This document provides information about resources for research and evidence-based medicine, including library databases like DynaMed and PubMed. It discusses evaluating websites and sources, searching strategies, and accessing full text articles. Examples of topics that could be researched are provided, such as the lariat procedure for left atrial appendage closure. Interlibrary loan is introduced as a way to obtain books and articles not available in the HVCC library.

1.  

2.  Library resources
 Research Guide– ICVT
 http://hvcc.libguides.com/icvt
 Ask a librarian
 Medical Databases
 DynaMed
 MedLine with Full-text
 PubMed
 Finding books / Interlibrary Loan
 Vancouver Referencing
 How to summarize
 How to cite
 When to cite

3.  Some of your assignments will be:
o Case Studies
o Poster Session
o Research Paper
 Need reliable information

4. Types of Information
 Google
o Advanced Search
o Google Scholar
 Patient Information
o Websites / Handouts
o Information that is written in a generic way
 Professional Information
o Medical Terminology
o Journal Articles
o Library Databases

5.  Example: TAVR (Trans-aortic Valve Replacement)
https://newheartvalve.com/about-tavr/is-tavr-right-for-you/
 Is this an appropriate source?
 Why?

6.  Example: Ulnar Artery Catheterization
http://emedicine.medscape.com/article/1894124-technique
 Is this an appropriate source?
 Why?

7.  Evaluate a website:
o Use the CRAP test
o http://libguides.southmountaincc.edu/CRAPtest

9.  Point of care evidence-based database
 Provides synthesized information:
o Diseases – description, symptoms, treatments, differential diagnosis,
diagnosis
o Drugs
o Treatments, Diagnosis procedures, etc
 Levels of evidence for information provided
 Links to full-text or abstracts in PubMed
 Topics updated regularly
 Patient education handouts
 DynaMed Focus
o Based on criteria for selecting "articles most likely to inform clinical
practice," one article was selected by the DynaMed Editorial Team.
 Mobile Access / Remote Access

10.  DynaMed –
o Clinical rotations at Albany Medical Center – will become
familiar with this database
o Offer HVCC students remote access
o Evidence-based
o Clear, synthesized summaries of health topics
o Small database – does not cover every topic
o Sample Topics:
• Coronary Artery Disease
• Cardiac Catheterization
• Atrial fibrillation or atrial arrhythmias
• Lariat procedure

11.  Use the MeSH (Medical Subject Headings)
o Database language
o The word you might use for something may not be the same
word that is used in the database
 PMID
o PubMed ID

12.  Located on the library database page
o Connected to the library journals
 Also located at www.pubmed.gov
o Connected to the library journals
 Use the basic search screen
 Search details shows MESH and what you are
searching
 Limits – advanced search
 Saving Articles
 Full-text
o Free
o PMID #
 Citing – PMID #

13.  Located on the library database page
 Select to search the MeSH; add terms as necessary
o Can add more than one search term in MeSH
o Subheadings are easy to use here
 Can search using title or keyword
o different results and the MeSH may not be used
 Saving articles
o My EBSCOhost account
 Full-text where available
o PMID #

14.  HTML full-text
o This is just the text, no graphs, pictures, etc.
o It’s a little harder to read
 PDF full-text
o This is the best copy
o Looks exactly like the journal page
 Check here for full-text
o May or may not own it
o May link to a journal that we own OR
o May have to interlibrary the article
 PMID Number
o Works the same way in PubMed
o Type in number and you’ll see if it’s available full-text and you can
get a Vancouver citation

15.  Practice Topic
o Left Atrial Appendage and the Lariat Procedure
• LAA
• Left Atrial Appendage
• Closure device
• Surgical Occlusion of LAA
• Atrial Fibrillation and lariat
o Thrombectomy with an angio catheter
o Gorlin formula vs. valve area determined by doppler

16.  Other topics
o Atrial Septic Defect / transesophageal echogradiogram
o Tetralogy of Fallot / catheterization
o Atrial Septic Defect / diagnosis

17.  Relevancy: Does it answer your question? What does
the abstract say?
o You may not understand the whole article
o You will be able to get some information out of the full-text
 Scientific Article
 Evidence: What type of evidence is it? RCT, Case
study, Review, physician knowledge (editorial)
 Full-text

19.  A library service
 Register
 Receive books and journal articles that we do not own
 Articles will come to your HVCC email account
 Books will arrive at the HVCC library and are picked up
at the circulation desk
 Interlibrary Loan does take some time … plan ahead if
you would like to use it

20.  Library Catalog
o Searches books in the HVCC library
o EBOOKS – check the ICVT guide
 DAP card
o Allows you to take out books in other libraries
o Ask for one at the HVCC Circulation Desk
o Bring the DAP card and HVCC ID to local college of university
library to check out books

21.  Contact info:
o Librarian
• Cynthia Koman
• c.koman@hvcc.edu or 629-7360