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健康科學核心資料庫與網站 Core Databases & Websites 邱子恆 2011.04.26 大綱 • • • • 核心資料庫 臨床用資料庫 重要網站 網路資源 學習目標 • • • • 認識核心資料庫 認識臨床用資料庫 認識重要網站 認識醫學網路資源 核心資料庫 Medline • Medline – Produced by the U.S. National Library of Medicine, the MEDLINE database is widely recognized as the premier source for bibliographic and abstract coverage of biomedical literature. – MEDLINE encompasses information from Index Medicus, Index to Dental Literature, and International Nursing Index, as well as other sources of coverage in the areas of allied health, biological and physical sciences, humanities and information science as they relate to medicine and health care, communication disorders, population biology, and reproductive biology. Medline • • • • • • • Medicine Nursing Dentistry Veterinary medicine Allied health Pre-clinical sciences Biomedicine (Biology ,Environmental science ,Marine biology ,Plant and animal science ,Biophysics ,Chemistry ) Medline • The Ovid MEDLINE database contains bibliographic citations and author abstracts from more than5,200 biomedical journals published in the United States and in 70 other countries. The database contains well over 16 million citations dating back to the 1950. • Although coverage is worldwide, most records are derived from English-language sources or have English abstracts. Abstracts are included for more than 75% of the records. Ovid介面之資料庫 Advanced Ovid Search Basic Search 自然語言(NL) vs. 控制字彙(CV) □ Ovid Medline – MeSH tree Ovid Medline – MeSH 複標題 CINAHL plus • CINAHL (=Cumulative Index to Nursing and Allied Health) • Offering complete coverage of English-language nursing journals and publications from the National League for Nursing and the American Nurses' Association • 產品種類 – CINAHL, CINAHL plus, – CINAHL with fulltext, CINAHL plus with fulltext CINAHL plus – CINAHL Plus 提供護理與保健各領域之 4,175 種 期刊的索引，索引時間可回溯至 1937 年。 – CINAHL Plus with fulltext 收錄了760 種全文期刊 – 法律案例、臨床創新、關鍵途徑、藥品記錄、 研究工具及臨床試驗。 – full text for more than 275 books/monographs CINAHL plus – CINAHL Plus covers nursing, biomedicine, health sciences librarianship, alternative/complementary medicine, consumer health and 17 allied health disciplines. – In addition, this database offers access to health care books, nursing dissertations, selected conference proceedings, standards of practice, educational software, audiovisuals and book chapters, as well as Evidence-Based Care Sheets. CINAHL plus 進階檢索 CINAHL plus 基本檢索 CINAHL plus 標題 CINAHL plus 標題 --tree structure MicroMedex • Micromedex (a business of Thomson Healthcare Inc.) publishes clinical decision support databases and tools. The Micromedex® Healthcare Series provides a wide range of databases tailored to meet the needs of healthcare professionals, including information related to drugs, acute care, toxicology, and patient education MicroMedex (integrated index) Drugs Toxicology Disease IV Compatibility Interactions MicroMedex • MICROMEDEX (藥物諮詢資料庫) – AltCareDex® System (Patient Education for Complementary and Alternative Medicine) – AltMedDex® Points (Herbal and Dietary Information ) – AltMedDex® Protocols (Complementary and Alternative Medicine Treatment Protocols) – *AltMedDex® System (provides brief highlights of dosing, indications, contraindications, adverse effects, drug interactions, therapeutic class, pregnancy, and lactation for herbals, vitamins, minerals and other dietary supplements.) – AltMed-REAX™ for the Patient (Herbal interaction information) MicroMedex – ClinicalPoints® System (System provides brief highlights of treatment, diagnosis, and key point information ) – Current Concepts® Continuing Education Program (Offers nine new modules online with each volume which can be completed for continuing education credit. Although intended for pharmacists, any healthcare professional may participate.) – *DISEASEDEX™ General Medicine (Evidence-based, current disease information ) – *DISEASEDEX™ Emergency Medicine (Comprehensive source of urgent and acute care information ) MicroMedex – Drug Interaction Tool for the Hand-Held PDA – DRUGDEX® System (Drug & Pharmaceutical Information) – DrugPoints® System (provides brief highlights of dosing, drug interactions, adverse effects, pregnancy warnings, indications, cautions, therapeutic class, and brand information.) – DRUG-REAX System (drug-specific rather than class-specific, which helps to more accurately interpret interaction data. The System contains a dictionary of more than 8,000 unique drug terms, and distinguishes between trade names and equivalent generic names, eliminating possible duplication of interaction data on the screen) – Herbal Medicines: A Guide for Health-Care Professionals (Herbal Medicine Information) MicroMedex – IDENTIDEX® System (Tablet & Capsule Identification) – Index Nominum (international drug directory providing access to over 5,300 substances and derivatives, more than 12,800 synonyms, and over 41,800 tradenames from more than 45 countries.) – Martindale: The Complete Drug Reference (This electronic version of the highly respected MARTINDALE reference book published by The Pharmaceutical Press offers extensive, unbiased, evaluated information on worldwide drugs and related substances) – Material Safety Data Sheets (MSDS) from USP DI (offers quick access to drug and chemical information, including health hazards, handling procedures, and government regulations. ) MicroMedex – P&T QUIK® Reports (Reports for Pharmacy & Therapeutics Committees ) – Physicians' Desk Reference® – POISINDEX® System (identifies ingredients for hundreds of thousands of commercial, pharmaceutical, and biological substances. ) – REPRORISK® System (provides information covering full-range health effects that is helpful when assessing reproductive risks of drugs, chemicals, and physical and environmental agents. Risks to females, males, and unborn children are discussed. ) MicroMedex – TOMES® System (Toxicology, Occupational Medicine & Environmental Series ) – ToxPoints® System (provides brief highlights of clinical effect, treatment, and range of toxicity information.) – USP DI® Drug Information for the Health Care Professional (all approved generic, brand, and OTCs dispensed in the US and Canada.) – USP DI® Advice for the Patient® (Advice for the Patient covers proper drug use, unlabeled indications approved by USP, precautions, side effects, special considerations such as age, allergies, pregnancy, breast-feeding, and more ) TMUL有購買之資料庫 • 藥學全文資料庫,季更新 – – – – – – – – – 1.DRUGDEX藥品諮詢資料庫; 2.DRUG-REAX System藥物反應資料庫; 3.PDR: Physicians' Desk Reference美國藥典; 4.DISEASEDEX General Medicine疾病諮詢資料庫; 5.DISEASEDEX EMERGENCY MEDICINE急診醫學資料庫; 6.POISINDEX毒物諮詢資料庫; 7.AltCareDex System Aftercare 8.Martindale:the complete Drug Reference 9.Kinetidex, 單機版(要使用請洽參考館員) 臨床用資料庫 MD Consult • MD Consult (臨床醫學綜合資料庫) – was launched in 1997 and quickly earned acclaim for the site select content offering and intelligent design. A favorite of primary care physicians and specialists alike, MD Consult now serves over 280,000 users and is licensed by over 2,000 healthcare organizations world-wide, including nearly 95% of U.S. medical schools. Each month, subscribers conduct more than 1.7 million information searches on the content and view over 8 million pages of clinical content, primarily during daytime practice hours. MD Consult • MD Consult brings the leading medical resources together into one integrated online service to help physicians efficiently find answers to pressing clinical questions and make better treatment decisions. – Find answers quickly – Keep up with new developments – Educate patients MD Consult MD Consult • Leading Medical Reference Books: The complete text of over 50 leading medical reference books. Users can search the entire collection simultaneously to pinpoint the specific information needed. Also, search and compare over 50,000 high-quality images. • Full-Text Journals and Clinics of North America: Full text articles are available through a powerful search engine that includes the complete contents of over 80 journals and Clinics of North America. PDFs are available for many of the journal and Clinics of North America articles. • Journal Databases: Simultaneously search the full text of our online journals and millions of MEDLINE abstracts. MD Consult • Guidelines: Access our collection of more than 1,000 peerreviewed practice guidelines, which are regularly updated and organized by topic and authoring organization for easy browsing. • Patient Education: Nearly 10,000 printable, patient handouts which you can customize, adding your own notes, patient instructions, and contact information. • CME: Grand Rounds activities across 15 specialties. FREE CME credit for the first five conferences that you submit for credit. Plus Clinical Cornerstone and FREE CME, sponsored by Exerpta Medica. • Drug Information: MD Consult drug information is provided by Gold Standard MD Consult - First Consult First Consult • First Consult is an authoritative evidence-based and continuously updated clinical information resource for healthcare professionals. Designed for use at point of care, it provides instant, user-friendly access to the latest information on evaluation, diagnosis, clinical management, prognosis, and prevention. – Medical Topics are First Consult's comprehensive database of clinically-compiled, weekly-updated information on patient evaluation, diagnosis, treatment, tests, prevention, and much more – Differential Diagnoses provides a rapid evaluation of your patient's complaint with interactive access to potential diagnoses ordered by age and prevalence – Procedures provides clear systematic guidance, including videos and medical animations, of procedures integral to the practice of medicine across many specialties Clin eguide • 為CRO (Clinical Resources@OVID)即為原有之 更名（最早名稱為SkolarMD） • 提供臨床醫學資訊之整合查尋 Clinical search Evidence-based guidelines Drug Information Nursing Advisor Patient Handouts Cochrane Library • The Cochrane Library contains high-quality, independent evidence to inform healthcare decisionmaking. It includes reliable evidence from Cochrane and other systematic reviews, clinical trials, and more. Cochrane reviews bring you the combined results of the world’s best medical research studies, and are recognized as the gold standard in evidencebased healthcare. Cochrane Library • The Cochrane Collaboration is an international nonprofit and independent organization, dedicated to making up-to-date, accurate information about the effects of healthcare readily available worldwide. It produces and disseminates systematic reviews of healthcare interventions and promotes the search for evidence in the form of clinical trials and other studies of interventions. The Cochrane Collaboration was founded in 1993 and named for the British epidemiologist, Archie Cochrane.. Cochrane Library Cochrane Library - advanced search Cochrane Library • The major product of the Collaboration is the Cochrane Database of Systematic Reviews which is published quarterly as part of The Cochrane Library. • Those who prepare the reviews are mostly health care professionals who volunteer to work in one of the many Collaborative Review Groups, with editorial teams overseeing the preparation and maintenance of the reviews, as well as application of the rigorous quality standards for which Cochrane Reviews have become known. Cochrane Library - browse Cochrane Library - search Cochrane Library Cochrane Library Cochrane Library Cochrane Library UpToDate • UpToDate is a worldwide clinical community that you can be part of and benefit from. • UpToDate is the largest clinical community in the world dedicated to synthesizing knowledge for clinicians and patients. Our community includes more than 4,400 expert clinicians who function as authors, editors and peer reviewers and more than 400,000 users who provide feedback and questions to our editorial group. Our role is to facilitate interaction among members of the health care community and to synthesize and disseminate information in order to help doctors be better doctors UpToDate • UpToDate is comprehensive and current, keeping you informed of the latest clinical findings. • UpToDate covers more than 8,500 topics in 17 medical specialties and includes more than 97,000 pages of text, graphics, links to Medline abstracts, more than 385,000 references, and a drug database. Our physician editors and authors review and update the content continuously. An updated version of UpToDate is released every four months. UpToDate • UpToDate 是為臨床醫學資源資料庫，可以 快速回覆查詢之臨床醫學問題。 • UpToDate 是由將近4400位的醫生所撰寫而 成，他們閱讀 peer-review 的醫學期刊，加 上他們的專業、意見和經驗而成，目前已 包含將近8,500 種 的 topic review。 UpToDate • 包含下列17個醫學專科之8,500多個主題: – – – – – – – – – Adult and Pediatric Emergency Medicine Adult Primary Care & Internal Medicine Allergy and Immunology Cardiovascular Medicine Dermatology Endocrinology & Diabetes Family Practice Gastroenterology & Hepatology Hematology UpToDate – – – – – – – – – Infectious Disease Nephrology & Hypertension Neurology Obstetrics & Gynecology and Women’s health Oncology Pediatrics Pulmonary & Critical Care , and Sleep Medicine Rheumatology Surgery UpToDate UpToDate UpToDate UpToDate UpToDate UpToDate UpToDate UpToDate – patient info UpToDate – what’s new UpToDate – calculators 重要網站 WHO WHO 出版品 統計資料 統計資料 – 世界衛生統計年鑑 行政院衛生署 衛生統計資料 衛生統計資料 衛生法規資訊檢索系統 台北市衛生局 台北市衛生局– 統計資料 台北市衛生局– 統計資料 台北市衛生局– 統計資料 台北縣衛生局 台北縣衛生局 台北縣衛生局– 統計資料 Q & A?