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At least 433 records · Page 24Linked to original sources
PubMed2003

Randomised controlled trial of a theoretically grounded tailored intervention to diffuse evidence-based public health practice [ISRCTN23257060].

BACKGROUND: Previous studies have shown that Norwegian public health physicians do not systematically and explicitly use scientific evidence in their practice. They work in an environment that does not encourage the integration of this information in decision-making. In this study we investigate whether a theoretically grounded tailored intervention to diffuse evidence-based public health practice increases the physicians' use of research information. METHODS: 148 self-selected public health physicians were randomised to an intervention group (n = 73) and a control group (n = 75). The intervention group received a multifaceted intervention while the control group received a letter declaring that they had access to library services. Baseline assessments before the intervention and post-testing immediately at the end of a 1.5-year intervention period were conducted. The intervention was theoretically based and consisted of a workshop in evidence-based public health, a newsletter, access to a specially designed information service, to relevant databases, and to an electronic discussion list. The main outcome measure was behaviour as measured by the use of research in different documents. RESULTS: The intervention did not demonstrate any evidence of effects on the objective behaviour outcomes. We found, however, a statistical significant difference between the two groups for both knowledge scores: Mean difference of 0.4 (95% CI: 0.2-0.6) in the score for knowledge about EBM-resources and mean difference of 0.2 (95% CI: 0.0-0.3) in the score for conceptual knowledge of importance for critical appraisal. There were no statistical significant differences in attitude-, self-efficacy-, decision-to-adopt- or job-satisfaction scales. There were no significant differences in Cochrane library searching after controlling for baseline values and characteristics. CONCLUSION: Though demonstrating effect on knowledge the study failed to provide support for the hypothesis that a theory-based multifaceted intervention targeted at identified barriers will change professional behaviour.

Evidence-Based Medicine↗
PubMed1986

Standards for reference services in health sciences libraries: the reference product.

Standards for reference services were prepared by a committee of the Oregon Health Sciences Libraries Association (OHSLA). The standards are qualitative and address the following: quality control, appropriateness, accuracy, documentation, timeliness, accessibility, confidentiality, and evaluation. The standards are components of minimally competent reference service as reflected in the reference product. A discussion of concerns and prescriptive measures accompanies the statement of each standard. While prepared specifically for health sciences libraries, the standards are applicable to all types of libraries and may be used as guidelines in evaluating the reference product, in upgrading library service, and in writing policies and procedures.

Information Services↗
PubMed2001

Physician use of complementary and alternative medicine (CAM) literature.

OBJECTIVE: To document the interest of complementary and alternative medicine (CAM) literature use among physicians. DESIGN: A retrospective study. SETTING: A medical library service. MAIN OUTCOME MEASURES: Analysis of photocopy requests from published lists of reference in a two-year period by physicians in the province of British Columbia, Canada. RESULTS: The average number of requests per article was 18.7 among CAM literature and 7.1 among non-CAM literature. Ten of the 15 most frequently requested articles were CAM papers. Review articles on herbal medicine demonstrated the most use. CONCLUSIONS: There is a definite interest in CAM literature among a specific group of Canadian physicians. Use of scientifically credible literature in peer-reviewed journals will be helpful for patient care, teaching, and research in this field.

British Columbia↗
PubMedDate not supplied

Providing internet lessons to oncology patients and family members: a shared project.

The paper describes the steps in a pilot study taken to develop and evaluate an Internet intervention for cancer patients and family members. The intervention was a shared project of two hospital departments; a volunteer oncology support service, Hope & Cope, and the Health Services Library. Forty subjects were surveyed on their computer use and interest, and of these, half used the Internet to access health and medical information. Of the 40 subjects, 28 participated in an innovative, one-to-one teaching session with a medical librarian where they learned to access Internet sites to find information specific to their needs and subsequently be more confident in their perceived ability to evaluate the information received. Follow up interviews found that the sessions were well received and at two months follow-up the participants attributed their positive well being in large part to the intervention. Internet use by oncology patients and family members in conjunction with skilled help has the potential to contribute in a timely fashion to the well being of those with cancer.

Adolescent↗
PubMed1996

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↗
PubMed1988

Techniques for accessing the medical literature. I. Currently available approaches.

Today physicians and scientists have a wide range of choices in their quest to locate both clinical and scientific information. This article describes the range of choices available to allergists and immunologists as they attempt to locate information on a subject and offers some simple suggestions for managing the increased body of biomedical information.

Computer Systems↗
PubMed2006

Potassium channels: new targets in cancer therapy.

BACKGROUND: Potassium channels (KCh) are the most diverse and ubiquitous class of ion channels. KCh control membrane potential and contribute to nerve and cardiac action potentials and neurotransmitter release. KCh are also involved in insulin release, differentiation, activation, proliferation, apoptosis, and several other physiological functions. The aim of this review is to provide an updated overview of the KCh role during the cell growth. Their potential use as pharmacological targets in cancer therapies is also discussed. METHODS: We searched PubMed (up to 2005) and identified relevant articles. Reprints were mainly obtained by on line subscription. Additional sources were identified through cross-referencing and obtained from Library services. RESULTS: KCh are responsible for some neurological and cardiovascular diseases and for a new medical discipline, channelopathies. Their role in congenital deafness, multiple sclerosis, episodic ataxia, LQT syndrome and diabetes has been proven. Furthermore, a large body of information suggests that KCh play a role in the cell cycle progression, and it is now accepted that cells require KCh to proliferate. Thus, KCh expression has been studied in a number of tumours and cancer cells. CONCLUSIONS: Cancer is far from being considered a channelopathy. However, it seems appropriate to take into account the involvement of KCh in cancer progression and pathology when developing new strategies for cancer therapy.

Animals↗
PubMedDate not supplied

Northern New Jersey Nursing Education Consortium: a partnership for graduate nursing education.

The purpose of this article is to describe the evolution and implementation of the Northern New Jersey Nursing Education consortium--a consortium of seven member institutions established in 1992. Details regarding the specific functions of the consortium relative to cross-registration of students in graduate courses, financial disbursement of revenue, faculty development activities, student services, library privileges, and institutional research review board mechanisms are described. The authors also review the administrative organizational structure through which the work conducted by the consortium occurs. Both the advantages and disadvantages of such a graduate consortium are explored, and specific examples of recent potential and real conflicts are fully discussed. The authors detail governance and structure of the consortium as a potential model for replication in other environments.

Education, Nursing, Graduate↗
PubMed1986

The EMBL data library.

The EMBL Data Library was the first internationally supported central resource for nucleic acid sequence data. Working in close collaboration with its American counterpart, GenBank (1), the library prepares and makes available to the scientific community a comprehensive collection of the published nucleic acid sequences. This paper describes briefly the contents of the database, how it is available, and possible future enhancements of Data Library services.

Animals↗
PubMed1990

Academic support for rural practice: the role of area health education centers in the school of medicine.

An area health education center (AHEC) program offers a school of medicine a special way to improve the environment for professional practice in rural areas. An AHEC is a regional center for education and training that houses faculty and staff who teach students and residents while providing continuing education, consultation, and technical assistance for rural practices. With the support of outreach library services and visits by university-based faculty, AHECs help improve a rural community's ability to recruit, retain, and keep up-to-date primary care physicians and other health manpower.

Allied Health Personnel↗
PubMed1989

Information technology in postgraduate medical education.

Information technology in postgraduate medical education has developed rapidly over the last 5 years. This report describes the experience of setting up a computer-based information system in postgraduate centres in the West of Scotland. It includes a viewdata service, library facilities, computer-assisted learning, word processing, and statistics. An electronic mail system provides rapid communication between users. The costing and some of the problems in setting up such systems are discussed.

Education, Medical, Graduate↗
PubMed1996

Benchmarking reference services: step by step.

This article is a companion to an introductory article on benchmarking published in an earlier issue of Medical Reference Services Quarterly. Librarians interested in benchmarking often ask the following questions: How do I determine what to benchmark; how do I form a benchmarking team; how do I identify benchmarking partners; what's the best way to collect and analyze benchmarking information; and what will I do with the data? Careful planning is a critical success factor of any benchmarking project, and these questions must be answered before embarking on a benchmarking study. This article summarizes the steps necessary to conduct benchmarking research. Relevant examples of each benchmarking step are provided.

Data Collection↗