ClinicalKey User Guide
Contents
1. Print icon Email icon PDF download icon Continuing medical education icon Books My ClinicalKey v y John Doe Logout n BZ feedback a isiyour feedback cunicat fia sidan cone n N ell Us What You Think TE s B Mandell Douglas and Bennett s Principles and Practice of Infectious Diseases Seventh Edition Journals Practice Guidelines Patient Education Back to Search Results T Back to Search Results VUVCU Icare i i Reading List 5 i Presentation 4 p s FI Tools Table of Contents B Author Information Top of Article Systemic Factors Local Insult Anatomy and Physiology of the Paranasal Sinuses Pathogenesis Microbiology Chronic Sinusitis Epidemiology Clinical Manifestations Diagnosis of Sinusitis CLINICAL DIAGNOSIS IMAGING Therapy ANTIMICROBIAL TREATMENT ADJUNCTIVE TREATMENT Complications Prevention Gerald L Mandell John E Bennett and Raphael Dolin 58 Sinusitis Sinusitisis defined as an inflammatory disorder ofthe paranasal sinuses This condition is one ofthe most common reasons forpatients toseek care from primary care physicians and itis responsible for more than 20 million antibiotic prescriptions per year inthe United States 1 Sinusitis may be classified as acute or chronic Because mostcases of acute bacterial sinusitis are secondary to viralinfection ofthe upper respiratory tract or allergic inflammation nasal inflammation i2. CLINICALI 3 wit es Smarter search Faster answers ELSEVIER To access articles from the Reading List 1 Click the Reading List button The Reading List opens see Figure 9 Tip You can also access the Reading List from the My ClinicalkKey drop down list 2 Click the title of the article you want to read The article opens in the Content Reader See Navigating the Content Reader 3 Click Back to Search Results to close the Content Reader and return to the Search Results Page Reading List View your reading list on My Clinicalkey page Remove From List Print Email Remove All Cancel Page 1 ofi P gt Pi CG Displaying results 1to 4of4 Show 25 vY items Addison disease First Consult Bijay vaida MD Paul Levinson MD David Toth MD Polyxeni D Koutkia MD Normalization of blood pressure and volume status Supplementation of adequate glucocorticoids plus mineralocorticoid All patients with known Sinusitis Book Mandell Douglas and Bennett s Principles and Practice of Infectious Diseases Seventh Edition 58 839 849 2010 Selected features of the anatomy of the drainage system of the maxillary sinus as shown on a computed tomographic scan The ostium is locati Sinus Infections Sinusitis Journal American Family Physician 2011 05 01 Volume 83 Issue 9 1064 1065 What are sinuses There are four pairs of hollow spaces in the bones of your Face These are called sinuses They are lined with tissue t
3. ClinicalkKey User Guide An in depth guide to smarter searches and faster answers CLINICALIL 3 ELSEVIER Smarter search Faster answers WN cacao A EN E EAA ERA 1 1 1 Selecting the Best Internet BrOWS f cccccccccccccssscecessessseeeeeessesseeeeueessessseeueesens 1 k2 R gitearing YOUR ACCOUNE seaksiaiiii iani NA ai AA TARA 1 tS Logging Into COUN LV CY sses EE AAEE RR 1 l4 Logging OutofCIMCaAKEV eiss EE TENi 2 1 5 Retrieving Your Username or PaASSWOrd ssssssrriesessirrrnssrrrnrrnsrirrnrnsnnrnnnneeeerrrnnns 2 16 Navigating the ClinicalKey HOME Page sessssesessrrrrrsssrrrrrrssrrrrrrrseerrrrrereerrrrnns 3 2 Searching on CLHINICAIK SY cc ccccccccseeseeesecsseeeusessecsueeueeesecsueeueeesecsseeeeeeeseeags 3 21 Searching With FULO SUG OCS ii giccscsciecdenscehetedci eacectetenetds te sbenanlinvetetonnizidaceieasaatee 4 2 2 Navigating the Search Results PAGE cccccecsseesesscesseeeeeesecssseeeeeessesssteeneenens 5 2 3 Using Filters to Refine Search Results oo iccccccsccescssssseeseseeseseeueessessseeneeeens 6 24 SVEN VNC Search Results ecco cs ais ence a A ERE 7 2 5 Saving and Retrieving Search ResuUltS essssssssrrrrrsssrirrrrserrrrrreseerrirrrssrrrrrrnsnn 8 3 Reading Content on ClinicalKey cccccccccsseeeccssseeeseesessseeeeeeesesesneneeeeeaes 10 Sl Selen COMEM ener nn ge eae tT ne er een ne ete ee eer 10 3 2 Navigating the Content Reader viccsisdeecdinacvecsettdciceachctetbexetdes te benanldnvetelecanezi
4. 2012 Elsevier Inc All rights reserved fF e fee Journals 1937 Images 1049 Books 144 Videos 10 First Consult 7 Patient Education 1 Guidelines 1 Specialty al Autism spectrum disorders First Consult farkula MD Carol Berkovitz Joseph Austerman MD Mac Kenzie V MD Dena Hofkosh MD Soe developmental disorders not otherwise specified Rett syndrome and childhood disintegrative disorder Early identification is critical beca Mame and neces human genetics for autism therapeutics Journal E rkodudio Autismi isa jairodavaoj Figure 3 Search Results Pages showing Content Preview and Outline Sat 21 Jan 2012 01 30 20 G Autism Sedan d camden include the following diagnoses autistic disorder Asperger syndrome pervasive Causes and risk factors Associated disorders Screening Summary approach Population at risk Screening modalities Primary prevention Summary approach Content Preview PDF icon Available for content you can download Click a result to display a preview of content or an outline in the right hand panel Selected result is highlighted and shows a double arrow Arrow icon To open tabs Outline Tip Even if you make a typo in the Search Bar when you press Enter Clinicalkey predicts what you are searching for and suggests possible matches Example cardilagy cunicat feng ELSEVIER Show instead f
5. Internal Medicine 43 Aggression and Violent Behavior Oncology 38 Surgery 35 AJIC American Journal of Infection Control Specialties ardiovascular Disease 32 Alcohol Psychiatry 31 F Neurology 26 Alzheimer s amp Dementia The Journal of the Alzheimer s Association Radiology 26 i i Orthopedics 22 Ambulatory Pediatrics Infectious Disease 17 American Family Physician Gastroenterology 14 American Heart Journal American Journal of Cardiology The American Journal of Emergency Medicine American Journal of Geriatric Pharmacotherapy Figure 13 Browse Screen With Journal Specialties and Titles 2 To narrow down the list of journals you can do the following in the left panel w Click an alphabet letter A to Z to see journals whose names begin with that letter w Click boxes next to specialties w In the search box type search words Tip Click alohabet All and specialty All to display a complete list of journals CLINICALIL 3 we Ss LSEVIER Smarter search Faster answers 3 In the center panel click a journal title The left panel displays the journal by year and volume number and issues within each volume The center panel displays an annotated list of articles for the selected issue see Figure 14 Journals Books Practice Guidelines PatientEducation Drugs Multimedia CME CLINICA key ELSEVIER Journal of Behavior Therapy and Experimental
6. Navigating the ClinicalKey Home Page After you login to Clinicalkey you are at the Home Page see Figure 1 From the Home Page and all Clinicalkey screens you can search and browse You can also use the My ClinicalKey drop down list to access your Saved Searches Reading List Presentation Maker and My Account You can return to the Home Page from any Clinicalkey screen My ClinicalKey From the drop down menu you can access the Browse menu following features Logout Saved Searches Reading List B Presentation Manager My Account Journals Books Practice Guidelines Patient Education Drugs Multimedia CME My ClinicalKey 4 John Doe Logout _ Saved Searches Reading List eee me Presentation Maker CLINICAL lt ELSEVIER Smarter search Faster answers Figure 1 ClinicalkKey Home Page Search Bar and button To return to the Home Page w Click the cinica E icon in the upper left hand corner of any screen 2 Searching on ClinicalKey It all starts with a simple search The Clinicalkey Search Bar is always available so you can easily search for content at any time To help narrow down your search results you can use full or partial words ohrases and acronyms see Table 1 for descriptions and examples of each You can further refine your search results using filters see Using Filters to Refine Search Results Table 1 Ways to Search Search using When Full or partial words and phrases You know or hav
7. You can also drag and drop any image from the center panel to the Presentation button Or you can click an image in the Search Results Page to display it in a window and click Add to Presentation at the bottom right of the window see Figure 11 A pop up message indicates you added an item to the Presentation Maker Clinicalkey updates the number of images in the list Measles Image Description Citation A Virus replication Local lymph nodes Respiratory tract B Clinical symptoms Conjunctivitis Cough Add to Presentation CLINICALI 3 Smarter search Faster answers To view images in the Presentation Maker 1 Click the Presentation button The Presentation Maker opens see Figure 12 Tip You can also access the Presentation Maker from the My Clinicalkey drop down list 2 View the images 3 Click the x in the upper right corner to close the Presentation Maker To organize images in the Presentation Maker 1 Click the Presentation button The Presentation Maker opens Tip You can also access the Presentation Maker from the My Clinicalkey drop down list 2 Drag images around to reorganize them To remove images from the Presentation Maker 1 Click the Presentation button The Presentation Maker opens Tip You can also access the Presentation Maker from the My ClinicalkKey drop down list 2 Click the image you want to remove 3 Click the Remove From List button 4 In the pop up confirm box clic
8. collection of journals books practice guidelines patient education drug information and multimedia The Clinicalkey browse menus are always available This section describes how to browse journals books images and videos Menu bar Journals Books Practice Guidelines Patient Education Drugs Multimedia CME CLINICAL KA ELSEVIER measles Search o o To select the type of content to browse On the menu bar click the type of content you want to browse CLINICALI 3 Smarter search Faster answers 5 1 Browsing Journals To browse journal articles 1 Click Journals on the Browse menu The Journals browse screen opens see Figure 13 The left panel displays a search box alphabet filters and a list of specialties and the number of journals available in each w The center panel displays a complete list of journals in Clinicalkey in alphabetical order Journals Books Practice Guidelines Patient Education Drugs Multimedia CME My ClinicalKey gt y John Doe Logout S i hi cunicat fing ELSEVIER SS d kakalak neue SSS ee Reading List 4 Presentation 4 id d Page 1 ofS br Displaying results 1to 100 of 497 Show 100 v items Journals Academic Pediatrics a Search box Find a journal by title Academic Radiology M sas A Beale ar Z Addictive Behaviors Alphabet A to Z Q Z l T a ao Advances in Chronic Kidney Disease Ageing Research Reviews P
9. with a trocar or theremoval of a molar with drainage through alveolar bone Anatomy and Physiology of the Paranasal Sinuses Infections ofthe paranasal sinuses are a direct consequence oftheir unique anatomy and physiology An appreciation ofthe anatomic relationships ofthe sinuses is necessary to understand the pathogenesis and complications of sinusitis The paranasal sinus cavities consistofthe maxillary ethmoid frontal and sphenoid sinuses The maxillary and ethmoid sinuses develop during the third month of gestation and therefore are present albeit small at birth 5 The maxillary sinus originates as a slitlike cavity parallel to the middle turbinate and elongates into a pyramidal shape with avolume of 15to 30 mL in the adult The floor ofthe maxillary sinus lies overthe alveolarridge ofthe maxilla which holds the upper dentition The walls ofthe maxillary sinus extend from the lateral wall ofthe nasal cavity tath won new ntin neck and thn rn nf nf thn ninun in thn flnne nfihan nrhit Tha nravimallanantian aft n narannanl nainnuannia atest nn mranl han m About Contact Us FAQ KeyConnect Terms and Conditions Privacy Policy Registered User Agreement Help Figure 6 Content Reader Panels CLINICALI 3 Editors Gerald L Mandell MD MACP Professor of Medicine Emeritus Owen R Cheatham Professor of the Sciences Emeritus Chief of Infectious Diseases Emeritus University of Virginia Health Center Charlottesvil
10. 4 In the left panel click a checkbox next to an Issue The center panel displays a list of articles in the selected issue 5 Click an article title w The left panel displays an outline of the article w The center panel displays the article content The right panel displays tabs with additional information 6 Scroll through the article by clicking topics in the left panel or using the scroll bar 5 2 Browsing Books To browse books 1 Click Books on the Browse menu The Books browse screen opens w The left panel displays a search box alphabet filters and a list of specialties and the number of books available in each w The center panel displays a complete list of books in ClinicalKey in alphabetical order by name CLINICALI 3 ELSEVIER Smarter search Faster answers 2 To narrow down the list of books you can do the following in the left panel w Click an alphabet letter A to Z to see books whose names begin with that letter w Click boxes next to specialties w In the Search box type search words Tip Click alohabet All and specialty All to display a complete list of books 3 In the center panel click a book title The center panel displays a list of chapters and brief summaries 4 Click a chapter title w The left panel displays an outline of the chapter w The center panel displays the chapter content The right panel displays tabs with additional information 5 Scroll through the chapter by click
11. Psychiatry i Pa Articles in Journal of Behavior Therapy and Experimental Psychiatry Back to Journals E RPE a TSS our Therapy and E ntal P iatry 201 ume 43 Issue 2 IFC IFC ne ania available Confidence judgment in depression and dysphoria The depressive realism vs negativity md eae pn a y Koutstaal ilm a Poon Lucia eare Anthony J Jo our of Be avior Therapy and p tal P matry 2012 06 01 3 2 99 70 1 aeai The st Aa mati a PPE forwarded by E Beck aa scores i a 40 and 19 and often have used decision tasks for which there is no objectively correct answer e g the contingency judgment paradigm The results obtained fr Biased attention towards negative schematic expression in abstinent heroin abusers Ziggies Zhou Yanyan u Haiyan Xinyi Li Xinyu Zhang ee gma Mowe Journal of f Behan vior Therap and Ex perimental Psychiatry 2012 06 01 Vo 3 2 705 710 1 Introduction couse could convey aid emotional Danaca in cance situations Accurate and rapid recognition of partners facial expressions enables people to efficiently implement appropriate strategies during the interpersonal in Recall of false memories in individuals scoring high in schizotypy Memory distortions are scale specific Journal 1 Saunders Jo Randell Jordan Reed Phil Rand Journal of Behavior Therapy and Experimental Psychiatry 2012 06 01 Volume 43 Issue 2 711 715 Figure 14 Browse Screen With Journal Volumes and Issues
12. a title An Image Preview screen opens with links to the image description and citations see Figure 4 2 Click the x in the upper right corner of the Image Preview screen to close the screen Recombinant measles viruses expressing single or multiple antigens of human immunodeficiency virus HIV 1 induce cellular and humoral immune responses Lin ks Image Description Citation Image Description A 3 p MVb 15894 nt 100 Citation n2 p MVb2 HIV e1 17850 nt 112 e2 p MVb2 HIV gp 20292 nt 128 p MVb3 HIV gp 20292 nt 128 p MVb23 HIV e1gp 22248 nt 140 m hia ft rma e1 gp140_dCFI e2 gp140_dV12_dCFI gp gag pol fusion rr Add to Presentation View Full Size View in Source Figure 4 Image Preview Screen 2 5 Saving and Retrieving Search Results You can save your search results Each time you open a saved search ClinicalkKey automatically refreshes the page and displays a list of the most recent and relevant results You can also remove your saved search results from Clinicalkey To save your search results 1 Click the Saved Searches sign in the upper left corner Journals Books Practice Guidelines Patient Education cunicat feng ELSEVIER Sinusitis Saved Searches 5 Saved Searches sign CLINICALI 3 LSEVIER Smarter search Faster answers Save Search Name Repair of retina for retinal detachment Name box Search Query Repair of retina for
13. and media type to display a complete list of multimedia CLINICALI 3 ELSEVIER Smarter search Faster answers a a5 Dpue 3 In the center panel click an image icon An Image Preview screen opens with links to the image description and citations see Figure 4 4 In the center panel point to a video icon and click the link under the icon The video screen opens where you can run the video 6 Appendix 6 1 Account Maintenance To view the ClinicalKey Privacy Policy Registered User Agreement and Terms and Conditions Click the following links Privacy Policy Registered User Agreement and Terms and Conditions OR Click the links in the footer bar of any ClinicalkKey page CLINICALIL 3 Smarter search Faster answers 6 2 Contacting Customer Support A link to customer support appears at the bottom left of every Clinicalkey screen Please note that customer service hours vary by country To contact customer support w Click Contact Us at the bottom of the screen The Contact Us screen opens with information on how to contact customer support and the hours of service Non institutional Customer Service Institutional Support Americas United States Canada Central America and South America Institutional Support Europe Middle East and Africa Institutional Support Asia and Pacific Institutional Support Japan ELSEVIER 2012 Elsevier B V e mail c
14. dacetensstbe 11 9 Usma the Reading FE bo eon E ne mS 12 3 4 Sharing Clinicalkey Content With Patient asssessssessssessrirrerrrirrrrsn 13 3 5 Printing Downloading and Emailing Content From ClinicalkKey 14 TNO SI ONT S ae sareasctee on sata ta necan uses aacian E 15 4 Creating Presentations From ClinicalKey sesser 15 41 Using the Presentation Maker cscs cracedecicecesentcatecvetncutsetendehtws enttaandedocstmsattivesdietacnc 15 4 2 Creating a Presentation in PowerPOint s ssssssssesssssrrrrrrssssssrrnrrrnrrrrrsesrrrrrrrnrnnnsns 17 A CEON a E E 17 aAA AP SVS SONS seana A i AANE O 17 5 Browsing in ClinicalKey ueeeessrrrrrsssrrrrssnrrrrrssnrrrrnnnnnrrrnnnnntrnnnnannnnnnnnnannnnnnnnnnnnnnn nnne 17 ol BOW INO JOUr iee E 18 52 BOWSMO BOOKS aoire e E E EN 19 553 Browsing Multimedia secesi enai E E 20 6 ADDON accra ee E E A AE EE eee ee eee 21 6l Account Maintenant sessa AE 21 62 Contacting Customer SUDO Ol LE eia aa E 22 Table of Contents CLINICALI 3 Smarter search Faster answers 1 Overview ClinicalkKey is a clinical insight engine that addresses key clinical research requirements of physicians medical librarians CMO CMIOs and healthcare professionals It is comprehensive trustworthy and fast Comprehensive Clinicalkey draws answers from the largest collection of clinical resources covering every medical and surgical specialty Clinicalkey also indexes more than 22 million MEDLINE abstrac
15. e an idea of what you are searching for such as migraines You know the acronym and do not want to enter the full term Acronyms Example Enter CHF and ClinicalKey displays results for congestive heart failure CLINICALI 3 E aS ELSEVIER Smarter search Faster answers 2 1 Searching With AutoSuggest The Search Bar is always available so you can search from any Clinicalkey screen To search ClinicalKey using AutoSuggest 1 In the Search Bar enter the first few letters of your search word words or use a search method in Table 1 As you enter your search criteria Clinicalkey s AutoSuggest feature automatically displays a list of relevant search terms see Figure 2 As you keep entering criteria AutoSuggest continually refines the list of search terms Search Search term measles button You may also be interested in DISEASE Rubeola Hanania History AND physical examination Autosuggest Rubella aes Bed Rest list measles mumps rubella virus vaccine see Rubeola Virus Antibody Assay DRUG measles virus vaccine eee Drink Plenty of Fluids Subacute Sclerosing Panencephaiitis Rea solation of infected patient Epidemic parotitis Rubeola Rubella Oral form ampicillin product ee Rubella vaccination Omnipen meee casies mumps rubella vaccination Principen rubella virus vaccine DRUG AU 1 Rubeola Risk Factors Polymox Figure 2 Search Bar and AutoSuggest Search Terms 2 Click the best ma
16. eading List 5 Presentation Arrows to collapse Saved Searches t I l or expand the left Sinusitis Arrows to collapse or expand the right AlexanderChester MD David R Goldmann MD Dennis F Saver MD Fred F Ferri MD FACP Jane L Murray MD pa nN e eS E eee i Copynonttisevier BV Allrignts reserved panel Key points Figure 7 Fully expanded Content Reader Both the left and right panels are collapsed 3 3 Using the Reading List You can use the ClinicalKkey Reading List to save articles and other content then access them at a later time see Figure 8 You can also use it to select items to print or to share with other Clinicalkey subscribers Tip You can print and email selected content directly from the Reading List To save articles to the Reading List 1 From the Search Results Page center panel click the check boxes next to the articles you want to save to your Reading List 2 Click the plus sign on the right of the Reading List button Tip You can also drag and drop any article from the center panel to the Reading List button A pop up message will indicate that you added an item to the Reading List Clinicalkey updates the number of articles in the Reading List Journals Books Practice Guidelines PatientEducation Drugs Multimedia CME John Doe Logout is SESS a i cunicat feng ELSEVIER Sinusitis WssssssS pore co chica J Reading List button eed and saved artic
17. ge in systematic retrieval of content from the site to create or compile directly or indirectly a collection compilation database or directory without prior written permission from Elsevier To print content from the Content Reader 1 Display the content you want to print in the Content Reader center panel see Figure 6 Tip Always use the Clinicalkey print icon to print your content Other methods of printing can produce blank pages The Print Preview screen opens 2 On the left select printing options such as range of pages and number of copies 3 Click Print To download PDF content from the Content Reader To download a PDF there must be a PDF icon to the right of the title in the Search Results Page center panel 1 From the Search Results Page click the title of the PDF content you want to download The content opens in the Content Reader see Figure 6 Clinicalkey saves the PDF in your Documents Downloads folder Tip You can download content directly from the Search Results Page by clicking the PDF icon next to a title see Figure 3 To email content from ClinicalKey 1 Display the content you want to email in the Content Reader center panel see Figure 6 An Email Citations window opens see Figure 10 2 Enter the recipient s email address subject your email address and an optional message ClinicalkKey automatically attaches the selected content to the email 3 Click Send A message indicates your emai
18. hat mak Sinusitis Book Nelson Textbook of Pediatrics Nineteenth Edition Chapter 372 1436 e372 1 2011 Coronal CT scan of normal 3 yr old child Arrows point to middle meatus E ethmoid sinuses M maxillary sinuses Acute left maxillary sinusitis w ofi P gt Pi CG Displaying results 1 to 4 of 4 Figure 9 Reading List To remove articles from the Reading List 1 Click the Reading List button The Reading List opens see Figure 9 2 Click the check box of the article you want to remove 3 Click the Remove From List button 4 In the pop up confirm box click Yes 5 Click the x in the upper right corner to close the Reading List 3 4 Sharing ClinicalKey Content With Patients You may share patient education handouts with patients for personal noncommercial use You can share information by printing it and giving patients a hard copy and by downloading it as a PDF See Printing Downloading and Emailing Content From ClinicalKey CLINICALI 3 Smarter search Faster answers B a aT E a Eg B pep 3 5 Printing Downloading and Emailing Content From ClinicalKey You can print any content on Clinicalkey excluding medical textbooks and download any material that has a PDF icon to the right of its name in the center panel You may print or download content from the site for your own personal noncommercial use provided you keep intact all copyright and other proprietary notices You may not enga
19. he All option for the filter list 2 4 Viewing Search Results After you perform a search and narrow down your results the Search Results Page shows the most clinically relevant results for your search The center panel displays search results in order of clinical relevance with the most clinically relevant result at the top If you did not filter your search results the default search results show all content types all specialties and all publication dates The right panel displays a preview or outline of the material and has tabs you can use to view additional information for the selected result The tabs and display will vary depending on the content type you select in the center panel such as Books Journals or MEDLINE To preview your search results 1 From the Search Results Page middle panel scroll to the result in which you are interested 2 Click anywhere in the brief summary of the result see Figure 3 The middle panel highlights the selected result and shows a double arrow The right panel shows Content Preview or Outline depending upon the content type 3 On the right panel click a tab arrow to display additional information 4 Repeat steps 1 to 3 to view additional results to help you decide which full chapter article or other content you wish to see CLINICALI 3 Smarter search Faster answers To preview an image 1 From the Search Results Page middle panel click the image to the left of
20. ing topics in the left panel or using the scroll bar 5 3 Browsing Multimedia To browse images and videos 1 Click Multimedia on the Browse menu The Multimedia browse screen opens see Figure 15 w The left panel displays a list of specialties and the number of multimedia available in each as well as a list of media types and the number of each w The center panel displays thumbnails for all images tables charts and videos in Clinicalkey Journals Books Practice Guidelines Patient Education Drugs Multimedia CM My ClinicalKey v 7 John Doe Logout S SS The key to ensuring this cunca fing ELSEVIER r Clinical resou rO Won nyon i f Reading List 5 Presentation 4 F e Id 4 Page 172 of gt I G amp Displaying results 17101 to 17200 of 65496 Show 100 V tems GB Multimedia Image icon amp me 3 gt All 3 Orthopedics 65496 Radiology 160720 P 0 Surgery 149381 a Neurology 137183 b fi Cardiovascular Disease 120144 a Medical Education 113419 Internal Medicine 85566 2 a Ophthalmology 64974 fo oe Emons Video link Video 9 Simultaneous _ Figure 15 Multimedia Browse Screen With Images and Videos 2 To narrow down the list of images and videos you can do the following in the left panel w Click boxes next to specialties w Select either images or videos media type Tip Click All for specialty
21. irst letter 1 In the Specialty list click one or more boxes next to the medical specialties in which you are interested The icons of the selected specialties change color The center panel displays only content for the selected specialties 2 Click the View All button at the bottom of the left panel see Figure 3 The Specialty window opens Highlighted letters indicate specialties begin with that letter 3 From the Specialty window you can do the following a Click the Sort arrow and select Alphabetical or Occurrence b Click a letter to display specialties that begin with that letter c Click ALL to see a list of all specialties d Click the check box next to a specialty and click Apply to display content for those specialties CLINICALI 3 Smarter search Faster answers i aes To refine your search results by publication time frame 1 Click the Time arrow on the toolbar see Figure 3 2 From the drop down menu select the publication time frame in which you are interested The center panel displays only content published in that time frame Clinicalkey searches can be filtered to include material published during the last 6 months last 12 months last 18 months last 2 years or last 5 years Publication time frame menu Time arrow Key Results for rubella MEDLINE 6338 Books 1483 Rubella First Consult To remove a filter w Click t
22. k Yes 5 Click the x in the upper right corner to close the Presentation Maker Presentation Maker a Export to PowerPoint Remove From List Remove All Cancel Displaying results ito 3of3 Show 25 v items E EETETIIT piem Addison s 21 Hydroxyla Addison s Displaying results 1 to 3 of 3 Figure 12 Presentation Maker Window CLINICALI 3 we Se A ELSEVIER Smarter search Faster answers oe 4 2 Creating a Presentation in PowerPoint You can share images from Clinicalkey by creating a PowerPoint presentation with them To create a PowerPoint presentation with ClinicalKkey images 1 Add all the images you want for your presentation to the Clinicalkey Presentation Maker See Using the Presentation Maker 2 Open the Presentation Maker 3 Move the images around so they are in the order you want for your presentation 4 Click the Export to PowerPoint button ClinicalkKey opens the PowerPoint 5 Click the x in the upper right corner to close the Presentation Maker 6 View your PowerPoint presentation 4 3 Citations The Presentation Maker will automatically insert citations 4 4 Permissions Authorized users of ClinicalkKey have permission to use content from the site in presentations for noncommercial use You must keep intact all copyright and other proprietary notices 5 Browsing in ClinicalKey Rather than searching for specific content you can browse through ClinicalkKey s extensive
23. k customerservice elsevier com telephone US toll free 800 401 9962 teleohone Non US toll free 314 447 8200 telephone service hours 24 hours a day 7 days a week excluding United States holidays e mail usinfo elsevier com e mail for Brazilian customers brinfo elsevier com telephone US toll free 1 888 615 4500 telephone Non toll free 1 314 523 4900 telephone service hours 8 am 8 pm CET St Louis office e mail nlinfo elsevier com telephone 31 O 20 485 3767 telephone service hours 9 am 6 pm GMT 1 Amsterdam office e mail sginfo elsevier com teleohone 65 6349 0222 teleohone service hours 9 am 6 pm SST Singapore office e mail joinfo elsevier com Web site japan elsevier com teleohone 81 3 55615035 telephone service hours 9 30 am 5 30 pm JST Tokyo office CLINICAL Smarter search Faster answers All rights reserved
24. l MD Fri 24 Aug 2 10 30 52 GMT Intentional or threatened use of viruses bacteria fungi or toxins from living organisms to produce death or disease in Specialty humans animals or plants Advantages of biologic agents as weapons include high morbidityimortality rates may result all allo E Infectious Disease 317 E Immunology 455 E Internal Medicine 281 E Neurology 102 Ap cei eit Pediatrics 94 ree E Allergy amp Immunology 59 E Surgery 38 E Emergency Medicine 37 E Dermatology 35 E Allergy and Immunology 30 Measles once Aari Bouman A null S The 2011 07 01 Volume 1 almost 135 million cases of measles and over 6 millian measles related deaths per year Globally thanks to this vaccine the Epidemiological analysis of measles and evaluation of measles surveillance system peror ean in Iraq 200r 2010 Poural P an Monirul Islam K M s 2012 03 1 3 6166 6171 1 introduction Maaslesi is an important vaccine preventable cause of infectious disease morbidity and mortality in developing countries According to the World Health Organization WHO measles killed 164 000 people in 2008 with approximately 450 Volume 16 Issue Scarlet fever First Consult Russell C Jones MD MPH Steven M Opal MD Eleftherios E Mylonakis MD Thu 26 May 2011 01 30 09 GMT Scarlet fever results from infection with group A amp hemolytic streptococci There is a characteristic confluent er
25. l was sent successfully 4 Click the x in the upper right of the box to close it Used as from email address to the recipient CLINICAL 3 Smarter search Faster answers 3 6 Citations You need to cite all articles and books from Clinicalkey according to the American Medical Association Manual of Style 10th Edition htto www amamanualofstyle com In citations for drug monographs images and patient education materials include the copyright holder the title of the material a reference to Clinicalkey with the appropriate website address and the date you viewed the material In citations for material original to First Consult include the title of the material the type of article a reference to Clinicalkey with the appropriate website address and the date you posted and viewed the material 4 Creating Presentations From ClinicalKey You can use the Presentation Maker to dynamically share the latest medical and surgical information with colleagues and care teams by exporting text and images to PowerPoint 4 1 Using the Presentation Maker You can also use the Clinicalkey Presentation Maker to save and organize images To add images to the Presentation Maker 1 From the Search Results Page center panel click the check boxes to the left of the images you want to add to the Presentation Maker 2 Click the plus sign on the right of the Presentation button upper right corner of the right panel Tip
26. le Virginia John E Bennett MD MACP Adjunct Professor of Medicine Uniformed Services University of the Health Sciences F Edward H bert School of Medicine Bethesda Maryland Raphael Dolin MD Maxwell Finland Professor of Medicine Microbiology and Molecular Genetics Harvard Medical School Attending Physician Beth Israel Deaconess Medical Center Brigham and Women s Hospital Boston Massachusetts Chapter Authors GREGORY P DeMURI ELLEN R WALD References 129 _ Figures 3 Related Videos 2 Copyright 2012 Elsevier Inc All rights reserved EJ t ELSEVIER Smarter search Faster answers To read material on the Content Reader 1 From the left panel click a topic to jump to that point in the center panel content Note If the left panel does not have an outline you can use the scroll bar in the center panel to move through the material 2 From the right panel review information associated to the content in the center panel such as references citations images and tables 3 Click the lt lt or gt gt icons at the top of the right and left panels to minimize the panels The center panel s reading area is expanded as shown in Figure 7 4 Click Back to Search Results to close the Content Reader and return to the Search Results Page Back to Search Results My ClinicalKey v John Doe Logout nnn SS Welcome to Clinical Key J T R
27. les Saved Searches 5 iE gt lt Time At t Sort By Reading List 1 f Presentation 3 F i4 d Page 1 of1210 gt Pi Gc Displaying results 1 to 10 of 12099 Show 10 v items Reading List sign Content Preview Content Type i ai a hs yP Key Results for Sinusitis nR g IM 4 Search Term 1 of too gt pL e al MEDLINE 7482 f m The microbiology of chronic Sinusitis has been studied n ae eae Poa ke E e Se ey ie en ee ee eee extensively but the exact role of microorganisms is T B Books 1756 a pee C esra I SAA Goldmann MD Dennis F Saver MD fired F Ferri MD FACP Jane L Murray MD James L Demetroulakos MD unclear The same bacterial species 5 pneumoniae and Ue SU Aug 201 DTT AAN f Ta H influenzae that are Found in acute sinus disease are C vy Images 484 Sinusitis is an inflammation of one or more of the paranasal inuses Characteristic features include nasal congestion a occasionally found in chronic SiAUSIEIs especially in O Clinical Trial 143 purulent nasal discharge headache facial pain or pressure 2nderness and swelling over the affected sinuses Acute patients with acute exacerbations of chronic sinusitis i in sit Other bacteria such as 5 aureus gram negative Pe Patient Education 80 SINUSIL enteric organisms and anaerobes have been isolated C E Journals 2030 Figure 8 Saving Articles to the Reading List Content check box
28. nal detachment Search Query Repair of retina For retinal detachment Name migraine pain medicine Search Query migraine pain medicine Name Coronary Artery Bypass Surgery Search Query Coronary Artery Bypass Surgery i4 d Page 1 ofi P gt Pi H Displaying results 1 to 4 of 4 Figure 5 Manage Saved Searches 3 Reading Content on ClinicalKey After you select content on the Search Results Page you can display and read it in the Content Reader The Content Reader is the same for all content types 3 1 Selecting Content To select content to read 1 From the center panel of the Search Results Page click the title of your desired search result The Content Reader opens to display the content CLINICALI 3 me 4 SEVIER EL Smarter search Faster answers 3 2 Navigating the Content Reader Briefly you can use the panels as follows see Figure 6 w Left panel to view content outlines which depend upon the type of content selected For example the panel can display a table of contents for an entire book or one chapter It can display a list of all articles in a journal or an outline of one article For some content such as First Consult s it displays a topic list you can expand or collapse w Center panel to read share save or print the content Right panel to access additional information and navigation tools for content in the center panel e g references figures related videos
29. or cardiology cartilage interventions Image w Chowdhary Saqib MD PhD Ivanov tm ua American Heart s Joan PhD Mackie ay lated f JONA Cardiovascular Disease 1 Displaying res Karen RN Seidelin Peter olume 157 Issue 1 156 163 CLINICALI 3 Smarter search Faster answers et O O Ti 2 3 Using Filters to Refine Search Results After you perform a search on the left panel of the Search Results Page you can refine your search results by content type and specialty The Time arrow on the toolbar lets you refine your results by publication time To remove filters and display a complete listing you can select the All option available for each filter To refine your search results by content 1 In the Content Type list click one or more boxes next to the types of content in which you are interested The icons of the selected content types change color The center panel displays only the selected content type ClinicalKey includes 12 types of content Books Images Procedures Consult Clinical Trials Journals Guidelines Drug Monographs MEDLINE Videos First Consult Patient Education The Clinics of North America To refine your search results by specialty The left panel includes the most relevant specialties for your search criteria The View All button displays a list of all specialties which you can sort alphabetically or by number of occurrences and can filter by f
30. retinal detachment Save 2 In the Name box accept or change the name of the search you are saving 3 Click Save In the upper left corner a pop up message flashes that your search is saved The Saved Searches button indicates the number of searches you saved To retrieve your saved search results 1 Click the Saved Searches button in the upper left corner A drop down list of saved searches opens Saved Searches L g Saved Searches Manage Saved Searches Addison s Disease Repair of retina For retinal detachment 2 Select a saved search Clinicalkey displays the search results CLINICALIL 3 LSEVIER Smarter search Faster answers To remove saved searches 1 Click My ClinicalKey on the right of the menu bar From the drop down list select Saved Searches see Figure 5 2 Click a search you want to remove 3 In the top left bar click Remove From List 4 In the pop up confirm box click Yes ClinicalkKey removes the saved search 5 Click the x in the upper right corner to close the Manage Saved Searches box Manage Saved Searches Close Manage Saved Searches View your saved searches on My Clinicalkey page Remove Remove From List Remove All From List id d Page 1 fi gt gt h G selected saved Name Addison s Disease Search Query Addison s Disease searches Remove All Displaying results 1 to 4of4 Show 25 v items save d searc h es Name Repair of retina For reti
31. s Note If you have Clinicalkey access through your institution you must be connected to the network in order to login CLINICALI 3 F A x EL EVIER Smarter search Faster answers 7 A 1 4 Logging Out of ClinicalKey ClinicalkKey automatically logs you out after 30 minutes of inactivity You can also logout manually To logout of ClinicalKey Inthe upper right corner of the Home Page click Logout 1 5 Retrieving Your Username or Password If you forgot your username if the system does not recognize your email address or if you are having any other problems accessing Clinicalkey please contact customer support by clicking Contact Us at the bottom left of the Clinicalkey screen To retrieve a forgotten Password 1 Go to www ClinicalKey com 2 In the upper right corner of the Home Page click Login The Login box opens 3 Click Forgotten your Username or Password The Forgotten Username or Password box opens Forgotten username or password Please enter your e mail address exactly as it was recorded in your personal profile and we will e mail your User Name and Password to you This password reminder feature is not available to Athens authenticated users E mail Address 4 Enter your email address exactly as it is in your personal profile Clinicalkey will send you an email with your Username and Password CLINICAL 3 E ELS VIER Smarter search Faster answers 1 6
32. s common and some experts refer to this complex as rhinosinusitis However in these instances of bacterial superinfection ofthe paranasal sinuses the nose is merely a conduitforthe secretions originating inthe sinuses The preferredterm is acute community acquired bacterial sinusitis 2 Evidence of maxillary sinusitis has been found in human archeological specimens discovered in Africa North America and Europe 2 Hippocrates recognized the association between high arched palate nasal obstruction headache and discharging ears probably what todaywould be called rhinosinusitis associated with otitis media Medieval physicians believed thatnasal discharge emanated from fluid atthe base ofthe brain In fact the pituitary gland is named from the Latin word for slime or mucus because itwas believed thatthe hypophysis was the source of yellow discharge from the nose The first accurate description ofthe paranasal sinuses was by Vesaliusin the 16th century and the first documented cases of suppurative sinusitis were by Antonio Molinetti in Venice in 1697 4 Theunique and troublesome drainage ofthe maxillary sinus was recognized in 1707 by William Cowper who eloquently described how the antra have smallopenings situated high up in the cavity so that peccant humors could not escape into the nose unless the antrumwere full to the top orthe head heldto one side 4 Early treatment of sinusitis was mainly surgical often involving either puncture ofthe sinus
33. tch The system displays the Search Results Page which has 3 panels see Figure 3 Briefly you can use the panels as follows w Left panel to refine your search by content type and specialty w Center panel to view search results in order of clinical relevance Right panel with tabs you can use to display additional information for the selected result For a detailed description of how to narrow down results see Using Filters to Refine Search Results For a detailed description of viewing your search results see Viewing Search Results CLINICAL 3 Smarter search Faster answers 2 2 Navigating the Search Results Page Time Click to select Sort by Click to sort publication time frame by Relevance or Date Page icons Select number of items to display on each page and scroll through the pages Click to return to Home Page Left panel with filters to narrow your results Content Content type ICONS Selected content type changes color Specialties Selected specialty changes color View All Click to display all specialties ELSEVIER Journals Books Practice Guidelines PatientEducation Drugs Muljmedia CME cunicat fing ELSEVIER Rubeola ie ON id d Page 1 of 32 the Center Pr G Displaying results 1 to 10 of 317 Content Type O AN m EJ Journals 302 E First Consult 15 Fc Bioterrorism First Consult Gordon H Bi a thleen M O Hanlon MD Stephen M Opa
34. ts which are retrieved each day from the National Library of Medicine Trusted The authoritative medical and surgical content comes from Elsevier s vast online medical portfolio w Fast Smart Content powered by Elsevier Merged Medical Taxonomy CEMMeT enables fast discovery of answers that are more relevant than those provided by conventional clinical search engines thereby reducing search time 1 1 Selecting the Best Internet Browser You will get the best performance from ClinicalkKey if you use Firefox or Google Chrome You can also view Clinicalkey using Safari and Internet Explorer 8 and above 1 2 Registering Your Account You can register and use ClinicalKey as an Institutional User After you register you may personalize Clinicalkey by adding items to the Reading List and using the Presentation Maker To register your account 1 In your institutional network or IP range go to www ClinicalKey com 2 In the upper right corner of the Home Page click Register The Clinicalkey registration page opens Note After you register the Register link no longer appears on the Home Page However it will always appear if you are unauthenticated 1 3 Logging Into ClinicalKey After you register you can login to ClinicalKey To login to ClinicalKey 1 Go to www ClinicalkKey com 2 In the upper right corner of the Home Page click Login The Login box opens 3 Enter your Username and Password 4 Click Login The Home Page open
35. ythematous sandpaper like rash Except for the occurrence of a rash the features of scarlet fever are typically the same as those of Parvovirus Big akre and fifth disease First Consult Annelies de on H Baustian MD Steven M Opal MD Pat 4 Cristofaro MD Pilar G Alonso MD Thu 24 Feb 2 Parvovirus B19 infection ir in patients with underlying chronic hemolytic anemias can precipitate potentially fatal aplastic crises before characteristic symptoms appear immediate transfusion is indicated Collection of syndromes caused by infection View All My ClinicalKey gt a Welcome to Clinical Key o E Sort By Reading List 1 Presentation 2 Show 10 v items ws D Issue 7 489 489 An Enoe vaccine against measles has hea SAT for the past 40 years Before its introduction in 1963 there were John Doe Logout Content Preview bh e An effective vaccine against Measles has been available for the past 40 years Before its introduction in 196 there were almost 135 million cases of 6 milion Measles related deaths per year Globally thanks to this vaccine the number of deaths worldwide Fell by 78 between 2000 and 2008 from an estimated 733 000 to 164 000 id d Search Term 1 of 8 Abstract x Related Content About Contact Us FAQ KeyConnect Terms and Conditions Privacy Policy Registered User Agreement Help Content Type al Key Results for Autism Copyright
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