Tuesday, December 29, 2009

DynaMed is going away


Unfortunately, due to budget constraints and low user numbers, the Library will not be renewing DynaMed for 2010. Many of you found this to be a useful tool that you could use from anywhere, but at $9350.00 per year, it was not sustainable. Please feel free to call the Library if you need clinical information--the hospital has onsite access to UptoDate, a similar point of care tool, and I am always glad to send copies of topics as needed, or other resources.

Thursday, December 24, 2009

Resources for Helping Patients with Obesity

Yale's Rudd Center for Food Policy and Obesity offers several resources for communicating with patients about obesity without harming.

Toolkit for Preventing Weight Bias: Helping without Harming in Clinical Practice

AMA's Primer for Physicians on Assessment and Management of Adult Obesity

Handouts:

Featured Library Book: Difficult Conversations in Medicine

Difficult Conversations in Medicine, edited by Elisabeth Macdonald, is a collection of essays about effective communication between health care professionals, patients, and families. Topics range from legal and ethical issues, to planning for such conversations, apologies, strong emotions and cross-cultural issues. Dr. Macdonald is a Consultant Clinical Oncologist from London, and writes in the context of the NHS and , and mostly from the point of view of physicians but will also be useful to other healthcare professionals. Finally, there is an appendix of transcriptions of illustrative conversations in order to see how others have approached them. A review of this book is available in the Journal of the Royal Society of Medicine. You can find this book on the shelves at the library at W 62 D569 2004.

Related:
Cecil Textbook of Medicine
A Practical Guide to Palliative Care
Medical Management of Vulnerable and Underserved Patients

Friday, December 11, 2009

Searching for Articles with PubMed


The gold standard database of medical journal abstracts is PubMed/Medline, a service of the US National Library of Medicine, which indexes 5300+ biomedical journals.

Frequently Asked Questions:
Is there a fee for using PubMed?
You can get to PubMed from any computer at any location free of charge, because it is a public database.

Is there a username and password?
Just go to http://pubmed.gov/. That's it, no username or password required.

Are there actual full text articles in PubMed?
Yes, there are some free full text articles available. Some are provided by the journal publishers, and others are from PubMed Central(PMC), the U.S. National Institutes of Health (NIH) free digital archive of biomedical and life sciences journal literature. Here is a list of the PMC Journals.
How do I find the free full text articles?
After entering your topic, a link on the right hand side of the screen will alert you to the number of free full text articles. Screen shots of PubMed.

Why can't I get to the article I want?
If there is a link to full text, but you get the dreaded "you are attempting to access restricted content" message, or a screen asking for a username and password or the link is no longer valid, and you still want the article, you will need to provide a credit card number for "pay per view" to the publisher.

Can I search just nursing journal articles?
Go to Advanced Search, and scroll down to Limit by Topics, Languages and Journal Groups, and under subsets choose "Nursing Journals."

PubMed doesn't look the same. What happened?
PubMed was redesigned with a new interface in November 2009.

Where do I find more information?

PubMed Redesign from NLM Technical Bulletin
PubMed Ten Tips from UNC-Chapel Hill

Related Posts




Tuesday, November 24, 2009

Featured Library Book: Medical Management of Vulnerable and Underserved Patients

Medical Management of Vulnerable and Underserved Patients by Talmadge King provides coverage of topics such as navigating language barriers, behavorial change, promoting adherence, and group medical visits.

Many specific populations are discussed, including patients with a history of incarceration, homeless patients, immigrant health issues, intimate partner violence, alcohol and drug users, and the medical treatment of patients with psychiatric illness. Finally, there is a chapter on caring for oneself while caring for others, with strategies for preventing burnout.

Read a review in NEJM. You can find this book under the number WA 300 M4894 2007, in the bookshelves.

Other Featured Books:
Cecil Textbook of Medicine
A Practical Guide to Palliative Care

Tuesday, November 10, 2009

The Trouble with Wikipedia for Medical Information

The Medical Librarian of Laika's MedLibLog describes some of the pitfalls of using Wikipedia for Medical Information. Type just about any topic into Google and a Wikipedia entry will come up, and Laika discusses some indications that doctors use Wikipedia to get medical information. Although some entries are actually written by experts, anyone can write an article, and even more importantly, anyone can edit an article. Wikipedia bills itself as the "Free Encyclopedia" but is much more fluid than a standard encyclopedia. It's not that accurate information can't be found in Wikipedia, but that the potential for altering that information is very high.

Some Physicians are attempting to create community edited encyclopedias of medical information, where all authors are physicians, as a way to increase accuracy, such as Medpedia, AskDr.Wiki, and WikiSurgery.

David Rothman, author of Internet Cool Tools for Physicians, has an extensive list of medical wikis on different topics, some of which are edited by people with medical credentials, and some of which are not.

MDLinx: Keeping Current in 5 Minutes

MDLinx is a journal article summary service that aggregates articles and research from more than 1,200 peer-reviewed journals and leading news media on a daily basis. Physician editors sort this content into 32 medical specialty sites, 36 patient sites, and more than 743 subspecialty sections, all available online.
Users can choose to view this information online or subscribe to daily newsletters. The site is sponsored by ads from the pharmaceutical and healthcare industry, and market research.
There is a newsletter targeted to Medical Students, which also includes some Resident related info, with brief summaries of articles, some of which connect to free full text.
A sampling of Specialities:

Monday, November 2, 2009

H1N1 in PA & Nationwide

The PA Dept of Health has a new website with information on H1N1 Influenza, H1N1inpa.com.



The CDC has nationwide guidelines for clinicians, as well as a widget that you can put on any site.









Friday, September 11, 2009

Current Psychiatry Online Pearls

Current Psychiatry Online offers psychiatric pearls, brief, focused articles featuring practical advice from psychiatrists about confronting clinical and practical challenges in everyday practice.
Some of the older topics require a subscription, but the most recent ones are accessible:

Consider PTSD subtypes in patient workupAshley Benjamin, MD, MA; Steve Scruggs, PsyD; Susan Shead, MSWRelease date: 9/1/2009

2 quick questions for dementia screeningSanjay Gupta, MDRelease date: 8/1/2009

Insatiable thirst: Managing polydipsiaJulia Perch, MD and; M. Kevin O’Connor, MDRelease date: 7/1/2009

Related Posts on Pearls:
PURL's from Journal of Family Practice
Neurology E-Pearls of the Week
Tips on Prescribing for Walmart

Clinical Cases Online
CT is Us: Radiology Pearls

Tuesday, September 1, 2009

Searching the Literature Part 4: Summaries

Summaries take the best of the 3 previous layers(studies, syntheses, and synopses) and integrates them so you get multiple aspects of diagnosis and treatment in an easy to use format, rather than one aspect of management.

The best summaries explicitly discuss the editorial process and rating of evidence, where the info came from, list references, and date of most recent updates, and are updated frequently enough to incorporate the newest evidence.

The Library subscribes to one summary resource, also known as a "point of care tool":

UptoDate.

--UptoDate identifies itself as an Evidence Based resource, working through a hierarchy of evidence from high quality randomized trials, to observational studies, to unsystematic clinical observations.

--When high quality systematic reviews are available, they depend heavily on these for recommendations. It is more of an "Expert's Opinion" than a true evidence based resource, and the editorial process is not entirely clear.

--It is updated every every 4 months.

--Uptodate is not without controversy--a kind of "information crack cocaine." It's a relief to go into a database that gives you an answer you can use--it's easy to see why one might forget about other sources of information.

--The Library's subscription is available from any networked hospital pc. If you have an individual subscription, you can access it remotely.

Also, check out the freely available eMedicine and MerckMedicus.

Related Posts:
Searching the Literature Part 1: Studies
Searching the Literature Part 2: Syntheses
Searching the Literature Part 3: Synopses

Featured Library Book: A Practical Guide to Palliative Care

Our newest addition to the book collection is A Practical Guide to Palliative Care by Jerry L. Old and Daniel L. Swagerty(2007). For a review, check out this article in JAMA.

Designed for easy use at the bedside, this book contains:
--Multiple bullet points
--Evidence-based approach to end of life care
--Tested practical information that is used in the field
--Easy-to-read tables covering such topics as pain medications, how to treat non-pain symptoms, determining who qualifies for hospice care and more
--Includes an "In a Nutshell" review in each chapter

If you wish to check this book out, you'll find it in the WB section of the book shelves, WB 310 P895 2007.

Other Featured Books: Cecil Textbook of Medicine.
Medical Management of Vulnerable and Underserved Patients

Other Palliative Care Info: End of Life Care Fast Facts.

Monday, August 31, 2009

Videos of Doctors Talking with Real Patients

Studies have shown that effective doctor patient communications are strong predictors of health outcomes. Communication skills are, therefore, critically important to health and healing in the acute and chronic care of patients.
The Bravewell Collaborative, with funding support from the Urban Zen Foundation, and the advice of Dr. Mack Lipkin, produced a set of videos of doctors talking with real patients; an accompanying teaching manual; and a lecture presentation. This resource is available free of charge.

Also available is a set of 5 minute clips of video about the patient-provider relationship.
Related Posts on communication:

Saturday, August 22, 2009

Just Ask! Communicating with Patients about STD's



Just Ask! is a free online self-paced course for health professionals to build skills in communicating about sexual activity. The aim of this course is to present the best practices and methods that will enable health care professionals to confidently interact with patients during the assessment, screening, treatment, and prevention of HIV and STDs.

The video cases for this course were produced to simulate actual patient-provider interactions.

Related Post:
STD Treatment Resources from the CDC

Friday, August 21, 2009

Street Names of Commonly Abused Drugs

According to addictions.org, because drugs are illegal in most places in the world today, talk of it has had to be coded. A very effective way of doing this is the development of a secret code language known and understood only by those who live in that world. In this way people can talk about illicit drug taking right in front of partners and parents without fear of them catching on.

Drug Free Pennsylvania offers information about commonly abused drugs, such as how they are used, street names, and illustrations.

The Street Drug Slang Dictionary from The Indiana Prevention Resource contains more than 3,800 street drug slang terms from the Indiana Prevention Resource Center files, with more than 1,200 additions from the National Drug and Crime Clearinghouse slang term list. It has a useful search box.

Street Terms Database, from the Office National Drug Control Policy, contains over 2,300 street terms that refer to specific drug types or drug activity. The database is used by police officers, parents, treatment providers and others who require a better understanding of drug culture.

Neurology E-Pearls of the Week

The American Academy of Neurology offers an E-Pearl of the Week sponsored by the Resident and Fellow Section.

Some past topics include:

EEG findings in Moyamoya disease (August 05, 2009)
Provocation of symptoms in Moyamoya disease (July 29, 2009)
Thoracic outlet syndrome and retrograde cerebral embolism (July 22, 2009)
HTLV-1 and tropical spastic paraparesis (July 14, 2009)
Applause sign (July 09, 2009)
Headache in ischemic stroke (July 01, 2009)

Check out the Archives as well.

Related Posts on Pearls:
Current Psychiatry Online Pearls
PURL's from Journal of Family Practice

Tips on Prescribing for Walmart
Clinical Cases Online
CT is Us: Radiology Pearls

Thursday, August 20, 2009

Emergency ECG Training Module Online

The Society for Academic Emergency Medicine offers Emergency Electrocardiography Training Module.

The Module covers basics of reading ECG's, examples of different findings such as tachycardia or afib, and a library of ECG files for you to practice with.

Related Post:
ECG Wave Maven

Immunization Schedules for your PDA


Shots 2009 is a quick reference guide to the 2009 Childhood and Adolescent Immunization Schedules, a collaboration of the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP) and the American Academy of Family Physicians (AAFP), and the 2009 Adult Immunization Schedule, recommended by the Advisory Committee on Immunization Practices (ACIP).

Monday, August 3, 2009

Free Images from the CDC's Public Health Image Library

The CDC maintains a library of images, Public Health Image Library(PHIL) which includes medical illustrations, photos and multimedia files. Many of the images are free, and can be used to supplement presentations.

Topics Include:
Influenza
Natural disasters
Environmental Health
Bioterrorism
Electron micrographic imagery

Health Literacy: The Ask Me 3 Campaign


Ask Me 3 promotes three simple but essential questions that patients should ask their providers in every health care interaction. Providers should always encourage their patients to understand the answers to:
1. What is my main problem?
2. What do I need to do?
3. Why is it important for me to do this?

The National Patient Safety Foundation has materials available for download in aiding communication between physicians and patients including:

Words to Watch(English and Spanish)

Patient Brochure(English - SpanishFrench- ChineseRussian - Arabic)

Ask Me 3 ProgramImplementation Guide(English)


Tuesday, July 21, 2009

Medical Spanish Podcasts

Molly Martin, MD has created Medical Spanish Podcasts along with Maria Bjorklund, Spanish Teacher.

Listen to recordings of dialogues in Spanish on common medical topics, and test yourself with quizzes.

Topics include:

Back Pain
Social History: Alcohol & Drugs
Chest Pain

ECG, Sputum Sample, Mantoux
Blood Test
Swine Flu in the News
Labor & Delivery: Yes and No Questions
Reproductive Health History

Thursday, July 16, 2009

PURL'S from The Journal of Family Practice

PURLs(Priority Updates from the Research Literature), are brief articles that distill the literature to those few articles that are:

  1. relevant
  2. practice-changing
  3. able to be implemented immediately.

PURLs are from studies selected and evaluated using Family Physicians Inquiries Network(FPIN)’s PURL Surveillance System methodology, and published in Journal of Family Practice.

The most recent topics include:

Migraine treatment “tweak” could reduce office visits
AudiocastStop headaches before they start
PURLs Methodology Release date: 7/1/2009Full text

Initiating antidepressant therapy? Try these 2 drugs first
Release date: 7/1/2009Full text

Suspect an eating disorder? Suggest CBT
AudiocastEating disorder clues you can’t afford to miss
Methodology Release date: 5/1/2009Full text

Related Posts on Pearls:

Neurology E-Pearls of the Week
Current Psychiatry Online Pearls
Tips on Prescribing for Walmart
Clinical Cases Online
CT is Us: Radiology Pearls

Friday, June 26, 2009

Medical Book Fair Coming to the Library July 2nd Last Day

MEDICAL BOOK FAIR
In the Medical Library, 5th Floor
Last Day!
July 2nd, 11-5 pm(thurs)
Dolbey's Medical Bookstore is coming to the library for a book fair! They are bringing a variety of books, and can do special orders.
Let me know if there's anything you'd like them to bring, and I'll pass the request on.
There will be giveaways and refreshments, and information about library services.
Come check it out!

Clinical Trial Results & Acronyms

Finding information about results of a clinical trial in the news can be a challenge, but this site, started by Dr. C. Michael Gibson, compiles results in easy to view slide shows, as well as tracking where the results are published.

Clinical Trial Results is an organization of clinical trial researchers whose goal is to objectively and rapidly disseminate clinical trial results to physicians & other health care professionals so that they in turn can educate their colleagues and patients with the ultimate goal of accelerating the delivery of newer treatments.

The site also includes a handy guide to the often cryptic Clinical Trial Acronyms.

Thursday, June 25, 2009

Medical Book Sale Friday 6/26, 8-2

Dolbey's bookstore will be in tomorrow, Friday June 26, 2009, at 8:00 am(note new time), until 2:00 pm. Come check out the pocket guides, or makes special requests for when they come back next week. Snacks too!

Friday, May 29, 2009

PubMed Quick Tip #3: Clinical Queries

Click on the Clinical Queries link on the left side of the screen when you are in PubMed in order to access search filters for Evidence Based Medicine. If you want to know the published evidence for a particular therapy, or diagnostic method, these filters will help narrow down the search.



Related Posts:
PubMed Quick Tip #1: Free Full Text
PubMed Quick Tip #2: Imagine the Perfect Search

Friday, May 22, 2009

PubMed Quick Tip #2: Imagine the Perfect Article


One of my favorite limits is the "title" tag. If you imagine what title a great article would have, those keywords can help you hone in on relevant hits. This is particularly helpful when thousands of hits come up in an unlimited search. Some useful terms include "current concepts," "update," "practical"(or in combination with "approach," "strategies," or "management").

Click the limits tab on the PubMed homepage.

Scroll to the bottom of the limits page and under "Tag Terms" choose "title."

Type your search terms into the search box at the top of the page.

All the articles that come up will have those words in the title.


Related Posts:

PubMed Quick Tip #1: Free Full Text

PubMed Quick Tip #3: Clinical Queries for Evidence Based Medicine

Friday, May 15, 2009

PubMed Quick Tip #1: Free Full Text

Under the limits tab, is a checkbox for "Links to Free Full Text." If you have this checked, all topics you search will provide free articles. Or type in your topic AND free full text[sb] in the search box if you want to search directly from there.

PubMed Medline is like a menu--you look at the descriptions, decide what you want, but the actual food is in the kitchen. About 90% percent of the abstracts do not have the full article available online for free, but a small subset of articles are ready to print.
These come from(1) PubMed Central, the U.S. National Institutes of Health(NIH) repository of full text articles from studies that received NIH funding and 2) Publishers who decide to grant free access to particular articles(for whatever reason they choose).
This is a quick way to find an article, but remember that you are only looking at about 10% of the total articles in PubMed on your topic. Researchers are investigating what kind of effect this has on accuracy of results.
If you search all articles, on the results page, the free ones are indicated with green lettering, so you can pick them out.
Related Posts:
PubMed Quick Tip #2: Imagine the Perfect Search
PubMed Quick Tip #3: Clinical Queries for Evidence Based Medicine
Finding Free Articles in PubMed

Featured Library Book: Cecil Medicine



The Montgomery Hospital Auxiliary generously donated the new edition of Cecil Medicine to the Medical Library.

Cecil's is one of the essential texts of Internal Medicine--by well respected editors, it has been in publication over 75 years. Each chapter indicates which management recommendations are supported by Grade A clinical evidence.

Lots of useful charts, color photos, and color coded sections for easy browsing.

Find it in the Ready Reference section, by the animal crackers, classification/call number WB 100 C38888 2008.


Tuesday, May 5, 2009

A Practical Guide to Clinical Medicine


Dr. Charlie Goldberg, of the University of California San Diego School of Medicine, has put together A Practical Guide to Clinical Medicine. Although the original audience was third year medical students, this guide has relevant information for anyone who needs to do physical exams. Dr. Goldberg's goal is to provide practical information with clinical relevance, and includes review of systems with photos, tips on logistics, presenting, and clinical decision making.

Suturing Video from University of Wisconsin Dept. of Family Medicine

Friday, May 1, 2009

UpToDate Links to Swine Flu Information

Here are some links to UpToDate's sections on Swine Flu, which are available from any networked pc at Montgomery Hospital:
Epidemiology & Diagnosis
Treatment & Prevention
Patient Information

Thursday, April 30, 2009

DynaMed has Swine Flu Info


DynaMed is providing Swine Flu Clinical Info free of charge as a public service, and is available even though we no longer have a subscription.

Friday, April 17, 2009

ClinLabNavigator: Lab Test Info

Clinical Lab Navigator is an online manual of test interpretations and transfusion guidelines, created by Dr. Fred Plapp, author of a book on transfusion medicine.

The primary purpose of this web site is to provide a comprehensive, yet practical, resource of clinical laboratory information for patients, physicians and laboratory professionals. More than 500 laboratory test interpretations, 40 transfusion guidelines, method evaluation protocols, test utilization guidelines and algorithms are provided. The test interpretations and transfusion guidelines were written to help medical students, residents and physicians stay abreast of advancements in laboratory medicine.

For your patients, Lab Tests Online, created by a nonprofit consortium of associations, provides educational information such as:

Coping with Test Pain, Discomfort, and Anxiety
Test Preparation: Your Role
Deciphering Your Lab Report
Follow That Sample: A Short Lab Tour

Thursday, April 9, 2009

Tips on Prescribing for Wal*Mart

RookieDoc has an interesting post about his frustrating and disheartening experience waiting in line to get a prescription filled at Wal*Mart. Here's a link to his observations about making it easier for your elderly patients to get their prescriptions filled:
http://rookiedoctor.net/2008/12/residency-pearls-tips-walmart-pharmacy/

Wal*Mart's $4 prescription plan.

Target's $4 prescription plan.

Related Posts on Pearls:
PURL's from Journal of Family Practice
Neurology E-Pearls of the Week
Clinical Cases Online
Current Psychiatry Online Pearls
CT is Us: Radiology Pearls

Tuesday, March 17, 2009

Online Procedure Guides

Clinical Cases and Images has a nice list of procedure guides, in formats such as video, powerpoint and illustrations.

Topics include:

Central line placement. See also Central line placement with ultrasound guidance.
Thoracentesis (pleural tap)
Paracentesis (ascites tap)
Arthrocentesis (joint tap)
Arterial line placement is illustrated in The Internet Journal of Health.

Tuesday, March 10, 2009

ECG Wave Maven

ECG Wave Maven is a self assessment program for students and clinicians, developed by physicians from Beth Israel Deaconess Hospital and Harvard University, as a way to improve ECG literacy.

Registration Required
Browse the Case List (quiz mode)
Browse with Diagnoses (reference mode)
View a Random Case
View the Most Recent Case
Search Cases by Diagnosis
Provide Feedback to the Authors

Related Post:
Emergency ECG Module

CT is us: Radiology Pearls and More

CT is us is created and maintained by The Advanced Medical Imaging Laboratory (AMIL). AMIL is a multidisciplinary team dedicated to research, education, and the advancement of patient care using medical imaging with a focus on spiral CT and 3D imaging.

25 CT pearls added each month.

Teaching files with 1,000's of cases

Radiology Quiz each month with chance to win prizes

All of the quizzes from April 2006 onward have the answers presented in a Vodcast discussion format. To subscribe to the quiz Vodcasts please see instructions page! This month's prize is a CD: No Line on the Horizon by U2.This month's quiz deadline is March 31. They will post the answers and a new quiz on April 1st

Related Posts on Pearls:
Current Psychiatry Online Pearls

PURL's from Journal of Family Practice

Tips on Prescribing for Walmart

Clinical Cases Online

Neurology E-Pearls of the Week

Monday, February 23, 2009

What are your patients reading or watching?

Health News Review reviews news stories that make a therapeutic claim about:• Specific treatments• Procedures• Investigational drugs or devices• Vitamins or nutritional supplements• Diagnostic and screening tests A multi-disciplinary team of reviewers from journalism, medicine, health services research and public health assesses the quality of the stories using a standardized rating systerm. Stories are graded and critiques are published on this website.

If your patient asks you about something they heard on the news this site is helpful for evaluating the credibility of the claims.

Friday, February 13, 2009

Information Overload

I have been giving links to different sources of information, and that can be a good thing(as a librarian I tend to think this!), but there is also the challenge of information overload.

The ability to find relevant, accurate, helpful information to answer clinical questions is a skill that can be learned, but it's not all about looking at more and more sites.

Ask yourself:
  • Which sites are easier for me to navigate? Medline comes in many interfaces from PubMed to Ebsco Medline, plus many others.
  • Have I looked at the sources that are respected by others in my field, or who are experts in their field? Medical Associations often issue guidelines based on extensive research and discussion.
  • Am I avoiding looking things up because I don't know where to start and feel overwhelmed? If you work backwards, starting with a guideline from a site like Guideline.gov, or a chapter from Uptodate, you can see where the writers got their information in their list of references.

Remember that I am available for questions you might have, which is another way to deal with information overload.

BMC Family Practice Journal

BMC Family Practice is an open access journal publishing original peer-reviewed research articles in all aspects of primary health care, including clinical management of patients, professional training, shared decision making, and the organisation and evaluation of health care in the community.

Monday, February 2, 2009

How do I find an article? Part 2: PMID number








The PMID number is a unique identifier for medical articles. While it's nice to have authors, title, page numbers etc., the PMID is a quick and easy way to capture that information. You'll find the PMID number at the end of each reference in PubMed. It also pops up in Uptodate--they provide a list of articles the author consulted for whatever section you are reading. So for example:
  1. If you want to read one of these original articles, go to the references at the end of the section.
  2. Click on the one you are interested in.

  3. Look at the bottom of the page for the PMID number.

  4. The PMID number is a unique identifier for articles in Medline, and if you type it into the search box, either you will get the full text article(yay!!) or need to provide a credit card number to the publisher for "pay per view."

Friday, January 23, 2009

Free Online English-Spanish Dictionary of Healthcare Terms

The English-Spanish Dictionary of Health Related Terms has
nearly 14,000 terms covering topics such as emergency and disaster preparedness, terms related to anatomy, signs and symptoms, communicable diseases, chronic diseases, maternal and child health, nutrition, occupational health, environmental health, oral health, mental health, substance abuse, domestic violence, and traditional medicine. Also, many popular terms used in Mexico and Central America to describe signs and symptoms of illness have been included in the dictionary.

A project of the Health Initiative of the Americas, this guide is available as a pdf file, and is freely available in order to help strengthen communication between Spanish speaking people and healthcare workers.

Related Post:
MedicalSpanish.com

Monday, January 12, 2009

How do I find a full text article? Part 1: Medline




Where do I find articles? In 1959, Librarian Herman H. Henkle's print journal collection, might have been your source! But in 2009, you have more options.

There are still a few print journals left on the shelves at Montgomery Hospital's Library, but most of your articles will come from three sources:


1. Medline is the largest database of article information. The National Library of Medicine(NLM) funded by the U.S. government, employs a large staff of librarians to summarize medical articles, and assign subject headings/tags to each one. The data is freely accessible, and many companies repackage it with different interfaces.

PubMed Medline: This interface is produced by the NLM, and is available from any computer for free. If you want free full text though, only 10% of the articles have a link to the full text online from the publisher. To restrict to full text articles, click the limits button, and choose the "links to free full text" option.

2. Interlibrary Loan NOTE due to closure of the library interlibrary loan is not available.

3. Google: Sometimes, if you are fortunate, a publisher will post an article in free full text to the web, perhaps because of the public health implications, or just because they feel like it.

Related Posts:

How do I find an article? Part 2: PMID Number

Tuesday, January 6, 2009

Explaining things with medical analogies



Altoona Hospital's Family Practice program has a list of medical analogies to help explain disease concepts to patients if they are having difficulty understanding. Analogies tell a kind of story, explaining a disease in terms of another subject that is more familiar, for instance comparing the risks of hypertension to pressure in a pipe, that often isn't noticed until the pipe bursts.
For other analogies check out http://www.scienceanalogies.info/webanalogylinks.html