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Category: Databases

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Epocrates EssentialsHimmelfarb Library recently licensed Epocrates Essentials to replace Best Practice.  Both of these information resources provide access to the high-quality evidence-based disease information developed by the BMJ Publishing Group plus integrated drug information.  Epocrates Essentials offers the additional benefit of better access to drug information and clinical tools.  If you are already accustomed to Best Practice, you will immediately recognize the information layout, content, and interface in Epocrates Essentials.   Alongside the familiar disease-oriented content,  Epocrates Essentials provides access to a drug interaction checker,  Pill ID tool, calculators, clinical tables, and patient education resources.

 

You can access Epocrates Essentials online and also install the app on your phone or mobile device.  The Epocrates Essentials app normally costs $159 but is available to GW users for FREE as part of Himmelfarb Library's license to this resource.  To download the Epocrates Essentials app, access Himmelfarb's Epocrates app page and provide information regarding your GW affiliation then click 'Get it Now.' Next, login or register for Epocrates account; Epocrates Essentials will then appear in your 'shopping cart' with charge for $159 and a credit for $159 - you will not be charged for this purchase.  The Epocrates Essentials app is available for iOS (iPhone, iPad, and iPod touch) and Android devices.

 

Please contact Laura Abate (leabate@gwu.edu) with questions.

 

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LexicompLexicomp, a source of high-quality, updated drug information, has integrated new functionality to provide better access to information.

  • Drug Allergies in Interactions Screener - Lexicomp's Interactions tool now allows user to submit information on known drug allergies as well as to screen for potential duplicate therapies.
  • Pharmacogenomics - Information on pharmacogenomics is being made more widely accessible via the addition of a Pharmacogenomics heading on the main section list for each drug monograph.
  • Natural Product Patient Education Leaflets - Patient education information on natural products is  available in the Patient Education module which contains 140+ leaflets on natural products including use, precautions, and when to call your doctor.
  • Lab Education Leaflets - Additional leaflets on lab tests have been added to the Patient Education module.
  • Food Interactions - Drug-food interactions information has been consolidated into a single Food Interactions field in drug information monographs; this field only appears in monographs to which it is relevant.

Lexicomp is available from on- and off-campus locations via the Himmelfarb Library website.  Himmelfarb Library's access to Lexicomp also provides a free app to GW affiliates.

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Solving jigsaw puzzleAre you revising your curriculum?  Redesigning sessions to include more active learning?  Flipping the classroom?

Himmelfarb Library has created an Active Learning Resources Research Guide to support faculty.  This guide will help faculty identify tools and resources to support their efforts and includes information on:

  • Creating online recordings - equipment and software to help you create online recordings, deliver webinars, and more.
  • Locating readings - find readings to support your instruction in Himmelfarb's extensive online collection and provide direct links to readings for easy access by students.
  • Assessing students - find in-class and remote tools to use to assess your students' learning.
  • Finding images - Himmelfarb Library's online collection can provide you images to support your teaching.
  • Finding cases - access to clinical scenarios and cases which can help frame your learning objectives.
  • Finding equipment and software - how and where to access equipment and software which can be used to create instructional materials.
  • Instructional design assistance - contact information for the instructional designers who support SMHS, SON, and MISPH.
  • Finding tutorials and multimedia resources - locate existing tutorials and multimedia resources in Himmelfarb Library's collection and link directly to them.
  • Blackboard - learn how to get more in-depth instruction to maximize Blackboard for your teaching activities.

Image: Ben-Avraham, Y.  (2011).  Solving jigsaw puzzle [Image]. Retrieved from http://www.flickr.com/photos/epublicist/8718123610/

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Natural Medicines & Essential Evidence PlusHimmelfarb Library is considering discontinuing access to several online resources and is seeking input from the GW community regarding these decisions.  The resources which are being reconsidered are Natural Medicines and Essential Evidence Plus.  Please keep reading for more information on these resources and for alternative information resources.

Natural Medicines / Natural Standard

For the past several years, Himmelfarb Library has subscribed to Natural Medicines and/or Natural Standard both of which provide evidence-based information on natural and herbal medicines.  This year, Himmelfarb Library is considering canceling its subscription to these resources in light of low usage, rising costs, and the availability of this type of information from other sources.

Natural medicines information would continue to be available from Himmelfarb LIbrary via alternate drug information tools including:

  • Lexicomp - Lexicomp's 'Natural Products database' provides ' in-depth, peer-reviewed information on over 400 commonly used natural products; natural products information includes in-line referencing and information on dosage, source, adverse reactions, uses and pharmacology, toxicology, pregnancy/lactation and other key information.
  • ClinicalKey - ClinicalKey's 'Drug Monographs' provide information on herbals, vitamins, and nutritional products in addition to covering prescription and over-the-counter drugs; information includes mechanism of action and pharmacokinetics as well as indications, administration, contraindications, interactions, adverse reactions, and monitoring parameters. 
  • Natural medicines information is also available via the library's e-book collection which includes these titles: Textbook of Natural Medicine, Integrative Medicine, and A Guide to Evidence-based Integrative and Complementary Medicine.

Essential Evidence Plus

Himmelfarb Library provides access to several clinical and evidence-based medicine information resources including Best Practice, ClinicalKey's FirstConsult, DynaMed and Essential Evidence Plus.  This year, Himmelfarb Library is considering ceasing its subscription to Essential Evidence Plus due to low usage and the availability of other point-of-care information resources.   Himmelfarb Library plans to continue to offer access to the following resources:

  • Best Practice - Evidence-based resource providing disease and drug information. Disease information uses step-by-step approach, covering prevention, diagnosis, treatment and prognosis. Best Practice is published by the BMJ Publishing Group and designed for U.S. healthcare provides; drug information is provided by AHFS Drug Information.  Web and app access available.
  • ClinicalKey's FirstConsult - Evidence-based clinical information database which is updated weekly and draws heavily on the National Guideline Clearinghouse, Cochrane systematic reviews, and BMJ Clinical Evidence as information sources.  FirstConsult is a component of the broader ClinicalKey resources which provides full-text access to 600+ full-text journals and nearly 1,200 full-text books plus drug information, practice guidelines, images, and multimedia instructional materials. Web and app access available.
  • DynaMed - Point-of-care information resource includes drug and disease information and provides access to huge range of clinical topics addressing point-of-care information for both in-patient and out-patient medicine.  DynaMed's information is updated daily and new information is integrated quickly after publication in the peer-reviewed medical literature.  Web and app access available.

If you would like to provide feedback on either of these decisions, please send comments to Laura Abate (leabate@gwu.edu) by April 1, 2014.

 

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ClinicalKey has reported that a dosage error has been located in the ICU Manual (Lanken, 2nd ed) which is available online in ClinicalKey.   The error is located on page 81.  In table 8-2, Drug Therapy for Cardiogenic Shock, the recommended dosages for Isoproterenol, Epinephrine, Norepinephrine, and Nitroglycerin are incorrect.

The correct drug recommendation should read:

Drug

Usual Adult Dose Range

 

Predominant Action

Isoproterenol

1-10 mcg/min

 

Chronotropy > inotropy

Epinephrine

1-20 mcg/min

>20 mcg/min

 

Inotrope, Vasodilator

Vasoconstrictor

Norepinephrine

1-2 mcg/min

>2 mcg/min

 

Inotrope

Vasoconstrictor

Nitroglycerin

10-50 mcg/min

50-200 mcg/min

 

Venodilator

Vasodilator

The ICU Manual has been temporarily removed from ClinicalKey and a corrected version will become available on February 5, 2014.  If you have downloaded or printed a copy of this chapter prior to January 31st, please deleted or destroy all copies.  If you have any questions, please call ClinicalKey's Customer Service team at 1 (888) 615-4500 or email them at usinfo@elsevier.com.

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Many faculty members create durable link to journal articles, books, and databases to provide their students direct access to readings and resources.  Due to a vendor-initiated change, links to resources offered via Ovid Technologies which were created prior to December 2013 will need to be updated.

To update your links with a current durable URL, you can do any of the following:

  • Access the resource, and then click on "Email Jumpstart" or "Email PDF Jumpstart".
  • Email Laura Abate (leabate@gwu.edu) a list of the resources.

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Himmelfarb Library is experiencing an access issue today.  Resources are accessible from our Databases webpage for on-campus users and for off-campus users accessing via VPN/GWireless.  Unfortunately, access to information resources using the WRLC login is not available at this time.

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Pediatric Care Online has just published an update regarding the American Academy of Pediatrics' recent report entitled The Transfer of Drugs and Therapeutics Into Human Breast Milk.  In this report, Dr. Hari Cheryl Sachs writes "Many mothers are inappropriately advised to discontinue breastfeeding or avoid taking essential medications because of fears of adverse effects on their infants. This cautious approach may be unnecessary in many cases, because only a small proportion of medications are contraindicated in breastfeeding mothers or associated with adverse effects on their infants."

To learn more, please consult:

Pediatric Care Online is available via desktop and mobile access courtesy of Himmelfarb Library.

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This Thursday, GW's School of Medicine and Health Sciences will host the First Annual Health Care Quality Lecture. Carolyn Clancy, M.D., Director (retired), Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services, will provide the keynote address which will be available via live webcast.

When: Thursday, October 17, 2013
4:00 pm

Watch the LIVE webcast

In addition to watching Dr. Clancy's address, you can find more information on health care quality via Himmelfarb Library's collections which include quality assurance books, e-books, and journals.

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