REF=3D"script.js", FULLSCR_=
HREF=3D"fullscreen.htm";
var gCurSld =3D gPrevSld =3D 1, g_offset =3D 0, gNtsOpen =3D gHasNts =3D gO=
tlTxtExp =3D 0, gHasNarration =3D 0, gOtlOpen =3D true
window.gPPTHTML=3DSupportsPPTHTML()
var gMainDoc=3Dnew Array(new hrefList("slide0088.htm",1,-1,1),new hrefList(=
"slide0091.htm",1,-1,1),new hrefList("slide0154.htm",1,-1,1),new hrefList("=
slide0084.htm",1,-1,1),new hrefList("slide0061.htm",1,-1,1),new hrefList("s=
lide0092.htm",1,-1,1),new hrefList("slide0093.htm",1,-1,1),new hrefList("sl=
ide0050.htm",1,-1,1),new hrefList("slide0011.htm",1,-1,1),new hrefList("sli=
de0095.htm",1,-1,1),new hrefList("slide0003.htm",1,-1,1),new hrefList("slid=
e0097.htm",1,-1,1),new hrefList("slide0102.htm",1,-1,1),new hrefList("slide=
0144.htm",1,-1,1),new hrefList("slide0149.htm",1,-1,1),new hrefList("slide0=
150.htm",1,-1,1),new hrefList("slide0151.htm",1,-1,1),new hrefList("slide01=
03.htm",1,-1,1),new hrefList("slide0104.htm",1,-1,1),new hrefList("slide010=
1.htm",1,-1,1),new hrefList("slide0106.htm",1,-1,1),new hrefList("slide0152=
.htm",1,-1,1),new hrefList("slide0108.htm",1,-1,1),new hrefList("slide0137.=
htm",1,-1,1),new hrefList("slide0131.htm",1,-1,1),new hrefList("slide0126.h=
tm",1,-1,1),new hrefList("slide0153.htm",1,-1,1),new hrefList("slide0141.ht=
m",1,-1,1),new hrefList("slide0145.htm",1,-1,1),new hrefList("slide0148.htm=
",1,-1,1),new hrefList("slide0122.htm",1,-1,1),new hrefList("slide0123.htm"=
,1,-1,1),new hrefList("slide0127.htm",1,-1,1),new hrefList("slide0112.htm",=
1,-1,1),new hrefList("slide0128.htm",1,-1,1),new hrefList("slide0129.htm",1=
,-1,1));
function FullScrInit()
{
	g_allowAdvOnClick =3D GetCurSld().mAdvOnClk
	document.body.style.backgroundColor=3D"black"
	document.oncontextmenu=3Dparent._CM;
	document.onkeydown =3D _KDH;
	document.ondragstart=3DCancel
	document.onselectstart=3DCancel
	self.focus()
}
function Redirect( frmId )
{
	var str=3Ddocument.location.hash,idx=3Dstr.indexOf('#'), sId=3DGetSldId()
	if(idx>=3D0) str=3Dstr.substr(1);
	if( window.name !=3D frmId && ( sId !=3D str) ) {
		obj =3D GetObj("Main-File")
		window.location.href=3Dobj.href+"#"+sId
		return 1
	}
	return 0
}
var MHTMLPrefix =3D CalculateMHTMLPrefix();
function CalculateMHTMLPrefix()
{
	if ( document.location.protocol =3D=3D 'mhtml:') {
		href=3Dnew String(document.location.href)
		Start=3Dhref.indexOf('!')+1
		End=3Dhref.lastIndexOf('/')+1
		if (End < Start)
			return href.substring(0, Start)
		else
		return href.substring(0, End)
	}
	return '';
}
function GetTags(base,tag)
{
	if(g_supportsPPTHTML) return base.all.tags(tag);
	else return base.getElementsByTagName(tag);
}
function UpdNtsPane(){ if(frames["PPTNts"]) PPTNts.location.replace( MHTMLP=
refix+GetHrefObj( gCurSld ).mNtsHref ) }
function UpdNavPane( sldIndex ){ if(gNavLoaded) PPTNav.UpdNav() }
function UpdOtNavPane(){ if(gOtlNavLoaded) PPTOtlNav.UpdOtlNav() }
function UpdOtlPane(){ if(gOtlLoaded) PPTOtl.UpdOtl() }
function SetHasNts( fVal )
{
	if( gHasNts !=3D fVal ) {
		gHasNts=3DfVal
		UpdNavPane()
	}
}
function ToggleOtlText()
{
	gOtlTxtExp=3D!gOtlTxtExp
	UpdOtlPane()
}
function ToggleOtlPane()
{
	frmset=3Ddocument.all("PPTHorizAdjust")
	frm=3Ddocument.all("PPTOtl")
	if( gOtlOpen )
		frmset.cols=3D"*,100%"
	else
		frmset.cols=3D"25%,*"
	gOtlOpen=3D!gOtlOpen
	frm.noResize=3D!frm.noResize
	UpdOtNavPane()
}
function ToggleNtsPane()
{
	frmset=3Ddocument.all("PPTVertAdjust")
	frm=3Ddocument.all("PPTNts")
	if( gNtsOpen )
		frmset.rows=3D"100%,*"
	else
		frmset.rows=3D"*,20%"
	gNtsOpen=3D!gNtsOpen
	UpdNtsPane()
}
function ClearMedia()
{
	if (PPTSld.pptSound) PPTSld.pptSound.loop =3D 0;
}
function FullScreen()
{
	if ( PPTSld.g_animUseRuntime )
		PPTSld.document.body.pause();
	ClearMedia();
	var href =3D ( document.location.protocol =3D=3D 'mhtml:') ? FULLSCR_HREF =
: FULLSCR_HREF+"#"+GetHrefObj(gCurSld).mSldHref;
	if(PPTNav.event.ctrlKey) {
		var w =3D (window.screen.availWidth * 1.0) / 2.0
		var h =3D w * (PPTSld.g_origH * 1.0) / PPTSld.g_origW
		win =3D window.open( MHTMLPrefix+href,null,"toolbar=3D0,resizable=3D1,top=
=3D0,left=3D0," + "width=3D"+ w + ",height=3D" + h );
		if( PPTSld.g_animUseRuntime )
			win.document.body.PPTSldFrameset=3Dwindow;
	}
	else
	{
		win =3D window.open( MHTMLPrefix+href,null,"fullscreen=3Dyes" );
		if( PPTSld.g_animUseRuntime )
			win.document.body.PPTSldFrameset=3Dwindow;
	}
}
function ToggleVNarration()
{
	rObj=3DPPTSld.document.all("NSPlay")
	if( rObj && !PPTSld.g_animUseRuntime ) {
		if( (rObj.playState =3D=3D 1)||(rObj.playState =3D=3D 0) )
			rObj.Play()
		else if( rObj.playState =3D=3D 2 )
			rObj.Pause()
		else
			return;
	}
	else if( PPTSld.g_animUseRuntime )
	{
		narObj =3D PPTSld.document.all("narrationID")
		if( narObj )
			narObj.togglePause()
	}
}
function GetCurSldNum()
{
	obj=3DGetHrefObj(gCurSld)
	if( obj.mOrigVis =3D=3D 1 )
		return obj.mSldIdx
	else
		return gCurSld
}
function GetNumSlds()
{
	if( GetHrefObj(gCurSld).mOrigVis =3D=3D 1 )
		return GetSldList().mNumVisSlds;
	else
		return GetSldList().mList.length
}
function GetSldNum( href )
{
	for(ii=3D0; ii<GetSldList().mList.length; ii++) {
		if ( GetSldList().mList[ii].mSldHref =3D=3D href )
			return ii+1
	}
	return 1
}
function GetHrefObj( sldIdx ){ return GetSldList().mList[sldIdx-1] }
function IsFramesMode(){ return ( SCREEN_MODE =3D=3D "Frames" ) }
function IsFullScrMode(){ return ( SCREEN_MODE =3D=3D "FullScreen" ) }
function GoToNextSld()
{
	ii=3DgCurSld + 1
	if( GetHrefObj( ii-1 ).mOrigVis =3D=3D 0 ) {
		if( ii<=3DGetSldList().mList.length ) {
			obj=3DGetHrefObj(ii)
			obj.mVis=3D1
			GoToSldNum(ii)
			return
		}
	}
	else {
		obj=3DGetHrefObj( ii )
		while ( obj && ( obj.mOrigVis =3D=3D 0 ) )
			obj=3DGetHrefObj(++ii)
		if( obj && obj.mOrigVis ) {
			GoToSldNum(ii)
			return
		}
	}
	if( gSldStack.length > 1 )
		PopSldList();
	else if( !IsFramesMode() ) {
                if( gLoopCont )
			GoToFirst()
                else
			EndShow()
	}
}
function GoToPrevSld()
{
	ii=3DgCurSld-1
	if( ii > 0 ) {
		obj=3DGetHrefObj(ii)
		while ( obj && ( obj.mVis =3D=3D 0 ) && ( ii>0 ) )
			obj=3DGetHrefObj(--ii)
        if( ii =3D=3D 0 ) ii=3D1
		GoToSldNum(ii)
	}
}
function GoToFirst(){ GoToSld( GetHrefObj(1).mSldHref ) }
function GoToLast()
{
	ii=3DGetSldList().mList.length
	if( ii !=3D gCurSld )
		GoToSld( GetHrefObj(ii).mSldHref )
}
function GoToSldNum( num )
{
	if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue
	obj =3D GetHrefObj( num )
	obj.mVis=3D1
	gPrevSld=3DgCurSld
	gCurSld =3D num;
	PPTSld.location.replace(MHTMLPrefix+obj.mSldHref)
	if( IsFramesMode() ) {
		UpdNavPane(); UpdOtlPane(); UpdNtsPane()
	}
}
function GoToSld( href )
{
	if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue
	GetHrefObj( GetSldNum(href) ).mVis=3D1
	PPTSld.location.replace(MHTMLPrefix+href)
}
function SldUpdated( id )
{
	if( id =3D=3D GetHrefObj(gCurSld).mSldHref ) return
	gPrevSld=3DgCurSld
	gCurSld=3DGetSldNum(id)
	if( IsFramesMode() ) {
		UpdNavPane(); UpdOtlPane(); UpdNtsPane()
	}
}
function PrevSldViewed(){ GoToSld( GetHrefObj(gPrevSld).mSldHref ) }
function HasPrevSld() { return ( gIsEndShow || ( gCurSld !=3D 1 && GetHrefO=
bj( gCurSld-1 ).mVis =3D=3D 1 )||( GetCurSldNum() > 1 ) ) }
function HasNextSld() { return (GetCurSldNum() !=3D GetNumSlds()) }
function CloseWindow() {
	if( HideMenu() ) return;
	var event =3D PPTSld.event;
	if( !IsFramesMode() && event && (event.keyCode=3D=3D27 || event.keyCode=3D=
=3D32 || event.type=3D=3D"click" ) )
		window.close( self );
	CatchNumKeys( self, event );
}
function Unload() { gIsEndShow=3D0; }
function SetupEndShow() {
	gIsEndShow=3D1;
	PPTSld.document.body.scroll=3D"no";
	PPTSld.document.onkeypress=3DCloseWindow;
	PPTSld.document.onclick=3DCloseWindow;
	PPTSld.document.oncontextmenu=3D_CM;
}
function EndShow()
{
	if( IsFramesMode() ) return
	if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue
	doc=3DPPTSld.document
	doc.open()
	doc.writeln('<html><body bgcolor=3Dblack onload=3Dparent.SetupEndShow() on=
unload=3Dparent.Unload()><center><p><font face=3DTahoma color=3Dwhite size=
=3D2><br><b>' + ENDSHOW_MESG + '</b></font></p></center></body></html>')
	doc.close()
}
function SetSldVisited(){ GetSldList().mList[gCurSld-1].mVisited=3Dtrue }
function IsSldVisited(){ return GetSldList().mList[gCurSld-1].mVisited }
function hrefList( sldHref, visible, advDelay, advClk )
{
	this.mSldHref=3D this.mNtsHref =3D sldHref
	this.mOrigVis=3D this.mVis =3D visible
	this.mVisited=3D false
	this.mAdvDelay=3D advDelay
	this.mAdvOnClk=3D advClk
}
function SldList(arr,curSld,fEnd)
{
	this.mCurSld =3D curSld;
	this.mList =3D new Array();
	var idx =3D 1;
	for(ii=3D0;ii<arr.length;ii++) {
		this.mList[ii] =3D new hrefList( arr[ii].mSldHref, arr[ii].mOrigVis, arr[=
ii].mAdvDelay, arr[ii].mAdvOnClk );
		if( arr[ii].mOrigVis )
			this.mList[ii].mSldIdx =3D idx++;
	}
	this.mNumVisSlds =3D idx-1;
	this.fEndShow =3D fEnd;
}
function GetSldList() {	return gSldStack[gSldStack.length-1] }
function GetCurSld() { return parent.GetSldList().mList[parent.gCurSld - 1]=
 }
gSldStack =3D new Array();
gSldStack[0] =3D new SldList(gMainDoc,gCurSld,1)
function ViewCustomShow(idx,fEnd)
{
	if( !IsFullScrMode() ) return;
	var sldList =3D new Array();
	var custShow =3D custShowList[idx-1];
	var jj =3D 0;
	for( ii=3D0;ii<custShow.length;ii++ ) {
		if( custShow[ii] <=3D gMainDoc.length )
			sldList[jj++] =3D gMainDoc[custShow[ii]-1];
	}
	if (sldList.length > 0) {
	PushSldList(sldList,fEnd);
	gCurSld =3D 1;
	}
	else
		if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue
}
function PushSldList(arr,fEnd) {
	var ii =3D gSldStack.length;
	gSldStack[ii] =3D new SldList(arr,gCurSld,fEnd);
	GoToSld( gSldStack[ii].mList[0].mSldHref );
}
function PopSldList() {
	if (gSldStack[gSldStack.length-1].fEndShow)
		EndShow()
	else {
	gCurSld =3D gSldStack[gSldStack.length-1].mCurSld;
	gSldStack[gSldStack.length-1] =3D null;
	gSldStack.length--;
	var sldList =3D gSldStack[gSldStack.length-1];
	GoToSld( sldList.mList[gCurSld - 1].mSldHref );
	}
}
var custShowList=3Dnew Array();
function ImgBtn( oId,bId,w,action )
{
	var t=3Dthis
	t.Perform    =3D _IBP
	t.SetActive  =3D _IBSetA
	t.SetInactive=3D _IBSetI
	t.SetPressed =3D _IBSetP
	t.SetDisabled=3D _IBSetD
	t.Enabled    =3D _IBSetE
	t.ChangeIcon =3D null
	t.UserAction =3D action
	t.ChgState   =3D _IBUI
	t.mObjId   =3D oId
	t.mBorderId=3D bId
	t.mWidth   =3D w
	t.mIsOn    =3D t.mCurState =3D 0
}
function _IBSetA()
{
	if( this.mIsOn ) {
		obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 )
		obj.style.posTop=3D0
	}
}
function _IBSetI()
{
	if( this.mIsOn ) {
		obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 )
		obj.style.posTop=3D0
	}
}
function _IBSetP()
{
	if( this.mIsOn ) {
		obj=3Dthis.ChgState( gShadowClr,gHiliteClr,2 )
		obj.style.posLeft+=3D1; obj.style.posTop+=3D1
	}
}
function _IBSetD()
{
	obj=3Dthis.ChgState( gFaceClr,gFaceClr,0 )
	obj.style.posTop=3D0
}
function _IBSetE( state )
{
	var t=3Dthis
	GetObj( t.mBorderId ).style.visibility=3D"visible"
	if( state !=3D t.mIsOn ) {
		t.mIsOn=3Dstate
		if( state )
			t.SetInactive()
		else
			t.SetDisabled()
	}
}
function _IBP()
{
	var t=3Dthis
	if( t.mIsOn ) {
		if( t.UserAction !=3D null )
			t.UserAction()
		if( t.ChangeIcon ) {
			obj=3DGetObj(t.mObjId)
			if( t.ChangeIcon() )
				obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-4)*t.mWidth
			else
				obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-0)*t.mWidth
		}
		t.SetActive()
	}
}
function _IBUI( clr1,clr2,nextState )
{
	var t=3Dthis
	SetBorder( GetObj( t.mBorderId ),clr1,clr2 )
	obj=3DGetObj( t.mObjId )
	obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-nextState)*t.mWidth-obj=
.style.posTop
	t.mCurState=3DnextState
	return obj
}
function TxtBtn( oId,oeId,action,chkState )
{
	var t=3Dthis
	t.Perform    =3D _TBP
	t.SetActive  =3D _TBSetA
	t.SetInactive=3D _TBSetI
	t.SetPressed =3D _TBSetP
	t.SetDisabled=3D _TBSetD
	t.SetEnabled =3D _TBSetE
	t.GetState   =3D chkState
	t.UserAction =3D action
	t.ChgState   =3D _TBUI
	t.mObjId      =3D oId
	t.m_elementsId=3D oeId
	t.mIsOn       =3D 1
}
function _TBSetA()
{
	var t=3Dthis
	if( t.mIsOn && !t.GetState() )
		t.ChgState( gHiliteClr,gShadowClr,0,0 )
}
function _TBSetI()
{
	var t=3Dthis
	if( t.mIsOn && !t.GetState() )
		t.ChgState( gFaceClr,gFaceClr,0,0 )
}
function _TBSetP()
{
	if( this.mIsOn )
		this.ChgState( gShadowClr,gHiliteClr,1,1 )
}
function _TBSetD()
{
	this.ChgState( gFaceClr,gFaceClr,0,0 )
	this.mIsOn =3D 0
}
function _TBSetE()
{
	var t=3Dthis
	if( !t.GetState() )
		t.ChgState( gFaceClr,gFaceClr,0,0 )
	else
		t.ChgState( gShadowClr,gHiliteClr,1,1 )
	t.mIsOn =3D 1
}
function _TBP()
{
	var t=3Dthis
	if( t.mIsOn ) {
		if( t.UserAction !=3D null )
			t.UserAction()
        if( !t.GetState )
            return
		if( t.GetState() )
			t.SetPressed()
		else
			t.SetActive()
	}
}
function _TBUI( clr1,clr2,lOffset,tOffset )
{
	SetBorder( GetObj( this.mObjId ),clr1,clr2 )
	Offset( GetObj( this.m_elementsId ),lOffset,tOffset )
}
function Offset( obj, top, left ){ obj.style.top=3Dtop; obj.style.left=3Dle=
ft }
function SetBorder( obj, upperLeft, lowerRight )
{
	s=3Dobj.style;
	s.borderStyle      =3D "solid"
	s.borderWidth      =3D 1
	s.borderLeftColor  =3D s.borderTopColor =3D upperLeft
	s.borderBottomColor=3D s.borderRightColor =3D lowerRight
}
function GetBtnObj(){ return gBtnArr[window.event.srcElement.id] }
function BtnOnOver(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetActive() }
function BtnOnDown(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetPressed() }
function BtnOnOut(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetInactive() }
function BtnOnUp()
{
	b=3DGetBtnObj()
	if( b !=3D null )
		b.Perform()
	else
		Upd()
}
function GetNtsState(){ return parent.gNtsOpen }
function GetOtlState(){ return parent.gOtlOpen }
function GetOtlTxtState(){ return parent.gOtlTxtExp }
function NtsBtnSetFlag( fVal )
{
	s=3Ddocument.all.item( this.m_flagId ).style
	s.display=3D"none"
	if( fVal )
		s.display=3D""
	else
		s.display=3D"none"
}
function _BSetA_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S=
etActive() }
function _BSetI_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S=
etInactive() }
var gHiliteClr=3D"THREEDHIGHLIGHT",gShadowClr=3D"THREEDSHADOW",gFaceClr=3D"=
THREEDFACE"
var gBtnArr =3D new Array()
gBtnArr["nb_otl"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOtlPan=
e,GetOtlState )
gBtnArr["nb_otlElem"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOt=
lPane,GetOtlState )
gBtnArr["nb_nts"] =3D new TxtBtn( "nb_nts","nb_ntsElem",parent.ToggleNtsPan=
e,GetNtsState )
gBtnArr["nb_prev"]=3D new ImgBtn( "nb_prev","nb_prevBorder",30,parent.GoToP=
revSld )
gBtnArr["nb_next"]=3D new ImgBtn( "nb_next","nb_nextBorder",30,parent.GoToN=
extSld )
gBtnArr["nb_sldshw"]=3D new ImgBtn( "nb_sldshw","nb_sldshwBorder",18,parent=
.FullScreen )
gBtnArr["nb_sldshwBorder"] =3D new TxtBtn( "nb_sldshw","nb_sldshwBorder",pa=
rent.FullScreen,null )
gBtnArr["nb_sldshwBorder"].SetActive =3D _BSetA_Border;
gBtnArr["nb_sldshwBorder"].SetInactive =3D _BSetI_Border;
gBtnArr["nb_sldshwText"] =3D new TxtBtn( "nb_sldshw","nb_sldshwText",parent=
.FullScreen,null )
gBtnArr["nb_sldshwText"].SetActive =3D _BSetA_Border;
gBtnArr["nb_sldshwText"].SetInactive =3D _BSetI_Border;
gBtnArr["nb_voice"]  =3D new ImgBtn( "nb_voice","nb_voiceBorder",18,parent.=
ToggleVNarration )
gBtnArr["nb_otlTxt"]=3D new ImgBtn( "nb_otlTxt","nb_otlTxtBorder",23,parent=
.ToggleOtlText )
gBtnArr["nb_nts"].m_flagId=3D "notes_flag"
gBtnArr["nb_nts"].SetFlag =3D NtsBtnSetFlag
gBtnArr["nb_otlTxt"].ChangeIcon=3D GetOtlTxtState
var sNext=3D"Next",sPrev=3D"Previous",sEnd=3D"End Show",sFont=3D"Arial",sAr=
row=3D"Arrow",sFreeform=3D"Freeform",sRect=3D"Rectangle",sOval=3D"Oval"
function ShowMenu()
{
	BuildMenu();
	var doc=3DPPTSld.document.body,x=3DPPTSld.event.clientX+doc.scrollLeft,y=
=3DPPTSld.event.clientY+doc.scrollTop
	m =3D PPTSld.document.all.item("ctxtmenu")
	m.style.pixelLeft=3Dx
	if( (x+m.scrollWidth > doc.clientWidth)&&(x-m.scrollWidth > 0) )
		m.style.pixelLeft=3Dx-m.scrollWidth
	m.style.pixelTop=3Dy
	if( (y+m.scrollHeight > doc.clientHeight)&&(y-m.scrollHeight > 0) )
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------=_NextPart_01C317A1.C1A2A0A0
Content-Location: file:///C:/04C8DEAF/EBM_intro_files/fullscreen.htm
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<link rel=3DPreview href=3Dpreview.wmf>
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------=_NextPart_01C317A1.C1A2A0A0
Content-Location: file:///C:/04C8DEAF/EBM_intro_files/frame.htm
Content-Transfer-Encoding: quoted-printable
Content-Type: text/html; charset="us-ascii"

<html>

<head>
<meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii">
<meta name=3DProgId content=3DPowerPoint.Slide>
<meta name=3DGenerator content=3D"Microsoft PowerPoint 10">
<link id=3DMain-File rel=3DMain-File href=3D"../EBM_intro.htm">
<link rel=3DPreview href=3Dpreview.wmf>
<title>Evidence Based Primary Care</title>
<![if IE]>
<base href=3D"file:///C:\04C8DEAF\EBM_intro_files\frame.htm"
id=3D"webarch_temp_base_tag">
<![endif]><![if !ppt]><script src=3Dscript.js></script><script>
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var gNavLoaded =3D gOtlNavLoaded =3D gOtlLoaded =3D false;
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</frameset>
</html>

------=_NextPart_01C317A1.C1A2A0A0
Content-Location: file:///C:/04C8DEAF/EBM_intro_files/outline.htm
Content-Transfer-Encoding: quoted-printable
Content-Type: text/html; charset="us-ascii"

<html>

<head>
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<meta name=3DProgId content=3DPowerPoint.Slide>
<meta name=3DGenerator content=3D"Microsoft PowerPoint 10">
<link id=3DMain-File rel=3DMain-File href=3D"../EBM_intro.htm">
<link rel=3DPreview href=3Dpreview.wmf>
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<base href=3D"file:///C:\04C8DEAF\EBM_intro_files\outline.htm"
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function Upd(){ if( IsWin("PPTNav") ) LoadNav("NavObj",UpdNav) }
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function UpdOtl(){ UpdIdx(parent.gCurSld) }
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function Over( src ){ ChgClr(GetLink(src),gOtlActiveClr) }
function Out( src ){ ChgClr(GetLink(src),gOtlHiliteClr) }
function Follow(src){ window.location.href =3D GetLink(src).href; }
function ObjExists( ii ) { obj=3DGetObj("PPTP"+ii ); return( obj ) }
function GoToSld( href ){ UpdIdx(parent.GetSldNum(href)); parent.GoToSld( h=
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function CancelDrag(){ window.event.cancelBubble=3Dtrue;window.event.return=
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function GetLink(src)
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}
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{
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onkeypress=3D"_KPH()" style=3D'display:none;visibility:hidden'>
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<div id=3DOtlNavObj onload=3D"Load()" onmouseover=3D"BtnOnOver()"
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 <div id=3D"nb_otlElem" align=3Dcenter style=3D'position:relative;padding:3=
px;font-family:Arial;
 color:buttontext;font-size:9pt'>Outline</div></div>
 </td>
</table>

<table style=3D'position:relative' align=3Dcenter cellpadding=3D0 cellspaci=
ng=3D0>
 <td>
 <div style=3D'position:absolute;left:-18px;width:24px;height:20px;border-s=
tyle:
 solid;border-width:1px;border-color:threedface' id=3D"nb_otlTxtBorder">
 <div style=3D'position:absolute;clip:rect(0px, 22px, 18px, 0px)'><img
 src=3Dbuttons.gif id=3D"nb_otlTxt" title=3D"Expand/Collapse Outline"
 style=3D'position:relative;left:-157px'></div>
 </div>
 </td>
</table>

</div>

<div id=3DOtlObj style=3D'display:none;visibility:hidden;'>


<table width=3D"100%" style=3D'font-family:Arial;font-size:9pt'>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>1</font></div>
  </td>
  <td width=3D"100%">
  <div id=3DPPTP1 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0088.htm');" id=3DPPTL1>Practice of
  Evidence-Based Medicine</a></font></div>
  <div id=3DPPTC1 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>9<sup>th</sup> April 2001</li>
   <li>Dr Martin Dawes</li>
   <li>University of Oxford</li>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>2</font></div>
  </td>
  <td>
  <div id=3DPPTP2 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0091.htm');" id=3DPPTL2>Who am I?</a></f=
ont></div>
  <div id=3DPPTC2 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>General Practitioner for 17 years</li>
   <li>Worked in a town practice 5 partners</li>
   <li>Started research in 1985</li>
   <li>Investigating hypertension</li>
   <li>Director Centre Evidence-Based Medicine</li>
   <li>Wife is a physiotherapist</li>
   <li>2 children aged 19 &amp; 17</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>3</font></div>
  </td>
  <td>
  <div id=3DPPTP3 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0154.htm');" id=3DPPTL3>Contents</a></fo=
nt></div>
  <div id=3DPPTC3 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Why EBM?</li>
   <li>What is EBM?</li>
   <li>Clinical problem exercise</li>
   <li>Knowledge</li>
   <li>CAT&#8217;s</li>
   <li>15 seconds to FAQ&#8217;s</li>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>4</font></div>
  </td>
  <td>
  <div id=3DPPTP4 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0084.htm');" id=3DPPTL4>Increasing Medic=
al
  Knowledge</a></font></div>
  <div id=3DPPTC4 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>27Kg of Guidelines</li>
   <li>New papers per day</li>
   <ul>
    <li>3,000</li>
   </ul>
   <li>Medline New articles</li>
   <ul>
    <li>1,000</li>
   </ul>
   <li>RCT&#8217;s</li>
   <ul>
    <li>46</li>
   </ul>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>5</font></div>
  </td>
  <td>
  <div id=3DPPTP5 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0061.htm');" id=3DPPTL5>Increasing Knowl=
edge</a></font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>6</font></div>
  </td>
  <td>
  <div id=3DPPTP6 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0092.htm');" id=3DPPTL6>How Much Do We R=
ead in
  Clinical Practice?</a></font></div>
  <div id=3DPPTC6 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>1/2 hour or less/week:<span
       style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>		 =
3%</li>
   <li>1 hour:<span
       style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
       </span>		46%*</li>
   <li>1 1/2 hours:<span
       style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;
       </span>		23%</li>
   <li>2 hours:<span
       style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
       </span>		20%</li>
   <li>3 hours or more:<span
       style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
       </span>	8%</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>7</font></div>
  </td>
  <td>
  <div id=3DPPTP7 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0093.htm');" id=3DPPTL7>Where do we get
  knowledge?</a></font></div>
  <div id=3DPPTC7 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>						Reported	Observed</li>
   <li>						%		%</li>
   <li>Print Source:			62		27</li>
   <ul>
    <li>General/speciality textbooks		25		3</li>
    <li>Pharmaceutical textbooks		14		9</li>
    <li>Journals				18		7</li>
    <li>Drug Company Information		1		1</li>
    <li>Self Made Compendia		4		7</li>
   </ul>
   <li>Human Sources			33		53</li>
   <li>Gorman P et al. Bull Med Libr Assoc 1994; 82(2): 140-6</li>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>8</font></div>
  </td>
  <td>
  <div id=3DPPTP8 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0050.htm');" id=3DPPTL8>Educational Stra=
tegy</a></font></div>
  <div id=3DPPTC8 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Talks by experts not GP&#8217;s</li>
   <li>Subjects are chosen by others</li>
   <li>Usually relate to secondary care</li>
   <li>Often about topics we feel comfortable with</li>
   <li>Usually large lectures</li>
   <li>Very little follow up</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>9</font></div>
  </td>
  <td>
  <div id=3DPPTP9 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0011.htm');" id=3DPPTL9>How many do we s=
ee</a></font></div>
  <div id=3DPPTC9 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>100 - 200 consultations a week</li>
   <li>5,000 -10,000 per year</li>
   <li>It is difficult to be sure that one is doing the right thing for all
       these cases.</li>
   <li>One relies on experience</li>
   <li>Use 2 million pieces of information - stored in your memory</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>10</font></div>
  </td>
  <td>
  <div id=3DPPTP10 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0095.htm');" id=3DPPTL10>Aren&#8217;t we=
 doing
  OK anyway?</a></font></div>
  <div id=3DPPTC10 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>in 1994 17% of family Practitioners thought that aspirin had no effe=
ct
       on the survival of patients having an MI (evidence 1988)</li>
   <li>Variation in prescribing, diagnostic tests, supervision of chronic
       conditions</li>
   <br>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>11</font></div>
  </td>
  <td>
  <div id=3DPPTP11 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0003.htm');" id=3DPPTL11>Why Evidence Ba=
sed
  Health Care?</a></font></div>
  <div id=3DPPTC11 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Too many patients</li>
   <li>Too many problems</li>
   <li>Too many journals</li>
   <li>Information overload</li>
   <li>No time to read</li>
   <li>Read what I am familiar with</li>
   <li>Avoid difficult issues</li>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>12</font></div>
  </td>
  <td>
  <div id=3DPPTP12 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0097.htm');" id=3DPPTL12>What is Evidenc=
e-Based
  Medicine?</a></font></div>
  <div id=3DPPTC12 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>See a patient</li>
   <li>Ask a question</li>
   <li>Seek the best evidence for that question</li>
   <li>Appraise that evidence</li>
   <li>Apply the evidence</li>
   <li>Monitor the change</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>13</font></div>
  </td>
  <td>
  <div id=3DPPTP13 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0102.htm');" id=3DPPTL13>Structured Ques=
tion -
  Why Bother?</a></font></div>
  <div id=3DPPTC13 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>What do you think about ACE inhibitors and heart disease</li>
   <li>You know about EBHC - can you look it up?</li>
   <li>ACE &amp; Heart Disease 2,755 articles on Medline through PubMed</li>
   <li>Need structure to my question</li>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>14</font></div>
  </td>
  <td>
  <div id=3DPPTP14 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0144.htm');" id=3DPPTL14><span
  style=3D'mso-spacerun:yes'>&nbsp;</span></a></font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>15</font></div>
  </td>
  <td>
  <div id=3DPPTP15 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0149.htm');" id=3DPPTL15>To be satisfact=
orily
  answered the question must be focused and well articulated for all 4 part=
s of
  its &quot;anatomy&quot;</a></font></div>
  <div id=3DPPTC15 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>the patient or problem being addressed;</li>
   <li>the intervention or exposure being considered;</li>
   <li>the comparison intervention or exposure, when relevant;</li>
   <li>the clinical outcomes of interest.</li>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>16</font></div>
  </td>
  <td>
  <div id=3DPPTP16 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0150.htm');" id=3DPPTL16>How can you rec=
ognize
  and formulate clinical questions as they occur?</a></font></div>
  <div id=3DPPTC16 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>pay careful attention to the questions that spontaneously occur to y=
ou.</li>
   <li>listen for the question behind the question</li>
   <ul>
    <ul>
     <li><span style=3D'mso-spacerun:yes'>&nbsp;</span>what can I use for a
         sprain</li>
     <li>might become</li>
     <li><span style=3D'mso-spacerun:yes'>&nbsp;</span>is a topical NSAID l=
ike
         aspirin more effective than paracetamol at enabling resumption of
         sport at 1 week?</li>
    </ul>
   </ul>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>17</font></div>
  </td>
  <td>
  <div id=3DPPTP17 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0151.htm');" id=3DPPTL17>What if too many
  questions arise?</a></font></div>
  <div id=3DPPTC17 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>patients may have several active problems</li>
   <ul>
    <li>possible questions about diagnosis, prognosis, therapy for each pro=
blem</li>
    <li>your questions may be too numerous to even ask, let alone answer.</=
li>
   </ul>
   <li>What is the most important issue for this patient now?</li>
   <li>Which question, when answered, will help me most?</li>
   <li>then selecting from the many the few questions that are most importa=
nt
       to answer right away.</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>18</font></div>
  </td>
  <td>
  <div id=3DPPTP18 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0103.htm');" id=3DPPTL18>Three Part Ques=
tion</a></font></div>
  <div id=3DPPTC18 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>1.	In adults with heart disease</li>
   <li>2. does the addition of an ACE inhibitor to their present treatment<=
/li>
   <li>3. reduce mortality</li>
   <li>intervention - looking for addition</li>
   <li>endpoints - mortality (could be morbidity)</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>19</font></div>
  </td>
  <td>
  <div id=3DPPTP19 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0104.htm');" id=3DPPTL19>Exercise 5 Mins=
</a></font></div>
  <div id=3DPPTC19 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Clinical case</li>
   <li>Important or frequent question</li>
   <li>Structure</li>
   <ul>
    <li>Problem		44 yr old M 	80 yr old OA 					Chest Pain	knee</li>
    <li>Intervention		ECG		Top NSAID</li>
    <li>Comparison				Oral Nsaid</li>
    <li>Outcome		Exclude 	Less</li>
   </ul>
   <li>					MI		Pain</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>20</font></div>
  </td>
  <td>
  <div id=3DPPTP20 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0101.htm');" id=3DPPTL20>What is the best
  evidence?</a></font></div>
  <div id=3DPPTC20 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Friend once told me</li>
   <li>Group of old Professors</li>
   <li>Case series</li>
   <li>Systematic Review</li>
   <li>RCT</li>
   <li>Case control trial</li>
   <li>Case</li>
   <ul>
    <li>http://cebm.jr2.ox.ac.uk/docs/levels.html</li>
   </ul>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>21</font></div>
  </td>
  <td>
  <div id=3DPPTP21 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0106.htm');" id=3DPPTL21>Search for Evid=
ence</a></font></div>
  <div id=3DPPTC21 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Correct Database(s)</li>
   <li>High Sensitivity</li>
   <li>Wildcards<span style=3D'mso-spacerun:yes'>&nbsp; </span>* ?</li>
   <li>MESH</li>
   <li>Related Articles</li>
   <li>Then specify (limit) ie Systematic Reviews</li>
   <li>Language, human, etc</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>22</font></div>
  </td>
  <td>
  <div id=3DPPTP22 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0152.htm');" id=3DPPTL22>Plan Search</a>=
</font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>23</font></div>
  </td>
  <td>
  <div id=3DPPTP23 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0108.htm');" id=3DPPTL23>Appraise Eviden=
ce</a></font></div>
  <div id=3DPPTC23 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Easy if it has been done before</li>
   <ul>
    <li>Journal of Evidence-Based Medicine (demonstrate)</li>
    <li>American College of Physicians journal</li>
    <li>Cochrane database</li>
   </ul>
   <li>Have an appraisal course</li>
   <li>Use a journal club</li>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>24</font></div>
  </td>
  <td>
  <div id=3DPPTP24 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0137.htm');" id=3DPPTL24>Appraise using =
JAMA
  Guide <br>
    Evidence-Based Medicine Working Group</a></font></div>
  <div id=3DPPTC24 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Are the results valid?</li>
   <li>What are the results?</li>
   <li>Will the results help me in patient care?</li>
   <br>
   <br>
   <br>
   <li>http://medicine.ucsf.edu/resources/guidelines/users.html</li>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>25</font></div>
  </td>
  <td>
  <div id=3DPPTP25 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0131.htm');" id=3DPPTL25>Requirements of=
 New
  Treatment</a></font></div>
  <div id=3DPPTC25 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>The drug must have specific defined mode of action.</li>
   <li>It must be tested on a well defined disease.</li>
   <li>The time of action must be observed.</li>
   <li>The effect of the drug must be seen to occur constantly<span
       style=3D'mso-spacerun:yes'>&nbsp; </span>in many cases.</li>
   <li>The experimentation must be done with the human body, for testing a =
drug
       on a lion or a horse might not prove anything about its effect on ma=
n.</li>
   <li>Ibn Sina [981-1037]</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>26</font></div>
  </td>
  <td>
  <div id=3DPPTP26 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0126.htm');" id=3DPPTL26>Types of health=
 care
  professional</a></font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>27</font></div>
  </td>
  <td>
  <div id=3DPPTP27 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0153.htm');" id=3DPPTL27>Current Informa=
tion</a></font></div>
  <div id=3DPPTC27 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>				Source	Access	Quality</li>
   <li>Experiential	Fast		Fast		Dubious</li>
   <li>Colleagues	Variable 	Fast		Unclear</li>
   <li>Patients		Fast		Fast		hmmm</li>
   <li>Guidelines	Lost		Buried	Good</li>
   <li>Books		Fast		Lengthy	Variable</li>
   <li>Research		Slow		Lengthy	Variable</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>28</font></div>
  </td>
  <td>
  <div id=3DPPTP28 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0141.htm');" id=3DPPTL28>What I want</a>=
</font></div>
  <div id=3DPPTC28 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>not to have to wade through papers</li>
   <li>not to have to go on line with Medline</li>
   <li>to have an index of the strength of evidence</li>
   <li>to have a one word answer</li>
   <li>to see questions that already have answers</li>
   <li>15 seconds to medical knowledge</li>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>29</font></div>
  </td>
  <td>
  <div id=3DPPTP29 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0145.htm');" id=3DPPTL29>Critically Appr=
aised
  Topic</a></font></div>
  <div id=3DPPTC29 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Declarative title</li>
   <li>Question</li>
   <li>Name of paper</li>
   <li>Search terms</li>
   <li>Design</li>
   <li>Setting</li>
   <li>Patients</li>
   <br>
   <br>
   <br>
   <li>Intervention</li>
   <li>Outcome Measures</li>
   <li>Results</li>
   <li>Table</li>
   <li>Conclusion</li>
   <li>Commentary</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>30</font></div>
  </td>
  <td>
  <div id=3DPPTP30 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0148.htm');" id=3DPPTL30><span
  style=3D'mso-spacerun:yes'>&nbsp;</span></a></font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>31</font></div>
  </td>
  <td>
  <div id=3DPPTP31 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0122.htm');" id=3DPPTL31>Global Medical
  Knowledge Database (Alex)</a></font></div>
  <div id=3DPPTC31 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Database (Index) of questions</li>
   <ul>
    <li>With answers linked (indexed)</li>
    <li>Yes/ No/Maybe</li>
    <li>Strength of Evidence</li>
    <li>Set out as in EBM (CAT - Critically Appraised Topic)</li>
    <ul>
     <li>Objective, Design, Setting, Patients, Intervention, Main Results,
         Conclusion, Commentary</li>
    </ul>
    <li>Date/ Who Appraised</li>
   </ul>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>32</font></div>
  </td>
  <td>
  <div id=3DPPTP32 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0123.htm');" id=3DPPTL32><span
  style=3D'mso-spacerun:yes'>&nbsp;</span></a></font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>33</font></div>
  </td>
  <td>
  <div id=3DPPTP33 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0127.htm');" id=3DPPTL33>Aims for Alex</=
a></font></div>
  <div id=3DPPTC33 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>To appraise articles about problems that are common or serious</li>
   <li>To translate these into answered questions</li>
   <li>To have a database of questions sorted by topic, drug, key word etc<=
/li>
   <li>To make appraised evidence available within 15 seconds</li>
   <li>On your desktop or Psion</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>34</font></div>
  </td>
  <td>
  <div id=3DPPTP34 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0112.htm');" id=3DPPTL34>Software to gen=
erate
  knowledge</a></font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>35</font></div>
  </td>
  <td>
  <div id=3DPPTP35 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0128.htm');" id=3DPPTL35>How will it wor=
k?</a></font></div>
  <div id=3DPPTC35 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>If 1% of the health professionals</li>
   <li>From around the world</li>
   <li>Wrote two CAT&#8217;s per year</li>
   <li>What a database we would have!!</li>
   <li>Needs peer review, updating, free access, and paper versions.</li>
   <li>This is the future&#8230;&#8230;..</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>36</font></div>
  </td>
  <td>
  <div id=3DPPTP36 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0129.htm');" id=3DPPTL36>http://cebm.jr2=
.ox.ac.uk</a></font></div>
  <div id=3DPPTC36 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Thank You</li>
   <br>
   <br>
   <br>
   <br>
   <li>martin.dawes@cebm.jr2.ox.ac.uk</li>
  </ul>
  </font></div>
  </td>
 </tr>
</table>



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////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
////////////////////////////////////////////////////////////////////////////
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