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PubMed1986

Using the OCLC union listing component for a statewide health sciences union list of serials.

Union lists of serials are critical to the effective operation of interlibrary loan networks. The Michigan Health Sciences Libraries Association used the OCLC union list component to produce the Michigan Statewide Health Sciences Union List of Serials (MISHULS). MISHULS, which includes the serials holdings of ninety-three hospital health sciences libraries, is a subset of a statewide multi-type union list maintained on OCLC. The rationale for a statewide list and the criteria for choosing vendors are discussed. Typical costs are provided. Funding sources are identified and a unique approach to decentralized input is described. The benefits of resource sharing in a larger, multi-type library network are also explored.

Interlibrary Loans↗
PubMed1994

A look at LOANSOME DOC service.

The Pacific Southwest Regional Medical Library (PSRML) launched a project in 1988 to assess the feasibility of electronic linkages between health professionals using GRATEFUL MED--the National Library of Medicine's (NLM) software program for searching the MEDLARS databases--and libraries using DOCLINE, NLM's automated interlibrary loan request-and-referral system. This paper describes the origins of LOANSOME DOC and initial usage experiences. Results of the LOANSOME DOC beta test, including usage statistics, are reported. The paper also describes the mechanics of nationwide implementation of LOANSOME DOC, including guidelines used by the Regional Medical Libraries (RMLs) to refer unaffiliated health professionals to DOCLINE libraries for LOANSOME DOC service. National usage statistics for the first full year of implementation (October 1, 1991, to September 30, 1992) are provided, and user satisfaction surveys conducted in 1993 by two RMLs are examined. Future enhancements to LOANSOME DOC are suggested.

Consumer Behavior↗
PubMed1993

Expanding the DOCLINE network to include nonmedical libraries in the state of Nevada.

Most libraries cannot meet patron demands for biomedical information using only their in-house collections. Consequently, many types of libraries request biomedical information through interlibrary loan, and these include not only academic health sciences libraries, hospital and special libraries, but also general libraries. In Nevada, with its small population spread over a large geographic area, it has become critical to develop a statewide network for sharing biomedical information. As the state resource library, the Savitt Medical Library launched an effort to establish a network, via DOCLINE, of all Nevada libraries that have health-related collections. The process of convincing academic and community college libraries to join DOCLINE and the resulting benefits of improved resource sharing and cooperative collection development are discussed.

Computer Communication Networks↗
PubMed1991

Remote access to electronic library services through a campus network.

The Health Science Library at University of Tennessee (UT), Memphis has taken advantage of a campuswide network for the purpose of providing enhanced access to library services. With a terminal or microcomputer, members of the UT Memphis community can use an electronic menu system to complete photocopy, interlibrary loan, and computer literature search request forms; leave messages or sign up for library workshops; use electronic mail to receive citations and abstracts from computer literature searches; use an electronic bulletin board to scan the library's new acquisitions lists, library hours, services, and policies; and use bibliographic retrieval software to search the library's locally mounted databases. Remote access to library services and electronic resources, which is available twenty-four hours a day, could potentially save users time and the institution money. Remote access, however, is intended to supplement, not to supplant or discourage, in-house library use.

Computer Communication Networks↗
PubMed1994

Faxon Finder/Faxon Xpress: report from a beta test site.

In this environment of expanding information needs, spiraling journal costs, and curtailed financial resources, medical libraries must take advantage of the rapid evolution in document delivery services. There are exciting developments in transmission technology, from fax machines to scanners to the Internet. There is also a notable shift away from the traditional reliance on library networks toward use of commercial vendors as document providers. These changes require reevaluation of interlibrary loan (ILL) and document delivery systems on many levels, including pricing structures, work flow, and impact on collection development. As commercial vendors develop increasingly effective products, librarians can test, evaluate, and incorporate them into their ILL operations to enhance service to users and relieve the pressure to acquire new resources; in this way, librarians can move from the "just in case" practice of building an on-site collection to the "just in time" model of providing timely delivery of materials to users as needed. This paper describes a beta test of the Faxon Finder/Faxon Xpress table of contents and document delivery services conducted by the Treadwell Library of the Massachusetts General Hospital.

Databases, Bibliographic↗
PubMed2003

User satisfaction survey and usage of an electronic desktop document delivery service at an academic medical library.

In June 2000, the Biomedical Library at the University of South Alabama introduced Prospero, an electronic desktop document delivery service. From June 2000 to November 2002, Prospero delivered 28% of interlibrary loan requests and 72% of document delivery requests. In November 2002, the library conducted a user satisfaction survey of the Prospero service. Forty-two surveys were used. Fifteen responses were received from affiliated faculty, staff, and students, who generally expressed satisfaction with the service. Twenty-seven responses were received from unaffiliated users, comprised of medical libraries, individual users, and businesses. Based on the survey results, the library deemed the Prospero service a success. To better support users, the library's Web page was updated to include hardware and software requirements for successful use of the Prospero service, as well as screen shots of the Prospero process.

Alabama↗
PubMed1991

Health professionals' use of documents obtained through the Regional Medical Library Network.

The Pacific Southwest Regional Medical Library Service (PSRMLS) studied how health professionals use documents obtained through the regional medical library (RML) network and how various factors, such as delivery time, affected that use. A random sample of libraries in Region 7 of the RML network was selected to survey health professionals who had received documents through the interlibrary loan (ILL) network. The survey provided data about the purposes for which health professionals requested documents, how the immediacy of need for the items affected their usefulness, what effect the obtained information had on the health professionals' work, and whether the illustrations represented an important part of the information content of the items. Survey results provided a positive assessment of the ILL network. Results also verified the basic value of the materials provided to health professionals through ILL and identified some areas for consideration in future network development. Users of the documents indicated that the network works efficiently and effectively to provide timely and useful information needed by health professionals. Technological developments in electronic information transmission and imaging will further enhance network operation in the future.

Health Occupations↗
PubMed2001

Web-based Loansome Doc, librarians, and end users: results from a survey of the Southeast Region.

OBJECTIVES: The study examines how Loansome Doc services are implemented and used by libraries in the Southeast Region and describe end users' experiences with and attitudes toward Loansome Doc. METHODS: 251 active DOCLINE libraries and 867 Loansome Doc users were surveyed. RESULTS: Roughly one half of the libraries offered Loansome Doc services. Of those that did not, most indicated no plans to offer it in the future. The majority had a small number of end users and experienced minimal increases in interlibrary loan activity. Problems were relatively rare. Satisfaction with Loansome Doc was high among all types of libraries. End users were usually physicians or other health care professionals who requested articles for research and patient care. Most learned about Loansome Doc through PubMed or Internet Grateful Med. End users appeared to be largely self-taught or received informal instruction in Loansome Doc. Loansome Doc filled document requests in a timely manner, and end users reported being satisfied with the service. CONCLUSIONS: Greater promotion of what Loansome Doc is and how it can benefit libraries can increase the number of participating libraries. While satisfaction of Loansome Doc end users is high, satisfaction could be increased with more help on the PubMed screen, more library training, and faster delivery methods.

Consumer Behavior↗
PubMed1994

Trends in the use of DOCLINE and the OCLC ILL subsystem 1986-1992.

An examination of interlibrary loan statistics from 1986 through 1992 at the Health Sciences Library (HSL), State University of New York at Buffalo, revealed that the numbers of requests received via DOCLINE increased steadily over this period. Meanwhile, the numbers of requests received via OCLC rose from 1986 to 1989 but then declined steadily from 1989 to 1992. To understand and interpret these trends, a survey of various libraries that obtain material from HSL was conducted to collect data on their use of DOCLINE and OCLC. Analysis of the data confirmed that the use of DOCLINE was on the increase, especially in health sciences libraries, and that in some of these libraries requests for documents via OCLC were on the decline. The ratio of requests via DOCLINE versus OCLC ranged from 2:1 to 5:1. In the non-health sciences libraries that request from HSL, use of DOCLINE is minimal compared to that of OCLC.

Costs and Cost Analysis↗
PubMed1965

PROBLEMS OF MEDICAL LIBRARIES IN JAPAN.

Reference service in medical libraries should be considered more seriously by the members of the Japan Medical Library Association, as their interest so far has been focused mainly on interlibrary loan service, compilation of union lists and union catalogs, and the business side of library administration. The Association does not have enough funds to be very active, and its membership is limited to the libraries of medical and of some large dental schools. It should open its membership to other medical libraries, such as those of hospitals and medical laboratories, and eventually to individuals. Many of the member libraries do not have complete control of their own budget, as each department of the school earmarks part of its budget for the library while it still holds the right of deciding which books and journals are to be bought and keeps a large part of them in its departmental library. Lack of proper library school education among the library staff is one of the major problems. There are some training courses for medical librarians in the library schools and also some workshops held by the Association, but they are limited in their usefulness by the fact that there are not enough library school graduates who can take advantage of them.

Humans↗
PubMed1999

Pediatric spine and spinal cord trauma. State of the art for the third millennium.

The purpose of this work was to analyze the literature published in English and to review the experience of the Barrow Neurological Institute (BNI) with spine and spinal cord injury (SCI) in children. Standard computerized data bases were queried for information regarding SCI, spinal injury, spinal instability, and spinal cord regeneration to produce a review of the epidemiology, diagnosis, treatment, outcome and directions for future research. We also reviewed our experiences in the management of infants and children with spine injuries and SCIs and with spinal instability from all causes. A total of 132 articles were identified and obtained from the Medical Library at St. Joseph's Hospital and Medical Center in Phoenix, Ariz. and through interlibrary loan. All these articles were read, although not all were used in the final review. A review of all children with SCIs revealed that fractures treated over the past 20 years at the BNI were very rare in preadolescent children, who suffered mostly from ligamentous injury or SCI without radiographic abnormality. A total of 68 children aged 16 years or younger who had been treated over the past 15 years and who had undergone spinal fusions for trauma, congenital anomalies, or tumor resection were identified. Occipitocervical fusion is well tolerated in children as young as 11 months when internal stabilization with a threaded titanium rod is used. Posterior instrumentation, including pedicle screw fixation, is feasible in children as young as 4 years. Fusion techniques derived from the adult spinal instrumentation experience were found appropriate except for the youngest patients. Fusion in the newborn period was futile in our experience. The adolescent spine does not differ from the adult spine in terms of sensitivity or response to fixation. Children past the neonatal period can be successfully instrumented for spinal stability without apparent long-term sequelae. Related advances are needed in the area of prevention. Long-term advances in spinal cord regeneration can be expected from ongoing basic science investigations.

Arizona↗
PubMed1995

The value of information supplied to clinicians by health libraries: devising an outcomes-based assessment of the contribution of libraries to clinical decision-making.

The Value project, a study funded by the British Library Research and Development Department and a group of postgraduate medical deans, has examined the effectiveness of NHS library and information services. Clinicians at 11 hospital library sites were asked to describe the purposes for which they needed information, the steps they took to obtain it, and to assess the value of the information obtained from interlibrary loan requests, database searches and end-user searches. A sample of non-library users and of users of the BMA Dial-Up MEDLINE service were also asked similar questions. Results show that information did, or would in the future, assist in personal clinical decision-making and which kinds of decisions were most supported. Information new to clinicians was often provided. Follow-up interviews provided illustrations of the ways in which developments aimed at more cost-effective patient care were supported by information obtained from the library. Results are being used to guide the production of a quality assurance toolkit to help libraries audit their services and improve the delivery of information to clinicians.

Clinical Medicine↗
PubMedDate not supplied

The practical effects of errors in reference lists in nursing research journals.

BACKGROUND: Previous studies have noted the prevalence of errors in journal reference lists, including nursing journals, but an in-depth study of nursing research journals has not been repeated. OBJECTIVES: The purpose of this study was to determine the number and types of errors in nursing research journal reference lists. METHOD: A stratified random sample of 262 references from three nursing research journals was obtained. References were compared with the actual articles, books, and chapters cited, or with photocopies obtained via interlibrary loan. Error rates were calculated. RESULTS: The overall error rate was 45.8%; 38.3% of all references contained at least one major error, and 13.8% of all references contained at least one minor error. CONCLUSIONS: The overall rate of reference errors falls within the range exhibited by recent studies of the medical and dental literature but exceeds the rates found in studies of nursing journals and veterinary medicine journals. Researchers need to consider the number and types of errors involved when using reference lists in their research.

Humans↗
PubMed2002

Evidence based medicine in clinical practice: how to advise patients on the influence of age on the outcome of surgical anterior cruciate ligament reconstruction: a review of the literature.

OBJECTIVE: To determine, using a literature search, whether patient age influences the outcome of surgical reconstruction of a torn anterior cruciate ligament. METHODS: Medline (1966 to present) was searched using the PubMed interface, Embase (1974 to present) using the Datastar system, and the Cochrane Library at the Update Software web site. Papers retrieved from the three databases were independently assessed by two reviewers using preliminary inclusion criteria. Reference lists of papers satisfying the preliminary criteria were then scanned and appropriate papers reviewed. Any new papers in turn had their reference lists scanned, this process continuing until no new papers were identified. Final inclusion criteria were then applied to all papers satisfying the preliminary inclusion criteria. RESULTS: The initial search identified 661 papers. Exclusion of duplicates produced 536 unique papers. Medline contained 445, Embase 185, and the Cochrane Library 31. Of the 536, 523 were assessed by abstract and 12 by full text; one paper was not retrieved. Application of the preliminary inclusion criteria produced 33 papers. Their reference lists contained 950 references. Scanning of these added six new papers to the dataset. These six had their reference lists assessed; no new papers were identified. Four of the 39 papers in the completed dataset satisfied the final inclusion criteria. There was wide variation in the total number of subjects in the four studies, ranging from 22 to 203 patients. The total number of different outcome measures was 17; only one measure was used by all four studies. None of the objective outcome measures showed any significant difference between age groups, and the subjective measures, which did show differences, were contradictory. A total of 108 interlibrary loans were requested, by a full time researcher, at a total cost of 432.00 Irish pounds over a 10 week period. CONCLUSIONS: When advising patients on the outcome of anterior cruciate ligament reconstruction, age should not be considered in isolation. In the absence of relevant guidelines, meta-analyses, or systematic reviews, the application of evidence based medicine to clinical practice has significant resource implications.

Adult↗
PubMed1983

Techniques of Online Citation Verification in NLM Databases.

This article is an exploration of techniques for identifying items in the health related literature using NLM system databases. Examples used are derived from reference desk and interlibrary loan files, but the techniques should be useful to any medical librarian who needs to verify a citation. A knowledge of NLM indexing practices and system commands is assumcd. Because of mace limitations the TOXLINE. TOXBACK74, TOXBACK65,AVLINE files have been omitted, but other bibliographic files and SERLINE are included. Tables designed for at-terminal use are presented.

Journal Article↗
PubMed1994

Reference citations in radiology: accuracy and appropriateness of use in two major journals.

OBJECTIVE: Errors in reference citation and use are common in the medical and scientific literature. The prevalence of such errors in the radiology literature has not been reported. We did a study to assess the accuracy and appropriateness of use of references cited in two general radiology journals. MATERIALS AND METHODS: All references cited in the June 1993 issues of the American Journal of Roentgenology and Radiology were numbered consecutively. Fifty references were chosen at random from each journal, and copies of the original publications were obtained from the medical library at our institution or through interlibrary loan. Each reference was studied for accuracy and appropriateness of its citation in the June 1993 journal article (the "index article"). Errors were classified as major or minor in each category. Data were analyzed with the SAS statistical package. RESULTS: Forty-seven (94%) of 50 references were obtained from AJR, and 48 (96%) of 50 from Radiology. Of the 47 from the AJR, one (2%) had a major error and 21 (45%) had a minor error in accuracy. Of the 48 from Radiology, two (4%) had a major error and 11 (23%) had a minor error in accuracy. These values were significantly different for minor errors (p = .0188), but not for major ones (p = 1.000). When we adjusted for index article type, error rates for the two journals were not significantly different (p = .0612). We found four major errors (9%) and two minor errors (4%) in appropriateness of citation in the AJR references we studied. Three references (6%) from Radiology contained major errors in appropriateness of use; we found no minor errors of that type. These values were not significantly different (p = .232 for minor errors; p = .709 for major errors). One error in accuracy prevented location of the original reference. Errors were not related to the number of references cited in an index article (p = .528 for accuracy; p = .092 for appropriateness). CONCLUSION: The rate of minor errors in accuracy of references is fairly high in the two journals studied and is comparable to rates previously reported for other types of journals. The rate of major errors in accuracy of references is slightly lower than rates for other types of journals. The percentage of cited references that could not be located was also smaller than in previous reports. Errors in citation appropriateness were less common as well. Given the small number of errors that prevented references from being located, significant expenditure of time and money by journal staff members in checking references is probably not justified. However, authors should be encouraged to exercise greater care in checking all of their references for both accuracy and appropriateness of use. Differences in error rates between AJR and Radiology may have resulted in part from the random sampling method, which produced different mixtures of index articles for the two journals.

Bibliographies as Topic↗
PubMed1990

Library technology supports resident education.

The authors discuss new library services and support for a podiatric residency program. They present information on how to conduct medical literature searches through the use of MEDLINE and CD-ROM MEDLINE. Information on interlibrary loans also is provided.

Florida↗