1. Mercer University School of Medicine Libraries

2.  Identify a health concern  Example: you are working in the East Georgia Healthcare Center in Swainsboro and notice that a lot of your patients have diabetes.

3.  Why are there so many people in Emanuel County with diabetes?

4.  How you conceptualize your topic affects how you search for relevant information. Consider the interaction and interdependence of various factors

5.  Think about the wider context of your topic.  Do some preliminary exploration.

6. Don’t forget: You can copy- paste this slide into other presentations, and move or resize the poll.

7.  What percentage of the United States population is diagnosed with diabetes?  You will need to look for statistics.

8.  To find health statistics, go to the libraries page at http://med.mercer.edu/li brary and choose Health Statistics & Research from the pulldown menu. http://med.mercer.edu/li brary  Click on CDC: Diseases and Conditions

10.  What percentage of people in Emanuel County have diabetes?  http://www.cdc.gov/diabetes/atlas/countydata /atlas.html http://www.cdc.gov/diabetes/atlas/countydata /atlas.html  Centers for Disease Control & Prevention, Diabetes Public Health Resources, Diabetes Interactive Atlas, 2009 data

12.  Why do more adults in Emanuel County have diabetes than the national average?  If your topic is too narrow, it may prove difficult to find research  If your topic is too broad, it may be impossible to cope with the vast amount of literature on an unfocused topic

13.  What does PICO stand for? PP  stands for Population or Patient II  stands for Intervention CC  stands for Comparison OO  stands for Outcome

14.  What Population do you want to research?  In this case, it is adults with diabetes.

15.  What would be an Intervention?  In this case, think about what might contribute to diabetes.

16.  Sometimes a Point-of-Care database with distilled information will help you focus.  Go to the Dynamed Database (found in the pulldown menu on the library page http://med.mercer. edu/library) http://med.mercer. edu/library

19.  What percentage of adults in the United States Smoke?  http://apps.nccd.cdc.gov/statesystem/Interacti veReport/InteractiveReports.aspx http://apps.nccd.cdc.gov/statesystem/Interacti veReport/InteractiveReports.aspx  Centers for Disease Control, Smoking and Tobacco Use, Interactive Maps, 2010

21.  What is the percentage of adults in Emanuel County smoke?  http://www.countyhealthrankings.org/app/#/g eorgia/2013/measure/factors/9/map http://www.countyhealthrankings.org/app/#/g eorgia/2013/measure/factors/9/map  County Health Rankings and Roadmaps, 2013

22.  To find health statistics, go to the libraries page at http://med.mercer.edu/li brary and choose Health Statistics & Research from the pulldown menu. http://med.mercer.edu/li brary  Click on CDC: Diseases and Conditions

24.  What is your Intervention?  In this case it would be smoking cessation  Is there a comparison? You don’t have to have one.  What is the Outcome you want?  In this case it would be improved health

25.  Your PICO question would be  In adults with Diabetes Mellitus, does smoking cessation result in improved health?

26.  Go to the library webpage at  http://med.mercer.edu/library and select PubMed from the pulldown menu. http://med.mercer.edu/library

27.  You can type in keywords

28.  If you want to narrow results, select MESH Databases

29.  Type “Smoking Cessation”, select it, and add it to the search builder

30.  Type “diabetes,” select Diabetes Mellitus, and add it to the search builder

31.  Click Search PubMed

32.  View your results

33.  To narrow further, you can can filter your results

34.  In this case limited to Randomized Controlled Trials

35.  Click on the “Get It @ MUSM Medical Libraries” button to see if the libraries have a subscription/access so that full text is free to you.

36.  If we don’t have a subscription, we can order the article for you from another library via InterLibrary Loan.  Go to the libraries webpage at http://med.mercer.edu/ library and look for InterLibrary Loan under Services. http://med.mercer.edu/ library  It might arrive the same day, or it might take several days, depending on the library that owns it.

37.  What do you do if you have too many results?  Think about your PICO. Do you need to refine and narrow your research?  What if you have too few results?  Think about your PICO. Do you need to refine and broaden your research?

38.  If you are not getting many results, maybe you need to look in another database.  Try Google Scholar  Go to the library webpage at http://med.mercer.edu/library and select Google Scholar from the pulldown menu. http://med.mercer.edu/library

39.  You can refine your results by using the Advanced Search

40.  You can look for all of the words, the exact phrase, a least one of the words, without the words, anywhere in the article, in the title of the article, by a specific author, or in a specific journal or a specific date.

41.  You can sort by relevance or by date. Click on “Get it @ MUSM Libraries” to see if the libraries have a subscription/access so that full text is free to you.

42.  Does involving the male partners of pregnant teens increase the uptake of prenatal care?  Does eliminating vending machines in middle schools result in decreased student obesity in those schools?  In a workplace with a mostly sedentary environment, do workplace ergonomic interventions result in increased workforce productivity?  In women with HIV, do peer-based interventions reduce health inequities?  In children and youth aged 5 to 17 years, what is the effect of regular and frequent physical activity at school on measures of learning performance or absenteeism?  Are adults or children exposed to poor air quality at increased risk for impaired cognitive performance?

43.  Macon:  reference.ill@gain.mercer.edu reference.ill@gain.mercer.edu  478.301.4056  Savannah:  library@memorialhealth.com library@memorialhealth.com  912.350.8345