EBM and Clinical Support Librarians@UCHC

Entries categorized as ‘News & Medical News’

Scholarly Publishing, Research, Academic Libraries, Content Management: Seismic Changes, the We and the It (Part 1)

December 28, 2009 · Leave a Comment

Read this (and then perhaps LOL):

Y2K in the Wider World… Come January 1, 2000 will we have power? Will we be able to get money out of our bank accounts? Are cities preparing for chaos and civil commotion, or are they assuming all will be well? We talk with representatives of the power, banking, and air travel industries, as well as San Francisco city government to find out how concerned they are and what preparations they are making for the roll-over to the next millennium. “

Found on the Internet Archive – Excerpt take from a feature on Y2K including a 29-minute video, shot in March 1999, in which City of San Francisco administrators and officials from commerce discuss their preparations for Y2K.

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As we approach the end of the first decade of the 21st century, one can only marvel at how fast these ten years have gone by.

For those who were working in 1999, do you remember it in this way: as a brief and unique historical period when many otherwise rational and deliberate people working in professions governed by highly-computerized, networked environments (which includes anyone working in an academic library) were bugging out over Y2K ?

Here is an extreme example of what some feared would happen on the first day of the New Millenium: link to a classic Nike Y2K commercial (filmed in San Francisco) that is still great to watch:

Video Credit: http://www.youtube.com – All rights reserved – Copyright 2009
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Happily, the actual Y2K disruptions proved to be minor. And the power didn’t go out on January 1 2000!

As year 2010 approaches, a potential action-list for academic libraries in the near-term is described in a recent report from folks at OCLC with input from members of the RLG Partnership Research Information Management Roadmap Working Group.

Following is an excerpt from this November 2009 report:

Researchers are drowning in a deluge of raw data and published information, and face a bewildering array of options for disseminating and sharing their work. The choices these researchers make have implications on intellectual ownership, potential audience, ways of measuring impact, potential re-use, and long-term preservation. “

Source Credit:  “Support for the Research Process: An Academic Library Manifesto“, posted November 2009 online by OCLC – All rights reserved – Copyright 2009

This position paper is available full-text (at no cost) from this link.  Here is a Wordle cloud created today, using key words or phrases plucked from the report:

Image Credit: http://www.wordle.net/ – All rights reserved – Copyright 2009

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As 2009 winds down, I offer no predictions as to new directions or demands which the academic  library and library staff will meet.  Only that each year, the physical impact of the “real” library will shift to accommodate ever more virtual resources.  The monies and staff time spent in providing links to the “digital” library presence will increase.

But I’m an optimist.  Having been a librarian since 1991, I truly believe that our professions’ highest skill and value lies in our unique abilities to serve our faculty, clinical staff and students in the “librarians-as-educational-midwives” mode.

Consider the “we” and the “it“. By this,  I mean “it” as a Reference Transaction conducted between a librarian and an individual (or a group) with the purpose of addressing a unique question or research requirement… it makes little difference whether the persons are standing together in the library, or talking on a phone or using email (or Meebo).

Any reference librarian can tell you that the “it” query is a conversation unique to those two individuals.  One of the fun parts of being a reference librarian is that the questions are always different, and often you learn as much as the library user when doing the research with them!

Who is the “We“?  A group of people with diverse functions and roles, all of which are necessary to make an academic library operate efficiently… humans who buy materials, teach users, circulate and shelf books physically or digitally, maintain the electronic infrastructure, put paper in the copy machines.

We (the librarians) consider what in the world is available to collect, of what value these resources will be to our users.

We buy appropriate, comprehensive and current materials to be added to the library collection (real or virtual).

We sign contracts with information providers based on our needs as an institutional library, and in accordance with strict fiscal rules and conditions.  There is never enough money available for all that we need to collect, but we do the very best with what monies are available, and we evaluate the collections annually.

We provide the intellectual organization as well as maintain the physical environment as well as the systems architecture or framework by which to search for these materials.

We get that information out onto the virtual (or real/actual) shelf to be found by the user.  We index, evaluate, weed.  We keep the real machines (and lights) running and also the website or information portals.

We get the call at 2:00am when the machines wink out.  We get to contact the publisher(s) to report – and resolve – problems with digital access or missing subscriptions.

In the library of 2010, “we” represent the experienced staff who instruct, demonstrate and train those who ask about what (of many) resources to search, how to search these to retrieve relevant information.

We ask our users to consider the relevancy of their retrievals, and if needed, to begin the process again using other literature sources (that “we” suggest).

Once information that is deemed “good” by the user has been found (because we don’t decide that… the user does!), we select and provide software and instruction to effectively manage the accumulating output of these searches.

The “it” and the “we” are not services that will ever be provided by a quick search on Google (or Google Scholar).

The “We” can teach practically anyone to search effectively and competently on PubMed in under an hour and that is a point of pride among our profession, whether the particular we is a health science librarian in Seattle, Cleveland, Munich or Mexico City.

We provide the person-to-person answer for those questions.  While machines are essential to the work of the academic-research libraries, for now only humans can complete the educational role.

In spite of free search engines, open access journals, tons of virtual points of access to content or social-networking opportunities, the services and collections provided by a formal academic health science library (and staff) remain integral to the pursuit of scientific research.

This discussion is Part 1… other threads in the mix will be followed up in Part 2 (TBA later this week).

Please let me know what you think.

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As to non-library predictions for the coming year, this article from the Dec 29 2009 Wall Street Journal (digital edition) examines a few controversial ideas from a Russian professor, Igor Panarin, about the future of the United States.  The content is available (at no cost) at: http://online.wsj.com/article/SB123051100709638419.html

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* As a former Californian and resident of San Francisco, where The Big Quake hit on April 18-23, 1906, I’ll verify that it is unsettling to live in earthquake country.  Here is a link to an eyewitness account of that disaster written by Dr. George Blumer, among many other descriptions of events written by those who lived through it, posted on The Virtual Museum of  the City of San Francisco site. Bay Area public health officials continually prepare their rescue personnel (and citizens) for future earthquakes by practicing a staged mock-disaster each year.  Also see public service/public health promotion and emergency preparedness tips at: http://72hours.org/.

Categories: Libraries or Librarians · Library 2.0 · News & Medical News · Scholarly Publications · Scholarly Publishing & Open Access
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The Friday Post #43: Dec 25, 2009 ~ Best Wishes and Happy Holidays!

December 22, 2009 · Leave a Comment

Here’s the Friday Post #43 for Dec 25 2009. Get in the holiday spirit with unusual instruments, Santa tracking, crooning kittens… and a 25-year old music video (back when MTV was young).

Instant Classic! Track Santa and his sleigh as he travels around the globe on the Norad Santa site.

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Listen to “Do you Hear What I Here?” Beautiful music by the Brown Beer Bottle Band

Video credit: http://www.youtube.com – All rights reserved – Copyright 2009

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Moving right along to… Singing Yuletide Kittens

Video credit: http://www.youtube.com – All rights reserved – Copyright 2009

(Creepily Cute!)

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Finally, a music event from 1985:  We Are the World

RIP Michael Jackson

Video credit: http://www.youtube.com – All rights reserved – Copyright 2009

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That’s the Friday Post for Christmas Day 2009

Happy Holidays Everyone!

Categories: Humor · News & Medical News · Other Stuff · The Friday Post · Videos & Podcasts
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News, Holidays 2009: Let It Snow

December 21, 2009 · Leave a Comment

After digging out from a powerful snowstorm that hit the Eastern seaboard on Sat. Dec 19th, today marks the Winter Solstice, the first official day of winter (which starts at 12:47pm EST, Dec 21 2009).

It seemed logical to add falling snow to the blog (just for a few weeks).   And here is some solstice-y music to go along with all this snow:  the classic Icarus instrumental by the Paul Winter Consort:

Video Credit: youtube.com and Paul Winter – All rights reserved – Copyright 2009

Categories: News & Medical News · Other Stuff
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Instruction, Information Seeking Behaviors, Clinical Evidence: Teaching with EBM Databases

December 16, 2009 · Leave a Comment

This has been a busy month. The final first-year PBL class will be wrapping up, as the semester ends on Friday, Dec 18 2009.

On Monday, I taught an evidence-based medicine class for 28 third-year medical students (which I’ve done since 2001).  It is part of a week-long curriculum that all third-years attend as regular breaks from their clerkship rotation schedules.  They come back to the Health Center (for “Home Week”).

This 90-minute course represents a real opportunity for a librarian to connect with advanced students who are already savvy users of the medical literature.  They have completed two years of basic science and human systems curriculum, and have participated in four semesters of problem-based learning.  Each has passed the USMLE Step 1.  By this point in their graduate education, they are dedicated users of PubMed and Up to Date.

The location is one of the large classrooms equipped with computers, or students use their own laptops so that everyone gets to use a resource together.  Sometimes it gets pretty loud in that room!  The instructional challenge is to keep the content fast-paced and interesting enough for these experienced searchers while introducing (and convincing them to test out) some new clinical resources and search techniques.

Utilizing a PICO strategy (Patient or Problem-Intervention-Comparison of Treatments-Outcome) is briefly discussed.  The first half of the class is devoted to locating and applying MeSH headings and subheadings for effective search strategies and showing them ways to use the Clinical Queries search engine.  The student are asked to register for their own MyNCBI account in order to begin to organize their searches or create collections of documents in the future.

Always I ask this group if any are currently searching the SCOPUS database in addition to PubMed.  Their response?  Most are not, and that surprises me a bit.  However, once they view the links to online reference lists and “cited reference searching” capability in SCOPUS*, I’d venture a guess that 100% of this group will be using it from that day forward!  It is a database that generates instant loyalty for most users.  

Other EBM resources covered briefly are the five segments and uses of Cochrane Library, ACP Journal Club, JAMA Evidence-Guide to the Medical Literature (a digital subscription resource), and the classic BMJ series on How to Read a Paper (open access).  Ideally I end up with sufficient time to demonstrate using the TRIP (Turning Research Into Practice) clinical search engine.

The LibGuide used for the class is linked here.

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During their clerkship year, third-year students favor putting as many of the subscription resources as are available onto their PDAs.  Having drug-interactions databases, clinical DDx or algorithm calculators and a disease photo-atlas in their coat pocket comes in very handy (no pun intended) as they travel to different hospitals for their clinical rotations.

PDA resources popular with this group include Lexi-DrugsDynaMed and Diagnosaurus (which is free).

Two of the databases that I featured in the EBM class this week were ACP-PIER (American College of Physicians-Physicians Information & Education Resource) which UCHC library subscribes to via Stat!Ref, and Essential Evidence Plus (EEP) from Wiley-Blackwell.

Here’s a screenshot from EEP:

Image credit: http://www.essentialevidenceplus.com/content/eee – All rights reserved – Copyright 2009

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A press release from the company, issued Dec 14 2009, describes their new ‘point of care’ product:

Wiley-Blackwell today announced the launch of Essential Evidence (EE), a new product for PDAs which has been added to its online evidence-based, peer-reviewed subscription Essential Evidence Plus, a source which provides access to: Practice Guidelines, Decision Support Tools, History and Physical Exam Calculators, Diagnostic Test Calculators, the Derm Expert, ICD-9 Lookup Tool, Patient Education Handouts, links to Cochrane Systematic Reviews, and 950+ high quality photographs. Essential Evidence Plus links to Daily POEMs (Patient Oriented Evidence that Matters).

EE for PDAs is a topic-oriented clinical resource tool designed to help clinicians to effectively make diagnoses, chart treatment plans, and determine prognoses.  EE can be searched via the web or loaded onto a handheld computer (Pocket PC or Palm OS). EE currently features 700 structured medical topics and approximately 100 more are in development and will be added to the site soon…”

Text Source: http://www.essentialevidenceplus.com/articles/EE_Launch_12.09.pdf – All rights reserved – Copyright 2009

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And that’s my final formal class for 2009!

( Happy! )

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* How did we (i.e., those of us in academic-health science libraries) function without SCOPUS?  It’s like thinking about the days before cell phones – a time dimly remembered, difficult to recall… sort of like pre-historic times.

Categories: Academic Medicine · EBM/Clinical Decisionmaking · Educational Sites · Epidemiology/Public Health · Library 2.0 · Medical Students · News & Medical News · Teaching-and-Learning in Medicine
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News, Medical Research, UCHC Faculty: Immune Levels + Holiday Stress? Not Beneficial

December 15, 2009 · Leave a Comment

If you ever thought the stress of seeing your extended family over the holidays was slowly killing you—the bad news: a new research report in the December 2009 print issue of Journal of Leukocyte Biology shows that you might be right. Here’s the good news: results from the same study might lead to entirely new treatments that help keep autoimmune diseases like lupus, arthritis, and eczema under control. “

Text credit: Press Release from Eurekalert (Nov 30 2009)

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Recently published research by scientists from UCHC examine the effects of psychological stress on the human immune system.  The paper was published this month in the Journal of Leukocyte Biolology – Vol. 86: 1275 (Dec 2009); the abstract is available to read here: http://www.jleukbio.org/cgi/content/abstract/86/6/1275.

The citation found on PubMed can be viewed here.

Categories: Academic Medicine · EBM/Clinical Decisionmaking · Epidemiology/Public Health · News & Medical News · Scholarly Publications
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News, Data on Health Care, Global Demographics: OECD Health at a Glance 2009

December 14, 2009 · Leave a Comment

Organisation of Economic Co-operation & Development (OECD) published its’ fifth annual edition of Health at a Glance 2009 – OECD Indicators on Dec 8 2009.

The full report is available in English or French language; anyone may read the “web book” online, at no cost, on the OECD Statistics page.*

Here is how the organization describes the scope of this report:

Health at a Glance 2009 provides the latest comparable data on different aspects of the performance of health systems in OECD countries. It provides striking evidence of large variations across countries in the costs, activities and results of health systems. Key indicators provide information on health status, the determinants of health, health care activities and health expenditure and financing in OECD countries… 

This edition also contains new chapters on the health workforce and on access to care, an important policy objective in all OECD countries. The chapter on quality of care has been extended to include a set of indicators on the quality of care for chronic conditions. “

Text source: http://www.oecdilibrary.org/oecd/content/book/health_glance-2009-en – All rights reserved – Copyright 2009

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The 89-page report shows data from 30 countries on the following measures:

  • Health Status
  • Non-Medical Determinants of Health
  • Health Workforce
  • Health Care Activities
  • Quality of Care
  • Access to Care
  • Health Expenditures & Financing

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Data from the section on Health Expenditure per Capita reveal that…

The United States continues to outspend all other OECD countries by a wide margin. In 2007, spending on health goods and services per person in the United States rose to USD $7,290 (Figure 7.1.1) – almost two and a half times the average of all OECD countries. “

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Another highly useful publication from OECD is the annnual OECD Factbook 2009: Economic, Environmental and Social Statistics.

These countries are OECD members: Australia, Austria, Belgium, Canada, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Japan, Korea, Luxembourg, Mexico, the Netherlands, New Zealand, Norway, Poland, Portugal, Slovak Republic, Spain, Sweden, Switzerland, Turkey, United Kingdom, United States.

* Not all OECD publications are available online, or for free download.

Categories: Epidemiology/Public Health · Healthcare-Administration · News & Medical News
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News: Warning against a Phishing Scam from CDC

December 4, 2009 · Leave a Comment

On Dec 1 2009, the Centers for Disease Control  & Prevention issued a general alert to citizens of the United States regarding a “phishing” scam that was discovered recently.  This type of announcement is rather unusual.

Following is a screenshot of the official CDC page which addresses this potential security hazard:

Image Credit: http://www.cdc.gov/hoaxes_rumors.html – All rights reserved – Copyright 2009


Categories: Consumer/Patient Health · Epidemiology/Public Health · Healthcare-Administration · News & Medical News · Other Stuff
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News, Global Health, Public Health: Today is World AIDS Day

December 1, 2009 · Leave a Comment

Today is World AIDS Day 2009

33.4 million people in the world are living with AIDS

Image Credit: http://UNAIDS.org – All rights reserved – Copyright 2009

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Following is a brief list of statistical or factual sources for HIV/AIDS information:

  • The UNAIDS.org (Joint United Nations Programme on HIV/AIDS) website offers a variety of factual and global epidemiological reports found on their Knowledge Center page.   Also see the 72-page 2008 UNAIDS Annual Report, available to download at no cost.

  • CDC staff collects a wide variety of epidemiological statistics about HIV/AIDS in the United State.  One useful page is a link to factual data for individual U.S. states…. as an example,  click here to view the latest HIV/AIDS data for the state of Connecticut.   For other HIV/AIDS state data, also see this site from CDC.
  • This site, HIV Reality (from the UK), has a group of interviews with people living with AIDS.
  • An excellent subscription resource available for UCHC library users, GIDEON (Global Infectious Diseases and Epidemiology Online Network) provides an impressive list of HIV/AIDS related statistical sources for countries worldwide.  Here is a link to a FAQ-handout on using GIDEON handout.

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Finally, knowing one’s own HIV status is essential information.  At HIVTest.org an interactive list of local testing or counseling resources from U.S. healthcare agencies can be assembled (by zipcode).  The pop-up list will show which agencies will test for free.

A screenshot below (from HIVTest.org page) shows a list of current testing recommendations for those who are sexually active:

Image Credit: HIVTest.org - All rights reserved – Copyright 2009

Categories: Educational Sites · Epidemiology/Public Health · Healthcare-Administration · News & Medical News
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News, Holidays: Happy Thanksgiving 2009

November 26, 2009 · Leave a Comment

Best Wishes for a Wonderful Thanksgiving Day ~ 2009

Image credit: http://tinyurl.com/yf5skl2 – All rights reserved – Copyright 2009

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To read more about Ellen Clapsaddle, the American artist who created this postcard, click here.

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News, Public Health, Public Service: H1N1 Fact Page from Ebsco

November 24, 2009 · Leave a Comment

This year, Ebsco Publishing has created an evidence-based medicine source for current factual diagnostic or treatment information for H1N1 influenza virus, written for clinicians, nurses and the general public.

This site is open to anyone in the world to access, at no cost.  Following is a brief description found on the front page of Ebsco Publishing Influenza Evidence-Based Information Portal:

Due to Pandemic H1N1 Influenza (formerly known as Swine Flu) and concerns about the 2009/2010 flu season, the EBSCO Publishing Medical and Nursing editors of DynaMed, Nursing Reference Center™ (NRC) and Patient Education Reference Center™ (PERC) have made key influenza information from these resources freely available to health care providers worldwide. The information is designed to inform patients and their families, and provide information to clinicians to help them with H1N1 diagnosis and H1N1 treatment by making up-to-date diagnosis and treatment information availableThis site includes more than 50 evidence-based topics including patient education information in 17 languages.”

Source/ text credit: http://www.ebscohost.com/flu/ – All rights reserved – Copyright 2009
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As shown in this screenshot below, there are sections written for clinicians, nurses and patients.

Photo credit: http://www.ebscohost.com/flu/ – All rights reserved – Copyright 2009
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If you treat patients who speak Arabic, French, German, Hindi, Chinese (traditional or simplified), Japanese, Italian, Korean, Portuguese, Russian, Spanish, Farsi, Polish, Tagalog, Vietnamese (or English), this is an excellent free resource – bookmark it!

Thanks to Ebsco for producing this EBM influenza page.

Categories: Consumer/Patient Health · EBM/Clinical Decisionmaking · Educational Sites · Epidemiology/Public Health · Healthcare-Administration · Medicine 2.0 · News & Medical News · Other Stuff
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