Featured PDA Resource Featured Online Resource Featured PDA Resource Off Campus Access College of Medicine CoM Library

Thursday, August 19, 2004

Welcome to the Virtual Medical Library e-Newsletter.  The purpose of this newsletter is to announce new resources added to the FSU Virtual Medical Library, to feature established online resources to acquaint students and faculty with these resources, mention a cool feature of some PDA resource, and remind everyone how to access our Library resources from off campus. The featured resources for this month are Calculating Patient Risk with a PDA and AccessMedicine Books Online for your 'personal' bookshelf.

The newsletter archives on the web:   http://med.fsu.edu/library/LibraryHandout_00.html.


Library Announcements

Revision to the Library e-Journal Page

  1. A new alphabetic index makes finding titles faster.
  2. A new list of subjects makes finding the right subject easier.
  3. Use it to access e-journals with a wireless pda.

EndNote Workshop

EndNote is a software program for organizing and accessing your personal collection of references to journal articles, books, websites, etc.  It is especially useful when it is time to use the references in papers or articles, because it works with MSWord to allow quick creation of footnotes and bibliographies in any style that you are likely to need. See a sneak preview of the upcoming workshop in this EndNote presentation.


Featured PDA Resource -- Calculating Patient Risk

Two tools in InfoRetriever® on the PDA that can help you make decisions about a patient’s risk for cerebrovascular and cardiovascular events based on their age, risk factors and current lipid level and blood pressure are presented here.

When you start InfoRetriever, select under 1. Type of Search: Clinical Rules and Calculators (Figure 1).

PDA image

Figure 1.

  Expand CV: HTN, lipids, screening.


Screening: cardiac risk profile (Framingham Data)

Based on the landmark Framingham long term cohort study, this calculator will tell you the risk of CHD (coronary heart disease), MI, CHD death, Stroke, CVD (cerebrovascular disease) and CVD death (Figures 2-4).

PDA image

Figure 2.

PDA image

Figure 3.

PDA image

Figure 4.

Now the question arises, “How aggressive should I get based on these percentages?” This is when you close that calculator and from the Clinical Rules and Calculators screen pick:

Screening: NCEP ATP III lipid guidance

PDA image

Figure 6.

PDA image

Figure 5.

The ATP III lipid guidelines were derived from the Framingham and other studies. Based on this patient’s age, lipid and B/P, plus risk factors you are provided with their 10 year risk of cardiac disease, and NCEP recommendations for therapy. (Figures 5-6)

Both of these tools are worth adding to Pearls for easy access.



 

Featured Online Resource -- AccessMedicine Books Online

Before you decide what to purchase for your own personal bookshelf, please check this out to see what is available at your laptop anywhere and anytime via wireless access to the Medical Library.

The full text of several core medical reference and textbooks, including the one that you will find on every physician’s bookshelf – Harrison’s Principles of Internal Medicine, is available to the FSU CoM online at AccessMedicine.   Harrison’s is updated regularly with plans by the publisher (McGraw-Hill) to do the same for the other books.

Figure 1. Lange Books Online.

Figure 1. Lange Books.

Access Lange includes ready reference material in these areas (Figure 1).

 

 

Figure 2. Access Medicine Home Page.

Figure 2. Access Medicine Home Page.

This is the home page where you can cross search all of the Access Medicine books at one time (Figure 2).

The search demonstrated here is for “dementia” with the following two screen captures listing hits in different Access Medicine books.

Figure 3. Harrison's Search Results.

Figure 3. Harrison's Search Results.

Search results from Harrison’s Online (Figure 3).

Figure 4. Results from Other Books.

Figure 4. Results from Other Books.

More search results from some of the other Access Medicine reference books (Figure 4).

Figure 5. Current Medical Diagnosis and Treatment-top level.

Figure 5. Current Medical Diagnosis and Treatment-top level.

The Current Medical Diagnosis and Treatment book, which is also part of the Access Medicine collection, provides a great interface – very easy to navigate.

Figure 6. Current Medical Diagnosis and Treatment-Cardiology.

Figure 6. Current Medical Diagnosis and Treatment-Cardiology.

Figure 7. Current Medical Diagnosis and Treatment-Mitral Regurgitation.

Figure 7. Current Medical Diagnosis and Treatment-Mitral Regurgitation.

Figures 5-7 demonstrate the top level and links from “cardiology” through to a specific subcategory “Mitral regurgitation.”


Off Campus Access to the Virtual Medical Library

From off campus to use the Library resources you must do the following:

  1. Click on Off-Campus Access (EZProxy) at the top of Library page:   www.med.fsu.edu/library.
  2. Click Login to COM EZProxy button.
    1. Type your FSU COM UserID and Password in the blanks provided (firstname.lastname).
      If you do not know your FSU COM UserID and Password, contact the regional campus ET staff:
      • Orlando: Claudin Pierre-Louis (407) 835-4103
      • Pensacola: Chris Clark (850) 494-5939 x125
      • Tallahassee: Shane Marshall (850) 645-1257
      • or on campus, the IT helpdesk (644-3664) for help.
    2. Click Login to COM EZProxy button.
  3. Click on Start EZProxy and Return to the College of Medicine Library (click here)
  4. This takes you back to the Library Homepage. Notice that all URLs now contain the phrase:
    ". . . ezproxy.med.fsu.edu/."
  5. You must follow links from the Library page to get to resources and make sure this phrase stays in the URL. If it links you out, and that phrase vanishes, you are no longer connected to EZProxy. You will know you are kicked out of the proxy if a site asks you for a UserID and Password. If you think this should not the Medical Library immediately. We have discovered some sites that the Medical Library immediately. We have discovered some sites that do this and have fixed them as they are brought to our attention.