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FSU COLLEGE OF MEDICINE

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					  Searching and Accessing
  Full Text Journal Articles

Nancy Clark, Director of Medical Informatics
Dennis Mayeaux, Informatics Curriculum Director   PEN
FSU College of Medicine


December 29, 2012                                   1
    Handouts

PowerPoint
Example of MEDLINE reference
Example of MeSH record
Worksheet for activity
Evaluations – Please complete Pre
 Workshop Assessment
Consent Form (sign)

                       FSU COLLEGE OF MEDICINE
December 29, 2012                            2
Tutorials for PubMed




                    Link to PubMed
                       Tutorials




                                     FSU COLLEGE OF MEDICINE
December 29, 2012                                          3
    Objectives for Session

Learners will
      – Define topic and break it down into
        searchable parts
      – Use the MeSH database to select most
        relevant subject headings
      – Do PubMed search using primary
        functions
      – Locate full articles from PubMed search
      – Perform Google Scholar Search
                               FSU COLLEGE OF MEDICINE
December 29, 2012                                    4
    Life Long Learning
 Half-life medical information = 5 years
      – Volume doubles
 Average physician practices 30 years
 > 27,000 clinical trial articles published
  in 2006 (718,663 total new MEDLINE citations in
    2006)
 Constant new prescription drugs, new
    dosages, forms of existing drugs, new interactions
    and adverse reactions discovered, new medical devices…
 Medical errors increasing
                                        FSU COLLEGE OF MEDICINE
December 29, 2012                                             5
    Lifelong Learning

Old method: read a few journal
 articles per week
Reality: Primary care docs would
 need over 17 hrs/day just to review
 reasonable pertinent material
           Even in one narrow specialty would need
            6+hrs/wk
           Practicing docs (all specialties) average 1-
            1.5 hrs/wk
                                      FSU COLLEGE OF MEDICINE
December 29, 2012                                           6
    When to Use Journal Articles?
             Yes                No
 Writing article/book    Need quick answer
  chapter/systematic
  review
                          Straightforward
                           disease question
 Odd co-morbidity
 Unusual presentation    Keeping up with
  of case                  knowledge base
 See experimental
  treatment options



                             FSU COLLEGE OF MEDICINE
December 29, 2012                                  7
    Drilling Down for Information



                           High quality, evidence-
                           based systematic review




                           High quality, quick
                           reference resource




                       FSU COLLEGE OF MEDICINE
December 29, 2012                                    8
    What is MEDLINE?
 Database of bio-medical journals
  (medical, dental, nursing, veterinary, …)
 Old Index Medicus database
 Service of National Library of Medicine
  (NLM)
 5,271 biomedical journals, most are peer
  reviewed
 Nearly 18+ million citations (around
  70,000 new/month)
 Back to 1860s (primarily back to 1950s)
                           FSU COLLEGE OF MEDICINE
December 29, 2012                                9
     What is MEDLINE?

Articles are indexed by Real People.
Terms are assigned that come from
 a Controlled Vocabulary (Thesaurus)
 called MeSH (Medical Subject
 Headings).
MeSH includes sets of subheadings
 that apply to each term and uses
 markers to indicate which terms
 reflect the main focus of the article.
                                                      FSU COLLEGE OF MEDICINE
December 29,
April 29, 20082012   Medical Informatics Seminar Session 6                 10
    Where to Search MEDLINE?

Pubmed (NLM        Links to
 interface)           – Full text
OVID                   journal articles
MD Consult           – Books
Merck Medicus        – EBM databases

Medscape

                        FSU COLLEGE OF MEDICINE
December 29, 2012                            11
  Goal of Journal Search

         A Few Good Articles
                    Full text in as few clicks as possible



December 29, 2012                                            12
    Go to PubMed

Follow link in middle of library
 homepage
Click (if doesn’t get you there- hold
 down CTRL)




                         FSU COLLEGE OF MEDICINE
December 29, 2012                             13
                    FSU COLLEGE OF MEDICINE
December 29, 2012                        14
    NCBI feature

Alerting service
      – Sends TOC of latest journals
      – Sends results of searches updates
Save searches
Save collections of articles
Filters which break down your
 results for you into tabs
                               FSU COLLEGE OF MEDICINE
December 29, 2012                                   15
    First search of the evening:
    Author search
Use initial(s) most frequently used
 by author
After 2002, full names (when
 included in the journal itself) may be
 used
May search multiple authors on one
 search line

                         FSU COLLEGE OF MEDICINE
December 29, 2012                             16
    Example of author search: Search for articles
    by Hurt MM and click the “go” button




                                 FSU COLLEGE OF MEDICINE
December 29, 2012                                     17
  Let’s take a look at the first reference




                               FSU COLLEGE OF MEDICINE
December 29, 2012                                   18
    Abstract View




                    FSU COLLEGE OF MEDICINE
December 29, 2012                        19
  Abstract Plus View




                       FSU COLLEGE OF MEDICINE
December 29, 2012                           20
                    FSU COLLEGE OF MEDICINE
December 29, 2012                        21
    Citation View




                    FSU COLLEGE OF MEDICINE
December 29, 2012                        22
    Direct Link to Full Text:




                          FSU COLLEGE OF MEDICINE
December 29, 2012                              23
    Do your own author search
    exercise
Lawrence Weed (LL Weed)
Nir Menachemi
Robert Brooks (RG Brooks)




                       FSU COLLEGE OF MEDICINE
December 29, 2012                           24
    PubMed tutorial

1 minute tutorial on a simple subject
 search
Note details screen to understand
 the PubMed search engine in one
 picture!



                        FSU COLLEGE OF MEDICINE
December 29, 2012                            25
    Subject Search




                     FSU COLLEGE OF MEDICINE
December 29, 2012                         26
    Limits Tab




                    FSU COLLEGE OF MEDICINE
December 29, 2012                        27
                    FSU COLLEGE OF MEDICINE
December 29, 2012                        28
  Limits - Results




                     FSU COLLEGE OF MEDICINE
December 29, 2012                         29
    Tabs - Details




                     FSU COLLEGE OF MEDICINE
December 29, 2012                         30
    Search Strategies

Limit search           Phrases in quotes:
                        “focal nodular hyperplasia”
      – By type of
        article        AND, OR, NOT,
      – By date         parentheses
      – By age group   “medication errors” AND
      – By language     “quality improvement”
                        NOT (ambulatory OR
                           “nursing home”)
                            FSU COLLEGE OF MEDICINE
December 29, 2012                                     31
    Types of Articles

 Editorials                  Original Research
 Letters                      –   Case Studies
 Review Articles              –   Case Control
                               –   Time Series
 Meta-Analysis
                               –   Cross sectional
      – Systematic reviews
                               –   Cohort
 Clinical Guidelines          –   Control trials
                               –   Randomized
                                   Control Trials

                                    FSU COLLEGE OF MEDICINE
December 29, 2012                                        32
    Tabs - Preview




                     FSU COLLEGE OF MEDICINE
December 29, 2012                         33
    Tab - History




                    FSU COLLEGE OF MEDICINE
December 29, 2012                        34
    Put a reference in the Clipboard




                         FSU COLLEGE OF MEDICINE
December 29, 2012                             35
    Tab - Clipboard

As you search
Add to Clipboard
Collect all the good articles there




                         FSU COLLEGE OF MEDICINE
December 29, 2012                             36
                    FSU COLLEGE OF MEDICINE
December 29, 2012                        37
                    FSU COLLEGE OF MEDICINE
December 29, 2012                        38
                    FSU COLLEGE OF MEDICINE
December 29, 2012                        39
  When the pretty red button
  isn’t there….




December 29, 2012              40
    Identify the Full Journal Title




                        FSU COLLEGE OF MEDICINE
December 29, 2012                            41
    Finding Full Text Articles
   Pubmed Linked to full text? No…
   1. E-Journals list from library
      webpage? Not listed…
   2. FSU Serial Solutions from library
      webpage. In electronic format?
      No...
   3. Interlibrary loans for titles not
      owned by FSU:
      MedLibrary@med.fsu.edu
                          FSU COLLEGE OF MEDICINE
December 29, 2012                              42
    College of Medicine E-Journal List




                        FSU COLLEGE OF MEDICINE
December 29, 2012                            43
    FSU Libraries Serials Solutions




                        FSU COLLEGE OF MEDICINE
December 29, 2012                            44
    Interlibrary Loan




                        FSU COLLEGE OF MEDICINE
December 29, 2012                            45
  Finding Journal Articles
  at FSU

                      DOOR 1
                    Direct Link to
                                     JOURNAL ARTICLES
                       full-text
                        article.
                                           DOOR 2
                                           Locate the
                                            e-journal
                                      with Medical Library
                                         E-Journals list.
                                                                   DOOR 3
                                                             Locate the e-journal
                                                             with Serials Solutions




                                                                     Interlibrary
                                                                                       INTER-LIBRARY
                                                                                           LOAN
                                                                                      medlibrary@med.fsu
                                                                                              .edu
                                                                        Loan




December 29, 2012                                                                                46
  Google Scholar
Searches Pubmed, some of our
 content, links to full text




                      FSU COLLEGE OF MEDICINE
December 29, 2012                          47
                    FSU COLLEGE OF MEDICINE
December 29, 2012                        48
                    FSU COLLEGE OF MEDICINE
December 29, 2012                        49
    Find it @ FSU




                               Link goes to
                             Serials Solutions


                    Link goes to FSU
                     Online Catalog



                           FSU COLLEGE OF MEDICINE
December 29, 2012                                50
    Exercise

Write a clinical question
What kinds of articles do you want
 to answer this question
Locate first 10 articles on search
Find the full text articles
Print one of the full text articles

                        FSU COLLEGE OF MEDICINE
December 29, 2012                            51
  Open exercises: topics from
  group




December 29, 2012               52
    Review of great features

Details --MeSH
Limits
Related articles
History (combine searches)
View in Abstract Plus to find full
 article

                         FSU COLLEGE OF MEDICINE
December 29, 2012                             53
    The End

Practice
Call or e-mail us for individual
 help
         850-644-3883
  MedLibrary@med.fsu.edu


                      FSU COLLEGE OF MEDICINE
December 29, 2012                          54
  Using NCBI




December 29, 2012   55
           Customize My NCBI

      Tutorials: http://www.nlm.nih.gov/bsd/disted/myncbi.html
      Saving Searches
      Saving References
      Customizing the Tabs
      Highlighting Search Terms



                                           FSU COLLEGE OF MEDICINE
                                                                  56
December 29, 2012
     My NCBI – Saving a Search

 Develop a search.
 Click on ‘Save Search’.




                                                      FSU COLLEGE OF MEDICINE
December 29,
April 29, 20082012   Medical Informatics Seminar Session 6                 57
     My NCBI – Saving a Search
 Give name and
  Save
 Complete form for
  email notification
 ‘My NCBI’ puts the
  search in your list.




                                                      FSU COLLEGE OF MEDICINE
December 29,
April 29, 20082012   Medical Informatics Seminar Session 6                 58
                    FSU COLLEGE OF MEDICINE
December 29, 2012                        59
     My NCBI – Saving References (1)

 Develop a search.
 Check the references you want to save.
 Click on ‘Send To’ and select ‘Clipboard’.




                                                      FSU COLLEGE OF MEDICINE
December 29,
April 29, 20082012   Medical Informatics Seminar Session 6                 60
    My NCBI – Saving References (2)

 Go to the ‘Clipboard’ Tab
 Click on ‘Send To’ and select Collections.




                                                     FSU COLLEGE OF MEDICINE
April 29, 2008
December 29, 2012   Medical Informatics Seminar Session 6                 61
    My NCBI – Saving References (3)

 Tell My NCBI what to call the collection




                                                     FSU COLLEGE OF MEDICINE
April 29, 2008
December 29, 2012   Medical Informatics Seminar Session 6                 62
       My NCBI – Saving References (4)

 To see the collection or
  saved search, click on
  ‘My NCBI’ > My Saved
  Data
 Can download collections
  into a reference manager
  such as EndNote or
  RefWorks.




                                                        FSU COLLEGE OF MEDICINE
  December 29,
  April 29, 20082012   Medical Informatics Seminar Session 6                 63
        My NCBI – Customizing the Tabs
  1. Click on ‘My
     NCBI’.
  2. ‘Search
     Filters’.
  3. ‘PubMed’.




December 29, 2012         FSU COLLEGE OF MEDICINE
                                               64
     My NCBI – Customizing the Tabs

 Try “Browse Filters” to see different types




                                   FSU COLLEGE OF MEDICINE
 December 29, 2012                                      65
       My NCBI – Highlighting Search Terms


 Click on ‘My NCBI’.
 Click on
  ‘Preferences’.
 Click on
  ‘Highlighting’
 Pick colors



                                                     FSU COLLEGE OF MEDICINE
December 29, 2012   Medical Informatics Seminar Session 6                 66
    Have Journal TOC Sent (1)

1. Search ‘Journals Database’
2. Enter a general subject term, e.g.
   “Pediatrics”, then ‘Go’.
3. Click on a journal title to get information
   about that journal.
4. Continue with another search for a
   Journal, find and select
5. Click on ‘Send to’ and select ‘Search Box
   with OR’.
                             FSU COLLEGE OF MEDICINE
December 29, 2012                                 67
                    FSU COLLEGE OF MEDICINE
December 29, 2012                        68
          Have Journal TOC Sent (2)

  4. Click on ‘Search PubMed’.
  5. Click on ‘Save Search’, name it, and
     set up email as earlier.
  6. You will be notified when new articles
     are published in these journals.


                             FSU COLLEGE OF MEDICINE
                                                  69
December 29, 2012
    Links to Other NCBI Databases

NCBI has other databases that link to
 PubMed. (examples: CoreNucleotide,
 Gene, HomoloGene, Protein, Protein)




                                                     FSU COLLEGE OF MEDICINE
April 29, 2008
December 29, 2012   Medical Informatics Seminar Session 6                 70

				
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