1 final session search multiple resources knowledge assessment merck manual of diagnosis and therapy...
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Final SessionSEARCH MULTIPLE
RESOURCES Knowledge Assessment
Merck Manual of Diagnosis and TherapyMedline (PubMed) Cochrane Library Clinical Evidence Science–Technology–Medicine + Cited Reference Search + Journal Impact Factor
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Searching – Finding - Appraising
Enuresis (Bedwetting) in school children:
Treatment options
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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 alarm3. Combination of desmopressin + alarm?
Adapated from:BMJLearning http://http://learning.bmj.com
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BACKGROUND INFORMATIONDefinition of enuresis
(bedwetting) Merck Manual of Diagnosis and Therapy
http://www.merckmanual.com
Search: enuresis +desmopressin +alarms
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Enuresis – what it is aboutPrimary nocturnal enuresis Failure to have developed bedtime bladder control Usually caused by slow maturation of the nerves that
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.
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FOREGROUND QUESTIONTerminology enuresis; enuretic; bedwet; bedwetting drug(s); desmopressin; alarm(s)
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PubMed Search Strategy Suggestions
Step 1enure* OR bedwet* Limits: Title
Step 2desmopressin* OR drug* OR alarm* Limits: Title
Step 3Combine searches #1 AND #2
Step 4 Limits: Ages: Child 6-12
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PubMed Search Results (1)
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PubMed Search Results (2)All: 224
Reviews: 25 8 Cochrane Reviews of randomized
controlled trials
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Combination treatmentDrugs + alarms
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Professional Databases with Critically Appraised Topics
Clinical Evidencehttp://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.
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Clinical EvidenceInterventions: Questions
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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 cited by other articles?
Web of Science (part of WoK) Science Citation Index (tool)
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WEB OF SCIENCEMultidisciplinary
DatabasePalacky University Authorized Access at:
http://isiknowledge.com
Search Cited Reference Search Journal Citation Reports
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Which journal was it published in ?Journal Impact Factor
http://isiknowledge.comAdditional 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.
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Search for a specific journal ….. Urology
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Urology Impact Factor2005 = 2.139
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UrologyImpact Factor CalculationCalculation Number of articles published in: 2004 = 584 + 2003 = 599 Sum: 1183 Number of cites in 2005 to articles published in:
2004 = 897 + 2003 = 1634
Sum: 2531 Cites to articles 2531 Number of articles 1183 = 2.139 Impact
factor
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Was article cited by other articles? Science Citation Index (SCI)http://isiknowledge.comCITED 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.
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MORE ABOUT BIBLIOMETRICS Introduced in 1960s…„application of mathematical and
statistical methods to books and other media of communication“
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INSTITUTE FOR SCIENTIFIC INFORMATION & ITS FOUNDER
Eugene Garfield. Ph.D.
www.garfield.library.upenn.edu
1951 career in scientificcommunication and
information science
1960 founded ISI
2001- President, The Scientist.
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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.
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CRITICAL APPRAISALIn generalTechnique, 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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