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1. Search Other Services The persistent link to the page or the search is displayed in a drop down field Click in this field and the link text is highlighted Right click with your mouse and select Copy To close the persistent link drop down field click the X in the right hand corner You can paste the persistent link URL into an e mail a Web page you are creating or an electronic record Only authorized users will be able to access the article DynaMed User Guide 10 May 2009 support ebsco com Browsing in DynaMed From the DynaMed Home Page you can browse for topics titles as follows DynaM i da Pi A Find About D ynaMed How to Use DynaMed Recently Updated Systematic Literature Surveillance DynaMed Content Sources Editorial Policies for Authors amp Reviewers f i E E E Becoming a Reviewer or Author Editorial Team List of Reviewers amp Authors I DynaMed Archives General Comments Search Other Senaces DynaMed User Guide support ebsco com I Omar Abilify rmal Abnormal liver fun n 11 Browse topic titles alphabetically Use the A Z links to browse for topic titles alphabetically When you search using alphabet letter links DynaMed displays a Result List of topics beginning with the letter you clicked Browse by category name Use the Browse by Category link to browse the DynaMed Category Result List Within a category there can be sub
2. If enabled by your DynaMed administrator you can link to other EBSCOhost services or select third party vvebsites by clicking on the Search Other Services link found on the left menu bar ee 17777 About DynaMed How to Use DynaMed Recently Updated Systematic Literature Surveillance D ynaMed Content Sources Editorial Policies for Authors amp Reviewers Becoming a Reviewer or Author Editonal Team List of Reviewers amp Authors DynahMed Archives Search Other Services Clicking on Search Other Services will result in a new browser window that displays links to the services made available by your administrator If available when selecting Search Other Services from within a DynaMed topic summary you will be able to execute a search for that topic by clicking a link to one of the listed services Dynalvicd re Dynalded Windows Internet Explorer Fi dio Fr 1 Tr i j jy ey E hipide com e t X ABCDEFGH i File Edt View Favorbes Toot 7 Links S CustSuccess Drive About DynaMed dod Board How to Use DynaMad Recently Updated D yl aaa d ed Systematic Literature Surveillance Search Other Services DynaMed Content Sources Editonal Policies for Authors amp Reviewers Becoming a Rewewer or Author Editorial Team List of Reviewers amp Authors DynaMed Archives General Comments Search Other Services DynaMed User Guide 18 May 2009 support ebsco com
3. Abacavir Rx Abarelix Rx Recently Updated Abatacept Rx Systematic Literature Cuneo Aboxmap Rx wh min i mf Abdominal pain Editorial Pobcies for Authors amp Reviewers Abilify rrrial f DynaMed Content Sources Becoming a Reviewer or Author Abnormal liver function differenti iagnosis Editorial Team List of Reviewers amp Authors DynaMed Archives General Comments Stafsh Other Services Accolate To change the DynaMed text size The default text size is normal the middle text size control selection This procedure assumes you have the normal text size selected 1 Locate the text size controls in the top right area of the DynaMed screen 2 Doone of the following e To adjust the DynaMed text to a smaller size click the leftmost smallest T link e To adjust the DynaMed text to a larger size click the rightmost largest T link DynaMed adjusts the text size immediately To modify the text size again click the applicable T link DynaMed User Guide 5 May 2009 support ebsco com Level of Evidence Labeling in DynaMed DynaMed introduced level of evidence strength of recommendation labeling in March 2004 Individual evidence reports are labeled as one of the following e Level 1 likely reliable evidence representing the most valid reports addressing patient oriented outcomes Examples include randomized trials with at least 80 follow up inception cohort studies fo
4. EBSCO PUBLISHING Dynalvied DynaMed User Guide support ebsco com Table of Contents BORES e PR E 3 DY NAME HOME AQE e as ake qene dh ccd atatum mulum cuite Unies rela deco ee lui etos 4 DynaMed Screen TOK SI ZO sass cotta cases dh nates n cs e 5 Level of Evidence Labeling in DynaMed sse nennen nennen nnns nnns 6 Se al Cmilig iM DYNAM CO D 7 Wsing the Bx bx ana Px dega eal te ah lah sci eas h 9 Using Persistent Links nana ennna eee e ee eee enet eee de nese eee eee e eter eee nete eee eee nete eee ann tete eee nnns nna ann eee 10 Browsing TA DNA Quaranta renovuar HQ 11 DynaMed Topit Summary Page varin ne at et nane Rei eee eee 15 Seal Cl Oter Services MAK ze cia ed IDE 18 EBSGOhost Full Text links Ins VRAMCG eee had as ia cia ied eai epoca ss iban 19 Printing and E mailing DynaMed Topic Summaries aaa aaaaaaaaaaa nana aaa nanen nenet e eee eee eee eee eee ee pere eee eee tete 20 Continuing Medical Education CME aa aaaaaanaaaaan aaa anen nnnna nene ee eee eee enen e tete pere nennen nennen eee eee tete ee eee nnns 21 DynaMedg GME en e eo erac 22 Using the Get ME CGE OPIO EE 23 DynaMed Calculators ssis nnaaanaaaaanea eee enen ne eee eee e eee eee nene tete E eee eee eee eee eee a tete ee eee ee tete eee 24 DY NAMCO Va E DA pac da sos he e e D 26 DynaMed Weekly Update dv uitia ee t ede do ye e eee eos ent neice ee 26 Comments tO tne Editor sone ed ad ee ud up tund d eo eret dU D cee
5. EBSCOhost Full Text links in DynaMed Some DynaMed topics contain links to supporting articles Clicking these links displays an article abstract or full text via an online medical journal resource If your institution subscribes to specific EBSCO databases additional links might appear in DynaMed topic summaries EBSCOhost full text links appear when the full text of a cited article is available via an EBSCOhost database to which your institution subscribes EBSCOhost full text links appear in DynaMed topic summaries when all of the following are true e The full text of an article cited in DynaMed exists in an EBSCO database accessible by DynaMed e Your institution subscribes to the DynaMed supported EBSCO database in which the full text resides e Your EBSCOhost interface profile and DynaMed interface profile belong to the same EBSCOadmin group For more information on EBSCOadmin requirements to use EBSCOhost full text links in DynaMed see the EBSCOadmin User Guide Clicking an EBSCOhost Full Text link in DynaMed launches a new browser window displaying the full text of the article according to the following rules If the Full Text exists in DynaMed displays the article in PDF format only PDF format Both PDF and HTML format PDF format HTML format only HTML format Notes e For information on which databases DynaMed accesses for full text content see the Knowledge Base on the EBSCO Support Site http support ebsco
6. Physical Cragnosis Prognosis Treatment Prevention and Screening References including Reviews and Guidelines Expand All Collapse All A You ar viewing 4 DynaMad summary Use of DynaMad indicates acceptance af Limat tron of DynaMed ar contained in the Search within text Use Radial head subluxation Updated Z006 Apr 14 06 50 PM ICD 10 codes added Patient Information handout from Medline Plus forced pronaion may be lass pasnful than supinati n Fix ation for successful reduction Pediatr Emerg Care 2006 Apr b General Information fin ind dieser e UE e To close all sections simultaneously click the Collapse All link located at the top right corner of the topic summary page Radial head subluxation Get CME For This Search Top General Information including ICD 9 10 Codes Causes and Risk Factors Complications and associated Conditions Physical Search within text Expand 7al Collapse All gt You ar viewing DynaMed summary Uza of Lra deett of Liga Limitations af Dynahed ar conkaaned m the Dn Radial head subluxation Updated 2000 Apr 14 06 50 PM ICD 10 codes added Patient Information handout from Medline Plus forced pronation may be less painful than supination fhixstian for successful reduction Pedistr ri ea Care 2006 sa Diagnosis Pragnasis DynaMed User Guide support ebsco com 17 May 2009 Search Other Services link
7. 1 2 3 Access a topic summary Click the Get CME CE For This Search option in the menu on the left side of the page DynaMed opens the configured CME page in a new browser window Complete the information required by the providing institution Note The URL for the CME web page is configured in EBSCOadmin If the URL is not entered accurately standard browser errors occur To use the Get CME CE option via the EBSCO CME form 1 Access a topic summary 2 Click the Get CME CE For This Search option in the menu on the left side of the page DynaMed opens the EBSCO CME form in a new browser window 3 Complete the form and then click submit The form contents are e mailed to the e mail address configured for the CME coordinator Notes e The EBSCO CME form includes the topic searched and date but provides no validation on the content entered by the user e After submitting the form it is the responsibility of the CME coordinator at the specified institution to manage the records and grant the credits physicians use to report their CME activities to governing bodies e he CME coordinator e mail address is configured in EBSCOaamin If an invalid e mail address is configured e mail submissions will bounce with no notification DynaMed User Guide 23 May 2009 support ebsco com DynaMed Calculators DynaMed includes interactive calculators equations and decision trees that allovv you to enter values in commonly used formu
8. Recommendation Taxonomy SORT and is described in detail along with the algorithms used for its application in Am Fam Physician 2004 Feb 1 69 3 548 56 Note that the United States Preventive Services Task Force USPSTF uses a different rating scheme The USPSTF recommendations rating scheme corresponds to one of the following e A recommendation USPSTF strongly recommends that clinicians provide the service to eligible patients This is based on good evidence that the service improves important health outcomes and benefits substantially outweigh harms e B recommendation USPSTF recommends that clinicians provide the service to eligible patients This is based on at least fair evidence that the service improves important health outcomes and benefits outweigh harms e C recommendation USPSTF makes no recommendation for or against providing the service This is based on at least fair evidence that the service can improve health outcomes but the balance of benefits and harms is too close to justify a general recommendation e Drecommendation USPSTF recommends against routinely providing the service to asymptomatic patients This is based on at least fair evidence that the service is ineffective or that harms outweigh benefits e recommendation USPSTF concludes that the evidence is insufficient to recommend for or against routinely providing the service This is based on evidence that is lacking of poor quality insuffic
9. categories and or topics Sub categories are identified by the presence of a blue triangle to the left of the category title May 2009 To browse topics alphabetically using the A Z links 1 Click a letter in the A Z links DynaMed displays a Result List of topics that start with the letter you clicked 2 Click a DynaMed topic title to view the topic summary For example 1 Click the letter R DynaMed displays an alphabetical Result List of topics titles that begin with the letter R The Result List should look similar to the following ABGDEEGHIIJKLMNOPORSTUYWXYZ Browse by Category Browns About DynaMed How to Use DynaMed Recently Updated Syitemate Literature Sur veillaret o DynaMaed Content Sources Editoral Pobcias for Authors amp Fevierwers Becomng a3 Reviewer or Author Editonal Team List of Reviewers amp Authors OynaMed Archives Gon eral Comments Search Othor Services 2 Click a topic title to view the DynaMed topic summary Radial head subluxation Search within text Expand All Collapse All So e n i Get CME For This Search You are vi amp wing Oynahed summary Use of DynaMed indicate acceptance of Denalisd Terms limitations of DynaMed are contaned m the D naMed Terms of Use Top Radial head subluxation General Informatian x E NN Updated 2008 Apr 14 06 50 PM ICD 10 codes added including ICD 9 10 Codes Patient Information handout from Medline Plus E forced pronation may
10. com e If full text exists both in an EBSCO database and via a free online journal resource two separate full text links to the same content appear in DynaMed The EBSCOhost full text link always appears immediately to the right of the citation e Standard EBSCOhost authentication rules apply If an EBSCOhost cookie does not exist on the computer in use you are prompted to supply EBSCOhost login credentials prior to viewing the EBSCOhost full text e f you link out to a PubMed citation you can continue to add PubMed LinkOuts via the PubMed Submission utility to access linkable EBSCOhost full text and linkable EJS content PubMed LinkOuts to other non EBSCOhost journal content can be added as well e Clicking the EBSCO database name link at the top of the EBSCOhost full text record opens a new browser window initializing an EBSCOhost session accessing that database DynaMed User Guide 19 May 2009 support ebsco com Printing and E mailing DynaMed Topic Summaries You can print and e mail DynaMed topic summaries directly from the topic summary page To print a topic summary 1 3 4 Access a topic summary and then click the print icon located above the topic summary DynaMed displays the topic summary in the Print Preview screen allowing you to view the content prior to printing Click the print icon located in the top left section of the screen The browser Print dialog box appears Click Print to send the topic summary to
11. Association AMA Prescribed credit for documented point of care learning activities AAFP and AMA approve 0 5 Prescribed credits for every point of care learning activity that utilizes an approved point of care CME source Credits may be awarded by any Accreditation Council for Continuing Medical Education ACCME accredited CME provider In the United States DynaMed is approved for point of care learning CME For a point of care CME source to meet Prescribed credit requirements there must be a mechanism either from the approved source or from the CME provider to document the following activity elements e The learner s question e The relevant information found in an approved source e Adescription of the implementation of new knowledge in practice The AAFP and AMA allow members to claim up to 20 credits 40 documented point of care CME inquiries or questions awarded 0 5 Prescribed credits each per year toward membership re election DynaMed User Guide 21 May 2009 support ebsco com DynaMed CME The DynaMed Get CME CE option provides a convenient means for obtaining Continuing Medical Education CME credits There are two methods via which you can make a CME submission from within DynaMed e A preferred CME web page This method is for users who have access to a CME accredited institution For example an institution that has their own accreditation website or an institution that works with a CME provider that has their own accreditat
12. DD QUU DEG 27 DynaMed User Guide 2 May 2009 support ebsco com DynaMed DynaMed provides clinically organized summaries for more than 3 000 disease and condition topics A simple yet powerful topically driven menu allows physicians medical students and other health care professionals to research high end synthesized information from respected publications associations and contributing clinicians DynaMed also includes over 800 topic summaries on AHFS Drug Information AHFS Drug Information is a tested and proven source of comparative unbiased and evaluative drug information It is a unique and essential reference for healthcare professionals DynaMed is updated daily and monitors the content of over 500 medical journals directly and indirectly by using numerous journal review services Each issue is reviewed cover to cover including letters to the editor Each article is evaluated for clinical relevance and scientific validity Through this process of systematic literature surveillance the best available evidence determines the content of DynaMed DynaMed is available in a PDA application for Palm OS and Microsoft Mobile devices For information on technical requirements and installation instructions for using DynaMed on a PDA device please visit http www epnet com dynamed technical php You can also access the DynaMed Technical Specifications page by clicking the PDA Support link found at the top of the DynaMed interface Dyna
13. Med User Guide 3 May 2009 support ebsco com DynaMed Home Page The DynaMed Home Page provides search and browse options to locate topics displays the default list of topics those beginning with the letter A and offers a menu on the left side of the page that provides access to standard DynaMed topics and information DynaM Find Search ABCDEFGHIIJELMHOPOQOHR STUMYW AT Growse by Category Browse About DynaMed How to Use DynaMed Recently Updated Systematic Literature Surveillance DynaMed Content Sources Editorial Pobcies for Authors amp Reviewers Becoming a Reviewer or Author Editorial Team List of Reviewers amp Authors DynaMed Archives General Comments i Search Other Se naces Note To quickly access the DynaMed Home Page from any location in DynaMed click the Start link located in the top right corner of the DynaMed screen DynaMed User Guide 4 May 2009 support ebsco com DynaMed Screen Text Size You can adjust the size of the text on the DynaMed screen There are three text sizes available small normal and large The default text size is normal The text size is managed by a series of controls in the top right section of the DynaMed screen Dynalvl di E Weeiieudin Ha Find Search ABCDEFGHIJKELMNOPOQRSIUVWAEYZ Growse by Category Browse About DynaMed AAT deficiency How to Use DynaMed
14. VWXNYZ About DynaMed How to Use DynaMed Recently Updated Systematic Literature Surveillance Ix Dx DynaMed Content Sources Editorial Policies for Authors amp Reviewers I Becoming a Reviewer or Author Editorial Team f List of Reviewers amp Authors DynaMed Archives ee oc clas i ilo NNNM General Comments Search Other Services DynaMed User Guide 9 May 2009 support ebsco com Using Persistent Links DynaMed offers persistent links to topics searches and browse categories You can use persistent links to share DynaMed topics or searches with your colleagues Simply copy and paste the persistent link into an e mail a Web page that you have created or into a record in your EMR application To view a persistent link l ch s oue Iw Click the persistent link icon to the left of the Text Size icons Dynalvl ci Find A B GD EF G H About Dyp Med Persetent Link to this page Recently Updated Authors amp Reviewers DynaMed Archives I lhttp search ebscohost com login aspx directstrue amp site sdynamed amp letter s T H i Systematic Literature Surveillance DynaMed Content Sources Editorial Policies for Becoming 3 Pn of Author Editorial Team List of Reviewers amp Authors General Comments
15. b less painful than supination hixstian for successful reduction Pedistr Causes and Risk Factors Emerg Care 2006 Apr b r i ee f ati Complications ard Associated Conditions Physical Diagnosis Prognasis Prevention and Screening j References including Reviews and Guidelines DynaMed User Guide 12 May 2009 support ebsco com To browse topics by category name 1 Click the Browse by Category link DynaMed displays the category Result List 2 Click a category title and review the list of category topics 3 Click either the blue triangle located to the left of a category title or the category title to view the topics contained in the category DynaMed displays the sub categories and topics that belong to the selected category Note To close the category list click the blue triangle located to the left of the category title DynaMed closes the expanded category and returns to the main list of categories 4 Doone ofthe following e oview a topic click a topic title DynaMed displays the topic summary e oview a sub category click either the blue triangle located to the left of a sub category name or the sub category title to view the topics and or sub categories contained in the selected category Repeat this step until you reach the topic you want to display Click the topic title DynaMed displays the topic summary For example 1 Click the Browse by Category link DynaMed displays the categor
16. cision Trees Statistics Calculators Bil Weight 205 Height39 37 Uruts amp Dose Converters Search by Specialty Math Calculator Resul 2 Glassary i BMI 2243 kgm References Decimal Precision 2 Below normal weight EMT xa 45 mmd a 530 Overwe1ght EMT 30 and 35 Class I Obesity EMT a 35 and 40 Class II Obesity BMI gt Class III Obesity 4 When finished with the calculator you can return to the DynaMed interface by closing the calculator window Note Most calculators include information to help you interpret your results as well as references to literature with links to PubMed articles DynaMed User Guide 25 May 2009 support ebsco com DynaMed via PDA DynaMed is available in a PDA application for Palm OS Microsoft Mobile and BlackBerry devices DynaMed is also available as a Native app on iPhone and iPod touch For information on technical requirements and installation instructions for using DynaMed on a PDA device click the following link to visit the DynaMed information page DynaMed on PDA Devices You can also go to http ebscohost com dynamed and click on the Available in PDA link found at the top of the page DynaMed Weekly Update The DynaMed Weekly Update is a free newsletter service from DynaMed s editors The newsletter provides valuable information to the medical community via email to opt in subscriber
17. coronary artery plaque imaging device FDA approved FDA Press Release 2008 Apr Complications and Associated Conditions History Physscal Treatment Prevention and Screening References including Roviews and Guidelines Patient Information 2 prevalence of angina higher in women than men Circulation 2008 Mar 25 This summary covers issues related to SYMPTOMS of coronary artery disease specifically stable angina seg Coronary artery disease for other information including asymptomatic coronary artery disease cee Acute coronary syndrome for unstable angina see Variant angina pectoris for cardiac syndrome X Acknowledgements amp end Comment to Editor DynaMed User Guide support ebsco com May 2009 Using the Rx Dx and Tx Links DynaMed allows users to access a specific part of a Drug or Condition summary by clicking on the available Rx Dx and Tx links found next to a summary link in the result list e Rx Clicking on an Rx link next to a Drug summary will open the Drug summary with the Dosage and Administration section automatically expanded e Dx Clicking on a Dx link next to a Condition summary will open the Condition summary with the Diagnosis section automatically expanded e Tx Clicking on a Tx link next to a Condition summary will open the Condition summary with the Treatment section automatically expanded a d WO Dendi EEN DynalViei Find ABCDEFGHIJKLMHOPORSIU
18. ditions History Physical Diagnosis Prognosis Trestmerit e To expand all sections simultaneously click the Expand All link located at the top right corner of the topic summary page DynaMed User Guide 16 May 2009 support ebsco com Radial head subluxation Get CME For This Search Top General Information including ICD 9 10 Codes Causes and Fisk Factors Complications and Associated Conditions History Physical Diagnosis Prognosis Treatment Search vylthin text Leoni al rollapse Al Tou re viemng DynaMed summary Uses ed sheab s acosptamcos s Dynaited Terms of Use Urmitatans of DynaMed are contained in the Dynalted Terms of Usa Radial head subluxation Updated 2008 Ape 14 06 50 PM CD 10 codes added Patient Informaten handout from Medline Plus forced pronation may be less pamiful than supinegton fixeaton for successful reduction Pediatr Emerg Care 2006 Apr P FOATA Oi cca ap itching TB ness e To move within a topic summary use any of the following o The scroll bar on the right side of the topic summary o The Page Up 1 Page Down keys on the keyboard o The CTRL Home CTRL End key combinations to jump to the beginning and end of the topic summary Radial head subluxation EN Get CME For This Search Top General Information including ICD 9 10 Codes Causes and Risk Factors Complications ard Associated Conditions History
19. ient or unable to determine the balance of benefits and harms DynaMed User Guide 6 May 2009 support ebsco com Searching in DynaMed From the DynaMed Home Page you can search tor DynaMed topics as follovvs About DynaMed How to Use DynaMed Recently Updated Systematic Literature Surveillance DynaMed Content Sources Editorial Pobcies for Authors amp Reviewers Becoming a Reviewer or Author Editonal Team List of Reviewers amp Authors DynaMed Archives General Comments Search Other Services Notes Search for terms contained in topic titles or topic text Use the Find field and the Search button to perform a full text search for the term s you specify Using this method DynaMed is not only searching the topic titles for your search term or phrase but is also searching all the text within each DynaMed topic in the entire DynaMed database Therefore the search term or phrase you specified might not exist in the topic titles contained in your Result List but rather somewhere in the text of the topic Abacavir Rx Abareim Rx Abartacept Rx Abcgximab Rx A min iscomf Abdominal pain Abilify mal f Abnormal liver function e You can use Boolean operators when using Search e To obtain the best results when performing a full text search using multiple terms or phrases use quotes and parentheses For example BMJ 2002 Mar 30 and 798 DynaMed User Guide support ebsc
20. ion website The accredited CME institution handles all processing and data collection when a user is passed from DynaMed to the CME institution page e EBSCO CME form This method is for institutional users who choose to use the EBSCO CME form The EBSCO CME form is American Medical Association AMA and American Academy of Family Physicians AAFP approved The contents of the form are e mailed to the CME coordinator at the user s CME institution When you click the Get CME CE option DynaMed attempts to open a new browser window displaying the form If the form does not appear this probably indicates your browser has prevented the form from appearing Because the form resides outside of DynaMed the browser perceives the form to be a pop up window and depending on your browser settings might block it Refer to your browser s online Help for information about how to allow pop up windows You can also refer to the Knowledge Base on the EBSCO Support Site for the most specific and current information http support ebsco com Note To use the DynaMed Get CME CE option you must enable the feature select and then configure one of the CME methods using EBSCOadmin If you do not have access to EBSCOadmin please contact DynaMed Support via e mail dynamedsupport ebscohost com or by phone 1 800 758 5995 DynaMed User Guide 22 May 2009 support ebsco com Using the Get CMEJCE option To use the Get CMEJCE option via a preferred CME vveb page
21. las to obtain numerical data such as urinary protein excretion estimation or estimate the severity of community acquired pneumonia in a given patient based upon the presence or absence of major risk factors To access the DynaMed Calculators 1 From any screen click the Calculators link found in the top menu of the DynaMed interface aiii DynaMe ed NS cara A Find ABCDEFGHIJKLMNOPORSTUVWXYZ Browse by Category llic About DynaMed How to Use DynaMed Recently Updated Systematic Literature Survediiance DynaMed Content Sources Editorial Policies for 2 The DynaMed calculators screen will appear in a new window Select a Medical Equations calculator from the displayed browse list or select a different calculator type from the menu on the left DynaM amp d aaa m ly TAS Ya Medical Equations Medical Equations Clinical Criteria Decision Trees A gIEIBIEIFISIBITIJISILIMINIGIEIGIRISITI UI VINI SIT Statisbes Calculators Click m beter 4 ia Jumg to that mech Click co d lik Eloy Eo uia a ferrule r aiia Umts amp Dose Converters Search by Specialty Math Calculator Glossary References DynaMed User Guide 24 May 2009 support ebsco com 3 Enter your figures into the selected calculator A result will automatically be generated as you input your numbers S Medical Equations Body Mass Index Quetelet s index Clinical Criteria De
22. n natriuretic peptide BNP testin Search within text Expand All Collapse All Get CME Far This Search You are wiewing s DynaMed summary Ube af Dynaled indicates acceptance of D ynsMed Terms of Use i Limitations of DynaMed sre contemed in the DynaMed Terms of Use Top pe Brain natriuretic peptide BNP testing Types of natnuretic peptide npdeted 2008 Jul 22 07 15 PN National Academy of Clinical Biochemistry and IPCC Committee for testing standardszation of markers of cardiac damage laboratory medicine practice guidelines recommendations for BAP Nabonal Gusdeline Clearinghouse 2008 Apr t False positive tests P J Club 2007 Nov Dec commentary NT proBNP for emergency department patients I plasma pro ANFP hd LOO sensitivity and only 15 specificity for left ventricular dysfunction 3 4m Coll Wise of BN levels in acute Cardiol 2007 Oct 23 dyspnea ss overview Use of BHP levels for useful in patients presenting with acute dyspnea to differentiate cardiac from non diagnosis pragnasis asd cardiac causes LR in chrome heart o BNP e 100 pg ml might rule aut heart failure due to high sensitivity RUN rapid BNP assay in emergency department for evaluation of acute dyspnea Additional uses of BNP reduces hospital use Te lyr JLevidenc failure reduces rates of rehaspitalizatian level References including potentially useful in primary care for ruling out heart failure omes amp N terminal pro BNP improved diagnostic accurac
23. ntained in the Dynalted Terms q Uses Top General Information Radial head subluxation lieing ICD 3 10 Cad Updated 2008 Ape 14 06 50 PM ICD 10 codes added Unciadng 9 10 Cocas Pahent Information handout from Medline Plus uM forced pronation may be less pamiful than supination Fix sion Far zuccezzful reduction Pediatr Emerg Care Chutes sd Risk Factors 2006 Apr General informatien induging ICD 2 10 Codes Complications and Associated Conditions d Causes and Risk Factors History Physical Diagnosis Prognosis Treatment Prevention and Screernina References including Reviews and Guidelines 2 Doany ofthe following to navigate in the topic summary e To expand a specific section do any of the following o Click the section header link o Click the blue triangle located to the left of the section heading title o Click the section heading in the menu on the left side of the page Radial head subluxation Search vwithintext Expand all Collapse all amp M Tou are vemi Opnadted summary Use of bynaMed accsptanos of Qengji Terms of Liga Limmitatians of DynaMsed are contained in the Radial head subluxation General Informa tian Updated 2008 Apr 14 06 50 PM ICD 10 codes added including ICD 5 10 Code patient information brie forced pps may be Tate paanful than supina ma eain For successful reduction Pediatr Emerg Care Chuzes amd Fisk Factors 00 Complications and Associated Con
24. nts questions and ideas To send a general comment to the DynaMed editors 1 Access the DynaMed Home Page Note To quickly access the DynaMed Home Page click the Start link located in the top right corner of the DynaMed screen Click the Send Comment to Editor item option in the menu on the left side of the page DynaMed opens a new browser window displaying the Send Comment to Editor form Complete all the fields on the form and then click the Submit button DynaMed sends your comments to the DynaMed editorial team To send a topic summary specific comment to the DynaMed editors dh Access a topic summary and then click the Send Comment to Editor item option in the menu on the left side of the page DynaMed opens a new browser window displaying the Send Comment to Editor form The topic summary name is displayed at the top of the form 2 Complete all the fields on the form and then click the Submit button DynaMed sends your comments to the DynaMed editorial team DynaMed User Guide 27 May 2009 support ebsco com
25. o com 7 May 2009 To perform a basic search in DynaMed 1 Enter your search term s in the Find field Click the Search button DynaMed displays a Result List The topics in the Result List are ordered by relevance based on the term you entered Note that the term s might not exist in the topic title 2 Click a DynaMed topic title to view the topic summary For Example 1 Enter the term Angioplasty and then click the Search button DynaMed displays a Result List that lists the most relevant topics at the top in this case the Result List looks similar to the following DynaMe ed 4C Rd 4 Pae by PEST Find angieplasty ABCDEFGHIJKELMNOPORSTUVWSX Y3Z Browse by Category About DynaMed How to Use DynaMed Recently Updated Systematic Literature Sum vellance Dynaled Content Sources Editonal Policies for Authors amp Reviewers Becoming a Reviewer or Editorial Team List of Rewevwers amp General Information including ICD 9 10 Codes Causes and Risk Factors Result List Found 76 Documents YOU are viewing DynaMed summary Use of OynaMed indicates acceptance of DynaMed Limitations of Dynahied are contained in the Dynahed Terms of Use E ant Updated 2005 Jun zd 02 56 PM underuse of angiography In certain papulati ns with angina may b associated with higher rate of coronary events BM 2008 May 10 correcbon BJ 2006 Jun 21 infrared
26. r prognostic information and systematic reviews of Level 1 evidence reports These examples are only presented as brief examples Achieving a Level 1 evidence label means that specific quality criteria were met based on the study type e Level 2 mid level evidence representing reports addressing patient oriented outcomes and using some method of scientific investigation yet not meeting the quality criteria to achieve Level 1 evidence labeling Examples include randomized trials with less than 80 follow up non randomized comparison studies and diagnostic studies without adequate reference standards Level 2 evidence does not imply reliable evidence For example hormone replacement therapy was associated with reduced cardiovascular events in large cohort studies Level 2 evidence but then shown not to be preventive and possibly increase the cardiovascular risk in randomized trials Level 1 evidence e Level 3 lacking direct evidence representing reports that are not based on scientific analysis of patient oriented outcomes Examples include case series case reports expert opinion and conclusions extrapolated indirectly from scientific studies Recommendations are labeled as one of the following e Grade A recommendation consistent high quality evidence e Grade B recommendation inconsistent or limited evidence e Grade C recommendation lacking direct evidence This labeling scheme is formally named the Strength of
27. rowse by Category Search within text Expand All Collapse Al SIT You are viewing a DynaMed summary Use of gji isdicates meg req of D ynaMad Termas pf Use Limitations of GynaMed are contained in the Hed T Hypercalcemia Updsted 2008 Oct 05 05 a4 PM case 8 report is Engl 1 Med 2008 Sep 11 narrat ve ool ew oh Gala ma aan Inter Med 2008 Aug 19 a sumption of Tums and Alka Seltzer N Oeaneral Information including ICD 9 10 Codey Causes and Risk Factors Complications and Associated Condabans His tony Physical Diagnosis frevention and eening Gbon and Scrgyning paferen es including Reviews and Guideline To open all the sections simultaneously use the Expand All link located above the topic summary To close all sections simultaneously use the Collapse All link You can use the scroll bar arrow keys or Page Up Page Down buttons to navigate the topic summary page Depending on your web browser you might be able to use CTRL Home and CTRL End to jump to the beginning and end of a topic summary DynaMed User Guide 15 May 2009 support ebsco com To navigate a topic summary 1 Access a topic summary DynaMed displays the topic summary with all sections collapsed Radial head subluxation Search within text Expand All Collapse All ae E Eb dbi Get CME For This Search You are viewing DynaMed summary Use of DynaMed indicates scoeptance of DynaMad Terms of Use Limit bons of DynaMed ar co
28. s it is also available on the web via podcast and RSS feed and is archived for reference DynaMed editors monitor a large volume of research information on a daily basis through Systematic Literature Surveillance and frequently find articles that are of significant and timely interest to health care providers Based on the criteria of choosing articles most likely to change clinical practice DynaMed sends a concise brief about these articles to subscribers in an email based advertising free newsletter To access the DynaMed Weekly Update from the DynaMed click the Weekly Update link found in the menu at the top of the screen Dynalvl d Find To subscribe to the DynaMed Weekly Update go to the subscription form and submit a subscription request To view the newsletter s archives go to the DynaMed Weekly Update archive page and read past issues including the Year in Review issues a compilation of the 20 most important articles from the previous year s issues DynaMed User Guide 26 May 2009 support ebsco com Comments to the Editor DynaMed provides an option that allows you to send comments to the DynaMed editorial team You can send general comments and questions as well as comments associated with a specific DynaMed topic summary Major enhancements to DynaMed such as ICD 9 10 codes and links to Patient Information handouts are the direct result of user input The DynaMed editorial staff greatly appreciates your comme
29. y Result List Find Search j ABCDEEGHIJBEBLHMHNOQOPFPORSBIUVYWH YI Browse by Category Browse by Catego About DynaMad k Cardiovascular Disorders Haw to Use D ynaMed b Contraception b Critical Care b Dermatology Systematic Liberature uve ns Surveillance LI E e b Disorders of Leucocyte Recentiy Updated DynaMed Content Sources Editaral Pabeses far Authors amp P r b al b Genetic Dison Becoming a Reviewer or Author Eotonas Taam b Infections b Male Genital Disorder List af Reviewers amp Authars DynaMed Archives General Comments b Musculoskeletal Disorder Search Other Services Musculoskeletal Disorders Focal 2 Click the Critical Care category DynaMed displays a Result List of sub categories DynaMed User Guide 13 May 2009 support ebsco com About Dynahed Systematic Literature Surveillance DynaMed Content Sources Editonal Policies for Authors amp Reviewers Becoming a Reviewer or Author Editorial Team List of Reviewers amp Authors DynaMed Archives 3 Click the Diagnostic Testing sub category DynaMed displays the Result List of items that exist in the Critical Care Diagnostic Testing category The Result List should look similar to the following ee TT About DynaMed Diagnostic testing How to Use OynaMad URBI mi E Recently Updated Systematic Literature Surveillance 4 Click a Topic title to view the DynaMed topic summary Brai
30. y in primary care by ruling out Acknowledgements heart failure iv 1 randomized trial m BNP levels predict risk of death and cardiovascular events at all stages of heart Send Comment to Editar failure based on systematic review of 19 studies Search Other Services tes ting NT praBHP for emergency department patients with suspected acu te heart DynaMed User Guide 14 May 2009 support ebsco com DynaMed Topic Summary Page Most DynaMed topic summaries are organized into standard sections to allovv easy navigation These sections vary depending on whether the topic summary is a disease Summary or a drug Summary The DynaMed Disease topic summary sections are Complications and Associated Conditions Prevention and Screening History References including Reviews and Guidelines Physical Patient Information Diagnosis Acknowledgements The DynaMed AHFS Drug topic summary sections are Warnings if applicable Upon opening a DynaMed Disease topic summary all sections are collapsed not viewable by default When opening a DynaMed AHFS topic summary the Warning section is expanded viewable by default To view the information in a collapsed section click any of the following to expand the section e The blue triangle located to the left of the section heading title e The section heading title link e The section heading in the menu on the left side of the page DynalVied fafa J c ABCDEFGHIJKLMNOPORSIUVMWXYZ B
31. your configured printer Click the Close link to return to the topic summary page To e mail a topic summary 1 Access a topic summary and then click the e mail icon above the topic summary DynaMed displays the e mail screen 2 Enter your name and your e mail address in the Your Name and Your E Mail Address text boxes 3 Enter the e mail address of the person to whom you want to send the topic summary detail in the Send to E mail Address text box If you are sending the topic summary to more than one person separate each e mail address with a semicolon for example name1 address net name2 address net 4 Use the Delivery Format option to select the format in which you want the topic summary e mail to display HTML or Plain Text Use the Message text box to include a message to the recipient in the e mail This is optional Click the Send icon located in the top left corner of the screen DynaMed displays a confirmation message 7 Click the Continue button to return to the topic summary page DynaMed User Guide 20 May 2009 support ebsco com Continuing Medical Education CME DynaMed provides users vvith a means for obtaining Continuing Medical Education CME credits CME is required by physicians to maintain licensure Because point of care learning is continuing medical education that meets a physician s specific learning needs it is appropriate to award American Academy of Family Physicians AAFP and American Medical

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