On Doctoring MEDLINE searches, with reference librarian comments

The question was

"Perform a literature search to ascertain current
data on the efficacy/long-term outcomes of various therapeutic
modalities in treatment of sexually abused children? "

1 :  Child abuse, sexual/px,rh,sn,td,th [Psychology,         {2121}
Rehabilitation, Statistics & Numerical Data, Trends,
Therapy]
2 :  Treatment outcome/         {61070}
3 :  1 and 2         {50}
4 :  limit 3 to english language         {47}
5 :  limit 4 to local holdings         {37}
6 :  from 5 keep 2,6,9-12,14,19,23-25,32         {12}
7 :  from 6 keep 1,3-12          {11}

Reference Librarian comments

Good job! You used subheadings and combined sets and "limited," etc.
etc. Next time you work with MEDLINE, be sure to "explode" the MeSH
terms, and try the "Focus" option. But you did just fine.
Congratulations.

I played around with the idea and came up with something like this,
which is not necessarily better than your work...

1 : 
exp *child abuse, sexual/px,rh,sn,td,th
1057

2 : 
exp treatment outcome/
66294

3 : 
outcome$.ti.
20413

4  : 
1 and (2 or 3)
39

5 : 
limit 4 to (human and english language)
36