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PubMed Medline - Go to the Source!

PubMed Medline - Go to the Source!

Last time, I discussed the free patient education sites from the National Library of Medicine (NLM), Medline Plus, and PubMed Health. Consumer oriented data is right for many people, but when faced with difficult decisions many patients and their families will want to see the studies from the actual medical journals that their physician and health care team are reading.

Medline is the grand daddy of all on-line services, a vast, computerized index of the world’s leading medical journals, mostly American or British, and an increasing number of international and foreign language titles written in English or with English abstracts. It has been in existence continuously since 1966 and, since the mid-Nineties it has been available free on the Internet in the form of the PubMed system.

The names of the NLM databases are similar, so don’t be confused: PubMed is the system that medical librarians and end-user physicians use to search the literature; it is extensive, comprehensive, and reproducible – a key to be useful as a scientific tool.

Below, please find a search guide to PubMed – many patients who stumble across Medline will try to use the search box on the front page like Google, and while it can work that way, this is not the best way to search PubMed.

Medical subject headings (MESH) help narrow down the choices and zero in on exactly what you are looking for!

HOW PATIENTS CAN SEARCH MEDLINE LIKE A MEDICAL LIBRARIAN

  • Type Pubmed.gov in the browser URL (maps to http://ncbi/nlm/nih.gov/pubmed)
  • In PubMed, to lower right, under More Resources, select “MESH DATABASE”
  • Type in a medical term – use your best estimate of proper medical language to map to the best results. Note: It is always best to use the search term neoplasms and not cancer i.e. prostatic neoplasms or breast neoplasms or colonic neoplasms etc. Multiple myeloma is multiple myeloma, lymphoma is lymphoma, leukemia is leukemia etc. If you are not sure of the term, the system will map you to most reasonable attempts at medical language. Be aware that brand names of drugs like Rituxan or Lupron will map to the chemical or generic name (Rituximab or Leuprolide Acetate)
  • Select the MESH (medical subject heading) you want to left in blue hyper-text.
  • To be more specific to the search term, click Restrict to Major Focus below for the best results. To search all related headings, leave as the default, which is the Explode MESH option.
  • Check off sub-headings you want i.e. drug therapy, surgery, radiation therapy etc.
  • After you check off sub-heads, click on Add to Search Builder to the right.
  • Add additional terms, as in 4-7 in the MESH browser box at top.
  • When done, Search PubMed.
  • You can select free full-text articles available from results in PubMed (to the left) then select blue hypertext titles to left and download the PDF (You will need Adobe Reader to view). Articles which do not have free full-text will have abstracts.
  • John Theurer Cancer Center at HackensackUMC has access to many more online journals. So if you see references that you like, you can send the citation (journal name, volume, issue, date, page number) to the Patient Resource Library and they can be downloaded for you and sent via email from our Medical Library for free.
  • Regrettably, we are unable to fill any patient requests for literature which are not in our Medical Library (such as Nature Medicine etc.) You may be able to buy and download many of these articles for a modest fee (about $20) for personal use off the publisher’s web site.

FOR SEARCH HELP

Ron Rizio MLS, Consumer Health Librarian
Patient Resource Library, John Theurer Cancer Center
1st Floor (Lobby Floor across from the Cyber Café)
rrizio@humed.com
201-996-2135 (there is voice mail)
551-996-0784 (fax)


Key Journals in the Library 

Medicine and Family Practice:

  • New England Journal of Medicine
  • Journal American Medical Association (JAMA)
  • Annals of Internal Medicine
  • Archives of Internal Medicine
  • American Journal of Medicine
  • Medicine
  • Medical Clinics of North America
  • British Medical Journal (BMJ)
  • Lancet
  • Mayo Clinics Proceedings
  • Journal of Clinical Investigation
  • Disease-A-Month
  • Southern Medical Journal
  • Canadian Medical Association Journal
  • American Family Physician
  • Journal of Family Practice
  • Medical Letter                                                  

Cancer/Hematology:

  • Cancer
  • Journal of the National Cancer Institute
  • Cancer Research
  • Clinical Cancer Research
  • Lancet Oncology
  • CA: a Cancer journal for Clinicians
  • Journal of Clinical Oncology
  • Hematology-Oncology Clinics of N.A
  • Blood
  • American Journal of Hematology
  • British Journal of Haematology
  • Oncology
  • Leukemia
  • Gynecologic Oncology
  • Seminars in Oncology                                              

Surgery:

  • Surgery
  • American Journal of Surgery
  • Surgical Clinics of North America
  • British Journal of Surgery
  • Annals of Surgery
  • Archives of Surgery
  • Surgical Oncology
  • Current Problems in Surgery
  • World Journal of Surgery

Urology:

  • Journal of Urology
  • Urology
  • Urologic Clinics of North America
  • BJUI: British Journal Urology International
  • Canadian Journal of Urology

Women’s Health:

  • Obstetrics & Gynecology
  • American Journal of Obstetrics Gynecology
  • British Journal Obstetrics & Gynaecology
  • Fertility & Sterility
  • Clinical Obstetrics & Gynecology
  • Obstetrics & Gynecology Clinics of N. A.
  • Journal of Reproductive Medicine

Neurologic:

  • Neurology
  • Archives of Neurology
  • Journal of Neurosurgery

Nutrition:

  • American Journal of Clinical Nutrition
  • Journal American Dietetic Association

Dermatology:

  • Archives of Dermatology
  • Journal of the American Academy Dermatology
  • Cutis

Thoracic Diseases:

  • Chest
  • American Review of Respiratory Diseases
  • Critical Care Medicine
  • Critical Care Medical Clinics of N.A.
  • Journal of Thoracic Cardiovascular Surgery
  • Annals of Thoracic Surgery

Gastric Diseases:

  • Gastroenterology
  • American Journal of Gastroenterology
  • Digestive Diseases & Sciences
  • Diseases of Colon & Rectum
  • Gastroenterology Clinics of North America
  • Gut

Radiation Therapy & Tests:

  • Radiology
  • AJR: American Journal of Roetengenology
  • Journal of Nuclear Medicine
  • Seminars in Nuclear Medicine
  • Radiologic Clinics of North America

Lab Tests:

  • American Journal of Pathology
  • American Journal of Clinical Pathology
  • Journal of Laboratory & Clinical Medicine
  • Archives Pathology Laboratory Medicine

Seniors

  • Journal American Geriatrics Society