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        LIS - 605
Thalidomide
                  Question

What role (if any) does the Federal Government
   have in authorizing the dispensing of the
  drug Thalidomide to patients suffering from
                multiple myeloma?
            What are the physical and
      mental effects caused by prolonged
                 use of this drug?
Profile
     Patricia is a retired social worker
  who worked for Westchester County. She
 explained that her job with the County was
     that of Eligibility Examiner, she was
 responsible for approving cases for families
that wanted their older loved ones placed in
nursing homes. She also worked at a Mental
     Health Association for many years.
Thalidomide (tha-LIH-doh-MIDE)
“A drug that is used to treat multiple myeloma in
      patients who have just been diagnosed,
  and a painful skin disease related to leprosy. It
  is also being studied in the treatment of other
    types of cancer. Thalidomide belongs to the
   family of drugs called angiogenesis inhibitors,
               also called Thalomide.”
  (http://www.cancer.gov/Templates/db_alpha.
                 aspx?CdrID=45458)
Identified Concepts

     Seven concepts were identified:
    drug thalidomide, thalidomide drug
  interactions, multiple myeloma, Federal
  Government, thalidomide mental effects,
        thalidomide physical effects,
            and cancer patients.
   These concepts were used to conduct
database and online searches relevant to the
       question asked by the patron.
Search Strategy
• Free Search Engines: (Google, Ask and
  About.com).
• Digital Libraries: (Pubmed.gov, Medline).
• Non-Profit and Government Websites: (FDA.gov,
  AACR.org (American Association for Cancer
  Research), Citeulike.org and Cancer.gov).
• Medical Journals: JAMA (Journal of American
  Medical Association, Gale Group – Health and
  Wellness Resource Center.
• Fee-based Databases: (DIALOG, Factiva,
  Lexis Nexis).
Multimedia
 news clips
Some Results
•   Results
    Free Search Engines
    Google Search Results:
•   Bombay Hospital Journal, Vol. 50, No. 3, 2008
•   http://www.bhj.org/journal/2008_5003_july/download/page-472-476.pdf
    A link that led to information published by St. Vincent’s Hospital was selected.
•
•   Ask Search Results:

•   Myeloma Treatment – Cancer researchers at Manhattan-based
    St. Vincent’s Hospital http://www.myelomatreatment.org/news/?=66

•   123 Cure – Counting Down the Day We Eliminate Multiple Myeloma was also retrieved.
    http://www.themmrf.org/assets/take-action_donate-now/321-brochure.pdf

•
•   Non-Profit and Government Websites
    Cancer.org Results

•   http://www3.cancer.gov/admin/fmb/2003cj.doc
•   FDA Approval letter for Thalidomide
•
•   FDA.gov Results
    Thalidomide Overview
•
•   Cancer.gov
    http://www.cancer.gov/Templates/db_alpha.aspx?CdrID=45458
•
•   Medical Journals
    Sophie Ochonisky, MD; Josette Verroust, MD; Sylvie Bastuji-Garin, MD; Romain Gherardi, MD; Jean Revuz, MD
    Arch Dermatol. 1994; 130(1):66-69.

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Roxanne Mapp Online Database

  • 2. Thalidomide Question What role (if any) does the Federal Government have in authorizing the dispensing of the drug Thalidomide to patients suffering from multiple myeloma? What are the physical and mental effects caused by prolonged use of this drug?
  • 3. Profile Patricia is a retired social worker who worked for Westchester County. She explained that her job with the County was that of Eligibility Examiner, she was responsible for approving cases for families that wanted their older loved ones placed in nursing homes. She also worked at a Mental Health Association for many years.
  • 4. Thalidomide (tha-LIH-doh-MIDE) “A drug that is used to treat multiple myeloma in patients who have just been diagnosed, and a painful skin disease related to leprosy. It is also being studied in the treatment of other types of cancer. Thalidomide belongs to the family of drugs called angiogenesis inhibitors, also called Thalomide.” (http://www.cancer.gov/Templates/db_alpha. aspx?CdrID=45458)
  • 5. Identified Concepts Seven concepts were identified: drug thalidomide, thalidomide drug interactions, multiple myeloma, Federal Government, thalidomide mental effects, thalidomide physical effects, and cancer patients. These concepts were used to conduct database and online searches relevant to the question asked by the patron.
  • 6. Search Strategy • Free Search Engines: (Google, Ask and About.com). • Digital Libraries: (Pubmed.gov, Medline). • Non-Profit and Government Websites: (FDA.gov, AACR.org (American Association for Cancer Research), Citeulike.org and Cancer.gov). • Medical Journals: JAMA (Journal of American Medical Association, Gale Group – Health and Wellness Resource Center. • Fee-based Databases: (DIALOG, Factiva, Lexis Nexis).
  • 8. Some Results • Results Free Search Engines Google Search Results: • Bombay Hospital Journal, Vol. 50, No. 3, 2008 • http://www.bhj.org/journal/2008_5003_july/download/page-472-476.pdf A link that led to information published by St. Vincent’s Hospital was selected. • • Ask Search Results: • Myeloma Treatment – Cancer researchers at Manhattan-based St. Vincent’s Hospital http://www.myelomatreatment.org/news/?=66 • 123 Cure – Counting Down the Day We Eliminate Multiple Myeloma was also retrieved. http://www.themmrf.org/assets/take-action_donate-now/321-brochure.pdf • • Non-Profit and Government Websites Cancer.org Results • http://www3.cancer.gov/admin/fmb/2003cj.doc • FDA Approval letter for Thalidomide • • FDA.gov Results Thalidomide Overview • • Cancer.gov http://www.cancer.gov/Templates/db_alpha.aspx?CdrID=45458 • • Medical Journals Sophie Ochonisky, MD; Josette Verroust, MD; Sylvie Bastuji-Garin, MD; Romain Gherardi, MD; Jean Revuz, MD Arch Dermatol. 1994; 130(1):66-69.