Intern challenge What are the top ar/cles about concussions and TBI according to wikipedia?
Nov 01, 2014
Intern challenge
What are the top ar/cles about concussions and TBI according to
wikipedia?
Learning objec/ves
• Iden/fy the differences between a case study, a scien/fic study, a review or a meta-‐analysis for a scholarly ar/cle.
• Iden/fy an appropriate search to find more informa/on on the topic.
• Know how to use FindText and Interlibrary Loan to get ar/cles.
Intern challenge
• You are all helping research being done at University of Washington about the long term health impacts of concussions on athletes.
• Started by going through the long list of cita/ons used in the wikipedia ar/cles about concussion and TBI.
• What are the best ar/cles from those long list of references?
Best?
① Used wikipedia to start researching a topic. ② Found sources as well as bibliometric
informa/on about use and impact (measured by /mes cited/cited by) in GS and WoS.
③ Sort by most cited.
5 Most cited -‐ concussions Citaion number
Title Cited by (GS)
7
McCrory, P; Meeuwisse, W; Johnston, K; Dvorak, J; Aubry, M; Molloy, M; Cantu, R (2009 Jul-Aug). "Consensus statement on concussion in sport: the 3rd International Conference on Concussion in Sport held in Zurich, November 2008.". Journal of athletic training 44 (4): 434–48. doi:10.4085/1062-6050-44.4.434. PMC 2707064. PMID 19593427. 835
29 ^ Savitsky EA, Votey SR (2000). "Current controversies in the management of minor pediatric head injuries". American Journal of Emergency Medicine 18 (1): 96–101. doi:10.1016/S0735-6757(00)90060-3. PMID 10674544. 792
74 ^ Alexander MP (1995). "Mild traumatic brain injury: Pathophysiology, natural history, and clinical management". Neurology 45 (7): 1253–60. 728
58 ^ Jump up to: a b c "Facts About Concussion and Brain Injury". Centers for Disease Control and Prevention. 2006. Retrieved 2008-01-13. 684
34
McCrory P, Johnston K, Meeuwisse W, Aubry M, Cantu R, Dvorak J, Graf-Baumann T, Kelly J, Lovell M, Schamasch P (April 2005). "Summary and agreement statement of the 2nd International Conference on Concussion in Sport, Prague 2004". Br J Sports Med 39 (4): 196–204. doi:10.1136/bjsm.2005.018614. PMC 1725173. PMID 15793085 596
Footnote chasing
• backwards in /me • WoS
Pearling
• Cites/cited by • Expands a search • WoS & Google Scholar
Ar/cle 1
Ar/cle 2, cites ar/cle 1
Ar/cle 3, cites ar/cle 1 or 2 or both, etc.
Hierarchy of Evidence or
levels of evidence q Meta-‐analyses
q Review q Scien/fic studies (e.g., cross-‐sec/onal vs longitudinal, randomised controlled trials)
q Case reports
Hierarchy of Evidence –
Meta-‐analyses
Scien9fic studies
Case studies
Reviews
From concussions
Meta-‐analysis = 12 review = 28
scien/fic study = 52 case study = 11
Case Reports • Concussion cita9on #13 ^ Warden, Deborah L.; French, Louis M.; Shupenko, Leslie; Fargus, Jamie; Riedy, Gerard; Erickson, Marleigh E.; Jaffee, Michael S.; Moore, David F. (2009). "Case report of a soldier with primary blast brain injury". NeuroImage 47: T152–3. doi:10.1016/j.neuroimage.2009.01.060. PMID 19457364.
Case Reports • chief complaint • Diagnosis • treatment, and • devia9on from the expected
Observa9ons , not planned studies
Scien9fic studies Howell ar/cle from Tuesday
Concussion cita/on #74
Alexander MP (1995). "Mild trauma/c brain injury: Pathophysiology, natural history, and clinical management". Neurology 45 (7): 1253–60. doi:10.1212/WNL.45.7.1253. PMID 7617178.
Scien9fic studies
includes: randomized controlled trials
cross-‐sec/onal and/or longitudinal studies
In addi/on to the parts of a scholarly ar/cle this ar/cle describes how the authors
Test a hypothesis
A good clinical trial will use these 3 guiding principles
• Compare like with like • The bigger the group studied the more reliable the conclusions
• Bayes theorem: things that should be true and have good suppor/ng evidence to back them up, are likely to be true
For more details see Appendix 1 of: Greenhalgh T. How to Read a Paper: The Basics of Evidence-‐based Medicine. 3rd ed. BMJ Books; 2006.
List some differences between a case study and a scien/fic study.
List similari/es.
Systema/c Reviews Reviews
TBI #53 Comper P, Bisschop SM, Carnide N et al. (2005). "A systema/c review of treatments for mild trauma/c brain injury". Brain Injury 19 (11): 863–880. doi:10.1080/02699050400025042. PMID 16296570.
Systema/c Reviews Reviews
TBI #99 Turner-‐Stokes L, Disler PB, Nair A, Wade DT (2005). "Mul/-‐disciplinary rehabilita/on for acquired brain injury in adults of working age". In Turner-‐Stokes, Lynne. Cochrane Database of Systema9c Reviews (3): CD004170. doi:10.1002/14651858.CD004170.pub2. PMID 16034923.
Systema/c Reviews Reviews
Went through literature and found all ar/cles on a topic. Similar to what you might do for a really well researched term paper. Bibliographies of these papers are a goldmine.
Meta-‐analysis
• hpp://www.ncbi.nlm.nih.gov/pubmed/18081367
• hpp://www.ncbi.nlm.nih.gov/pubmed/20003581
• hpp://www.ncbi.nlm.nih.gov/pubmed/22609052
Meta-‐analysis
• Single focused ques/on or overview of several related ques/ons
• + data sources, study selec/on, data extrac/on, data synthesis
• An analysis of the data.
List some similari/es between a review and meta-‐analysis.
List some differences.
Draw your own schema for a Hierarchy of Evidence
Altmetrics
#overlyhonestmethods
Best?
① Used wikipedia to start researching a topic. ② Found bibliometric informa/on about /mes
cited in both GS and WoS. ③ Sort by most cited. ④ Consider Hierarchy of evidence. ⑤ Other measures?
hpp://www.ncbi.nlm.nih.gov/pubmed/23643687
Vs.
hpp://cascade.uoregon.edu/winter2014/natural-‐sciences/not-‐so-‐fast-‐concussions-‐and-‐recovery-‐/me/
hpp://www.menshealth.com/health/bad-‐news-‐about-‐your-‐concussion
Vs.
hpp://www.ncbi.nlm.nih.gov/pubmed/24371306
Can an ar/cle be both scholarly/peer-‐reviewed and popular/trade*?
Placebo effect
hpp://youtu.be/yfRVCaA5o18
web based EXCEPT for the bibliography and iPad app. hpp://www.mendeley.com/
hpp://www.mendeley.com/videos-‐tutorials/
Store your stuff
need your own computer & best with Firefox hpps://www.zotero.org/support/quick_start_guide
Zotero vs. mendeley:
hpp://www.youtube.com/watch?v=53QRA_SNSzE
all web based hpps://www.myendnoteweb.com
Based on what we’ve learned this week, write a ques/on you would expect to see on
the mid-‐term.
hpp://is.gd/HPHY212_intern Or
hpps://docs.google.com/forms/d/13PdEQNSXwwACEdKS0CdZPAizQAH4H5_qI7
IW48vpTxc/viewform
[for notes only] Store your stuff: more resources
• Mendeley – web based (not the bibliography), also on iPad, need computer for bibliography part
hpp://www.mendeley.com/ a good intro: hpp://nursingideas.ca/2010/05/organizing-‐nursing-‐research/ and the 5 minute intro in 3 parts series: hpp://www.youtube.com/user/MendeleyResearch • Endnote web – all web pages hpps://www.myendnoteweb.com Zotero and mendeley: hpp://www.youtube.com/watch?v=53QRA_SNSzE • Zotero – need your own computer & firefox hpps://www.zotero.org/support/quick_start_guide Play the video for some basics, and read the basics info too