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PubMed and Beyond: Clinical Resources from the National Library of Medicine

PubMed and Beyond: Clinical Resources from the National Library of Medicine. Kate Flewelling , MLIS National Network of Libraries of Medicine, Middle Atlantic Region. National Network of Libraries of Medicine (NN/LM). NN/LM, formerly Regional Medical Library Program

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PubMed and Beyond: Clinical Resources from the National Library of Medicine

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  1. PubMed and Beyond: Clinical Resources from the National Library of Medicine Kate Flewelling, MLIS National Network of Libraries of Medicine, Middle Atlantic Region

  2. National Network of Libraries of Medicine (NN/LM) • NN/LM, formerly Regional Medical Library Program • Established in the Medical Library Assistance Act (1965) • Mission • Provide health professionals and the general public with equal access to biomedical information • Coordinated by the National Library of Medicine • 8 Regional Offices • Support Network members to achieve NN/LM mission • 5-year contracts

  3. National Library of Medicine Part of the National Institutes of Health, NLM is the provider of PubMed.gov, MedlinePlus.gov, and many other health information resources http://www.nlm.nih.gov

  4. Resources for Clinicians • Patient Education • Drug Information • Clinical Effectiveness • Literature

  5. Similar Names; Different Content! PubMed (access to journal articles and more) PubMed Health (clinical effectiveness) PMC (PubMed Central – free full text) And if that wasn’t enough… MEDLINE (database of scholarly articles) MedlinePlus (website for consumers)

  6. Patient Education • Over half of US adults have looked online for health information in the past year. • 35% of US adults have used the Internet to self-diagnosis, but only half of them talked to a clinician about what they found online. • 54% of those 65+ are online—and over half of them have looked up health information online in the past year. Source: Pew Internet and American Life Project (2013) http://www.pewinternet.org/

  7. MedlinePlushttp://medlineplus.gov/

  8. MedlinePlus In a Nutshell • Over 900 health topics in English and Spanish • Drug and herbal supplement information • Videos and animations • Surgery videos • Health Check tools • Easy-to-read Materials • Multiple Languages • Medical Dictionary & Encyclopedia • Health News

  9. Topics • Caregivers • Prescription Drug Abuse • Elder Abuse • Tick Bites • Gay, Lesbian, Bisexual and Transgender Health • Self-Harm • Coping with Chronic Illness • Osteoporosis • Food Allergy • Cardiac Rehabilitation • Ostomy

  10. Post-traumatic stress disorder

  11. Health Topic: PTSD

  12. Link MedlinePlus to EHRs! http://www.nlm.nih.gov/medlineplus/connect/overview.html

  13. Genetics Home Reference

  14. Resource for genetic conditions, including rare diseases

  15. Information Rxhttp://informationrx.org/ • Refer people to MedlinePlus and Genetics Home Reference • Order special prescription pads and other materials • Help people: • better understand health information • enhance conversations between healthcare providers and patients • encourage the use of evidence-based health information on the Internet

  16. Drug Information Portalhttp://druginfo.nlm.nih.gov/

  17. Drug Information Portal: Haldol

  18. Pillbox http://pillbox.nlm.nih.gov/ Pillbox enables rapid identification of unknown solid-dosage medications (tablets/capsules) based on physical characteristics and high-resolution images. Once a medication is identified, Pillbox provides links to drug information and drug labels.

  19. Clinical Effectiveness What works? • Systematic Reviews • evidence syntheses • comparative effectiveness reviews • health technology assessments

  20. PubMed Healthhttp://www.ncbi.nlm.nih.gov/pubmedhealth • Clinical effectiveness research • Summaries for practitioners and consumers • Systematic Reviews • Partners include: AHRQ, Cochrane, NHS

  21. Often #1 Search Result in Google(but the source isn’t obvious)

  22. Google Points to Encyclopedia Entry

  23. Content Areas

  24. Search Results

  25. Finding Quality Systematic Reviews • Database of Abstracts of Reviews of Effects (DARE) provides assessments of reviews

  26. A Few Tips for PubMed Health • Searching is much more efficient than browsing • Consider alternate spellings (labor, labour) because of European sources • The Help section includes detailed examples for citing resources from PubMed Health • Expect enhancements over time

  27. Search results-antipsychotics elderly

  28. Find Literature Fast PUBMED

  29. PubMed http://www.pubmed.gov/

  30. What is PubMed? • The world’s premiere biomedical bibliographic database • Online access to the MEDLINE database • Contains more that 22 million citations to journal articles in these major content areas: • Biomedical Sciences • Nursing, Dentistry, Pharmacy and Allied Health • Veterinary Medicine • Preclinical sciences

  31. 3 ways to speed up your search • Use clinical queries to limit to clinical research areas • Use filters to limit your search quickly • Once you have one good article, click Related Citations to see more like it.

  32. Clinical Queries Evidence-based search filters Systematic Reviews Therapy Etiology Prognosis Diagnosis Clinical Prediction Guides

  33. PubMed Search Tips and Tricks • Designed to be easy to use • A few tricks make it even more powerful • Tutorials help you master the skills to become an efficient, expert searcher

  34. Be specific Don’t use punctuation (quotation marks) Don’t worry about capitalization A PubMed Subject Search

  35. Use key words for main concepts Leave out words like the, of, for The word “and” is a Boolean operator; it is assumed and automatic Author and journal key words work too! Examples

  36. Automatic Term Mapping (ATM) PubMed uses Automatic Term Mapping which recognizes thousands of concepts and maps to an appropriate term. ATM checks these tables: • Subjects (MeSH – Medical Subject Headings ) • Journal Titles • Authors

  37. Search Details Show Mapping

  38. Phrase Searching aids drugs breast feeding = 418 (processed using ATM, many relevant results) “aids drugs” AND “breast feeding” = 3 (very limiting; okay for specific items)

  39. Show Additional Filters for more options

  40. Related citations

  41. Filter to Free Full Text

  42. NLM Mobile Apps and Sites Quality resources for clinicians, researchers, emergency responders, and the general public • PubMed • Drug Information Portal • MedlinePlus • AIDSInfoand HIV/AIDS Glossary • and many more

  43. NLM Mobile Guide http://www.nlm.nih.gov/mobile-app/

  44. Links to all resources http://guides.nnlm.gov/mar_clinical

  45. Questions?

  46. Thank You! • Kate Flewelling, MLIS • National Network of Libraries of Medicine, Middle Atlantic Region • http://nnlm.gov/mar/ • flewkate@pitt.edu This project has been funded in whole or in part with Federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract No. HHS-N-276-2011-00003-Cwith the University of Pittsburgh, Health Sciences Library System.

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