premio “grand prix”. El equipo de trabajo de Transinsight se siente orgulloso de recibir este prestigioso premio.
OTseeker is a database that contains abstracts of systematic reviews and randomised controlled trials relevant to occupational therapy. Trials have been critically appraised and rated to assist you to evaluate their validity and interpretability. These ratings will help you to judge the quality and usefulness of trials for informing clinical interventions. In one database, OTseeker provides you with fast and easy access to trials from a wide range of sources.
Curbside.MD utilizes Praxeon's patent-pending semantic fingerprinting technology. This technology uses a sophisticated model of medical terminology to extract the meaning and relationships of words within any unstructured text source. What does that mean? That means you can enter naturally phrased clinical questions to search evidence based material. Think of the question like you were asking a colleague - that's the level of depth and breadth Curbside.MD can handle. The more details you enter, the more accurate the search results. Enter patient information, specific disease concepts, drug dosages - the more information the better! Where can I find my answer? The Results Summary Page is your first glimpse into the search results. In many cases you should be able to find your answer right on this first page. We've made finding your answer easy by dividing the results into a couple of easy to navigate categories: Best Hits This presents the most relevant results across ALL of our evidence based content sources. If you have a specific clinical situation in mind, you can refine the best hits using one of the tabs on the left for either differential diagnosis, work-up, treatment, epidemiology, case reports. Visual Diagnosis These are peer-reviewed images from premier sources that are pertinent to your search. You can click on the image, read the caption and even move it to a different location on the screen. Quick Consult These are high-level, overview articles when you're not entirely familiar with the topic you are searching. The first part of Quick Consult is "Guidelines, recommendations and drug overview." This contains material from the National Guidelines Clearinghouse , the FDA and professional societies. The second part of Quick Consult is "Review articles" and contains review articles from top tier journals found in PubMed The Best Evidence These are in-depth, focused articles when you're more familiar with the area you are searching. The Best Evidence is divided into systematic reviews, including articles from the Cochrane Collaboration, ACP Journal Club and meta-analyses and clinical trial outcomes, including results from randomized controlled and other clinical trials. Clinical Trials These are trials from ClinicalTrials.gov with high relevancy to your query.