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PubMed2003

Promotion and evaluation of a virtual live reference service.

The University of North Carolina at Chapel Hill Health Sciences Library began providing virtual live reference service in the fall of 2001. The library was interested in exploring new ways to interact with users accessing electronic resources from outside the library. This article describes the background for starting the service, the methods used to promote the service, and the results of an evaluation conducted after the first seven months of operation. The service was lightly used during these months with only 82 interactions. An analysis of the transcripts examined referring Web pages, types of questions asked, software features used, and user login data. Text of two user surveys is included, with the data from the in-person survey analyzed.

Computer Communication Networks↗
PubMed2003

Planning, implementing, and using a virtual reference service.

Virtual reference (VR) can be a successful vehicle for libraries if there is a demonstrated need by the user base for such a service and if the library staff believes in, accepts, and plans thoroughly for the concept. This article focuses on the experiences of the Duke University Medical Center Library (DUMCL) in planning, implementing, and using a virtual reference service utilizing LSSI's Virtual Reference Desk (VRD) Software.

Computer Communication Networks↗
PubMed2003

Teaching EBM teachers: a team approach.

A collaborative Evidence-Based Medicine (EBM) course, co-taught by medical and library faculty, targets the needs of health care and information professionals involved in teaching and practicing EBM by introducing concepts, methods and tools of the EBM process. The one-week course engages working teams of health care and information professionals in case-based activities to encourage participation in the learning process and the "Train the Trainer" approach of the course. The interdisciplinary partnership, both of teachers and learners, has led to a successful and effective educational program that accentuates the strengths and contributions of each group. Further research will determine whether this collaborative experience leads to ongoing partnerships between these professional groups in the clinical setting.

Computer User Training↗
PubMed1988

Tying it all together: The Integrated Academic Information Management System being implemented at Maryland.

With the National Library of Medicine serving as the catalyst, the University of Maryland at Baltimore, Campus for the Professions, entered into a major initiative to integrate information management systems in support of the campus missions of education, research, and clinical care. Strategic planning initiated the integration process and continues in an iterative mode. In support of integration, changes were made in the campus organizational structure and in its technological infrastructure. Implementation involves transforming the Information Resources Management Division into an information utility on a phased and incremental basis. Collaboration with the Health Sciences Library is key to this transformation, as are numerous outreach activities.

Computers↗
PubMed1979

Medical school graduates' retrospective evaluation of a clinical medical librarian program.

This paper reports on the results of a survey of sixty-six graduates of the University of Missouri-Kansas City (UMKC) School of Medicine conducted in the spring of 1977. The graduates were questioned about their present library use behavior and their restrospective perceptions of the clinical medical librarian (CML) services which they received as medical students at UMKC. The results show that these young physicians, after regular association with other, more tradional medical library services, hold very positive impressions of the CML program. The graduates also typically credit the CML'S with helping them to learn to use library resources effectively. These retrospective perceptions of the CML match the short-term benefits reported in other studies of similar programs.

Evaluation Studies as Topic↗
PubMed1979

Profile, data, and management of two learning resource centers, 1970--1978.

Eight years' data have been collected in the operation of learning resource centers (LRCs) for medical and dental students at the Medical College of Virginia Campus, Virginia Commonwealth University. Data present evidence of high utilization of facilities and materials, including the successful use of small group cluster carrels. Management concepts and strategies to account for the data are identified and the LRC profile discussed for an understanding of how the strategies are implemented. These management concepts--responsiveness to students, interaction with faculty, and delivery of coordinated service--are transferable to other institutions and serve as guidlines for efficient management of LRC space, staff, equipment, and acquisition in support of medical and dental school curricula.

Libraries, Dental↗
PubMed1976

Chiang Mai and Illinois: a cooperative international project, 1962-1970.

Participants in the Chiang Mai-Illinois Project had unique opportunities to work toward the goals of medical education in an attractive but alien environment. Concepts concerning public health and preventive medicine did not have high priority as the new medical school at Chiang Mai began, but a growing department made some progress in the teaching of these concepts with discussions, library and record room projects, and limited village investigations. Studies of hospital and clinic patients and of specific diseases disclosed useful data about northern Thai people. A productive experience in the foreign setting is believed to require sound training, energy, adaptability, and an investment of years.

Education, Medical↗
PubMed2000

[Increased proportion of elementary school children with asthmatic symptoms in the Netherlands, 1984/85-1994/95; a literature review].

OBJECTIVE: To investigate whether the prevalence of asthmatic symptoms among children in the Netherlands has changed. DESIGN: Literature study. METHOD: Investigations into the prevalence of children with asthmatic symptoms were collected from Medline, Embase and various libraries if they had been performed between 1984/'85 and 1994/'95 and had used the so-called WHO or Region list. 23 studies were selected with data on 76,353 elementary school pupils. Linear regression analysis, weighed for the number of children, was used to determine if the proportions of children with asthmatic symptoms had increased over the years. RESULTS: In 10 years the prevalence of recent shortness of breath had increased by 107% (from 4.16 to 8.63%), that of recent wheeze by 16% (from 10.64 to 12.35%), that of recent attacks of breathlessness with wheezing by 17% (from 5.29 to 6.19%), and for chronic cough by 259 (from 1.05 to 3.77%) to 272% (from 3.14 to 11.68%). The prevalence of doctor-diagnosed asthma had increased by 120% (from 2.82 to 6.19%). CONCLUSION: There had been a pronounced increase in the percentage of primary schoolchildren with asthmatic symptoms between 1984/'85 and 1994/'95. The prevalence of doctor-diagnosed asthma increased faster then did key symptoms of asthma.

Asthma↗
PubMed1989

Software that works in school settings. A framework for choosing the right program.

The use of the computer as a tool in therapy is a relatively new concept. As with any new concept, there are many questions, concerns, and problems in implementation. Those who do not know how to use a computer should seek help from the individual in their school who is responsible for the care and maintenance of the computer equipment. A majority of software programs require very little knowledge about operating a computer. Those who do not have the funds to purchase needed software programs should request support from their school's PTA and community businesses, apply for a state or federal grant, or use a nearby college or university lending library. If local computer stores only carry business-oriented software, software catalogues or computer magazines such as Teaching and Computers are sources for products. The magazines not only advertise but also critique software. Finally the computer application framework (Figure 1) should help clinicians determine how an individual piece of software can be chosen and implemented, based on a student's need and a clinician's work situation. No single piece of software is perfect for every student, nor is the public school environment perfect for the utilization of software. It is hoped that this article will help clinicians extract the best from both worlds by suggesting how the microcomputer can be used for therapy in a school setting.

Adolescent↗
PubMedDate not supplied

[Research at the nursing undergraduate level: requirement for completion of the course].

This text presents guidelines for the implementation of an Undergraduate Final Year Project (UFYP) in the Nursing undergraduate program from Federal University Center of Alfenas--MG, presenting the hardships and the results of the first four years, using registers found in the proceedings of the Nursing Department and School and the authors' experience as coordinators of this process. There were reports considering some features as facilitators: incentive to multidisciplinary work, increased number of partnerships with professionals in the field; better use of IT resources, of the library and database; increased participation in research events. And, on the difficult side we found: the establishment of norms for the presentation of scientific papers, since at the time the School had no norms for that. We came to the conclusion that, in spite of the difficulties found, research might take place, and it constitutes a dynamic process where there is a learning to learn situation, either for students or for the faculty.

Brazil↗
PubMed1992

Increases in knowledge and use of information technology by entering medical students at McMaster University in successive annual surveys.

OBJECTIVE: To determine self-reported microcomputer and information technology competency, access, and usage by entering medical students and their perceptions of the need for training in additional applications. DESIGN: Cross-sectional surveys of successive classes. SETTING: McMaster University Faculty of Health Sciences Medical Undergraduate Program, which has a 33-month, problem-based, self-directed learning curriculum and a high applicant-to-student ratio. PARTICIPANTS: Medical school classes entering in 1987, 1988, and 1989. Response rates were 80%, 90%, and 86% respectively. MEASURES: A self-report questionnaire was sent to each student, with up to two follow-up letters to prompt a response. RESULTS: There was a progressive rise in reported information technology access and use for the three years. For the classes starting in 1987, '88, and '89 respectively, computer access was 29%, 49%, and 49% (P < 0.002 for linear trend), and, among those with computer access, modem access was 17%, 29% and 50% (P = 0.012). Self-service MEDLINE use on CD-ROM at the Health Sciences Library was 65%, 75%, and 89% respectively (P < 0.001) for all respondents within the first few months of starting medical school. Over 50% of each class stated they would take courses, if available, on clinical applications software, office management, online searching, filing, and CD-ROM searching. CONCLUSIONS: Half of the most recent entering students already had access to a personal computer and most wished to learn computer applications that would assist them with patient management, and with information access and organization. Medical schools need to address which applications they will teach or make available and how to bring all students to acceptable competency in their use.

Computer Literacy↗
PubMed2004

[Effects of lead exposure on the human body and health implications].

OBJECTIVE: To review the literature concerning the risks associated with exposure to lead and lead compounds, especially in children and in populations that are occupationally exposed. DATA SOURCES: Using "chumbo" [lead] and "efeitos" [effects] as search terms, two large databases, namely PubMed (United States National Library of Medicine) and LILACS (Literatura Latino-Americana e do Caribe em Ciências da Saúde [Latin American and Caribbean Literature in the Health Sciences]), were searched for studies on lead toxicity from 1988 to 2002. Other sources used to conduct the search include the web page of the United States Agency for Toxic Substances and Disease Registry, in Atlanta, Georgia, and the library of the Toxicology Laboratory of the Center for Workers' Health and Human Ecology at the National School of Public Health [Centro de Estudos da Saúde de Trabalhador e Ecologia Humana, Escola Nacional de Saúde Pública], Fundação Oswaldo Cruz, Rio de Janeiro, Brazil. CONCLUSIONS: The toxic effects of lead and lead compounds have been extensively studied for over a century. In recent years, epidemiologic studies have focused primarily on the neurotoxic effects of lead on children, particularly in terms of impaired intellectual ability and behavioral problems. However, there is still insufficient information on the mechanisms of action that account for such toxicity. More in-depth studies are also needed on the effects of lead exposure on bone, the central nervous system, the cardiovascular system, the kidneys, the liver, the male and female reproductive systems, and the endocrine system. The potential teratogenicity and carcinogenicity of lead, as well as its effect on pregnancy outcomes and neonatal growth and development, also require further study.

Child↗