4 Part Questions
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Transcript of 4 Part Questions
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4 Part Questions
• Patient or problem• Intervention• Comparison intervention (if necessary)• Outcome(s)
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4 Part PICO Questions
• Patient or problem• Intervention• Comparison intervention (if necessary)• Outcome(s)
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4 Domains of EBM
• Treatment• Diagnosis• Prognosis• Causation/Etiology
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Etiology/Harm
• P – Does a newborn • I – given vitamin K at birth• C – compared to no vitamin K• O – have an increase in cancer later in life?
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یا زونالین؟ Zoe* خمیر پالپوتومی :
چقدر است؟ خیلی غلیظ!؟ نیمه غلیظ!؟ Zoeغلظت *
کم غلیظ؟! رقیق !؟ خامه ای !؟ )خامه چند درصد !!!(
با پوسیدگی پروگزیمالی D* درمان پالپوتومی دندان
حتی اگه به پالپ نرسه! چرا؟
*DMF در mixed dentitionچطور محاسبه میشود؟
رادیوگرافی میخواهد یا نه؟ کدام دندان حساب است و کدام نه؟
* مسواک برقی یا دستی؟
پروفیالکسی بیماران قلبی؟*
* پروفیالکسی قبل از فلوراید تراپی؟
روش مسواک زدن؟*
* آمالگام یا کامپوزیت؟
؟7 یا 6 یا 5 یا 4باندینگ نسل *
* فلوراید سیستمیک، مفید یا بی فایده؟
*SM ( ؟ 1,2 ثابت یا متحرک )قبل از رویش
یا پالپکتومی؟ EXT ( D* دندان شیری با آبسه )بخصوص
`زمان قطعی شروع درمان ارتدنسی؟*
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پریودونتال • پانسمان خمیرنه؟ یا آری
یا • فلپ ویدمن مدیفایدفلپ؟ پوزیشن آپیکالی
مسواک برقی یا دستی؟•پروفیالکسی بیماران •
قلبی؟ روش مسواک زدن؟••GBRبا چه ماده ای؟ •Immediate loading or
Delayed loading?آنتی بیوتیک همراه •
Scaling؟
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قدم اولقدم اول
همیشه سواالتی که در کلینیک پیش
می آید را یادداشت کنید
(Questions Log! )
همیشه سواالتی که در کلینیک پیش
می آید را یادداشت کنید
(Questions Log! )
آیا مسواکهای سوال بیمار:برقی بهترند ؟
کدام یک؟
آیا مسواکهای سوال بیمار:برقی بهترند ؟
کدام یک؟شما چه می کنید، جواب شما
چیست؟شما چه می کنید، جواب شما
چیست؟
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POPULATION (PATIENT)
INTERVENTION
COMPARISON
OUTCOME
یک سوال قابل طرح ؟
PICO
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• You have been treating a 54-year old woman for many years and despite the excellence of your fixed partial denture restorations, the intense routine maintenance by her periodontist, and good homecare, she has been experiencing a continued deterioration of her periodontal tissues. Her attempts to quit smoking have been unsuccessful; otherwise she is in good health and taking no medications. Because you are her primary care dentist, she has questioned you about her current dilemma. The periodontist has suggested a 3-week course of doxycycline therapy to control her latest exacerbation of periodontal disease, but she is concerned about Food and Drug Administration (FDA) reports asking for prudent use of antibiotics. How do you advise this patient?
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• PATIENT/PROBLEM• 54 year old woman with exacerbation of
periodontal disease• INTERVENTION • doxycyline• COMPARISON INTERVENTION• no treatment• OUTCOME • less gum bleeding • stop recession
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• For a 54 year old woman with periodontal disease, how effective is the therapeutic use of doxcyline decrease gum bleeding and recession compared to no treatment?
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“In a geriatric population, fluoride varnishapplication to exposed root surface is moreeffective than ‘Brand X’ desensitizing agent inreducing dental sensitivity.”
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: پریودونتال بیماریهای به مبتال بیماران Pدربرقی مسواک از I :استفاده
: معمولی مسواک با مقایسه Cدردندانی پالک کاهش O :در
دارد؟ تاثیری چه
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•: پریودونتیت به مبتال بیماران Pدربا • همراه خوراکی بیوتیک انتی از استفاده
Scaling :I
با • مقایسه :Scalingدر Cتنها پاکت • عمق کاهش O :دردارد؟ • تاثیری چه
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Educational Prescriptions
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What is an educational prescription?
• It specifies the clinical problem that generated the question.
• It states the question, in all of its key elements. • It specifies who is responsible for answering it. • It reminds everyone of the deadline for
answering it (taking into account the urgency of the clinical problem that generated it).
• Finally, it reminds everyone of the steps of searching, critically appraising and relating the answer back to the patient.
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• P: )Mouth or Oral or Teeth or Tooth) AND
• I : Power* Toothbrush AND
• C : Manual AND
• O : (Oral health or Plaque Removal)
• P: )Mouth or Oral or Teeth or Tooth) AND
• I : Power* Toothbrush AND
• C : Manual AND
• O : (Oral health or Plaque Removal)
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ConclusionConclusion