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Final Session SEARCH MULTIPLE RESOURCES Knowledge Assessment

Final Session SEARCH MULTIPLE RESOURCES Knowledge Assessment. Merck Manual of Diagnosis and Therapy Medline (PubMed) Cochrane Library Clinical Evidence Science–Technology–Medicine + Cited Reference Search + Journal Impact Factor. Web of Knowledge.

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Final Session SEARCH MULTIPLE RESOURCES Knowledge Assessment

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  1. Final SessionSEARCH MULTIPLE RESOURCES Knowledge Assessment Merck Manual of Diagnosis and Therapy Medline (PubMed) Cochrane Library Clinical Evidence Science–Technology–Medicine + Cited Reference Search + Journal Impact Factor Web of Knowledge

  2. Searching –Finding - Appraising Clinical Question for Today: Enuresis (Bedwetting) in school children: Treatment options

  3. CLINICAL QUESTION FOR TODAY • Case • 11-year old boy with enuresis (bedwetting) • Urinary tract infections excluded; • Frustrated with his health problem • Possible treatment options: 1. Drug therapy (desmopressin) 2. Enuresis alarm 3. Combination of desmopressin + alarm? Adapated from:BMJLearning http://http://learning.bmj.com

  4. BACKGROUND INFORMATION • Definition of enuresis (bedwetting) • Merck Manual of Diagnosis and Therapy http://www.merckmanual.com Search: enuresis +desmopressin +alarms

  5. Enuresis – what it is about Primary nocturnal enuresis • Failure to have developed bedtime bladder control • Usually caused by slow maturation of the nervesthat supply the bladder • The child fails to awaken appropriately when the bladder fills and needs emptying. • affects 30% of children at age 4, • 10% at age 6, • 3% at age 12, • and 1% at age 18. • It is more common in boys, • Seems to be familial, • Sometimes associated with sleep disorders.

  6. FOREGROUND QUESTIONTerminology • enuresis; enuretic; bedwet; bedwetting • drug(s); desmopressin; • alarm(s)

  7. PubMed Search Strategy Suggestions Step 1 enure* OR bedwet* Limits: Title Step 2 desmopressin* OR drug* OR alarm* Limits: Title Step 3 Combine searches #1 AND#2 Step 4 Limits: Ages: Child 6-12

  8. PubMed Search Results (1)

  9. PubMed Search Results (2) • All: 224 • Reviews: 25 • 8 Cochrane Reviews of randomized controlled trials

  10. Combination treatmentDrugs + alarms

  11. Professional Databases with Critically Appraised Topics Clinical Evidence http://www.clinicalevidence.com (fee) • Systematic reviews • Question(s) • Option(s) • Grades of evidence • Beneficial • Likely beneficial • Trade off between benefit and harm • Unknown effectiveness • Unlikely beneficial • Etc.

  12. Clinical EvidenceInterventions: Questions

  13. CRITICAL APPRAISAL„Bibliometric Criteria“ Multidisciplinary database WEB OF KNOWLEDGE • Which journal was it written in? • „Impact Factor“ = journal quality • Additional resources • Journal Citation Reports (part of WoS) • Who wrote the article? • Was the article citedby other articles? • Web of Science (part of WoK) • Science Citation Index (tool)

  14. WEB OF SCIENCEMultidisciplinary Database Palacky University Authorized Access at: http://isiknowledge.com Search Cited Reference Search Journal Citation Reports

  15. Which journal was it published in ?Journal Impact Factor http://isiknowledge.com Additional Resources – Journal Citation Reports • Cited author(s): Naitoh Y et al. • Article title:Combination therapy with alarm and drugs for monosymptomatic nocturnal enuresis not superior to alarm monotherapy.. • Cited work:Urology • Publication Year:2005 • Volume/Issue: 660/3 • Pagination: 632-635.

  16. Search for a specific journal ….. Urology

  17. Urology Impact Factor2005 = 2.139

  18. UrologyImpact Factor Calculation Calculation • Number of articles published in: 2004 = 584  +  2003 = 599 Sum:1183 • Number of cites in 2005to articles published in: 2004 = 897 + 2003 = 1634 Sum: 2531 Cites to articles2531 Number of articles 1183   = 2.139 Impact factor

  19. Was article cited by other articles? Science Citation Index (SCI) http://isiknowledge.com CITED REFERENCE SEARCH • Cited author(s):Naitoh Y et al. • Article title:Combination therapy with alarm and drugs for monosymptomatic nocturnal enuresis not superior to alarm monotherapy.. • Cited work:Urology • Publication Year:2005 • Volume/Issue:660/3 • Pagination: 632-635.

  20. MORE ABOUT BIBLIOMETRICS • Introduced in 1960s …„application of mathematical and statistical methods to books and other media of communication“

  21. INSTITUTE FOR SCIENTIFIC INFORMATION & ITS FOUNDER • Eugene Garfield. Ph.D. www.garfield.library.upenn.edu • 1951career in scientific communication and information science • 1960founded ISI • 2001-President, The Scientist.

  22. SCIENCE CITATION INDEX (SCI) • has become the most generally accepted source of bibliometrics. • Citations became a widely used measure of the impact of scientific publications as • signposts left behind after information has been utilized.

  23. CRITICAL APPRAISALIn general Technique, skill • Increasing effectiveness of your reading • Excluding poorly designed studies • Helping decide • which articles could influence your daily work • which are unsuitable.

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