Neonatal Intensive Care Unit - Resource Orientation
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Transcript of Neonatal Intensive Care Unit - Resource Orientation
Finding the Medical Evidence in the Neonatal Intensive Care Unit
August 4, 2010
Libraries
Shauna-Lee KonradClinical LibrarianChildren’s Hospital, [email protected]
Robin FeatherstoneClinical Medicine LibrarianWestern Libraries, [email protected]
Slides: www.slideshare.net/featherr
Agenda
• Hospital and University Library Services
• Off-site access to Western Libraries
• Get it @ Western & Pubget
• Basic Searching in PubMed
• Answering clinical queries using filtered and unfiltered sources
Library Services
University Library Hospital Libraries
www.lib.uwo.ca/programs/neonatalandperinatalmedicine/
http://intra.sjhc.london.on.ca/refer/library/http://www.lhsc.on.ca/priv/library/
Library Services
University Library Hospital Libraries
Robin [email protected]: 86383
Brad Dishan (SJHC)[email protected]
Ext: 65727
Shauna-Lee Konrad (Children’s Hospital, LHSC)[email protected]: 55145
• On-site assistance: Taylor Library • On-site assistance: St. Joseph’s Hospital, SJHC Victoria Hospital, LHSC
• Extensive electronic & print collections • Local reference collection
• Searching consultations (Educational) • Literature searches• Searching consultations
• Purchase requests • Interlibrary Loan
• Workshops & Instruction • Workshops & Instruction
Neonatal and Perinatal Medicine Resources
What information tools have you used?
Selected Neonatal & Perinatal Medicine Info
www.lib.uwo.ca/programs/neonatalandperinatalmedicine
Live Demo
www.schulich.uwo.ca
Off-Site Access
Why are they asking me to pay??
Proxy Server
129.100.*.*
Option A: Log in at www.lib.uwo.ca
Option B: Use the EZ Proxy button
Option C: Use customized bookmarks created with the EZ Proxy Link Generator: https://www.lib.uwo.ca/offcampus/ezform.html
How to log on
Accessing Full-Text
• Once logged in to the proxy server, look for the “Get it @ Western” button
Full-Text from PubMed
Remember to use the PubMed link from the library website.
Get it @ Western
Option 1: Link to Full-Text
Option 2: Check the catalogue
Full-Text from Pubget
Remember to use the Pubget link from the library website & to log in to the proxy server.
Exercise 1 – Finding Full-Text
• Access the PDF of the following article:
Thoresen M, Hellström-Westas L, Liu X, de Vries LS. Effect of hypothermia on amplitude-integrated electroencephalogram in infants with asphyxia. Pediatrics. 2010 Jul;126(1):e131-9. Epub 2010 Jun 21. PubMed PMID: 20566612.
Introduction to PubMed
How do I find the recent
literature on my topic?!?
Define the Search Topic
• Define your search topic in a single question or statement.
Is hypothermia effective for treating neonatal asphyxia?
Is dobutamine or dopamine more effective for treating hypotension in the neonate?
Analyse the Search Topic
Analyse your search topic:
• What are the primary concepts (2-3)?Is hypothermia effective for treating neonatal asphyxia?
• What are the limiters ?– Population (Newborn infants, birth – 1 month)– Publication type (i.e. RCT, Review)– Publication date (i.e. last 10 years)
Basic Searching in PubMed
• Search your primary concepts, separating each concept with AND.
• Click “Search”.
Combine Different Concepts Using AND
AND
• Combine different concepts
• Finds articles where both concepts are present.
Applying Limits
• Click the limits link to see the complete list of options.
1. Check the appropriate limits for your search.
2. Click “Search”.
Commonly used limits include:
• Type of Article
• Language
• Ages
• Publication Date
Exercise 2: Basic Searching
After morning rounds, a NICU fellow is wondering if there
are any recent articles on the use of probiotics for
preventing necrotizing enterocolitis in the newborn.
Search Strategy:
probiotics AND necrotizing enterocolitis
Exercise 3: Basic Searching
For a research project, you would like to find published RCTs on
whether dopamine or dobutamine is more effective for
treating hypotension in the neonate from the last 20 years.
Search Strategy:
dopamine AND dobutamine AND hypotension
Managing Search Results
• Save your searches.
• Change display settings.
• View your search results.
• Email or save your search results.
Clinical Queries in PubMed
• Use Clinical Queries to quickly find the best studies to answer your question.
Select the type of question that you want to answer.
Enter the key concepts for your clinical question.
Clinical Queries in PubMed
Exercise 4: Clinical Queries in PubMed
Use clinical queries to determine the role of lumbar puncture in determining sepsis in neonates.
Clinical Queries Strategy:
Lumbar puncture sepsis neonate
Diagnosis
Broad
Exercise 5: Clinical Queries in PubMed
Use clinical queries to find articles that discuss acceptable levels of oxygen to prevent retinopathy of prematurity.
Clinical Queries Strategy:
Oxygen levels retinopathy of prematurity
Etiology
Broad
Exercise 6 – Clinical Query
Do probiotics prevent necrotizing enterocolitis?
In groups, please search the following: 1. Cochrane Library2. PubMed (Clinical Queries)3. PubMed
Clinical Query: Search Results
Source Results
Cochrane Library 2 Cochrane Reviews 4 Other Reviews
PubMed 118 Citations
PubMed Clinical Queries (therapy/narrow)
18 Clinical Studies5 Systematic Reviews
EMBASE 239 Citations total
Level of Evidence Pyramid
Qualitative Studies
Trip searches both
Exercise 7 – Image Search
• You’re preparing for a presentation on necrotizing enterocolitis. Find some images or animations to add to your slides.
Caveat: Without breaking copyright
Medical Illustration © 2010 Nucleus Medical Media, Inc., www.nucleusinc.com
Recap
• Hospital Libraries for on-site assistance
• University Library for collections
• EZ Proxy to access UWO subscriptions
• Get it @ Western or Pubget for full-text access to articles
• Neonatal and Perinatal Medicine Program page for selected information tools
Questions? Comments?
Brad Dishan
Librarian
St. Joseph’s Health Care London
C0-108, x65727
Robin Featherstone
Clinical Medicine Librarian
Western Libraries
519-661-2111 x86383 [email protected]
Shauna-Lee Konrad
Clinical Librarian
Children’s Hospital, LHSC
C3-300, x55145