Module 1
Module 1
Introduction
Information is power and an essential ingredient in decision-making. To obtain timely, relevant
and quality information for your study or research work, you need to know the various sources of
information available. This module is expected to deepen your knowledge of sources of
information in print, non- print and electronic formats. It presents the definition,
originators/producers, types, formats, and categories of information sources. The module also
shows where information sources could be found e.g. archives, libraries and the Internet.
Learning Objectives
Students/Trainees would learn:
Learning Outcomes
At the end of the module, students/trainees should be able to:
Producers/Originators of Information
There are three main producers/originators of information. These are:
1. Government Agencies
2. Academic institutions
3. The private Sector
4. Individuals
Government Agencies
Government departments and agencies publish lots of information in print and electronic
formats. In various countries of the world, governments at all levels play an important role in
producing information for the society they serve. In many occasions, government officials may
need information about the society in order to make decisions relating to economic, social and
political issues [1]. Some of the information produced by government is grey literature
comprising reports such as National HIV/AIDS reports, gazettes, population statistics, census
data, government notices, policy documents etc. Since government documents are generated with
public funds, they are made available either free of charge or at low cost. This can be done
through the various government agencies including the public libraries or the government
Websites. In Nigerian for instance, some government departments and agencies Websites
include:
Academic institutions
Academic institutions such as universities and colleges are major producers of information in a
society or country. Academic institutions around the world especially those in the United States
(Yale, MIT, Harvard, Johns Hopkins, Stanford, University of North Carolina at Chapel Hill,
University of Wisconsin and University of California, Los Angeles etc), United Kingdom
(Cambridge, Oxford, University of Liverpool) Africa (University of Ibadan, Nigeria; University
of Zimbabwe; University of Zambia; Makerere University, Uganda; Kenyatta University,
Nairobi; University of Bamako, University of Witwatersrand, South Africa, and University of
Ghana, Legion etc) have conducted extensive researches in various specialties including the
health sciences. Numerous publications and knowledge materials are generated from these
research studies as technical reports, books and articles in peer reviewed journals. Academic
institutions also have other publications such as Newsletters, Magazines, Technical reports,
Manuscripts, Maps and lots of other Grey literature. Web addresses of some academic
institutions in Africa are listed below:
Private Sectors
A third major producer of information in a country is the private sector. This consists of print and
electronic media organizations, commercial business outfits, publishers/vendors and aggregators,
performing /film industry that publish and or make their information products and services
accessible on the Web either free or by subscription. Others are:
Private Individuals
Individuals also create information. Many print and web documents available today are created
by private individuals, some of whom have their own Websites/pages. Some individuals
disseminate information through Facebook, Twitter, Blogs, You-tube etc, while others publish
information in print as text books, monographs or articles in journals, magazines or newsletters.
On the other hand, some important information is not published rather, it is passed on from
generation to generation. For example, some parents pass information to their children by word
of mouth on how diseases were treated using traditional unorthodox methods in their
communities.
Exercises
• Primary
• Secondary
• Tertiary
• Primary Sources
Primary sources are original materials on which other research studies are based. Primary
sources report a discovery or share new information [2]; they present first-hand accounts and
information relevant to an event [3, 4a and 5]. They present information in its original form,
not interpreted or condensed or evaluated by other writers [2]. They are usually evidence or
accounts of the events, practices, or conditions being researched [4a, 6] and created by a person
who directly experienced that event [7]. Primary sources are the first formal appearance of
results in print or electronic formats [3]. Examples of primary sources are: eyewitness accounts,
journalistic reports, financial reports, government documents, archeological and biological
evidence, court records, ephemerals (posters, handbills), literary manuscript and minutes of
meetings etc [3,4b and 6].
The definition of a primary source may vary depending upon the discipline or context. A diary
would be a primary source because it is written directly by the individual writing in the diary
[7]. Interviews are primary sources because the individual talks about the topic directly from
what he/she knows about it. Other examples are:
A newspaper article reporting the bomb blast in Abuja, Nigeria, during the celebration of the
country’s 50th Independent Anniversary.
Note: The types of information that can be considered a primary source may vary depending on
the subject discipline, and how the material is being used. For example:
• A magazine article that reports the development of a new vaccine for the prevention of
HIV infection would be regarded as a primary source.
• Information in a magazine article that reports a study of how compact fluorescent light
bulbs are presented in the popular media could be considered a primary source [3].
Grey literature
Grey literature is also important primary source material(s) not available through the usual
systems of publication (e.g. books or periodicals) and distribution [11]. Examples are:
Conference proceedings, data exchange, environmental impact statements, oral presentations,
market research reports, online documents, oral presentations and working papers
Table 2: List of primary sources of information in various formats
This poster advertises a lecture scheduled for March 13, 2003 (Courtesy University of
Illinois Library)
A secondary source of information is one that was created by someone who didnothave first-
hand experience or did not participate in the events or conditions being researched [4]. They are
generally accounts written after the fact with the benefit of hindsight. Secondary sources
describe, analyze, interpret, evaluate, comment on and discuss the evidence provided by primary
sources [2]. Secondary sources are works that are one step removed from the original event or
experience that provide criticism, interpretation or evaluation of primary sources [7]. Secondary
sources are not evidence, but rather commentary on and discussion of evidence. A secondary
data is one that has been collected by individuals or agencies for purposes other than those of a
particular research study.
However, what some define as a secondary source, others define as a tertiary source. For
example, if a magazine writer wrote about the speech Nelson Mandela delivered when he was
inaugurated President of South Africa in 1990, it will be a secondary source. The information is
not original, but an analysis of the speech. If a government department has conducted a survey
of, say, family food expenditures, then, a food manufacturer might use this data in the
organization’s evaluations of the total potential market for a new product [8]. Similarly,
statistics prepared by a pharmaceutical company on the production of a particular drug will prove
useful to a host of people and organizations, including those marketing the drug.
For secondary sources, often the best are those that have been published most recently [4b]. If
you use a secondary source that was published decades ago, it is important to know what
subsequent scholars have written on the topic and what criticism they have made about the
earlier work or its approach to the topic. The definition of a secondary source may vary
depending upon the discipline or context. Most often how a source is used determines whether
it is a primary or secondary source [9]. For the purposes of a historical research project,
secondary sources are generally scholarly books and articles. Also included in this category
would be reference sources such as encyclopedias (also considered tertiary). Other examples of
secondary sources are:
• works which list primary and secondary resources in a specific subject area
• works which index, organize and compile citations to, and show secondary (and
sometimes primary) sources can be used.
• Materials in which the information from secondary sources has been "digested" -
reformatted and condensed, to put it into a convenient, easy-to-read form [10].
• Sources which are once removed in time from secondary sources
Table 3: General classification of selected primary, secondary and tertiary sources of information
Map, paintings,
photographs, films
Primary sources of information are original manuscripts, documents or records used in preparing
a published or unpublished work. For example, an article in a peer reviewed journal that
discussed the development of a new vaccine for the prevention of HIV infection will be
considered a primary source. Secondary sources are published or unpublished works that rely on
primary source(s). A commentary by a magazine reporter based on the peer reviewed journal
article on the newly invented vaccine for HIV prevention, would be a secondary source. Tertiary
sources are published or unpublished works that are based on secondary sources. Tertiary
sources are index to primary sources. Science Citation Index would be considered a tertiary
source. It is sometimes difficult to differentiate between primary, secondary and tertiary sources.
The following publication details of the information adapted from University of Wisconsin
libraries [12] can be helpful in determining whether a material is primary, secondary or tertiary
source:
• Timing of the event recorded--If the article was composed close to the time of the event
recorded, chances are it is primary material. For instance, a letter written by a soldier
during the Second World War is primary material, as is an article written in the
newspaper or a soldier's letter home during the Liberian Civil War. However, an article
written analyzing the results of the battle during the Liberian Civil War is secondary
material.
• Rhetorical aim of the written item--Often, an item that is written with a persuasive, or
analytical aim is secondary material. These materials have digested and interpreted the
event, rather than reported on it
• Context of the researching scholar--Primary materials for a critic studying the literature
of the Civil War are different from primary materials for a historian studying Civil War
prisons. The critic's primary materials are the poems, stories, and films of the era. The
research scientist's primary materials would be the diaries and writings of the prisoners.
Your information needs and requirements will determine what source(s) you need to consult in
order to meet that need. For example,
Exercises
1. What are primary, secondary and tertiary sources of information?
2. Differentiate between primary, secondary and tertiary sources of information.
2. List 6 primary, secondary and tertiary sources of information.
Information could be in print format and these include: all printed books, periodicals, maps,
bibliographies, indexes and abstracts, photographs, government documents, technical reports,
etc.
Books are the most common type of printed materials. The Oxford Advanced Learner’s
Dictionary defines a book as ‘a set of printed pages that are fastened inside a cover so that you
can turn them and read them [13]. A book is described by some people as a written work or
composition that has been published, printed on pages bound together while others say it's just
the content, separate from its container [14]. Books are categorized into two, namely: fiction and
non-fiction. Fiction contains information that are not true and all the scenes and characters are
made up by the author. Non-fiction books deals with information that is true, about real things,
people, events and places.
Non-Print Materials
In the past decades, much of the information created by members of a given society is produced
in audio, audio-visual and multimedia formats. Example of audio information is music recorded
on CDs and books on audio or video tapes. Video information includes VCR tapes of TV shows,
movies and documentaries [1]. Other examples are information on CD-ROMs, DVDs, Flash
drives and Web documents etc.
Microform
Microfilm
Microfilm is a roll of transparent film (approximately 100 to 200 feet in length) used to store
microscopic images of documents [1]. A microfilm reader is required to read the images in the
microfilm. Documents are recorded in microfilm because of the risk of damage to a fragile
original or to save storage space. Microfilm when properly processed and stored within special
envelopes and placed in a climate-controlled room, has a life expectancy of approximately 500
years [16, 17]. Most libraries have a collection of microfilm stored in their archives.
Microfiche
Is a small sheet of transparent photographic film usually 4 inches by 6 inches containing printed
information in a size too small to be seen by the naked eye and needs a special device to read the
images [18]. The major advantages of microfiche include storage in a small space, stability of
the format, and not needing knowledge to read it. As long as a microfiche machine is available to
magnify the print to a readable size, anyone who can read the language can read the information
on microfiche. When kept in a temperature-controlled environment, it can last for approximately
500 years; it is a good medium for saving and preserving cultural documents [18].
Unpublished sources- Indigenous Knowledge (IK)
In local communities in Africa, there is a rich body of information or knowledge which has been
handed down by word of mouth from generation to generation. This is known as indigenous
knowledge. It is neither written nor published but provides people in the community with
strategies for survival. Indigenous knowledge is the sum total of knowledge and skills which
people in a particular geographical area possess that enables them to get the most out of their
natural environment [19]. This information/knowledge is not systematically documented. It is
oral in nature, usually transmitted through personal communication; it is culture-specific and
often generated within communities [20] for local level decision-making in agriculture,
healthcare, food preparation, education, natural resources management and other activities
[21]. Examples of areas where indigenous knowledge has been very useful include, among
others, African traditional medicine, conflict resolution and culture - dance steps and traditional
attire [20].
Exercises
Communication with peers and colleagues are a good way of obtaining vital information. For
example, doctors have been found to rely on their colleagues for information in order to solve a
patient’s problems. The value of informal sources of information especially colleagues and peers
cannot be overstressed. The good side of it is that human sources (colleagues/peers) are readily
available to provide needed information at the right time. If the right person is contacted, quality
and up-to-date information will be obtained. The downside of using human sources is that there
may be some element of bias in the information provided, or some people will say things from
their own point of view or exaggerate it.
Archives
Archives are places where records of all types and formats are kept and made accessible for
research and other purposes. They are a good place to find primary sources, both unpublished
materials and those that have been published for their parent institution's members or
constituencies. Personal and institutional records of all types can be found in archives, as well
as media, ephemera, oral histories, and even artifacts. The term archivescan also refer to the
records themselves [4]. The materials housed in the archives are unique, usually one of a kind
items. Archives store, preserve and make accessible records of enduring value that have not been
produced in great quantities for the general public for research and understanding. Archival
materials are rare and irreplaceable and therefore they are not loaned out to users.
Library
When you think about libraries, the first things that come to mind are probably printed materials
such as books, journals and magazines. Libraries also provide access to resources such as full-
text journal and magazine articles, periodical indexes, and online encyclopedias. Libraries
collect quality information in a wide variety of formats. Academic libraries purchase these
sources for their "community" of students, faculty, and staff. Unlike archives, libraries have
mass produced items such as books, government reports, CDs, DVDs, magazines and journals.
The exceptions are rare books, manuscripts, map and other special collections. These resources
are different from most of the information that is freely available to you over the Web because
they have been reviewed and recommended by the library with input from the faculty members.
Like archives, libraries have primary source materials in many forms: historical newspapers,
published letters, diaries, and government reports are just a few of the types of primary sources
that can be found in libraries. In addition, some libraries are similar to archives in that they
specialize in information materials such as rare books and unpublished manuscripts.
The main purpose of libraries, particularly those situated in University campuses, is to collect a
large quantity of scholarly materials from different time periods and on diverse topics to make
research easier for members of the community they serve (staff and students in the case of a
university.) Library resources are free for use by members of the community. Libraries
purchase materials that are normally too expensive for library patrons. Library materials, unlike
those found on the Internet, go through a review process. Librarians select books, magazines,
journals databases and even Websites for use by their patrons. This selection process enables the
library to collect resources considered to be reliable, relevant and valuable.
In addition, library resources are organized by subjects thus making them easy to find. For easy
access, each item of library material has a call number that indicates where it is located on the
stack/shelf. Libraries have collections with in-depth information that has been published over
time. Both current and out of print books and magazines are stocked in libraries most of which
are in print formats. With the advent of the electronic age, some of these are now accessible
through digital libraries collections on the Web.
Libraries have trained staff called librarians who serve as a bridge between users and information
sources. They assist users in sorting through the maze of information in their library
collections. Librarians answer reference questions and also help patrons to learn how to use new
information tools. If you need help with accessing information, contact your librarian.
For example, you can search the library catalog of a University such as the University of
Maryland or University of Zimbabwe to find primary, secondary and tertiary sources of
information. See table 3 below for sample searches in the catalog. Module 2 provides details
about the library catalog.
When seeking information for academic purposes, it is advisable to start your search from the
library and save yourself time and effort, as well as obtain relevant and quality information. You
can then search the Internet if you need more information. Also, if you do not have the skills to
search the Internet for relevant information, the librarians are there to assist you.
The Internet
The Internet is a global system of networked computers that allow user-to-user communication
and transfer of data files from one computer to another on the network [22]. It is a worldwide
system of computer networks - a network of networks in which users at any one computer can, if
they have permission, get information from any other computer (and sometimes talk directly to
users at other computers) on the network [23]. On the other hand, the World Wide Web
(WWW) provides the technology needed to navigate the Internet is vast sea of resources [22].
The WWW is a path-way of accessing information over the Internet via Uniform Resource
Locator (URL) or web address.
In the distant past humans sought to record information for future reference using clay tablets,
papyrus, parchment and paper. However; the development of the printing press in the 16th
Century forever changed the communication process [24]. Currently the introduction of
computers and the Internet has sky rocketed the amount of information now available to
students, researchers, scientist, healthcare workers, policy makers, and faculty among others.
Unlike the libraries, some of the information available on the Web is not peer-reviewed or
referred as no one individual or group dictates what information should be published or how it
should be presented. This freedom to post items allows individuals to publish their opinions,
ideas and creative works on the Internet. As a result, the Internet has some information that may
be interesting but cannot be referenced and used for academic purposes because no authority
takes responsibility for it. Unlike libraries where librarians help users in accessing information,
the Web is primarily a do-it-yourself endeavor.
The Internet contains all kinds of information sources including, among others:
• Reference
• Monographs
• Periodicals
• Indexes and abstracts
• Drug information
• Databases
Reference Sources
These are authoritative works that provide specific answers or information. As you go through
school, you will need to use reference sources to find information about topics, locate facts, and
answer questions. There are many types of reference sources, including atlases, dictionaries,
encyclopedias, thesauri, directories, almanacs, manuals, biographies, and handbooks, among
others. Each type is available either in print, on CD-ROMs and the Internet. Reference
information sources can be general or subject specific. For example, The Encyclopedia
Britannica is general while The Encyclopedia of Stem-Cell Research, The Encyclopedia of Pain,
and The Gale encyclopedia of Medicine are subject encyclopedias. Other reference sources such
as dictionaries, atlases, directories also have both general and subject categories.
• Monographs
Monographs serve as an important means for conveying basic background information, such as a
narrative description of a disease, path-physiology, diagnostic techniques and common
therapeutic regimes etc. This trend remains true today, whether the monograph is in the print or
electronic format [27]. Monographs can be located using bibliographies that list references of
books with detailed bibliographic information (author, title, year of publication, publisher and
date of publication). Bibliographies serve as tools for verification, location and selection of
monographs. Today, many print sources for monographs are now in electronic formats. To
locate monographs in a library collection requires using the library catalog and most libraries
now have Online Public Access Catalog (OPAC). A good example is the National Library of
Medicine LOCATORplus.
• Periodicals
• Popular
Popular magazines are periodicals of non-specialist nature. The published articles are usually
written by staff writers, and chosen by the editor of the publication [29]. Magazine articles are
usually shorter, written in non-technical language, and designed for the general
population. Articles in popular magazines are reviewed by one or two members of staff of the
organization where they are published [1]. Popular magazines have a glossy appearance,
contains many photographs and advertisements.
Examples of popular magazines are:
These are magazines that present information about a profession or a particular trade. They are
written for members of a specific business, industry or organization. Trade magazines cover
industry trends, new products or techniques, and organizational news written by staff or
contributing authors. Good examples of trade magazines are: The Economist, APA Monitor and
Computer World.
• Scholarly Journals
Journals are written by experts or specialists in a particular field/discipline and geared towards
other scholars. The purpose of scholarly publications is to report research or advance knowledge
[29]. The articles are usually longer and may contain charts, graphs, statistics, etc., as well as
extensive bibliographies. The articles usually involve extensive research and in-depth
studies. The writing style is more complex and the language may be technical. Examples of this
type of periodical are academic journals and professional journals. Academic journals are
written by members of an academic community and are reviewed by their peers while
professional journals are written by member of a professional body including librarians, lawyers,
doctors and nurses. Examples of academic journals are:
Access to journals either in print or electronic formats is based on subscription, however; full-
text articles of some electronic journals can be accessed free on the Internet. Also, more than
7000 electronic journals are available to students, researchers, scientists, healthcare workers, and
policy makers in Africa through the Health Internetwork Access to Research Initiative
(HINARI). Using this resource requires institutional registration and login with the User
Identification and Password.
• Newspapers
Newspaper articles are short and written in non-technical language. They provide first-hand
account of an event and so are primary sources. Newspapers come in different forms and are
designed for the general public and are business in nature. Newspaper articles are usually short
and written in an easy to understand language by staff reporters and reviewed by staff within the
organization. Newspapers are also good sources for secondary information. However, not all
information in newspapers is reliable. Newspapers are published daily, weekly or
monthly. Example of newspapers include: The New York Times, The Guardian, and Nigerian
Tribune etc.
Abstracts and indexes provide citations to papers dealing with specific topics in a field of
knowledge. Indexes provide the essential bibliographic information needed to identify an article
or other publications and usually include information about the author of the work, the source
journal or other publication, volume, issue, and pagination [30]. Abstracting tools include the
same key elements but also a summary of the work usually written by the author or sometimes
generated by the reviewer where an author did not submit one. Most indexing and abstracting
services allow access to their content through subject and author indexes. However, each tool
differs on how data is presented and the nature by which access is organized. Examples of
abstracts and indexes include:
• Index Medicus
• International Pharmaceutical Abstracts
• Index to Dental Literature
• Science Citation Index
• Current Contents: Clinical Practice
• Psychological Abstracts
• Cumulative Index to Nursing and Allied Health Literature (CINAHL)
Most of the popular databases searched by librarians and library users originated from print-
based abstracting and indexing services. For example, the Index Medicus resulted in MEDLINE
now accessible online through PubMed.
According to Butros and McGuinness (2004), drug information sources cover the fields of
pharmacology (the study of the physiological actions of drugs), pharmacy (the compounding,
manufacture and dispensing of drugs) and toxicology (the study of hazardous effects of
chemicals) [31]. There are as many drug information sources as there are various
specialties. Below are some sources for drug information:
These are systematically organized collections of information covering different subject matters
or specializing in one given subject or topic [32]. They may be arranged in a table of contents,
alphabetically, in numerical order, in an index or in subject categories. A database is made up of
records. Each item in the database has one record. Records consist of smaller units of
information called fields. Common bibliographic database fields are: author, publication title,
article title, subject or keywords, publication date, volume, issue and page number. For example,
in the MEDLINE/PubMed database, each journal citation has one record. The record consists of
the following fields: author, article title, journal title, date of publication, volume, issue, page
number, PubMed ID, and abstract. A digital database is a computer program that organizes,
describes, and indexes information. It permits the user to search for specific types of
information, depending upon the selected search parameters.
The "invisible Web" is what you cannot find using search engines and what you see in almost all
subject directories [33]. They are gold mines of information you need to search directly. These
includes all of the licensed article, magazine, reference, news archives, and other research
resources that libraries and some industries buy for those authorized to use them. There is lots of
helpful information locked away in databases that can never be indexed by search engines. The
services that let you search this "invisible Web" or "deep Web include: Invisibleweb.com, Lycos
Invisible Catalog, Direct search (http://www.freepint.com/gary/direct.htm) and
WebData. Examples of searchable databases containing invisible web pages valuable in
academic research are:
• ipl2
• Infomine
4. Web of Science
Web or science Provides access to the Science Citation Index Expanded and Social Science
Citation Index. It covers science and provides technical journals in biochemistry, biology,
genetics, biomedicine, genetics, microbiology, nuclear science with abstracts. It covers more
than 8,000 journals [30]. It offers current and retrospective bibliographic information, author
abstracts and cited references and allows users to conduct broad-based comprehensive searches
that uncover all the relevant information they need. It provides cited reference searching, the
unique ISI search and retrieval feature that lets users track the literature forward, backward and
through the database. It is updated weekly. Web of Knowledge (PubMed) is accessible free of
charge via HINARI.
5. Scopus
Scopus is an interdisciplinary bibliographic database that indexes the content of more than
15,000 peer-reviewed journals from more than 4,000 international publishers. It covers subjects
such as the physical sciences, engineering, earth and environmental sciences, life and health
sciences, social sciences, psychology, business, and management. Scopus content includes
MEDLINE and EMBASE citations. Also, Scopus covers 1,000 Open Access Journals, 500
Conference Proceedings, Over 600 Trade Publications and over 125 Book titles. In addition,
Scopus covers 386 million quality Web sources including 21 million patents. Web sources are
searched via Scirus [34, 35]. Scopus can be accessed at http://www.scopus.com or through
HINARI for full text articles.
6. EMBASE
Provides content to biomedical (clinical and experimental) information with extensive coverage
of drug research, pharmacology, pharmacy, and toxicology, public health and mental health
topics with abstracts back to 1974 and it is updated daily with pharmacological information. The
database indexes more than 7000 journals, has over 18 million records. It has more than the 11
million EMBASE records from 1974 to date and 7 million for unique MEDLINE records from
1966 to the present. This database can be accessed through subscription at
http://www.embase.com
Note: All the above bibliographic databases except EMBASE are accessible free through
HINARI (http://www.who.int/hinari)
Evidence-Based Medicine is about using information from the medical literature in making
informed decision about patient care. Many EBM databases are now accessible online including,
among others:
• Clinical Queries
• Cochrane Library
• Clinical Evidence
• DynaMed
• Best Evidence
In this module, Clinical Queries and the Cochrane Library will be discussed
1. Clinical Queries: This is accessible through PubMed and covers three main areas namely:
• Clinical study category Query: This filters citations to a specific clinical study category
and scope
• Systematic Reviews: These filter citations for systematic reviews, meta-analyses, reviews
of clinical trials, evidence-based medicine, consensus development conferences, and
guidelines.
• Medical genetics: filter citations to topics in medical genetics.
2. The Cochrane Library is a collection of databases, published on CD-ROM and the Internet
and updated quarterly, containing the Cochrane Database of Systematic Reviews, the
Cochrane Central Register of Controlled Trials, the Database of Abstracts of Reviews of
Effects, the Cochrane Methodology Register, the HTA Database, NHSEED, and information
about The Cochrane Collaboration. The Cochrane Library has about 4,000 reviews meant
for use by health care workers to enable them to make informed decisions with respect to
patient care [36]. Reviews are unique because they are both produced by, and are relevant to
everyone interested in the effects of health care. Based on the best available evidence, healthcare
providers can decide if they should fund production of a particular drug. Practitioners can find
out if an intervention is effective in a specific clinical context. Patients and other healthcare
consumers can assess the potential risks and benefits of their treatment [37].
• Systematic reviews seek to collate all evidence that fits pre-specified eligibility criteria in
order to address a specific research question.
• They aim to minimize bias by using explicit, systematic methods.
• The Cochrane Collaboration prepares, maintains and promotes systematic reviews to
inform healthcare decisions (Cochrane reviews).
• Cochrane reviews are published in the Cochrane Database of Systematic Reviews in The
Cochrane Library
Consumer Health Information Resources/Databases
1. MEDLINEPlus
2. National Institute of Health (NIH) Senior Health
3. New York Online Access to Health (NOAH)
4. HealthyRoadsMedia
5. Toxtown
6. Toxnet
7. Household products database
• Medline Plus
Medline Plus is a product of the National Library of Medicine (NLM). Medline Plus offers
information on selected, organized links to online consumer health information on hundreds of
topics about diseases, conditions, and wellness issues in language you can understand. Medline
Plus offers reliable, up-to-date health information, anytime, anywhere for free. You can use
Medline Plus to learn about the latest treatments, look up information on a drug or supplement,
find out the meanings of words, or view medical videos or illustrations. You can also get links to
the latest medical research on your topic or learn about clinical trials on a disease or condition. It
also includes tutorials.
Also featured are an online encyclopedia, medical dictionary, audio-visual resources, and
extensive links to Spanish-language health information. Medline Plus is the premier consumer
health site. It should be any consumer health information seeker’s first stop, and can fill the vast
majority of information needs. The homepage is very well-organized; everything is accessible
from there. When searching, multiple search terms automatically combined with “And”. Search
engine will detect misspelled words and suggest alternatives. To access Medline Plus go to:
http://www.nlm.nih.gov/medlineplus/,or type medlineplus.gov into your browser’s address bar.
This is a website for the elderly, developed by the National Institute on Aging and the National
Library of Medicine. Senior-friendly features include the ability to adjust font size and contrast,
an audio option that reads text on the page aloud, and videos. Seniors with low vision, and
anyone with low literacy needs, although most topics are senior-specific (i.e. Exercise for Older
Adults). A short list of topics is easy to browse. No search option is included. Audio text-
reading function is very literal and function is spotty: may repeat phrases several times and / or
skip words or sentences. To access this resource go to: http://nihseniorhealth.gov/
A collaborative effort of New York librarians, NOAH provides access to selected, organized
links to online consumer health information. It has a wide range of topics and extensive
Spanish-language content. Non-Spanish-speaking users can navigate organized topic pages in
English, and then click on “en espanol” link at bottom of page to access available Spanish-
language links for that topic. It is well-organized and easy to browse; browsing is often more
efficient than using the search engine [38]. Can be accessed at: http://www.noah-health.org/
• HealthyRoadsMedia
A collaborative effort of many different public health agencies, social services organizations, and
librarians, HealthyRoadsMedia collects, creates and provides free online access to multilingual
health information overviews on various topics in a variety of formats: audio, audiovisual, and
written. Health topics provided in English and 8 other languages: Arabic, Bosnian, Hmong,
Khmer, Russian, Somali, Spanish, and Vietnamese. It is best for patients with lower literacy
English and / or need for information in a language other than English. Focus is on prevention
and wellness, and safety. Not all topics are available in all languages [38]. To access this
resource go to: http://www.healthyroadsmedia.org/
This database links over 10,000 consumer brands to health effects from Material Safety Data
Sheets (MSDS) provided by manufacturers and allows scientists and consumers to research
products based on chemical ingredients [39]. Household product database was developed by the
Specialized Information Services Division at the National Library of Medicine, National
Institutes of Health, Bethesda, Maryland, USA.
The database is designed to help answer the following typical questions:
• What are the chemical ingredients and their percentage in specific brands?
• Which products contain specific chemical ingredients?
• Who manufactures a specific brand? How do I contact this manufacturer?
• What are the acute and chronic effects of chemical ingredients in a specific brand?
• What other information is available about chemicals in the toxicology-related databases
of the National Library of Medicine?
This database can be accessed at: http://householdproducts.nlm.nih.gov/about.htm
Tox Town uses color, graphics, sounds and animation to add interest to learning about
connections between chemicals, the environment, and the public's health. Tox Town's target
audience is students above elementary-school level, educators, and the general public. It is a
companion to the extensive information in the TOXNET collection of databases that are
typically used by toxicologists and health professionals [40]. This database can be accessed at:
http://toxtown.nlm.nih.gov/index.php
6. Toxnet: Is a database on toxicology, hazardous chemicals, environmental health, toxic
releases and other information resources from the Toxicology and Environmental Health
Information Program. Developed by the U.S National Library of Medicine [40]. TOXNET
could be accessed at: http://toxnet.nlm.nih.gov
In recent years social networking applications popularly known as Web 2.0 are now being used
as a means of communication, especially in sharing and dissemination of information. Libraries
are also using this media to reach out to their clients. Common Web 2.0 applications that have
become sources of information include:
• Facebook
• Blogs
• Twitter
• MySpace
• YouTube
• RSS
Exercises
1. What is the difference between the Internet and the World Wide Web?
2. List 5 reference sources that are available on the Internet
3. Give examples of the following databases/resources:
1. Bibliographic
2. EBM resources
3. Consumer health information resources
4. Give an example:
1. Digital archive
2. Gateway
3. Institutional repository
Reference
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