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Desktop document delivery using portable document format (PDF) files and the Web.

Desktop access to electronic full-text literature was rated one of the most desirable services in a client survey conducted by the University of Washington Libraries. The University of Washington Health Sciences Libraries (UW HSL) conducted a ten-month pilot test from August 1996 to May 1997 to determine the feasibility of delivering electronic journal articles via the Internet to remote faculty. Articles were scanned into Adobe Acrobat Portable Document Format (PDF) files and delivered to individuals using Multipurpose Internet Mail Extensions (MIME) standard e-mail attachments and the Web. Participants retrieved scanned articles and used the Adobe Acrobat Reader software to view and print files. The pilot test required a special programming effort to automate the client notification and file deletion processes. Test participants were satisfied with the pilot test despite some technical difficulties. Desktop delivery is now offered as a routine delivery method from the UW HSL.

Computer Systems

Current status of biomedical book reviewing. I. Key biomedical reviewing journals with quantitative significance.

This is the first part of a comprehensive, quantitative study of biomedical book reviewing. The data base of the total project was built from statistics taken from all 1970 issues of biomedical journals held in the Science Library of the Massachusetts Institute of Technology. Of 285 so-called "life sciences" journals held by that library, fifty-four English journals (excluding Science and Nature) were found to contain bona fide book reviews (as contrasted with mere author-title lists) and were therefore selected for close study. The statistical results reveal that there were 3,347 reviews of 2,067 biomedical books in these fifty-four selected journals in 1970. Part I of the study identifies key biomedical reviewing journals of quantitative significance. The top ten journals, British Medical Journal, Lancet, Annals of Internal Medicine, Journal of the American Medical Association, Archives of Internal Medicine, New England Journal of Medicine, Quarterly Review of Biology, Bioscience, Canadian Medical Association Journal,(*) and American Journal of the Medical Sciences, accounted for 63.03% of the total number of reviews in 1970.

Book Reviews as Topic

Medical libraries and computers. The role of medical libraries in medical informatics.

The classic function of health sciences libraries is to build and maintain a knowledge base and to provide timely access to that collective memory for the purpose of learning, teaching, caring for patients, conducting research or managing an organization. The formats and representation of that knowledge base are changing rapidly, as are the methods and techniques for gaining access to information. Medical libraries have long used computers for cataloging and controlling records but are now shifting to acquiring, managing and distributing bibliographic and full-text information to local library "networks."

Computer Communication Networks

Providing consumer health information through institutional collaboration.

In the past several years, The Claude Moore Health Sciences Library of the University of Virginia Health Sciences Center (HSC) has noted a growing demand for consumer health information. However, because the primary role of the library is to provide information services to health professionals at the HSC, questions have been raised as to the amount of time, energy, and money that should be expended to provide health care information to consumers. The library staff, because it can provide special expertise regarding the availability and utilization of consumer health materials, has felt the responsibility to participate in HSC initiatives that reach a broad audience. Library efforts in that regard include assisting with inventory and management of patient education materials, participating in a community health promotion task force, collaborating with hospital departments in planning a consumer health information center, establishing a consumer health information reference section in the library, and obtaining a grant to offer a networked health information system to local public and community college libraries. Consumers of health information benefit from the enhanced services that result from combining the expertise of health professionals and patient educators with the information management skills of library staff.

Consumer Advocacy

Reflections on the Medical Library Association's international activities.

An overview of the Medical Library Association's past international activities is given with emphasis on the international fellowship program, international exchange of materials, participation in the International Federation of Library Associations, and international congresses on medical librarianship. Problems presented by cultural and educational differences, as well as governmental, political, and economic influences affecting international activities are enumerated. Lastly, continuation of the association's current international activities is endorsed, especially the extension of bilateral agreements with health sciences library associations of other countries, and increased activity in comparative medical librarianship.

Cultural Characteristics

The 'market' for medical and health information in transition: the case of the Hong Kong Hospital Authority libraries.

The last few years have been a period of transition not only for hospitals and their governance but also for post-graduate medical education in Hong Kong. Both trends have a direct impact on the information market place. This article starts by studying the provision of medical and health-related information in Hong Kong. The two university medical and dental libraries, together with the hospital and health sciences libraries in government hospitals and the Department of Health, house the major collections on medicine and health care. The demand for medical and health care information is increasingly felt with the takeover of 39 hospitals by the statutory Hong Kong Hospital Authority in 1991. The major problems and issues in planning for library information services are the historically uneven development of libraries, discrepancies in funding, the changes in organizational and management structure, and the competition with higher development priorities within the organization. In view of current technology and the availability of rich external resources, the adopted strategies tend towards the formation of 10 library service networks, development of integrated library information systems on the Health Authority-wide area network, and the devolution of management responsibilities. The future challenges in store for the information professional are examined.

Community Networks

Hospital libraries in the United States: historical antecedents.

The hospital health sciences library of today that reaches out to the world knowledge base through electronic networks bears little resemblance to its forebears. Yet to understand the challenges and future directions of the hospital library it is necessary to examine how it began and how it has evolved in more than 200 years. This paper identifies five developmental periods in which major strides were made: the colonial years through the 19th century; World War I to the Great Depression; World War II and the 1950s; the 1960s--the Great Society and the Medical Library Assistance Act; and the 1970s, an era of growth for hospital libraries.

History, 18th Century

Penetrating the information maze.

Advances in library science have led to efficient and expedient methodologies for the acquisition of medical/basic scientific information. These advances provide an opportunity for physicians and librarians to strengthen their bonds of communality so that ultimately technology will serve to link them ever more firmly. This opportunity will be realized only if physicians and librarians continue to maintain open communication channels. In this technological age, social scientists are promulgating the message that, in this era of accelerated changes, the beneficiaries of technology are well advised to emphasize interpersonal relations to the utmost.

Academic Medical Centers

Medical information for Alabama rural physicians.

Physicians practicing outside of Alabama's urban medical centers often have difficulty obtaining medical information for patient care. This article describes how Alabama's rural physicians may gain access to the biomedical literature needed for patient care using personal collections, communications technology, and libraries. A table in the paper lists health sciences libraries in the state which may provide consultative and information services.

Alabama

Physician-patient communication from the perspective of library and information science.

The physician-patient communication process has received little attention from library and information science (LIS) professionals. A limited review of other literature on this topic was undertaken to gain some understanding of the information exchange from an LIS perspective. The authors were interested in four issues, including how information is defined; how information-seeking behavior is portrayed; what barriers to information exist in the exchange process; and what role, if any, information plays in health outcomes. Studies have been conducted by researchers in various disciplines who have defined communication as a giving and seeking activity between the physician and the patient. Barriers to good communication, erected by either party or by both, prevent the participants from experiencing a satisfactory encounter. Because information can play a role in health outcomes, various strategies have been tried to improve the communication process. These studies provide a better understanding of the physician-patient encounter and suggest new areas of patient-centered research for LIS professionals.

Canada

Reorganization: premises, processes, and pitfalls.

As the technological environment changes and libraries assume new and more active roles in their institutions, the traditional library hierarchy ceases to be an effective organizational structure. Guided by theories that emphasize teamwork, quality, and employee empowerment and participation, libraries are developing flatter, more networked organizations. The Health Sciences Library at Columbia University in New York, New York, recently underwent a reorganization in an effort to become a more resilient, more flexible organization. The process was beneficial overall. While some errors and confusion occurred, these are seen as opportunities for learning and evidence of the library's new atmosphere of creativity and experimentation.

Hospital Restructuring

The contribution of hospital library information services to clinical care: a study in eight hospitals.

Hospital health sciences libraries represent, for the vast majority of health professionals, the most accessible source for library information and services. Most health professionals do not have available the specialized services of a clinical medical librarian, and rely instead upon general information services for their case-related information needs. The ability of the hospital library to meet these needs and the impact of the information on quality patient care have not been previously examined. A study was conducted in eight hospitals in the Chicago area as a quality assurance project. A total of 176 physicians, nurses, and other health professionals requested information from their hospital libraries related to a current case or clinical situation. They then assessed the quality of information received, its cognitive value, its contribution to patient care, and its impact on case management. Nearly two-thirds of the respondents asserted that they would definitely or probably handle their cases differently as a result of the information provided by the library. Almost all rated the libraries' performance and response highly. An overview of the context and purpose of the study, its methods, selected results, limitations, and conclusions are presented here, as is a review of selected earlier research.

Allied Health Personnel

The vertical file enters the electronic age.

Vertical files are revered institutions in many libraries. The reference staff at the Spencer S. Eccles Health Sciences Library at the University of Utah automated their vertical file and made the information in it accessible via the Library's Integrated Library System. Medical Subject Headings (MeSH) were applied to vertical files and simple records leading to them were entered in the Library's online catalog. Electronic access to the vertical file increases the availability of concepts too new to be in medical books and permits the Library to meet the needs of lay patrons searching for basic information on popular health care topics.

Academic Medical Centers

A paradigm for the next millennium: health information science.

Although historically a major concern of both the artist and the scientist was the observation of nature, the two disciplines split when science became more wedded to mathematics and quantification. Today, with visualization, art and science can again together provide a view of the natural world. A prototype curriculum for a new multidisciplinary science--Health Information Science--incorporates aspects of computer science, cognitive psychology, bioengineering, biomedical visualization, medicine, dentistry, anthropology, mathematics, library science, and the visual arts.

Art

Linking the physical past to the program future: new library addition at the Medical College of Georgia.

Planning the addition to an existing health sciences library building involved problems not normally encountered in planning a totally new structure. Some of the problems in combining the old and new buildings of the Medical College of Georgia Library and their resolution are discussed in this paper. Emphasized in particular is the relationship between institutional goals, library goals, and the library building.

Facility Design and Construction

Library-media production interface.

This article presents a detailed discussion of the roles of the health sciences library and the media production service personnel in providing a standardized system for accessing audiovisual and video in-house produced software. A worksheet and guidelines for collecting complete bibliographic information for these programs are also included.

Audiovisual Aids

Providing library services in a time of fiscal crisis: alternatives.

The nature of the fiscal crisis in health science libraries in the United States is in part due to the style of management in these libraries, in part due to the lack of user identification, in part due to the lack of economically valid fees for service, and in part due to the success of the Biomedical Communications Network. These issues are discussed in terms of how they might be approached. A pragmatic stance is advocated for practitioners, the MLA, the NLM, and library schools to jointly address the questions raised.

Economics

The evolution of research library buildings.

The principles of research library building planning established in the late 1940s emphasized flexibility of design; interspersal of books and readers; collaboration between librarians and architects; and an increased role for the library in education. Planning a medical research library in today's electronic environment requires attention to these principles as well as dealing with new and emerging technologies; economic constrains; new modes of scholarly research and communication; and the convergence of library science and information services on the campus. The social role of the library and the celebration of the book are factors common to both generations.

Architecture