1. DeCS/MeSH description, uses, services, updating Adalberto Tardelli BIREME/PAHO/WHO GHL Workshop March 27, 2007

2. DeCS/MeSH description, uses, services, updating Objectives Applicability Agenda –DeCS/MeSH description and uses –DeCS/MeSH services –Adding new languages –Creation of new categories –Exercises –Bibliography

3. Objectives –The objective of this session addresses health sciences terminology and introduces the thesaurus Medical Subject Headings (MeSH) and its version Health Sciences Descriptors (DeCS) that operates the English, Spanish and Portuguese translations with extensions of additional categories. The session will deal also with the methodology BIREME uses to translate and to add new categories. Applicability –Health terminology from MeSH and its different translations are used for indexing literature and effective retrieval. The session will also help on how to manage translation and additional categories.

4. Description DeCS – the Portuguese acronym for Descritores em Ciências da Saúde, ie, Health Sciences Descriptors Controlled multilingual vocabulary created by BIREME in 1982, fully compatible with MeSH (*) –Update frequency idem MeSH –Currently available in Portuguese, Spanish and English –Provides for Public Health, Homeopathy, and Science and Health terminology An integrating component of the VHL and GHL, allowing –Meta searching, ie, multiple IS can be searched at the same time –Multilingual searching to literature (*) The Medical Subject Headings (MeSH®) thesaurus is a controlled vocabulary produced by the National Library of Medicine and used for indexing, cataloging, and searching for biomedical and health-related information and documents

5. Uses Serves as a controlled (unique, standard) vocabulary for indexing scientific and technical health-related literature - at the concept level, it groups synonymous terms into concept units; Permits searching by subject (concepts), independently of the language - natural language used in document titles, abstracts and full texts is ambiguous and therefore leads to long/complex search expressions, lack of specificity and unreliable results Hierarchical codes allow for exploding (searching) all terms of a conceptual hierarchy (branch)

6. MeSH and DeCS Categories descriptorssynonyms Anatomy [A]14892133 Organisms [B]34857934 Diseases [C]42287728 Chemicals and Drugs [D]839110993 Analytical, Diagnostic and Therapeutic Techniques and Equipment [E]22343575 Psychiatry and Psychology [F]8531139 Biological Sciences [G]20772768 Natural Sciences [H]522582 Anthropology, Education, Sociology and Social Phenomena [I]459691 Technology, Industry, Agriculture [J]304669 Humanities [K]176137 Information Science [L]362449 Named Groups [M]188291 Health Care [N]11211695 Publication Characteristics [V]13655 Geographicals [Z]371290 Subtotal MeSH2435537956 Homeopathy [HP]19501469 Science and Health [SH]218133 Public Health [SP]34863507 Health Surveillance [VS]8301230 Subtotal DeCS-only47263467 Total2908141423

7. DeCS Services DeCS Server –for users Search by Words –Word –Exact Descriptor Search by Index –Alphabetic –Keywords in Context (KWIC) –Tree (hierarchical navigation) DeCS XML Server –for computer applications

8. http://decs2007.bvsalud.org VHL>HEALTH TERMINOLOGY The DeCS Search system known as DeCS Server other language interfaces

9. DeCS Server

14. A Sample DeCS Record

15. Types of DeCS/MeSH terms Descriptors Synonyms Qualifiers Check-tags Publication Types

16. Descriptors Also known as Main Headings or Preferred Terms –used for indexing and effective retrieval of document citations. Types of DeCS/MeSH Concepts

17. Synonyms Synonyms, also known as Used For (UF) terms, cross-references or entry terms, have the same meaning or nearly the same meaning as the descriptor and are used as alternate terms in search expressions, obtaining the same search result. Types of DeCS/MeSH Concepts

18. Health-related terms that are used for indexing in conjunction with descriptors. This combination permits retrieving only those citations which are concerned with a particular aspect of a subject. For example, Steroids/adverse effects, finds documents about the side effects of using steroids Qualifiers Types of DeCS/MeSH Concepts Qualifiers are searched preceeding them by a slash in the Alphabetical index or Keywords in Context index.

19. Check tags (or Limits) Check tags are generic terms used to limit the scope of research subjects, such as: Male; Female; Humans; Animals; Rats; Cats; Cattle; etc; and age groups The age groups are : Infant, Newborn (birth to 1 month) Infant (1 to 23 months) Child, Pre-school (2 to 5 years) Child (6 to 12 years) Adolescent (13 to 18 years) Adult (19 to 44 years) Middle Age (45 to 64 years) Aged (65 and older) Types of DeCS/MeSH Concepts

20. Publication Types Terms used for describing the document format which allows another means for restricting the search result. Examples: Editorial [Publication Type], Letter [Publication Type], Review [Publication Type], Clinical Trial [Publication Type], Clinical Trial, Phase I [Publication Type], etc. The list of existing Publication Types is accessible through: the DeCS “Tree” index (V – category); the DeCS “Keyword in Context” index (KWIC), by writing “publication”; the “Publication type” index of the bibliographical databases. Types of DeCS/MeSH Concepts

21. Vocabulary Characteristics MULTILINGUAL to date, 11 of the MeSH translations have been incorporated to the UMLS (Unified Medical Language System) Metathesaurus POLYHIERARCHICAL POSTCOORDINATION PRECOORDINATION

22. Polyhierarchical A descriptor may belong to more than one category or to several branches of the same category. Polyhierarchy exists due to the multidisciplinary nature of many concepts.

23. Postcoordination Descriptor+Descriptor Descriptor+Qualifier Descriptor+Check tag Descriptor+Publication Type The act of coordinating two or more concepts at the moment of searching for literature with the objective of narrowing the scope of a subject. The DeCS/MeSH vocabulary permits four types of terminological postcoordination.

24. Precoordination There are two types of precoordination: 1) Descriptor1/qualifier use Descriptor2 Examples: HEART/abnormalities use “HEART DEFECTS, CONGENITAL” PREGNANCY/complications use “PREGNANCY COMPLICATIONS” 2) Descriptor1 AND Descriptor2 use Descriptor3 Examples: “WOUNDS AND INJURIES” and HEART use “HEART INJURIES” TRANSPLANTATION and KIDNEY use “KIDNEY TRANSPLANTATION”

25. Adding new languages The Arabic, French, Chinese, Russian and other translations of MeSH are candidate languages for DeCS/MeSH vocabulary in the GHL initiative –BIREME prepares the installation packages The full adoption of DeCS for a given instance of the GHL initiative requires the corresponding translation of the DeCS categories –BIREME provides guidelines and advice for this activity –The resulting translation data is formatted according to the current MeSH translation file format (plain text or XML format)

26. Creation of new categories A new category will be added to DeCS under the criteria published in “DeCS Update Guide” –Lack of a controlled terminology for indexing documents in a health science domain not covered or not fully expressed by DeCS/MeSH; –Validation of the proposed terminology by the DeCS Technical Committee; –New concepts may be added to DeCS also under the criteria published in “DeCS Update Guide”.

27. Exercise Using http://decs2007.bvsalud.org,http://decs2007.bvsalud.org search the term: MYOCARDIOPATHIES a) what is its corresponding descriptor? b) what are the other synonyms? c) what is its hierarchical code? d) is it a MeSH concept or a DeCS-only concept? e) is it possible to search MEDLINE or LILACS for diagnosis on myocardiopathies?

28. DeCS homepage. Available at http://decs2007.bvsalud.org/I/homepagei.htm http://decs2007.bvsalud.org/I/homepagei.htm DeCS description and uses. Available at http://decs2007.bvsalud.org/I/decswebi2007.htm http://decs2007.bvsalud.org/I/decswebi2007.htm Guidelines for DeCS Updating. Available at http://decs2007.bvsalud.org/I/guidelines1a.pdf http://decs2007.bvsalud.org/I/guidelines1a.pdf Bibliography