Physician Knowledge e-Newsletter - V.2(1) Issue 1, March 2005
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)
Stat-Ref
Volume 16 | March
2005
ICD-9-CM Coding Title Added to STAT!Ref Online
STAT!Ref has a new ICD-9-CM (Volumes 1 & 2) title available. Using this new
title you can search or browse the Alphabetic Index for Diseases (Vol. 2); the
Alphabetic Index for External Causes of Injuries or Poisoning (E-Code); the Tabular
List of Diseases and Injuries (Vol. 1); as well as the Table of Drugs and Chemicals.
The Alphabetic Index and the Table of Drugs and Chemicals include hyperlinks
to the Tabular List. Please contact your Account Manager to find out more about
this title.
STAT!Ref Online Now Even Faster
February 28th STAT!Ref Online received an upgrade that made searches even faster.
It’s an average of 2.5 times faster now.
Chapter Abstracts Added to Two STAT!Ref Online Titles
WebMD’s© Chapter Abstracts have been added to ACP Medicine and ACS
Surgery. Links to the abstract can be found at the beginning of each chapter
in the heading "Abstracts / Author(s) / Date."
ACP's PIER© : Physicians Information and Education Resource
New PIER Modules Added in February
- Perioperative Stroke
- Determining Decision-making Capacity
- Infectious Mononucleosis
Supplemental and Title Updates
New Edition
AHFS Drug Information® (2005)
Schwartz's Principles of Surgery (2005). Posting April 1, 2005.
Fitzpatrick's Color Atlas & Synopsis of Clinical Dermatology (2005). Posting
April 8, 2005.
Supplemental Updates
Mosby's Drug Consult™ - 15th Ed. (2005)
ACP Medicine (2005) - March, 2005
ACS Surgery: Principles & Practice (2005) - March, 2005
Search Sets
Search Sets are pre-configured sets of STAT!Ref Online Titles to search.
Search Sets function as a short cut to selecting titles that are common
to a medical discipline, such as Pediatrics. The pre-defined pediatric
Search Set will look for information in these titles: Current Pediatric
Diagnosis & Treatment, Red Book®:2003 Report of the Committee
on Infectious Diseases, Rudolph’s Pediatrics, Harrison’s Principles
of Internal Medicine, and Current Medical Diagnosis & Treatment. More
about these titles click
here.
March is Deep Vein Thrombosis (DVT) month
Check out a relevant STAT!Report on STAT!Study at:
http://www.statref.com/education/ppt/Deep_Venous_Thrombosis.ppt
Also visit: www.preventdvt.org
Stedman’s
Dictionary: Mendelian Inheritance in Man (MIM)
STAT!Ref online uses a portion of Stedman’s Dictionary and you can launch
it by clicking the link in your Toolbar. The dictionary will be opened in a
new browser window. Some Stedman’s entries refer to “MIM” and
offer a number.
_________________________________
Therapeutic Modalities for Physical Therapists, posted at STAT!Ref
Online
2nd Edition (2002).
This book provides theoretically based but practically oriented guide
to the use of therapeutic modalities for students in physical therapy
programs.
Sherris Medical Microbiology: An Introduction to Infectious Disease, posted at
STAT!Ref Online
4th Edition (2004). A leading microbiology text, this revised book provides
students with a solid grasp of etiologic agents, pathogenic processes,
epidemiology, and the basis of major therapy.
ACP's PIER© : Physicians Information and Education Resource
New PIER Modules Added in December
- Ectopic Pregnancy
- von Willebrand's Disease
- Alpha-1 Antitrypsin Deficiency
- Calcium Pyrophosphate Deposition Disease
- Screening for Dementia
- Sepsis
Supplemental and Title Updates
Taber's Cyclopedic Medical Dictionary 20th Edition to post on STAT!Ref Online
February 15, 2005.
January 12, 2005
New edition - Current Medical Diagnosis & Treatment - 44th Ed. (2005)
January 5, 2004
Supplemental update - ACP Medicine (2005) - January, 2005
Supplemental update - ACS Surgery: Principles & Practice (2005) -
January, 2005
Advisory Board 2005
Teton Data Systems has assembled the 2005 Advisory Board.
Join us at these shows in 2005
-AACN (American Association of Colleges of Nursing)
-ACP (American College of Physicians)
-SHM (Society of Hospital Medicine)
-STFM (Society of Teachers of Family Medicine)
-MLA (Medical Library Association)
-APTA (American Physical Therapy Association)
-AAFP (American Academy of Family Physicians) Students
-AAFP (American Academy of Family Physicians) Scientific Assembly
-AMIA (American Medical Informatics Association)
UpToDate
We are pleased to announce the availability of UpToDate in Pediatrics,
the newest subspecialty program available within UpToDate's comprehensive
and current electronic clinical information service.
Offered in cooperation with the American Academy of Pediatrics (AAP),
UpToDate in Pediatrics is edited by Ralph D. Feigin, MD, Professor
and Chairman, Department of Pediatrics, Baylor College of Medicine,
and Physician-in-Chief, Texas Children's Hospital. UpToDate in Pediatrics
includes over 700 pediatric and sub-specialty topic reviews written
specifically for pediatricians by pediatricians. Please read our newsletter
at http://www.uptodate.com/img/newsletter.pdf or press release at http://www.uptodate.com/press_release/020905_pediatrics.asp to learn more about our latest release.
The launch of UpToDate in Pediatrics is just one example of how UpToDate
is constantly evolving to present the most current medical evidence
and expert recommendations. In fact, our latest release of UpToDate
(version 13.1 available in February) includes updates on new information
and medical findings in more than 40% of our topic reviews.
Did you know that over four million UpToDate topic reviews are read
each month in UpToDate? We are proud that UpToDate is now used by tens
of thousands of physicians in 115 countries and by over 1,000 leading
hospitals positively impacting the care of millions of patients around
the world.
We are pleased to announce
that UpToDate Version 13.1 recently went live on our Web site at
www.uptodateonline.com. Since our last release,
our editors have updated more than 40% of our topic reviews with new
information. 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 editors. For a brief synopsis of
our news, please read our 13.1 newsletter which can be found on our
web site at http://www.uptodate.com/img/newsletter.pdf.
We are also happy to announce the availability of our latest specialty
offering, UpToDate in Pediatrics.
Offered in cooperation with the American Academy of Pediatrics (AAP),
UpToDate in Pediatrics is edited by Ralph D. Feigin, MD, Professor
and Chairman, Department of Pediatrics, Baylor College of Medicine,
and Physician-in-Chief, Texas Children's Hospital. UpToDate in Pediatrics
includes more than 700 pediatric and sub-specialty topic reviews written
specifically for pediatricians by pediatricians. To view our Pediatrics
content simply go to the "Table of Contents" and click on "Pediatrics".
Natural Medicine
You can now get the newest Natural Medicines CE course
Natural Medicines in Clinical Management of Urinary Tract Infections.*
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.
• Folic acid has been in the news a lot since a new study hinted that
it might increase mortality from breast cancer. But these findings
should be taken with a grain of salt. Close analysis shows that the
results are NOT statistically significant. Plus this flies in the
face of previous research that shows folic acid might actually DECREASE
breast cancer risk. Tell women not to worry. Remind them of the importance
of folic acid for preventing birth defects.
• Iron is now being considered for more kids with ADHD. New research
suggests that as many as 84% of kids with ADHD might have an iron
deficiency. And the severity of ADHD symptoms seems to correlate with the severity
of the deficiency. Iron has a role in dopamine function. Preliminary
evidence suggests possible improvement with iron supplementation.
It's
too preliminary to recommend iron for all ADHD patients. But it makes
sense to check iron levels in kids with ADHD symptoms. If they're
deficient, then iron is appropriate.
• We're getting questions about natural alternatives to the COX-2 inhibitors,
Vioxx and Celebrex. There are several natural products worth considering
for osteoarthritis. We rate the following LIKELY EFFECTIVE...Glucosamine
sulfate, SAMe, Chondroitin. Several other products are rated POSSIBLY
EFFECTIVE...avocado, cat's claw, devil's claw, soybean oil, and others.
Click here to use the Natural Product Effectiveness Checker and Medical
Conditions Search to see a complete listing of products with an Effectiveness
rating for osteoarthritis.
• There are renewed concerns about the safety of some herbal products.
A new JAMA study shows that 20% of traditional Indian (Ayurvedic)
herbals produced in India or Pakistan are contaminated with a heavy metal...lead,
mercury, or arsenic. Some of these herbs include guggul (Mahayograj
guggulu), country mallow (Bala), bitter melon (Karela), and many
others.
Traditional Chinese Medicines manufactured in China, Mexico, Africa,
and the Middle East are also known to be frequently contaminated
with toxic heavy metals. Advise patients to avoid purchasing herbals manufactured
overseas. Suggest that they stick with products produced by reputable
North American companies.
•
Leptoprin-SD and Leptoprin-SF are now being promoted to help for weight
loss...just in time for the New Year and all those resolutions to lose
weight. Unlike many weight loss products, it does NOT contain the stimulant
synephrine. But the "SD" formulation does contain a significant
amount of caffeine. The "SF" or stimulant-free formulation
doesn't contain caffeine. Both products contain a small amount of
calcium and a long list of other ingredients. Explain to patients
that there
is no proof that these two products will improve weight loss. They're
not worth the money...over $150/month.
• Get the new educational program on natural products for urinary tract
infections and get the latest update on cranberry, lactobacillus,
uva ursi, and many others. Click for the latest eCE...Natural Medicines
in Clinical Management of Urinary Tract Infections.
• Acetyl-L-Carnitine
is now being used for diabetic neuropathy. A new study in Diabetes
Care suggests that it decreases neuropathic pain and increases sensation.
It also might slow nerve tissue degeneration or increase nerve regeneration.
We now rate acetyl-L-carnitine POSSIBLY EFFECTIVE for neuropathic
pain...and LIKELY SAFE. If patients decide to use it, suggest that
they take 500-1000 mg three times daily. Explain that the higher
dose seems to be more effective for relieving pain symptoms.
• Limbrel is being promoted as a prescription-only "medical food" for
osteoarthritis. At first glance, this product looks like a prescription drug.
It even has "prescribing information" modeled after a prescription
drug package insert. The ingredients are herbal extracts...Baikal skullcap extract
and catechu extract. The company calls this combination "flavocoxid." This
sounds interestingly similar to the generic names of the cox-2 inhibitors...celecoxib,
valdecoxib, etc. There's no reliable proof that Limbrel...or either of its ingredients...is
effective for osteoarthritis. Tell patients to steer clear.
• PC-HOPE is being thought of as a replacement for PC-SPES. Remember that
PC-SPES was showing promise for treating prostate cancer, but was pulled from
the market when it was found to contain Rx drugs. PC-HOPE contains the same herbal
ingredients as PC-SPES, plus a few, and minus the Rx drugs. There's no research
yet proving that PC-HOPE is effective, but researchers are seeing some promising
results with this one. Advise patients to involve their oncologist in any decisions.
You can now get the newest Natural Medicines CE course Natural Medicines
in Clinical Management of Congestive Heart Failure.*
You can also use any of the many prior courses on many other conditions.
All are accredited for physicians, pharmacists, NPs, PAs, CNMs, RDs.
For an excellent education on natural products used for congestive
heart failure, such as coenzyme Q10, creatine, L-carnitine, hawthorn,
and others, click for our latest eCE...Natural Medicines in Clinical
Management of Congestive Heart Failure.
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
*CE is at NO CHARGE for individual subscribers and all members of group subscriptions. You may forward this to members of your group.
OVID News
The 7th edition of Cancer: Principles and Practice of Oncology is now
live on Ovid!
Acclaimed by the worldwide medical community as “the ultimate
authority on cancer”, Cancer: Principles and Practice of Oncology
is now in its 7th edition. This completely revised, updated classic
reflects the latest breakthroughs in molecular biology, cancer prevention,
and multimodality treatment of every cancer type.
New chapters examine molecular biologic techniques including proteomics,
genomics, targeted therapies, RNA interference, DNA arrays, and tissue
arrays. New sections discuss bioinformatics and societal issues in
oncology, including regulatory issues, telemedicine, and international
differences in oncology. Coverage also includes new information on
functional and metabolic imaging, vaccines, and antiangiogenesis agents.
_____________________________
The 8th edition of Kaplan & Sadock’s Comprehensive Textbook
of Psychiatry is now live on Ovid!
Throughout seven prior editions, Kaplan & Sadock’s Comprehensive
Textbook of Psychiatry has defined the field of psychiatry. Every edition
has garnered accolades from the highest levels of psychiatry, and established
the text as the authoritative text for the specialty. Carefully edited
to include definitions and diagnostic criteria of mental disorders
used in ICD-10 and the DSM-IV-TR, the 8th edition features approximately
450 contributors and section editors. A wealth of new information and
updated coverage makes the Eighth Edition an essential cornerstone
for every psychiatric practice. New information includes information
on post-traumatic stress disorder after the attacks of September 11,
2001, and updated information on the many new psychotropic drugs.
_____________________________
Ovid is pleased to announce enhancements to the AutoAlert feature
in Ovid Web Gateway. Using AutoAlerts (SDIs), you can save a search
and automatically receive updates via email, to help you stay on top
of current research. New features include:
Multifile AutoAlerts with Deduplication: Run alerts across multiple
databases & remove duplicates against current & past results.
Flexible Scheduling Options: Schedule alerts to fit your needs; by database update frequency or your own selected frequency (monthly, weekly, every other week).
Suspend/Unsuspend Alerts Options: Suspend and Unsuspend delivery in accordance with vacations or sabbaticals.
New Format and Output Options: Select HTML or ASCII; inline or as an attachment.
New, easy-to-use screen design for managing your alerts.
AutoAlerts are included as part of your subscription to any alert-enabled
content on Ovid. To assist you in learning more about these enhancements,
Ovid is offering AutoAlert Training Sessions. To register for a session,
select a date in your region. Full details on using AutoAlerts are
available in the Ovid Web Gateway User Guide .
If you have used alerts previously, you may want to note the following
tips for getting started:
If you have AutoAlerts now:
Your existing AutoAlerts will automatically continue to run in the
new, enhanced version, with no further action from you.
You can Edit them at any time from the Saved Searches page; you may wish to select new frequency or format options for delivery. The only parameter that you cannot change in the Edit function is the database selection.
To convert your single database AutoAlert into a multifile AutoAlert, you'll need to save a new alert from within a multifile search session. You can either reenter your strategy in the multifile session, or use the following shortcut. From the database your alert was originally created in, go to the Saved Searches page and Run your alert. Then go to the Main Search page, and change databases, to include your new selections. Select the 'Open and Re-Execute' option, to automatically run your strategy in the new multifile set. Then save your search history as an AutoAlert, selecting your new options on the Save Current Search page.
The five database limit has been removed and there is no limit to the number of databases that can be included in a multifile AutoAlert, for AutoAlert-enabled databases. The total number of segments (across any databases) is limited to 120, to avoid impacting search performance.
An AutoAlert History display is available from the Saved Searches Page, to allow you to track edits, suspensions, and other activity. You may notice a 'convert' entry on your history page; this simply indicates the automatic conversion of the old alert format to the new, enhanced format.
Setting up new alerts:
From your search session, select the Save Search History option. On
the Save Current Search Page, select the AutoAlert option from the
search type menu. Then select your AutoAlert options for content,
format, schedule and email delivery.
Avoid the following commands and limits in your AutoAlert strategies,
as they may conflict with new system functions in the AutoAlert Enhancements:
o Limit to update range
o Dedup
o Remove duplicates from x
The timing of your first AutoAlert delivery will depend on the frequency
option you selected.
For example, you may not receive the first update until the next update
of your database following the setup of your AutoAlert. For details
on timing for all frequency options, please see the Ovid Web Gateway
User Guide (see 'Creating an AutoAlert' section).
If you wish to get immediate search results from your new alert, before the first automatic update, you can manually run it from the Saved Searches page. When running it manually, select a date range override, rather than the 'Latest Update' option, to ensure best results. AutoAlerts are now run against records that were added to the database since the alert was last generated or created.
For more information or assistance, please contact Ovid Technical Support at support@ovid.com.
Ovid Web Gateway will soon have a new look!
_____________________________
We are planning a mid-2005 Gateway interface update to reflect
a more contemporary, cleaner presentation with easier, more intuitive
navigation
for both experienced and novice users.
To help you prepare for these exciting changes to Ovid Web Gateway,
we've created a Resource Center as your main source for all related
information including training materials, screen shots, announcements,
and much more. As we update our training materials, you'll be the first
to access the new online tutorial, quick reference cards, and end-user
guides. In addition, the site will include a library of screen shots
ready to download for use in updating of all your Ovid training materials.
You'll be hearing from us very soon about these updates and access
to a preview environment of the new Gateway.
We rely on ideas and feedback from you, our valued customers when we
make decisions to improve our products and services. We're confident
that you'll find the new interface clean and easy to navigate. If you
have specific questions, please contact us at support@ovid.com.
Sincerely,
Ovid Technologies
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