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About Access Restrictions to Electronic Resources

Access and use of electronic resources made available by the Becker Medical Library are governed by license agreements between the School of Medicine and publishers or third parties. Several of the electronic resources carry some restriction on their use. Access may be restricted by user location, number of concurrent users, and/or password.

In short, most people experience access limitations based on the network to which their computer is connected. Below is a quick breakdown of what can be accessed from various networks.

BJH (Limited to) SLCH (Limited to) Proxy (Remote Access) WUSM Off Campus
AccessMedicine
STAT!Ref
UpToDate Online
AccessMedicine
American Academy of Pediatrics Journals
Applied Clinical Informatics
Harriet Lane Handbook
Red Book Online
ScienceDirect
STAT!Ref
UpToDate Online
Unrestricted Access to All Becker Resources Unrestricted Access to All Becker Resources No Access without Proxy

Reducing Potential Harm with ClinicalTrials.gov

A recent article in the British Medical Journal (BMJ) has highlighted the importance of the publication of the results of clinical trials. In the “Non-publication of large randomized clinical trials: cross sectional analysis,” authors Christopher W. Jones, et. al. explores issues about the publication of clinical trial data.  They analyzed the number of clinical trials registered on the clinicaltrials.gov website and compared that to the number of articles published about the trials and indexed in resources like PubMed, Embase, and Google Scholar. Their results pointed to a significant number (29%) of clinical trials not having results published anywhere except clinicaltrials.gov. Of those 29% they also found a strong correlation between non-publication of data and industry funding (p.1).  The authors state in their conclusion that “the lack of availability of results from these trials contributes to publication bias and also constitutes a failure to honor the ethical contract that is the basis for exposing study participants to the risks inherent in trial participation”(p.5).  A take away message from this article is that researchers and clinicians should search clinical trial registries, like ClinicalTrials.gov to seek out research data that may not have been published elsewhere.  This is one way to overcome some publication bias and reduce potential harm to patients and research participants.

If you are interested in reading the full article click here:  Article. The article is available for free.

Nature also published a summary of the article: Link

ClinicalTrials.gov is a registry for public and private funded studies that require registry by US law.  You can get more background on ClinicalTrials.gov and the related laws here.

Finally, here are some additional resources for searching for clinical trials:

European Clinical Trials Register
Registered clinic trials in the European Union.  

ISRCTN Register
Registered randomised controlled trials and other studies designed to assess the efficacy of health-care interventions worldwide. 

WHO ICTRP
World Health Organization’s International Clinical Trials Registry Platform

Eli Lilly and Company Clinical Trial Registry

Roche Clinical Trial Protocol Registry and Results Database

GlaxoSmithKline Clinical Study Register

Research Registers

National Reasearch Register (NRR) Archive

NIH RePORTer: a central point of access to reports, data, and analyses of NIH research. 

* Please note: Becker Briefs pages may contain links, email addresses or information about resources which are no longer current.