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: