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Proof of cancer causation and expert evidence: bringing science to the law and the law to science.

This article discusses the medico-scientific and the legal views of cancer causation and how these two approaches impact on expert evidence. Cancer cause lends itself well to an exploration of the critical issues which surround its proof and the role of expert evidence in this proof. The article does not seek to identify or to resolve all the controversies or inconsistencies in the area. Rather, it sets up a basic framework for the general presentation and testing of expert medico-scientific evidence in litigation related to cancer causation. Specifically, it seeks to identify the technical questions of law and medical science regarding which medico-scientific disciplines can be relevant to proving cancer causation, and who the relevant expert witnesses to achieve this task would be. Emerging areas of cancer causation are then examined in light of this framework.

Expert Testimony↗

Health science libraries in the United States: III. Hospital health science libraries, 1969-1979.

Health sciences libraries in hospitals were examined from longitudinal data collected in 1969, 1973, and 1979, to derive parameters for the universe and for resources, services, and manpower. The surveys show that during this period, the number of hospitals decreased whereas the number of libraries increased. Growth in the number of community hospital libraries was counterbalanced by changes in federal, psychiatric, tuberculosis, and chronic illness hospitals.

Hospitals↗

[Suitability of MEDLINE for the study of the Spanish scientific production in biomedicine and medical sciences. A comparative appraisal with the Science Citation Index].

BACKGROUND: MedLine (ML) database in CD-ROM, one of the most popular sources for bibliographic citations and abstracts of medical-biomedical literature, is also being widely used as a bibliometric tool. The usefulness of MedLine for bibliometric purposes needs to be evaluated. MATERIAL AND METHODS: A database (BDML) of the Spanish publications in medical-biomedical journals has been derived from ML in the period 1990-1994 searching for SPAIN or ESPANA in the author address (AD) and/or in the country of publication (CP) fields. Retrieved documents correspond to original and review articles. The journals were assigned to SCI categories and impact factors according to the Journal Citation Reports (1990 and 1994 issues). BDML contents were compared with the documents indexed in SCI-SSCI databases (1990-1993) as reported (Camí J et al. Med Clin [Barc] 1997; 109: 481-496). RESULTS: Spanish production in medical and biomedical publications indexed in BDML amounts to 27,452 documents in 1,639 journals or 19,915 documents in the 1,339 journals listed in JCR. This represents 3,983 articles and reviews in SCI journals per year on average. Similar calculation for the Spanish articles and reviews indexed in SCI-SSCI databases (1990-93) gives a rate of 3,727 documents/year. Coverage of biomedical literature in ML is much lower than in SCI + SSCI (11,729 and 15,723 documents respectively) although the differences can be lowered taking into account that SCI documents include case reports and letters to the Editor which can not be retrieved from ML searchs in the AD field. On the contrary, more Spanish articles in medical disciplines were retrieved from ML (15,723) than SCI + SSCI databases (7,858). ML indexes more Spanish medical journals than SCI (36 journals and 11,400 articles in ML90-94 against 12 journals and 1,622 documents in SCI90-93). CONCLUSIONS: The results validate the usefulness of MedLine for bibliometric studies in medical sciences.

Databases, Bibliographic↗