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2. July 2005 Page 2 Type search terms into box on the main page. Tutorial. Save searches in My NCBI ‘cubby.’ Enter PubMed by double- clicking in the scroll-box on the library home page.

3. July 2005 Page 3 Large number of hits. Click on ‘Details’ to show how PubMed translated the search. (You can modify the search by typing in the text box.)

4. Page 4 Click on ‘Limits’ to filter the search. Limits added in this search: - Clinical Trials - Adults over 19 years - Human subjects - Indexed in the last 2 years.

5. Page 5 Number of hits is still quite large. (1220 from previous 240,165) Add ‘AND diet therapy’ to the search terms. (AND, OR, & NOT operators must be in all capitals.)

6. July 2005 Page 6 Number of hits is a manageable 39. (down from previous 1220 and 240,165) ‘Details’ has been updated.

7. Page 7 Select ‘Abstract’ view.

8. Page 8 Select a database. Enter OVID by double- clicking in the scroll-box on the library home page. Ovid times out after 15 minutes of inactivity and you may see this page if this happens. No ID/password is needed. Click on the “Start Ovid” button to start a new session. You will have to start your search over.

9. Page 9 Select from terms that OVID found in thesaurus. ‘Explode’ includes subordinate terms, ‘focus’ narrows to the main term. OVID can translate ordinary words to medical terms (MeSH)

10. July 2005 OVID displays the selected term in a ‘tree’ of related terms, giving the number of hits for each term. Sub-headings are also listed with numbers of hits.

11. July 2005Page 11 Limits were applied to reduce the number of results from 19797 to 174. Link to complete reference and/or full text when a link to full text is available. When a link to full text is not available in Ovid, the SFX link may help you locate it.)

12. Page 12 The complete reference gives more information about the article (which can also be searched to find more related articles).

13. Page 13 Entering MDConsult - Two approaches: Generic – no user name or password is needed. Personal – create your own username and password. You can customize MDConsult for your personal interests. Also your personalized username and password allows access when the ‘Generic’ button is not available. Enter MDConsult by double-clicking in the scroll-box on the library home page.

14. Page 14 Navigation tabs Guided tour / tutorial

15. Page 15 100+ Medical books are in MDConsult. Included in the COM Library eBooks list. All may be searched at once in MDConsult. May also be searched using WebFeat.

16. Page 16 140+ medical journal titles are in MDConsult. Included in the COM eJournals list. Find the contents of a journal issue by using the search engine. Journal title – Thesaurus ‘off’ – Publication date –

17. Page 17 Mosby’s Drug Consult with indexes. Frequent updates and news.

18. Page 18 Patient handouts are available in English and in Spanish Search all sections for “heart attack.”

19. Page 19 Differential Diagnosis Tool Medical Topics Articles Patient Education Handouts Procedure Descriptions Links to MDConsult books and journals PDA Downloads Enter FIRSTConsult by double-clicking in the scroll-box on the library home page.

20. Page 20  Diagnoses are listed by probability depending on patient’s age.  Links lead to detailed information.  Integrated with MDConsult for full-text books and journals.

21. Page 21  Summary tab is shown here.  Other tabs are:  Background  Diagnosis  Treatment  Outcomes  Prevention  Resources

22. Page 22  Procedure tab is shown here.  Other tabs are:  Summary  Indications  Contraindications  Outcomes  Resources  Includes ICD-9 codes (in Summary tab).

23. Page 23  In English and Spanish.  May be customized.  Topics Covered:  What is the condition?  Symptoms  Tests  Treatment  What to do  Recovery time  Prevention  Sources for more information

24. Page 24 CONTENTS:  POEMS (Patient Oriented Evidence that Matters): Full collection of 2,000+ collected since 1996.  Cochrane Database abstracts: full collection of 1800+.  Evidence-based guideline summaries: 700+.  Clinical Decisions Rules: 200+.  Diagnostic test calculators: symptom to disease to test – 1000+.  H&PE calculators: symptom to disease to test – 1000+.  5-Minute Clinical Consult: complete with 1000+ summaries and 500+ images.  ICD-9 lookup tool: 1,500 most commonly needed codes.  Daily POEMS (upon request) OPTIONS:  Online website accessible with PC or wireless PDA.  Download application to PC  Download application to PDA Enter InfoRetriever by double-clicking in the scroll-box on the library home page.

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26. July 2005Page 26 Examples of Calculators

27. Page 27 Level of Evidence is given for each guideline.

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