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Neonatal Intensive Care Unit - Resource Orientation

Neonatal Intensive Care Unit - Resource Orientation






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Neonatal Intensive Care Unit - Resource Orientation Neonatal Intensive Care Unit - Resource Orientation Presentation Transcript

  • Finding the Medical Evidence in the Neonatal Intensive Care Unit August 4, 2010 Shauna-Lee Konrad Clinical Librarian Children’s Hospital, LHSC [email_address] Robin Featherstone Clinical Medicine Librarian Western Libraries, UWO [email_address] Slides : www.slideshare.net/featherr Libraries
  • Agenda
    • Hospital and University Library Services
    • Off-site access to Western Libraries
    • Get it @ Western & Pubget
    • Basic Searching in PubMed
    • Answering clinical queries using filtered and unfiltered sources
  • Library Services
    • University Library
    • Hospital Libraries
    www.lib.uwo.ca/programs/neonatalandperinatalmedicine/ http://intra.sjhc.london.on.ca/refer/library/ http://www.lhsc.on.ca/priv/library/
  • Library Services
    • University Library
    • Hospital Libraries
    Robin Featherstone [email_address] Ext: 86383 Brad Dishan (SJHC) [email_address] Ext: 65727 Shauna-Lee Konrad (Children’s Hospital, LHSC) [email_address] Ext: 55145
    • On-site assistance: Taylor Library
    • On-site assistance: St. Joseph’s Hospital, SJHC
    • Victoria Hospital, LHSC
    • Extensive electronic & print collections
    • Local reference collection
    • Searching consultations (Educational)
    • Literature searches
    • Searching consultations
    • Purchase requests
    • Interlibrary Loan
    • Workshops & Instruction
    • Workshops & Instruction
  • Neonatal and Perinatal Medicine Resources
    • What information tools have you used?
  • Selected Neonatal & Perinatal Medicine Info www.lib.uwo.ca/programs/neonatalandperinatalmedicine
  • Live Demo www.schulich.uwo.ca
  • Off-Site Access Why are they asking me to pay??
  • Proxy Server 129.100.*.*
    • Option A: Log in at www.lib.uwo.ca
    • Option B: Use the EZ Proxy button
    • Option C: Use customized bookmarks created with the EZ Proxy Link Generator: https://www.lib.uwo.ca/offcampus/ezform.html
    How to log on
  • Accessing Full-Text
    • Once logged in to the proxy server, look for the “Get it @ Western” button
  • Full-Text from PubMed Remember to use the PubMed link from the library website.
  • Get it @ Western Option 1: Link to Full-Text Option 2: Check the catalogue
  • Full-Text from Pubget Remember to use the Pubget link from the library website & to log in to the proxy server.
  • Exercise 1 – Finding Full-Text
    • Access the PDF of the following article:
    • Thoresen M, Hellström-Westas L, Liu X, de Vries LS. Effect of hypothermia on amplitude-integrated electroencephalogram in infants with asphyxia . Pediatrics . 2010 Jul;126(1):e131-9. Epub 2010 Jun 21. PubMed PMID: 20566612.
  • Introduction to PubMed How do I find the recent literature on my topic?!?
  • Define the Search Topic
    • Define your search topic in a single question or statement.
    • Is hypothermia effective for treating neonatal asphyxia?
    • Is dobutamine or dopamine more effective for treating hypotension in the neonate?
  • Analyse the Search Topic
    • Analyse your search topic:
    • What are the primary concepts (2-3)?
    • Is hypothermia effective for treating neonatal asphyxia?
    • What are the limiters ?
      • Population (Newborn infants, birth – 1 month)
      • Publication type (i.e. RCT, Review)
      • Publication date (i.e. last 10 years)
  • Basic Searching in PubMed
    • Search your primary concepts, separating each concept with AND.
    • Click “Search”.
  • Combine Different Concepts Using AND
    • AND
    • Combine different concepts
    • Finds articles where both concepts are present.
  • Applying Limits
    • Click the limits link to see the complete list of options.
    • 1. Check the appropriate limits for your search.
    • 2. Click “Search”.
    • Commonly used limits include:
    • Type of Article
    • Language
    • Ages
    • Publication Date
  • Exercise 2: Basic Searching
    • After morning rounds, a NICU fellow is wondering if there are any recent articles on the use of probiotics for preventing necrotizing enterocolitis in the newborn.
    Search Strategy: probiotics AND necrotizing enterocolitis
  • Exercise 3: Basic Searching
    • For a research project, you would like to find published RCTs on whether dopamine or dobutamine is more effective for treating hypotension in the neonate from the last 20 years.
    Search Strategy: dopamine AND dobutamine AND hypotension
  • Managing Search Results
    • Save your searches.
    • Change display settings.
    • View your search results.
    • Email or save your search results.
  • Clinical Queries in PubMed
    • Use Clinical Queries to quickly find the best studies to answer your question.
    Select the type of question that you want to answer. Enter the key concepts for your clinical question.
  • Clinical Queries in PubMed
  • Exercise 4: Clinical Queries in PubMed Use clinical queries to determine the role of lumbar puncture in determining sepsis in neonates. Clinical Queries Strategy: Lumbar puncture sepsis neonate Diagnosis Broad
  • Exercise 5: Clinical Queries in PubMed Use clinical queries to find articles that discuss acceptable levels of oxygen to prevent retinopathy of prematurity. Clinical Queries Strategy: Oxygen levels retinopathy of prematurity Etiology Broad
  • Exercise 6 – Clinical Query
    • Do probiotics prevent necrotizing enterocolitis?
    • In groups, please search the following:
            • Cochrane Library
            • PubMed (Clinical Queries)
            • PubMed
  • Clinical Query: Search Results Source Results Cochrane Library 2 Cochrane Reviews 4 Other Reviews PubMed 118 Citations PubMed Clinical Queries (therapy/narrow) 18 Clinical Studies 5 Systematic Reviews EMBASE 239 Citations total
  • Level of Evidence Pyramid Qualitative Studies Trip searches both
  • Exercise 7 – Image Search
    • You’re preparing for a presentation on necrotizing enterocolitis. Find some images or animations to add to your slides.
    • Caveat: Without breaking copyright
  • Medical Illustration © 2010 Nucleus Medical Media, Inc., www.nucleusinc.com
  • Recap
    • Hospital Libraries for on-site assistance
    • University Library for collections
    • EZ Proxy to access UWO subscriptions
    • Get it @ Western or Pubget for full-text access to articles
    • Neonatal and Perinatal Medicine Program page for selected information tools
  • Questions? Comments?
    • Brad Dishan
    • Librarian
    • St. Joseph’s Health Care London
    • C0-108, x65727
    • [email_address]
    Robin Featherstone Clinical Medicine Librarian Western Libraries 519-661-2111 x86383 [email_address] Shauna-Lee Konrad Clinical Librarian Children’s Hospital, LHSC C3-300, x55145 [email_address]