Garlic to Ginseng Challenging Alternative Medicine Queries @ Your Library

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Garlic to GinsengChallenging Alternative
Medicine Queries _at_ Your Library

• Sally M. Patrick, M.L.S. Project Director
• Utah Consumer Health Information Initiative
• Alice Weber, M.L.S., RN
• Acquisitions Librarian
• Spencer S. Eccles Health Sciences Library
• University of Utah
• Utah Library Association Annual Conference May 6,
  2004

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Goals for Today

• Introductions overview of Eccles Library
  services resources
• Brief history of Complementary Alternative
  Medicine (CAM)
• Realize the need to promote an evidence based
  approach to educating consumers about CAM
• Provide exposure to Evidence-based resources in
  CAM

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History

• Ayurveda 1500 BC to AD 500
• Acupuncture 5,000 years old
• Traditional Chinese Medicine (TCM) 2,000 years
  old
• Homeopathy 1790s
• Allopathic Medicine

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History in the U.S.

• 1991- 2 million to NIH
• 1993 Office of Alternative Medicine (OAM)
• 1998 NCCAM established
• 2001 CAM on PubMed
• 2002 NCCAMs first Clinical Trial

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The Reference InterviewThings to Consider

• Provide complete and authoritative health
  information not medical advice or interpretations
• When in doubt, always refer back to practitioner
• Teach critical evaluation of Internet resources
• Anxiety be sensitive and respect privacy

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Evaluating Consumer Health Information Resources

• MedlinePlus Guide to Healthy Web Surfing
• Consider the source
• Focus on quality
• Be a cyber-skeptic
• Look for the evidence
• Check for currency
• Beware of bias
• Protect your privacy
• Consult with a health professional
• From MedlinePlus page on Evaluating Health
  Information

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CAM Definitions

• Complementary
• Used together with conventional medicine.
• Alternative
• Used in place of conventional medicine.
• Integrative Medicine
• Combines mainstream medical therapies and CAM
  therapies for which there is some high-quality
  scientific evidence of safety and effectiveness.

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CAM Categories

• Alternative Medical Systems
• Mind-Body Interventions
• Biologically Based Therapies
• Manipulative and Body-based Methods
• Energy Therapies
• Biofield Therapies
• Bioelectromagnetic-based Therapies

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Online Resources just for starters

• Eccles Health Sciences Library http//medlib.med.u
  tah.edu/
• Librarians Index to the Internet
• Utah Public Pioneer -http//pioneer.utah.gov/
• Utah Consumer Health Information Network
  http//uchin.med.utah.edu/

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Online Resources just for starters

• MedlinePlus- http//medlineplus.gov/
• National Center for Complementary and Alternative
  Medicine-http//nccam.nih.gov/
• Hawaii Health Portal- http//hawaiihealthportal.or
  g

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In Summary

• CAM is a legitimate part of evidence-based
  medicine and therefore important to provide to
  patrons if high quality
• Use MedlinePlus NCCAM links for quality
  information
• Be aware more and more CAM is being focused on by
  patrons
• Consumer Health An Evidence Based Approach to
  CAM-NN/LM MCR course
• http//nnlm.gov/mcr/consumer_health/cam/

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Bibliography

• Eccles Health Sciences Library http//medlib.med.u
  tah.edu/
• Librarians Index to the Internet www.lii.org
• Utah Public Pioneer - http//pioneer.utah.gov/
• Utah Consumer Health Information
  Network-UCHIN-(look for on Public Pioneer) -
• http//uchin.med.utah.edu/

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Bibliography

• MedlinePlus- http//medlineplus.gov/
• National Center for Complementary and Alternative
  Medicine -http//nccam.nih.gov/
• Hawaii Health Portal -http//hawaiihealthportal.or
  g
• Evaluation of Health Information
• http//www.nlm.nih.gov/medlineplus/evaluatingheal
  thinformation.html
• http//nccam.nih.gov/health/webresources/

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Bibliography for History of CAM

• (All sites accessed 3/19/04)
• Traditional Chinese Medicine http//www.tcminterna
  tional.com/traditionalchinesemedicine.htm
• http//www.nmns.edu.tw/New/Introduction/nmns/e/6-
  1.htm
• Homeopathy
• http//bmj.bmjjournals.com/cgi/content/full/319/7
  217/1115

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Bibliography for History of CAM

• (All sites accessed 3/19/04)
• Acupuncture
• http//www.americanacupuncture.com/history.htm
• Ayurveda
• http//enotalone.com/article/2289.html
• Unconventional Medicine
• http//www.corsello.com/politics/WarAgainstMedici
  ne.pdf