Searching the Web for Healthcare Resources:  Search Engines, Metasites and Directories

With the explosive growth in the available information on the Internet, mechanisms to find documents and content efficiently needed to be developed.  The computer code for programming WWW content, HTML, also can be used to embed information about documents (pages) themselves.  This information is referred to as "metadata."  Savvy WWW content developers take advantage of the metadata feature to put in multiple descriptions and keywords related to their homepage and document(s) included in their site.  Almost simultaneous to the graphical WWW introduction, were the appearance of "search engines," developed by computer technology vendors.  These companies have developed sophisticated mechanisms to review websites, the type of content posted, and the content itself.  Now these vendors, each with their own proprietary software, automate the review of millions of documents, categorize and create indexes for end users to query.  The end user can enter a keyword or phrase and then view all "HTML" documents the search engine has referenced, and based on the author/web-developer of the content, also see a description of the document (page).  HTML searching is two-dimensional at this time, with results of searching indicating the document and the content of the document (if indexed by the search engine).  Additionally, web content developers may add their own "search" functionality by indexing their own sites.  Typically, an end-user will note a search feature on a website’s homepage if incorporated.  Many of the vendors who developed the WWW search engines now have marketed proprietary software for webmasters to use to index their own sites.  Another mechanism for searching is use of web-sites that are "directories" of a subject matter, where someone else has compiled lists and links to related web resources.

In the future, the web will allow for more three-dimensional searching (contextual), such as with the capabilities of SGML (standard generic markup language), the grandfather of HTML, as content providers and browsers can be made capable to interpret this format.  Presently, when one searches for content using a "search engine," there needs to be a realization that the results returned will be dependent on how authors and search engines have included, referenced, and/or indexed "metadata" about a site or document(s) in a site.  A balance between too narrow of search parameters (keywords) and too broad of search must be achieved by the user to acquire meaningful results.

Search Engines

The following is a listing of some common sites with search engines which can assist an Internet user with locating information of interest.

Profusion®
This site provides the ability to do subject and web-site specific searches with multiple search engines simultaneously.  The search results returned with the Profusion query tool will display which of the major search engines each resultant URL was obtained from.
12  http://www.profusion.com

Alta Vista®  
Alta Vista is a keyword search engine which also searches full text and is very extensive and inclusive.  Its strength is literal searching.  Incorrect use of the engine will render large numbers of obscure hits.  This is the engine to use if you are looking for the obscure!
13  http://www.altavista.digital.com 

Excite®  
Excite is a keyword and non-coordinated subject search methodology engine.  It uses full text search of over 50 million documents.  Both literal and concept searches are supported, and the site is easy to use.
14  http://www.excite.com

HotBot®  
HotBot is another keyword and non-coordinated subject search engine that searches full text for over 54 million documents.  Queries are constructed effectively in common language rather than needing to use more complex operators for effective output.  http://www.hotbot.com

All major "search engines" provide for general searching as well as categorization for searching of which health related sites are a major subcategory.  These sites can be "drilled down" (have direct hyperlink that one "clicks" on) or searched via the company's engine, based on how they have indexed sites and the request of the user.  Excite® also has an online health encyclopedia link.  HotBot® lists "Dentistry" as a major sub-category of Health Resources.15

Metasites and Directories

Directories provide a listing (list of lists) of related websites with hyperlinks which are intended to be as comprehensive as possible.  There is no standard for categorizing sites, so each directory will organize hyperlinks differently.

Hardin Meta Directory of Health Sources
This site is well maintained and links will be made to specific sections of listed sites to eliminate unnecessary drill-downs (sorting through a site).  Many of the lists are developed by experts from the specific field, such as the directories for dentistry listed below.  http://www.lib.uiowa.edu/hardin/md/index.html

Directories for Dentistry

Internet Dentistry Resources
The site is maintained by a team at the University of Iowa, School of Dentistry.  This list breaks content into educational, commercial, vendors and governmental subcategorizes including most major dental manufacturers.  A comprehensive list of dental journals with links, several of which are "online" journals, is also a component of this directory.
17  http://indy.radiology.uiowa.edu/Beyond/Dentistry/sites.html

Dental Related Internet Resources
This site contains a comprehensive list of all dental schools listed by state, international schools listed alphabetically by country, dental training programs, links to the many major dental organizations, a directory of state dental societies and international associations, and oral healthcare products.  The site also has links to the educational resources, a number of individual dental offices (listed by state), dental practice management and clinical management software companies, dental labs, equipment and supply vendors, and office designers.  Also linked are distributors of office related supplies, including imaging and computer equipment companies, clinical information systems vendors, dental office sales, and several marketing, legal and malpractice groups.  Other links include "continuing education," with several links to individual courses, and subscriptions to dental related list-servs (e-mail group) classified by subject area.
18  http://www.dental-resources.com

Oral Healthcare Resources on the Net

Academy of General Dentistry
In addition to providing services for members such as online access to AGD Journal articles, chat rooms, online continuing education (CE) and tracking CE, the site also has links to dental specialist academies.  The site provides information of interest for dental consumers.
19  http://www.agd.org

American Dental Association
Touted as the Association’s online service, the homepage has several major paths such as:  ADA Publications, including online parts of the Association’s Journal; Recent News Updates, now including several online videos; and Dental Practice Issues, which now post standards for "Choosing a Practice Management System" report.  An "ADA Members only" section has a warehouse of articles from several publications intended for its members and access to other Association services such as insurance programs.  There is another button for the Dental Societies, that allows one to access both state and local societies, and a listing of Dental Schools with addresses (although one might find the links at the American Association of Dental Schools easier to use online for immediate access to dental school’s websites).20  The ADA Shopping Mall has access to products and services offered including links to an online catalog of printed material sold by the ADA, a listing of products with the ADA Seal of Acceptance, and the ADA Library Service.  The Consumer Information section provides universal access to ADA statements on topics of public concern such as use of amalgam and fluoride as well as patient education material (bleaching, sealants/caries prevention, practice guidelines, and other accepted dental therapies).
20  http://www.ada.org

The American Dental Education Association
This is an excellent vehicle for finding information about dental schools in the United States and Canada.  The site has a wealth of information such as directories, activities of the organization, and admissions procedures for persons interested in a career in dentistry.
21  http://www.adea.org

Dental Manufacturers of America
This is a valuable resource for members of this group for activities, meetings and issues impacting manufacturers of dental related products.  For the oral healthcare provider, the section for products via a link on the sites homepage may be beneficial when doing product research, making decisions, or contacting vendors about purchases of dental equipment and supplies.
22  http://www.dmanews.org

Crest® Dental ResourceNet
This site is dynamically renovated via a Peer Review Board and feedback from users.  A library of documents, including patient education information that is one of the most extensive online resources, has been made available to the dental profession.

Dental ResourceNet has made a good start at including a broad-spectrum of content such as:  the online dental hygienists publication and abstracts of articles from multiple dental-related journals indexed by subject.  These include:  computers in dental practice, management, cosmetic dentistry, topics in internal medicine, dental management of medically compromised patients, and abstracts of recently reported P&G oral healthcare research.

There is also a major subcategory for "Useful Sites," which has links to most major specialty organizations.  Another interesting function of this site is an interactive "Calendar" for conferences and events, which can be sorted by city and state or range of dates.  The query also provides a short description of the events. It is not an all-inclusive list, but its functionality is novel.  The site also has several modular units for continuing education for dentists and hygienist, with about a half dozen courses available for each, and a database of CE requirements for each state.  Under the "Practice Management" section, multiple articles related to communications skills can be helpful as a resource to the dental team.23  http://www.dentalcare.com

The American Dental Hygienists' Association
This is the largest organization representing "dental hygienists.”  This Internet site posts career information, oral healthcare instructions and tips (a good resource for patient oral hygiene education), in addition to resources for members such as the Association's journal and meeting schedules.
24  http://www.adha.org

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