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Health Information Databases

Health Information Databases. Sabelo Mapasure, MA, MCLIP SCHT & PCTs Library & Knowledge Services Manager Shropshire Community Health NHS Trust Sabelo.mapasure@shropcom.nhs.uk. Aims and objectives.

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Health Information Databases

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  1. Health Information Databases Sabelo Mapasure, MA, MCLIP SCHT & PCTs Library & Knowledge Services Manager Shropshire Community Health NHS Trust Sabelo.mapasure@shropcom.nhs.uk

  2. Aims and objectives • Introduction to searching clinical databases to find information relevant to individual needs and interests • Plan a search strategy to search for information • Aware of various clinical databases • Carry out a search for information • Display/print/export/save search results • Leave the session with some useful information of occupational interest, CPD or studies.

  3. ATHENS Databases • Have you signed up? • ATHENS list of resources www.athens.nhs.uk

  4. Types of Questions • What causes the problem? AETIOLOGY, RISK FACTORS • What is the frequency of the problem? FREQUENCY • Does this person have the problem? DIAGNOSIS • Who will get the problem? PROGNOSIS, PREDICTION

  5. P.I.C.O. Method P     Population/patient I     Intervention/indicator C     Comparator/control O     Outcome In Evidence Based Medicine (EBM), treatments and therapies are called ‘interventions’. http://learntech.physiol.ox.ac.uk/cochrane_tutorial/cochlibd0e84.php

  6. Plan your search • PICO method • Medical Subject Headings (MeSH) • Keywords • Combining Terms (AND, OR, NOT)

  7. Example Question In patients with recurrent furunculosis, do prophylactic antibiotics, compared to no treatment, reduce the recurrence rate?

  8. Example answer P  Population/patient =  patients with recurrent furunculosis I  Intervention/indicator = prophylactic antibiotics C  Comparator/control =  no treatment O  Outcome =  reduction in recurrence rate of furunculosis

  9. Boolean Logic • AND • OR • NOT • Wildcards e.g. * • Proximity searching http://www.internettutorials.net/boolean.asp

  10. Selecting the databases • AMED (Allied and Complementary Medicine) • BNI (British Nursing Index) • EMBASE • Medline • CINAHL (Cumulative Index to Nursing and Allied Health Literature) • PsycINFO • Health Business Elite • HMIC

  11. Searching • Simple Search • Advanced Search • Search using Thesaurus Mapping (recommended)

  12. Search Results • Display or Browse • Save • Print • Export • Alerts

  13. Practical exercise • Plan your search strategy using given question or use your own. • Perform a search (advanced recommended) • Combine sets • Search limits by: adults, English, 2000+ • Display results • E-mail results • Change database and repeat search • Save Search and Create Alerts

  14. Exercise 1 • Clinical question: How effective is hypnotherapy as a form of treatment for irritable bowel syndrome?

  15. Practical exercise 2 • Clinical question: In a 70 year old woman with primary insomnia and a previous adverse reaction to hypnotics, can cognitive behavior therapy improve sleep quality and duration?

  16. Practical exercise 3 • Clinical question I am looking for references on treatment exercises i.e. anterior patellofemoral syndrome in adolescent girls.

  17. Objectives - Recap • Plan a search strategy to search for information • Be aware of various clinical databases • Carry out a search for information • Display/print/export/save search results • Leave the session with some useful information of occupational interest, CPD or studies.

  18. Finally…Thank you for attending! • Impact assessment (please complete online) • https://www.surveymonkey.com/s/post-training_appraisal_PCT_LKS • Other courses are available, please ask Sabelo Mapasure SCHT & PCTs Library and Knowledge Services library@shropcom.nhs.uk

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