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How to find JOURNALS

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LITERATURE SEARCHING: Navigating the Medical Library
How to find JOURNALS
1. In print: alphabetical by title in UT/Erlanger’s Medical Library
2. Online: use list of online journals available via the Library’s intranet site
3. Memphis Health Sciences Center (HSC) Library: Go to Memphis’ HSC web site
(http://library.uthsc.edu); have username and password handy
a. E-journals (listed alphabetically, and by topic)
b. “E-Resources” (databases, e-books, relevant sites; listed by topic)
How to find ARTICLES within journals
1. (selected) Databases:
a. PubMed [www.pubmed.gov] (interface to MEDLINE)
b. MDConsult (on Memphis’ site), includes reference books, journal search,
practice guidelines, patient education and drug information
***How to access to the UT-Memphis Health Science Center (HSC) Library***
Register online by going to the Memphis HSC Library site –http://library.uthsc.edu/ -and clicking on the “First time user? Register now” link (upper left corner of page).
Follow the instructions.
**You will need to have your NetID and password**
To find your NetID: http://oracle.uthsc.edu/directory.php
If you have trouble with your NetID and/or your password, please call the UT-Memphis
Computer Center Help Desk for assistance: 901-448-2222.
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What KIND of information are you looking for?
(1) Research articles: published results of research studies. Research studies are the
primary means of developing new clinical knowledge, but … research articles vary in
the level of detail given about the study. You may need to do your own evaluation.
Selected resources: PubMed; CINAHL; Google search results; browsing relevant
medical journals
(2) Clinical Practice Guidelines: systematically developed statements of appropriate
care designed to assist the practitioner and patient make decisions about
appropriate health care for specific clinical circumstances.
Guidelines from reputable, authoritative organizations are usually based on the
most current, relevant research, but … guidelines are developed using widely
varying standards. Cost may be considered as well as health outcomes.
Selected resources: National Guideline Clearinghouse (www.ngc.gov); AHRQ
(Agency for Healthcare Research and Quality (AHRQ)
(www.ahrq.gov); MDConsult
(3) Structured Abstracts and Evidence Summaries – It is difficult for a clinician to
analyze all the information in a field. Resources such as EBM Reviews offer
summaries and structured abstracts of evidence-based information on a topic.
Selected resources: EBM Reviews; Dynamed; Cochrane Library; PubMed’s
Clinical Queries
(4) Systematic Reviews and Meta-Analyses – a systematic review is a literature
review focused on a single question. Such a review identifies, appraises, selects
and synthesizes all high quality research evidence relevant to that question.
Only a small number of clinical topics are covered by systematic reviews because
they require years of effort to develop.
Selected resources: PubMed’s Systematic Reviews; from Memphis’ Library,
Cochrane Database of Systematic Reviews (“Cochrane Reviews”)
References:
•
“Evidence-based practice.” http://healthlinks.washington.edu/ebp
•
“Users’ guides to the medical literature xvi. : How to use a treatment recommendation”,
Gordo H. Guyatt, MC, MSc; JAMA 1999;281:1836-1843
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SELECTED DATABASES
•
PubMed (National Library of Medicine’s (NLM) interface to MEDLINE)
Use PubMed’s Clinical Queries page to search by Clinical Study category (etiology,
diagnosis, therapy, prognosis, clinical prediction guidelines), Systematic Reviews, or
Medical Genetics (diagnosis, differential diagnosis, clinical description, management,
genetic counseling, molecular genetics, genetic testing).
•
CINAHL Nursing Index
•
UpToDate
UpToDate is a clinical reference designed to provide quick and easy access to
clinical information. It contains thousands of original topic reviews written by a
recognized faculty of experts who each address a specific clinical issue and provide
detailed recommendations. Each topic review is peer reviewed, referenced, and
offers CME credit.
•
ACP Journal Club
ACP Journal Club consists of the full text of ACP Journal Club (1991- ) and
Evidence Based Medicine. Editors screen the top clinical journals to identify studies
that are both methodologically sound and clinically relevant to review. The reviews
include an expanded abstract and commentary by the reviewers.
Through the Memphis Health Science Center Library (http://library.uthsc.edu):
•
The Cochrane Library
o Cochrane Database of Systematic Reviews (Cochrane Reviews)
Regularly updated systematic reviews on the effects of health care.
o
Database of Abstracts of Reviews of Effectiveness (DARE)
Structured abstracts of previously published good quality systematic reviews
from around the world, filtered by reviewers at the NHS Centre for Reviews
and Dissemination. Also includes abstracts or reviews from the ACP Journal
Club.
•
MD Consult
MD Consult provides access to medical texts, clinical practice guidelines, patient
education handouts (many in Spanish), a drug information database, and full text to
several medical journals. In addition, MD Consult provides an update service,
summarizing articles in recent medical journals and highlighting articles that patients
may be reading in the popular press.
•
DynaMed
DynaMed (Dynamic Medical Information System) is a quick and easy-to-use medical
reference system designed for use at the point of care. DynaMed contains clinically
organized summaries of nearly 1,800 topics and is updated daily from review of the
research literature. This means that the reference information is always up-to-date
and does not require new editions. DynaMed is a useful resource in clinical,
educational and research settings.
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ADDITIONAL INTERNET RESOURCES
•
Agency for Healthcare Research and Quality (AHRQ)
http://www.ahrq.gov
•
Centers for Disease Control and Prevention (CDC)
http://www.cdc.gov/
o
Within CDC site, there is access the National Center on Health Statistics
(NCHS) site, which in turn offers health data and public use data sets ….
Useful for resident research projects…
•
Institute of Medicine (IOM) -- http://www.iom.edu/
•
MedWeb
http://www.medweb.emory.edu/MedWeb/SPT--Home.php
A searchable collection of links to medical web sites.
•
National Guideline Clearinghouse (NGC)
http://www.ngc.gov
•
National Institute of Health (NIH)
http://www.nih.gov/
DISCIPLINE-SPECIFIC sites:
Allergy and Infectious Disease
• National Institute of Allergy and Infectious Diseases
http://www.niaid.nih.gov/Pages/default.aspx
Cardiology
• American College of Cardiology
http://www.cardiosource.org/
• American Heart Association
http://www.heart.org/HEARTORG/
Family Medicine
• American Academy of Family Physicians
http://www.aafp.org/online/en/home.html
Internal Medicine
• American College of Physicians (ACP)
http://www.acponline.org/
• American Board of Internal Medicine
http://www.abim.org/
Nephrology
• National Kidney Foundation
http://www.kidney.org/
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Neurology
• American Academy of Neurology
http://www.aan.com/
Obstetrics & Gynecology
• ACOG: The American Congress of Obstetricians and Gynecologists
http://www.acog.org/
Oncology
• National Cancer Institute
http://www.cancer.gov/
• American Society of Clinical Oncology
http://www.asco.org/
Pediatrics
• American Academy of Pediatrics
http://www.aap.org/
• American Board of Pediatrics
https://www.abp.org/ABPWebStatic/
Surgery
• American Academy of Orthopaedic Surgeons
http://www.aaos.org/
• Orthopaedic Trauma Association
http://www.ota.org/
• American Society of Plastic Surgery
http://www.plasticsurgery.org/
META-SEARCH ENGINES:
Meta-searching = searching multiple Internet
simultaneously. Results are collated into one page.
sites
(including
PubMed/MEDLINE)
•
SUMSearch
http://sumsearch.uthscsa.edu/
SUMSearch combines meta-searching and contingency searching in order to
automate searching for medical evidence.
•
TRIP Plus
http://www.tripdatabase.com/
The TRIP Plus database is a meta-search engine that searches across multiple sites
of high-quality medical information, including PubMed's Clinical Inquiries.
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NIFTY SEARCH TIPS & TRICKS
1. Set up a MyNCBI account
a. Go to upper right hand corner of PubMed screen
b. Create a new account
c. Log into your account every time you search
2. Search by keyword
a. One way: type in what you’re looking for, see what comes up
i. Look at the MeSH headings (for PubMed) or other words associated
with the article
b. Another way: go straight to MeSH and try out key words
3. Limit by type of resource
a. Reviews
b. Clinical Trials
c. Research articles
d. etc
4. View tutorials for searching techniques—
a. PubMed: http://www.nlm.nih.gov/bsd/disted/pubmed.html
b. Cochrane Lib: http://www.thecochranelibrary.com/view/0/HowtoUse.html
c. CINAHL: http://www.youtube.com/watch?v=tx2T1SH6odc&feature=related
[NOTE: to find other tutorials, search Internet: “name of database” and tutorial]
5. Review related citations
6. Look at an author’s other works
7. Search within a specific journal, or range of journals
If all else fails….. just ASK!!!!
WHY be concerned with searching the literature?
In order to…
1. … be sure you are not repeating same research
2. … verify that something which may have “always been done” a certain way needs
another perspective. Has this procedure or condition’s treatment been looked at
recently?
3. … back up your ideas/hypothesis
4. … avoid repeating a trial or study which may be harmful
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