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MD Consult & First Consult. Presented By: 王信傑 Ricky Wang Ri.wang@elsevier.com Date:2008/7/23. 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

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md consult first consult

MDConsult& FirstConsult

Presented By: 王信傑Ricky Wang

Ri.wang@elsevier.com

Date:2008/7/23

slide2
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
slide3
First Consult

Books

Journals

The Clinics

Patient Education

Drugs

Guidelines

Images

News

CME

十大主題
books
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

journals
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
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
slide8
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
Journal PDFs
  • 允許使用者瀏覽、下載和列印PDF文章
slide11

The Top 8 Journal Titles

Journal of Allergy

and Clinical Immunology

1/16

The Lancet

Infectious Diseases

1/47

Annals of

Emergency Medicine

1/11

The Lancet Neurology

1/146

Journal of the American Academy

of Child and Adolescent Psychiatry

2/74

Critical Care Medicine

2/18

Journal of Pediatrics

4/74

Anesthesiology

2/22

across 32 medical subjects
Across 32 medical subjects

Note: According to JCR report category

the clinics
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
patient education
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
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
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
drugs19
Drugs
  • Safety Notices
  • FDA Approvals
guidelines
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
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
slide23
News (新聞)
  • 每日更新
  • 提供最新醫學發展新知
  • 當週新聞
global search
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
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
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
Refine Your Search (精確檢索)
  • 畫面右方提供建議的精確檢索
searching
Searching
  • First Consult 提供最新的鑑別診斷、評估、結果、預後等資訊
five steps to practice ebm
實證醫學的五大進行步驟Five Steps to Practice EBM
  • Formulate an answerable question. (PICO)

由個案的臨床資料形成可回答的臨床問題

  • 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﹞

  • Critically appraise the evidence for validity, impact, and 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

  • Integrate with our clinical expertise and patient values.

整合並應用於實際患者的治療決策﹝臨床應用﹞

  • Evaluate our effectiveness and efficacy. 效果評估
slide36
Case

對於 慢性蕁麻疹(chronic urticaria),

Zyrtec與Allegra的那一種治療效果比較好呢?

PICO

acquire search
Acquire / Search

Chronic Urticaria

Cetirizine

Fexofenadine

slide47
Case

慢性蕁麻疹(chronic urticaria),

Xyzal與Allegra的那一種效果比較好呢?

PICO

my folder
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
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
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
News Customization
  • Select the specialty areas of interest to you
  • News stories in these areas will appear first
email to colleague
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
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