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FAQ: Reference Using the OHSU Library Web Site |
9. Finding Other Locations for Journals and Books
11. Evidence-Based Medicine Tools
12. Guidelines
1. About MEDLINE Interfaces
MEDLINE is the index to medical journals maintained by the National Library of Medicine and the content is for the most part the same no matter which interface is chosen.
OHSU Library Databases
- OHSU recommends the Ovid MEDLINE interface as the quickest, most accurate way to search in a database covering more than 4,600 journals, but remember that some additional access to medical literature is available through the other interfaces.
- To find journal articles using a "keyword and relevance ranking" technic, search MEDLINE, in the PubMed interface at NLM.
http://www.ohsu.edu/library/databases/
PubMed
http://pubmed.gov
2. Library Catalogs
OHSU Library Catalog
http://catalogs.ohsu.edu
includes the holdings of the Oregon Graduate Institute (OGI), the Oregon National Primate Research Center (ONRPC), and the National College of Naturopathic Medicine (which is not affiliated with OHSU) and a link to the Orbis Cascade Alliance Union Catalog.PORTALS (Portland Area Library Resources) offers access to Portland Libraries beyond OHSU and includes eight library catalogs and a few databases. Library Catalogs are available from home computers, but Licensed Database access requires a networked computer. OHSU users may access PORTALS databases off-campus once they have registered and received passwords for their off-campus account.
- PSU's Catalog and other library collections may be checked to supplement materials at OHSU. The Government Documents Depository Collection may be searched using the "Advanced" interface in their catalog.
- Orbis Cascade Alliance library consortium offers access to the libraries of twenty six Oregon and Washington educational instutions, both public and private.
3. Additional Databases
Over 150 links to other databases can be found on the Library's Databases page. Many of these are devoted to aspects of medicine and health care.
MEDLINEplus is the premier consumer health and patient education database.
4. Full-Text Journals
An increasing number of journals may be accessed full-text using the Journals page. In addition, it's a handy way to find:
- Full-Text Electronic Journals
- Journals at the Bindery
- Journals at the VA Library
- Journal holdings at the Primate Center
IP recognition (Internet Protocol) allows servers to recognize users from networked locations, thus allowing access to full-text books and journals from any OHSU workstation. Links to full-text articles are available from within Ovid databases.
The connection for Off-Campus access is through a proxy server ( Off-Campus Access to Electronic Resources), which requires advance registration. Once registered, OHSU users may access full-text journals and other electronic resources at their home computers.
- Library Homepage
http://www.ohsu.edu/library/
- Journals
http://www.ohsu.edu/library/journals/
- Application for Off-Campus Access
https://www.ohsu.edu/library/offcampusapp.shtml
5. Drug Reference
MICROMEDEX is a Knowledge Base of drug information and includes both clinical decision support databases and tools. Databases cover Drug Interactions, Toxicology,and Alternative Medicine, and may be searched through an Integrated Index that accepts trade as well as generic drug names. CareNotes is included as a separate database of patient information. Adjuncts for clinical decisions are in the Dosing and Therapeutic Tools section. Micromedex is available only from networked workstations.Much of the drug information for health professionals remains in printed form and is found in Reference Section 14 and in the Ready Reference Collection (Yellow Stripe).
For expert advice in researching, see Drug Information: A Guide to Current Resources, 2nd edition, by Bonnie Snow, in Reference Section 14, QV4 S674d 1999.
Online Resources for Consumers
- MEDLINEplus Drug Information
http://www.nlm.nih.gov/medlineplus/druginformation.html
- RxList-The Internet Drug Index
http://www.rxlist.com/
6. Other Textbooks on the Web
Harrison's Online is available from OHSU workstations. Additionally, it may be reached by using the Off-Campus Access server, which requires special registration. The full text is searchable by keyword and updated frequently. The site also includes self-assessment questions, additional illustrations, and links to related Web sites (practice guidelines, associations, etc.)Stat!Ref, a searchable collection of 31 clinical reference texts, is available from OHSU workstations. Additionally, it may be reached by using the Off-Campus Access server, which requires special registration.
AccessMedicine, a searchable collection of clinical and basic science texts, is available from OHSU workstations. Additionally, it may be reached by using the Off-Campus Access server, which requires special registration.
MD Consult which includes 32 textbooks among its services is available from OHSU workstations with a personal password. Additionally, it may be reached by using the Off-Campus Access server, which requires special registration.
The Electronic Books page has links to over 80 books.
Medical textbooks covering the major specialties are shelved in Reference Section 22.
- OHSU Library Electronic Books
http://www.ohsu.edu/library/ebooks/
- Harrison's Online
http://www.ohsu.edu/library/databases/cfdbsearch.cfm?searchterm=harrison
- Stat!Ref
http://www.ohsu.edu/library/ebooks/ebletter.shtml#S
- MD Consult
http://www.ohsu.edu/library/databases/cfdbsearch.cfm?searchterm=mdconsult
- AccessMedicine
http://www.ohsu.edu/library/ebooks/ebletter.shtml#A
- DXplain
OHSU is no longer subscribing to DxPlain. Please use MedWeaver through Ovid.
http://www.ohsu.edu/library/ovid/
- University of Iowa Family Practice Handbook
- Merck Manual (selected sections in full-text)
- Merck Manual of Medical Information: Home Edition (selected text for consumers)
- Merck Manual of Geriatrics (selected sections in full-text)
7. Finding Medical Terms
Medical conditions frequently are known by many different names, and finding the right one to search can be difficult. In Ovid MEDLINE, the MeSH Subject Headings group together variant terms, so that often the NLM 'Green Book' (Thesaurus) is the best place to start. Copies are at the Reference Desk and throughout the Library. The most frequently used Medical Dictionaries and guides to Syndromes are found in the Ready Reference Collection (Yellow Stripe). Reference Sections 1-7 contain many kinds of resources on nomenclature-- dictionaries, syndromes, special medical classifications.
OHSU School of Health Informatics provides the database CliniWeb International, a multi-lingual index.
Online Resources from NLM
- Medical Subject Headings (MeSH)
http://www.nlm.nih.gov/mesh/MBrowser.html
- Dictionaries
http://www.nlm.nih.gov/medlineplus/mplusdictionary.html
- Genetics Testing Terms
http://www.nlm.nih.gov/medlineplus/genetictestingcounseling.html#dictionariesglossaries
8. Consumer Health Resources/Patient Education
The Consumer Health Resources offers an easy access point to health information meant for health professionals seeking educational materials for patients, for patients who are searching for themselves, and for community members who are looking for more information on a health topic. Please see these resources:
- Consumer Health Links An annotated list of evaluated health websites
- Health Information by Mail or Email Receive a free packet of information on a general health topic
- OHSU Health Information on diseases, OHSU doctors, and more
- Children's Health at Doernbecher
- Center for Womens' Health
- Young Women's Health Page
- Patient Education Resources for Clinicians Fast access to many reliable sources
- Consumer Health Materials in the OHSU Library Collection
The Library also has access to several databases which include consumer and patient information:
- Micromedex: Patient Education Leaflets ON CAMPUS ONLY
- EBSCOHost: Health Source: Consumer Edition ON CAMPUS ONLY
- MEDLINEplus A-Z listings covering diseases and health topics. Links are primarily to materials produced by U.S. government agencies in health care
- healthfinder From the U.S. Department of Health and Human Services
- NOAH Offers Spanish language pamphlets as well
9. Finding Other Locations for Journals and Books
For the OHSU community, material that OHSU does not own may be borrowed through Interlibrary Loan, found in person at another Library, or borrowed directly through Orbis Cascade Alliance. ILL requests may be placed from the Library page for Interlibrary Book or Journal requests. OHSU staff and students have reciprocal borrowing privileges in other PORTALS member libraries. There are several Union Lists and combined catalogs which may be helpful: Orbis Cascade Alliance union catalog, called Summit, includes books as well as journal titles. WorldCat is a PORTALS resource useful especially for checking citations for ILL.
- Summit (Orbis Cascade Alliance)
http://summit.orbiscascade.org
- WorldCat
http://www.ohsu.edu/library/databases/cfdbsearch.cfm?searchterm=worldcat
- ILL Book or Journal
10. Finding Health Statistics
The primary collector of health statistics is the U.S. Government, and finding your way around can be confusing. A good starting place is the National Center for Health Statistics, an Agency which is part of the Centers for Disease Control and Prevention (CDC). The NCHS webpage is a gateway to all kinds of statistical archives. FASTATS A to Z is a handy Statistical Rolodex. Special databases are available to researchers through links like CDC Wonder and Healthy People 2000.Online Resources
- National Center for Health Statistics
http://www.cdc.gov/nchs/default.htm
- Centers for Disease Control
http://www.cdc.gov/
- MEDLINEplus Health Statistics
http://www.nlm.nih.gov/medlineplus/healthstatistics.html
- HealthWeb Reference Resources: Statistics
http://www.healthweb.org/browse.cfm?categoryid=1777
- FASTATS
http://www.cdc.gov/nchs/fastats/fastats.htm
- CDC WONDER
http://wonder.cdc.gov/
- FEDSTATS
http://www.fedstats.gov/
- Healthy People 2000
http://www.cdc.gov/nchs/datawh/ftpserv/hstatus/hstatus.htm
11. Evidence-Based Medicine Tools
OHSU Library subscribes to five Ovid evidence-based medicine databases, tools for making medical decisions. They are Clinical Evidence, EBM Reviews - ACP Journal Club, EBM Reviews - Cochrane Controlled Trials Register, EBM Reviews - Cochrane Database of Systematic Reviews, and EBM Reviews - Database of Abstracts of Reviews of Effectiveness. They are available from the Library Databases page and require a password. Helpful information on using these databases can be found by clicking on the informational i to the left of the database name once you have connected to Ovid.Some additional suggested resources are available in the Library and on the Internet.
- For definitions of underlying terms and concepts, consult the authoritative six volume Encyclopedia of Biostatistics, editors-in-chief, Peter Armitage, Theodore Colton, in Ref Section 11, WA13 E565 1998.
- An article helpful in understand the statistical data in meta-reviews, is Understanding the odds-ratio diagrams in the Cochrane Database of Systematic Reviews (CDSR)
- An ONLINE CLINICAL CALCULATOR, is furnished by the Division of General Internal Medicine at the Medical College of Wisconsin.
Cochrane Library:Odds-ratio Diagrams
http://cochrane.kfinder.com/MetaViewer/metaviewer_help.htmlOnline Clinical Calculator
http://www.intmed.mcw.edu/clincalc/bayes.html
Current medical practice places strong emphasis on guidelines and protocols in the various medical specialties. The Library's growing collection is kept in Reference Section 9 . Electronic access is good, but some Guidelines are available only through print resources. When searching in Ovid MEDLINE, Guidelines may be found through using 'Publication Types' in the 'Limits' option of the interface. Directories
- Healthcare Standards (W84.AA1)
- Clinical Practice Guidelines Directory(W87.C641)
- Outcomes Research Resource Guide(W84.AA1)
Collections of Standards
- CDC Prevention Guidelines(WA108 C386)
- Guide to Clinical preventive Services, 2nd ed.(WA108 U5869)
Some Specialized Guidelines
- Policy Reference Guide of the American Academy of Pediatrics(WA320 A5122)
- American Psychiatric Association Practice Guidelines(WM141 A512a)
- Guidelines for Women's Health Care (ACOG)(WP27.AA1 G946)
- AMA Guidelines for Adolescent Preventive Services (GAPS) Z9WS460 A511)
- Official Disabilities Guidelines (W925 O32)
Online Resources
- National Guidelines Clearinghouse
--a comprehensive database of evidence-based clinical practice guidelines jointly produced by the Agency for Healthcare Research & Quality (formerly AHCPR), the Americn Medical Association (AMA) and the American Association of Health Plans (AAHP).
Most of OHSU's History of Medicine materials are kept in their own special collection. For information on how to use them, please see the History of Medicine FAQ. Some general reference books are found in Reference Section 17, but many historical materials are older and will not be accessible on weekends since the Old Library opens weekdays only, from noon to 6pm. Materials needed from off-site storage require a written request and will involve a waiting period.Online Resources at the NLM History of Medicine Division
- NLM FAQ (Frequently-asked Questions about Medical History)
- Images from the History of Medicine
- Fact Sheet: Images from the History of Medicine
14. Evaluating Health Information on the Web
Some excellent guides to sites for electronic Health information are in Reference Section 19, but users of web resources need to develop the critical skills for evaluating them. As a great starting place for self-education, see Health Reference Triage: Health Resources for the Public The web bibliography is part of a Health Information Curriculum developed by OHSU Reference staff for Consumer Health.
15. Health Information in Spanish: Patient Education
- Spanish Languge Sites for Patient Education Materials (OHSU)
- NOAH (Espanol)(CUNY)
- healthfinder (Espanol)
- MEDLINEplus (All topics have Spanish section)
Pamphlets in Spanish/English
- OHSU/Hood River Community Health Outreach Project
- National Center for Farmworker Health: Bilingual Patient Education Materials
- FDA: Spanish Language Brochures
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