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關於 evidence-based practice ，我們在網路上蒐集到這些相關的討論、資訊與評價

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在evidence-based practice這個產品中，有20篇Facebook貼文，粉絲數超過2萬的網紅雙寶爸的小宇宙｜兒童感染科 顏俊宇醫師，也在其Facebook貼文中提到， 👂寶寶需要清耳屎嗎❓#耳屎居然可以抗菌⁉💯 常在媽媽群組被問到寶寶需不需要清耳屎？幾歲可以清？是用棉花棒清嗎？覺得這問題應該是不少新手父母的疑惑，所以整理了9個問題，來快速QA一下，希望大家覺得有幫助💗 🔔也拜託多多留言分享喔🙏 (感覺最近我粉專熱度很低，難過啊~😭) -- 📬【耳屎是什麼？】 ...
　同時也有10000部Youtube影片，追蹤數超過2,910的網紅コバにゃんチャンネル，也在其Youtube影片中提到，...

evidence-based practice 在 雙寶爸的小宇宙｜兒童感染科 顏俊宇醫師 Facebook 的最佳貼文

雙寶爸的小宇宙｜兒童感染科 顏俊宇醫師 By 雙寶爸的小宇宙｜兒童感染科 顏俊宇醫師

2021-09-30 11:49:42 有 208 人按讚
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👂寶寶需要清耳屎嗎❓#耳屎居然可以抗菌⁉💯
常在媽媽群組被問到寶寶需不需要清耳屎？幾歲可以清？是用棉花棒清嗎？覺得這問題應該是不少新手父母的疑惑，所以整理了9個問題，來快速QA一下，希望大家覺得有幫助💗
🔔也拜託多多留言分享喔🙏 (感覺最近我粉專熱度很低，難過啊~😭)

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📬【耳屎是什麼？】

皮脂腺及耳垢腺的分泌物 (位於耳道外1/3部分)，混合剝落的上皮細胞。所以耳屎通常堆積在 #外耳道1/2-1/3處！

📬【耳屎的三大妙用】

✅ 弱酸性油性物質，含酵素
🏅#抑制細菌、#黴菌生長、#驅蟲
🏅油性可形成 #防水保護層
🏅#避免異物 進入至耳膜

📬【乾 VS. 濕耳朵 哪個比較容易塞？】

台灣6成屬於乾耳朵、4成屬於濕耳朵 (濕耳朵是顯性遺傳，歐美人則絕大部分是濕耳朵)
腺體分泌量較多就呈現濕耳朵，長期暴露空氣、混毛髮和灰塵後變硬，#濕耳朵造成阻塞機率比較高😫

--
📬【耳屎要固定清嗎？】

一般不需要清潔，耳垢會 #順著耳道表皮細胞新陳代謝往外排出，藉由張口、咀嚼等動作自然排出🪄

📬【耳屎和中耳炎有關嗎？】

💥#無關，反倒是 #常挖耳朵容易造成外耳炎
用棉花棒掏耳朵容易把堆積在外1/2-1/3的耳屎推得更內側、造成外耳道發炎，增加感染機率⚡

📬【找醫師清理三大時機？】

✅ #耳朵不適 (異物感、悶悶的、耳鳴、聽力障礙、疼痛)
✅ #懷疑中耳炎，需看清楚耳膜
✅ 外耳發炎，清除耳垢幫助給藥或分泌物排出

--
📬【幾歲以上可以挖耳屎？】

沒有特別規定幾歲以上才可以挖耳屎，主要是看小孩子的 #配合度，通常3歲以上比較能配合🙊

📬【自行挖耳屎注意事項！】

🆖 避免太深、清潔看的到的外耳道就可以了
🆖 避免用力造成耳道破皮
🆖 注意四周避免碰撞意外

📬【耳垢軟化劑是什麼？】

可軟化過硬的耳垢，通常一週後改善👍
⚠注意：耳膜有破洞或有感染不能使用

--
參考資料
📌 Clinical Practice Guideline (Update): Earwax (Cerumen Impaction). Otolaryngol Head Neck Surg. 2017 Jan;156(1_suppl):S1-S29
📌 Cerumen Management: An Updated Clinical Review and Evidence-Based Approach for Primary Care Physicians. J Prim Care Community Health. Jan-Dec 2020;11:2150132720904181.

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雙寶爸的小宇宙｜兒童感染科 顏俊宇醫師

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身為兩寶爸的兒科醫師更能懂您育兒大大小小的煩惱瑣事，我將分享實用的醫療資訊、育兒過程辛苦教養之路或有趣的事，和我自己生活發生的點點滴滴✨歡迎大家來到雙寶爸的瘋狂宇宙吧?
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evidence-based practice 在 Facebook 的最佳解答

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2021-06-02 10:22:16 有 128 人按讚
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【疾病知多D】血壓藥、抗抑鬱藥、抗癲癎藥的共通點 = ？？？
　
有時一種藥總有一些意想不到的用途，往往可以超出一般人的想像。
　　
舉例說，血壓藥、抗抑鬱藥、抗癲癎藥分別可以降血壓、抗抑鬱、抗癲癎，除此之外，大家覺得還可能有什麼用途呢？
　　
答案……
　　
預防偏頭痛。
　　
對，說到偏頭痛藥，其實主要可以分為治療、預防兩種。
　　
至於常用的防偏頭痛藥主要是……

一、血壓藥
　　
嗄？血壓藥不是拿來降血壓嗎？為什麼可以拿來預防偏頭痛？
　　
唔……雖然暫時還是不太清楚具體的作用原理，不過其中兩類血壓藥確實可能會拿來預防偏頭痛，分別是β受體阻斷劑(β-blocker)（例如Propranolol）[1][2]、鈣離子通道阻斷劑(Calcium Channel Blocker, CCB)（例如Verapamil）。[3]

二、抗抑鬱藥(Antidepressant)
　　
嗄？偏頭痛又關抑鬱什麼事？
　　
對，抗抑鬱藥乍看未必跟偏頭痛藥扯得上關係，不過抗抑鬱藥或許可能會透過調控5HT2受體(5HT2 Receptor)預防偏頭痛[1]，例如Amitriptyline。[2]

三、抗癲癎藥(Anticonvulsant)
　　
嗄？抗癲癎藥竟然能夠預防偏頭痛？真的假的？
　　
對，抗癲癎藥或許可能會透過抑制鈉離子通道、鈣離子通道預防偏頭痛[4]，例如Divalproex Sodium、Topiramate。
　　
那如何挑選這些防偏頭痛藥呢？
　　
其中一個因素當然是……
　　
用藥者自身還有什麼病，便用什麼藥。
　　
舉例說，要是用藥者同時患上高血壓，血壓藥自然是一個較理想的選項，既能降血壓，又能預防偏頭痛，一石二鳥，對吧？

（如欲了解更多用藥資訊，歡迎看看「小小藥罐子」網誌。）

💊💊💊💊💊💊💊
BLOG➡️http://pegashadraymak.blogspot.com/
IG➡️https://www.instagram.com/pegashadraymak/
YT➡️https://www.youtube.com/channel/UCQOMojMd6q7XnESMWwldPhQ

📕📕📕📕📕📕📕
著作➡️藥事知多D、用藥知多D、藥房事件簿、家居用藥攻略（各大書店有售）

Reference:
1. Silberstein SD, Goadsby PJ. Migraine: Preventive treatment. Cephalalgia. 2002;22:491-512.
2. Ramadan NM, Silberstein SD, Freitag FG, et al. Evidence-Based Guidelines for Migraine Headache in the Primary Care Setting: Pharmacological Management for Prevention of Migraine. 2000, www.aan.com/professionals/practice/guidelines.
3. Markley HG. Verapamil and migraine prophylaxis: mechanisms and efficacy. Am J Med. 1991;90(5A):48S-53S.
4. Cutrer FM. Antiepileptic drugs: How they work in headache. Headache. 2001;41(Suppl):S3-10.

https://pegashadraymak.blogspot.com/2021/05/migraineprophylaxis.html

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evidence-based practice 在 林維萱 物理治療師 Tina Lin PhysioTherapist Facebook 的最佳解答

林維萱 物理治療師 Tina Lin PhysioTherapist By 林維萱 物理治療師 Tina Lin PhysioTherapist

2021-05-19 17:24:20 有 28 人按讚
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【5/8-9 KC課程回顧】

疫情之前，與 #Shirley賴冠帆物理治療師 一起完成了KC modular series-Muscle synergies: Beyond global movement control-Managing pain and recurrence的課程教學😃

這門課詳細介紹了中軸、肩帶與髖帶共14條的local stabiliser role synergist，按照Evidence-based practice的架構，對於功能角色眾說紛紜的肌肉，提供許多經過文獻嚴格評讀(critical appraisal)後的回顧整理，包含著名的腹橫肌、腰大肌、上斜方肌、下斜方肌...等，都有許多令人驚艷的概念衝擊。

接續按照Mark Comerford與Sarah Mottram提出的肌肉功能角色分類模型，令我們可以更全方位的了解，在疼痛影響之下，不同屬性的肌肉，其功能角色會出現什麼樣的失能變化。當介入的標的是「處理疼痛以及科學化的預防疼痛復發」時，令我們得以擺脫「肌力訓練」的窠臼，獲得更多針對性的動作治療方法。

這門課程，可以說是KC內容中最為顛覆的一環，但其實也是最返璞歸真、按照文獻佐證而生成的內容。多年下來，對於「local muscle」有非常多的研究，但也產生很多不同於原始研究結果的引申。

這堂課程提供了直白的回答，也提供許多訓練的想法激盪，讓我們注意到：當一個療法所宣稱的療效，就算真的看似達到，其實也該更嚴謹的按照肌動學、神經生理與解剖的證據，反思是否剛好是負負得正的效果。當我們養成這種臨床邏輯推理的思考習慣，對於給予動作診斷、動作處方以及後續追蹤的能力，將獲得更進階的提升。

夥伴們，疫情期間，如果待在家的時間變多，剛好可以反芻這次課程的內容，享受腦力激盪的餘韻，如果有任何問題，歡迎至臉書社團（有上過KC任一堂課程者，包含Movement Solution與Modular系列皆可申請加入）Kinetic Control Asia Sharing填寫提問表單，我們團隊會一直為大家而在。祝福大家都可以平安健康，再次一起在課堂中共同成長。

#movementhealth #kineticcontrol #cms

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林維萱 物理治療師 Tina Lin PhysioTherapist

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林維萱物理治療師，畢業於國立陽明大學，現為Kinetic Control認證國際講師、Polestar認證皮拉提斯指導員、GYROKINESIS®禪柔認證指導員，專長於動作控制與運動訓練。
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evidence-based practice 在 コバにゃんチャンネル Youtube 的最佳解答

コバにゃんチャンネル By コバにゃんチャンネル

2021-10-01 13:19:08 有 9 人看過 有 1 人喜歡
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コバにゃんチャンネル

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コバにゃん☆です?
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evidence-based practice 在 大象中醫 Youtube 的精選貼文

大象中醫 By 大象中醫

2021-10-01 13:10:45 有 0 人看過 有 0 人喜歡
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大象中醫

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長照是一個劇變的旋轉舞台 百年難得一見 沒有準備的人 被旋轉舞台甩出去 不是坐下就是躺下 而大象中醫是太極的推手 推動著旋轉舞台 讓 所有爬不起來的人 背後有一股推手力量 支撐再站起來
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evidence-based practice 在 大象中醫 Youtube 的精選貼文

大象中醫 By 大象中醫

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長照是一個劇變的旋轉舞台 百年難得一見 沒有準備的人 被旋轉舞台甩出去 不是坐下就是躺下 而大象中醫是太極的推手 推動著旋轉舞台 讓 所有爬不起來的人 背後有一股推手力量 支撐再站起來
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evidence-based practice 在 What is Evidence-Based Practice? - YouTube 的推薦與評價

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Learn what is evidence - based practice, why it makes a difference and why evidence - based practice is so important in healthcare today. ... <看更多>

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#53. Evidence-based practice and practice-based evidence

evidence -based practice, 'practice-based' evidence and client characteristics, values and context, as follows: 1. Best research evidence. This refers to the ...

#54. Components of Evidence-Based Practice

Evidence -based practice includes the integration of best available evidence, clinical expertise, and patient values and circumstances related to patient and ...

#55. Evidence-based Practices (EBP)

Evidence -based practice (EBP) is the objective, balanced, and responsible use of current research and the best available data to guide policy and practice ...

#56. Evidence Based Practice - USF Health Libraries at University ...

Evidence based practice is the integration of clinical expertise, best available evidence, and patient values.

#57. What is Evidence-Based Practice?

Evidence -based practice is the integration of scientific evidence, patients' values, and one's own clinical judgment in order to make the best possible health ...

#58. Evidence-based Practice vs. Evidence-informed Practice:

The meaning of best research evidence, clinical expertise, patient values, and patient cir- cumstances are more clearly and specifically indicated. What Is EBP?

#59. Evidence-based practice - Getting the facts

EBP is a systematic approach to practice that emphasises the use of best evidence in combination with the clinician's experience, as well as patient preferences ...

#60. Evidence-Based Practice Models - Springer Publishing

Nurses and other healthcare professionals have developed several evidence-based practice ( EBP ) models that aid in the implementation of EBP .

#61. Evidence-Based Practice - an overview

Evidence -based practice (EBP) is both a conceptual model and a process of patient-centered decision making. Originally introduced in medicine, the EBP framework ...

#62. Evidence-Based Practice: Understanding Evidence

What is Evidence-Based Practice (EBP)? ... Most recent definition -"integrating the best available research evidence with clinical expertise and ...

#63. What is Evidence-Based Practice? | Lippincott NursingCenter

Topics include the origins of EBP, its global impact on healthcare practice, the different types of research including systematic reviews and meta-analyses, the ...

#64. Role of Evidence-Based Practice in Nursing (5 Benefits)

Evidence -based practice in nursing can help patients receive better care and a more accurate diagnosis. This approach uses risk assessment ...

#65. What is EBP? - Evidence-based Practice (EBP)

Evidence -Based Practice (EBP) is a problem-solving approach to clinical decision-making within health care organizations.

#66. Evidence Based Practice - Nursing Resources

David Sackett. EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It ...

#67. Why Is Evidence-Based Nursing Important?

The goal of EBP is to improve patient outcomes and lower healthcare costs. Nurses are in an excellent position to practice evidence-based care, ...

#68. Evidence-Based Practice & PICO - Nursing & Allied Health ...

According to Johns Hopkins Medicine's Center for Nursing Inquiry, Evidence-Based Practice (EBP) "is a process used to review, analyze, ...

#69. Differentiating research, evidence-based practice, and ...

Whereas research is about developing new knowledge, EBP involves innovation in terms of finding and translating the best evidence into clinical ...

#70. What Is the Difference Between Quality Improvement ...

Evidence -Based Practice ... EBP integrates the best available research evidence with clinical expertise and patient values to improve outcomes.

#71. Introduction to Nursing Research: Incorporating Evidence ...

Introduction to Nursing Research: Incorporating Evidence-Based Practice, Fifth Edition emphasizes EBP as a foundation for safe and effective health care. The ...

#72. 4 Examples of Evidence-Based Practice in Nursing - A-State

One of the key principles in medicine today is evidence-based practice in nursing (EBP). This is the practice of medicine based on solid ...

#73. Evidence-Based Practice: The Basic Principles

The basic idea of evidence-based practice is that good-quality decisions should be based on a combination of critical thinking and the best available evidence.

#74. Evidence Based Practice

Five Stage Cycle of EBP · ASK - Convert Clinical Scenarios Into A Structured And Answerable Clinical Question · ACQUIRE - Search for the Research · APPRAISE the ...

#75. What is Evidence-Based Practice?

Evidence -based practice is a three-pronged treatment approach that leverages clinical expertise along with leading research and overall patient ...

#76. Evidence Based Practice

“Evidence based nursing practice is the conscientious, explicit and judicious use of theory-derived, research-based information in making decisions about care ...

#77. Evidence Based Practice - 三民網路 ...

若需訂購本書，請電洽網路書店客服02-25006600(分機130、131)。 無法訂購 · Integrating Evidence-Based Mental Health Practice in Hawai?i: For New Practitioners.

#78. Evidence based practice | PPT

6. OBJECTIVES AND PURPOSES OF EBP Evidence based practice seeks to replace practice as usual with practice guided by rigorous outcomes oriented research ...

#79. Define EBP - Evidence-Based Practice - LibGuides

However, for the most part these all refer to the same basic concept of Evidence-Based Practice (EBP), or using the best evidence available, ...

#80. Evidence-based practice and service-based evaluation

Evidence -based practice ... The call for services to ensure that their programs and practices are informed by, if not grounded in, well-conducted, relevant, ...

#81. What is Evidence-Based Practice (EBP)? - SCU Library guides

Evidence -Based Practice is the integration of clinical expertise, patient values and the best evidence into the decision making process for ...

#82. About Evidence-Based Practice

Evidence -Based Practice is created by primary care clinicians without industry support and its subscribers are part of a rapidly growing international community ...

#83. Evidence-Based Practice: What it is and what it isn't

The practice of evidence based medicine means integrating individual clinical expertise with the best available external clinical evidence from ...

#84. Benefits of Evidence-Based Practice for Nurses

Evidence -based practice incorporates scientific evidence and proven medical practices to create the most effective healthcare strategies. This ...

#85. 5 Examples of Evidence-Informed Nursing Practice Protocols

5 Examples of Evidence-informed Practice in Nursing · Ventilator-associated Pneumonia · Oxygen Therapy and COPD Patients · Adolescent Patients in ...

#86. Evidence Based Vs Best Practice - Skin Health

Here's the difference: Evidence-based practice is research-based practice that has been shown effective through rigorous scientific evaluation. Best practice ...

#87. Evidence-Based Practice in Nursing & Healthcare: A Guide ...

Evidence -Based Practice in Nursing & Healthcare: A Guide to Best Practice: 9781496384539: Medicine & Health Science Books @ Amazon.com.

#88. What You Need to Know About EBP in Nursing - STU Online

Florence Nightingale was the first nurse to use EBP. During the 1850s, she studied hospital designs, the battlefields of the Crimean War, and ...

#89. Implementation of evidence-based practice

However, research findings were rarely used in clinical decision-making practice The Knowledge, attitude towards implementing evidence-based ...

#90. Evidence-based Practice in Nursing

○ What kind of preparation of teachers? ○ The possibilities in nursing knowledge development in EBP. Page 32. 32.

#91. Evidence-based practice: a practice manual - HSE

the Evidence-Based Practice (EBP) Group south East is a multidisciplinary group of healthcare professionals with a.

#92. EBP resources - Evidence-Based Practice - Library Guides

Find the evidence. Select links to quickly access top recommended resources in support of evidence-based practice (EBP). Meta-Search Engines.

#93. Duke Evidence-Based Practice (EBP) Workshop

Duke Evidence-Based Practice (EBP) Workshop · Train health professionals to facilitate evidence-based clinical practice in their teaching and practice settings.

#94. Models/Frameworks - Nurses' guide to evidence-based practice

It is designed specifically to meet the needs of the practicing nurse and uses a three-step process called PET: practice question, evidence, and translation.

#95. Asking Your Question - Evidence Based Practice Toolkit

Evidence -based practice uses the PICO(T) model for formulating a searchable question. ... How would I describe the problem or a group of patients similar to mine?

#96. Evidence Based Practice - Subject Guides at Singapore ...

Use this Library Guide to find out more about Evidence Based Practice (EBP) which is a clinical decision-making framework that encourages ...

#97. Johns Hopkins Nursing Evidence-Based Practice

The practice question phase includes six steps: · 1. ​Recruit an interprofessional team · 2. Define the problem · 3. Develop and refine your EBP ...

#98. Evidence-Based Practice

Where do you find early childhood evidence-based practices? Multiple EI/ECSE Topics; Autism; Deaf or Hard of Hearing; Early Child Identification; Early ...

#99. Evidence-based Practice Center

We operate the Brown Evidence-based Practice Center (EPC) for the Effective Healthcare (EHC) Program of the Agency for Healthcare Research and Quality ...