PowerPoint ready images via ClinicalKey [Resource of the Week]

The point-of-care clinical information service ClinicalKey has 5,000,000+ images that maybe downloaded to either PowerPoint or Keynote for Mac.

How to find and store images at ClinicalKey 

  • Go to Clinical Key and register through the link in the upper right corner. Registration is free to all UT affiliates.
  • Enter word(s) or phrase through the search box. Quoted phrases and Boolean logic (use of AND and OR) seem to be largely supported.
  • Select Multimedia from the left pull down menu. Click on the search icon (an orange magnifying glass in the search box). Click on Videos to remove videos from the results.
  • Click on desired image. Click on the Save icon to the right of the image.

How to organize saved ClinicalKey images

  • Click on Create New Presentation, create name, and then add images.
  • Drag images around to reorganize them, and delete images you no longer need.
  • Add saved images to a presentation through the link Add images from Saved Content.

How to add ClinicalKey images to PowerPoint presentations

  • Go to ClinicalKey and login through the link in the upper right corner.
  • Select Presentations from the drop down menu under your login name.
  • Select desired presentation. Click on Export link above and to the right of the image.
  • Use options to save or open in PowerPoint and Keynote for Mac.


Additional Points

  •  You can also view, move and delete content within the Presentation Maker panel.
  •  Presentation Maker automatically imports reference citations into your presentation.
  • ClinicalKey lets you build, name and manage as many presentations as you’d like.



ClinicalKey Presentation Maker
The Presentation Maker


Additional Image Resources (more at the UT Library guide Images)

  • AccessMedicine

  • Images @ PMC

  • Science Direct Image Search

  • Body Maps



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USGS Geological Survey Environmental Health [Resource of the Week]

Mosquitos pose a threat to exposure of Vector-Borne disease. (James Gathany)

Mosquitos pose a threat to exposure of Vector-Borne disease. (James Gathany)

Sentinel Species: Tree swallow at nest box, Holston River, Virginia. (Thomas Chapman)

Sentinel Species: Tree swallow at nest box, Holston River, Virginia. (Thomas Chapman)


As the Nation’s natural science agency, USGS can play a significant role in providing scientific knowledge and information that will improve our understanding of the environmental contributions to disease and human health.

Human health activities include

  Studies in Places
  Data Sources




Looking for additional places to start for public health information?
Check out the UT Library Guide Public Health for how to find books, articles, and relevant Web sites. As always, please do not hesitate to consult with a Mulford Reference Librarian!

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10 Things This Instructor Loves [Blog post]

From the 19 August 2015 post by Jane E. Dmochowski The Chronicle of Higher Education

Affection and respect do far more to improve student behavior in the classroom than snark and irritation


Do most professors wish they could teach their students how to be students before the first class, or is it just the inner control freak in me?

Last fall, in an effort to help my students avoid doing things that frustrate their teachers, including me, I posted an article on my course website under the header “10 Things Every College Professor Hates,” written by a sociology professor at Occidental College. I thought it was a lighthearted (and yes, indirect, since I hadn’t written the piece) way for me to make my life easier by changing their behavior. Even more important, I wanted to prevent students from having a negative relationship with me and other faculty members.

I don’t know how many of them actually read it, but the ones who did may well have been more offended than enlightened. So last spring, when the new semester got underway, I decided to give them much the same message, but in my own words and with an affectionate and respectful tone.


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Emergency Medical Workers “Pause” After Traumatic Death [Blog Post]

From the 18 August 2015 WEMC post by Kara Lofton

In America, death is not something we often talk about unless we are forced to by circumstance or tragedy. But at hospitals, death is an everyday occurrence and medical workers must quickly learn to deal with it. But how do they cope? WMRA’s Kara Lofton reports on one initiative, called “The Pause,” that started at the University of Virginia Medical Center two years ago and is now slowly being adopted by hospitals all over the country.

In order to cope, he said, most medical professionals stop thinking of the person in the bed as person, but rather just a body that they are trying to resuscitate. Disconnection, he acknowledges, is necessary on some level. But it can also be harmful and lead to burnout – a state he said he has experienced on more than one occasion. 




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Can social isolation fuel epidemics?

From the 20 July 2015 Santa Fe Institute news release


Conventional wisdom has it that the more people stay within their own social groups and avoid others, the less likely it is small disease outbreaks turn into full-blown epidemics. But the conventional wisdom is wrong, according to two SFI researchers, and the consequences could reach far beyond epidemiology.

In a paper published in the July 20 early edition of the Proceedings of the National Academy of Sciences, Laurent Hébert-Dufresne and Benjamin Althouse show that when two separate diseases interact with each other, a population clustered into relatively isolated groups can lead to epidemics that spread like wildfire.

“We thought we understood how clustering works,” Hébert-Dufresne says,”but it behaves exactly opposite to what we thought once interactions are added in. Our intuition was totally wrong.”

At the heart of the new study are two effects that have had a lot of attention in recent years—social clustering and coinfection, in which one disease can change the infection dynamics of another—but haven’t been studied together. That, Hébert-Dufresne and Althouse say, turns out to be a major omission

Ordinarily, the pair say, clustering limits outbreaks. Maybe kids in one preschool get sick, for example, but since those kids don’t see kids from other preschools as often, they’re not likely to spread the disease very far. Coinfection often works the other way. Once someone is sick with, say, pneumococcal pneumonia, they’re more likely than others to come down with the flu, lowering the bar for an epidemic of both diseases.

But put the effects together, Hébert-Dufresne and Althouse discovered, and you get something that is more—and different—than the sum of its parts. While clustering works to prevent single-disease epidemics, interactions between diseases like pneumonia and the flu help keep each other going within a social group long enough that one of them can break out into other clusters, becoming a foothold for the other—or perhaps a spark in a dry forest. Both diseases, Althouse says, “can catch fire.” The end result is a larger, more rapidly developing, epidemic than would otherwise be possible.

That conclusion has immediate consequences for public health officials, whose worst-case scenarios might be different or even tame compared with the outbreaks Hébert-Dufresne and Althouse hypothesize. But there are equally important consequences for network scientists and complex systems researchers, who often think in epidemiological terms. Two ideas, for example, might interact with each other so that both spread more rapidly than they would on their own, just as diseases do.

Now that they’ve realized the importance of such interactions, “we hope to take this work in new and different directions in epidemiology, social science, and the study of dynamic networks,” Althouse says. “There’s great potential.”

Read the early edition paper in the Proceedings of the National Academy of Sciences (July 20, 2015)

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Teaching Reflection to Doctors to Improve Physician-Patient Interactions

From the 10 July 2015 post at Tufts Now

Physicians in their medical residency training programs often focus on scientific reasoning and research evidence in their efforts to provide medical care. While appropriate, this focus may overshadow subtle and indirect communication that reveals important information about the patient’s experience with their illness that will help the physician provide better care. A new study by researchers at Tufts University School of Medicine and Boston College presents the results of a strategy to train medical residents to reflect on interactions with patients as a way of understanding the meaning of both their patient’s, and their own, communication.

The study directors asked 33 family medicine residents in the Tufts University Family Medicine Residency program at Cambridge Health Alliance to write “open-ended reflections” over the course of one year examining their interactions with patients. The project, which used a qualitative research design, resulted in 756 private reflections that the research team iteratively organized into three principal communication themes: (1) recognizing the interdependence of physician-patient communication (2) attention to the subtleties of patient behavior; and (3) images of growth and awareness about physician-patient communication.

In the report in the Journal of Health Communication published this month, the authors provide sample entries from residents on each of the themes and related sub-themes. On the theme of interdependence of the communication behavior, which included sub-themes on how physicians restrict what patients will tell them; how learning and taking the patient’s perspective can help, and how better communication might promote behavior change, sample entries included...

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Reduced Mortality Risks and Correlation vs. Causation

From the 22 July 2015 NCCIH research blog item by Director Josephine P. Briggs

Recently, I noticed news articles about a study on chamomile consumption and its potential effect on mortality. Researchers from the University of Texas Medical Branch, Galveston, analyzed data from a population-based study of older Mexican Americans in Southwestern states and reviewed 7-year all-cause and cause-specific mortality. They found a 29 percent decreased risk of death (all-cause mortality) among chamomile users compared with non-users, and concluded, for women at least, that this difference was statistically significant. It’s good news that using this herb is associated with longer life. Nevertheless, let’s remember that, even with statistical corrections, correlations don’t prove causality.

The authors reported that the decreased risk was statistically significant for women after adjusting for age, smoking, chronic conditions, and other known confounding factors. This is the right approach to the data. But it is not enough. Statistically correcting for other factors only captures the impact of measured differences. The women who use chamomile may differ in many ways from those who do not. For example, the use of herbal tea may be a marker of a “healthier” lifestyle. In their paper, the researchers note that “other unmeasured factors, such as frequency and duration of chamomile, level of physical activity, and quality of diet, which were not measured in the survey, could influence the results.”

This study illustrates the challenges of observational (non-experimental) research. This type of research helps us find patterns and signals and can raise new and interesting hypotheses. But let’s remember that there may be a big gap between correlation and causation.



Howrey BT, Peek MK, McKee JM, et al. Chamomile consumption and mortality: a prrospective study of Mexican origin older adults. Gerontologist. April 29, 2015. Epub ahead of print.

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Finding and Using Health Statistics – A Tutorial

Finding and Using Health Statistics – A Tutorial

FindingStatsFinding and using health statistics has become requisite for a number of careers in the past several decades. It’s also a worthwhile skill for anyone navigating the increasingly complex world of health care and medicine. This free online course from the U.S. National Library of Medicine is divided into three related parts: About Health Statistics, Finding Health Statistics, and Supporting Material. Selecting any of these tabs opens to a table of contents. From there, readers can follow the course page by page. For instance, About Health Statistics begins by reviewing the importance of health stats, moves on to their uses, and then speaks about sources for the gathering of statistics, such as population surveys and registers of diseases. [CNH]

From The Scout Report, Copyright Internet Scout 1994-2015. https://www.scout.wisc.edu

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3 Questions: Carlo Ratti on big data and health predictions [News item] ]

MIT researcher discusses a new study on correlations among medical problems.

From the 7 July 2015 MIT news item

What can big data tell us about the predictability of medical conditions? A new study by MIT researchers published in the journal Scientific Reports  digs into this question by looking at anonymous data from over 500,000 patients. Among the findings is that our electronic medical records contain data that is up to 90 percent predictable — although this level of predictability is only attainable in theory. However, it can guide algorithmic designers and practitioners on what is possible in principle. The co-authors of the paper are Carlo Ratti, director of MIT’s Senseable City Laboratory, and two former computer science researchers at the lab, Dominik Dahlem (who is the lead author) and Diego Maniloff. The data originated with General Electric, which collaborated with Senseable City on a 2011 project on visually plotting health care data. MIT News spoke with Ratti about the new study.

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Frontiers in Psychiatry [Resource of the Week]


Frontiers in Psychiatry is an academic accomplishment: a high quality, peer-reviewed, open access journal publishing the most outstanding discoveries in the world of psychiatry. Here readers may peruse cutting edge articles in 15 different sections, including Addictive Disorders and Behavioral Dyscontrol, Eating Behavior, Molecular Psychiatry, Neuropharmacology, and others. Over 700 full-length articles make up the well-stocked Archive, including recent publications on a community-based health program for abused children in Brazil, breakthroughs in understanding Tourette Syndrome, and video games for mental health and well-being. Searching for topics of interest is easy and detailed. For instance, “bipolar” returns 22 Articles, 100 Authors, and 11 Research Topics. [CNH]

From The Scout Report, Copyright Internet Scout 1994-2015. https://www.scout.wisc.edu

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