Attitudes, Knowledge, Beliefs

Attitude to Health/ or exp Health Knowledge, Attitudes, Practice/ or exp Patient Acceptance of Health Care/ or exp Attitude to Death/

exp Attitude of Health Personnel/ or exp Practice Patterns, Nurses'/ or exp Practice Patterns, Physicians'/

(attitud* or percept* or perceiv* or perspecti* or opinion* or knowledg* or belie* or aware*).ti,ab,kw.

Prisoners and Prisons

"Prisons"[Mesh] OR "Prisoners"[Mesh]

PsycInfo:

DE "Maximum Security Facilities" OR DE "Correctional Institutions" OR DE "Prisons" OR DE "Reformatories" OR DE "Incarceration" OR DE "Prisoners" OR DE "Prisoners of War" OR DE "Prisoner Abuse"

CINAHL:

MH "Correctional Facilities" OR MH "Correctional Health Services" OR MH "Prisoners"

EMBASE:
exp prison/ or exp prisoner/

Keywords:

prison* or corrections or correctional or jail* or gaol* or incarcerat* or maxiumum security or penal institution* or penal system* or penitentiar* or inmate* or offender*

Barriers to...(facilitators too)

exp Communication Barriers/

(barrier* or constraint* or deterr* or hinder* or hindran* or impediment* or inhibit* or obstruct* or obstacle* or reluctan* or hesitan* or disinclin* or reticen* or unwilling* or misgiving*).ti,ab,kw.

(willing* or factor* or readiness or openness).ti,ab,kw.

(facilitator* or enabler* or inclin* or encourag* or opportunit*

Physicians

"Physicians"[Mesh] OR "Medical Staff"[Mesh]

Can also use "Physician Impairment"[Mesh] if appropriate

CINAHL:

MH "Physicians+" OR MH "Medical Staff+"

Family caregivers

"Caregivers"[Mesh] OR caregiver*[tiab] OR carer[tiab] OR carers[tiab]
AND
"Family"[Mesh] OR family[tiab] OR familial[tiab] OR informal[tiab] OR unpaid[tiab]

Of course, it works better with adjacency:

exp Caregivers/ and (exp Family/ or (family or familial or informal or unpaid).ti,ab.)
or
((family or familial or informal or unpaid) adj3 (caregiver* or carer*)).ti,ab.


EMBASE:
exp caregiver/ and (exp family/ or (family or familial or informal or unpaid).ti,ab.)
or
((family or familial or informal or unpaid) adj3 (caregiver* or carer*)).ti,ab.

But in PsycInfo, it gets a little crazy:

DE "Caregivers" OR DE "Caregiver Burden"
AND
(DE "Family" OR DE "Biological Family" OR DE "Dual Careers" OR DE "Dysfunctional Family" OR DE "Extended Family" OR DE "Family Background" OR DE "Family History" OR DE "Family Members" OR DE "Family Relations" OR DE "Family Resemblance" OR DE "Family Structure" OR DE "Family Work Relationship" OR DE "Family of Origin" OR DE "Interethnic Family" OR DE "Interracial Family" OR DE "Military Families" OR DE "Nuclear Family" OR DE "Schizophrenogenic Family" OR DE "Stepfamily" OR DE "Family Socioeconomic Level" OR DE "Adopted Children" OR DE "Adult Offspring" OR DE "Ancestors" OR DE "Biological Family" OR DE "Cousins" OR DE "Daughters" OR DE "Foster Children" OR DE "Grandchildren" OR DE "Grandparents" OR DE "Illegitimate Children" OR DE "Inlaws" OR DE "Only Children" OR DE "Orphans" OR DE "Parents" OR DE "Siblings" OR DE "Sons" OR DE "Spouses" OR DE "Stepchildren" OR DE "Family Relations" OR DE "Family Conflict" OR DE "Intergenerational Relations" OR DE "Marital Relations" OR DE "Parent Child Relations" OR DE "Parental Role" OR DE "Sibling Relations" OR DE "Transgenerational Patterns" OR DE "Birth Order" OR DE "Family Size" OR DE "Kinship Structure" OR DE "Adoptive Parents" OR DE "Expectant Parents" OR DE "Fathers" OR DE "Foster Parents" OR DE "Homosexual Parents" OR DE "Mothers" OR DE "Parental Characteristics" OR DE "Single Parents" OR DE "Stepparents" OR DE "Surrogate Parents (Humans)" OR DE "Siblings" OR DE "Brothers" OR DE "Multiple Births" OR DE "Sisters" OR DE "Spouses" OR DE "Husbands" OR DE "Wives" OR DE "Adolescent Fathers" OR DE "Single Fathers" OR DE "Adolescent Mothers" OR DE "Primipara" OR DE "Schizophrenogenic Mothers" OR DE "Single Mothers" OR DE "Unwed Mothers" OR DE "Parental Role" OR DE "Triplets" OR DE "Twins" OR DE "Conjoined Twins" OR DE "Heterozygotic Twins" OR DE "Monozygotic Twins" OR DE "Couples" OR DE "Same Sex Couples" OR DE "Marital Relations" OR DE "Marital Conflict" OR DE "Marital Satisfaction" OR DE "Parent Child Relations" OR DE "Father Child Relations" OR DE "Mother Child Relations" OR DE "Parental Attitudes") OR TI ( family OR familial OR informal OR unpaid ) OR AB ( family OR familial OR informal OR unpaid ) )

OR

TI ( (family OR familial OR informal OR unpaid) N3 (caregiver* or carer*) ) OR AB ( (family OR familial OR informal OR unpaid) N3 (caregiver* or carer*) )

Complications

complications or sequels or sequela* or concomitant* or associated disease* or associated disorder* or associated condition* or coexist*

Subheadings: complications goes with the MeSH of the first disease, secondary goes with the MeSH of the second disease.

Comorbidity has narrower term Multimorbidity.

In EMBASE, all the subheadings go on the second disease - complication, etiology, epidemiology, side effect

Prehospital Care

PubMed:

"Emergency Medical Services"[Mesh:NoExp] OR "Transportation of Patients"[Mesh] OR "Emergency Medical Technicians"[Mesh] OR prehospital*[tiab] OR pre-hospital*[tiab] OR paramedic*[tiab]

Might be useful? "Emergency Medical Dispatch"[Mesh]


CINAHL:
MH "Prehospital Care+" OR MH "Transportation of Patients+" OR MH "Emergency Medical Services" OR MH "Emergency Medical Technicians+"

keywords: prehospital* OR pre-hospital* OR paramedic*

EMBASE:
exp emergency care/ or exp rescue personnel/ or exp ambulance/

same keywords as CINAHL.

C-Spine or Cervical Spine Immobilization

PubMed:

"Neck"[Mesh] OR "Cervical Vertebrae"[Mesh] OR "Cervical Plexus"[Mesh] OR "Cervical Cord"[Mesh] OR "Neck Muscles"[Mesh] OR "Neck Injuries"[Mesh] OR "cervical spine"[tiab] OR "c-spine"[tiab]
AND
"Immobilization"[Mesh] OR immobili*[tiab] OR "spine board"[tiab] OR "back board"[tiab] OR backboard[tiab] OR "spinal motion restriction"[tiab]

CINAHL:

MH "Neck+" OR MH "Neck Muscles+" OR MH "Neck Injuries+" OR MH "Cervical Plexus+" OR MH "Cervical Vertebrae+" OR MH "Cervical Cord+"

keywords: cervical spine OR c-spine

MH "Immobilization+" OR MH "Cervical Collars+" OR MH "Lifting and Transfer Equipment+"

keywords: immobili* OR spin* board* OR back board* OR backboard* OR spinal motion restriction

EMBASE:

exp neck/ or "head and neck injury"/ or exp neck injury/ or exp neck swelling/ or exp stiff neck/ or exp cervical spine/ or exp cervical spinal cord/ or exp cervical spine injury/ or exp cervical plexus/

exp immobilization device/ or immobilization/ or exp cervical collar/ or exp spine board/

same keywords as CINAHL.

Pregnancy and Lactation

Apparently I've never posted this before?

"Pregnancy"[Mesh] OR "Pregnancy Complications"[Mesh] OR "Pregnant Women"[Mesh] Or "Pregnancy Trimesters"[Mesh] OR "Maternal Exposure"[Mesh] OR "Delivery, Obstetric"[Mesh]

"Breast Feeding"[Mesh] OR "Lactation"[Mesh] OR "Lactation Disorders"[Mesh] OR "Milk, Human"[Mesh] OR "Milk Banks"[Mesh]

Please note: Prenatal Exposure Delayed Effects is a narrower term of Pregnancy Outcome.
However, you may wish to try: "Embryonic and Fetal Development"[Mesh]

See blog posting on Pregnancy Outcomes if that topic is of particular interest: http://anotherfinemesh.blogspot.com/search/label/pregnancy%20outcomes

CINAHL:

MH "Pregnancy+" OR MH "Pregnancy, Multiple+" OR MH "Pregnancy Trimesters+" OR MH "Pregnancy Unplanned+" or MH "Pregnancy, Unwanted+" OR MH "Parity+" OR MH "Pregnancy Outcomes+" OR MH "Obstetric Emergencies+" OR MH "Expectant Mothers+" OR MH "Maternal Exposure+" OR MH "Obstetric Care+"

MH "Breast Feeding+" OR MH "Lactation+" OR MH "Lactation Disorders+" OR MH "Milk, Human+" OR MH "Milk Banks+"

MH "Prenatal Exposure Delayed Effects+" OR MH "Prenatal Nutritional Physiology+" OR MH "Fetal Development+"

EMBASE:
exp pregnancy/ or exp childbirth/ or exp obstetric delivery/ or exp "parameters concerning the fetus, newborn and pregnancy"/ or exp named groups by pregnancy/

exp breast feeding/ or exp lactation/ or exp lactation disorders/ or exp breast milk/

exp prenatal drug exposure/ or exp prenatal exposure/ or exp perinatal drug exposure/ or exp drug exposure during lactation/ or exp maternal exposure/

DOACs and NOACs and so forth

DOAC stands for Direct Oral AntiCoagulants, and NOAC for New/novel Oral AntiCoagulants. But also, sometimes, Non-vitamin-K Oral AntiCoagulants. Apparently.

All these things are pretty much synonymous.

So, there are two kinds of these things:
Direct Thrombin Inhibitors and Factor Xa Inhibitors

And there are 4 actual drugs:
Rivaroxaban, Dabigatran, Apixaban, and Edoxaban

So, if you receive a search for DOACs or NOACS, you can use:

PubMed:
"Factor Xa Inhibitors" [Pharmacological Action] OR "Antithrombins" [Pharmacological Action] OR Rivaroxaban[Mesh] OR Dabigatran[Mesh] OR apixaban[Supplementary Concept] OR edoxaban[Supplementary Concept]


"Anticoagulants" [Pharmacological Action]
AND
noac*[tiab] OR doac*[tiab] OR "new oral"[tiab] OR "novel oral"[tiab] OR "non-vitamin k"[tiab] OR "nonvitamin k"[tiab] OR "direct oral"[tiab]


EMBASE:
exp thrombin inhibitor/po [Oral Drug Administration]
exp blood clotting factor 10a inhibitor/po
exp anticoagulant agent/po

(noac* or doac* or non-vitamin k or nonvitamin k or new oral or novel oral or direct oral).mp.

Low dose

My colleague Chris has converted the high dose search into a low dose search. Thanks, Chris!

((low adj3 dos*) or (low-dos*) or (minim* adj3 dos*) or (subtherapeutic dos*) or (small adj3 dos*) or (decreas* adj2 dos*) or (reduc* adj2 dos*) or (dos* adj2 de-escalation*) or (dos* adj2 deescalation*) or (dos* adj3 taper*) or (taper-off)).ti,ab

It can also be useful to find out what is considered a low dose, and then search for the specific amount. This will depend on the drug/intervention in question.

Also helpful is: Dose-Response Relationship, Drug/

New treatments for...

So there are three main strategies.

Strategy 1: New and emerging:

"[The MeSH for the Disease here]/therapy"[Majr]
AND
Review[ptyp] OR Guideline[ptyp] OR "Systematic Review"[ptyp] OR "Meta-analysis"[ptyp]
AND
new[title] OR novel[title] OR emerging[title] OR advances[title] OR recent*[title] OR future[title] OR target*[title] OR investigational[title] OR advancement*[title]
NOT
(("Animals"[Mesh] NOT "Humans"[Mesh]) OR "Mice, Transgenic"[Mesh] OR "Transgenes"[Mesh] OR "Models, Animal"[Mesh] OR veterinary[subheading] OR "Xenograft Model Antitumor Assays"[MeSH])
AND
(limit by year to recent - exactly how many years will depend on the disorder in question.)

The problem with new and emerging is that they might not be approved yet. And usually, if you can't use them right now, nobody cares.

Strategy 2: Recent reviews.

Which is basically the above search without the search line starting with "new"[title], and a much shorter year range.

Strategy 3: PreMedline reviews

[keywords for the disease]
AND
inprocess[sb] OR indatareview[sb] OR publisher[sb]
AND
new[title] OR novel[title] OR emerging[title] OR advances[title] OR recent*[title] OR future[title] OR target*[title] OR investigational[title] OR advancement*[title]
AND/NOT
review*[tiab] OR systematic*[tiab] OR meta-analy*[tiab] OR metaanaly*[tiab] OR guideline*[tiab] OR consensus[tiab] OR guidance[tiab]

For the review keywords, I use them to identify the most likely articles (although there will be some red herrings!, and then go back and use NOT to remove them and look quickly through the other articles to see if I missed anything. If you have a bibliographic manager, you might be able to do this with its search feature instead, if you prefer.

Strategy 4: Recent RCTs.

I recommend going through the results of the above first, and then if you're still short, you can try new RCTs.

Problem is separating the usual treatments from the novel ones. So far, the best guidance for this has come from the articles found by the above searches, but it's kind of a paradox because if you found many of those, you probably won't need to look for RCTs. One strategy that is not effective is looking in Point of Care tools for more-established treatments - I thought that POC tools might be mostly recommending more established treatments, but it turns out that they (or at least, the one I was using, Best Practice) are kept very current and data about many of the "new and novel" treatments were already incorporated into the Approaches section - the Emerging section was even more updated!

Instrument Sterilization

PubMed:

"Sterilization"[Mesh] OR "Decontamination"[Mesh] OR "Disinfectants"[Mesh] OR "Cross Infection/prevention and control"[Mesh] OR "Disease Transmission, Infectious/prevention and control"[Mesh] OR "Iatrogenic Disease/prevention and control"[Mesh] OR "Cross Infection/statistics and numerical data"[Mesh] OR "Disease Transmission, Infectious/statistics and numerical data"[Mesh] OR "Iatrogenic Disease/statistics and numerical data"[Mesh]
AND
"Equipment and Supplies"[Mesh] OR instrumentation[subheading] OR "Equipment Reuse"[Mesh]

EMBASE:
exp instrument sterilization/ or exp disinfection/ or exp disinfection system/ or exp disinfectant agent/ or exp cross infection/ep,pc or exp disease transmission/pc or iatrogenic disease/ep,pc or exp hospital infection/ep,pc
AND
exp medical device/ or recycling/ or exp medical device contamination/


CINAHL:
MH "Sterilization and Disinfection+" OR MH "Disinfectants+" OR MH "Cross Infection/EP/PC" OR MH "Disease Transmission+/EP/PC" OR MH "Iatrogenic Disease/EP/PC"
AND
MH "Equipment and Supplies+" OR MH "Cross Infection/ES" OR MH "Disease Transmission+/ES" OR MH "Equipment Contamination"