UpToDate | from Evidences to Recommendation

UpToDate follows a systematic hierarchy of evidences making information flow in a right direction bring in ease and comfort to the user.

Evidences are derived from various resources such as:

ü  460 peer reviewed journals

ü  Online database search of Medline, Cochrane, Clinical Evidences & ACP Journals Club

ü  Guidelines that adhere to principles of evidence evaluation described above

ü  Published information regarding clinical trials such as reports from the Food and Drug Administration, as well as other sources of information produced by federal agencies such as the Centres for Disease Control and Prevention and the National Institutes of Health

ü  Proceedings of major national meetings

ü  The clinical experience and observations of UpToDate authors, editors and peer reviewers

Data is structured in PICO format i.e. Population, Intervention, Comparators, Outcomes

The structure:

Meta analyses of randomised trials with high methodological  quality	Strong evidence as all relevant data is available
Randomised trials with	ü  methodological limitations ü  Observational studies ü  Unsystematic clinical observations
Non-high quality	Summarises the key studies bearing on the clinical issues at hand
Data not stated explicitly	Users can click on the reference and bring up the Medline abstract from the journals or other linked material

Grading Process

Component	Description
1 or 2	Strength of recommendation
A or B or C	Quality of the evidence supporting the recommendation

 It is time to move from Evidences to Recommendations.

http://www.uptodate.com

Rajesh

http://www.uptodate.com

Indian Citation Index - Wonderful tool

A multi-disciplinary citation index from India called "Indian Citation Index" has arrived on Indian literature horizon. The resources has covered majority of the journals published and indexed from India in science and technology field. A brilliant attempt to bring complete research activities reported in more than 14 document types, covering a wide spectrum of 51 main subject catagories is captured.

The platform provides rich functions with user friendly interface, the team at Divan Enterprises has taken all efforts to provide maximum features and functionalities avialable with Scopus from Elsevier and Web of Science from Thomson Reuters

The product has ensured to cover key areas such as Case Study, Editorial, Observation (R&D), Opinion Paper, Patent, Proceeding, Report(R&D), Research Article, Research Method, Research Note, Review Article, Short Communication, Special Article, Standard

For the first time in India a product has offered Citiation Report, Impact Factor, Comparative Analysis and Indian Journals Citation Reports.

The usage of this resources is huge apart from abstracting or biobliographic services. I wish to bring your focus on understanding the emerging fields, citation connection, identify leading research, best performing institutes / university.

Holastically it is a must have tool for all the universities, R&D Institutes, Doctoral & PG Institutes. Please register your self for free trials today.

Rajesh

Insight into BMJ Best Practice

BMJ Best Practice

A wonderful resource from world’s oldest & leading medical society publications, a resource which is very handy for medical doctors, students, faculty, residents, interns, general practitioners, nurses.

It provides an in-depth coverage of over 10,000 plus diagnoses, structured around the patient consultation. It is advice on symptom evaluation, treatment approach and test ordering. This product provides international perspective which can be customised for local needs. BMJ clinical evidence has been one of the flagship products and is integrated with BMJ Best Practice.

 Martindale being one of the leading sources of drug information has been smartly integrated for critical prescribing information.

The information has been smartly structured into two sections namely Condition Monograph, Assessment Monograph.

Condition Monograph provides comprehensive information on specific condition or group of conditions, information is structured in simple step-by-step approach such as summary, basic information, prevention, diagnosis, treatment, follow-up, the section of resources provides inputs on references, images, patient leaflets and credits.

Assessment Monograph goes straight to the top such as how to evaluate the symptom, clinical finding, diagnostic test finding. The monograph provides critical information such as overview, emergency, diagnosis, and resources.

Information seekers can simply ask questions and they would reach important information depending on their search strategy, apart from basic information they are provided with assessment details, differential diagnosis, condition details, diagnosis history and examinations, diagnosis test, step by step approach, treatment details, treatment linked to Martindale, treatment step by step, supporting evidences and references.

BMJ Best Practice remote access is available on mobile a feature that adds tremendous value to those who need information at the bed side.      

You can visit: http://bestpractice.bmj.com

Rajesh Pandit