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Use the MeSH Online Thesaurus in MEDLINE®?
TOPIC: Descriptors are subject index terms and phrases assigned to records to characterize the substantive content of the original document. Records in MEDLINE (File 154) are indexed using the National Library of Medicine’s controlled vocabulary Medical Subject Headings (MeSH®). MeSH descriptors are revised annually, and all MEDLINE records are updated yearly with these changes. There are 10-15 descriptors per record to characterize accurately the content of the original document. MeSH descriptors are often plural rather than singular, and may be inverted (e.g., ABNORMALITIES, DRUG-INDUCED). Descriptors are indexed as complete phrases and also by the individual words. All assigned descriptors are searched when the /DE suffix is used. In addition, each MeSH term has one or more descriptor code numbers (MeSH Tree Numbers) searchable as DC=. For details and search aids on using MeSH click here.
EMBASE® (File72) uses a thesaurus called EMTREE, which includes medical terms, drug names, acronyms, MeSH® subject headings and spelling variations. For details and search aids on using EMTREE click here.
In this example, you will use the MeSH online thesaurus in MEDLINE to find articles about osteoarthritis treatment related to the hip.
COMMAND SUMMARY
BEGIN 154
EXPAND OSTEOARTHRITIS
EXPAND E3
SELECT R9
TYPE S1/8/1-5
TYPE S1/7/1
HOW TO...

1. BEGIN File 154 to search MEDLINE.
2. EXPAND the term. Notice the addition of the third column, Related Terms (RT). Osteoarthritis has 10 related terms.
Observe that the EXPANDed list also shows allowable subheadings for the EXPANDed term. See How Do I Link Descriptor Terms to Subheadings? for details.
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?b 154
File 154:MEDLINE(R) 1990-2007/Mar 15
(c) format only 2007 Dialog
Set Items Description
--- ----- -----------
?e osteoarthritis
Ref Items RT Index-term
E1 2 OSTEOARTHRITIDES
E2 1 OSTEOARTHRITIES
E3 21423 10 *OSTEOARTHRITIS
E4 355 OSTEOARTHRITIS --BLOOD --BL
E5 87 OSTEOARTHRITIS --CHEMICALLY INDUCED --CI
E6 158 OSTEOARTHRITIS --CLASSIFICATION --CL
E7 976 OSTEOARTHRITIS --COMPLICATIONS --CO
E8 1122 OSTEOARTHRITIS --DIAGNOSIS --DI
E9 18 OSTEOARTHRITIS --DIET THERAPY --DH
E10 2075 OSTEOARTHRITIS --DRUG THERAPY --DT
E11 116 OSTEOARTHRITIS --ECONOMICS --EC
E12 1 OSTEOARTHRITIS --EMBRYOLOGY --EM
...
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3. EXPAND the E reference number that indicates related terms are available.
MeSH shows that Osteoarthritis is the preferred term indicated by the asterisk. Note that it has a Descriptor Code (DC=).
It also has broader (B) and narrower terms (N). X means the term has a cross-reference.
Note: You can EXPAND the R number to see the preferred term of the cross-reference. Some tables show Related Terms (R), not seen in this example.
4. SELECT R9, which seems to be right on target for our search query. |

?e e3
Ref Items Type RT Index-term
R1 21423 10 *OSTEOARTHRITIS
R2 11541 X DC=C5.550.114.606. (OSTEOARTHRITIS)
R3 11541 X DC=C5.799.613. (OSTEOARTHRITIS)
R4 0 X 1 ARTHRITIS, DEGENERATIVE
R5 1426 X 1 OSTEOARTHROSIS
R6 0 X 1 OSTEOARTHROSIS DEFORMANS
R7 63021 B 29 ARTHRITIS
R8 4622 B 26 RHEUMATIC DISEASES
R9 2622 N 4 OSTEOARTHRITIS, HIP
R10 3459 N 3 OSTEOARTHRITIS, KNEE
R11 1368 N 11 SPINAL OSTEOPHYTOSIS
?s r9
S1 2622 'OSTEOARTHRITIS, HIP' |

5. TYPE a few records in Format 8 to see titles (/TI), descriptors (/DE) and publication years (PY=).
To select the appropriate record number, look at the range of records in the TYPE command (e.g., 1/8/2).
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?t s1/8/1-3
1/8/1
DIALOG(R)File 154: MEDLINE(R)
(c) format only 2007 Dialog. All rights reserved.
23074541 PMID: 17312590
Bilateral total hip arthroplasty: one-stage versus
two-stage procedures.
Dec 2006
Tags: Female; Male
Descriptors: *Arthroplasty, Replacement,
Hip--methods--MT;
*Hip Prosthesis ; Adolescent; Adult; Aged; Aged, 80
and over; Blood Transfusion; Humans; Length of Stay; Middle
Aged; Osteoarthritis, Hip--pathology--PA; Osteoarthritis,
Hip--surgery--SU; Postoperative Complications;
Treatment Outcome
1/8/2
DIALOG(R)File 154: MEDLINE(R)
(c) format only 2007 Dialog. All rights reserved.
23074523 PMID: 17312583
The reconstruction operation for arthritis deformans of
the hip joint. 1924.
Dec 2006
Descriptors: *Arthroplasty--history--HI;
*Hip Joint--surgery--SU; *Osteoarthritis, Hip
--history--HI; History, 20th Century; Humans;
Osteoarthritis, Hip--surgery--SU
Named Person: Whitman Royal
1/8/3
DIALOG(R)File 154: MEDLINE(R)
(c) format only 2007 Dialog. All rights reserved.
23071418 PMID: 17197322
Dissociation of the modular femoral stem from the
metaphyseal sleeve during reduction of a total hip
arthroplasty dislocation.
Jan 2007
Tags: Male
Descriptors: *Arthroplasty, Replacement, Hip--adverse
effects--AE; *Arthroplasty, Replacement,
Hip--instrumentation--IS; *Hip Dislocation--etiology--ET;
*Prosthesis Failure ; Acetabulum--radiography--RA;
Acetabulum--surgery--SU; Aged; Femur --radiography--RA;
Femur--surgery--SU; Hip Dislocation--radiography--RA;
Hip Joint--radiography--RA; Hip Joint--surgery--SU;
Humans; Osteoarthritis, Hip--surgery--SU; Prosthesis
Design
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6. Choose the record(s) you want to view and TYPE using Format 7 for the Long format (Bibliographic Citation and Abstract).
The record chosen is record 1.
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?t s1/7/1
1/7/1
DIALOG(R)File 154: MEDLINE(R)
(c) format only 2007 Dialog. All rights reserved.
23074541 PMID: 17312590
Bilateral total hip arthroplasty: one-stage versus
two-stage procedures.
Parvizi Javad; Tarity T David; Sheikh Ednan; Sharkey Peter F;
Hozack William J; Rothman Richard H Rothman Institute of
Orthopedics, Thomas Jefferson Hospital, Philadelphia, PA, USA.
parvj@aol.com
Clinical orthopaedics and related research ( United States )
Dec 2006, 453 p137-41, ISSN: 0009-921X--Print
Journal Code: 0075674
Publishing Model Print
Document type: Comparative Study; Journal Article
Languages: ENGLISH
Main Citation Owner: NLM
Record type: MEDLINE; Completed
We compared the outcomes of bilateral total hip arthroplasty
performed as a one-stage or two-stage procedure. We
retrospectively identified 196 patients (392 hips) with
bilateral arthritis of the hip who underwent total hip
arthroplasties: 98 patients (196 hips) as a one-stage
procedure (one-stage group) and 98 (196 hips) as a two-stage
procedure (two-stage group). All patients had uncemented
components implanted under spinal anesthesia and had the
same postoperative rehabilitation protocol. Both groups'
functional outcomes were similar. The mean preoperative
hemoglobin was 12.6 g/dL in the one-stage group and 12.9
g/dL in the two-stage group. The mean cumulative blood
transfusion was 2.6 units in the one-stage group and 3.5
units in the two-stage group. Patients in the two-stage
group had more complications, most commonly anemia and
wound drainage. The total mean hospital stay was longer
in the two-stage group (8.1 days; range, 5-39 days)
compared with the one-stage group (4.3 days; range, 3-11
days). The mean total expenses were higher in the two-stage
group (dollar 64,600) compared with the one-stage group
(dollar 45,900). Young and healthy patients may be candidates
for one-stage bilateral total hip arthroplasty without an
increase in complications and with lower costs.
Record Date Created: 20070221
Record Date Completed: 20070315
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