1. Researching a Topic on Samlib.com : The Medical Library Gateway

2. Our Research Topic/Scenario I was told by a colleague that there are portable units and/or methods for clinically assessing a patient for Obstructive Sleep Apnea in their home outside the sleep lab setting. I know a little bit about Sleep Apnea but I need to have a stronger foundation. Then I want to see what the literature reports on these portable units. Where else can I look for information geared to the clinician while seeing what information there is for the layperson? I was told by a colleague that there are portable units and/or methods for clinically assessing a patient for Obstructive Sleep Apnea in their home outside the sleep lab setting. I know a little bit about Sleep Apnea but I need to have a stronger foundation. Then I want to see what the literature reports on these portable units. Where else can I look for information geared to the clinician while seeing what information there is for the layperson?

3. Taking the First Steps Once you have chosen a topic to research, where would you begin? Once you have chosen a topic to research, where would you begin? Go to The Medical Library Gateway: (http://www.samlib.com) Go to The Medical Library Gateway: (http://www.samlib.com)http://www.samlib.com Create a knowledge-base from where you can search the specific aspects or details of the topic you are interested in researching Create a knowledge-base from where you can search the specific aspects or details of the topic you are interested in researching Through the resources you will find, a topic can be brought full circle from question to answer in as in-depth as you would like or need to go Through the resources you will find, a topic can be brought full circle from question to answer in as in-depth as you would like or need to go

4. Find a Textbook with the Topic Look for the Online Textbooks page Look for the Online Textbooks page Scan the Clinical Specialties for Sleep Medicine Scan the Clinical Specialties for Sleep Medicine If there is not one, look for an Internal Medicine or Family Medicine Clinical Specialty. If there is not one, look for an Internal Medicine or Family Medicine Clinical Specialty.

5. Online Textbooks page Click on the Family / Internal Medicine Specialty.

6. Choose a Textbook and Click on it Goldman: Cecil Medicine will be our choice to search for Obstructive Sleep Apnea. It is one of many textbooks in available in MDConsult.

7. Search within the book From this textbook we can get just what we need, an overview of the topic. Notice the highlighted terms we used to search the textbook.

8. Use FirstConsult for more… Staying in MDConsult we can continue our search in FirstConsult, an Evidence-Based Point-of-Care Tool also providing a knowledge-base.

9. Use FirstConsult for more... Again, notice the highlighted terms? A great feature is to be able to go from one MDConsult product to another with the same search!

10. Simple Keyword Search of the Current Literature in PubMed You now have a strong knowledge-base on Obstructive Sleep Apnea. Now we want to hone in on articles about the portable units/clinical assessment in the ambulatory setting that a colleague mentioned to me. You now have a strong knowledge-base on Obstructive Sleep Apnea. Now we want to hone in on articles about the portable units/clinical assessment in the ambulatory setting that a colleague mentioned to me. In this instance we will use only a few keywords or concepts to locate current articles. (In-depth searching and use of MeSH is not addressed here) In this instance we will use only a few keywords or concepts to locate current articles. (In-depth searching and use of MeSH is not addressed here) Look for the Databases link on the right hand side of The Medical Library Gateway. Click on it. Look for the Databases link on the right hand side of The Medical Library Gateway. Click on it. Choose the PubMed link you will find there. This PubMed link provides information on our print holdings and/or immediate online access to the full text of an article (apparent only in the ABSTRACT, ABSTRACTPlus, or CITATION Display formats) Choose the PubMed link you will find there. This PubMed link provides information on our print holdings and/or immediate online access to the full text of an article (apparent only in the ABSTRACT, ABSTRACTPlus, or CITATION Display formats)

11. Simple Keyword Search of the Current Literature in PubMed Take a moment to read the information concerning PubMed and specifically our link to it that you’ll find here.

12. Simple Keyword Search of the Current Literature in PubMed You’ve clicked on the PubMed link you found and typed in Obstructive Sleep Apnea. Now click the Go button.

13. Simple Keyword Search of the Current Literature in PubMed There are 11708 “hits” or documents. We need to narrow it down and hone in on our specific topic. Let’s add Ambulatory Setting to it.

14. Simple Keyword Search of the Current Literature in PubMed Notice by adding another concept we now have 61…quite a drop and more than manageable! We tied them together using “AND”.

15. Simple Keyword Search of the Current Literature in PubMed Now click on the Limits Tab so we can narrow our results to the Last 5 Years, Human, and English. Let’s see what the 61 results now total.

16. Simple Keyword Search of the Current Literature in PubMed We are now able to continue our search with the Limits we just set. Click the Go button to see if the Limits have reduced our total results.

17. Simple Keyword Search of the Current Literature in PubMed The total number of results have dropped to 28. Default for: Display is Summary, Show is 20, and Sort By has to be chosen by user.

18. Simple Keyword Search of the Current Literature in PubMed Unless you are looking for a specific article, the Display Format of Abstract, AbstractPlus, or Citation provide a synopsis of an article.

19. Simple Keyword Search of the Current Literature in PubMed There are 28 documents to view, the Show default is 20, click on it and choose the next number up which is 50, to view them on one page.

20. Simple Keyword Search of the Current Literature in PubMed We can now view all the results on the same page, read Abstracts if available, and in chronological order if you choose Sort by Pub Date.

21. Simple Keyword Search of the Current Literature in PubMed In the Abstract, AbstractPlus, or Citation Display look for the SHS Logo providing immediate full text of the article or the Print Collection Icon.

22. Simple Keyword Search of the Current Literature in PubMed Notice the SHS Logo and Local Print Icon? This article can be viewed immediately at the desktop or you may come to the library to read it.

23. Simple Keyword Search of the Current Literature in PubMed Clicking on the SHS Logo took us directly to the article which can now be read/printed in an HTML format or PDF by clicking on that choice.

24. Simple Keyword Search of the Current Literature in PubMed Here is the PDF which is like having the actual journal page displayed on your computer screen. You can read it or print it all; you decide.

25. Simple Keyword Search of the Current Literature in PubMed The little checkbox by each article’s number allows you to place it on a clipboard, send to a printer, or email it to yourself or someone.

26. Simple Keyword Search of the Current Literature in PubMed Here is an article we don’t have available but you would like to read. The highlighted PMID is unique to this item and assists in ordering it.

27. Simple Keyword Search of the Current Literature in PubMed You’ve done the search, you want to order an article from it. Click Requests, choose Article Request from Request Type Drop-Down Box.

28. Simple Keyword Search of the Current Literature in PubMed Fill in the form as complete as possible. Remember, the PMID is unique to that article and helps us expedite ordering it for you!

29. Simple Keyword Search of the Current Literature in PubMed You’ve just performed a simple keyword only search in PubMed from the Online Database page You’ve just performed a simple keyword only search in PubMed from the Online Database page Placed Limits on the total number of records to make it more manageable to find those articles on your topic (going from 11708 down to 28) Placed Limits on the total number of records to make it more manageable to find those articles on your topic (going from 11708 down to 28) You’ve found articles you could read online, send to yourself via email, and then had library staff order one using our Information/Material Request Form You’ve found articles you could read online, send to yourself via email, and then had library staff order one using our Information/Material Request Form

30. Clinical Medicine Specialties To see if there is a medical specialty for Sleep Medicine, click on the Clinical Medicine link you’ll find in the right column To see if there is a medical specialty for Sleep Medicine, click on the Clinical Medicine link you’ll find in the right column Once there, scroll down to see if there indeed is a category for it Once there, scroll down to see if there indeed is a category for it If so, click on it If so, click on it Let’s see what we’ve found……. Let’s see what we’ve found…….

31. Clinical Medicine Specialties By scrolling down the list you see there is a Sleep Medicine specialty. Click on it and let’s see what it includes.

32. Clinical Medicine Specialties There are three websites listed under the Sleep Medicine heading.

33. Consumer Health Information Perhaps you would like to provide some information for the non-medical person Perhaps you would like to provide some information for the non-medical person Look for Consumer Health Information in the right column and click on it Look for Consumer Health Information in the right column and click on it Look to see if Sleep or Sleep Medicine can be found Look to see if Sleep or Sleep Medicine can be found If there is click on it…… If there is click on it……

34. Consumer Health Information As you can see, Sleep Disorders is a heading. Go ahead and click on it to see what is made available for the layperson.

35. Consumer Health Information The websites listed here provide information on various sleep topics in an understandable format for the layperson.

36. Researching a Topic on Samlib.com Recap: We have been able to research a topic utilizing the various resources on The Medical Library Gateway (www.samlib.com) from your computer using - We have been able to research a topic utilizing the various resources on The Medical Library Gateway (www.samlib.com) from your computer using -www.samlib.com The Family Medicine/Internal Medicine heading on the Online Textbooks which provided a foundational overview of the topic. The Family Medicine/Internal Medicine heading on the Online Textbooks which provided a foundational overview of the topic. PubMed which was found on the Databases page provided the most current information in the medical literature. PubMed which was found on the Databases page provided the most current information in the medical literature. You were able to Read/Print an article from your search, email the results, and order an article from one of our libraries. You were able to Read/Print an article from your search, email the results, and order an article from one of our libraries. You’ve found that there was a Clinical Medicine specialty of Sleep Medicine for the healthcare professional. You’ve found that there was a Clinical Medicine specialty of Sleep Medicine for the healthcare professional. Consumer Health Information on the topic can also be provided from the links found under the Sleep Disorders heading! Consumer Health Information on the topic can also be provided from the links found under the Sleep Disorders heading! You’ve done it! And you didn’t even leave your seat!

37. Now You’re Ready To Do It For Yourself! This Tutorial Presentation By Kenneth Willer, MLS