How to use UpToDate

1. How to use UpToDate 鄭如雅 ccheng@uptodate.com

2. Outline • About UpToDate • How to Search • Q & A

3. About UpToDate Synthesizes the medical literature, incorporates the latest evidence, and provides specific recommendations for patient care

4. Evidence is derived from a number of Sources • Journals: 430+ peer viewed journals • Databases: • MEDLINE, The Cochrane Database, Clinical Evidence and ACP Journal Club • Guidelines • Clinical trials • FDA, CDC, NIH • Proceedings • Clinical experience and observations Including but not limited

5. The editorial process Leading and Evidence Based Literature and Resources UpToDate Topic Review Read ..... Analyze ..... Summarize ..... ..... Synthesize ..... ..... Expert Comments ..... .....Expert Opinion ..... ..... Recommendations ..... ..... Grade the Evidence ..... ..... Editorial Peer Review.....

6. Quick Facts about UpToDate • Topic reviews • Patient Information • Drug Information – Lexi-Comp

7. Quick Facts about UpToDate • 4,055 world-renowned physician authors (international) • 7,775 clinical topics in 15 specialties • 4,619 unique drug entries in adult, pediatrics, international, and natural drugs (Lexi-Comp) • 24,637 graphics • 262,209 references (Medline) • Update every 4 months (March, July, November)

8. Specialties • Adult and Pediatric Emergency Medicine • Allergy and Immunology • Adult Primary Care & Internal Medicine • Dermatology • Cardiovascular Medicine • Psychiatry • Endocrinology & Diabetes • Surgery • Family Medicine • Gastroenterology & Hepatology • Hematology • Infectious Diseases • Nephrology & Hypertension • Neurology • Obstetrics , Gynecology & Women’s Health • Oncology • Pediatrics • Pulmonary, Critical Care & Sleep Medicine • Rheumatology

9. To Access UpToDate • Please go to library homepage • Just “Accept” the license agreement and you are brought to the search page, ready for your use; within a few seconds

10. How to Search

11. How to Search • New Search • search  display result  output • Others • Patient Information • What’s new • Calculators • Evidence grading • RECOMMENDATIONS • Drug interactions • ECG Test • Movies

12. How to use UpToDate based on a Clinical Scenario • A 50 year old woman is obese (BMI=32) and has hypertension. She has not achieved weight loss despite counseling for diet and lifestyle changes. What is the best medication for pharmacologic management of her obesity • Keyword : • obesity drugs

14. What’s New Calculators Patient Information • 此為主畫面 • 除此以外另有三個頁面可以選點 • Patient Info • What’s New • Calculators

15. 關鍵字可以是 -病名, 藥名, 症狀 -大小寫皆可 -可同時輸入二個字以上 -接受布林邏輯裡的 and 以及 or -系統亦提供拼錯檢查 -單複數不會影響檢索結果 • 我們以obesity drug 來做查詢 • 當我們把關鍵字鍵入後 • 系統會跳出相關的詞以供選擇

16. 輸入完畢直接選點 Go

17. 此為檢索結果 • 另外有三個選項可以改變檢索結果的順序 • Prioritize adult topics • Prioritize pediatric topics • Prioritize patient topics

19. 可以預覽文章的 Outline • 只要滑鼠移到文章篇名的上面， • 即可在右邊出現該篇文章的outline • -若要進入本文，直接點選篇名 • -若只針對有興趣的段落， • 可直接點選右邊段落的裡的文字

20. 建議： • This topic last update 這篇文章被更新的日期 • Introduction 這個議題的簡介 • Recommendations 提供及時的答案

21. Drug information : 藥物資訊由 Lexi-Comp 提供，若想要得到更詳細的資料， 可以點選具有超連結的藥名

22. 此為另開一視窗 以供瀏覽

24. Reference 參考書目

27. 圖表部份 點選後則另開啟一個視窗以供瀏覽

28. Export TO PowerPoint 直接將圖表轉入 PowerPoint • Print • Email • 亦可滑鼠移到圖片上方, 按滑鼠右鍵, 選擇”複製”

33. OutputPrint, Email, Save

34. Print • 若要列印請選擇此功能 • 可以完整的列出整篇文章 • 包括圖表在內 (若文章有附) • Email • 可以 email 文章內容 • 不包括圖表在內

36. Save • 直接點選 [檔案]  [另存新檔]

37. 帶出另存新檔的視窗 檔名 : 直接帶入篇名 存檔類型 : 網頁封存, 單一檔案, *mht

38. Print • 若要列印請選擇此功能 • 可以完整的列出整篇文章 • 包括圖表在內 (若文章有附) • Email • 可以 email 文章內容 • 不包括圖表在內

39. cc ccheng@uptodate.com • 星號欄位必填 • Your name 為寄件人的名字 • Your e-mail 為寄件人的帳號 • E-mail address of recipient • 為收件人的帳號 • -填寫完畢後，點選 Send ccheng@uptodate.com

41. Patient Information

43. What’s New

44. 提供各科別的新訊 為重點式的說明

46. Calculators

49. 輸入身高和體重 切換成我們常用的單位 (公分和公斤) 輸入完畢後 BMI值就呈現出來

50. Evidence Grading