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Introduction Evidence-based medicine (EBM) is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients . The practice of evidence-based medicine means integrating individual clinical practice with the best available external clinical evidence systematic research. We should not make decisions based on our clinical experience alone because our experiences may be biased. The essential steps include: To convert our information needs into answerable questions (i.e. to formulate the problem ); To track down, with maximum efficiency , the best evidence with which to answer these questions - which may come from the clinical examination, the diagnostic laboratory, the published literature or other sources; To appraise the evidence critically to assess its validity and usefulness; To implement the results of this appraisal in our clinical practice; To evaluate our performance NOTE: EBM does not mean we justify our app...