National Library of Medicine: Overview of Electronic Resources

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1 National Library of Medicine: Overview of Electronic Resources Presented at the UNCFSP/HBCU-NLM Access Project ehealth Conference Bethesda, Maryland June 10, 2008 Nicole Dancy and Shannon Baldwin National Library of Medicine Specialized Information Services Division

2 The National Library of Medicine The world s largest biomedical library Part of the National Institutes of Health

3 Why the National Library of Medicine? Easy Quick access Quality information Free

5 NLM Resources Covered Today Medical Resources MEDLINE /PubMed MedlinePlus ClinicalTrials.gov AIDSinfo Other Resources DIRLINE EH/Tox Resources Tox Town Household Products TOXMAP LactMed Drug Information Portal

8 PubMed Search tool for accessing literature citations from NLM s premiere bibliographic database, MEDLINE, and other databases Special Features Updated daily Clinical query filter Special Queries Directory Related articles Links to other NLM-related resources Links to full-text journals at Web sites of participating publishers

9 MEDLINE Overview Over 16 million references dating back to 1950 Citations and author abstracts from more than 5,000 worldwide journals Majority of records (about 90%) are English language sources Approximately 79% of the citations include English language abstracts Most articles are written for the health care professional Spell check feature

10 MEDLINE Subject Coverage Clinical, research, educational, and administrative aspects of Dentistry Medicine Nursing Veterinary Medicine Allied Health Pre-clinical Sciences

11 Access Or.. Click the MEDLINE/PubMed link on NLM s home page:

13 MedlinePlus User-friendly source Health information for patients and the public Credible sources Easy-to-read language Links to MEDLINE/PubMed searches Spanish version

14 MedlinePlus Current Health News Over 750 Health Topics Over 15 million page views per month Over 165 Interactive Tutorials Drugs & Supplements Information Illustrated Medical Encyclopedia Medical Dictionary with over 60,000 definitions News items from the past 30 days Directories of physicians and health care facilities Multiple Languages

15 MedlinePlus Other Resources Organizations Libraries Databases Videos of surgical procedures Health Check Tools MedlinePlus magazine

Access Or.. Click the MedlinePlus link on NLM s home page: http://www.nlm.

16 Access Or.. Click the MedlinePlus link on NLM s home page: Spanish version:

18 AIDSinfo Offers the latest federally approved information on HIV/AIDS clinical research, treatment and prevention, and medical practice guidelines for consumers and health care providers Audience HIV/AIDS patients, their families and friends, health care providers and researchers

19 AIDSinfo AIDSinfo is a U.S. Department of Health and Human Services (DHHS) project sponsored by the following U.S. Federal government agencies: National Institutes of Health National Library of Medicine Centers for Medicaid and Medicare Services Health Resources and Services Administration Centers for Disease Control and Prevention

20 AIDSinfo Contents Guidelines Drugs Clinical Trials Vaccines Live Help Publications PDA Tools HIV/AIDS Glossary

21 Access

23 ClinicalTrials.gov Developed by the U.S. National Institutes of Health (NIH), through its National Library of Medicine (NLM) in collaboration with NIH Institutes and the Food and Drug Administration (FDA) Easy access to information on clinical trials for a wide range of serious or life-threatening diseases and conditions Language intended to be suitable for general public Studies included conducted in 50 states and more than 100 countries

24 Types of Clinical Trials Treatment trials Test new treatments, combinations of drugs, or new approaches Prevention trials Look for better ways to prevent disease Screening trials Determine best way to detect a disease or health condition Quality of life (or supportive care) trials Explore ways to improve the quality of life

25 ClinicalTrials.gov Content Abstracts of Clinical Study Protocols that include Summary of the purpose of the study Recruiting status Criteria for patient participation Location of the trial and specific contact information Links to online health resources, including MedlinePlus, MEDLINE/PubMed and Genetic Home Reference

26 Access Or.. Click the Health Information link on NLM s home page: Then click the link to ClinicalTrials.gov from that page

28 DIRLINE Contains over 8,000 records Includes national health/biomedical information resources and groups with other special interests Information includes Names Addresses Telephone numbers Internet addresses Interests Activities Services s

29 Hot Tips Use general terms when searching DIRLINE Keep the search simple to maximize retrieval Click on the box beside MeSH Headings/Keywords to help refine your search Do not use Boolean Commands

30 Access

33 NLM s s Environmental Health & Toxicology Portal Information portal for environmental health and toxicology resources and services Toxicology and Environmental Health Information Program Established in 1967 as the Toxicology Information Program Expanded in mid-1990s to include environmental health Part of NLM s Division of Specialized Information Services (SIS)

34 NLM s s Environmental Health & Toxicology Information Resources TOXNET System of Databases (including ChemIDplus and specialty databases) Topics Chemicals and Drugs Diseases and the Environment Environmental Health Occupational Safety and Health Poisoning Risk Assessment and Regulations Toxicology Pesticide Exposure

35 NLM s s Environmental Health & Toxicology Information Resources Reference Tools A to Z List of Resources TOXNET Training Manual News, Calendar of Events, and FAQ List Links to NLM Listservs NLM-TOX-ENVIRO-HEALTH-L WISER MedlinePlus Environmental Health Announcement List Glossary and Tutorials Publications and Reference Materials List of NLM Databases and Resources

36 NLM s s Environmental Health & Toxicology Information Resources More to Explore Radiation Event Medical Management (REMM) ToxMystery ToxSeek Enviro-Health Links WISER - Wireless Information System for Emergency Responders ALTBIB - Alternatives Bibliography Toxicology Tutorials and Web Links Education and Career Links Health Services Research & Public Health Information Programs

37 The NLM TOX/ENV Listserv From the NLM Environmental Health and Toxicology portal: under Reference Tools, click: NLM-TOX-ENVIRO-HEALTH-L

38 Access Comments?

40 Tox Town Provides an interactive guide to the toxic chemicals and environmental health risks associated with everyday life Uses color, graphics, sounds, and animation to add interest to learning about connections between chemicals, the environment and the public s health Offers a number of resources en español

41 Tox Town Content Tox Town provides information on Everyday locations where toxic chemicals might be found Non-technical descriptions of chemicals Human health impacts of chemical exposures Links to chemical information and environmental health topics on the Internet Tox Town neighborhoods scenes include Port City Town Farm US Mexico Border

42 Tox Town Organization Tox Town contains both location and chemical links Each neighborhood has multiple buildings and settings, including interior views of some buildings Toxic chemicals and health effects associated with specific locations are presented Chemicals are described in non-technical language and linked to additional sources of information about health effects

43 Access

45 Household Products Database Allows scientists and consumers to research household products based on chemical ingredients Links over 7,000 consumer brands to potential health effects from Material Safety Data Sheets (MSDS) Provides access to toxicology-related databases for additional information on chemicals

46 Household Products Database Content Contains the following information on specific brands of products: Chemical ingredients Manufacturing information Acute and chronic health effects of ingredients Hazard Ratings Safe handling and disposal information

47 Browsing Household Products

48 Searching Household Products Quick Search in all fields Search products by brand names, types of products, and manufacturers Search ingredients by chemical names or CAS Number Search Health Effects for effects of products using text word search Search TOXNET

49 Access

TOXMAP A Geographic Information System (GIS) that Allows users to visually explore data from the Toxics Release Inventory (TRI) and EPA s Superfund Program Helps users create nationwide or local area

51 TOXMAP A Geographic Information System (GIS) that Allows users to visually explore data from the Toxics Release Inventory (TRI) and EPA s Superfund Program Helps users create nationwide or local area maps showing where chemicals are released into the air, water, and ground Overlays map data for population groups, income figures, and health statistics Identifies releasing facilities, color-codes release amounts for a single year, and provides multi-year chemical release trends, starting with 1987

52 Map Types and Features Releases. Color-coded circles indicate amount of total environmental releases in a single calendar year. Facilities. Small white squares indicate facilities with reported chemical releases as well as those transferring chemicals offsite. Trends. Colored triangles indicate the degree of change in total environmental release amounts. Combination/Custom. Create maps using both TRI and Superfund data. Map Options. Overlays for displaying map data (census demographics, income data, health data, cities, and roads).

53 TOXMAP Links TOXMAP provides information/links to the following databases: EPA s Toxics Release Inventory (TRI) Hazardous Substances Data Bank (HSDB) TOXLINE Agency for Toxic Substances and Disease Registry Superfund Program/CERCLA National Atlas of the United States of America

54 Other TOXMAP Data Sources U.S. Census U.S. Geological Survey s National Atlas National Weather Service OST/SEC GIS Map Group U.S. Bureau of Economic Analysis National Center for Health Statistics Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS ) GeoGratis Centers for Disease Control and Prevention

55 Access

57 LactMed Drugs and lactation database Over 500 chemical records Peer reviewed Maintained by the National Library of Medicine Derived from the scientific literature Fully referenced 57

58 LactMed Content Covers drugs and other chemicals to which breastfeeding mothers may be exposed Drug levels in maternal breast milk and infant blood Adverse effects in breastfed infants and on lactation Therapeutic alternatives to drugs American Academy of Pediatrics (AAP) category indicating the level of compatibility of the drug with breastfeeding 58

59 LactMed Sources LactMed provides information/links from these sources: AAP Breastfeeding Resources American Academy of Family Physicians (AAFP) Breastfeeding Position Paper Breastfeeding from the National Women's Health Information Center Academy of Breastfeeding Medicine United States Breastfeeding Committee 59

60 Searching LactMed Drug or chemical name, CAS Registry Number, pharmacologic category, and/or subject terms Direct links/searches to other NLM databases Only drugs marketed in the United States are included 60

61 Access

63 Drug Information Portal Current information on more than 15,000 drugs Information includes consumer health, clinical trials, AIDS-related drug information, MeSH pharmacological actions, and PubMed biomedical literature Links to Current news topics NLM drug information resources NLM research resources Other NIH and government resources (e.g, FDA, CDC)

64 Access

65 NLM Database Assistance Training Manuals PubMed, NLM Gateway, ClinicalTrials.gov, TOXNET PubMed Help/FAQ and Tutorial (see links on sidebar) NLM Fact Sheets Help Links for TOXNET Databases (see links under Support Pages )

66 NLM Database Training June 11 9:00 a.m. 3:00 p.m. University of the District of Columbia

67 Contacting the National Library of Medicine for Database Assistance Toll-free: 888-FIND-NLM ( )

Evidence-Based Practice Literature Search Skills

Evidence-Based Practice Literature Search Skills Elaina Vitale, MLIS National Network of Libraries of Medicine, Middle Atlantic Region November 3, 2017 NLM Health Outreach The National Library of Medicine