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MD Consult & First Consult

MD Consult & First Consult. Presented By: 王信傑 Ricky Wang Ri.wang@elsevier.com Date:2008/7/23. Leading medical reference books ( 51 ) Full-text journals and Clinics of North America with MEDLINE ( 87 ) Nearly 10,000 customizable patient handouts Drug Database provided by Gold Standard

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MD Consult & First Consult

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  1. MDConsult& FirstConsult Presented By: 王信傑Ricky Wang Ri.wang@elsevier.com Date:2008/7/23

  2. Leading medical reference books (51) • Full-text journals and Clinics of North America with MEDLINE (87) • Nearly 10,000 customizable patient handouts • Drug Database provided by Gold Standard • The latest medical news • More than 1,000 peer-reviewed practice guidelines • Over 50,000 images that can be downloaded or printed • POCKET Consult – free for your PDA

  3. First Consult Books Journals The Clinics Patient Education Drugs Guidelines Images News CME 十大主題

  4. Books • 可針對整個書庫中的書籍進行搜尋 • 提供索引及目次，方便您的點閱及搜尋 • 可儲存最近的搜尋記錄及搜尋結果(個人化功能) * 需先註冊個人帳密功能

  5. 51 Reference Books

  6. Journals • 收錄87種期刊 • 包括著名的 《The Clinics of North America》及《Yearbook》 • 同時搜尋 Medline資料庫 • 每篇全文文章均包括書目資料及目錄

  7. Journal Search • 簡單而靈活的搜尋選項方便進行精確檢索 • 年限設定 • 文章類別 • 受試者年齡 • 按全文/相關性、相關性或出版日期排序 • 年鑑的文章附於原著期刊文章 • 評論性文章(REVIEW)在搜尋結果中以旗標識別

  8. 全文期刊 HTML • Elservier所出版的期刊和Clinics均提供全文內容 • 包含超過30,000篇文章 • Back Issue可回溯至1996年

  9. Journal PDFs • 允許使用者瀏覽、下載和列印PDF文章

  10. Journal Resources

  11. The Top 8 Journal Titles Journal of Allergy and Clinical Immunology 1/16 The Lancet Infectious Diseases 1/47 Annals of Emergency Medicine 1/11 The Lancet Neurology 1/146 Journal of the American Academy of Child and Adolescent Psychiatry 2/74 Critical Care Medicine 2/18 Journal of Pediatrics 4/74 Anesthesiology 2/22

  12. Across 32 medical subjects Note: According to JCR report category

  13. The Clinics • 提供34種最具權威的 北美臨床雜誌 • 每篇全文文章均包括書目資料及目錄 • 簡單而靈活的搜尋選項方便進行精確檢索 • 回溯至 2002年

  14. Top Clinics Series

  15. Clinics in MDC

  16. Patient Education • 超過10,000篇衛教 • 可供印列及修訂 • 每篇長度為 1 ~ 2 頁 • 允許加註訊息給病患

  17. Drugs • 提供藥物商品的圖片 • 藥物資訊包含： • 藥物分類、別名、學名 • 副作用 • 交互作用 • 藥物動力學、機轉 • 分子結構…等相關藥物資訊

  18. Drug Look-Up (藥物搜尋) • 通過以下四大類別搜尋指定藥物： • 商品名+ 適應症 • 商品名 • 適應症 • 禁忌

  19. Drugs • Safety Notices • FDA Approvals

  20. Guidelines (診療指南) • 超過1,000份同儕評鑑臨床診療指南(Peer-Review Articles) • 按照作者、機構、專科及主題方式分類 • 每篇全文文章均包括書目資料及目錄

  21. Medical Images (圖片) • 超過50,000張圖片 • 可供查詢 及 圖片比對 • 來源：資料庫中的Books

  22. News (新聞) • 每日更新 • 提供最新醫學發展新知 • 當週新聞

  23. Global Search (整合搜尋) • 同時檢索整個資料庫內容 • 提供下拉式選單進行快速檢索

  24. Recommended Results (建議結果) • Recommended Results 是根據過去點閱記錄而整理出來的結果

  25. Top Search Results (檢索結果) • 檢索結果會顯示出每一主題當中的前三筆資料 • 顯示檢索結果筆數

  26. Refine Your Search (精確檢索) • 畫面右方提供建議的精確檢索

  27. Searching • First Consult 提供最新的鑑別診斷、評估、結果、預後等資訊

  28. 瀏覽Medical Topics

  29. 閱讀Medical Topics

  30. Differential Diagnosis

  31. Viewing Search Results

  32. Search Results

  33. Case Study

  34. 實證醫學的五大進行步驟Five Steps to Practice EBM • Formulate an answerable question. (PICO) 由個案的臨床資料形成可回答的臨床問題 • Track down the best evidence. (Search database) 尋找最佳的實證﹝各種文獻及資料庫，包括發表及未發表資料﹞ • Critically appraise the evidence for validity, impact, and applicability. (VIP) 評估各種醫學報告的可信度、臨床重要性，以及可應用性 • Integrate with our clinical expertise and patient values. 整合並應用於實際患者的治療決策﹝臨床應用﹞ • Evaluate our effectiveness and efficacy. 效果評估

  35. Case 對於 慢性蕁麻疹(chronic urticaria)， Zyrtec與Allegra的那一種治療效果比較好呢？ PICO

  36. Acquire / Search Chronic Urticaria Cetirizine Fexofenadine

  37. Search Resules

  38. Books

  39. 1 2 Journals

  40. Medical Topic

  41. Lifestyle Level of Evidence

  42. Case 慢性蕁麻疹(chronic urticaria)， Xyzal與Allegra的那一種效果比較好呢？ PICO

  43. My Folder • Personal filing tool • Save and organize information • Save searches for easy reuse • Set Search Alerts • Access folders from any computer

  44. Add to Folder • Bookmark information to My Folder • Easy to access for future use • Title the bookmark any way you choose

  45. My Folder Search Alerts • Click on magnifying glass to set search alert • Setup daily, weekly or monthly email notification • Email can include: • New results with summary • New results without summary • All results with summary • All results without summary • Folder link to new results • Folder link to all results

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