MDConsult & FirstConsult Presented By: Lydia Lu Date:2008/4/30.

transcript

MDConsult & FirstConsult

Presented By: Lydia LuDate:2008/4/30

MD Consult is designed to help physicians answer clinical questions and stay current with new developments in medicine.

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

十大主題

First ConsultBooksJournalsThe ClinicsPatient Education

DrugsGuidelinesImagesNewsCME

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

51 Reference Books

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

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

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

Journal PDFs

允許使用者瀏覽、下載和列印 PDF 文章

Over 80 full-text journals and Clinics of North America

TitlesOverlap with Overlap with

2006 JCR2006 JCR

Journals 53 4040

Clinics 34 2525

Total 87 6565

Journal Resources

Critical Care Medicine2/18

Journal of Allergy and Clinical Immunology

Anesthesiology2/22

The Lancet Infectious Diseases

Annals ofEmergency Medicine

Journal of Pediatrics4/74

The Lancet Neurology1/146

Journal of the American Academy of Child and Adolescent Psychiatry

The Top 8 Journal Titles

Across 32 medical subjects1.EMERGENCY MEDICINE

2.UROLOGY & NEPHROLOGY

3.GERIATRICS & GERONTOLOGY

4.MEDICINE, GENERAL & INTERNAL

5.CRITICAL CARE MEDICINE

6.ALLERGY

7.ANESTHESIOLOGY

8.CARDIAC & CARDIOVASCULAR SYSTEMS

9.INFECTIOUS DISEASES

10.DERMATOLOGY

11.ENDOCRINOLOGY & METABOLISM

12.GASTROENTEROLOGY & HEPATOLOGY

13.OBSTETRICS & GYNECOLOGY

14.ONCOLOGY

15.OPHTHALMOLOGY

16.EMERGENCY MEDICINE

17.HEMATOLOGY

18.IMMUNOLOGY

19.MEDICAL LABORATORY TECHNOLOGY

20.ORTHOPEDICS

21.OTORHINOLARYNGOLOGY

22.RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

23.RHEUMATOLOGY

24.PEDIATRICS

25.CLINICAL NEUROLOGY

26.PSYCHIATRY

27.RESPIRATORY SYSTEM

28.SPORT SCIENCES

29.SURGERY

30.UROLOGY & NEPHROLOGY

31.PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

32.NUTRITION & DIETETICS

Note: According to JCR report category

The Clinics

提供 34種最具權威的北美臨床雜誌

簡單而靈活的搜尋選項方便進行精確檢索

回溯至 2002年

Top Clinics Series

Title 2006IF

1 Adolescent Medicine Clinics #N/A

2 Anesthesiology Clinics of North America #N/A

3 Cardiology Clinics 1.433

4 Clinics in Chest Medicine 1.991

5 Clinics in Family Practice #N/A

6 Clinics in Geriatric Medicine 1.129

7 Clinics in Laboratory Medicine 1.904

8 Clinics in Liver Disease #N/A

9 Clinics in Perinatology 1.405

10 Clinics in Sports Medicine 0.832

11 Critical Care Clinics 1.845

12 Dermatologic Clinics 1.179

13Emergency Medicine Clinics of North

America0.672

14 Endocrinology and Metabolism Clinics 2.845

15 Gastroenterology Clinics 2.019

16Hematology/oncology Clinics of North

America1.468

17Immunology and Allergy Clinics of North

America3.178

Title 2006IF

18Infectious Disease Clinics of North

America1.642

19 Medical Clinics of North America 2.054

20 Neurologic Clinics 1.1

21 Obstetrics and Gynecology Clinics 0.825

22 Ophthalmology Clinics of North America #N/A

23 Orthopedic Clinics of North America 2.5

24 Otolaryngologic Clinics of North America 0.911

25 Pediatric Clinics of North America 1.048

26 PET Clinics #N/A

27 Primary Care; Clinics in Office Practice 0.588

28 Psychiatric Clinics of North America #N/A

29 Radiologic Clinics of North America 2.533

30Rheumatic Diseases Clinics of North

America2.568

31 Sleep Medicine Clinics #N/A

32 Surgical Clinics of North America 1.656

33 Ultrasound Clinics #N/A

34 Urologic Clinics of North America 1.819

Clinics in MDC

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

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

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

Safety NoticesFDA Approvals

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

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

News ( 新聞 )

每日更新

提供最新醫學發展新知

當週新聞

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

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

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

Refine Your Search ( 精確檢索 )

畫面右方提供建議的精確檢索

Searching

First Consult 提供最新的鑑別診斷、評估、結果、預後等資訊

瀏覽 Medical Topics

閱讀 Medical Topics

Differential Diagnosis

Viewing Search Results

Search Results

Case Study

1. Formulate an answerable question. (PICO)

由個案的臨床資料形成可回答的臨床問題

2.2. Track down the best evidence. (Search database)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﹞

3.3. Critically appraise the evidence for validity, impact, and Critically appraise the evidence for validity, impact, and applicability. (VIP)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

4. Integrate with our clinical expertiseclinical expertise and patient valuespatient values.

整合並應用於實際患者的治療決策﹝臨床應用﹞

5. Evaluate our effectiveness and efficacy. 效果評估

實證醫學的五大進行步驟實證醫學的五大進行步驟Five Steps to Practice EBMFive Steps to Practice EBM

對於慢性蕁麻疹 (chronic urticaria)，Xyzal 與 Allegra的那一種治療效果比較好呢？

P Urticaria

I Zyrtec (Ceterizine, 驅特異膜衣錠 )

C Allegra (Fexofenadine, 艾來錠 )

O Which one is better?

Acquire / Search

Chronic UrticariaCetirizine

Fexofenadine

Search Resules

Journals

Medical Topic

Lifestyle Level of Evidence

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

P Urticaria

I Xyzal (Ceterizine,驅異樂膜衣錠 )

C Allegra (Fexofenadine, 艾來錠 )

O Xyzal is better !

My Folder

Personal filing tool

Save and organize information

Save searches for easy reuse

Set Search Alerts

Access folders from any computer

Add to Folder

Bookmark information to My Folder

Easy to access for future use

Title the bookmark any way you choose

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

News Customization

Select the specialty areas of interest to you

News stories in these areas will appear first

Email to Colleague

From any of the content, you can email a colleague a link with a personalized note

* The colleague must be a subscriber to access the article/information

Log Off

Located in the upper right corner

Click once you have finished your time on the service

MD Consult will automatically log users off after 15 minutes of inactivity

Available now

RSS Feed for NewsAllow customers to access news headlines from outside MD Consult

Improvements to Journal / Book searching APIsJournal / Clinic searching via ISSN

Improvements to book full text searching

Updated Content List

http://eresourcesonline.com/resources

PubMed and MDCElsevier HS B&J, Taiwan

Milestones in NLM History

http://www.nlm.nih.gov/about/nlmhistory.html

1836 Library of the Office of the Surgeon General of the Army established.

1879 First volume of Index Medicus published.

1956 October 1 Act of Congress moved Armed Forces Medical Library to Public

Health Service (PHS) and rechristened it the National Library of Medicine (NLM).

1971 October MEDLINE was initiated to provide online access.

1993 October NLM's Internet World Wide Web site (www.nlm.nih.gov) appeared.

1997 June 26 Web-based access to NLM's MEDLINE became available free of charge.

1998 October MedlinePlus created to provide access to consumer health information.

2000 February 29 ClinicalTrials.gov, an online resource designed to give the public

easy access to information about research studies, was launched.

美國醫學索引（ Index Medicus ，簡稱 IM ）

MEDLINE 的前身為美國《醫學索引》是當前世界上最著名的大型生物醫學文獻檢索刊物， 1879 年創刊，由美國國立醫學圖書館 (The National Library of Medicine)編輯出版。

MEDLINE Database

NLM 為迅捷地提供索引服務，自 1965 年開始以IM 為基礎，利用電腦來處理資料，而建立了MEDLARS 系統（醫學文獻分析與檢索系統）；截至目前為止該系統約有 36 個資料庫，而其中使用最頻繁且最重要的資料庫則為 MEDLINE 。

MEDLINE 資料庫自 1966 至現在，一億六千多萬書目資料，且每個月以 20000 筆的速度增加。收錄數千種全世界著名且各學科權威之期刊。

What is PubMed?

PubMed is a service of the U.S. National Library of Medicine that includes over 16 million citations from MEDLINE and other life science journals for biomedical articles back to the 1950s. PubMed includes links to full text articles and other related resources.PubMed 是美國國家醫學圖書館對全球所提供的服務，其中 MEDLINE 提供了一億六千多萬筆期刊的引用與索引，最久遠至 1950 年，當然 PubMed 也提供了使用者快速方便的可以連結至全文的服務。

What function does PubMed have?

Online Demo• Browse• Searching• Relative article• Linkout• Limit• Combine• MeSH• Individual account setting• Clinical QueryPubMed® Online Training

Clinical PharmacologyClinical Pharmacology 3.0 3.0

Elsevier Taiwan LLC

程世仁 2008

What is Clinical Pharmacology

CP is designed to provide timely, concise drug information and clinical tools for medical professionals and health care consumers.

-- produced by Gold Standard

Peer-reviewed Articles

審查

評估

撰寫

發表 ReferencesFDA drugwatch

Pharmacology JournalsText books

藥劑師藥學專家

毒理學專家臨床醫師EBM 專家

Features

友善

界面

功能

導向

內文

簡潔

即時

更新

Clinical Pharmacology Content

Drug Monograph Content (2713) US centric Prescription, Over-the-Counter, Herbal, Nutritional, Investigational “Off-Label” Uses: A term used in the U.S> for non-FDA approved uses of the drug

Drug Product Content US centric Ingredients, Dosage Forms, Images, Descriptors

Searching Capabilities Brand or Generic Name Global Drug Name Directory: global drug names, brand and generic Indication Drug Classification Adverse Reaction

Report Features Drug Interaction Adverse Reaction IV Compatibility Product Identification

Drug Comparison Features Drug Calculators Patient Education (US Centric: English and Spanish)

Clinical Pharmacology - Content

藥物專題 (Drug Monograph)

Aspirin

RxOTCHerbalNutritionalInvestigational

By drug nameBy indicationBy precautionBy adverse reactionBy NDCBy manufacturer

General Search Key word: Drug name

CI/Precaution Adverse Reaction Indication

Tips: Type the first 2 characters, e.g. “as”

Type 3 or more characters, e.g. ”olol”

MedGuides from FDA

Patient Education MedCounselor Sheet

Report Drug Interaction Reports Product Comparison Report IV Compatibility Report Adverse Reaction Report Clinical Comparison Report Patent Peport

Drug Interaction Reports

Drug Interaction for consumer

Product Comparison Report

IV Compatibility Report

Adverse Reaction Report

Clinical Comparison Report

Indication

Adverse reaction

contraindication

Patent Report

FIND/LIST - By Multiple Criteria

Resource Center Calculators Lab Reference Drug Class Overviews Manufacturer contact info ToxED History

Mechanism of Action

Distinguish features

Adverse Reaction

Clinical Pharmacology Additional Function

Drug Identifier

Global Drug Names

Online Demo

CP URL http://cp3.clinicalpharmacology-ip.com

Thanks for your attention

MDConsult & FirstConsult Presented By: Lydia Lu Date:2008/4/30.

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