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PubMed1988

The crisis facing printed medical literature. Acid paper.

Medicine strives to preserve the achievements of the past for the benefit of future clinicians and scientists. However, the paper on which medical journals are printed is steadily and irreversibly decaying. Since the late 1800s, most medical journals have been published on paper prepared with acids. In recent years, publishers, authors, and archivists have become aware of the destructive effects of acid decay on medical journals. Though the cause of deterioration is well understood, the choice of a remedy is still controversial. Remedies include acid-free paper, computerization, deacidification, and microfilm. These techniques are reviewed for their reliability, comprehensiveness, and cost-effectiveness. Microfilm is recommended above other techniques as the most immediately promising solution. The authors propose that publishers be required by law to submit archival quality microfilm as a condition for copyright protection.

Libraries, Medical↗
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↗
PubMed1969

Reference services in U. S. medical school libraries.

Results of a 1967/68 survey of reference practices and policies in U. S. medical school libraries are presented. The information was obtained through questionnaires sent to the libraries of medical schools having students currently enrolled; eighty-five replies were returned.

Libraries, Medical↗
PubMed1980

Analysis of collection development at the National Library of Medicine.

This paper reports the major findings of a study of collection development activities at the National Library of Medicine (NLM) from 1965 to 1977. The CATLINE file was the source of the data; analyses were performed on classification number, date of entry, and language. An overview analysis of the data base is presented for major subject and form classes. An in-depth subject analysis of the monograph collection was performed using the NLM call number. An analysis by date of entry revealed that the subject content of CATLINE has varied only slightly over the years; the most notable change was a recent decline in the related and peripheral subject areas. The language analysis indicated that 83% of the data base consisted of works published in English, German, Russian, and French. Throughput processing time was measured for English language monographs for selected years.

Book Selection↗
PubMed1998

Intelligent purchasing in Trent: information for decision-making in the region's health authorities.

The realization of an evidence-based health service presents opportunities for libraries to make a direct contribution to the decision-making process in the delivery of health care. An example of such an opportunity is given through a description of the Trent Working Group on Acute Purchasing, a network of health authority purchasers that takes a research-based approach to making purchasing decisions. The Working Group is supported by a multidisciplinary research team, which includes an Information Officer. The role of the Information Officer in supporting the process of the Working Group is described below; namely in the setting of research priorities, in contributing to research projects and in disseminating the outputs of the Working Group. The benefits of being involved in such a project, both to the information service and to the Information Officer, are summarized.

Decision Making, Organizational↗
PubMed1997

The impact of consumer health information provided by libraries: the Delaware experience.

In the past two decades, consumer health libraries have proliferated in response to the changing health care environment and consumer demand. While this growth of consumer health resources and services has been extensively described in the literature, there is little documentation about the impact and value of providing consumer health information. This paper explores the issues of impact and value as examined in a retrospective study of consumers who received health information from the Delaware Academy of Medicine's Consumer Health Library during 1995. In this study, 270 adults were mailed a questionnaire that focused on whether the information influenced decisions, actions, anxiety levels, and patient-provider communication. The questionnaire also addressed the value of such library service in terms of likelihood of repeat use, recommendation to others, and willingness to pay. The results, based on a return rate of 86.7%, identified effects of library-supplied consumer health information that extend beyond the anticipated acquisition of knowledge to specific actions and effects on anxiety. The value of consumer health library information service was shown by the extremely high percentage of probable repeat use and recommendation to others, the willingness of 83.8% of the respondents to pay for such service, and the copious comments volunteered by the respondents.

Adult↗
PubMed1981

Preselecting literature for routine delivery to physicians in a community hospital-based patient care related reading program.

Health sciences librarians have been actively responding to the changing information needs of users by extending services which involve the selection of literature in response to specific requests from health care personnel. A further development is Patient Care Related Reading (PCRR), a hospital-based program of continuing medical education in which the librarian actively participates in the preselection, packaging, and routine delivery of literature for use by physicians caring for patients with certain clinical disorders. Criteria for selection of literature packet topics were developed jointly by librarians and physicians at their own hospitals. Librarians compiled bibliographic material, reviewed articles, and prepared preliminary packets. Physicians reviewed these packets and made suggestions for each article. Librarians then prepared final packets following reviewers' recommendations and distributed them as a routine procedure to all physicians caring for patients with a diagnosis corresponding to prepared topics. Librarians were notified of patients with PCRR clinical problems by admitting office personnel, floor nurses, nursing supervisors, utilization review, and Professional Standards Review Organization personnel as a part of their usual activities. Packets are used by physicians to add to their fund of knowledge, and for review and teaching purposes. PCRR has provided increased visibility of the library and its many services. Recognition of the librarian's role in the program reinforces the concept of the community hospital library as a service-oriented entity, and helps to establish the library as an active partner in the development and implementation of hospital-based continuing education programs.

Hospitals, Community↗
PubMed2005

How is the indoor environment related to asthma?: literature review.

AIMS: This paper reports a review conducted to identify the factors in the indoor environment that have an evidence-based link with the exacerbation or development of asthma and to identify measures that healthcare professionals can promote to reduce exposure to these risk factors in the home. BACKGROUND: The indoor environment, particularly at home, has been recognized as a major source of exposure to allergens and toxic chemicals. Exposure to allergens and toxins is thought to exacerbate respiratory conditions, in particular, asthma. METHODS: Searches were made of health and indoor environment databases, including Cochrane Library, National Health Services Centre for Reviews and Assessment Reports, British Medical Journal, CINAHL and Ovid library, MEDSCAPE/MEDLINE, EMBASE, INGENTA, Science Citation Index, Web of Science. Searches were also made of other Internet-based resources, including those of international and government bodies. The following keywords were used: allergens, allergen avoidance, asthma, asthma prevention, cat, damp, Der p 1, dog, environmental control, house dust mites, indoor air quality, indoor environment, meta analysis, mould, pets, remedial actions, respiratory illnesses and systematic reviews. FINDINGS: There is evidence of a link between asthma and a small number of indoor environmental factors. There is currently only reasonable evidence for one causative factor for asthma in the indoor environment and that is house dust mite allergen. Although there are many studies of different remedial actions that can be taken in the home, often these give evidence of reduced risk of exposure but not clinical improvement in asthma. Although there is a lack of medical evidence for the reduction of known sensitizers such as mould, this is because of a dearth of research rather than evidence of no association. CONCLUSIONS: There is some evidence of a link between the indoor environment and asthma. There are measures, which could be promoted by healthcare professionals to alleviate asthmatic symptoms.

Air Pollution, Indoor↗
PubMed1997

A trial of three commercial document delivery suppliers with strong holdings in biomedicine.

The University of Vermont's Medical Library evaluated the services of three commercial document delivery suppliers with significant holdings in biomedicine. The purpose of the trial was to determine whether journal articles could be procured in less time than routine interlibrary loan without greatly increasing costs. Each supplier offered a quick delivery method employing modern technology at a standard fee. The need to pay copyright royalties at times and a desire to test the possibility of substituting "access" for "collection" also prompted the trial. Results reported include: mean and median delivery times, percentages of requested titles held, and average price per transaction, including copyright fee. The Medical Library continues to use commercial services to augment interlibrary loan.

Contract Services↗
PubMed2003

Assessing the information needs of psychiatric residents.

OBJECTIVE: Staff at the Western Psychiatric Institute and Clinic Library conducted a survey of residents and fellows to determine their informational needs and their interest in an orientation to the library's resources. METHODS: A brief questionnaire was distributed to the facility's 59 psychiatric residents and fellows to determine their awareness of 12 library resources and services (e.g., online databases and database searches conducted by librarians), their interest in an orientation to these resources and services, their self-rated level of skill in using them, whether they would attend training sessions, and, if so, when the best time for such sessions might be. RESULTS: A total of 28 questionnaires were returned. Respondents favored an orientation (82%) and indicated that a 1-hour session would be appropriate, although the best time to hold it was less clear. Fifty percent or more were aware of each of the six resources they would be most likely to use in their work. Nearly all had used MEDLINE, but most respondents had not used most of the other resources and services. CONCLUSIONS: Instruction on the use of information resources can be useful to psychiatric residents and fellows. On the basis of the survey results, a library orientation session was developed to address the information needs indicated by respondents and to enhance their skills in retrieving pertinent literature for clinical care and research. A post-orientation questionnaire indicated that the session was useful and well received.

Adult↗
PubMed2004

The use of electronic books in midwifery education: the student perspective.

The objectives of this paper are: (i) to illustrate the use of e-books by health studies students at a college of higher education; (ii) to provide a demonstration of how e-books may be facilitated by library and information services staff working across the health and academic sectors; (iii) to comment upon the experiences of health studies students, in using e-books. A focus group of 10 student midwives was used to gain insight into how e-books may be used in an academic context for health professionals. The findings of the student midwives' focus group are reported and discussed. In this instance, the student midwives were encouraged to use e-books as part of a structured information skills programme. The paper concentrates on how the e-books were used within this context and addresses the potential benefits and disadvantages from a student perspective. The results provide evidence of a largely positive experience of using e-books as an electronic information resource. The focus group reveals many benefits and advantages in the facilitation and use of e-books, as well as addressing areas for development. It is concluded that e-books have a place in health library and information resources, but further development of e-books and e-book collections is required and subsequent investigation into their most effective use.

Books↗
PubMed2003

Evaluating a health information resource in a health system.

In an effort to offer the broadest scope of quality information resources, libraries are often faced with decisions related to the sources they provide based on the quality and cost of each resource. However, there lacks a framework to evaluate these resources to maximize the value of services offered to library users. The Claude Moore Health Sciences Library collaborated with the Department of Health Evaluation Sciences to undertake a comprehensive evaluation project to begin to establish such a framework. The long term goals are to: 1) determine cost effectiveness of services provided on an ongoing basis to provide objective basis for pursuing or renewing licenses, 2) evaluate licensed health care information services/databases under consideration and 3) create a process for ongoing evaluation. This abstract reports the results of the first demonstration evaluation of an information resource, MDConsult, as a model for future evaluation studies in a library setting.

Cost-Benefit Analysis↗
PubMed1965

The importance of the library in medical education.

The medical library assumes increasing importance to teaching and research. While funds for research, medical education, and improved facilities for patients have been increasing and are relatively easy to obtain, however, it has been extraordinarily difficult to obtain funds for the building and maintenance of medical libraries. The National Library of Medicine is attempting to preserve the record of medical knowledge and by means of mechanization provide more efficient service to physicians and scientists, but one, or a few, great libraries cannot serve the medical interests of the country. Federal support such as the program of grants in the proposed Medical Library Assistance Act is needed to assist local and regional efforts to improve library service.

Education, Medical↗
PubMed2005

Ecologies, outreach, and the evolution of medical libraries.

QUESTION: What are some of the forces shaping the evolution of medical libraries, and where might they lead? DATA SOURCES: Published literature in the fields of library and information sciences, technology, health services research, and business was consulted. MAIN RESULTS: Medical libraries currently have a modest footprint in most consumers' personal health ecologies, the network of resources and activities they use to improve their health. They also occupy a relatively small space in the health care, information, and business ecologies of which they are a part. Several trends in knowledge discovery, technology, and social organizations point to ways in which the roles of medical libraries might grow and become more complex. CONCLUSION: As medical libraries evolve and reach out to previously underserved communities, an ecological approach can serve as a useful organizing framework for the forces shaping this evolution.

Community-Institutional Relations↗
PubMed1983

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↗
PubMed1994

Computer disc revolution.

CD-ROM Computer Discs with read only memory are etched in polycarbonate discs that permit storage of up to 400,000 pages on a single disc. Use of this technology supplemented by access to the National Library of Medicine or a large information service brings the medical library to the rural physician's office. This allows pertinent journal information to be applied to day-to-day office practice.

CD-ROM↗