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At least 199 records · Page 11Linked to original sources

Sex education in the schools--the doctor's role.

Physicians may be asked to act as consultants in the development of sex education programs in the schools or to contribute as professional experts. As most medical libraries contain very little material on this subject, the doctor must turn to public libraries, which have books ranging from useless to excellent. These must be examined critically. In his role of healer, the doctor may minimize his roles of teacher and community model, and thereby lose many opportunities to communicate with members of other professions and thus extend health education beyond the limits of his practice.

Humans↗

Microforms: uses and potential.

A general overview of microform usage in libraries is provided, emphasizing the impact of conversion of print materials to microforms on library patrons and library staff members. Diagnostic techniques are analyzed to determine the adaptability of both collections and clientele. Problems concerning the standardization of hardware, selection of the proper microform formats, and the use of silver halide, diazo, or vesicular films are discussed.

Equipment and Supplies↗

The use of specific DNA probes to analyse the Sxr mutation in the mouse.

The mouse Y chromosome plays a fundamental role in the control of primary sex determination and fertility. Both genetic and molecular biological evidence has shown that much of the necessary information is contained in a minute piece of the Y (the Sxr region) which has arisen by a duplication of the pericentric region of the normal Y and the transposition of one copy to the distal pseudoautosomal region. The present article describes the isolation of random Y-chromosome probes and their use to investigate this Sxr region at the molecular level. Total mouse Y-chromosome libraries were constructed from flow-sorted material and a Sxr regional library after specific microdissection and cloning. Transcription has been detected in the testis using both Sxr-specific and non Sxr-located genomic probes taken from these libraries. In addition, we have been able to confirm the presence of an active steroid sulphatase gene on the mouse Y. This gene is located in the distal portion of the pseudoautosomal region and is tightly linked to Sxr. Finally, using an Sxr-specific probe we can define multiple Y-chromosome haplotypes in the mouse showing that the region is evolving very rapidly.

Animals↗

A virtual classroom for undergraduate periodontology: a pilot study.

The Integrated Distributed Learning Environments or virtual classrooms constitute a new promising structure in education of health care personnel. A virtual classroom was developed aiming to teach periodontology to an international group of 28 dental students using a problem-based learning (PBL) approach. The course was web-based and included synchronous and asynchronous communication, on-line libraries and multimedia material. Students were organised in 4 independent groups and each group was appointed a tutor. The results of the study indicate that one of the most positive effects students experienced was competence in using the computer. They also rated highly the use of multimedia for learning of clinical procedures. It was found that web boards and email were too slow to allow group work in the virtual classroom. Real time communication programs were found to be superior for problem discussion and hypothesis formulation. However, email and the web board played a significant role during certain steps of the PBL method. The students expressed a positive attitude for the combined use of network-based learning and problem-based education. Our present experience suggests that distance learning should be organised with a mixture of different media, allowing communication of knowledge and skills between the resources and the students, as well as cooperation between the students. Computer literacy among teachers and students is limited and should be enhanced. Finally, personal contact between the resource persons and the students before the distant learning course commences helps the learning process.

Attitude↗

The Veterans Administration Library Network: VALNET.

Given substantial federal budget cuts and ever-increasing quantities of print and nonprint material, Veterans Administration (VA) Library Services have pooled their resources in a network to improve the scope and efficiency of the services they provide. The VA Library Network, VALNET, composed of 176 libraries, serves health care facilities throughout the continental United States and Puerto Rico. This paper outlines VALNET's organization and the range of individual VA Library Services. It also describes centrally provided services and resource-sharing tools being developed by the VA, as well as significant sharing arrangement among VA Library Services and between the VA and non-VA libraries.

Hospitals, Veterans↗

Molecular cloning of mRNA from toad granular gland secretion and lyophilized skin: identification of Bo8--a novel prokineticin from Bombina orientalis.

Prokineticins are small (approximately 8 kDa), biologically active secretory proteins whose primary structures have been highly conserved throughout the Animal Kingdom. Representatives have been identified in the defensive skin secretions of several amphibians reflecting the immense structural/functional diversity of polypeptides in such. Here we describe the identification of a prokineticin homolog (designated Bo8) from the skin secretion of the Oriental fire-bellied toad (Bombina orientalis). Full primary structural characterization was achieved using a combination of direct Edman microsequencing, mass spectrometry and cloning of encoding skin cDNA. The latter approach employed a recently described technique that we developed for the cloning of secretory peptide cDNAs from lyophilized skin secretion, and this was further extended to employ lyophilized skin as the starting material for cDNA library construction. The Bo8 precursor was found to consist of an open-reading frame of 96 amino acid residues consisting of a putative 19-residue signal peptide followed by a single 77-residue prokineticin (Mr=7990 Da). Amino acid substitutions in skin prokineticins from the skin secretions of bombinid toads are confined to discrete sites affording the necessary information for structure/activity studies and analog design.

Amino Acid Sequence↗

Knowledge and information about ADHD: evidence of cultural differences among African-American and white parents.

Attention deficit hyperactivity disorder (ADHD) is considered the most common child psychiatric disorder in the United States of America. Despite the high prevalence (estimated at 3-5%), little is known about the level and source of knowledge about ADHD among those affected by the disease, and about cultural and ethnic variations in knowledge levels and information sources. This represents a serious deficit, because health behavior, including demand for health services, is thought to be strongly influenced by knowledge or beliefs held by individuals and their networks. Furthermore, recent research suggested minority children may be less likely to receive services for ADHD. To examine possible differences in ADHD knowledge and information source, a sample of 486 African-American and white parents of children at high risk for ADHD were surveyed by telephone and subsequently participated in face-to-face interviews addressing their explanatory models of ADHD. Results revealed significant ethnic differences in knowledge and sources of information about ADHD. Fewer African-American parents than white parents indicated that they had ever heard of ADHD (69% compared to 95%, P < 0.001), or that they knew some or a lot about it (36% compared to 70%, P < 0.001) African-American parents were more likely to attribute ADHD to excessive sugar in the diet than whites (59% compared to 30.0%, P < 0.001). Finally, even though the physician was listed as the most preferred information source for both groups, only 17.5% of African-American parents reported they had received information about ADHD from the physician compared to 29% of whites (P < 0.01). African American parents reported less use of and less preference for written informational materials (newspapers, journals, library) than white parents. We conclude that substantially more research should be undertaken to examine the relationship between ethnicity and ADHD knowledge, to inform culturally appropriate education campaigns and to improve access to services for this important treatable child mental health condition.

Adult↗

A new synthetic method for controlled polymerization using a microfluidic system.

While many parallel synthesis methods developed by the pharmaceutical and life science communities are being applied to polymer synthesis, there remains a need to construct "libraries" of polymeric materials that explore a wider range of polymer structures with accuracy, flexibility, and rapid, often small, changes. We report the use of microfluidics to create an environment for continuous controlled radical polymerization. Varying either the flow rate or the relative concentrations of reactants (i.e., stoichiometry) controls the molecular properties of the products. Molecular variables, here molecular weight, can then be varied continuously. Well-defined materials with narrow molecular weight distributions are produced inside the microfluidic reactor and are available for processing, such as further mixing, deposition, or coating on surfaces. Preliminary kinetic data appear to agree well with literature values reported for larger-scale reactions.

Journal Article↗

The Health Consultation Program: a model school nurse education program.

The Health Consultation Program (HCP) provides educational resources to school nurses throughout the state of Washington. It has several components, including consultation with clinical nurse specialists, a video lending library, health education materials, continuing education seminars, and preceptorships. School nurses access desired services to assist them in a variety of activities, such as developing individualized health care plans or teaching other school personnel about a child's special needs. Quotations from school nurses gathered during HCP evaluations indicate greater self-care abilities by students, improved skills of teachers and other professionals, increased planning for safe and appropriate care, and improved quality of care.

Consultants↗

A medical librarian's bag of tricks: coordinating books and media.

The development of a coordinated program of print and nonprint materials in the Library of the College of Medicine and Dentistry of New Jersey is traced. Fundamental to creating a successful program is a good staff, freedom to grow, and strong administrative support. A positive and aggressive attitude on the part of librarians is an important ingredient in increasing utilization of media.

Audiovisual Aids↗

["Arbitrarily primed PCR". Or: chance in the service of science].

"Arbitrarily primed PCR" (AP-PCR) methods are based on the amplification of DNA with arbitrarily selected primers. In the present review article two selected applications of this methodical approach are summarized. Using the RAPD ("Random Amplified Polymorphic DNA") technique the genetic variability of different organisms can be analyzed by generating a genomic fingerprint. Echinococcus granulosus isolates (metacestodes) from Spain and Switzerland were comparatively characterized by the use of this molecular epidemiological tool. The following groups of genetically related isolates could be identified: (a) equine isolates (horse/donkey) from Spain and Switzerland, (b) cattle isolates from Switzerland, (c) goat isolates from Spain and pig isolates from both countries, (d) sheep, cattle and human isolates from Spain. Isolates derived from Swiss patients were forming a separate group with respect to their genetic relatedness. As a further application of the AP-PCR, the development of a novel technique for the construction of cDNA libraries from minute amounts of starting material using an Echinococcus multilocularis metacestode library as an example is presented.

Animals↗

[Use of hypertext as information and training tools in the prevention of occupational risk].

Modern medical education is based on a variety of teaching techniques, by means of which individuals learn most effectively. The availability of the new technologies together with the diffusion of personal computers is favouring the spreading of the use of hypertexts through the World Wide Web. This contribution describes 2 hypertexts ("Human Activities and Health Risk"; "Occupation, Risk and Disease. A Problem-Oriented Hypertext-Tool to Learn Occupational Medicine") and the prototype "Virtual Hospital". Assuming that prevention of health risks is based upon their knowledge, they have been created with the aim of providing users with problem-oriented tools, whose retorical aspects (content, information organization, user interface) are analysed. The "Human Activities and Health Risk" deals with the description of working activities and allows user to recognize health risks. The "Occupation, Risk and Disease. A Problem-Oriented Hypertext-Tool to Learn Occupational Medicine" embodies a case report containing the clustered information about the patient and the library including educational material (risk factors, symptoms and signs, organ system diseases, jobs, occupational risk factors, environment related diseases. The "Virtual Hospital" has been conceived assuming that an appropriate information can change workers' behaviour in hospital, where health risks can be often underevaluated. It consists of a variety of structured and unstructured information, which can be browsed by users, allowing the discovery of links and providing the awareness of the semantic relationship between related information elements (including environment, instruments, drugs, job analysis, situations at risk for health, preventive means). The "Virtual Hospital" aims making the understanding of the working situations at risk easier and more interesting, stimulating the awareness of the relationship between jobs and risks.

Computer-Assisted Instruction↗

MEDICAL LIBRARIES IN BRITAIN; A BRIEF SURVEY.

Monastic institutions, medical corporations and societies, teaching institutions, and research organizations have all played a part in the development of library facilities in Britain. Brief histories of the principal contributors to this development are given. Until recent times private institutions took a greater share than the State in providing and conserving medical literature, and, although the country is now in a very fortunate position, being well stocked with a wide variety of such material, a significant proportion of it is the property of these private institutions and not all of it is freely available. There is still the need for a national library of medicine and for better coordination of existing material. Libraries in hospitals and nurse-training schools are not always adequate. Medical librarians are well organized and in good standing.

History↗

Phylogenetic differences between particle-associated and planktonic ammonia-oxidizing bacteria of the beta subdivision of the class Proteobacteria in the Northwestern Mediterranean Sea.

The aim of this study was to determine if there were differences between the types of ammonia-oxidizing bacteria of the beta subdivision of the class Proteobacteria associated with particulate material and planktonic samples obtained from the northwestern Mediterranean Sea. A nested PCR procedure performed with ammonia oxidizer-selective primers was used to amplify 16S rRNA genes from extracted DNA. The results of partial and full-length sequence analyses of 16S rRNA genes suggested that different groups of ammonia-oxidizing bacteria were associated with the two sample types. The particle-associated sequences were predominantly related to Nitrosomonas eutropha, while the sequences obtained from the planktonic samples were related to a novel marine Nitrosospira group (cluster 1) for which there is no cultured representative yet. A number of oligonucleotide probes specific for different groups of ammonia oxidizers were used to estimate the relative abundance of sequence types in samples of clone libraries. The planktonic libraries contained lower proportions of ammonia oxidizer clones (0 to 26%) than the particulate material libraries (9 to 83%). Samples of the planktonic and particle-associated libraries showed that there were depth-related differences in the ammonia oxidizer populations, with the highest number of positive clones in the particle-associated sample occurring at a depth of 700 m. The greatest difference between planktonic and particle-associated populations occurred at a depth of 400 m, where only 4% of the clones in the planktonic library were identified as Nitrosomonas clones, while 96% of these clones were identified as clones that were related to the marine Nitrosospira species. Conversely, all ammonia oxidizer-positive clones obtained from the particle-associated library were members of the Nitrosomonas group. This is the first indication that Nitrosomonas species and Nitrosospira species may occupy at least two distinct environmental niches in marine environments. The occurrence of these groups in different niches may result from differences in physiological properties and, coupled with the different environmental conditions associated with these niches, may lead to significant differences in the nature and rates of nitrogen cycling in these environments.

Ammonia↗

Controlling hospital library theft.

At Capital Health System/Fuld Campus (formerly Helene Fuld Medical Center), the Health Sciences Library lost many books and videocassettes. These materials were listed in the catalog but were missing when staff went to the shelves. The hospital had experienced a downsizing of staff, a reorganization, and a merger. When the library staff did an inventory, $10,000 worth of materials were found to be missing. We corrected the situation through a series of steps that we believe will help other libraries control their theft. Through regularly scheduling inventories, monitoring items, advertising, and using specific security measures, we have successfully controlled the library theft. The January 2002 inventory resulted in meeting our goal of zero missing books and videocassettes. We work to maintain that goal.

Humans↗

Circulation policies in health science libraries.

There is general agreement that library policies have considerable influence on the use of libraries. Medical school (health science) libraries of this country were surveyed as to their policies in respect to whether faculty and student use were regulated by a single policy, circulation regulations, hours library was accessible to users, accessibility of reserve material, interlibrary loan, policy on overdue material, and exit control. THE LIBRARIES WERE THEN DIVIDED INTO THREE GROUPS, HIGH, MIDDLE, AND LOW ACCORDING TO THE FOLLOWING CHARACTERISTICS: size of student body, size of faculty, size of holdings, size of library staff, annual budget, and annual circulation. Our findings would indicate that schools falling in a high category based upon these criteria tend to be more restrictive in their policies and to have different regulations for faculty and students than do schools in the low category.These findings warrant further study.

Libraries, Medical↗

Impact of changing health care economics on Michigan hospital libraries: report of a survey.

In an attempt to determine how efforts to contain the soaring cost of U.S. health care in the 1980s have affected the size and stature of Michigan hospital libraries, a survey was sent out in April 1988 to 156 hospitals across the state. Fifteen of the 97 responding institutions did not maintain libraries during the survey period and were subsequently excluded from the study. Total FTEs in the 82 responding libraries decreased by 6.1%. In the 69 libraries reporting budget data, materials budgets increased, but by less than 7% a year. Eighteen of the 82 libraries had positions reclassified, with 12 (14.6%) assigned downgrades. The trend toward reduced size and perceived value of hospital libraries that emerged from the survey points to the need for regular collection of comprehensive hospital library statistics to assist hospital librarians in effective direction of their profession's course.

Data Collection↗