Using the following table—search the 5 databases based on your PICOT Question—under findings note the number of relevant articles found—you may not find something in every database. Under features discuss what you liked about that database. ON the discussion board summarize your search—attach your chart for those that would like to see your search. You may not find what you are looking for in every search—and that is OK—but you must search every database to see what may be out there.

My PICOT QUESTION:
(P) In the patient with risk factors for CVD (I), how does exposure behavior such as smoking and physical inactivity (C) versus a patient with limited and unknown risk factors (I) contribute to CVD treatment (T) in two years’ time frame?

Picot Question: In overweight and obese children from ages 3-18 years old(P), will providing healthcare providers education on pediatric obesity (I) improved patient’s BMI (O) when compared to no healthcare provider education on childhood obesity (C) over a 1-year period.

 Research Tool

 Search Tips

 Search Terms & Limits

 Findings

 Features

CINAHL

CINAHL is an SU subscription-only resource that offers full text access to 336 scholarly journals and indexes over 3,000 journals from the fields of nursing and allied health. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous

· Look at the Major Subject Heading in the Full Record

· Use the Limits Feature:

· Example: Publication Type=Systematic Review
· Try the CINAHL Heading search:

 

Keyword search: Childhood obesity, provider education

Limits:

Full-Text

CINAHL Heading search:

Limits:

 818

The database provided less articles than expected given that the search terms were not specific.

PubMed

PubMed is a free health science citation & abstracts index from the National Center for Biotechnology Information at the U.S. National Library of Medicine.
 

· Look at MeSH Terms in Full Record

· Use the Limits Feature:

· Examples: Article Type=Meta-Analysis; Age=All Adult
· Look for the open access Free articles!

 

Keyword search: Childhood Obesity interventions

 

MESH search

Limits:

Within 5 years
 

 Initially: 16,507.

After search limits:8,818

 This proved to be a more beneficial search as it was primarily health or medically related and there were many more articles to browse.

Cochrane Library

Cochrane Library provides access to the Cochrane Library of Systematic Reviews. Full text of reviews are subscription only. Index summaries are a public resource. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous

· Use the Simple Search and the Advance Search Features

· Allows you to search with MeSH Terms

· Check out the New Reviews

 Browse reviews by topic

Keyword search:

Childhood obesity interventions

 

Limits:

MESH search:

Limits:

Parents
School based 

 14 Cochrane Reviews
1532 Trials

With MESH:
16 reviews and 2153 trials

 Cochrane reviews are all evidence based trials with review. So, although this database did not reveal that many results, they showed me different interventions that are beneficial to my research

Dynamed

 

· Use the Simple Search and the Advance Search Features

· Allows you to search with MeSH Terms

· Check out the New Reviews

  Browse reviews by topic

Keyword search:

Childhood obesity
 

Also browse by:

Childhood obesity interventions
 

 30

 This search was provided results that mainly would help define obesity, prevention and management of obesity.

TRIP Database

TRIP is a clinical search engine to locate publicly available clinical evidence.
 

· Limit to:

· Systematic Reviews

· Guidelines-US

 

Keyword search:

Limits:
Childhood obesity interventions

 4,191

 This database is fantastic! It gave the option to search systematic reviews, clinical guidelines, controlled trials and it was all evidence based.

SU Library Search

· Library Search is setup just like an EBSCO

· The Library even has a specialized PICOT search setup in Library Search—must go to Advance search to get to PICOT option

 I used to PICO option and searched P-obese children I-weight loss intervention C-children who were not educated on weight loss interventions O- decrease the prevalence of obesity

5,450

This search reveals lots of broad information and it would take a lot of time to sort through them to find desired information.

Other Databases:

 

 

 

 

Exploring the Literature

Picot Question: 

Research Tool

Search Tips

Search Terms &  Limits

Findings

Features

CINAHL

CINAHL is an SU subscription-onlyresource that offers full text access to 336 scholarly journals and indexes over 3,000 journals from the fields of nursing and allied health. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous

· Look at the Major Subject Heading in the Full Record

· Use the Limits Feature:

· Example: Publication Type=Systematic Review
· Try the CINAHL Heading search:

Keyword search:

Limits:

CINAHL Heading search:

Limits:

PubMed

PubMed is a free health science citation & abstracts index from the National Center for Biotechnology Information at the U.S. National Library of Medicine.

· Look at MeSH Terms in Full Record

· Use the Limits Feature: 

· Examples: Article Type=Meta-Analysis; Age=All Adult
· Look for the open access Free articles!

Keyword search: 

Limits:

 

MESH search:

Limits:

Cochrane Library

Cochrane Library provides access to the Cochrane Library of Systematic Reviews. Full text of reviews are subscription only. Index summaries are a public resource. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous

· Use the Simple Search and the Advance Search Features

· Allows you to search with MeSH Terms

· Check out the New Reviews

 Browse reviews by topic

Keyword search: 

 

Limits:

MESH search:

Limits:

Dynamed

· Use the Simple Search and the Advance Search Features

· Allows you to search with MeSH Terms

· Check out the New Reviews
  Browse reviews by topic

Keyword search:

 

Also browse by:

TRIP Database

TRIP is a clinical search engine to locate publicly available clinical evidence.

· Limit to:

· Systematic Reviews

· Guidelines-US

Keyword search:

Limits:

SU Library Search

· Library Search is setup just like an EBSCO

· The Library even has a specialized PICOT search setup in Library Search—must go to Advance search to get to PICOT option

Other Databases:

CARDIOVASCULAR DISEASE
CARDIOVASCULAR DISEASE
 
 
 

Cardiovascular Disease

Introduction

Cardiovascular disease posits a major cause of premature deaths and disability throughout the world and contributes to a significant increase in healthcare costs, particularly in medication, healthcare services, and production loss. Specifically, heart diseases and stroke accommodate the highest prevalence rate in the USA; accommodate an average of 610,000 and 365,000 annual deaths from CVD (CDC, 2015). Similarly, every year, CVD causes the USA approximately, $207 billion for medication, healthcare services, and productivity loss. Noteworthy, heart diseases and stroke incidences vary with factors such as ethnicity, gender, age, and individuals with certain disorders. Similarly, the project accommodates notable articulations on intervention, comparison, outcome, and time as a fundamental consideration in heart diseases and stroke in the USA. Thus, an enriched articulation on heart diseases and stroke are underscoring for the project presentation.

Definition

According to (Mayo Clinic, 2018), Heart disease describes a condition that affects the heart; including blood vessels diseases arrhythmias, and other heart defects. Significantly, the heart disease is interchangeable for the CVD, articulating on the infections involving narrowed or blocked blood vessels, causing a heart attack, chest pain, and stroke, among other clinical presentations. Similarly, (Mayo Clinic, 2018) acknowledges that many CVD is preventable and treatable with healthy lifestyle choices.

Epidemiology

Cardiovascular diseases posits an undying cause of death in the USA, projected at 840, 678 deaths in 2016, averagely one in three deaths (Salim et al. 2020). Similarly, between 2013 and 2016 121.5 million adults Americans presented notable for of the CVD. Notably, between 2013 and 2015 direct and indirect costs of managing the CVD in the USA, recorded $213.8 billion and $137.4 billion respectively. Statistically, between 2013 and 2016, 57.1% of non-HN black females and 60.1% of non-HN black males presenting CVD manifestations (Salim et al. 2020). According to the researcher causes of the CVD Include atherosclerosis resulting from an unhealthy diet, lacking exercise, overweight, and smoking. In the epistemology studies, risk factors such as age, sex, family history, smoking, chemotherapy and radiation drugs, high blood pressure, poor diet, obesity, physical inactivity, stress, and poor hygiene are underscoring risk factors in the CVD (Mayo Clinic, 2018). Thus, heart disease epistemological indicates the patterns, causes, risk factors, and specific populations in the USA.

Clinical Presentations

Cardiovascular disease acclaims clinical presentations that may differ between men and women. According to (Mayo Clinic, 2018), men present significant chest pain that women and women clinical presentations such as shortness in breathing, nausea, and fatigue are more evident than in men. Admittedly, the general clinical presentation of the CVD includes chest pet, and discomfort, , tightness pressure ,pain, numbness, and weakness, and pain regions such as neck, jaw, upper abdomen, back, and throat (Mayo Clinic, 2018). Thus, prominent manifestations such as chest pain, shortness of breath, and fainting prompt a patient to see a doctor for diagnosis and clinical management.

Complications

The CVD complication results from heart arrhythmias, and dilated cardiomyopathy and, heart defects, heart infections and, atherosclerotic diseases. According to (Mayo Clinic, 2018), heart disease and stroke complications include heart failure, heart attack, stroke, peripheral artery diseases, cardiac arrest, and aneurysm. Therefore, a comprehensive diagnosis should accommodate heart disease complications for evidence-based case management.

Diagnosis

Heart diseases acclaim several diagnosis methods and procedures in clinical settings for effective case identification and management among patients. Some diagnoses and stress include X-ray, ECG, exercise stress test, echocardiography, blood test, coronary angiography, MRI scan, CT scans, and radionuclide test (Salim et al. 2020). Thus, identifying appropriate diagnosis methods in clinical testing is necessary for an effective outcome and heart disease management.

Conclusion with PICOT Question

In conclusion, understanding the definition of epidemiological studies, clinical presentations, complication, diagnosis, and PICOT question provide an enriched articulation on heart disease and stroke management in the USA. (P) In the patient with risk factors for CVD (I), how does exposure behavior such as smoking and physical inactivity (C) versus a patient with limited and unknown risk factors (I) contribute to CVD treatment (T) in two years’ time frame?

References

Centers for Diseases Control and Prevention. (2015). Heart Disease Facts. https://www.cdc.gov/heartdisease/facts.htm

Mayo Clinic. (2018). Heart Disease. https://www.mayoclinic.org/diseases-conditions/heart-disease/symptoms-causes/syc-20353118
Salim, V. et al. (2020). Heart Disease and Stroke Statistics—2020 Update: A Report from the American Heart Association. AHA Journals, 141, 9. https://www.ahajournals.org/doi/epub/10.1161/CIR.0000000000000757