Combining Concepts - The Importance of Elimination

Rarely does one search for information on a single concept. One almost always is looking for an aspect of the concept, or wishes to find information on a combination of concepts. Let us consider the topic "Diabetes Mellitus". It is a topic where there is simply far too much information available.

So one may look for something like

- Drug therapy in diabetes (aspect)
- Diagnosis of diabetes (aspect)
- Diabetes and hypertension (combination)
- Diabetes and cancer (combination)

There are different methods of combining concepts and usually Boolean Operators are used. The common operators (combinations) are AND, OR and NOT. Most people use one or the other of these, but do not know about the "additional effective uses" of the NOT operator.

EXAMPLE

A search for information on diabetes in children:

A PubMed search yielded the following:

SEARCH TERMS
RETRIEVAL
Diabetes Mellitus AND Child
17955
(Diabetes Mellitus AND Child) NOT (adult OR middle age OR aged OR aged 80 and over)
8447

Why does the first combination yield so many more? This is because there are a good number of references that deal with children as well as adults, and these have emerged in the combination.

When one adds to the search strategy - "NOT adult OR..." the references that deal with a range of adult age groups are knocked off, and hence the 2464 references that remain, deal only with children.

Please note - the words in bracket (adult, middle age, aged, and "aged 80 and over") are standard keywords (thesaurus terms) in the Medline database. These cover all synonyms of the adult age group.

An Google search yielded the following:

SEARCH TERMS
RETRIEVAL IN GOOGLE
+diabetes +child About Web 6,000,000 pages
+diabetes +child -adult About Web 3,000,000 pages
+diabetes +child -adult - old -aged -elderly About Web 600,000 pages (1/10th the first!)

Note the same phenomenon operating here. The number has dwindled in the second step. In the third step it has dwindled further.

Here, we had to use words like aged, elder (or elderly), old etc, because this was a web-based search, and we needed to use synonyms of the word adult.

Note the difference - in a Web based search, WE (the searchers), need to think up of a whole lot of synonyms. In a database like Medline, there are set words that we needed to use, and these took care of all synonyms.

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