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RESP 210

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  • Hierarchy of evidence – Literature Review – Lowest / Meta- Analysis - Hightest
  • Transcript

    • 1. FINDING THE EVIDENCEDetermining what is a good research article
    • 2. WHERE DO YOU LOOK FOR ARTICLES? Google?  WebMD  Medlineplus  Mayo Clinic  Plus – these are excellent consumer health websites  Con – Not the original research! Let’s look at an example – COPD What can we learn from this article?  Who is the author?  What is the source of the article? Is this original research? Is there a citation indicating where the information came from?  You locate this through the library databases!
    • 3. WHERE TO FIND RESEARCH ARTICLES PubMed MedLine with Full-text CINAHL with Full-text National Guideline Clearinghouse DynaMed
    • 4. TYPES OF RESEARCH ARTICLES Review Clinical Guideline Case Report Cohort Study Randomized Controlled Trials - RCT Systematic Review Meta-analysis
    • 5. WHAT DOES IT ALL MEAN? Review  A review of the literature  Can be from a certain date  Can be for a certain time period  Excellent for a review of a topic  Different then a Systematic Review  Place to find: PubMed, Medline with Full-text Clinical Guideline  The gold standard in treatment for a particular disease  Place to find: National Guideline Clearinghouse Case Report  Report on a patient  Case Series / Case Control Study  Reports on a series of patients with the desired outcome  Patients with the desired outcome and those without – comparing them  Place to find: PubMed, Medline with Full-text
    • 6. WHAT DOES IT ALL MEAN? Cohort Study  Two groups (cohorts) of patients one which did not receive the exposure of interest and one which did  Both groups are followed for desired outcome  Place to find: PubMed, Medline with Full-text Randomized Controlled Trial  Patients are randomized into a control group or in an experimental group; both groups are followed for outcomes  Place to fine: PubMed, Medline with Full-text
    • 7. WHAT DOES IT ALL MEAN? Systematic Review  Authors of an article have systematically searched for appraised and summarized all medical literature on a specific topic  Place to find: PubMed, Medline with Full-text Meta-Analysis  A systematic review using qualitative methods to summarize the results  Place to find: PubMed, Medline with Full-text
    • 8. LOCATING SPECIFIC ARTICLES IN THELIBRARY DATABASES PubMed and Medline with Full-text  Advanced search  Look for the author  Look for the publication type – type of research article  Look for the journal name  Look for the main subject of the article  Basic search  Use limits
    • 9. FINDING THE EVIDENCE Back to our practice article  COPD
    • 10. PUBMED – BASIC SEARCH
    • 11. PUBMED – BASIC SEARCH - LIMITS
    • 12. PUBMED ADVANCED SEARCH
    • 13. MEDLINE WITH FULL-TEXT
    • 14. MEDLINE WITH FULL-TEXT
    • 15. EXERCISE Pair up into groups of 2 I am going to hand out articles Each person in the group will look for the original research  One person will use PubMed  One person will use MedLine with Full-Text  Then switch databases  the person who searched PubMed will now search MedLine with Full-Text and the person who searched MedLine with Full-text will now search PubMed Re-group as a whole and discuss findings

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