Mild Traumatic Brain Injuries

These are really annoying because no one can quite agree on whether they are the same as concussion or not. Some people say that MTBIs are a type of concussion. Other people say that concussions are a type of MTBIs. Still others use then synonymously, while another group contend that they are entirely separate.

Secondly, the MeSH term "Brain Injuries, Traumatic" was added to the MeSH tree in 2017.

So what's a librarian to do?

For the next few years, this will probably do just fine:

"Brain Concussion"[Mesh]
OR
"Brain Injuries"[Mesh] AND (mild[tiab] OR mtbi[tiab])

If it's after 2022 and you just want results from the past 5 years, you could try this:

"Brain Concussion"[Mesh]
OR
"Brain Injuries, Traumatic"[Mesh] AND (mild[tiab] OR mtbi[tiab])

Yikes, I just realised that 5 years from now is in the 2020s! Scary thought...

If you want to get really fancy, you could do something like this:

"Brain Concussion"[Mesh]
OR
"Brain Injuries, Traumatic"[Mesh] AND (mild[tiab] OR mtbi[tiab]) AND "2017/01/01"[PDat] : "3000/12/31"[PDat]
OR
"Brain Injuries"[Mesh] AND (mild[tiab] OR mtbi[tiab]) AND "1940/01/01"[PDat] : "2016/12/31"[PDat]

You can change the 1940 part to whatever year suits your search.

Naturally, there may be some subheadings of interest (diagnosis and/or therapy, for example), to add to those MeSH.

Once you've got that set, with any appropriate subheadings, then add any additional MeSH terms and/or limits of interest.

What I like to do is, go through the results treating the terms as synonymous. That way you won't miss anything of relevance. However, when it's time to select some articles of particular relevance to attach to the email (or print and add to the enveloppe), I like to select articles using the same terminology which the doctor used.

Lastly, in the text of the email or the accompanying letter, I just explain to the doctor that there is some controversy about the terminology, and how I've dealt with it.

EMBASE:

exp traumatic brain injury/ and (mild or mtbi).mp.
OR
exp brain concussion/

Vitamins

Vitamins can be called by a number of different names. Here are some for your MeSH, keyword-searching and Word-highlighting use:

Vitamin A:

Mesh: "Vitamin A"[Mesh] OR "Vitamin A Deficiency"[Mesh]

keywords: "vitamin a"[tiab] OR retinol*[tiab] OR tretinoin[tiab]

There also seems to be a connection to carotene: caroten*[tiab]


Vitamin B:
There are actually a whole bunch of Vitamin Bs, and apparently some of them are other vitamins as well (Vit G, H, and M). Because, you know, that's not confusing at all!

I recommend use of Ovid for this one so that you can use truncation.
Mesh: exp Vitamin B Complex/ or exp Vitamin B Deficiency/
keywords: (vitamin b* or cobalamin* or cyanocobalamin* or hydroxycobalamin* or riboflavin* or vitamin g or biotin or vitamin h or niacin or thiamin* or adenine or pantothenic acid or pantothenate or folic acid or folate or vitamin m).mp.

However, PubMed does have a Pharmacological Action for Vitamin B Complex, which might be useful as well.
Mesh: "Vitamin B Complex"[Mesh] OR "Vitamin B Complex"[Pharmacological Action] OR "Vitamin B Deficiency"[Mesh]

Vitamin C:

Mesh: "Ascorbic Acid"[Mesh] OR "Ascorbic Acid Deficiency"[Mesh]

Watch out for this one in Ovid. The mapping is broken and it maps to Vitamin D instead of Ascorbic acid. This has been reported to Ovid, but so far they have not been able to fix it. In PubMed it maps just fine.

keywords: "vitamin c"[tiab] OR "ascorbic acid"[tiab] OR ascorbate[tiab] OR ascorbium[tiab]

Vitamin D:

Mesh: "Vitamin D"[Mesh] OR "Vitamin D Deficiency"[Mesh]

"vitamin d"[tiab] OR cholecalciferol*[tiab] OR ergocalciferol*[tiab] OR dihydrotachysterol*[tiab] OR hydroxycholecalciferol*[tiab] OR "25 hydroxyvitamin d2"[tiab] OR "25 hydroxyvitamin d 2"[tiab]

Vitamin E:

Mesh: "Vitamin E"[Mesh] OR "Vitamin E Deficiency"[Mesh]

keywords: "vitamin e"[tiab] OR tocopherol*[tiab] OR tocotrienol*[tiab]

Vitamin F:

Mesh: "Arachidonic Acid"[Mesh]

keywords: "vitamin f"[tiab] OR "arachidonic acid"[tiab] OR arachidonate*[tiab] OR "eicosatetraenoic acid"[tiab] OR eicosatetranoate*[tiab]

Vitamin K:

Mesh: exp Vitamin K/ or exp Vitamin K Deficiency/

Once again, Ovid for the truncation:

keywords: (vitamin k* or phytomenadione* or menaquinone* or menadione* or phytonadione* or phylloquinone*).mp.

If you really need to use PubMed:
Mesh: "Vitamin K"[Mesh] OR "Vitamin K Deficiency"[Mesh]

keywords: "vitamin k"[tiab] OR "vitamin k 1"[tiab] OR "vitamin k1"[tiab] OR "vitamin k 2"[tiab] OR"vitamin k2"[tiab] OR"vitamin k 3"[tiab] OR"vitamin k3"[tiab] OR phytomenadione*[tiab] OR menaquinone*[tiab] OR menadione*[tiab] OR phytonadione*[tiab]

Vitamin U:

This one would be better in Ovid as well, for adjacency:

keywords: (vitamin u or methymethionine).mp. or (methylsulfonium adj3 methionine).mp. or (methylsulphonium adj3 methionine).mp.
Mesh: exp Vitamin U/

But if not, PubMed can do this for you:

Mesh: "Vitamin U"[Mesh]
keywords: "vitamin u"[tiab] OR "methymethionine"[tiab] OR ("methylsulfonium[tiab] AND "methionine"[tiab]) OR ("methylsulphonium[tiab] AND "methionine"[tiab])

In the ambulatory / outpatient setting

exp Ambulatory Care/ or exp Ambulatory Care Facilities/ or exp Ambulatory Surgical Procedures/ OR exp Outpatients/

(office based or clinic based or ambulatory or outpatient* or out patient* or surgicent* or day clinic or day clinics).mp.

(surg* adj2 cent*).mp.

An additional strategy is to use the authors' address/affiliation/institution field to identify the setting. This is not as accurate and should be done with articles remaining after the above searches. After all, a researcher may work for a university but do their research at a hospital, for instance.

However, you can search: (hospital or medical centre or medical center).in. and then use NOT to remove those from the list. Go through the remaining articles and look at the addresses to see if any are in a recognisably ambulatory setting. Good luck!