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The journalist, the germ, the test
tube and the public
Julia Royall
Chief, International Programs
U.S. National Library of Medicine
Fulbright Scholar to Uganda
Presented to:
Uganda Health Communication Alliance
May 21, 2008
National Library of Medicine (NLM)
Largest biomedical library in the world.
Premiere database in medicine: MEDLINE
Peer reviewed, no advertising, no passwords,
free to the world
Collaboration with Albert Cook Library and Faculty of
Medicine
History here
Training undergraduate medical students
Training graduate students to assist with thesis writing
Training clinical officers, nurses, and faculty at local research
sites and clinical trials
Training students, faculty, and researchers at Gulu Medical
School
Access to fulltext through various programs
Some challenges and basics before we begin…….
Types of Disease
Infectious Disease
Chronic Disease
Diseases of Ageing – life span increases, so does
chronic disease
20-80: 20% of the people in the world who die, die of
nfectious disease; the other 80% die of other things
10-90: funding and research publication
Epidemics vs Prevention
Something out there to get us vs things we can do to
help ourselves and take charge of our own health
75% “epidemics” in Uganda related to sanitation and
hygiene
Follow the money…..
MU 10 years ago – small focus on malaria
Now everyone is there on HIV/AIDS, malaria, TB:
Has the disease gotten worse – probably not, but money has
increased
Question to ask: What difference has money made
Uganda
What are top 10 disease burdens according to
Ministry of Health?
How about chronic diseases?
(check out private clinics)
Approach
News
Outbreaks
Drugs
Health system
Scandals
What might interest the public?
What you can do to help yourself
Basics
Clearing up a misconception
New research that can help you
What research going on in Uganda is of interest to country,
world
Local/national issues surrounding health care –
comparison with other countries in EA
Criticize
Praise
Investigate
Information you can trust
Problem with Google and Wikipedia
What to look for:
Is the article/info peer reviewed?
Is there advertising in the journal/website?
Does the info/article come from a reputable source
Info from NLM:
Vetted and updated daily
No password required
Free to all
NLM Home Page – www.nlm.nih.gov
List of NLM
databases
NLM Home Page
List of NLM Databases – click on NLM Gateway
NLM Gateway
NLM Gateway
Uganda and ebola
NLM Gateway
Uganda and ebola
NLM Gateway
ebola
NLM Gateway
ebola
NLM Gateway to Bookshelf
ebola
NLM Gateway
ebola
NLM Gateway to ClinicalTrials.gov
ebola
MedlinePlus – www.medlineplus.gov
MedlinePlus
MedlinePlus – Health Topics
MedlinePlus
MedlinePlus - Encyclopedia
MedlinePlus - Encyclopedia
Malaria
MedlinePlus - Encyclopedia
Malaria
MedlinePlus
MedlinePlus - Drugs
Search for coartem - combination drug therapy for malaria
MedlinePlus - Drugs
Coartem not found - not approved by FDA
Drugs
Drugs
Drugs
Drugs
MedlinePlus - Surgeries
MedlinePlus - Surgeries
MedlinePlus - Surgeries
Clinical Trials
MedlinePlus – ClinicalTrials.gov
Clinical Trials
Clinical Trials search prostitution AND Uganda
Clinical Trials – search STIs AND Uganda
Clinical Trials – p. 1
Clinical Trials
Clinical Trials
Clinical Trials
Clinical Trials
Clinical Trials – Link to Fulltext
Clinical Trials
Clinical Trials
Interactive Tutorials
MedlinePlus African Tutorial on Malaria
www.nlm.nih.gov/medlineplus/africa
MedlinePlus African Tutorial on Malaria
Genetics Home Reference
NLM Home Page – www.nlm.nih.gov
List of NLM
databases
Genetics Home Reference –
go to Genetic Conditions
Genetics Home Reference –
Select Sickle Cell
Genetics Home Reference – p. 1
Genetics Home Reference
Genetics Home Reference
Genetics Home Reference
Genetics Home Reference
Genetics Home Reference –
go to Genes
Genetics Home Reference
Genetics Home Reference
Bookshelf
Bookshelf – go back to database list on
NLM home page
Bookshelf
Bookshelf
Cancer in Uganda
Bookshelf
Cervical cancer
Bookshelf
Cervical cancer
Medline
Medline
Click on
PubMed
on right
Medline
Medline
75% of epidemics are result of poor sanitation and
hygiene
Search for personal hygiene and Uganda
Medline
Medline
Search for traffic accidents and Uganda
Medline
Look at icons on left for full text
Medline
Look at icons on left for full text
Free full text:
click icon for
Full text
Medline
Look at icons on left for full text
Has abstract:
Click to see if
it might be of
interest
Medline
Look at icons on left for full text
Have no abstract BUT
Albert Cook Library may
have them in their collection
or be able to get them for you
through one of their services
Free Full Texts
PubMed Central
PubMed Central
PubMed Central
PubMed Central – search HPV AND Uganda
PubMed Central
PubMed Central
HINARI – need password from Albert Cook
www.healthinternetwork.org
Free Full Texts
Click on
Full-text
journals
Free Full Texts
More Free Full Texts – don’t require
password
See bottom right:
Free collections