1. 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 Julia Royall Chief, International Programs U.S. National Library of Medicine Fulbright Scholar to Uganda Presented to: Uganda Health Communication Alliance May 21, 2008

2. 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

3. 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

4. Some challenges and basics before we begin…….

5. 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

6. 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

7. 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

8. Uganda What are top 10 disease burdens according to Ministry of Health? How about chronic diseases? (check out private clinics)

9. Approach

10. News Outbreaks Drugs Health system Scandals

11. 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

12. Criticize Praise Investigate

13. 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

14. NLM Home Page – www.nlm.nih.gov List of NLM databases

15. NLM Home Page List of NLM Databases – click on NLM Gateway

16. NLM Gateway

17. Uganda and ebola

18. NLM Gateway Uganda and ebola

19. NLM Gateway ebola

20. NLM Gateway ebola

21. NLM Gateway to Bookshelf ebola

22. NLM Gateway ebola

23. NLM Gateway to ClinicalTrials.gov ebola

24. MedlinePlus – www.medlineplus.gov

25. MedlinePlus

26. MedlinePlus – Health Topics

27. MedlinePlus

28. MedlinePlus - Encyclopedia

29. Malaria

30. MedlinePlus - Encyclopedia Malaria

31. MedlinePlus

32. MedlinePlus - Drugs Search for coartem - combination drug therapy for malaria

33. MedlinePlus - Drugs Coartem not found - not approved by FDA

34. Drugs

38. MedlinePlus - Surgeries

41. Clinical Trials

42. MedlinePlus – ClinicalTrials.gov

43. Clinical Trials

44. Clinical Trials - search prostitution AND Uganda

45. Clinical Trials – search STIs AND Uganda

46. Clinical Trials – p. 1

47. Clinical Trials

51. Clinical Trials – Link to Fulltext

52. Clinical Trials

54. Interactive Tutorials

55. MedlinePlus African Tutorial on Malaria www.nlm.nih.gov/medlineplus/africa

56. MedlinePlus African Tutorial on Malaria

57. Genetics Home Reference

58. NLM Home Page – www.nlm.nih.gov List of NLM databases

59. Genetics Home Reference – go to Genetic Conditions

60. Genetics Home Reference – Select Sickle Cell

61. Genetics Home Reference – p. 1

62. Genetics Home Reference

66. Genetics Home Reference – go to Genes

67. Genetics Home Reference

69. Bookshelf

70. Bookshelf – go back to database list on NLM home page

71. Bookshelf

72. Cancer in Uganda

73. Bookshelf Cervical cancer

74. Bookshelf Cervical cancer

75. Medline

76. Click on PubMed on right

77. Medline

78. 75% of epidemics are result of poor sanitation and hygiene Search for personal hygiene and Uganda

79. Medline

80. Search for traffic accidents and Uganda

81. Medline Look at icons on left for full text

82. Medline Look at icons on left for full text Free full text: click icon for Full text

83. Medline Look at icons on left for full text Has abstract: Click to see if it might be of interest

84. 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

85. Free Full Texts

86. PubMed Central

89. PubMed Central – search HPV AND Uganda

90. PubMed Central

92. HINARI – need password from Albert Cook www.healthinternetwork.org

93. Free Full Texts Click on Full-text journals

94. Free Full Texts

95. More Free Full Texts – don’t require password See bottom right: Free collections