Below you will find information related to the Knowledge Based Systems at MGHS
(Please note you must be connected to the MGHS Network to gain access to these systems)

New References in STAT!Ref

From the October StatRef Scoop:

Harrison’s Principles of Internal Medicine, 16th Edition released at STAT!Ref Online
From its unique section on signs and symptoms to the most comprehensive
coverage of conditions, Harrison's Principles of Internal Medicine is the
internal medicine reference of choice. Harrison's 16th Edition features new,
expanded, revised and updated material on the key topics in medical practice today.

New PIER Modules Added in September
-Screening for Prostate Cancer
-Screening for HIV
-Urinalysis
-Electrocardiogram
-High Altitude Illness
-Chronic Kidney Disease in Pregnancy

Supplemental and Title Updates
October 8, 2004
ACP's PIER: The Physicians' Information and Education Resource - September, 2004
- FDA MedWatch Warning for Vioxx (rofecoxib), in relevant modules.

October 1, 2004
New edition - Ingenix's 2005 ICD-9-CM (CPT codes updating in November)

September 27, 2004 Supplemental updates
ACP Medicine (2004) - October, 2004
ACS Surgery: Principles & Practice (2004) - October, 2004
INFECTIOUS DISEASES: The Clinician's Guide to Diagnosis, Treatment, and
Prevention (2004) - October, 2004

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News Selections from the November StatRef Scoop:

Taber’s Cyclopedic Medical Dictionary 20th Edition
coming in February 2005
For more than 65 years, Taber’s has provided students
and practitioners with the definitions and information
that they need to provide superior care for their
patients. The forthcoming 20th Edition will provide
even more definitions, illustrations, tables and
options.

New PIER Modules Added in October- Sarcoidosis
-Thoracentesis
-Otitis Externa
-Carbon Monoxide Poisoning
-Venous Thromboembolism Prophylaxis in the Surgical Patient

Supplemental and Title Updates November 11, 2004
New Edition - Griffith's 5 Minute Clinical Consult
- 13th Ed. (2005) November 2004 November 8, 2004
Supplemental Update - ACP Medicine (2004) - November, 2004
Supplemental Update - ACS Surgery: Principles & Practice (2004) - November, 2004
Supplemental Update - INFECTIOUS DISEASES: The
Clinician's Guide to Diagnosis, Treatment, and Prevention (2004) - October, 2004
October 27, 2004 Supplemental Update - Davis's Drug Guide for Nurses - 9th Ed.(2005)

JMLA Review of STAT!Ref
STAT!Ref was recently reviewed in the Journal of the
Medical Library Association (JMLA) by Jeffrey Coghill,
MLIS, MA, AHIP, Collection Development and Electronic
Resources Librarian, William E. Laupus Health Sciences
Library East Carolina University Greenville, North
Carolina. Click here to see the article:

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=521529

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Excerpted from the Dec. StatRef Scoop:

Griffith’s 5-Minute Clinical Consult – 13th Ed. (2005) Posted on STAT!Ref Online

This indispensable title’s 13th Edition is easily accessed through STAT!Ref
and features expanded topics, with six new: Personality Disorders, Multiple
Endocrine Neoplasia (MEN), Factor V Leiden, Peritonsillar abscess, Methanol
Poisoning and Tuberculosis CNS. In this edition 274 topics were edited
sufficiently to potentially affect clinical practice and 451 topics were
edited in some fashion.

New PIER Modules Added in November
-Rosacea
-Vulvodynia
-Hemophilia
-Evaluation of Postoperative Fever

Supplemental and Title Updates Nov./Dec. 2004
New edition - Ingenix's 2005 CPT® with RVUs
Supplemental update - AHFS Drug Information® (2004)
Supplemental update - The Medical Letter® On Drugs and Therapeutics,
(2004) - November, December, 2004
New edition - Mosby's Drug Consult™ - 15th Ed. (2005)
Supplemental update - ACP Medicine (2004) - December, 2004
Supplemental update - ACS Surgery: Principles & Practice (2004) - December, 2004
Supplemental update - INFECTIOUS DISEASES: The Clinician's Guide to
Diagnosis, Treatment, and Prevention (2004) - December, 2004
Supplemental update - USP DI® Drug Information for the Health Care
Professional - 24th Ed. (2004)
Supplemental update - USP DI® Advice for the Patient - 24th Ed. (2004)

UpToDate News

UpToDate Version 12.3 Now Available

We are pleased to announce that UpToDate version 12.3 is now available. We encourage you to check out the "What's New" section in the "Table of Contents" to access the updates considered to be of particular interest by our authors.

Newsletter Highlights

Message from the Editor-in-Chief
Burton D. Rose, MD, discusses subscriber feedback options
UpToDate Establishes Evidence-Based Medicine Advisory Board
The EBM Advisory Board is comprised of thought leaders in evidence-based medicine including Gordon Guyatt, MD, of McMaster University, Ontario, Canada.
Subscribers Tell Us How They Use UpToDate
UpToDate recently conducted a subscriber survey and the preliminary results may be of interest to you and your institution. 93% use UpToDate throughout the day whenever a question arises and 96% say it improves the quality of patient care.
How to Use UpToDate Graphics and Tables for Presentations
Any of the 16,000+ graphics in UpToDate can be made into slides for use in presentations.

The newsletter is posted on our web site at http://www.uptodate.com/img/newsletter.pdf

InfoPOEMs: The Clinical Awareness System™

What's New
The InfoRetriever 2004 Fall Release includes 13 new Clinical Decision Rules, dozens of new Diagnostic Test Calculators, 196 new History & Physical Test Calculators, about 40 new Evidence-Based Practice Guidelines, and much more. The InfoRetriever 2004 Fall Release specifically includes:

2,511 InfoPOEMs (up from 2,461)
2,030 Cochrane Reviews (up from 1,964)
The complete 5-Minute Clinical Consult (1,038 summaries and 542 photos)
220 Clinical Rules and Calculators (up from 207)
775 Evidence-Based Practice Guideline Summaries (up from 738)
1,180 Diagnostic Test Calculators (up from 1,116)
1,283 History & Physical Test Calculators (up from 1,087)
ICD-9 Lookup tool including the 1,500 most commonly used codes
385 Number Needed to Treat (NNT) values compiled and organized by system

OVID News -

New Title - The Journal of the National Cancer Institute (JNCI) published by Oxford University Press is now live on Ovid. This journal will be part of the Core Biomedical Collection. JNCI publishes peer-reviewed original research from around the world and is internationally acclaimed as the source for the most up-to-date news and information from the rapidly changing fields of cancer research and treatment. For the past several years, the JNCI has been ranked as the most-cited original-research cancer journal by the Institute of Scientific Information in its annual Journal Citation Reports.

Natural Medicine -

You can now get the newest Natural Medicines CE course Natural Medicines in Clinical Management of Insomnia.*

You can also use any of the many prior courses on many other conditions. All are accredited for physicians, pharmacists, NPs, PAs, CNMs, RDs.
We continue to make updates to Natural Medicines Comprehensive Database every business day. Here are a few of special interest to you.

• Calcium isn't just good for your bones...it's good for your waistline too. New research now shows that increasing calcium intake can increase weight loss. But calcium doesn't work alone. When calcium is combined with a lower-calorie diet people tend to lose more weight and body fat. Have most people aim for 1000-1500 mg/day for preventing bone loss AND helping with weight loss.

• Enzyte is now being promoted for "natural male enhancement." It's a mixture of lots of herbs including puncture vine, arginine, Panax ginseng, yohimbe, saw palmetto, and 10 other ingredients. Arginine and ginseng have some evidence to support use for erectile dysfunction. But there is no reliable proof for the other ingredients. Tell patients not to expect measurable benefit from this product. Also, point out that the FDA is taking action against this company. This is the same manufacturer that sells Avlimil for women's health. They also sell Rovicid and Rogisen.

• Airborne is in the news again, since Oprah gave it such notoriety on her show. Lot's of people are asking for it. This is the one that's "Developed by a school teacher who was sick of catching colds in class!" It's a typical concoction of vitamins and herbs. Explain that there is nothing particularly special about this product. There is no proof that it fends off a cold any better than a multivitamin or a healthy diet.

• Vitamin C is now in the hot seat. Last month it was vitamin E. New research suggests that postmenopausal diabetes patients who take over 300 mg/day of vitamin C have an increased risk of dying from cardiovascular disease. This is preliminary and needs to be studied deeper. In the meantime...unless there is a real good reason to take vitamin C...advise postmenopausal women with diabetes not to overdo the vitamin C.

• For a wonderful education on all the natural insomnia products, such as valerian, melatonin, kava, passionflower, and many others, click for our latest eCE...Natural Medicines in Clinical Management of Insomnia.

Feel free to tell us of any product we should add to the Database. We appreciate your input. Thanks.
Feel free to forward this to a colleague.
Check out the power features at www.naturaldatabase.com ...
Natural Product Effectiveness Checker,
Natural Product / Drug Interaction Checker,
Disease / Medical Conditions Search,
Colleagues Interact Search.
Best regards...
Jeff Jellin, Pharm.D., Editor-in-Chief
P.S. If you need help gaining access, just ask us.
*CE is at NO CHARGE for individual subscribers and all members of group subscriptions.

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