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
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
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
1/16
Anesthesiology2/22
The Lancet Infectious Diseases
1/47
Annals ofEmergency Medicine
1/11
Journal of Pediatrics4/74
The Lancet Neurology1/146
Journal of the American Academy of Child and Adolescent Psychiatry
2/74
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
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
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
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
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
Drugs
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
每篇全文文章均包括書目資料及目錄
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
Case
PICO
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
Books
1
Journals
2
Medical Topic
Lifestyle Level of Evidence
Case
PICO
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
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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.
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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。
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60
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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。
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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。
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What function does PubMed have?
Online Demo• Browse• Searching• Relative article• Linkout• Limit• Combine• MeSH• Individual account setting• Clinical QueryPubMed® Online Training
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Clinical PharmacologyClinical Pharmacology 3.0 3.0
Elsevier Taiwan LLC
程世仁 2008
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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
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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
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Features
友 善
界 面
功 能
導 向
內 文
簡 潔
即 時
更 新
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Clinical Pharmacology Content
69
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
70
藥物專題 (Drug Monograph)
Aspirin
RxOTCHerbalNutritionalInvestigational
By drug nameBy indicationBy precautionBy adverse reactionBy NDCBy manufacturer
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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”
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MedGuides from FDA
73
Patient Education MedCounselor Sheet
74
Report Drug Interaction Reports Product Comparison Report IV Compatibility Report Adverse Reaction Report Clinical Comparison Report Patent Peport
75
Drug Interaction Reports
76
Drug Interaction for consumer
77
Product Comparison Report
78
IV Compatibility Report
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Adverse Reaction Report
80
Clinical Comparison Report
Indication
Adverse reaction
contraindication
Drugs
81
Patent Report
82
FIND/LIST - By Multiple Criteria
83
Resource Center Calculators Lab Reference Drug Class Overviews Manufacturer contact info ToxED History
Mechanism of Action
Distinguish features
Adverse Reaction
84
Clinical Pharmacology Additional Function
85
Drug Identifier
86
Global Drug Names
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Online Demo
CP URL http://cp3.clinicalpharmacology-ip.com
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Thanks for your attention