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Literature Search

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PBL-EBM -PBL -EBM -PBLEBM

EBM~~~

5

266,000,000 Evidence based6

Combing terms (Boolean operator)

ANDORNOT A AND B --- AB A OR B --- AB A NOT B --- AB A AND (B OR C) ---A (BC) A OR (B NOT C) ---A (BC ) A NOT (B AND C)---A(B C)

Boolean - OR

DOULAS OR LABOUR SUPPORTDOULASLABOUR SUPPORTUse to combine like terms or terms within the same conceptBoolean - AND

CHILDBIRTHCONTINUOUS SUPPORTCHILDBIRTH AND CONTINUOUS SUPPORTUse to combine together different conceptsBoolean - NOTDOULA NOT MIDWIFEDOULA

MIDWIFEUse to exclude terms from your search

Hand searchingreference lists direct contact with pharmaceutical companies/researchers/

LevelTherapy1a Systematic review (, )1b, 1cAll or none2a (, )2b Cohort study; 2c Ecological studies, outcome research3a (-, )3b - Case-control study4; - 5, , , , Oxford Center for EBM:Levels of Evidence (Therapy)Where to Start?

Ask yourself: How much time do you have? What type of publication am I looking for? Is my query about a specific topic?

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15-2

16 17Cochrane library Up To DateMD Consult EBSCO JAMA & ArchivesMosbys Index Mosbys Nusing ConsultMosbys Nusing Skills

18Best Evidence

ACP Journal ClubAmerican College of Physicians Evidence-Based MedicineACP British Medical JournalGroup 50

20CEPS-()MedlineCINAHLPubMedGoogel Scholar

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23CEPS

25Google

Medline

Micromedex

The Cochrane Library

MDConsult

UpToDate

(11)

CINHAL332009NCKUFM-YCY

http://medlineplus.gov~~2006-12-30~~34

Database: -PubMed -medline -Cochrane library Key wards: -dialysis -statin -mortality

3699/06/09PubMedMy NCBIMeSHMeSHnatural language ANDORNOTAlertEndNotePubmed

2009NCKUFM-YCYPubMed40

Select MeSHMeSH DatabaseSearch KeywordSend toSearch Box with AND/OR/NOTSearch other MeSH and repeat Search PubMed

LinkPubMed Major Topic~~2006-12-30~~402009NCKUFM-YCYPubMed41

Limits~~2006-12-30~~41

43(PICO)Patient or ProblemIntervention or Indicator~~Comparison~~Outcome~~4444Patient or Problem45Intervention or Indicator or Exposure()~~eg: ~~eg: 46Comparison~~eg: CapsaicinLidocaine47Outcome~~eg: 4848Exercise

What types of evidence are relevant to your question

771228/min108/min39X515152Question: ?????????????KeywordsP? ? ? ?? ? ? ? ?I? ? ? ?? ? ? ? ?C? ? ? ?? ? ? ? ?O? ? ? ?? ? ? ? ?52XP77IXCgold standard: Osensitivity and specificityPICO5353Example60 y/o309.010Panadol54Question 1QPICO55Glucosamine(osteoarthitis)GlucosaminePlacebo OR NSAID OR Thank you.