Tugas

TUGAS EBM:
FORMULASI PERTANYAAN KLINIS DAN
SEARCH STRATEGY

dr. Fadhila Khairunnisa 04032782327001

dr. Siti Pradyta Phiskanugrah 04032782327002
dr. Novasari 04032782327003
dr. Fitria Rizki 04032782327004
dr. Biana Lisa 04032782327005
dr. Aisyah Azani 04032782327006
dr. Azillah Syukria Novitri 04032782327007
dr. Anggita Patra Ali 04032782327008
dr. Nyimas Irina Silvani 04032782327009
dr. Tatia Indira 04032782327010
dr. Mutiara Qori Akbar 04032782327011

Pembimbing:
dr. Achmad Ridwan, M.Sc

PROGRAM PENDIDIKAN DOKTER SPESIALIS I

FAKULTAS KEDOKTERAN UNIVERSISTAS SRIWIJAYA
PALEMBANG
2023
TUGAS MKDU
OPHTALMOLOGY JOURNAL
Scenario :
A 35 years old man suffers from refractive error of 2 diopters of spherical
myopia and 1 diopters of astigmatism plans to undergo bilateral photorefractive
keratectomy (PRK). But he once read about complications of PRK which is a dry
eye syndrome due to corneal nerve damage after PRK surgery.
Therefore he consult his concern with his ophthalmologist. And it is
recommended for him to have a transcutaneus electrical stimulation to prevent
DED after PRK surgery.

1. Formulating Question
 Background question
a. What is dry eye syndrome?
b. What are the most common complications of photorefractive
keratectomy?
c. How to prevent DED after a photorefractive keratectomy?
 Foreground question
Does the application of transcutaneus electrical stimulation safe
and effective to prevent dry eye disease after PRK?

4 PICO Elements
P I C O
Refractive errors patients Transcutaneus Sham Dry eyes
with bilateral electrical device
photorefractive keratectomy stimulation
(PRK)

2. Search Evidence: Keyword and Search Strategy

1. Identify terms to fit PICO question
P I C O
Refractive errors Transcutaneus Sham Dry eyes
patients with bilateral electrical device
photorefractive stimulation
keratectomy (PRK)
#1 Photorefractive #4 #7 Dry eyes
keratectomy Transcutane
ous
electrical
stimulation
#2 refractive surgery #5 TENS #8 Dry eyes
syndrome

#3: #1 OR #2 #6: #4 OR #5 #9: #7 OR #8

#10: #3 AND #6 AND #9

2. History and Search Details
3. Selected Journal (Abstract)
 MEDICAL JOURNAL (OTHERS)
Scenario :
A 56-year-old woman, plans to ride a Hajj. She once read that long-haul flights are
at risk of causing deep vein thrombosis (DVT). Therefore, it is recommended to use
a special stocking that is characterized by pressing the muscles of the legs. (elastic
compression stocking).

1. Formulating Question
 Background question
a. What is Deep Vein Thrombosis?
b. What are the risk factors, signs and symptoms of Deep Vein Thrombosis?
c. How to prevent Deep Vein Thrombosis?

 Foreground question
In pessangers on long-haul flights, does wearing elastic compression
stockings, compared to not wearing elastic stockings, prevent DVT?

4 PICO Elements
P I C O
Passengers on long- Wearing elastic No elastic Symptomless
haul flights compression stockings stockings deep vein
thrombosis

2 Search Evidence: Keyword and Search Strategy

Identify terms to fit PICO question
P I C O
Passengers on long-haul Wearing elastic No elastic Symptomless
flights compression stockings deep vein
stockings thrombosis
#1 Passengers on long- #4 Elastic compression #7 No elastic #8 Deep vein
haul flights stocking compression thrombosis
stocking
#2 Long flight travellers #5 Elastic compression #9 Pheripheral
bandage Vascular Disease
#3: #1 OR #2 #6: #4 OR #5 #10: #8 OR #9

#11 : #3 AND #6 AND #7 AND #10

4. History and Search Details
3. Selected Journal (Abstract)