PhD Programme 2013/2014
Palacký University Faculty of Medicine and Dentistry, Olomouc
English Version
Course teacher & developer: J. Potomková, Ph.D
.
jarmila.potomkova@upol.cz
Palacky University Medical Library & Institute of Medical Biophysics
Medical advisor: V. Mihál, Prof., MD, PhD.
Head of
Palacký University Paediatric Department l
E-learning materials in Czech http://biomedicina.upol.cz/moodle

Course Structure
• Introduction
– Contacts
– Usefull links
– Electronic information resources at Palacký University
Olomouc
•
Remote access
• Clinical case, research question, PICO
• Information retrieval using multiple resources
– Theory
– Interactive online training
• Discussion, exercise
• Conclusion.

Contacts
Jarmila Potomková, PhD.
Palacký University Medical Library, Director
Institute of Medical Biophysics, Senior Lecturer jarmila.potomkova@upol.cz
Vladimír Mihál, Prof., MD., PhD.
Palacký University & Teaching Hospital Department of Paediatrics, Head mihalv@fnol.cz
Palacký University Medical Library, Website http://www.lf.upol.cz – Knihovna –Vzdělávání(Training) --- DSP
„QAKOM“ – e-learning portal for PhD programmes http://biomedicina.upol.cz/moodle -- Kurzy/B001/Czech version

Useful Links
• Palacký University Library, Olomouc http://katalog.upol.cz
Online public access catalog
•
Research Library, Olomouc http://www.vkol.cz
.
•
National Medical Library, Prague http://www.nlk.cz
– Fee-based registration for remote database access http://www.medvik.cz/bmc – Bibliographia Medica Čechoslovaca
• National Library of Medicine (USA) http://www.locatorplus.gov
– Book catalog http://www.pubmed.gov
– Database MEDLINE
•
WorldCat http://www.worldcat.org
WorldCat is the world's largest network of library content and services. WorldCat libraries are dedicated to providing access to their resources on the Web, where most people start their search for information.
•
Search Engines http://www.google.com
- General search http://scholar.google.com
- Scientific articles only http://books.google.com
- Book content for reading only http://www.yahoo.com
http://www.bing.com

Electronic Information Resources at Palacký University
• ABC, faculties, fields http://ezdroje.upol.cz
• Medical databases http://www.lf.upol.cz/ Knihovna LF Databáze
– Free (PubMed http://www.pubmed.gov)
– IP-recognition
• Palacký University network (eg. Dynamed http://search.epnet.com
)
•
Teaching Hospital Olomouc (eg. UpToDate http://www.uptodate.com/online )
– Remote access
• VPN (Virtual Private Network)
• Shibboleth / eduID
• Terminal Server
For more details feel free to contact : Mr. Tomáš Kopečný, network administrator
( tomas.kopecny@upol.cz
)

Clinical Case (author: V. Mihál)
A boy, 2 years old
• Acute otitis media ;
• Fever, earache;
• Visit to a paeditrician ´s office;
• Pharmacological anamnesis
• No ATBs in the past 6 months;
• No pneumococcal vaccination;
• Mother wants to know whether antibiotics (eg. amoxicillin ) should be precscribed immediately ………

Formulation of a PICO Question
Before Search
P atient(s)/problem/population
– Otitis media in infants (birth - 2 years)
I ntervention/exposure
– Immediate antibiotic therapy (eg. amoxicilin )
C omparison
– Pain killer – placebo – watch-and-see
O utcome
– Effect of the selected intervention

Search terms, keywords
„
Minimum Information Principle “
P
• (Acute) otitis media - AOM
• Middle ear inflammation
• Middle ear infection(s)
I
• Antibiotic(s)
• Antimicrobial
• Antibacterial
• Amoxicillin
• Analgesics
• Placebo
• Wait/Watch-and-see

Electronic Library Catalogs (1)
National Medical Library,
Prague, Czech R. /Medvik
Navigation, functions: http://www.medvik.cz
Search Medvik/ Advanced
All Fields -MeSH : otitis media
Search
Date/ descending
?
MeSH = Me dical S ubject
H eadings (thesaurus)

Electronic Library Catalogs (2)
National Library of Medicine,
Bethesda, USA / LocatorPlus
Navigation and functions: http://www.locatorplus.gov
LocatorPlus / Find Books ….
Advanced Menu Search otitis media phrase/ Title
AND antibiotic antibiotics any of these/ Title
Search
Sort results / Publish date descending
Detailed view
Ctrl+F/otitis /Hledej

Electronic Library Catalogs (3)
International Joint Catalog
Worldcat
Navigation, functions:
Advanced search
Title / otitis media
Keyword/ antibiotics
Year/ 2000-2014
Content/ Thesis/Dissertation
Search http://www.worldcat.org

http://www.google.com
http://www.yahoo.com
http://www.bing.com

Medical Websites Quality eEurope 2002:
Quality Criteria for Health related Websites
Free access
Communication from the
Commission to the Council, the
European Parliament, the
Economic and Social
Committee and the Committee of the Regions

Medical Websites Quality
Basic Criteria

INTERNET
Deep Search Engines
:
Scholar Google http://www.scholar.google.com
Journal articles
• Cited by
• Related articles
• Versions
• Citační ohlasy
Navigation and functions:
Advanced Search
Phrase: otitis media
At least one of the words: antibiotic antibiotics antimicrobial amoxicillin
Occurrence: article title
Date: 2009-2014

Professional Medical Databases : selection
MEDLINE/ PubMed
• Bibliographic database with fulltext links
• Free access
DynaMed
• Point-of-care EBP knowledgebase
• Institutional licence, IP-recognition
UpToDate
• EBP knowledgebase
• Institutional licence, IP-recognition
COCHRANE LIBRARY
– Systematic reviews
– Institutional licence, IP-recognition

MEDLINE/PubMed
„Gold Standard “ for niomedical and health saciences
Coverage:
• > 5000 journals published in the USA a 80 other countries
• > 23 mill .
records, retro since 1950
All records have English abstracts irrespective of original language
MEDLINE/ PubMed www.pubmed.gov
• Summary + abstract + MeSH terms
• Fulltext links from providers
• LinkOut – More Resources
•
• Free
Licence/subscription
• Absent /some archival materials

Search Tools
Boolean Operators AND, OR, NOT
Documents must contain at least two (or more) search terms
 otitis media AND antibiotics
Documents must contain any (or all) of search terms
 otitis media OR middle ear inflammation
Documents must not contain search terms
 otitis media NOT surgery

PubMed: Search Strategy
URL: http://www.pubmed.gov --- Advanced
Search Builder functions
Boolean operators OR , AND , NOT
Truncation/wildcards *
Step #1
Title: otitis media (search term occurs in article title)
OR
Title/abstract : middle ear inflammation (search term occurs in article title or abstract)
Add to History
Step #2
Title: antibiotic* (search term occurs in article title)
OR
Title / abstrac t: antimicrobial* (search term occurs in article title or abstract)
Add to History
Step #3
History
#1 AND #2
Search
Show additional filters : Ages – Show: Infant birth-23 months

PubMed : Results
• Summary
• Abstract
– Related articles
– Send to :
• File
• E-mail (library fulltext services)
– Article types, MeSH Terms (Medical Subject Headings)
– Linkout – more resources
– Free fulltext
– Providers, publishers – fee, subscription
– Absent

Send to == Email
REMINDER:
Additional text must contain your contact .

(

•
Navigation and functions http://search.epnet.com
– IP-recognition within
Palacký University network
– Remote access
A point-of-care reference tool with clinically-organized summaries for more than 3,200 topics, which monitors the content of medical journals and systematic evidence review databases through journal review services. Each article is evaluated for clinical relevance and scientific validity, and the new evidence is then integrated with existing content, with overall conclusions being drawn from the best available evidence.
• Example: otitis media antibiotics Search
–
–
–
–
Choose a summary from the list
Open the selected topic
• Search within text keyword search
„Levels of evidence“ – validity
References including reviews and guidelines

Result : Acute otitis media (AOM)
Treatment overview

Navigation and functions: http://www.uptodate.com/online
– IP-recognition within Palacký University and Teaching Hospital networks
– Remote access
Evidence-based clinical summaries, regularly uptodated
> 8,000 criticallyx appraised topics
• 14 specialties
• >80 000 pages (text, graphics, PubMed links)
• Patient information
• Quarterly updates

New Search: otitis media antibiotics Search

Results: Acute otitis media in children: Treatment

Find Answer to Our Research Question
Summary and Recommendations
The choice of initial treatment with antibiotics or observation depends upon the age of the child and the laterality and severity of illness :
•
We recommend that children with
AOM who are <6 months be treated with antibiotics
• We suggest that children with AOM who are between six months and two years be treated with antibiotics
ATD
.
Boy, 2 years old, acute otitis media