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Janet G Schnall, MS, AHIP

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Identify 10 ways to improve public health practice using internet resources ... Healthfinder http://healthfinder.gov/ MEDEM http://www.medem.com ... – PowerPoint PPT presentation

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Title: Janet G Schnall, MS, AHIP


1
Optimizing the Use of Internet Resources in
Public and Community Health Practice
  • Janet G Schnall, MS, AHIP
  • Information Management Librarian
  • Health Sciences Libraries
  • University of Washington, Seattle, WA
  • schnall_at_u.washington.edu

2
Objectives
  • Identify 10 ways to improve public health
    practice using internet resources
  • 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

3
1Search a Database
4
Databases
  • PubMed http//pubmed.gov
  • CHID Online http//chid.nih.gov
  • TOXNET http//toxnet.nlm.nih.gov

5
PubMed
  • Includes MEDLINE (1950s to present) and
    PREMEDLINE
  • Indexes 4,800 biomedical journals
  • Covers all aspects of biosciences and healthcare
  • 75 of citations have abstracts
  • Updated DAILY

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Related Articles
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Advantages of PubMed
  • Free
  • Links to publishers sites for full-text journals
  • Or, can order full-text journal articles
  • Clinical Queries/Systematic Reviews section
    limits retrieval to evidence-based citations

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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

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http//healthlinks.washington.edu/howto/pubme
d/
Try
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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/

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Open Access Journal Sites
  • BioMed Central
  • http//www.biomedcentral.com/
  • Independent publishing house providing immediate
    free access to peer-reviewed biomedical research
  • Includes BMC Public Health
  • PubMed Central
  • http//pubmedcentral.gov/
  • National Library of Medicine's free digital
    archive of biomedical and life sciences journal
    literature

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Order Articles Online for a Fee
  • Document Services/University of Washington
    https//healthlinks.washington.edu/hsl/docservices
    /services.html
  • Loansome Doc
  • https//healthlinks.washington.edu/hsl/docservice
    s/lds-na.html
  • Allows you to order full-text articles after
    searching PubMed

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TOXNEThttp//toxnet.nlm.nih.gov
  • Databases in toxicology and environmental health,
    including
  • TOXLINE toxicology bibliographic information
  • HSDB Hazardous Substances Data Bank
  • DART Developmental and Reproductive Toxicology
  • TRI Toxics Release Inventory
  • IRIS human health risk assessment
  • GENE-TOX mutagenicity test data
  • CCRIS carcinogenicity and mutagenicity data
  • ITER chemical risk information

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2Search for Evidence
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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.

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EBP and Guidelines Resources
  • PubMed Clinical Queries/Systematic Reviews
  • http//www.ncbi.nlm.nih.gov/entrez/query/static/
  • clinical.shtml
  • Cochrane Library (fee) gold standard
  • http//www3.interscience.wiley.com/cgi-bin/mrwhom
    e/106568753/HOME
  • National Guideline Clearinghouse
  • http//www.guideline.gov/
  • Trip Database http//www.tripdatabase.com/

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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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obesity American Indians
obesity american indians
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Cochrane Library
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http//www.ngc.gov
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TRIP Database http//www.tripdatabase.com
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3Keep Current with Email Alert Services and
Health News
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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 Apr80(2)110-4.

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What are Email Alert Services?
  • Deliver current citations into your email
  • Based on a search strategy you create
  • In most cases, abstracts of the articles are
    provided
  • May provide links to PubMed and full-text articles

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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

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My NCBI
My NCBI Go to http//pubmed.gov/ And click on My
NCBI
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Health News
  • CNN Health http//www.cnn.com/HEALTH/
  • New York Times Health
  • http//www.nytimes.com/pages/health/
  • USA Today Health http//www.usatoday.com/news/he
    alth/front.htm
  • World Health News
  • http//www.worldhealthnews.harvard.edu/
  • Yahoo! News
  • http//news.yahoo.com/

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4Explore Health Education/Patient Ed Sites
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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

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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/

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Tox Town http//toxtown.nlm.nih.gov/
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http//hpd.nlm.nih.gov/
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Miracle Gro for Roses 18-24-16
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  • 5
  • Use Cross-Cultural Healthcare Resources

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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/cul
    tureclues.html
  • Tip sheets designed to increase awareness about
    concepts and preferences of patients from diverse
    cultures

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http//ethnomed.org/
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Somali Health and Illness
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http//depts.washington.edu/pfes/cultureclues.html
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  • 6
  • Explore Public Health Websites

64
Key Public Health Websites
  • American Public Health Association
    http//www.apha.org/
  • CDC Centers for Disease Control and
    Prevention http//www.cdc.gov/
  • EPA Environmental Protection Agency
    http//epa.gov/
  • NIH National Institutes of Health http//www.nih.
    gov/

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http//www.cdc.gov/
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More Key Public Health Websites
  • Northwest Center for Public Health Practice
    http//healthlinks.washington.edu/nwcphp/
  • Partners in Information Access for Public Health
    Workforce http//phpartners.org/
  • Public Health Foundation
  • http//www.phf.org/links.htm
  • Washington State Department of Health
  • http//www.doh.wa.gov/

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http//healthlinks.washington.edu/nwcphp/
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http//phpartners.org/
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http//phpartners.org/hp/
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  • 7
  • Find Statistical Resources

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Useful Statistical Websites
  • American FactFinder http//factfinder.census.gov/
    home/saff/main.ht ml?_langen
  • FastStats A to Z http//www.cdc.gov/nchs/fastats/
  • Fedstats http//www.fedstats.gov/
  • National Center for Health Statistics http//www.c
    dc.gov/nchs/
  • State Health Facts Online http//www.statehealthf
    acts.kff.org/
  • Statistical Abstract of the United
    States http//www.census.gov/statab/www/

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FastStats http//www.cdc.gov/nchs/fastats/
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FedStats http//www.fedstats.gov/
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http//www.statehealthfacts.kff.org/
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Public Health Data
  • CDC Wonder http//wonder.cdc.gov/
  • Washington State Health Data http//www.doh.wa.gov
    /Data/data.htm

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  • 8
  • Navigate the Web Beyond Google

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Navigation Difficulties
  • Size of the Web
  • Lack of control or review
  • Lack of quality standards

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Google Special Features http//www.google.com/
  • View cached page to resurrect dead pages
  • Includes similar pages feature
  • Search for images
  • Includes pdf and other file types
  • Search within results

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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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Meta-Search Engines
Allow you to send searches to more than one
search engine at a time
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Meta -Search Engines
Vivisimo
http//www.vivisimo.com/
DogPile
http//www.dogpile.com/
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Vivisimohttp//www.vivisimo.com/
  • All the speed and functionality of Google, with
    clustering added
  • Clustered results in left margin
  • Why use clustering?
  • Learn at a glance types of information available
  • Uncover results that are otherwise buried

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  • 9
  • Evaluate Web Resources

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Evaluation Strategies
  • Evaluate using Criteria for Evaluating Web
    Resources
  • Determine the type of site by analyzing Web Site
    Addresses
  • A User's Guide to Finding and Evaluating Health
    Information on the Webhttp//www.mlanet.org/resou
    rces/userguide.html

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Criteria for Evaluating Web Resources
  • Authority
  • Accuracy
  • Objectivity
  • Currency
  • Coverage
  • Design

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Analyze the Website AddressURL (Uniform
Resource Locator)
  • edu
  • org
  • com
  • gov

how information is transmitted
sub directory
http//www.cdc.gov/nip/child.htm
filename
name of host computer
97
10Contact Your Ultimate Search Engine a
librarian!
98
Final Thoughts Key 5 Resources
  • PubMed, including Clinical Queries and My NCBI
  • MEDLINEplus
  • EthnoMed
  • Partners in Information Access for Public Health
    Workforce
  • Advanced Google

99
For more information
  • If you are affiliated with the UW, contact the
    nursing library liaison
  • Janet G. Schnall, MS,AHIP
  • 206.543.7474
  • schnall_at_u.washington.edu
  • Or, contact the National Network of Libraries of
    Medicine (NN/LM) for exhibits, workshops,
    classes, and project collaborations
  • NN/LM 800.338.7657
  • Linda Milgrom 206.221.3200
  • lmilgrom_at_u.washington.edu

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Optimizing the Use of Internet Resources in
Public and Community Health Practice
  • PowerPoint presentation located
    http//healthlinks.washington.edu/hsl/liaisons/sch
    nall/
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