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Results for “Library Services”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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Reaching NLM through the Internet.

Currently, many of the electronic services are still new, and there may be a need for further fine-tuning and changes. Having separate electronic addresses for each service rather than having one centralized address will make it easier for NLM to identify and isolate questions or problems. The Appendix summarizes the commands and addresses mentioned in this article.

Books↗

Free medical news and current event Internet sites for medical librarians.

The world of medical advancements is moving at a record pace. New drug approvals, important discoveries, and the explosion of consumer information on the Web have prompted health professionals with the need to keep current with the latest news stories in order to satisfy patient questions. The medical librarian who keeps up with the latest medical news is a valuable resource for all health professionals. The following is a compilation of sites for medical news available on the Web. The sites are limited to those that do not charge a fee and that direct the user immediately to top health stories, as opposed to requiring the use of a search feature. This list is not exhaustive; rather, it represents some of the more common news sources.

Directories as Topic↗

Librarians' use of HealthWeb for reference and instruction.

HealthWeb is a selective Internet resource that links users to annotated, evaluated Internet resources in the health sciences. A collaborative effort of librarians from more than twenty academic institutions, it is a valuable tool for librarians at the Reference Desk and during instruction sessions. Contents of the Reference Resources section are highlighted, as well as an example of use of the Nursing page during a typical class.

Academic Medical Centers↗

Letter: Toxine.

Explore the source record for details and available documents.

Information Services↗

Managing Alzheimer dementia tomorrow.

BACKGROUND: Acetylcholinesterase inhibitors are the first drugs to alter the devastating effects of Alzheimer disease. The next generation of drugs will prevent the beta-amyloid plaques and neurofibrillary tangles or block enzymes that lead to neuron destruction. Effective use of these medications will require early identification of patients at risk. METHODS: Using the PubMed service of the National Library of Medicine, all English language articles published in 2000, 2001 and the first half of 2002 with a key word of 'dementia' were reviewed for articles that described the emerging pathophysiologic model for Alzheimer disease. FINDINGS: Standardized clinical screening tools, such as the mini-mental status examination and the clock test, administered longitudinally and correlated with family observations, can identify many at-risk patients. Genetic testing can identify a known mutation in 70% of patients who have a high family incidence of Alzheimer disease but awaits effective prevention before being useful. The molecular mechanisms of Alzheimer disease will eventually lead to prevention. CONCLUSION: Today, these patients benefit from nutritional support and lifestyle enhancement encouraged through a continuous primary care relationship.

Alzheimer Disease↗

[Systematic review of fall-related factors among the house-dwelling elderly in Japan].

BACKGROUND: Fall-related factors and individual characteristics of the elderly who have had fall are necessary to develop practical fall prevention programs, and life support management. However, no nation-wide meta-analysis of the fall-related factors of elderly has been performed in Japan. OBJECTIVES: To conduct a meta-analysis concerning fall-related factors among the house-dwelling elderly in Japan. DATA SOURCES: Japana Centra Revuo Medicina, version 3 (systematic literature search system for Japanese literature), and Pub Med (a service of the National Library of Medicine) from January 1994 to December 2003. METHODS: Study search terms included the following: retrograde case-control, prospective cohort, and retrospective cohort study with falls. Search terms included older adults (60 years and over), falls and humans. Thirty-two fall-related factors were meta-analyzed. RESULTS: Among 32 fall-related factors, only nine factors were statistically proven to be related to falls. These factors were female gender, age over 70 years old, fall experience, past history of cerebrovascular disease, grip strength, knee extensor strength, one foot standing time with eyes open, one foot standing time with eyes closed, and skinfold thickness (female). Eleven factors: presence of a spouse, past medical history of hypertension, complaints of dizziness, numbness of the extremities, 10 meter maximum walking velocity, tendency to stumble, use of supportive equipment, standing postural sway. sitting trunk flexion, skinfold thickness (male), and body mass index, were not statistically proven to be related to falls. CONCLUSIONS: More studies are necessary to determine the efficacy of fall-related factors among the Japanese elderly.

Accidental Falls↗