Pico question examples women - Application to PICO. The articles chosen for the analysis related to the PICO question: “In the second stage of labor, what is the effect of laboring down after complete cervical dilation on mother and baby compared with pushing before cervical dilatation is complete?” The population that was

 
PICO 4: Vacuum aspiration for all indications at gestational ages < 14 weeks (see Recommendation 24) PICO question: For a pregnant person seeking induced abortion or treatment for incomplete abortion or miscarriage (i.e. all indications for vacuum aspiration), is provision of vacuum aspiration by a traditional and complementary medicine .... Outside lights at bandq

PICOT QUESTION PAPER: INFERTILITY Significance to Nursing In nursing, fertility is a process that begins from the second a woman states she is attempting to become pregnant but is having difficulty. Nurses are also educators, so a main component to treating a woman who has fertility issues is to make them aware of their options and issues.PICOT QUESTION PAPER: INFERTILITY Significance to Nursing In nursing, fertility is a process that begins from the second a woman states she is attempting to become pregnant but is having difficulty. Nurses are also educators, so a main component to treating a woman who has fertility issues is to make them aware of their options and issues. Clarifying the key elements of the question is a critical first step toward providing an answer to inform a decision, or for a researcher to frame the research to be done. The PICO (Population, Intervention, Comparator, and Outcomes) model captures the key elements and is a good strategy to provide answerable questions. [1]Jan 20, 2010 · Clinical questions could arise in situations such as the following: You become uncertain, during a patient encounter, about the desirability of a particular diagnostic or therapeutic choice. You encounter a product advertisement in a journal in which you are encouraged to purchase and use a particular technology for your patients. PICOT 7 PMTCT What is the most effective antiviral therapy during the third trimester of pregnancy, to reduce transmission of HBsAg? P: Pregnant women in the third trimester of pregnancy (defined as 27–40 weeks gestation) with chronic hepatitis B virus infection (positive for HBsAg persistently for more than 6 months) (stratified by HBeAg ...PICOT is a mnemonic resulting from the elements of clinical research. The PICOT process starts with a particular case, and the question is couched to develop an answer. A PICOT question helps you get the answer to your clinical question. It serves as a framework, prompting you to consider various aspects of the topic under investigation.Aug 31, 2023 · PICO is a formula used to develop a researchable clinical question. The purpose of a PICO question is to help breakdown a research question into smaller parts, making the evaluation of evidence more straightforward. Who is the patient or population? (Think demographics: age, sex, gender, race). What problem or disease or situation are you facing? Question 1. Question 2. Question 3. Population. Children <6 years of age. AND. Diagnosed with ADHD or at risk for ADHD or diagnosed with DBD (including ODD and CD by DSM) ≥6 years of age (subjects <6 years are described in Question 1) Diagnosed with ADHD by the DSM or ICD criteria that was in use at the time of the study or of the publication.Evidence-Based Nursing. Evidence-based nursing is the use of evidence in combination with the practitioner's expertise and nursing theory in order to make decisions about nursing patient care. It consists of 5 stages: Asking a question after assessing the patient. Acquire the evidence by finding literature to answer the question.Examples of Picot Questions. Below are good picot questions examples that can guide you to come up with picot questions. In African American female adolescents with hepatitis B (P), how does acetaminophen (I) compared to ibuprofen (C) affect liver function (O)? (Time is optional). For women who use birth control methods (P), how do birth ...Have two essential components: Example: What causes migraines? or How often should women over the age of 40 have a mammogram? A question root (who, what, when, etc.) with a verb A disorder, test, treatment, or other aspect of healthcare The background question is usually asked because of the need for basic information.PICO (T) Evidence-based practice uses the PICO (T) model for formulating a searchable question. PICO (T) is a mnemonic used to describe the four elements of a good clinical foreground question: P = Population/Problem. How would I describe the problem or a group of patients similar to mine? I = Intervention.[Examples modified and drawn from Glasper, A. and Rees, C. (2013) How to Write Your Nursing Dissertation] The following examples may help you put PICO into practice. Suggestions in the brackets are just extra ideas for what you might want to consider. 1) Isobel is a 45 year old woman who asks you for advice on natural ways of resolving her ...Aug 17, 2023 · Once you have the components of your PICOT formula, you can frame your question in 6 different ways depending on the goal/target, the nursing practice problem, or the healthcare issue you are addressing. You can use these PICO formats as a template for asking PICOT questions. 1. Examining a Diagnosis. Finally, you will click on a button and the PICOT Research Question Generator will present the following: Your PICOT question. Your null and alternative hypotheses. Your independent variable. Your dependent variable. The statistical test used to answer your PICOT question. It should take you less than five minutes to complete the web form below.May 26, 2015 · "Among women in labor, does the use of labor support/doulas versus no labor support affect labor complications?" (PICOt Question example by M. Montgomery) (PICOt Question example by M. Montgomery) Types of Questions: Therapy, Diagnosis, Prognosis, Harm/Etiology, Prevention, Cost-Effectiveness, Quality of Life. A simple database search strategy should begin with the AND : cross infection AND (Handwashing OR Hand disinfection) Start with CINAHL or Medline/PubMed as initial article databases for a scoping search for most health sciences questions.Running head: NSG 410 PICOT RESEARCH QUESTION. P Laboring women delivering in a hospital. Problem: Laboring women are constantly urged to use the lithotomy position, but this can sometimes lead to various labor complications.Level of Evidence What is a PICO Question? PICO is an acronym used for exploring clinical questions. It serves as a framework for evidence-based practice. P (Problem and Population) What health problem is your selected intervention intended to solve? Identify what population of people will benefit the most from your chosen intervention.Diagnostic OR= (a/b)/ (c/d)=742.9. We would need to perform a test accuracy study to answer our question. The participants would get a mammography (index test) and a biopsy to determine the presence of breast cancer (reference test). Each test would yield a positive or negative test result. Preferably, all patients get both tests, without much ...PICO and 2×2 table for question about test accuracy. Population of interest=women aged 40–74 years without a history of breast cancer. Investigated test result=positive result on mammography. Comparator test result=negative result on mammography. Outcome=breast cancer according to biopsy (or not) View inline.Aug 28, 2023 · PICO. PICO is a mnemonic used to help you clarify your clinical question. It acts as a framework, asking you to think specifically about different aspects of what you want to investigate. As you build your PICO, you should make sure that you are clear and specific about what you are looking for. This helps you target the right evidence to use ... Aug 9, 2023 · PICO Question Template Examples. It can be helpful to classify your question based on the clinical domain(s) it falls under. See below for definitions, PICO templates, and example questions from the primary clinical domains: intervention, diagnosis, etiology, prevention, prognosis/prediction, quality of life/meaning, and therapy. Question: Should women give birth in the lithotomy position because its encourage from their doctors? Or is it more effective to deliver in other positions as their less likely to lead to delivers with forceps or a vacuum? Running head: NSG 410 PICOT RESEARCH QUESTION. References. DiFranco, J. T., & Curl, M. (2014). Aug 29, 2023 · Concepts from the PICO(T) question are used to construct a comprehensive database search strategy with search terms describing each relevant component of the PICO(T). Relevant elements of your PICO(T) question can be used to develop an initial list of keywords (including synonyms) to use in a database search. The most important parts of a PICO ... Appendix H. PICO tables. PICO tables were generated for each question defining the target population, interventions and comparators (where appropriate) and outcomes. These are presented with a summary of the searching activity for each question. Go to: Clarifying the key elements of the question is a critical first step toward providing an answer to inform a decision, or for a researcher to frame the research to be done. The PICO (Population, Intervention, Comparator, and Outcomes) model captures the key elements and is a good strategy to provide answerable questions. [1] Aug 31, 2023 · PICO is a formula used to develop a researchable clinical question. The purpose of a PICO question is to help breakdown a research question into smaller parts, making the evaluation of evidence more straightforward. Who is the patient or population? (Think demographics: age, sex, gender, race). What problem or disease or situation are you facing? Aug 22, 2023 · What is PICO? PICO is a pneumonic that stands for Patient/Problem, Intervention, Comparison, and Outcome. PICO is one of many frameworks used to create answerable research questions. PICO is chosen for this course because it is useful in finding quantitative research as is required for Nursing Research courses. PICO is used to help keep ... PICO Framework. Without a well-focused question, it can be very difficult and time consuming to identify appropriate resources and search for relevant evidence. Practitioners of Evidence-Based Practice (EBP) often use a specialized framework, called PICO, to form the question and facilitate the literature search. 1 PICO stands for:Sep 21, 2019 · The list of PICOT question examples will be incomplete if we didnâ&amp;#x20AC;&amp;#x2122;t mention a question about severe malnutrition. 23. Can antibiotics prevent death and sequelae in kids ... Table 2.1, PICO questions for the recommendations in women (the general population of women ...Aug 9, 2023 · PICO Question Template Examples. It can be helpful to classify your question based on the clinical domain(s) it falls under. See below for definitions, PICO templates, and example questions from the primary clinical domains: intervention, diagnosis, etiology, prevention, prognosis/prediction, quality of life/meaning, and therapy. If you are planning to create a systematic review, it is usually best to start with a PICO style question, it provides structure and boundaries to the task. Let’s try: To search for the core topics discussed in your review, you are probably going to want to use a combination of approaches. You are probably going to need to use the subject ...Sep 6, 2023 · It is important to note that there are different types or categories of PICOT questions. The category of your question can at times dictate the types of evidence that you are searching for. Determine in which category your question would best fit. Use the template to help you word it succinctly and correctly. PICO and 2×2 table for question about test accuracy. Population of interest=women aged 40–74 years without a history of breast cancer. Investigated test result=positive result on mammography. Comparator test result=negative result on mammography. Outcome=breast cancer according to biopsy (or not) View inline.Aug 18, 2023 · PICOT is different from a standard research question because it is a clinical question. It is composed of various elements that create a framework for research that typical research questions do not usually have. The goal or purpose of PICOT is to ultimately intervene in someone's healthcare. Focus on prevention. Aug 29, 2023 · Concepts from the PICO(T) question are used to construct a comprehensive database search strategy with search terms describing each relevant component of the PICO(T). Relevant elements of your PICO(T) question can be used to develop an initial list of keywords (including synonyms) to use in a database search. The most important parts of a PICO ... 100 useful pico questions for nursing research 1. Many toddlers are afraid of needles during vaccinations, is using toys as a distraction for the childrenâ&amp;#x20AC;&amp;#x2122;s pain response ...Jun 13, 2023 · Example 2. You are working with a recent stroke patient who is having balance issues and you are considering using virtual reality in their therapy. P = recent stroke, balance issues. I = virtual reality. C = no virtual reality. O = improved balance "In recent stroke patients, how does using virtual reality affect or improve balance?" Example 3 PICO Clinical Questions in Obstetrics & Gynaecology Prof Unit Kalubowila. 866 likes · 10 talking about this. Novel concept of Dr Dhammike Silva, Consultant OBGYN, to inspire trainees to approach...PICO is a popular mnemonic in nursing. P stands for Patient/Problem, I for Intervention, C for Comparison, and O for Outcome. PICOT is used by nursing students to generate answers to seemingly vague questions. PICOT question examples such as “How effective is handwashing in reducing infections?” can be broken down in the following manner:Diagnostic OR= (a/b)/ (c/d)=742.9. We would need to perform a test accuracy study to answer our question. The participants would get a mammography (index test) and a biopsy to determine the presence of breast cancer (reference test). Each test would yield a positive or negative test result. Preferably, all patients get both tests, without much ...The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. “The question needs to identify the patient or population we intend to study, the ...Appendix H. PICO tables. PICO tables were generated for each question defining the target population, interventions and comparators (where appropriate) and outcomes. These are presented with a summary of the searching activity for each question. Go to: Below are examples of nursing related questions: Intervention/Effect/Therapy PICO Question: An example: In adult patients with total hip replacements (Patient population) how effective is early ambulation (Intervention of interest) compared to bed rest (Comparison intervention) on decreasing post-op DVTs (Outcome)? Note: The question may also ...Example 2. You are working with a recent stroke patient who is having balance issues and you are considering using virtual reality in their therapy. P = recent stroke, balance issues. I = virtual reality. C = no virtual reality. O = improved balance "In recent stroke patients, how does using virtual reality affect or improve balance?" Example 3PICO Question Examples It will be a time-consuming and difficult venture to identify the most appropriate resources and find relevant evidence without a well-focused question. PICO helps to form a question and facilitate quick and wider literature search.PICO framework helps to identify the main elements of a question and simplify writing a ..."Among women in labor, does the use of labor support/doulas versus no labor support affect labor complications?" (PICOt Question example by M. Montgomery) (PICOt Question example by M. Montgomery) Types of Questions: Therapy, Diagnosis, Prognosis, Harm/Etiology, Prevention, Cost-Effectiveness, Quality of Life.PICO Question: Methods Evidence •Kennard, et al (2006) found a significantly higher remission rate in the SSRI + CBT group (37%) relative to the other treatment groups (SSRI 23%; CBT 16%; placebo, 17%). •Suggests combination therapy (SSRI + CBT) is superior to monotherapy, regardless of whether it is SSRI alone or CBT alone.PICO Question Examples It will be a time-consuming and difficult venture to identify the most appropriate resources and find relevant evidence without a well-focused question. PICO helps to form a question and facilitate quick and wider literature search.PICO framework helps to identify the main elements of a question and simplify writing a ...Aug 24, 2023 · PICO (T) Evidence-based practice uses the PICO (T) model for formulating a searchable question. PICO (T) is a mnemonic used to describe the four elements of a good clinical foreground question: P = Population/Problem. How would I describe the problem or a group of patients similar to mine? I = Intervention. The PICO question in this paper seeked to answer the question: in adult patients without celiac disease or gluten sensitivities, is GF food correlated with higher type 2 diabetes or CVD risk? The question was underpinned by a research study showing an inverse relationship between gluten consumption and type 2 diabetes rates.A simple database search strategy should begin with the AND : cross infection AND (Handwashing OR Hand disinfection) Start with CINAHL or Medline/PubMed as initial article databases for a scoping search for most health sciences questions.PICO Question Examples It will be a time-consuming and difficult venture to identify the most appropriate resources and find relevant evidence without a well-focused question. PICO helps to form a question and facilitate quick and wider literature search.PICO framework helps to identify the main elements of a question and simplify writing a ...Sep 21, 2019 · The list of PICOT question examples will be incomplete if we didnâ&amp;#x20AC;&amp;#x2122;t mention a question about severe malnutrition. 23. Can antibiotics prevent death and sequelae in kids ... According to Melnyk & Fineout-Overholt (2019), a randomized control trial is considered level II evidence for my PICOT question. The article by Pope et al. (2016), is a case control, cross sectional design, which would be classified as level IV evidence (Melnyk, Fineout-Overholt, 2019).May 26, 2015 · "Among women in labor, does the use of labor support/doulas versus no labor support affect labor complications?" (PICOt Question example by M. Montgomery) (PICOt Question example by M. Montgomery) Types of Questions: Therapy, Diagnosis, Prognosis, Harm/Etiology, Prevention, Cost-Effectiveness, Quality of Life. A strength of a qualitative PICO question is that it can investigate what patient satisfaction looks like, for example, instead of only reporting that 25% of patients who took a survey reported that they are satisfied. When working with qualitative questions, an alternative to using PICO in searching for sources is the SPIDER search tool.PICOT: This evidence-based project answered the following question: In rehabilitation patients, what is the effect of a nurse-driven protocol (NDP) CAUTI bundle on the number of indwelling urinary catheter-related infections, compared to the current practice, over a 12-week time period? EvidenceWe would like to show you a description here but the site won’t allow us. The PICOT question format is a consistent “formula” for developing answerable, researchable questions. When you write a good one, it makes the rest of the process of finding and evaluating evidence much more straightforward. P: Population/patient – age, gender, ethnicity, individuals with a certain disorder. I: Intervention/indicator ...Foreground questions look for answers to specific patients, problems, types of interventions, and clinical outcomes, and the PICO framework will work well with these questions. Use PICO to write a clear, researchable clinical question. The four elements of PICO break a research topic into searchable keywords and make locating evidence-based ...• Discuss the background questions as a group, and look up the answers as needed. • Find the answer to the foreground question, or have everyone write their own PICO question. • Take 5 minutes to look up the PICO answers. • Share the PICO answers and resources used. of the PICO components The PICO question is a convenient and conventional format to use when composing good clinical questions to direct an evidence-based search of research literature. PICO stands for Patient, Intervention, Comparison and Outcome; thus, there are four components of a good clinical question based on the PICO format.PICOT 7 PMTCT What is the most effective antiviral therapy during the third trimester of pregnancy, to reduce transmission of HBsAg? P: Pregnant women in the third trimester of pregnancy (defined as 27–40 weeks gestation) with chronic hepatitis B virus infection (positive for HBsAg persistently for more than 6 months) (stratified by HBeAg ... Question 1. Question 2. Question 3. Population. Children <6 years of age. AND. Diagnosed with ADHD or at risk for ADHD or diagnosed with DBD (including ODD and CD by DSM) ≥6 years of age (subjects <6 years are described in Question 1) Diagnosed with ADHD by the DSM or ICD criteria that was in use at the time of the study or of the publication.Jul 6, 2023 · Have two essential components: Example: What causes migraines? or How often should women over the age of 40 have a mammogram? A question root (who, what, when, etc.) with a verb A disorder, test, treatment, or other aspect of healthcare The background question is usually asked because of the need for basic information. The framework is actually divided into four major elements. A good clinical question will address most, if not all, aspects of the PICO nursing questions. The following are the parameters defined by PICO (T) when it comes to designing of clinical questions: P: Patient, Problem, Population. I: Intervention. Question Type & Study Design. Some study designs are better suited to answer certain types of questions. Identifying the clinical domain your question falls under can help determine what study designs to look for in order to find the best, most suitable evidence. Systematic Reviews and Meta-Analyses are always preferred.Jul 27, 2023 · You need to assess what reasonable clinical study population your patient could be part of. For example, if your patient is a 73 year old woman, "73 year old women" or "women in their 70s" is too specific because it is highly unlikely that clinical researchers would design a study that would exclusively enroll women in their 70s. The PICO(T) Chart provides an easy framework for integrating clinical information into the development of a research question. Students can complete the following worksheet, incorporating detailed information into each response. Decide what your research interest or topic is and then develop a research question to answer it.When constructing your PICO question, a few important points to bear in mind: Your patient is a member of a population as well as a person with (or at risk for) a health problem . Factors to consider include age, sex, comorbid conditions, past medical history, socioeconomic status or other demographic variables, as these factors may impact your ... Feb 18, 2022 · The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. “The question needs to identify the patient or population we intend to study, the ... Below are examples of nursing related questions: Intervention/Effect/Therapy PICO Question: An example: In adult patients with total hip replacements (Patient population) how effective is early ambulation (Intervention of interest) compared to bed rest (Comparison intervention) on decreasing post-op DVTs (Outcome)? Note: The question may also ...Question Type & Study Design. Some study designs are better suited to answer certain types of questions. Identifying the clinical domain your question falls under can help determine what study designs to look for in order to find the best, most suitable evidence. Systematic Reviews and Meta-Analyses are always preferred.Evidence-Based Nursing. Evidence-based nursing is the use of evidence in combination with the practitioner's expertise and nursing theory in order to make decisions about nursing patient care. It consists of 5 stages: Asking a question after assessing the patient. Acquire the evidence by finding literature to answer the question.A simple database search strategy should begin with the AND : cross infection AND (Handwashing OR Hand disinfection) Start with CINAHL or Medline/PubMed as initial article databases for a scoping search for most health sciences questions.Sep 26, 2020 · The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. “The question needs to identify the patient or population we intend to study, the ... Foreground questions look for answers to specific patients, problems, types of interventions, and clinical outcomes, and the PICO framework will work well with these questions. Use PICO to write a clear, researchable clinical question. The four elements of PICO break a research topic into searchable keywords and make locating evidence-based ...

PICOT QUESTION PAPER: INFERTILITY Significance to Nursing In nursing, fertility is a process that begins from the second a woman states she is attempting to become pregnant but is having difficulty. Nurses are also educators, so a main component to treating a woman who has fertility issues is to make them aware of their options and issues. . Xnxxsawdy

pico question examples women

The PICO question in this paper seeked to answer the question: in adult patients without celiac disease or gluten sensitivities, is GF food correlated with higher type 2 diabetes or CVD risk? The question was underpinned by a research study showing an inverse relationship between gluten consumption and type 2 diabetes rates. 2. Foreground questions are specific knowledge questions . that affect clinical decisions and ; include a broad range of biological, psychological, and sociological issues. Foreground questions are best suited to the PICO model as it captures the essential elements of your information need to help translate that question into a search query. To ...of the PICO components The PICO question is a convenient and conventional format to use when composing good clinical questions to direct an evidence-based search of research literature. PICO stands for Patient, Intervention, Comparison and Outcome; thus, there are four components of a good clinical question based on the PICO format. Apr 29, 2011 · I need a PICO question over either pregnancy, pregnancy complications, postpartum, newborn, premature newborn, anything along those lines. I know how to make a PICO question so I am not asking that. I am just having trouble with this area and exploring things I could do one over and find articles with. Thanks! PICOT: This evidence-based project answered the following question: In rehabilitation patients, what is the effect of a nurse-driven protocol (NDP) CAUTI bundle on the number of indwelling urinary catheter-related infections, compared to the current practice, over a 12-week time period? EvidencePICO: P = population; I = intervention; C = comparator; O = outcome(s)[ref]For further information on the findings of the reviews based on the PICOs presented in this annex, refer to the EtD frameworks in Supplementary material 2.[/ref] Pre-abortion Rhisoimmunization PICO 1: No anti-D administration in unsensitized Rh-negative individuals seeking abortion (see Recommendation 8 [NEW])The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. “The question needs to identify the patient or population we intend to study, the ...What PICO means. P: Population/disease ( i.e. age, gender, ethnicity, with a certain disorder) I: Intervention or Variable of Interest (exposure to a disease, risk behavior, prognostic factor) C: Comparison: (could be a placebo or "business as usual" as in no disease, absence of risk factor, Prognostic factor B ) O: Outcome: (risk of disease ...Aug 9, 2023 · PICO Question Template Examples. It can be helpful to classify your question based on the clinical domain(s) it falls under. See below for definitions, PICO templates, and example questions from the primary clinical domains: intervention, diagnosis, etiology, prevention, prognosis/prediction, quality of life/meaning, and therapy. PICO Question Template Examples. It can be helpful to classify your question based on the clinical domain(s) it falls under. See below for definitions, PICO templates, and example questions from the primary clinical domains: intervention, diagnosis, etiology, prevention, prognosis/prediction, quality of life/meaning, and therapy.Clarifying the key elements of the question is a critical first step toward providing an answer to inform a decision, or for a researcher to frame the research to be done. The PICO (Population, Intervention, Comparator, and Outcomes) model captures the key elements and is a good strategy to provide answerable questions. [1]A simple database search strategy should begin with the AND : cross infection AND (Handwashing OR Hand disinfection) Start with CINAHL or Medline/PubMed as initial article databases for a scoping search for most health sciences questions.About PICO; PICO's Limitations; Case Study. Case: Patient Education; P: Consider when choosing your patient/problem; I: Consider for your intervention; C: Consider for your comparison; O: Consider for your outcome; PICO: Putting it together; PICO Examples; Other Question Frameworks; ResourcesClinical questions could arise in situations such as the following: You become uncertain, during a patient encounter, about the desirability of a particular diagnostic or therapeutic choice. You encounter a product advertisement in a journal in which you are encouraged to purchase and use a particular technology for your patients.• Discuss the background questions as a group, and look up the answers as needed. • Find the answer to the foreground question, or have everyone write their own PICO question. • Take 5 minutes to look up the PICO answers. • Share the PICO answers and resources used. Have two essential components: Example: What causes migraines? or How often should women over the age of 40 have a mammogram? A question root (who, what, when, etc.) with a verb A disorder, test, treatment, or other aspect of healthcare The background question is usually asked because of the need for basic information.Systematic Review: A systematic review tries to identify, appraise, select and synthesize all RCTs (randomized control trials) relevant to a specific clinical question. . Stringent guidelines are set in order to draw a conclusion about whether or not there is conclusive evidence about a specfic treatment or to.

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