3rd Year Orientation to Miner Online Marilyn Rosen May 17, 2010

Question 1 In a 5-year old with SCD (sickle cell disease), G6PD deficiency, and a MCA (middle cerebral artery) stroke, does exchange transfusion positively affect the overall morbidity and mortality compared to no intervention?

What would be your first reaction to this question? Begin to sweat, but continue to smile confidently Identify main topics Scream, inwardly of course Ask a friend what to do

Main topics Sickle cell G6PD Stroke Exchange transfusion

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The system automatically “ands” together all terms you input.

If you want to use “OR”, you need to capitalize it, and put the terms in parentheses, as shown below.

Where would you look to see what PubMed did with your search terms? Advanced search Google Details

Check out Search Details to see what the system did with your words!!

In the Search Details box, you can see the system used your terms, and did some matching to MeSH Terms. It doesn’t always match perfectly, as you can see from the cellular phone MeSH Term matching.

Limits

How would you find full text of an article? Click on title, & copy & paste into Google box Only choose Free Full Text titles Click on title, and you will see on the abstract page a red Find text button you can click on.

Red FindText button appears on abstract page Red FindText button appears on abstract page. This will tell you if Miner has the article full text online,or only in print, or not at all.

Question 2 A woman has a prenatal ultrasound which notes a choroid plexus cyst in the fetus but no other abnormalities. How should she be counseled about risks?

“MeSH is the U.S. National Library of Medicine's controlled vocabulary used for indexing articles for MEDLINE/PubMed. MeSH terminology provides a consistent way to retrieve information that may use different terminology for the same concepts.” You can also use it to explain terms or concepts.

MeSH Database Search

How would you find articles with better evidence? Use clinical queries Add EBM to your search terms Use Google

You can find Clinical Queries on the PubMed homepage, or on the Advanced Search page, towards the bottom.

The Etiology Filter searches for Risk.

You can also find better evidence by using the LIMITS Feature, and Limiting to Type of Article: Clinical trials ( includes randomized, etc.) Meta-analysis Evaluation Studies Multi-center Study Validation Studies

Question 3 Is PCP (Pneumocystis pneumonia) prophylaxis indicated for a patient with newly diagnosed polyarteritis nodosa who will require long term steroid treatment?

You can type the article title into the search box, and PubMed will often match it perfectly.

The Single Citation Matcher can be accessed on the PubMed homepage or on the Advanced Search page, at the bottom.

Citations display in order of most recent citation submitted to PubMed Citations display in order of most recent citation submitted to PubMed. You can choose to display by publication date, and also add abstracts to the display. You can also send citations to the Clipboard for temporary holding, or to Email, etc., by clicking on Send To.

Please remember that an online book may also have the information you want.