# Presentation: 635849

## Linda Milgrom, MLS
National Network of Libraries of Medicine
Pacific Northwest Region 
University of Washington, Seattle, WA
lmilgrom@u.washington.edu

**National Network of Libraries of Medicine**
**Pacific Northwest Region **
**University of Washington, Seattle, WA**
**lmilgrom@u.washington.edu**

**Public Health Info and Data:  Reliable Sources for Busy People **

## Objectives

- Describe web resources for evidence-based public health practice
- Identify authoritative consumer materials to support public health education
- Describe different tools to navigate the web to find public health resources

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## Do You Need...

- Practice Guideline/Evidence
- Professional literature (journal articles)
- Consumer/Patient Info
- A fact or data set
- To contact a colleague
- News item, image, or ???

## PubMedhttp://pubmed.gov

- Includes 15 million citations, dating back to 1950
- Indexes 4,800 biomedical journals
-  Covers all aspects of biosciences and healthcare
- 75% of citations have abstracts
- Updated DAILY

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## Advantages of PubMed

***Free***
***Links*** to publisher’s sites for full-text journals
- Or, can ***order*** full-text journal articles
***Clinical Queries***/***Systematic***** *****Reviews***** **section limits retrieval to evidence-based citations

## More Advantages of PubMed

- Can easily ***limit*** your search to:
- Age groups
- Human or Animal studies
- Language
- Review articles
- Subsets, such as Core Clinical Journals or CAM
***Clipboard*** allows you to save citations from one search or several searches that you may want to print, save, email, or order
***My NCBI ***allows you to save search strategies in order to generate updates - including automatic e-mail updates

## E-Journals

- Check with your library for access to
- 	full-text e-journals
- For UW Affiliates: use the Proxy service to access full-text e-journals from off-campus *http://healthlinks.washington.edu/howto/connect/*

## Order Articles(possible charges)

- From your local health library
- From a public or academic library
- Use PubMed’s Loansome Doc ordering feature
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## What is evidence-based public health?

- Evidence-based public health is the conscientious, explicit, judicious use of the current best **evidence** in making  decisions in routine PH practice, and in developing PH policies and programs.
- EBPH practice requires integrating practitioner expertise, accumulated PH and basic science knowledge, and regulatory requirements,  with best **evidence** from systematic research.

- 	Definiton based on: Sackett DL et al. *Evidence based medicine: what it is and what it isn't.**   *
- 	BMJ 1996   Jan 13; 312 (7023): 71-2.

**Notes:**
Evidence-based practice uses the results of scientific studies whenever possible and expert opinion and extensive experience when data are lacking. 

## EBP and Guidelines Resources

*PubMed* Clinical Queries/Systematic Reviews
*National Guideline Clearinghouse*
*	**http://www.guideline.gov/*
*Trip Database   **http://www.tripdatabase.com/*
*Cochrane Library* (fee): gold standard

## PubMed Stategies for Evidence-Based Citations

*PubMed** *Limits
- Randomized Controlled Trial
- Meta-Analysis
- Practice Guideline
- Clinical Trial
*PubMed* Clinical Queries* *and* *Systematic Reviews*         *

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## Fluoridation dental caries

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## http://www.guideline.gov

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## TRIP Database

- http://www.tripdatabase.com

## TRIP Database

- http://www.tripdatabase.com

## Information Overload!

- 2 million articles published in biomedical journals each year
- considering everything of potential biomedical importance would require perusing about 6,000 articles per day...
- If you only read  2 articles a day, at the end of year  you would be 60 centuries behind.

- Lundberg GD. Perspective from the editor of JAMA, The Journal of the American Medical Association.
-  *Bull Med Libr Assoc.* 1992 Apr;80(2):110-4.

## PubMed:  MY NCBI

- Your personal space on the NLM computer system for storing search strategies to generate updates
- Free registration required
- NEW!!!: recent *PubMed* citations sent automatically to your email

## My NCBI

- Go to: http://pubmed.gov/
- And click on My NCBI

## Best Consumer Health Resource

**MedlinePlus**** **
***	******http://medlineplus.gov/***
**#1 SOURCE** for quality consumer/patient information
- Includes drug information
- Spanish version
- Predesigned *PubMed* searches
- Interactive tutorials
- News

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## Do you need...

- Articles or research studies:
- 	Go to *PubMed*
- Information written for consumers/patients:
- 	Start with *MedlinePlus*

## Additional Patient Ed Resources

- Healthfinder	*http://healthfinder.gov/*
- MEDEM	*http://www.medem.com/*
- NIH Health Information *http://health.nih.gov/*
- ToxTown 	*http://toxtown.nlm.nih.gov/*
- Household Products Database
*	**http://hpd.nlm.nih.gov/*

## Tox Town 		http://toxtown.nlm.nih.gov/

- Tox Town 		http://toxtown.nlm.nih.gov/

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## http://hpd.nlm.nih.gov/ 

- http://hpd.nlm.nih.gov/

## Miracle Gro for Roses 18-24-16 

**Miracle Gro for Roses 18-24-16**

## Cross-Cultural Healthcare Resources

- EthnoMed
*	**http://ethnomed.org/*
- 	A cross-cultural medicine database containing information about cultural beliefs and medical issues pertinent to healthcare of ethnic groups in Seattle area
- Culture Clues *http://depts.washington.edu/pfes/cultureclues.html*
- 	Tip sheets designed to increase awareness about concepts and preferences of patients from diverse cultures

## http://ethnomed.org/ 

- http://ethnomed.org/

## Somali Health and Illness

**Somali Health and Illness**

**Notes:**
Somali Asthma Cultural Profile

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## http://depts.washington.edu/pfes/cultureclues.html

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## http://phpartners.org/ 

- http://phpartners.org/

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## http://phpartners.org/hp/ 

- http://phpartners.org/hp/

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## FastStats

- http://www.cdc.gov/nchs/fastats/

## http://www.statehealthfacts.kff.org/ 

- http://www.statehealthfacts.kff.org/

## 					
     And then there’s Google

***     ******And then there’s Google***

## Navigation Difficulties

- Size of the Web
- Lack of control or review
- Lack of quality standards

**Notes:**
The web contains over 4.3 billion pages of  information.
Combined coverage of eleven majorsearch engines is 42% of the Web.
No individual search  engine coversmore than 16% of the Web.
Overlap between individual searchengines is low.

## View cached page to resurrect dead pages
Includes similar pages feature
Search for images
Includes pdf and other file types
Search within results

- Includes *similar pages* feature
- Search for *images*
- Includes *pdf* and other file types
*Search within results*

- Google Special Features *http://www.google.com/*

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## Google Advanced Search Features

- File Format, *i.e.* pdf
- Date, *i.e.* pages updated in last 3 months
- Occurrences, *i.e.* terms appear in title
- Domain, *i.e.* .gov, .edu
- Links, *i.e.* pages that link to the page

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## Contact Your Ultimate Search Engine... a librarian!

**Notes:**
Combined experience:

University of Washington Health Sciences Libraries
Library Liaisons to the UW Department of Pediatrics:
Janet Schnall: 38 yrs
Leilani St. Anna: 20 yrs

Children’s Hospital Librarians:
Susan Klawansky: 15 yrs
Kathleen McCrory: 17 yrs

Total: 90 years experience

Librarians are integral proactive members of interprofessional teams.
Help find info, teach how to use information resources, how to manage info. 
After looking for 10-15 minutes, call us.

## For more information...

- If you are affiliated with a hospital or educational institution with a library, contact the librarian.
- Montana State Library will assist state employees.
- Or, contact the National Network of Libraries of Medicine (NN/LM) for referral, exhibits, workshops, classes, and project collaborations
- 	NN/LM		800.338.7657
- 	Linda Milgrom	206.221.3200
- 	lmilgrom@u.washington.edu