medical informatics

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A lecture by Dr Sarah Bolbol

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Medical informatics

By

Sarah Bolbol

Assistant lecturer Industrial medicine & occupational hygiene

I. Basics concepts

Browser Also known as Internet or Web browser. Software that allows

users to access and navigate the Internet.

Database A collection of information that is organized and stored so it

can be search easily.

Homepage The first document World Wide Web users see when

connecting to a Web server

It usually provides a table of contents or index to the

contents of the item.

HTML (Hypertext

Markup Language)

The standard language used for creating documents on the

World Wide Web.

HTTP (Hypertext

Transmission

Protocol)

The standard language that World Wide Web clients and

servers use to communicate.

search engine software system that is designed to search for information

on the World Wide Web. Has three components:

Spider: Program that traverses the Web from link to link, identifying

and reading pages

Index: Database containing a copy of each Web page or other file

gathered by the spider

Search and retrieval mechanism: Technology that enables you to

search the index and that returns results in a relevancy-ranked order

Subject

Directories

A collection of links to Internet resources organized in subject

categories.(Dmoz, Infomine)

Subject Directories are the web organized by human beings.

Deep /

Invisible Web

part of the Web that cannot be crawled or indexed by

traditional search engines

Store their content in searchable databases that only produce

results dynamically in response to a direct request.

Largest Deep Web contain data of about 40 times the size of

the known surface Web.

Internet Directory Listing of sites by categories and sub categories based on

site listings selected by the directory's team of editors.

Yahoo! Is the most popular Net directory.

Internet Server A computer that stores data that can be accessed via the

Internet. Each server has its own unique domain name and

IP address.

Meta Search Engine Meta Search Engines search multiple search

engines for you (such as Google, Bing, Yahoo, etc)

and display the results for you on one page.

Meta engines speed and simplify searches.(Dogpile- Clusty)

Netiquette The rules of conduct for Internet users. Violating netiquette

could result in flaming for removal from a mailing list or

Usenet newsgroup. Some service providers will even cancel a

user's Internet account, denying access of the Net, if the

violation is severe.

keyword a significant term that identify the information described in an online

search tool.

Stop words words that many search engines DON'T stop for when searching texts and

titles on the web. Engines routinely ignore stop words, i.e., small and

common words, such as parts of speech (adverbs, conjunctions,

prepositions, or forms of "to be").

Blog A blog is a publicly available Web site that serves as a personal journal

as an information tool for an organization.

Entries or messages are displayed in reverse chronological order and

the site is usually updated daily.

Wiki a multi-authored or collaborative Web site that permits users to create

additional content for the site and to edit existing content.

The term wiki is derived from the Hawaiian "wiki wiki", which means

quick.

II.How to decode URL

Anatomy of URL

http://www.wmich.edu/registrar/registrati

on.html

III.SKILL Strategy

SKILL

Summarize your topic in one or two sentences

Keywords and phrases highlighted

Identify synonyms, alternate terms

Link keywords and terms

Locate your information

A. Keyword Search

A keyword search allows you to enter one

or more terms that represent a

concept/topic to search.

Example: Human cloning

B. Boolean operators

Using AND

Use AND in a search to:

narrow your results

tell the database that ALL search terms must be present in the resulting records

Example: cloning AND humans AND ethics

Using OR

Use OR in a search to:

connect two or more similar concepts (synonyms)

broaden your results, telling the database that ANY of your search terms can be present in the resulting records

Example: cloning OR genetics OR reproduction

Using NOT

Use NOT in a search to:

exclude words from your search

narrow your search, telling the database to ignore concepts that may be implied by your search terms

Example: cloning NOT sheep

C. Phrase Search

A phrase search is one of the most efficient

and effective ways to narrow down results.

Enclose a phrase or words in double

quotations (" ") when exact word order is

required.

"Mexican American"

D.Truncation

Truncation is searching by the root of a word. Truncation finds variations of the ending of a word (plurals, different spellings, multiple suffixes).

The * asterisk is a common truncation symbol to place at the ending.

Example:

comput* = compute, computer, computers, computerization

E. Nesting

Nesting is a method of combining Boolean operators in a logical order.

When using Boolean Operators in combination, however, it is important to "nest" them.

Nesting means putting operators in parentheses in order to tell the library catalog, database, or Internet search engine how it should search for your terms.

Examples of Nesting:

( treatment or outcomes ) AND ( anorexia

not bulimia )

this search finds the treatment or outcomes

for anorexia but not for bulimia

F. Thesaurus

Many bibliographic databases use what is

known as a “controlled vocabulary‟ to index

articles.

Each common medical concept is given a

single subject heading which covers all the

words and phrases used to describe that

concept

For example, ―Cerebral vascular accident‖ is a

subject heading which covers all the words and

phrases used for the concept of ―stroke‖.

Using a thesaurus also helps overcome

problems of inconsistent terminology

and alternative terms or spellings.

If you type in the word “paediatric‟ as a

keyword in a search you should also carry out

a search for “pediatric‟ as well, as

databases can use both spellings.

Using the thesaurus will label articles with

either spelling under one subject heading

– so you would only need then to do one

search.

Each database uses a different list of

subject headings i.e. the BNI thesaurus

will have different subject headings to the

Medline thesaurus.

For this reason, you can only use a

thesaurus if you are searching in one

database only in Advanced Search.

Subject headings are normally arranged in a hierarchy or tree structure, where broad subjects are subdivided into more specific topics.

G.Snowballing

Reference harvesting or pearl

growing

Snowball method If you wish to obtain detailed information

about a subject or find lots of information, you

can use the snowball method.

With this method you start your search with a

key document. This could be a well-known work

or a highly-praised article. A key document

contains citations or references to other

sources about the same subject. This leads to

other documents that, in turn, include references

IV.Citing medicine

Citation Format for Books - single author

Title: Knossos Mythology-History Guide to the Archaeological Site

Author: Antonis Vassilakis

Publisher: Adam Editions

City Published: Athens

Editor: Costas Adam

Date Published: 2002

a) Antonis Vassilakis. Knossos Mythology-History Guide to the Archaeological Site. Athens: Adam Editions, 2002. Print.

b) Adam, Costas. "Knossos Mythology-History Guide to the Archaeological Site". Athens: Adam Editions, 2002. Print.

c) Vassilakis, Antonis. Knossos Mythology-History Guide to the Archaeological Site. Athens: Adam Editions, 2002. Print.

Citation Format for a Book with Multiple Authors

Title: Aegean Art and Architecture

Author: Donald Preziosi, Louise A. Hitchcock

Publisher: Oxford University Press

City Published: Oxford

Editor: Costas Adam

Date Published: 1999

a) Preziosi, Donald, Hitchcock, Louise. Aegean Art and Architecture. Oxford: Oxford University Press, 1999. Print.

b) Preziosi, Donald and Louise A.Hitchcock. Aegean Art and Architecture. Oxford: Oxford University Press, 1999. Print.

c) Preziosi, Donald and Louise A.Hitchcock. Aegean Art and Architecture. Oxford University Press,1999: Oxford. Print.

Book with an Editors Rather Than an Author

Title: Atlas of Classical Archaeology

Author: --

Publisher: McGraw-Hill

City Published: New York

Editor: M. I Finley

Date Publisher: 1977

a) Finley, M. I., ed. Atlas of Classical

Archaeology . New York: McGraw-Hill, 1977. Print.

b) Unknown, Atlas of Classical Archaeology, ed. M.I. Finley, ed. New York: McGraw-Hill, 1977. Print.

c) Atlas of Classical Archaeology , M. I.Finley, ed. New York : McGraw-Hill, 1977. Print.

Magazine Article

Title: Palo Alto Idea House

Author: Ann Bertelsen and Daniel Gregory

Magazine name: Sunset

City Published: --

Volume: --

Date Published: September 2002

URL: www.sunset.com

a) Bertelsen, Ann "Palo Alto Idea House." Sept 2002: 107. Print.

b) Bertelsen, Ann and Gregory, Daniel."Palo Alto Idea House." Sunset , Sept 2002: 107. Print.

c) Bertelsen, Ann and Daniel Gregory. Sunset "Palo Alto Idea House." Sept 2002: 107. Print.

Journal Article

Title: Defying death after DNA damage Author: Tina Rich, Rachel L. Allen & Andrew

H. Wyllie Associated Institution: Dept. of Pathology,

University of Cambridge, Cambridge, U.K. Publisher: Nature City Published: -- Volume: Vol. 407 Date Published: 12 October 2000 URL: www.nature.com

a) Rich, Tina, Rachel L. Allen and Andrew H. Wyllie."Defying death after DNA damage." Nature (12 Oct. 2000): Vol. 407, 777-783. Print.

b) Rich, Tina, Rachel L. Allen and Andrew H. Wyllie.; Nature 407 "Defying death after DNA damage." (2000): 777-783. Print.

c) Rich, Tina, Allen Rachel L. and Wyllie Andrew H. "Defying death after DNA damage." Nature 407 (2000): 777-783. Print.

A Wiki

Title: Amaranth

Author:

Web site Name: Wikipedia: the free encyclopedia

Associated Institution: Wikimedia Foundation

City Published: —

Date Last Modified: September 11, 2008

Year Visited:September 12, 2010

URL: http://en.wikipedia.org/wiki/Amaranth

a) "Amaranth." Wikipedia, The Free Encyclopedia. Wikimedia Foundation, Inc.11 Sept 2008. Web. <http://en.wikipedia.org/wiki/Amaranth > 12 Sept 2010. <

b) Wikipedia, The Free Encyclopedia. Wikimedia Foundation. 11 Sept 2008. Web. <http://en.wikipedia.org/wiki/Amaranth > 12 Sept 2010.

c) None, "Amaranth." Wikipedia, The Free Encyclopedia. Wikimedia Foundation. 11 Sept 2008. Web. <http://en.wikipedia.org/wiki/Amaranth > 12 Sept 2010.

Academic Site

Title: Introduction to Information Research

Author: Eric Brenner

Associated Institution: San Mateo Community College District

Location: Skyline, CA

Date Last Modified: 2009

Date Visited: May 2010

URL: http://www.smccd.net/accounts/skylib/l100/

a) Brenner, Eric. "Introduction to Information Research." 2009. San Mateo Community College District, <http://www.smccd.edu/accounts/skylib/l100/> May 2010. Web.

b) Brenner, Eric. "Introduction to Information Research." Skyline, CA, 2009. Web. <http://www.smccd.edu/accounts/skylib/l100/> May 2010.

c) Brenner, Eric. "Introduction to Information Research." San Mateo Community College District, 2009. Web. <http://www.smccd.edu/accounts/skylib/l100/> May 2010.

How to cite a website

Example

AMA: helping doctors help patients [homepage on the Internet]. Chicago: American Medical Association; c1995-2007 [cited 2007 Feb 22]. Available from: http://www.ama-assn.org/.

Entire Website

The MiraCosta Library homepage [internet].

Retrieved from: http://library.miracosta.e

du/homepage

A specific page within a

Web site

Merriam-Webster’s online

dictionary (n.d) . Heuristic

[internet]. Retrieved from

http://www.m-

w.com/dictionary/heuristic

Sea Turtle Restoration

Project (n.d). Threats to

sea turtles [internet].

Retrieved from

http://seaturtles.org/sec

tion.php?id=104

V. Web site evaluation

5 main items

Authority

Accuracy

Currency

Objectivity

Coverage

Authority

Author of site: Is there an author named on the page? Is the author qualified?

Sponsor of site :-- Is there a sponsor? Is the sponsor qualified? (i.e. Is there an "about us" or "our mission" link?)

Link or contact Information: -- Is the author or sponsor's name, e-mail, postal address listed?

Answer : No. The page appears to be a joke. The author belongs to a factious university. Look at the bottom of the page to discover the true author.

Accuracy Factual -- Does the author give factual information? Documented / well-researched -- Does the author

cite his/her sources? Is the research methodology explained?

Subject to verification -- Can the information be verified by additional resources in print on on the Web?

Corroborated -- Are links and resource citations included (possibly using MLA citation format.)

Collaborative -- Is a committee or editor named who reviews the content or verifies facts

Answer: No. This information is not corroborated

(backed up) by data in the mainstream medical community.

Currency

Date-stamped -- Is there a "last updated" notation or evidence of recent changes?

Seemingly current -- Does the information seem current to you? Do news events, conference events or any bits information lead you to believe the page has been updated recently?

Linked currently -- Are the links still working? Do pages turn up with "this site has moved" or "page not found―

Answer: The page is current. However, no links are included.

Objectivity

Bias -- Does the page/site show minimal signs of bias: political, ideological, personal, or cultural?

Intent -- Does the page present factual information or is it designed to sway opinion?

Influence -- Is the site is sponsored or underwritten by advertising, is the writing free of bias supporting the sponsor?

Answer: No. The page content is opinion and imagination.

Coverage Relevant -- Do the topics covered include your

topic? Does the page cover a variety of (too many) topics or is it focused on one relevant topic?

Adequate -- Does the page information adequately cover your topic: is it too general or too detailed?

Audience appropriate -- Is the content intended for children, scholars, general public? Was the page written to inform, educate, entertain (parody).

Answer: No. The page does not cover this topic.

It is a spoof intended to teach the importance of critical thinking when evaluating a web page.

Authority

Author of site Is there an author named on the page? Is the author qualified?

Sponsor of site -- Is there a sponsor? Is the sponsor qualified? (i.e. Is there an "about us" or "our mission" link?)

Link or contact Information -- Is the author or sponsor's name, e-mail, postal address listed?

Answer: Yes. The author is not named;

however, UNICEF is a well-known international, collaborative organization.

Accuracy

Factual -- Does the author give factual information?

Documented / well-researched -- Does the author cite his/her sources? Is the research methodology explained?

Subject to verification -- Can the information be verified by additional resources in print on on the Web?

Corroborated -- Are links and resource citations included (possibly using MLA citation format.)

Collaborative -- Is a committee or editor named who reviews the content or verifies facts

Answer: Yes. This information is backed up by

data (statistics link) and other resources links.

Currency

Date-stamped -- Is there a "last updated" notation or evidence of recent changes?

Seemingly current -- Does the information seem current to you? Do news events, conference events or any bits information lead you to believe the page has been updated recently?

Linked currently -- Are the links still working? Do pages turn up with "this site has moved" or "page not found―

Answer: Yes The page is current.

Objectivity

Bias -- Does the page/site show minimal signs of bias: political, ideological, personal, or cultural?

Intent -- Does the page present factual information or is it designed to sway opinion?

Influence -- Is the site is sponsored or underwritten by advertising, is the writing free of bias supporting the sponsor?

Answer: Yes. The site appears to be

objective. It is free of advertising. It is funded by public donations.

Coverage

Relevant -- Do the topics covered include your topic? Does the page cover a variety of (too many) topics or is it focused on one relevant topic?

Adequate -- Does the page information adequately cover your topic: is it too general or too detailed?

Audience appropriate -- Is the content intended for children, scholars, general public? Was the page written to inform, educate, entertain (parody).

Answer: Yes. The site gives a wealth of

factual information on this topic.

Authority

Author of site Is there an author named on the page? Is the author qualified?

Sponsor of site -- Is there a sponsor? Is the sponsor qualified? (i.e. Is there an "about us" or "our mission" link?)

Link or contact Information -- Is the author or sponsor's name, e-mail, postal address listed?

Answer: Uncertain. The author is not listed on the page. Of the BOARD OF DIRECTORS,few have PhDs in Medicine. The HOME link reveals "The Group" members. The authority of the information is in question. Links to other sites show support for the viewpoint.

Accuracy

Factual -- Does the author give factual information?

Documented / well-researched -- Does the author cite his/her sources? Is the research methodology explained?

Subject to verification -- Can the information be verified by additional resources in print on on the Web?

Corroborated -- Are links and resource citations included (possibly using MLA citation format.)

Collaborative -- Is a committee or editor named who reviews the content or verifies facts

Answer: No. This page is not backed up by scientific data or clinical trials.

Currency

Date-stamped -- Is there a "last updated" notation or evidence of recent changes?

Seemingly current -- Does the information seem current to you? Do news events, conference events or any bits information lead you to believe the page has been updated recently?

Linked currently -- Are the links still working? Do pages turn up with "this site has moved" or "page not found―

Answer: Yes The page is current. All links lead to similarly-minded links. All videos support the "myth" point of view.

Coverage

Relevant -- Do the topics covered include your topic? Does the page cover a variety of (too many) topics or is it focused on one relevant topic?

Adequate -- Does the page information adequately cover your topic: is it too general or too detailed?

Audience appropriate -- Is the content intended for children, scholars, general public? Was the page written to inform, educate, entertain (parody).

Answer: No. The site does not give factual

information on this topic.

HONcode

Definition

Health On the Net Foundation is a not-for-

profit organization founded in 1995 under

the resposibility of the Geneva Ministry of

Health and based in Geneva, Switzerland.

HON was founded to encourage the

dissemination of quality health information

for patients and professionals and the

general public.

Facilitate access to the latest and most

relevant medical data through the use of

the internet.

The HONcode certification is an ethical

standard aimed at offering quality health

information.

It demonstrates the intent of a website

to publish transparent information.

The HONcode: Principles

Quality Criteria for Health related

Websites Commission of the

European Communities

Transparency and Honesty

• Transparency of provider of site: (name, address ,electronic address of the person or organization responsible for the site)

• Transparency of purpose and objective of the site Target audience clearly defined

• Transparency of all sources of funding for site (grants, sponsors, advertisers, non-profit, voluntary assistance).

Privacy and data protection

• Privacy and data protection policy

and system for the processing of

personal data, including processing

invisible to users, to be clearly defined in

accordance with community Data

Protection legislation

Updating of information

• Clear and regular updating of the site,

with date of up-date clearly displayed for

each page

Accountability

• user feedback

• Responsible partnering -linking to

other websites is undertaken only with

trustworthy individuals and organizations

• Editorial policy -clear statement

describing what procedure was used for

selection of content.

Accessibility

• Attention to guidelines on physical

accessibility as well as general findability,

searchability, readability, usability, etc.

MCQs

1. Which one of the following is NOT an example of an extension in a URL?

(A) .gov

(B).edu (C) .npr

(D) .com

2. You can optimize your search results on the Web by

(A) using several different search engines. (B) sticking to your topic and resisting

distractions. (C) becoming familiar with and using

reliable Web resources such asNational Geographic, LA Times, and the Library of Congress.

(D) all of the above

3. Which of the following is the best indicator that a Web site is reliable?

(A) The author of the site tells you the

information is reliable. (B) The author of the site provides contact

information and his or her credentials. (C) The author links to his or her favorite

Web sites. (D) The author states in bold letters that the

site was proofread by a librarian.

4. What does this URL tell you about the source? http://vos.ucsb.edu

(A) It is associated with an educational institution.

(B) It is an English teacher’s personal home page.

(C) It is an article from a magazine.

(D) It is from a directory.

5. Which of the following is an example of a Boolean search?

(A) Shakespeare sonnets

(B) Shakespeare AND sonnets

(C) "Shakespeare" with "SONNETS―

(D) Shakespeare (sonnets)

6. Which of the following statements about search engines and directories is true?

(A) A search engine does not discriminate between good and bad sites.

(B) A search engine displays all Web pages that contain your keywords and may list thousands of unordered results.

(C)A directory is someone’s attempt to categorize the best sites available for a given subject or topic.

(D) all of the above

7. Which of the following statements about meta-search engines is NOT true?

(A) Meta-search engines scan multiple search engines simultaneously.

(B) Meta-search engines are a waste of time because they provide very few results.

(C) Meta-search engines provide results based on the keyword(s) submitted.

(D) Meta-search engines can save time, but you shouldn't rely on them exclusively.

8. Critically evaluating content on the Web is important because

(A) Web authors are always less professional.

(B) Web authors are always biased.

(C)anyone can publish on the Web. There’s

no guarantee that what you’re reading is objective and has gone through standard fact-checking and editorial reviews.

(D) printed information is always more accurate than information found on the Web.

9. Which of the following is an example of effective online searching?

(A) Do a random keyword search on a search engine of your choice. Then, quickly browse through all the results listed and find the ones you think have the most useful information.

(B) Formulate research questions, list possible sources of information, identify keywords, and begin your search.

(C) Visit chat rooms and find out what others are saying about your topic.

(D) Post a question about your topic on a message board and read all the responses.

10. Which of the following citations is composed according to the MLA-citation manual and guide for an article in an online magazine?

(A) Doe, Jane. "Fundamentals of Guitar." Guitar Virtuoso 2000. 2 Feb. 2001. http://www.guitarvirtuoso.com

(B) "Fundamentals of Guitar," by Jane Doe.

http://www.guitarvirtuoso.com, Guitar Virtuoso, 2000.

(C) Doe, Jane. Fundamentals of Guitar. Guitar Virtuoso, 2000. guitarvirtuoso.com

(D) "http://www.guitarvirtuoso.com" Guitar Virtuoso. "The Fundamentals of Guitar." 2000. (2 Feb. 2001).

Good luck

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