EBSCO 醫學電子資源利用與檢索特色介紹 報告人：蔡佳展 先生 Email: etsai@epnet

1. EBSCO醫學電子資源利用與檢索特色介紹報告人：蔡佳展　先生EBSCO醫學電子資源利用與檢索特色介紹報告人：蔡佳展　先生 Email: etsai@epnet.com

2. Three Levels of Information Usage in Libraries TOC & CITATION DATABASES FULLTEXT REFERENCE DATABASES COREPRINT & E-JOURNALS

3. 資料庫與電子期刊的比較—5C

4. No One Company Can Serve More of Your Hospital’s Electronic Reference Needs Than EBSCO Library Research MEDLINE with Full Text, CINAHL Plus w/Full Text, Cochrane, e-journals, print, more Nursing/Nursing Education CINAHL Pluswith Full Text Clinical Point-of-Care DynaMed, Gideon Infectious Disease Hospital Administration Health Business Elite Marketing/Community Outreach Health Library Evidence-Based Patient Education Health Library CME DynaMed

5. 醫學類全文資料庫

6. MEDLINE with Full Text The world’s largest full text companion to MEDLINE Total Full Text Journals 1,193 Indexed Cover to Cover in the MEDLINE index 1,014 Indexed Selectively in the MEDLINE index 179 * Includes free access to “MEDLINE Select” ** Figures as of May 4, 2006

7. MEDLINE with Full Text includes many of thenon-WK/AMA/BMA/OUP/Elsevier journals found in theothers, including the following with NO embargo: WK = Wolters Kluwer imprints (including Lippincott, Williams & Wilkins); AMA = American Medical Association;BMA = British Medical Association; OUP = Oxford University Press; Elsevier includes Harcourt, Mosby, Saunders, etc.

8. MEDLINE with Full Text provides full text for hundreds ofjournals with no embargo, including but not limited to: • Allergy & Asthma Proceedings • American Family Physician • American Journalof Health Behavior • American Journalof Rhinology • American Surgeon • Annals of Dyslexia • Annals of Family Medicine • Annals of Otology, Rhinology & Laryngology • Annual Review ofSex Research • Archives of Pathology& Laboratory Medicine • Bulletin of theMenninger Clinic • Canadian Association of Radiologists Journal • Canadian Journal ofDietetic Practice & Research • Canadian Journalof Psychiatry

9. MEDLINE with Full Text provides full text for hundreds ofjournals no embargo, including but not limited to: • Journal of NutritionEducation & Behavior • Journal of Otolaryngology • Journal ofPostgraduate Medicine • Lancet • Lupus • Molecular Imaging • Multiple Sclerosis • Nutrition Reviews • Orthopedics • Palliative Medicine • Pediatric Annals • Perspectives inVascular Surgery & Endovascular Therapy • Progress in Transplantation • ReproductiveBioMedicine Online • Surgical Innovation • Toxicology &Industrial Health • Vascular (Hamilton, Ontario) • Vascular Medicine

10. The MEDLINE Full Text Companion Package will contain large PDF backfiles for many journals, including: Addiction (including former titles) 1975 to present Allergy 1978 to present American Journal of Law & Medicine 1975 to present American Journal of Public Health 1975 to present Annals of Internal Medicine 1965 to present Annals of Science 1975 to present Angiology 1966 to present Archives of Environmental Health 1975 to present Australasian Journal of Dermatology 1967 to present Clinical & Experimental Dermatology 1976 to present Clinical & Experimental Immunology 1970 to present Clinical Pediatrics 1966 to present Immunology 1965 to present Journal of Cutaneous Pathology 1974 to present Journal of Investigative Dermatology 1970 to present Kidney International 1972 to present * Project completion expected by December 31, 2006

11. 護理類全文資料庫

12. CINAHL with Full Text The world’s highest quality research tool for nursing & allied health literature Total Full Text Journals 554 Indexed Cover to Cover in the CINAHL index 383 Indexed Selectively in the CINAHL index 171 * Includes free access to “CINAHL Select” ** Figures as of May 4, 2006

13. CINAHL各版本之間的區別

14. CINAHL Plus with Full Text offers Superior Backfiles[processing to be completed by October 2006] Indexing, abstracts and PDFs from 1937 to present 1937 to present No Embargo 1962 to present No Embargo 1946 to present No Embargo

15. Also: * Search Strategies * Legal Cases * Research Studies CINAHL Plus with Full Textalso provides non-journal content Evidence-Based Care Sheets 165 Quick Lessons 108 CEUs 83 Research Instruments Records 360

16. 運動醫學與復健類全文資料庫

17. SPORTDiscus with Full Text The definitive online research tool for sports medicine & rehabilitation literature Covering biomechanics, drugs, exercise, kinesiology, movement science, nutrition, occupational health & therapy, physical fitness, physical therapy, rehabilitation, sports & exercise psychology, and sports medicine Total Full Text Journals 417 Indexed Cover to Cover in the SPORTDiscus index 248 Indexed Selectively in the SPORTDiscus index 169 * Includes free access to “SPORTDiscus Select” ** Figures as of May 4, 2006

18. Full Text for More Than 415 Journals Indexed in SPORTDiscus Examples of publications with no embargo • Adapted Physical Activity Quarterly • AMAA Journal • American Journal of Health Promotion • Athletic Therapy Today • Canadian Journal of Applied Physiology • Clinical Rehabilitation • International Journal ofSport Nutrition & Exercise Metabolism • International Journal ofSports Physiology & Performance • Journal of Aging & Physical Activity • Journal of Applied Biomechanics • Journal of Athletic Training • Journal of Bone & Joint Surgery • Journal of Dance Medicine & Science

19. 心理衛生類全文資料庫

20. Psychology & Behavioral Sciences Collection • Includes full text for 574 journals (more than 90% have PDFs) • Covers many of the leading journals in clinical psychology, psychiatryand neuroscience

21. Mental Measurements Yearbook PEP Archive PsycINFO PsycARTICLES PsycBOOKS PsycCRITIQUES PsycEXTRA Psychology & Behavioral Sciences Collection Psychology

22. Revolutionary New Linking to EBSCOhost

23. 醫務管理類全文資料庫

24. Health Business Elite • Health Business Elite provides comprehensive journal content detailing all aspects of health care administration and other non-clinical aspects of health care institution management • Topics covered include hospital management, hospital administration, marketing, human resources, computer technology, facilities management and insurance • Health Business Elite contains full text content for nearly 450 journals

25. 傳統醫學類(含中醫)全文資料庫

26. Alt HealthWatch Full text from 184 international peer-reviewed and professional journals, magazines, reports, proceedings, etc. • Acupuncture in Medicine • Alternative Medicine Review • Alternative Therapies in Health & Medicine • American Chiropractor • American Journal of Chinese Medicine • American Journal of Homeopathic Medicine • California Journal of Oriental Medicine (CJOM) • European Journal of Clinical Hypnosis • Journal of Alternative & Complementary Medicine • Journal of Asian Natural Products Research • Massage & Bodywork • Yoga Journal

27. EBSCO Medical Package [The world’s largest medical journal package] # of Cover to Cover Full Text Journals MEDLINE with Full Text 1,193 CINAHL with Full Text 554 SPORTDiscus with Full Text 417 Psychology & Behavioral Sciences Collection 570 Health Business Elite 443 Alt HealthWatch 178 Health Source: Consumer Edition 131 SocINDEX with Full Text 402 Grand Total (Combined, Unduplicated) 3,008

28. Linking

29. EBSCOhost線上實機操作 • 連結EBSCO host Web 6.1網址 • http://search.epnet.com (舊有） • http://search.ebscohost.com（新網址） 資料庫內容介紹網址： http://www.epnet.com

30. 臨床實證醫學全文資料庫

32. Defining Evidence-BasedEvidence-Based = conclusions based on best available evidence “Evidence-based” requires the following steps: • Systematically identifying all applicable evidence • Systematically selecting the best available evidence from that identified • Systematically evaluating the selected evidence (critical appraisal) • Accurately summarizing the evidence and its quality • Making conclusions dependent on the evidence • Synthesizing multiple bits of evidence for overall conclusion • Changing the conclusions when new evidence alters the best available evidence A doctor’s recommendation of how they treat their patientsis NOT always the best guide if other evidence exists

33. DynaMed: Evidence-Based Reference • Systematic method to base conclusions on the best available evidence • DynaMed uses Cochrane Database of Systematic Reviews and many other evidence sources • DynaMed is the only evidence-basedreference shown to answer most clinical questions in primary care • DynaMed is the only evidence-basedproduct to be updated daily

34. DynaMed offers clinically organized summariesfor nearly 2,000 topics Topic summaries are based on: Common and uncommon diseases and conditions Symptoms (e.g., chest pain) Other clinically important topics(e.g., breastfeeding, cardiac stress testing) Specific popular interest(e.g., West Nile virus, anthrax, SARS, avian influenza) New scope of information based on developing research (e.g., include metabolic syndrome and D-dimer testing) Suggestions by DynaMed users DynaMed Content

35. Research: supported by the National Science Foundation* Objective: determine if access to DynaMed helps clinicians answer more clinical questions than without access to DynaMed Method: Randomized Controlled Trial of 52 primary care clinicians; 698 clinical questions Results: With access to DynaMed, primary care clinicians answered more clinical questions than without access to DynaMed With DynaMed, primary care clinicians found more answers that changed clinical decisions Answers were found in DynaMed for approximately 70% of clinical questions (far exceeds any other point-of-care resource; UpToDate answers 34% of clinical questions**) Does DynaMed Help PhysiciansAnswer More Questions? * This study is published in Annals of Family Medicine 2005 Nov/Dec; 3: 507 ** Data taken from www.uptodate.com on May 30, 2006

36. Who Uses DynaMed? DynaMed is used by: • Medical Schools • Hospitals • Residency Programs • Individual/Other

41. Level of Evidence labels

42. Level of Evidence (LOE) • Level of Evidence systems are designed to rate evidencefor rapid recognition of the quality of evidence • LOE is important because not all evidence is created equal • LOE systems can be useful if they help the clinician rapidly determine the quality of supporting evidence – this is faster than reading the underlying methods and trying to figure out the quality of those methods • LOE systems can be harmful if they are confusing,take time to interpret or are misleading • There are more than 100 LOE systems,designed for various purposes

43. Level of Evidence (LOE) • DynaMed provides easy-to-interpret Level of Evidence labels so users can quickly find the best available evidence and determine the quality of the best available evidence • Not all Evidence-Based References provide quality,easy-to-use LOE; some do not provide LOE at all • DynaMed uses three Levels of Evidence: • Level 1 – likely reliable • Level 2 – mid-level • Level 3 – lacking direct

45. Links to PubMed

47. PDA Downloadable Version Browsing Topics

48. Clinical Evidence UpToDate FirstConsult CR@Ovid InfoPOEMs DynaMed Requirements to be Evidence-Based 1. Systematicallyidentifythe evidence 2. Systematicallyselect bestevidence 3. Systematicallyevaluate evidence(critical appraisal) 4. Accuratelysummarizeevidence and quality 5. Make conclusions of individual articles basedon evidence and its quality 6. Synthesize multiple bitsof evidence for overall conclusions 7. Change conclusionswhen new evidence alters the best available evidence EVIDENCE-BASED Partially, only for research articles with abstracts Unclear, not transparent Unclear, not transparent Unclear, not transparent Yes YES No No No Yes Yes YES No, evidence hierarchy described but not critical appraisal No, evidence hierarchy described but not critical appraisal Not described Yes Yes YES Author-dependent Author-dependent Author-dependent Yes Yes YES Author-dependent Author-dependent Author-dependent Yes Yes YES Recommen-dations not based on evidence cited Recommen-dations not based on evidence cited Author-dependent No Yes YES Yes, each chapter is updated every 12 months No, just add new study summaries Author-dependent Author-dependent Author-dependent YES No No No Partially Yes YES

49. DynaMed Features Compared Clinical Evidence DynaMed UpToDate FirstConsult CR@Ovid InfoRetriever Evidence-Based(based on systematicevidence analysis) SystematicLiteratureSurveillance # Clinical Topics Standardizedtemplates Citation Links Update Frequency Answers more than50% of questions No No No Partially Yes Yes Limited to newsletter focus and 100 journals No, notevidence-based No, notevidence-based No, notevidence-based No Yes 7,500* 600 900 1,043 221 1,833 Yes (search result layout) No Yes Yes Yes Yes Abstract Only Abstract Only No Yes Yes Yes Every4 months Every6 months Weekly Weekly Monthly Daily No – 34% No Unknown No No Yes – 70% * Uses multiple topics for a single disease ** Mostly from non-evidence-based source

50. Scientific and Medical Image Database(SMART Imagebase) • 11,000+ scientific and medical illustrations and animations • Subjects: anatomy, physiology, embryology, surgery, trauma, diseases and conditions • A resource for students, teachers, consumers and professionals • The most popular* medical illustrations on the web • *Based on traffic rankings provided by Alexa.com and Google.