PROFESSIONAL READING
- Recommended resources for persons with disabilities
- Helpful suggestions on how to research your own medical questions
NETNEWS
-Free MEDLINE searching on the Internet
ORGANIZATIONS
-ALS (amyotrophic lateral sclerosis) Foundation
FREE FOR THE ASKING
-Brain tumor information
-New information from the CDC AIDS Information Clearinghouse
-New publications from the Crohn's & Colitis Foundation
-Important facts about hepatitis
FOR YOUR CONSIDERATION
-Reviews of new consumer health books:
*The Harvard guide to women's health.
*Essential heart book for women.
*The people's pharmacy.
UCHC RECENT ACQUISITIONS
-New consumer health books in the Health Center Library:
*Answering your questions about AIDS.
*Health insurance: how to keep it, or improve what you've got.
. *Living with multiple sclerosis: a wellness approach.
*Lyme disease. the cause, the cure, the controversy.
RECOMMENDED RESOURCES FOR PERSONS WITH DISABILITIES
The collection development feature in the April 1996 issue of Library Journal recommends titles for a basic library collection on disability. The annotated bibliography focuses on recent books to help adults who have a broad range of disabilities. Topics include career planning, college resources, assistive technology, the accessible home, gardening, family and child care, and recreation and travel. Organizations to contact for specific kinds of information are listed. Also discussed are magazines that focus on independent living and include reviews of publications. Recommended guidelines for selecting titles in the subject area are included.
Klauber J. An enabling collection for people with disabilities. Library Journal 1996 April : 53-56.
HELPFUL SUGGESTIONS ON HOW TO RESEARCH YOUR OWN MEDICAL QUESTIONS
The special supplement to the July issue of the Harvard Health Letter offers helpful suggestions to people who are researching a personal health question. Their first suggestion? Ask a librarian. As the author explains "Next to extensive consultations with your doctor, which are next to impossible in the age of managed care, the local library is the best place to get your questions answered." The article gives specific suggestions on what books to consult first and which ones to consult for specific kinds of information. Useful online databases, such as MEDLINE and the Health Reference Center, are discussed. Also discussed are telephone information services, such as the Cancer Information Service, and other governmental information clearinghouses. Of course, the Internet is mentioned as an important resource with the caveat that "...it's important to remember that you shouldn't believe everything you see on your monitor". A brief list of the "best" websites and recommendations of useful books are included.
Gillyatt P. How to answer your own medical questions. Harvard Health Letter 1996 July;21(9):9-12.
FREE MEDLINE SEARCHING ON THE INTERNET
Several websites now offer free MEDLINE searching for its viewers.
Yes, free MEDLINE! Don't ask any questions, just try out the
three sites listed here. All of these sites offer the entire
MEDLINE database from 1966 to the present. All require a one-time
registration.
HealthGate (http://www. healthgate.com) offers free MEDLINE
searching plus searches in other databases and information services
for a fee.
The search engine for HealthGate's MEDLINE is fairly straightforward.
A search may be entered as a simple key word search or as an
advanced search with full Boolean operators. Adjacency and proximity
operators may also be used. The advanced search function allows
combining words in the title or abstract and also allows combining
search terms with an author's name. In the advanced search function,
references may be limited to English only, abstracts, human, and
single year or a range of years. Searches may also be limited
by age group, journal subset (medical, dental, nursing, core cancer,
Abridged Index Medicus), and by article type (editorial, review,
clinical trial, letter, etc.). An additional option allows the
searcher to simultaneously search all of the other HealthGate
databases.
Searching by Medical Subject Heading (MeSH) is not possible,
nor can one search by specific journal title. Search citations
are displayed in a brief format with author, title, journal name
and issue. Citations may be selected for printing or may be viewed
and printed individually. The full citation is given along with
the abstract, when available, medical subject headings (with major
MeSH headings indicated), and other information found in the standard
NLM display. Of the three free MEDLINE Internet sites listed
here, HealthGate offers the most sophisticated level of searching
and is the easiest to use.
HealthWorld (http://www.healthy.net/welcome/quick.htm)
also offers free MEDLINE searching and access to other bibliographic
health and non-health databases. Other information services
offered include an audio library of health messages, nutrition
information, an "Ask the doctor" column, a news service,
and legal and legislative information.
To begin searching MEDLINE, select "Free MEDLINE search"
from HealthWorld's hompage. You will get a brief description
of how to search the database, including how to use the Boolean
operators "And", "Or", and "Not".
Adjacency and proximity searching are not available. To limit
your search to just the MEDLINE database, you need to go to NlightN's
homepage (highlighted in the first paragraph) . NlightN is the
service that actually supplies the MEDLINE database for HealthWorld.
It also has many other health and non-health databases available
for searching. Log in (or sign in if this is your first time
there), click on "Limit/Filter", then go to "Limit
Database", select "Show All Off" and click on "Limit
Databases". You'll be given a complete list of all of NlightN's
databases. You can select MEDLINE at this point or any other
databases you want to search. Go all the way to the bottom of
the screen and select "Save This Limiting". Name your
Limiting Set so you can select it for future use. On the Limit/Filter
database screen, you can also select a year or range of years,
field types, and text types to be searched, and whether you want
to search abstracts, full text or both. For more detailed instructions
on searching and information on using the NlightN services, select
Help/FAQ on NlightN's Welcome screen (the one displayed after
you log in), or select More Info About NlightN from HealthWorld's
MEDLINE search screen.
Information retrieved from the MEDLINE database includes the citation,
abstract (when available), and a few subject headings. MEDLINE
citations and abstracts are provided free of charge. There is
a charge per citation and per abstract from the fee-based databases.
NlightN also provides fee-based online full-text articles and
document delivery. HealthWorld's instructions for searching MEDLINE
are not very helpful. The NlightN site is difficult to navigate
and their search screens and instructions are not very clear.
In their defense, however, they were very prompt in answering
my email requests for help.
The Medscape website (http://www.medscape.com/Default.mhtml)
offers free MEDLINE and simultaneous searching of its other databases,
which include a full-text article database, a medical news/discussion
group list, and a consumer database. This site bills itself
as "...the leading interactive, multi-specialty, commercial
Web service for clinicians and consumers." It includes full-text
peer-reviewed clinical articles with graphics, annotated links
to Internet resources, medical news, and continuing medical education
resources for the clinician.
Keywords may be combined using a hyphen and authors may be searched
as a keyword. Searches may be limited to specific years and full
Boolean searching is available.. Adjacency and proximity operators
may also be used. MEDLINE may be searched as a separate database
and the other databases may be searched individually or as a group.
Search results are displayed as brief citations and are listed
according to relevance to the search term(s). For MEDLINE searches,
the complete citation is given along with the abstract, MeSH
headings, institution of the author(s), and other fields found
in the standard NLM display. Medscape includes helpful instructions
for searching its databases.
Back to the table of contents
The mission of The ALS Association is to discover
the cause and cure for amyotrophic lateral sclerosis (ALS), more
commonly known as Lou Gehrig's disease. ALS is a fatal neuromuscular
disease that attacks nerve cells and pathways in the brain and
spinal cord. These motor neurons die as a result of the disease
which causes the brain to lose its ability to start and control
muscle movements. With all voluntary muscle action affected,
patients in the later stages of the disease are totally paralyzed;
yet, through it all, their minds remain intact.
Principle activities of the ALS Association include: funding and
monitoring basic scientific research directed at identifying the
cause, prevention, and a possible cure for ALS; serving as a
vital link for patients and their families to information, counseling,
physician referrals, in-home visits, respite care and guidance
in disease management; stimulating volunteerism and community
support by educating the public and health professionals about
the nature of the disease; and increasing awareness of ALS and
the Association at all levels of government to encourage research
and programs to make care and treatment accessible and affordable
for all ALS patients.
The Association publishes informative booklets and brochures on
many aspects of ALS. One especially noteworthy title is "Basic
home care for ALS patients", which is written specifically
for families of persons who have ALS. Topics discussed include
diet and nutrition, bathing, elimination, physical activity
and recreation, and psychological support. A list of suggested
readings is included.
For more information, contact: The ALS Association, 21021 Ventura
Blvd, Suite 321, Woodland Hills, CA 91364; telephone: 818/340-7500.
The patient hotline telephone number is 800/782-4747.
Back to the table of contents
BRAIN TUMOR INFORMATION
The American Brain Tumor Association recently published
a new edition of their excellent publication "A Primer of
brain tumors: a patient's reference manual". The 63 page
booklet was published to help persons who have brain tumors and
their family and friends learn about, and better understand, brain
tumors. The booklet provides information about the structure
of the brain and spine, the effects of tumors on the brain, symptoms,
diagnosis and standard treatments for brain tumors, an introduction
to clinical trials, and information for parents of children with
brain tumors. The booklet also provides a list of resources for
additional information as well as a list of other publications
available from the Association. Although the price for the booklet
is listed at $1.25, we were able to get a single copy free. For
information, contact: The American Brain Tumor Association, 2720
River Road, Des Plaines, IL 60018-4110; telephone: 847/827-9910
or 800/886-2282 (patient line).
NEW INFORMATION FROM THE CDC AIDS CLEARINGHOUSE
The Centers for Disease Control National AIDS Information Clearinghouse
recently issued a supplement to their extensive 1994 catalog
of AIDS education and prevention materials. The catalog lists
prevention and risk reduction education materials for general
audiences, young people, and racial and ethnic groups as well
as materials that can be used in work settings. Also included
are publications for people living with HIV/AIDS and for caregivers.
Many of the publications are available in Spanish and several
titles are available in other languages.
This newest supplement includes new publications, new editions
of publications, price changes, and discontinued titles. For
a free copy of the supplement and a copy of the complete catalog,
contact: CDC National AIDS Clearinghouse at 1-800-458-5231 (voice)
and 1-800243-7012 (TTY). Ask for free samples of their
publications.
NEW PUBLICATIONS FROM THE CROHN'S AND COLITIS FOUNDATION
Crohn's disease and ulcerative colitis are known collectively
as inflammatory bowel disease. Crohn's disease affects the lining
of the lower portion of the small intestine and the large intestine.
Ulcerative colitis affects the large intestine exclusively.
Both conditions cause abdominal pain and diarrhea, with and without
bleeding, and can occasionally cause pain in joints. These are
lifelong illnesses and flare-ups can be life threatening. Although
there is no cure for inflammatory bowel disease, medications can
alleviate inflammmation and discomfort and surgery is sometimes
indicated in severe cases.
The Crohn's & Colitis Foundation of America has several
new publications on inflammatory bowel disease. New titles include:
"Questions & answers about ulcerative colitis - including
a glossary of IBD terms", "Medications for inflammatory
bowel disease", "Questions & answers about emotional
factors", and "Crohn's disease, ulcerative colitis
& your child : a parent's guide to diagnosis and treatment".
For information, contact: Crohn's & Colitis Foundation
of America, Inc., 386 Park Avenue South, 17th Floor, New York,
NY 10016-8804; telephone: 800/343-3637.
IMPORTANT FACTS ABOUT HEPATITIS
The American Liver Foundation has two recent publications
on hepatitis. "Getting hip to hep: what you should know
about hepatitis A,B, &C" describes the different forms
of hepatitis, how they are contracted and transmitted, symptoms
of the disease, and treatments. Diagnostic tests are also discussed
as are prevention strategies. "Viral hepatitis: everybody's
problem?" similarly describes the different forms of hepatitis
as well as transmission, symptoms, and treatments. This brochure
uses a question and answer format to convey information such
as whether or not a person can get hepatitis more than one time,
if hospitalization is necessary if a person has hepatitis, and
if hepatitis causes cancer. For information and copies of these
brochures, contact: The American Liver Foundation, 1425 Pompton
Avenue, Cedar Grove, NJ 07009; telephone: 201/256-2550 or 800/223-0179.
Back to the table of contents
The following titles were recently reviewed by Healthnet and may
be of interest to public libraries and health sciences libraries
that have a consumer health collection. They are not part of
the Health Center library collection.
The Harvard guide to women's health. Karen J. Carlson,
Stephanie A. Eisenstat, Terra Ziporyn. Harvard University Press,
1996. 718 p. (ISBN 0-674-36768-5), $39.95.
This A-Z guide, which encompasses 300 entries, aims to answer
a myriad of questions women may have about all aspects of their
health and medical care. The wide range of topics covered include
anxiety, depression, occupational hazards, postpartum issues,
menstrual disorders, herpes, and breast reconstruction. Other
important topics covered include high blood pressure, heart disease,
multiple sclerosis, epilepsy, and thyroid disease.
Most entries are two or three pages in length and many are accompanied
by simple black and white illustrations. References to related
topics in the guide are given at the end of each entry. A separate
chapter lists resources for additional information on specific
topics and an index is included. A comprehensive guide worthy
of consideration for consumer health collections.
Essential heart book for women. Morris Notelovitz and Diana
Tonnessen. St. Martin's Press, 1996. 305 p. (ISBN 0-312-13968-3),
$23.95.
The number-one killer of American women, heart disease, is thoroughly
discussed from a woman's viewpoint in Dr. Notelovitz's book.
Its recommendations are based on studies done on women.
An introductory chapter compares physiological and social differences
between men and women that affect women's risk for heart disease.
The book begins with an explanation of normal heart function,
including illustrations. There are detailed, easy-to-understand
discussions of major and minor risk factors, diagnostic tests,
and practical suggestions on how to reduce risk by increasing
exercise level and modifying diet. Included are discussions of
the advisability of using hormone replacement therapy, preventive
drugs, and drug treatment for coronary artery disease patients.
A list of resource organizations, a glossary of medical terms,
and a selective bibliography are included. The appendix provides
instructions on determining body-mass index, height and weight
tables, calcium intake questionnaire, and a walking fitness test.
Recommended as a useful background resource.
Back to the table of contents
The following titles were recently added to the UCHC Library collection
and may be of interest to public libraries:
Answering your questions about AIDS. Seth C. Kalichman.
American Psychological Association, 1996. 271 p. (ISBN 1-55798-339-9),
$19.95. (UCHC Library Call #: WC/503/K14a/1996)
This book is based on questions that the American public is asking
about acquired immunodeficiency syndrome (AIDS) according to statistics
of the Milwaukee AIDS Project and Houston AIDS Foundation. Both
groups maintain hotlines and respond to thousands of questions
about AIDS. They provided the author with information on typical
questions they receive from the public.
In a question and answer format, Kalichman, an assistant professor
of Psychology at Georgia State University and author of articles
and books on AIDS, provides basic information about the human
immunodeficiency virus (HIV) and AIDS. The questions and answers
are arranged in chapters on topics such as HIV infection and
how it causes AIDS; sex, drugs, and AIDS; people at risk; AIDS
transmission; HIV testing; care for people with AIDS; ethics
and the law; and AIDS prevention. The answers are brief but
complete and are clearly written and understandable for the average
reader.
A list of suggested readings, a glossary, and a directory of local
and national resources for HIV/AIDS are included. A good, up-to-date,
basic introduction to AIDS.
Health insurance: how to keep it, or improve what you've got.
2nd edition. Robert Enteen. Demos Vermande, 1996. 307 p. (ISBN
1-888799-01-3), $24.95. (UCHC Library Call #: W/100/ E61h/1996)
This timely, informative guide is designed to help answer many
of the questions readers have about how to find adequate and affordable
health insurance and to evaluate and improve the coverage they
have.
Dr. Enteen, the chief advisor on health insurance for the National
Multiple Sclerosis Society, provides a step-by-step guide to locate
and evaluate coverage, compare costs, and obtain the maximum benefits
from insurance plans. He discusses the current trends toward
managed care, recent state-by-state improvements in health insurance
options, and whether and how to buy long-term-care insurance.
He also talks about private and government plans, where to go
if you are turned down for coverage or if you think you've been
treated unfairly, how to appeal a claim and what to do if you
have a "preexisting condition." Appendixes include
definitions of health insurance terms and a summary of state health
care reforms. A directory of government and private organizations
to contact for information and assistance with problems is also
included.
Living with multiple sclerosis: a wellness approach.
George H. Kraft and Marci Catanzaro. Demos Vermande, 1996.103
pp. (ISBN 1-888799-00-5) , $13.95. (UCHC Library Call #: WL
360 K89 1996)
Can a person with a chronic disease have a healthy life? A national
teleconference produced by the National Multiple Sclerosis Society
provides suggestions on how MS patients can function optimally
within the constraints of their illness. During part of the conference,
a physician and a nurse provided answers to questions posed by
MS patients and their families. The "wellness" conference's
question-and-answer portion is published in this informative,
easy-to-read book. It provides practical information on problems
MS patients encounter daily. Topics discussed include possible
causes, diagnosis, effective exercise, balance, fatigue, diet,
managing stress, drug treatment, alternative therapies, effect
on family members, sexuality, and pregnancy. A list of suggested
exercise videos is included.
Lyme disease. the cause, the cure, the controversy.
Alan G. Barbour. Johns Hopkins University Press.,1996. 258 p.
(ISBN 0-8018-5224-2), $35.95, (ISBN 0-8018-5245-5), pap. $15.95.
(UCHC Library call number: WC/406/B239/1996)
The diagnosis and treatment of Lyme disease has been the subject
of controversy in the news recently. Dr. Barbour's book provides
extensive background on Lyme disease's history, diagnosis and
treatment. The book's tone is respect for the patient as a participant
in the process of identifying and treating Lyme disease. Dr. Barbour's
stated goal is encouraging informed patient choice. He emphasizes
the complexity of scientific research and the patient's need for
information on all sides of a controversial medical issue.
In readable language, he discusses the logical process of diagnosis,
appropriate laboratory tests, and their strengths and deficiencies.
Using hypothetical examples, he explains possible variation of
symptoms among patients. He clarifies post-Lyme disease syndrome
and chronic Lyme disease. In the chapter, "If it isn't Lyme
disease, what is it?", he includes a discussion of other
diagnoses with similar symptoms. The final chapter gives suggestions
about avoiding Lyme disease transmission. A resource list of
associations and state health departments is included. A thorough
and topical health resource.
The people's pharmacy. Completely new and revised. Joe
Graedon and Theresa Graedon. St. Martin's Press, 1996. 477 p.
(ISBN 0-312-14126-2), $16.95. (UCHC Library Call #: QV/ 704/
G734p/1996)
Joe and Theresa Graedon, a pharmacologist and medical anthropologist
respectively, update valuable information for the consumer who
is seeking sound advice on the whole spectrum of prescription
and non-prescription medications and health care products.
Over-the-counter (OTC) medications and prescription drugs are
discussed in separate sections arranged according to the medical
condition for which the drug may be used. Possible side effects
and drug interactions are noted in each description. A separate
section discusses self-treatment for such common conditions as
diarrhea, urinary tract infections, constipation, and sunburn.
Profiles for 100 commonly used prescription drugs are discussed
in a separate chapter. Each profile gives indications for use,
special precautions, side effects and interactions and information
on how to take the medication. Other topics covered include the
process by which the FDA approves drugs, home remedies that may
be as effective as more expensive OTC's and prescription drugs,
and how to save money on medicines. Do's and don'ts for taking
OTC's, how to read a prescription, and using a computer to access
health information are also discussed.
Unlike other drug guides, the Graedon's style is lively, informal
and often humorous. This does not, however, detract from the
valuable information they offer.
If you have questions about anything in the newsletter or about
Healthnet services for Connecticut public libraries,please call 860/679-4055; e-mail address: richetelle@nso.uchc.edu
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