Neonatal Intensive Care Unit - Resource Orientation

1,393 views

Published on

0 Comments
2 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,393
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
24
Comments
0
Likes
2
Embeds 0
No embeds

No notes for slide
  • SLK introduce
  • SLK
  • SLK AND RF
  • SLK & RF
  • RF
  • RF
  • RF
  • RF
  • RF
  • RF
  • RF
  • RF
  • RF
  • RF
  • RF
  • SLK
  • SLK This makes it much easier for you to identify what your search question actually is…often you’ll approach a question with only a vague idea of what you’re looking for. This is what gets you in trouble with searching…too many results.
  • SLK
  • SLK
  • SLK
  • SLK
  • SLK
  • SLK
  • SLK Mention RefWorks here.
  • SLK
  • SLK
  • SLK Diagnosis – try sepsis/meningitis
  • SLK Etiology: oxygen levels rop
  • RF
  • RF
  • RF
  • RF
  • RF
  • RF/SLK
  • Neonatal Intensive Care Unit - Resource Orientation

    1. 1. 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
    2. 2. Agenda <ul><li>Hospital and University Library Services </li></ul><ul><li>Off-site access to Western Libraries </li></ul><ul><li>Get it @ Western & Pubget </li></ul><ul><li>Basic Searching in PubMed </li></ul><ul><li>Answering clinical queries using filtered and unfiltered sources </li></ul>
    3. 3. Library Services <ul><li>University Library </li></ul><ul><li>Hospital Libraries </li></ul>www.lib.uwo.ca/programs/neonatalandperinatalmedicine/ http://intra.sjhc.london.on.ca/refer/library/ http://www.lhsc.on.ca/priv/library/
    4. 4. Library Services <ul><li>University Library </li></ul><ul><li>Hospital Libraries </li></ul>Robin Featherstone [email_address] Ext: 86383 Brad Dishan (SJHC) [email_address] Ext: 65727 Shauna-Lee Konrad (Children’s Hospital, LHSC) [email_address] Ext: 55145 <ul><li>On-site assistance: Taylor Library </li></ul><ul><li>On-site assistance: St. Joseph’s Hospital, SJHC </li></ul><ul><li>Victoria Hospital, LHSC </li></ul><ul><li>Extensive electronic & print collections </li></ul><ul><li>Local reference collection </li></ul><ul><li>Searching consultations (Educational) </li></ul><ul><li>Literature searches </li></ul><ul><li>Searching consultations </li></ul><ul><li>Purchase requests </li></ul><ul><li>Interlibrary Loan </li></ul><ul><li>Workshops & Instruction </li></ul><ul><li>Workshops & Instruction </li></ul>
    5. 5. Neonatal and Perinatal Medicine Resources <ul><li>What information tools have you used? </li></ul>
    6. 6. Selected Neonatal & Perinatal Medicine Info www.lib.uwo.ca/programs/neonatalandperinatalmedicine
    7. 7. Live Demo www.schulich.uwo.ca
    8. 8. Off-Site Access Why are they asking me to pay??
    9. 9. Proxy Server 129.100.*.*
    10. 10. <ul><li>Option A: Log in at www.lib.uwo.ca </li></ul><ul><li>Option B: Use the EZ Proxy button </li></ul><ul><li>Option C: Use customized bookmarks created with the EZ Proxy Link Generator: https://www.lib.uwo.ca/offcampus/ezform.html </li></ul>How to log on
    11. 11. Accessing Full-Text <ul><li>Once logged in to the proxy server, look for the “Get it @ Western” button </li></ul>
    12. 12. Full-Text from PubMed Remember to use the PubMed link from the library website.
    13. 13. Get it @ Western Option 1: Link to Full-Text Option 2: Check the catalogue
    14. 14. Full-Text from Pubget Remember to use the Pubget link from the library website & to log in to the proxy server.
    15. 15. Exercise 1 – Finding Full-Text <ul><li>Access the PDF of the following article: </li></ul><ul><li>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. </li></ul>
    16. 16. Introduction to PubMed How do I find the recent literature on my topic?!?
    17. 17. Define the Search Topic <ul><li>Define your search topic in a single question or statement. </li></ul><ul><li>Is hypothermia effective for treating neonatal asphyxia? </li></ul><ul><li>Is dobutamine or dopamine more effective for treating hypotension in the neonate? </li></ul>
    18. 18. Analyse the Search Topic <ul><li>Analyse your search topic: </li></ul><ul><li>What are the primary concepts (2-3)? </li></ul><ul><li>Is hypothermia effective for treating neonatal asphyxia? </li></ul><ul><li>What are the limiters ? </li></ul><ul><ul><li>Population (Newborn infants, birth – 1 month) </li></ul></ul><ul><ul><li>Publication type (i.e. RCT, Review) </li></ul></ul><ul><ul><li>Publication date (i.e. last 10 years) </li></ul></ul>
    19. 19. Basic Searching in PubMed <ul><li>Search your primary concepts, separating each concept with AND. </li></ul><ul><li>Click “Search”. </li></ul>
    20. 20. Combine Different Concepts Using AND <ul><li>AND </li></ul><ul><li>Combine different concepts </li></ul><ul><li>Finds articles where both concepts are present. </li></ul>
    21. 21. Applying Limits <ul><li>Click the limits link to see the complete list of options. </li></ul><ul><li>1. Check the appropriate limits for your search. </li></ul><ul><li>2. Click “Search”. </li></ul><ul><li>Commonly used limits include: </li></ul><ul><li>Type of Article </li></ul><ul><li>Language </li></ul><ul><li>Ages </li></ul><ul><li>Publication Date </li></ul>
    22. 22. Exercise 2: Basic Searching <ul><li>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. </li></ul>Search Strategy: probiotics AND necrotizing enterocolitis
    23. 23. Exercise 3: Basic Searching <ul><li>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. </li></ul>Search Strategy: dopamine AND dobutamine AND hypotension
    24. 24. Managing Search Results <ul><li>Save your searches. </li></ul><ul><li>Change display settings. </li></ul><ul><li>View your search results. </li></ul><ul><li>Email or save your search results. </li></ul>
    25. 25. Clinical Queries in PubMed <ul><li>Use Clinical Queries to quickly find the best studies to answer your question. </li></ul>Select the type of question that you want to answer. Enter the key concepts for your clinical question.
    26. 26. Clinical Queries in PubMed
    27. 27. 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
    28. 28. 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
    29. 29. Exercise 6 – Clinical Query <ul><li>Do probiotics prevent necrotizing enterocolitis? </li></ul><ul><li>In groups, please search the following: </li></ul><ul><ul><ul><ul><ul><li>Cochrane Library </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>PubMed (Clinical Queries) </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>PubMed </li></ul></ul></ul></ul></ul>
    30. 30. 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
    31. 31. Level of Evidence Pyramid Qualitative Studies Trip searches both
    32. 32. Exercise 7 – Image Search <ul><li>You’re preparing for a presentation on necrotizing enterocolitis. Find some images or animations to add to your slides. </li></ul><ul><li>Caveat: Without breaking copyright </li></ul>
    33. 33. Medical Illustration © 2010 Nucleus Medical Media, Inc., www.nucleusinc.com
    34. 34. Recap <ul><li>Hospital Libraries for on-site assistance </li></ul><ul><li>University Library for collections </li></ul><ul><li>EZ Proxy to access UWO subscriptions </li></ul><ul><li>Get it @ Western or Pubget for full-text access to articles </li></ul><ul><li>Neonatal and Perinatal Medicine Program page for selected information tools </li></ul>
    35. 35. Questions? Comments? <ul><li>Brad Dishan </li></ul><ul><li>Librarian </li></ul><ul><li>St. Joseph’s Health Care London </li></ul><ul><li>C0-108, x65727 </li></ul><ul><li>[email_address] </li></ul>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]

    ×