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| 8) Usage of Subheadings |
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Most MeSH terms are assigned multiple allowable subheadings. Citations which are assigned these MeSH headings are also assigned appropriate subheadings, based upon the content of the article. For example, the MeSH term Angina Pectoris is assigned as allowable subheadings /di (diagnosis), / th (therapy), /ep (epidemiology), and so on. However /tu (therapeutic use), is not allowed. Any citation assigned the MeSH term Angina Pectoris could be assigned any or multiple allowable MeSH subheadings, as indicated by the content of the article. Subheadings help limit your search to citations for your particular interest. Thus they are another mechanism for limiting (filtering) your search. In general we do not recommend using subheadings to limit a search. Remember, subheadings (and MeSH terms) are assigned by human readers. Subheadings are notoriously unreliable (Greenhalgh). You are likely to miss important citations if you overdo it with subheadings. Furthermore, subheadings, unlike a search filter, are not designed to filter for study quality. Search filters, depending on the specific filter, screen for citations which are randomized, blinded, or employ specific designs or outcome measures. To see an example, consider the following: You are evaluating a patient who presents with syncope. The patient happens to be taking terfenadine, a "non-sedating" antihistamine. Turning to OVID, you seek evidence on the risk of syncope in patients taking antihistamines. You perform the following search using the HealthStar database.
Line 1: you performed a search of syncope limited to the subheading
etiology (ET)
Line 4: backtracking, you run a search filter for etiology or cause
The problem with the first search was choosing the wrong subheading for syncope, an easy mistake. In the cohort study that we found, syncope carried the subheadings CI (chemically induced) and EP (epidemiology) Similarly, had you searched antihistamines/co (complications) you would not have found anything. This is not an allowable subheading for antihistamines. To find the allowable subheadings use the "tools" function in ovid. The subheading used in this article for antihistamines was AE (adverse effects). To become familiar with the indexing take a look at the "complete reference" for articles which are relevant to your search. You can see exactly how the article is referenced. Below is the indexing from the complete reference for the citation which answered our question best
Terfenadine-associated ventricular arrhythmias and QTc
Annals of Epidemiology. 5(3):201-9, 1995 May.
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CLICK HERE FOR THE NEXT SECTION: Searching for a particular citation or for a related citation FOLLOW THE COURSE OUTLINE: 1) Major
Public Databases
Ovid Online Search Manual |