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PubMedDate not supplied

Research methodology and applied statistics. Part 2: the literature search.

This paper presents a basic methodology for an effective and efficient retrieval and recording of written materials in a subject area. The purpose of the literature review is examined and the criteria for selection of materials for inclusion are outlined. The methodology then describes the role of the librarian, various types of information resources, how to choose appropriate indexing and abstracting services, and a simple efficient method of recording the items found. The importance and use of Medical Subject Headings for research in physiotherapy is emphasized. A survey of types of book materials and how to locate them is followed by a detailed description of the most useful indexing and abstracting services available, in particular, the publications of the National Library of Medicine, notably Index Medicus, as well as Excerpta Medica and the Science Citation Index. A discussion of on-line search services, their coverage and availability in Canada, concludes the review of information sources. Finally, guidelines for selecting and summarizing the materials located and comments on the literary style for a review are supplied.

Documentation↗
PubMed2000

Structuring the pre-search reference interview: a useful technique for handling clinical questions.

OBJECTIVES: To explore whether structuring a literature search request form according to an evidence-based medicine (EBM) anatomy elicits more information, improves precision of search results, and is acceptable to participating librarians. METHODS: Multicenter before-and-after study involved six different libraries. Data from 195 minimally structured forms collected over four months (Phase 1) were compared with data from 185 EBM-structured forms collected over a further four-month period following a brief training intervention (Phase 2). Survey of librarians' attitudes toward using the EBM-structured forms was conducted early during Phase 2. RESULTS: 380 request forms, EBM-structured and minimally structured, were analyzed using SPSS. A statistically significant Pearson correlation was found between use of the EBM-structured form and complexity of the search strategy (P = 0.002). The correlation between clinical requests handled by the EBM-structured form and fewer items retrieved was also statistically significant (P = 0.028). However, librarians rated minimally structured forms more highly than EBM-structured forms against all dimensions except informativeness. CONCLUSIONS: Although use of the EBM-structured forms is associated with more precise searches and more detailed search strategies, considerable work remains on making these forms acceptable to both librarians and users. Nevertheless, with increased familiarity and improved training, information retrieval benefits could be translated into more effective search practice.

Data Interpretation, Statistical↗
PubMed1999

Interlibrary cooperation: from ILL to IAIMS and beyond.

A recent solicitation over the MEDLIB-L e-mail discussion list revealed over thirty diverse examples of hospital library-based interlibrary cooperative initiatives currently underway. Many are familiar and have been featured in the professional literature. Most go unreported and unrecognized however, comprising invisible resource-sharing infrastructures that hospital librarians painstakingly piece together in order to provide their clients with expanded service options. This paper, drawing from the MEDLIB-L survey as well as descriptions in the published literature, provides a broad overview of such recent interlibrary cooperative efforts. Examples include interlibrary loan networks, collective purchasing initiatives, holder-of-record or union catalog access agreements, arrangements to provide e-mail and Internet access, and consortia to share electronic resources. Examples were chosen based on the initiatives' diversity of participants, and represent a wide range of locations across the United States. Such initiatives focus on local, statewide, or regional collaboration, and several involve partnerships between academic medical center libraries and regional hospital libraries. An early example of a hospital-based interlibrary cooperative IAIMS effort is described, pointing to future possibilities involving the Internet and regional hospital system intranets.

Computer Communication Networks↗
PubMed1993

Characterization and elimination of AC noise in electrocardiograms: a comparison of digital filtering methods.

Diverse digital methods have been advanced previously to remove power line (AC) interference in the ECG. Representative notch filters, adaptive filters and a globally derived filter are surveyed in this study; their performances are compared on artificial signals as well as actual ECGs. The ECGs, recorded at four European medical centers, are from the Common Standards in Electrocardiography (CSE) ECG tape library. AC interference in these ECGs is shown to exhibit two qualities especially relevant to filter design: considerable deviations from a nominal 50 Hz frequency and substantial noise at higher harmonics. Some criteria and useful quantitative measures are suggested to evaluate AC digital filters.

Electricity↗
PubMedDate not supplied

The making of helicopters: its strategic implications for EMS helicopter operations.

PURPOSE: The purpose of this article is to provide EMS helicopter personnel with an understanding of the civil helicopter manufacturing industry. Specifically, this article examines the current helicopter marketplace and how various manufactures are responding to the recent decline in new helicopter sales. This article further describes how helicopters are designed and manufactured and how global markets, international competition, and strategic considerations are influencing future helicopter design and production. METHODS: Data for this paper were obtained from a literature search through the ABI-inform Telnet Services offered through the University of Utah Marriott Library. On a search of "helicopter" during the past 5 years, 566 abstracts were identified, all of which were reviewed for information related to the purpose of this article. Forty-seven articles were identified and read in detail for information that may have related to the purpose of this article. In addition, a library search to identify textbooks that describe helicopter production systems was undertaken but did not identify any written resources. Because of the lack of written resources available in writing this article, a direct interview survey of leading helicopter manufactures, associations, and industry writers was conducted. Only information that was considered "public knowledge" was available because of concerns by the various manufactures that publication of confidential information could be detrimental to their competitive advantage. LIMITATIONS: Because helicopter-manufacturing plants were not located within easy travel range, no direct observation of the production facilities could be undertaken. Furthermore, information regarding production and operational management was not easily accessible because the data were not published or were considered confidential. Therefore industry analysis had to take place through direct survey interviewing technique and data obtained through an analysis of the available published data.

Air Ambulances↗
PubMed1992

Developing a publicity plan for library research: the Rochester Study.

The hospital librarians in Rochester, New York and a research team developed and administered a questionnaire to measure the impact of information provided by the librarian on physicians' clinical decision making. While the research was underway, the librarians also developed a publicity plan. The goal of the plan was to create awareness of the study results in the local client population, as well as in the health care community at large. The plan served to describe and put in priority order the types of media that the librarians would use to publicize the study to target groups. This article includes examples of a nationwide and an institution-specific publicity plan. those developing publicity plans for future library research may want to allocate adequate funds to hire a media consultant to increase their prospects for national exposure.

Decision Making↗
PubMed1986

Information needs of practicing dentists.

Dentists, as health professionals, need access to information. As in other health sciences, the increase in the rate and volume of published information has made it more difficult for them to keep up with new developments. Five hundred randomly selected dentists in Louisiana were surveyed to determine what information dentists seek and what sources they prefer. Responses indicated that dentists need information on new techniques in dentistry and that preferred sources are professional colleagues and personal journal collections. Libraries were found to be used only infrequently as sources for information. Implications for planning libraries for applications- and technique-oriented professions are discussed.

Dentists↗
PubMed1981

The pediatric family-patient health education library: the issue of access to information.

Access to medical information and full and complete disclosure of diagnostic and therapeutic data are becoming important themes in physician-family-patient relationships. A health education library that provides consumers with comprehensive reference materials, including texts originally designed for a professional readership, can be used to meet demands from the lay public for better communication between doctor and patient. although realistic concerns about in impact on families of explicit or detailed medical information have been raised, the actual incidence of such problems has been very low among the users of such an "open access" library at our institution. However, support by physicians of the library as a useful resource and their willingness and availability to discuss materials read by patients and family members are key factors in the success of such a project.

Attitude of Health Personnel↗
PubMed2006

The MedlinePlus public user interface: studies of design challenges and opportunities.

QUESTION: What are the challenges involved in designing, modifying, and improving a major health information portal that serves over sixty million page views a month? SETTING: MedlinePlus, the National Library of Medicine's (NLM's) consumer health Website, is examined. METHOD: Challenges are presented as six "studies," which describe selected design issues and how NLM staff resolved them. MAIN RESULT: Improving MedlinePlus is an iterative process. Changes in the public user interface are ongoing, reflecting Web design trends, usability testing recommendations, user survey results, new technical requirements, and the need to grow the site in an orderly way. CONCLUSION: Testing and analysis should accompany Website design modifications. New technologies may enhance a site but also introduce problems. Further modifications to MedlinePlus will be informed by the experiences described here.

Database Management Systems↗
PubMed1998

Barriers to rural physician use of a digital health sciences library.

BACKGROUND: Rural physicians need access to quality medical information, but accessing information is difficult in rural settings. Digital health sciences libraries (DHSLs) offer the potential to make information more accessible to rural physicians. A telemedicine network was deployed to six rural hospitals in Iowa. Computers were installed allowing access to a DHSL and training sessions were held. The purpose of this study was to examine the barriers to use of a DHSL by rural physicians. METHODS: Approximately one year after deployment of the telemedicine network, physicians were surveyed using a modified critical incident technique. RESULTS: Seventy percent of the eligible physicians responded and 33% had used the DHSL. Primary barriers included insufficient training, being too time consuming to use, and distance of computers from physicians' practice sites. Non-DHSL users cited the difficulty of using the DHSL as their greatest barrier, while DHSL users cited the quality of the information resources. CONCLUSIONS: This study identifies a number of barriers that exist to rural physicians use of a DHSL. Potential solutions to these barriers are discussed. DHSLs will finally reach their potential when they can be delivered by easy to use handheld computers seamlessly integrated into the rural physician's workflow.

Adult↗
PubMed2006

Developing library bioinformatics services in context: the Purdue University Libraries bioinformationist program.

SETTING: Purdue University is a major agricultural, engineering, biomedical, and applied life science research institution with an increasing focus on bioinformatics research that spans multiple disciplines and campus academic units. The Purdue University Libraries (PUL) hired a molecular biosciences specialist to discover, engage, and support bioinformatics needs across the campus. PROGRAM COMPONENTS: After an extended period of information needs assessment and environmental scanning, the specialist developed a week of focused bioinformatics instruction (Bioinformatics Week) to launch system-wide, library-based bioinformatics services. EVALUATION MECHANISMS: The specialist employed a two-tiered approach to assess user information requirements and expectations. The first phase involved careful observation and collection of information needs in-context throughout the campus, attending laboratory meetings, interviewing department chairs and individual researchers, and engaging in strategic planning efforts. Based on the information gathered during the integration phase, several survey instruments were developed to facilitate more critical user assessment and the recovery of quantifiable data prior to planning. NEXT STEPS/FUTURE DIRECTIONS: Given information gathered while working with clients and through formal needs assessments, as well as the success of instructional approaches used in Bioinformatics Week, the specialist is developing bioinformatics support services for the Purdue community. The specialist is also engaged in training PUL faculty librarians in bioinformatics to provide a sustaining culture of library-based bioinformatics support and understanding of Purdue's bioinformatics-related decision and policy making.

Computational Biology↗
PubMed2006

Knowledge and use of evidence-based practice of GPs and hospital doctors.

RATIONALE, AIMS AND OBJECTIVES: Clinical effectiveness and evidence-based practice (EBP) are the cornerstone of modern day health care. Although many studies have explored attitudes and perceived knowledge of individual professions few have compared the factors between professional groups and in particular in the medical profession. We report a study comparing the views, knowledge and practice of hospital doctors with their general practitioner (GP) counterparts in terms of EBP and clinical effectiveness. In this way it was hoped to highlight not only any differences between these groups but also the needs of these groups and suggest some ways of fulfilling these. METHODS: A postal questionnaire survey was completed by a random sample of 500 GPs and 500 hospital medics. RESULTS: There was a significant difference between the groups with the GPs rating their skill level as lower that their medical doctor counterparts. Similarly, GPs reported using EBP steps less frequently than hospital doctors. Barriers to implementing EBP differed between the groups with GPs reporting difficulty with accessing a library and making time available. CONCLUSION: A number of differences between GPs and their hospital counterparts were recorded which highlights the difference in educational and policy approach required for greater uptake of EBP.

Attitude of Health Personnel↗
PubMed2002

Expressed sequence tags and genes associated with loline alkaloid expression by the fungal endophyte Neotyphodium uncinatum.

Loline alkaloids (LA), which are 1-aminopyrrolizidines with an oxygen bridge, are produced by Epichloë (anamorph=Neotyphodium) species, endophytes of grasses. LA are insecticidal, thus, helping to protect host plants from insect herbivory. The objective of this study was to identify genes associated with LA biosynthesis. Suppression subtractive hybridization PCR was used to isolate transcripts up-regulated during LA production in cultures of Neotyphodium uncinatum. Subtracted cDNAs were cloned and a lambda-phage cDNA library from an LA-expressing N. uncinatum culture was screened with subtracted cDNA. In BLAST searches, several cDNAs identified had sequence similarities to aspartate kinases and another with O-acetylhomoserine-(thiol)lyase. Differential expression of these two genes in LA-producing cultures of N. uncinatum was confirmed and in a survey of 23 isolates from 21 Neotyphodium and Epichloë species these two genes strictly correlated with LA production. These findings open up the possibility for detailed studies on genes and enzymes involved in LA production.

ATP-Binding Cassette Transporters↗
PubMed2003

Impact factor: a valid measure of journal quality?

OBJECTIVES: Impact factor, an index based on the frequency with which a journal's articles are cited in scientific publications, is a putative marker of journal quality. However, empiric studies on impact factor's validity as an indicator of quality are lacking. The authors assessed the validity of impact factor as a measure of quality for general medical journals by testing its association with journal quality as rated by clinical practitioners and researchers. METHODS: We surveyed physicians specializing in internal medicine in the United States, randomly sampled from the American Medical Association's Physician Masterfile (practitioner group, n = 113) and from a list of graduates from a national postdoctoral training program in clinical and health services research (research group, n = 151). Respondents rated the quality of nine general medical journals, and we assessed the correlation between these ratings and the journals' impact factors. RESULTS: The correlation between impact factor and physicians' ratings of journal quality was strong (r2 = 0.82, P = 0.001). The correlation was higher for the research group (r2 = 0.83, P = 0.001) than for the practitioner group (r2 = 0.62, P = 0.01). CONCLUSIONS: Impact factor may be a reasonable indicator of quality for general medical journals.

Adult↗
PubMed2005

The genomic organization of retrotransposons in Brassica oleracea.

We have investigated the copy numbers and genomic organization of five representative reverse transcriptase domains from retrotransposons in Brassica oleracea. Two non-homologous Pseudoviridae (Ty1/copia-like) elements, two Metaviridae (Ty3/gypsy-like) elements (one related to the Athila family) and one Retroposinae (LINE) element were hybridized to a gridded BAC library, "BoB". The results indicated that the individual LTR retrotransposons (copia and gypsy-like) were represented by between 90 and 320 copies in the haploid genome, with only evidence of a single location for the LINE. Sequence analysis of the same elements against genome survey sequence gave estimates of between 60 and 570, but no LINE was found. There was minimal evidence for clustering between any of these retroelements: only half the randomly expected number of BACs hybridized to both LTR-retrotransposon families. Fluorescent in situ hybridization showed that each of the retroelements had a characteristic genomic distribution. Our results suggest there are preferential sites and perhaps control mechanisms for the insertion or excision of different retrotransposon groups.

Arabidopsis↗
PubMed2002

Expression of homeobox genes in cervical cancer.

OBJECTIVE: Members of the homeobox (HB) gene superfamily encode transcription factors crucial for development and may be associated with tumorigenesis. In this study, we aimed to develop a procedure to survey the expression of the dispersed-type HB genes in cervical cancer cells. METHODS: Nineteen sets of degenerate primers were designed based on conserved homeodomains of known dispersed-type HB genes. A cDNA library derived from HeLa, a cervical cancer cell line, was used. Two successive rounds of PCR were performed using a combination of the HB degenerate primers and a primer recognizing the flanking sequence of the vector used in the cDNA library construction. RESULTS: On cloning and sequence analysis of the PCR fragments generated, 10 known and 3 putative novel HB genes were detected in HeLa. RT-PCR expression analysis further showed that HOXD9 and ATBF1 were differentially expressed in cancer cells and not in normal cervix. CONCLUSIONS: Our data demonstrate the feasibility of using degenerate primers in PCR experiments in a collective analysis of complex gene families. Our data indicate that HOXD9 and ATBF1 are expressed in cervical cancer, but not in normal cervix.

Amino Acid Sequence↗
PubMed1985

Dissection of Mycobacterium tuberculosis antigens using recombinant DNA.

A recombinant DNA strategy has been used systematically to survey the Mycobacterium tuberculosis genome for sequences that encode specific antigens detected by monoclonal antibodies. M. tuberculosis genomic DNA fragments with randomly generated endpoints were used to construct a large lambda gt11 recombinant DNA expression library. Sufficient numbers of recombinants were produced to contain inserts whose endpoints occur at nearly every base pair in the pathogen genome. Protein antigens specified by linear segments of pathogen DNA and produced by the recombinant phage of Escherichia coli were screened with monoclonal antibody probes. This approach was coupled with an improved detection method for gene isolation using antibodies to clonally isolate DNA sequences that specify polypeptide components of M. tuberculosis. The methodology described here, which is applicable to other pathogens, offers possibilities for the development of more sensitive and specific immunodiagnostic and seroepidemiological tests for tuberculosis and, ultimately, for the development of more effective vaccines.

Antibodies, Monoclonal↗
PubMed2005

2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) induces organ- specific differential gene expression in male Japanese medaka (Oryzias latipes).

2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) is a ubiquitous environmental contaminant with well-known adverse effects in fish. In this study, we initially exploited suppression subtractive hybridization (SSH) as a screening tool to assess qualitative gene expression changes in whole brain, liver, and testis of adult male Japanese medaka (Oryzias latipes) exposed for 48 h to a single intraperitoneal-injected dose of TCDD (10 microg TCDD/kg body weight). Across these three organs, SSH identified a total of 335 unique genes. Each set of forward- and reverse-subtracted organ cDNA libraries consisted of a distinct gene list and corresponding distribution of biological processes, suggesting that transcript profiles of these libraries were highly organ-specific. Based on sequence match significance and frequencies within each set of organ libraries, genes hypothesized to be strongly responsive (42 total) within male medaka brain, liver, or testis were semi-quantitatively screened with replicate cDNA nylon membrane arrays. In addition, TCDD-treated male medaka were surveyed for gross histological analysis of brain, liver, and testis. In general, adverse histopathological changes were not observed in the brain, and glycogen depletion was observed only in the liver. However, significant histological changes occurred in the testis, and included disorganization of spermatogenesis at the testis periphery, disruption of the interstitium, Leydig cell swelling, and Sertoli cell vacuolation. Of the 42 genes screened by cDNA array analysis, cytochrome P450 1A (CYP1A) mRNA was the only transcript significantly higher in TCDD-exposed brain, whereas 12 transcripts (including CYP1A) were significantly higher in TCDD-exposed liver, and 34 transcripts were significantly lower in TCDD-exposed testis. Therefore, the degree of TCDD-induced alterations observed in each organ at a gross histological level corresponded well with the number and ontology of gene transcripts affected on the array. Based on real-time reverse transcription polymerase chain reaction (RT-PCR), relative CYP1A (but not AHR1) transcript levels were confirmed to be significantly higher in TCDD-treated brain and liver. However, CYP1A was not significantly induced in TCDD-exposed testis, suggesting that gene expression and histopathological responses observed in the testis at 48 h may be CYP1A-independent. Based on these data, unique liver-specific and testis-specific mRNA-level targets in male medaka were identified as promising biomarkers of acute TCDD-induced toxicity.

Animals↗