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March/April 2001
Volume 29/Issue 2

Savvy Searcher

Advanced Search Techniques

As you become more comfortable searching medical literature databases like MEDLINE, you realize the value of searching by MeSH terms. Using the Ovid interface's mapping feature or PubMed's MeSH Browser, identifying the best MeSH term is usually easy. These features permit you to type the topic as you know it, and will provide you with a list of MeSH terms to choose from.

Sometimes though, the mapping feature and MeSH browser don't provide MeSH terms that quite describe the information that you want. This can occur when you're researching a complex topic that is represented by coordinating several MeSH terms and also when the topic is so new that MeSH terms don't yet exist to define it. What can you do to find the information that you need when this happens? The following are some search tips that can help you narrow your search to the information that you need.

The examples below illustrate the tips using the Ovid interface and MEDLINE. Many alternate search interfaces will provide equivalent capabilities; check the "Help" information when you use an alternate search interface. These tips can also be applied to any database that uses a controlled vocabulary like MEDLINE with its MeSH vocabulary (examples: CINAHL, CINAHL, PsycINFO, etc.).

Field Searching

Field searching in Ovid allows you to bypass the mapping and subheadings screens to locate your terms in a specific field. For example, consider a case where you're interested in identifying articles on coronary heart disease and nutrition. Rather than finding the MeSH terms for these topics, you could search for these terms in specific fields of the record. Usually, searching by field works best when you start by trying to find articles with your terms in the title field, then moving on to the abstract field if necessary.

On the screen above you see the results of searching for the terms coronary heart disease and nutrition in the title of the article (ti) and the abstract (ab). This is done by adding a period plus the code for the field (ti for title and ab for abstract) after the term. In this case, the terms were also enclosed in parentheses because the searched checked for two terms. The first search which was limited to the title of the article is a smaller set of more focused search results; articles on this topic are likely to have these words in the title.

The second search which checks for these terms in the abstract of the article is a larger and less focused set; articles on this topic are likely to have these words in the abstract, but a number of irrelevant articles will also have these words in the abstract.

Some additional useful field codes are:

au Author
in Institution
jn Journal name

A list of all field codes and a screen for selecting fields for a search can be found by using the "Search Fields" icon represented by a magnifying glass on the Main Search Page.

Truncation

Truncation is a tool that can be used in combination with field searching in order to find a word with multiple endings or variant spellings of words. For example, consider a case where you are interested in finding information on weight loss and the heart. You'd like to include variations of the more medical term 'cardiac,' and want to include articles that mention cardiac, cardiovascular, cardiology, cardiorespiratory, etc. To find all variants, you could take the base of the word "cardi" and add the unlimited truncation symbol, the dollar sign ($), so that the system finds words that begin with"cardi" and end in any way.

When you look at the results of this search, you see that number of variations of "cardi$" appear in the results.

You can also use truncation within a word for cases where there may be several spellings of one word. This is particularly useful in cases where you want to include both the American and British English spellings. For example, to find articles that mention "ischemic" or "ischaemic" in the title, you can use the question mark (?) which indicates that one or no characters can occur at that position. The question mark can be used in the middle or at the end of a word.

As you look at the results, you should see examples of both the British and American English spellings.

Some additional useful truncation symbols are:

#

Used to substitute for one required letter. For example, wom#n will find both women and woman.

$n

Used to indicate the maximum number of letters at the end of a word. For instance, cardi$3 will find words that begin with "cardi" followed by up to three more characters. This search would find instances of cardiac, cardio, and cardial, but not cardiorespiratory or cardiovascular.

Finding additional articles

While field searching and truncation can be used as alternatives to searching by MeSH, you may get the best results by using these techniques to help you find the best MeSH terms for a particular topic. Another way to approach this is to use field searching and truncation to locate one perfect article, and then follow the leads provided by the MeSH terms to locate more articles like it.

For example, in the first search we searched for "(coronary heart disease and nutrition).ti" and found a number of articles including a great review article:

5. Pandya DP. Nutrition & coronary heart disease. [Review] [70 refs] [Journal Article. Review. Review, Tutorial] Comprehensive Therapy. 24(4):198-204, 1998 Apr. Himmelfarb Library has partial holdings UI: 98260654

To find more articles like this one, click on "Complete Reference" to see which MeSH terms are attached to it.

The MeSH terms that describe the main topic of the article are marked with an asterisk (*). To find more articles like this one, you could jot down the best MeSH terms and try different combinations of these terms in new searches.

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