2. Learning objectives
• Review creating a hypothesis to research a
question.
• Practice identifying the differences between a
case study, a scientific study, a review or a meta-analysis
for a scholarly article.
• Understand how to use boolean, subject
headings and MeSH terms and peer-reviewed
journals for advanced searching.
• Recognize that there are predatory academic
journals.
5. What do you know about placebos
after watching that video?
What do you still not know?
6.
7. Practice
Turn your questions into:
A purpose and hypothesis
Then a search statement
8. Do placebo pills of different colors,
sizes and shapes really make a
difference?
9. I hypothesize that people
will respond differently to placebo pills
of different colors, sizes and shapes.
10. People will respond differently to
placebo pills of different
color, sizes and shapes.
(respond OR differently) AND placebo pills AND (color OR size OR shape)
11. J Clin Psychopharmacol. 1982 Aug;2(4):245-8.
An investigation of drug expectancy as a function of capsule color and size
and preparation form.
Buckalew LW, Coffield KE.
Display Settings: Abstract
J Clin Psychopharmacol. 1982 Aug;2(4):245-8.
An investigation of drug expectancy as a function of capsule color and size
and preparation form.
Buckalew LW, Coffield KE.
Abstract
Much of a drug response is related to nonspecific factors. Perceptual characteristics of drug
preparations likely play a major role in expectancy and response. This study focused on perceptual
characteristics of a preparation related to anticipated effect: capsule color, capsule size, and
preparation form (capsule versus tablet). College students ranked capsules for perceived strength
based on capsule size, categorized capsules in terms of anticipated pharmacological effect based on
color, and evaluated strength based on preparation form. Data showed nonchance distributions for
nine capsule colors in anticipated action, with specific effects for four colors. A significant difference
between capsule and tablet for perceived strength was found, as was a trend relating capsule size to
perceived drug strength. Discussion centered on awareness and consideration of drug perceptual
characteristics in support of drug efficacy.
Abstract
Much of a drug response is related to nonspecific factors. Perceptual characteristics of drug
preparations likely play a major role in expectancy and response. This study focused on perceptual
characteristics of a preparation related to anticipated effect: capsule color, capsule size, and
preparation form (capsule versus tablet). College students ranked capsules for perceived strength
based on capsule size, categorized capsules in terms of anticipated pharmacological effect based on
color, and evaluated strength based on preparation form. Data showed nonchance distributions for
nine capsule colors in anticipated action, with specific effects for four colors. A significant difference
between capsule and tablet for perceived strength was found, as was a trend relating capsule size to
perceived drug strength. Discussion centered on awareness and consideration of drug perceptual
characteristics in support of drug efficacy.
PMID: 7119132 [PubMed - indexed for MEDLINE]
Publication Types, MeSH Terms, Substances
Publication Types
Research Support, U.S. Gov't, Non-P.H.S.
MeSH Terms
Adult
Capsules*
Color
Female
Humans
Male
Personality
Placebos*
Psychology
Sex Factors
Tablets
PMID: 7119132 [PubMed - indexed for MEDLINE]
Publication Types, MeSH Terms, Substances
Publication Types
Research Support, U.S. Gov't, Non-P.H.S.
Substances
MeSH Terms
Adult
Capsules*
Color
Female
PubMed
Data showed
nonchance
distributions for nine
capsule colors in
anticipated action…. A
significant difference
between capsule and
tablet for perceived
strength was found...
15. Survey asks you to:
1. How will you improve the wikipedia article on
concussions here. Did you fix a citation, find a
better one, expand on the research, etc.?
2. Copy what you wrote or would like to write
…on the talk page.
3. Did you make this change?
4. Do you want to be an editor?
16.
17. Pearling
Newer/
forward in time
Older/
backward in time
Peer reviewed article
References
1.
2.
3.
4.
etc.
Peer reviewed article
References
1.
2.
3.
4.
etc.
References Peer reviewed article
1.
2.
3.
4.
etc.
References
1.
2.
3.
4.
etc.
Peer reviewed article
Peer reviewed article
References
1.
2.
3.
4.
etc.
Footnote
chasing
19. Hierarchy of evidence
Study 3
Statistical
results
Study 2
Statistical
results
Study 1
Statistical
results
Meta-analysis
combined/pooled stats
Study 4
Statistical
results
20. Meta-analysis
Combines data from many studies.
• May combine data from case/control and cohort
studies merging data increasing sample size.
Two problems with meta-analysis are:
• publication bias (studies with no effect or little
effect may not even get published) and the
quality of the design of the studies from which
data is pulled. This can lead to misleading results.
21. Reviews [Publication Type]
An article or book published after examination
of published material on a subject. It may be
comprehensive to various degrees and the time
range of material scrutinized may be broad or
narrow, but the reviews most often desired are
reviews of the current literature. The textual
material examined may be equally broad and
can encompass, in medicine specifically, clinical
material as well as experimental research or
case reports….
22. Example 1 Example 2
A. Meta analysis
B. Review
C. Scientific Study
D. Case studies
24. See 1 citation found using an alternative search:
PubMed (2008). "Moderate and severe traumatic brain injury in adults". Lancet Neurology
Lancet Neurol. 2008 Aug;7(8):728-41. doi: 10.1016/S1474-4422(08)70164-9.
Moderate and severe traumatic brain injury in adults.
Maas AI , Stocchetti N, Bullock R.
Display Settings: Abstract
See 1 citation found using an alternative search:
Lancet Neurol. 2008 Aug;7(8):728-41. doi: 10.1016/S1474-4422(08)70164-9.
Moderate and severe traumatic brain injury in adults.
Maas AI , Stocchetti N, Bullock R.
1
Author information
Traditional approaches to the classification of clinical severity debate owing to the widespread policy of early sedation and ventilation in patients, and are being supplemented with structural and functional neuroimaging. research has greatly advanced our knowledge of the mechanisms involved creating opportunities for medical intervention and targeted therapies; however, research into patient benefit remains a challenge. Clinical management structured and evidence based since the publication of guidelines covering this Review, we summarise new developments and current knowledge and moderate and severe TBI in adults. Suggestions are provided for the way 1
Author information
Abstract
Traumatic brain injury (TBI) is a major health and socioeconomic problem that affects all societies. In
recent years, patterns of injury have been changing, with more injuries, particularly contusions,
occurring in older patients. Blast injuries have been identified as a novel entity with specific
characteristics. Traditional approaches to the classification of clinical severity are the subject of
debate owing to the widespread policy of early sedation and ventilation in more severely injured
patients, and are being supplemented with structural and functional neuroimaging. Basic science
research has greatly advanced our knowledge of the mechanisms involved in secondary damage,
creating opportunities for medical intervention and targeted therapies; however, translating this
research into patient benefit remains a challenge. Clinical management has become much more
structured and evidence based since the publication of guidelines covering many aspects of care. In
this Review, we summarise new developments and current knowledge and controversies, focusing on
moderate and severe TBI in adults. Suggestions are provided for the way forward, with an emphasis
on epidemiological monitoring, trauma organisation, and approaches to management.
Abstract
Traumatic brain injury (TBI) is a major health and socioeconomic problem recent years, patterns of injury have been changing, with more injuries, particularly occurring in older patients. Blast injuries have been identified as a novel characteristics. PMID: 18635021 [PubMed - indexed for MEDLINE]
Publication Types, MeSH Terms, Grant Support
Publication Types
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Review
MeSH Terms
Adult
Brain Injuries/classification*
Brain Injuries/diagnosis*
Brain Injuries/economics
Brain Injuries/epidemiology
Guidelines as Topic
Full text links
Publication Types, MeSH Terms,
Grant Support
Review
MeSH Terms
26. Boolean AND, OR, NOT
concussion
Traumatic Brain Injur*
Closed
head injur*
(concussion OR traumatic brian injur*
OR closed head injur*) = larger set
27. Boolean AND, OR, NOT
Concussion
brain injur* College
athlet*
Return to play
(concussion OR brain injur*) AND return to play AND college athlete*) =
more precise set
37. Medical Subject Headings (MeSH)
retrieve information that uses
different terminology
for the same concepts.
syncope
Used for:
– Fainting
– Vertigo
– Drop attacks
57. Quest 1
Tap your feet
on the floor
as fast as you
can for 10
seconds
OR
make your
hands into fists.
raise them over
your head as
high as you can
for 10 seconds
70. Suggested reading - hierarchy of evidence
Greenhalgh, T. (1997). How to read a paper. Getting
your bearings (deciding what the paper is about).
BMJ (Clinical research ed.), 315(7102), 243–6.
Retrieved from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC212
7173/pdf/9253275.pdf
Understanding and using the Hierarchy of Evidence
https://hive.library.uwa.edu.au/hive/cache/202902
/hive.cgi/zip/202902/LO2ACQ_FBE/html/understan
d.html
Use Mendeley to store citations and make bibliographies.
Utilize appropriate search strategies include keyword v. MeSH searching; using Boolean; truncation; limits; related articles; times cited; footnote chasing.
Students will be able to use MeSH when searching PubMed and use something unique from one other database for their topic.
New story, new topic
Where there references?
What were their references for those facts?
How could you research this further?
Lmgtfy
Want to look up anything?
Do pills work differently from other forms
National differences in color of placebo pills?
Do red pills really work differently than blue in Spain?
Does pushing the button really do nothing?
Do pills work differently from other forms of placebo?
National differences in color of placebo pills?
question
hypothesis
Rule of telling science stories – support your statements with evidence
Even introductions have citations!
Why are we doing this? Mini- assignment
Change to make a real change – improve
Building knowledge and getting the facts right – are the statements well supported – better knowledge base of what we know
We’ve found the most cited – show them the most used sources
Use cites to get more recent sources
Can consider the hierarchy of evidence as well as citations
Are you ready? Let’s think about it and get back to it on Tuesday….
Which ones do you want to submit to the PI at UW? WHY?!!!!
KW and search a database.
Which one?!!!!
Specifically, the survey asks you these questions. Counts as a participation credit.
REMEMBER: You know how to take 1 article and find out where it is in the conversation of science
As you get to be experts you’ll start to recognize what’s important and you can pick from here and there.
http://hsl.lib.umn.edu/biomed/help/understanding-research-study-designs
Arrows going up and the many boxes below the 1 box – make the combined box wider
http://www.ncbi.nlm.nih.gov/mesh/68016454
Use the ones from the survey
Find the things that make a meta-review and review different?
Meta from last week
B. review
Single focused question or overview of several related questions
+ data sources, study selection, data extraction, data synthesis
An analysis of the data.
Review:
Went through literature and found all articles on a topic.
Big bibliographies!
Can always check in PubMed
PubMed
GS
WorldCat
ASP
REMEMBER:
Everything you can call it
Wearing jeans AND ( short sleeves) NOT green, yellow, red
More with OR, fewer with AND
Wearing jeans AND ( short sleeves) NOT green, yellow, red
More with OR, fewer with AND
LC call numbers are for topics – organized by the alphabet from Jefferson – how else could you organize a library? Author, size, color, when the book arrived, etc. Just like we just did with those virtual shoe closets
Assign all books in a library subject headings – also based on their topic.
What do you think is the topic for the LC call number - QP 82.2
Stress (physiology)
Subject headings = use 1 word for all the synonyms – richness of english – allows all items on a topic to be in 1 spot…if you know where to look.
http://www.youtube.com/watch?v=ufltS3vpJoQ&feature=share&list=FLqNg9nU6uEGnR2sNkn8GA6w
Each individual book gets a topic and call number – how about each article?
LC call numbers are for topics – organized by the alphabet from Jefferson – how else could you organize a library? Author, size, color, when the book arrived, etc. Just like we just did with those virtual shoe closets
Assign all books in a library subject headings – also based on their topic.
What do you think is the topic for the LC call number - QP 82.2
Stress (physiology)
Subject headings = use 1 word for all the synonyms – richness of english – allows all items on a topic to be in 1 spot…if you know where to look.
http://www.youtube.com/watch?v=ufltS3vpJoQ&feature=share&list=FLqNg9nU6uEGnR2sNkn8GA6w
Each individual book gets a topic and call number – how about each article?
Use 1 word to describe a great number of different things, you don’t need carrots, and celery and tomatoes to know that the fresh vegetables are in this section
Similarly in libraries – put all of the books on 1 topic under 1 subject heading and give it a call number
An OPAC allows us to put more than 1 word to describe what the item is about
In a grocery store, when you’re looking for the Cherry Garcia ice cream, do you need the aisle market to say Ben and Jerry’s? Ice cream? Maybe Frozen food? Sure.
There’s a backbone to the databases that we use, and an organization to the information systems in our libraries
Subject headings = use 1 word for all the synonyms – richness of english – allows all items on a topic to be in 1 spot…if you know where to look.
LC call numbers are for topics – organized by the alphabet from Jefferson – how else could you organize a library? Author, size, color, when the book arrived, etc.
https://flic.kr/p/aXZSfK
Cancer
KEYWORD TO SUBJECT SEARCH
Committees
Heirarchy, etc.
Start a search however you think would work.
“functional movement screen AND injuries”
Hope that one of them is good and try to find more like it.
Look at the title, abstract and authors
Change to CITATION view if not already
See if the MeSH headings are of any use
SARS – took a long time to add to the – 2-3 years after was an epidemic had to use bird flu
Committees
Heirarchy, etc.
PTSD
HIV and AIDS
First added, likely here, likes of subheadings, but not very specific.
11 years later. What do you notice is different? More specific, more entry terms/synonyms, took some time
Subject headings are like the things in the grocery story aisles ironic right? Change the search somewhat…usually help you focus your search
"Post-Exercise Hypotension” – NOT retroactive
Not so helpful to think of these as getting you more or less information – the object is to get you better more precisely what you are looking for
MeSH helps you if you’re
(precise = more on your topic)
True or false = MeSH terms allow you to create a more precise search
http://altmetrics.org/about/
Controversial – might be easier to manipulate – but still an interesting idea to count a scholarly publication and interest from a larger community and sometimes less formal.
REMEMBER: You’ve learned how to tell good sources from not so good sources
The librarian who is pointing out that there are 2 journals with the same title, from VERY different sources
http://scholarlyoa.com/2012/09/18/two-publishers-each-have-a-journal-with-the-same-title/
Who has a clear list of criteria for determining how he makes his decision
Is being sued!
http://chronicle.com/article/Publisher-Threatens-to-Sue/139243/
Or
http://www.npr.org/blogs/thetwo-way/2013/05/15/184233141/publisher-threatens-librarian-with-1-billion-lawsuit
Even with peer review – it’s getting more like those phishing emails – would you trust this?
What about this?
Others are working on reporting fraud and other problems
http://retractionwatch.com
Snopes, others?
You can take your research and do anything with it – I hope you’ll all be able to make a contribution to the wikipedia article about concussions – improving the information we all have access too – other ways to apply concussion research
Game designer Jane McGonigal suffered a concussion and spent months feeling like she was going to die – developed this game to heal herself and to help others heal too.
As we go through this think about what is the research you’d want to see about this?
Can you find evidence that this is true? Does she have primary literature? Is she worth listening to?
http://www.ted.com/talks/jane_mcgonigal_the_game_that_can_give_you_10_extra_years_of_life.html
physical resilience +1 - more stress and heal faster
(don’t sit still)
physical resilience +1 - more stress and heal faster
(don’t sit still)
mental resiliance - more focus, discipline, will power - gets stronger when you exercise it so tackling a challenge will boost willpower
mental resiliance - more focus, discipline, will power - gets stronger when you exercise it so tackling a challenge will boost willpower
emotional resilience - powerful emotions - love or curiosity - if you can manage to experience for 3 positive emotions for 1 negative an hour each day in a week - 3:1 positive emotion ratio - improve health and ability to tackle any problem you are facing.
emotional resilience - powerful emotions - love or curiosity - if you can manage to experience for 3 positive emotions for 1 negative an hour each day in a week - 3:1 positive emotion ratio - improve health and ability to tackle any problem you are facing.
social resliance - gratitude and touch - shaking hands for 6 seconds
dramatically raises oxytocin (trust) - now biochemically primed to like and help one another for some time.
social resliance - gratitude and touch - shaking hands for 6 seconds
dramatically raises oxytocin (trust) - now biochemically primed to like and help one another for some time.
Do you believe? What do you want to ask?
http://janemcgonigal.com/2014/01/06/superbetter-show-me-the-science/
Can you find evidence that this is true? Does she have primary literature? Is she worth listening to?
Raised your physical – not sitting still
Raised your mental – tackling a challenge (even if it was sort of silly)
Raised your emotional resilience - powerful emotion of love or curiosity - 3 to 1 positive emotion ration
Raised your social resilience – by engendering feelings of gratitude and/or touch
Research shows that by increasing this resilience all the time, can add 10 years to your life
What are you going to do with your 7 minutes?
Play a game
Learn something wonderful
Read a good book
Make it count
Use the ones from the survey
Find the things that make a meta-review and review different?
Meta from last week
B. review
Single focused question or overview of several related questions
+ data sources, study selection, data extraction, data synthesis
An analysis of the data.
Review:
Went through literature and found all articles on a topic.
Big bibliographies!