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Ear Infections in Aboriginal Children

Last update: 13 April 2006,
by Maureen Bell

NAVIGATIONAL AIDS
 

PubMed Notes and Tutorials
- to help you with different aspects of searching
 

Limits
- limiting your search results by age group, language, date etc.
 

Finding the Journal Articles
- how to look for the full text of the articles your search has retrieved
 

Other databases of interest for Nursing
- with notes on their scope
 
 
 

 

This topic can be searched using PubMed (Medline), however the databases below are also worth checking.

CINAHL
Nursing and Allied Health (CINAHL), is equivalent to the printed Cumulative Index to Nursing and Allied Health Literature. It indexes English language nursing journals, as well as publications of the American Nurses' Association and the National League for Nursing.

ATSIhealth (Aboriginal and Torres Strait Islander Health Bibliography) an Australian database, which indexes published and unpublished material on indigenous health. It includes journal articles, theses, unpublished articles, government reports, conference papers, abstracts, books, book chapters, discussion and working papers and statistical documents.

Health Source: Nursing/Academic Edition
This database provides over 550 scholarly full text journals focusing on many medical disciplines. It also features abstracts and indexing for 800 journals.

Before you begin you might like to refresh your memory about general principles of database searching.

When searching any database you'll find that the language you use will be critical to your search results. A Thesaurus may provide you with most of the concepts you need, but different databases will use different terms, so the language you need will vary from database to database.

For example the search we will use in PubMed

ear infections AND Australian aborigines

gives no results in Health Source: Nursing - try it and see. However if you search Health Source: Nursing using the strategy below

otitis and aborig* and Australia*

your search will give relevant results.

There will be times when you will need to resort to your own words. At these times you'll need to remember to allow for synonyms, differences in British and American spelling, and singular and plural forms of words. Remember that you will be able to use truncation, but the symbols may vary from database to database. Be very wary of truncation in PubMed, as this will compromise its ability to map your term successfully to MeSH.

Medline/PubMed - What is it?

MEDLINE is the National Library of Medicine's premier bibliographic database covering the fields of medicine, nursing, dentistry, veterinary medicine, the health care system, and the preclinical sciences. MEDLINE contains bibliographic citations and author abstracts from more than 4,600 biomedical journals published in the United States and 70 other countries. The database contains over 12 million citations dating back to the mid-1960's. Coverage is worldwide, but most records are from English-language sources or have English abstracts.

The version of Medline used by the Library is PubMed. Although PubMed is a free version of Medline available throughout the world, the link in our catalogue is to our customised version which contains links to many of our full text electronic journals. To protect access to our journals it has has been set up so that you will need authentication to access it. Below is a link which will save you going to the catalogue, as it will open PubMed in a separate window.

 

MeSH Terms

Medline uses a controlled vocabulary to index articles, and the terms it uses can be found in the  MeSH  (Medical Subject Headings) Database  - it's in the blue column on the left of the PubMed screen.

Medical subject headings are assigned by human indexers to most references in PubMed (eventually). Indexers use the most specific MeSH that appropriately describe the contents of the article. Usually there are several MeSH given to each article. Most MeSH also include Subheadings. The advantage for you is that MeSH's standardised language makes it easy for you to search for a concept even if different authors have used a variety of different words to describe it.

PubMed automatically tries to find a MeSH for each term entered in a search.

You will need to remember that PubMed's default setting is to "explode" all terms. This means that where there is a list of "narrower" terms these will be included in your search. (You'll see an example of this further down the page)

If you want to use the MeSH Database directly, instructions on how to search MeSH terms can be found in the PubMed Tutorial, but you might prefer to leave this option until you've had some experience in searching.

Performing your search

At the PubMed screen you will see a Search for box. When you type words in the search box  PubMed will automatically match them to its MeSH terms. Notice that with PubMed logical operators (AND, NOT OR) need to be in capitals - see  PubMed Tutorial - Boolean logic. You'll also notice that I've used brackets in this search. They ensure that both of the terms inside the brackets are matched with the other terms. Always use brackets when you "OR" two or more concepts together. (Click here for a demonstration)

Try the following search strategy - just type the words in the PubMed search box, and click on Go

ear infections AND Australian aborigines

If you click on the Details option on the Features bar (click here for an explanation)

you will see what PubMed is doing behind the scenes.


PubMed has mapped your search terms to its preferred (MeSH) terms:-

Ear infections has been mapped to the MeSH heading Otitis, and the word otitis has also been searched in titles of articles, and abstracts. However PubMed has also performed a text word search for ear infections (searching in the titles and abstracts of articles, as well as lots of other fields)

Australian aborigines has been mapped to the Mesh heading oceanic ancestry group, and a text word search has been performed for Australian aborigines.

Oceanic Ancestry Group is one of the headings listed in MeSH under Population Groups. If you look up Population Groups in MeSH, you'll see the full range of options available for targeting different population groups.

PubMed then displays the results of your search - a list of journal articles with the most recent at the top.

PubMed's default is to "explode" all terms. This means that where there are more specific terms in its hierarchy it will search those as well.  Below is a list of the terms it will search under the heading - Otitis

Otitis
    Otitis Externa
    Otitis Media
      Mastoiditis
      Otitis Media, Suppurative
      Otitis Media with Effusion

Limiting Your Search

When you have completed the search you may decide it would be useful to limit the results. A variety of options is available to you - for example age groups, publication date, language. If you click on Limits on the Features bar you will see the range of options.

Below are the age group options - you can't see them all, but the range of age groups for younger people is visible.


 

Finding the Journal Articles

Each reference listed will provide you with details of
  • authors
  • title of article
  • source of article
For an explanation of the components click here.

By clicking on the authors names you will be able to see an abstract, and often there will be a link to the full text of the article. If there isn't a link to full text it's still worth checking the Library's catalogue to see if we hold the journal you want - we may have a paper copy, or we may have additional electronic subscriptions for which there are no links in PubMed.

You'll see that journal titles are abbreviated, and you'll need to hover your cursor over the journal title abbreviation to see the full title.


Once you have the full title of the journal you can look it up in the catalogue. Notes on searching the catalogue for journals are here.