Ovid's evidence-based medicine reviews: a review of a clinical information product

Evidence-Based Medicine Reviews (EBMR) is a new full-text product from Ovid Technologies. EBMR supports the practice of evidence-based medicine (EBM) by providing access to two premiere EBM resources: the Cochrane Database of Systematic Reviews from the international Cochrane Collaboration, and Best Evidence from the American College of Physicians-American Society of Internal Medicine. Both resources alert health care professionals, researchers, and librarians to clinically relevant and methodologically sound studies by providing access to full-text reviews and meta-analyses of clinical literature. Value-added features include links to EBMR from MEDLINE, alerting MEDLINE users to available reviews. An "EBM Reviews" limit within MEDLINE facilitates access to the EBMR database contents.     

Bibliotherapy for mental health service users Part 1: a systematic review

Aims and objectives: UK health policy advocates a patient‐centred approach to patient care. Library services could serve the rehabilitation needs of mental health service users through bibliotherapy (the use of written, audio, or e‐learning materials to provide therapeutic support). Part 1 of a two part article describes a systematic review of the evidence for the effectiveness of bibliotherapy in mental health services. Methods: The systematic review of the literature used Cochrane guidelines, together with an overview of evaluations of bibliotherapy initiatives, and assessments of the needs of adult mental health service users for rehabilitation support. Results: The evidence strongly suggests that library‐based interventions and the provision of information could be beneficial for service users and economical for the health service in assisting treatment of a range of conditions. At present, public libraries in the UK are developing basic bibliotherapy services. Conclusions: Librarians, including librarians working for the health service, might provide more sophisticated bibliotherapy services, but the evidence to guide delivery is limited.     

图书馆如何营造为民营经济服务的信息平台--兼论苏州图书馆为企业服务的实践

图书馆为企业提供信息服务是一个非常广阔的天地，可以大有作为。论文针对企业的信息需求．就图书馆如何营造信息服务平台以及现阶段信息服务中存在的问题进行了论述。     

Evidence-based practice: extending the search to find material for the systematic review

BACKGROUND: Cochrane-style systematic reviews increasingly require the participation of librarians. Guidelines on the appropriate search strategy to use for systematic reviews have been proposed. However, research evidence supporting these recommendations is limited. OBJECTIVE: This study investigates the effectiveness of various systematic search methods used to uncover randomized controlled trials (RCTs) for systematic reviews. Effectiveness is defined as the proportion of relevant material uncovered for the systematic review using extended systematic review search methods. The following extended systematic search methods are evaluated: searching subject-specific or specialized databases (including trial registries), hand searching, scanning reference lists, and communicating personally. METHODS: Two systematic review projects were prospectively monitored regarding the method used to identify items as well as the type of items retrieved. The proportion of RCTs identified by each systematic search method was calculated. RESULTS: The extended systematic search methods uncovered 29.2% of all items retrieved for the systematic reviews. The search of specialized databases was the most effective method, followed by scanning of reference lists, communicating personally, and hand searching. Although the number of items identified through hand searching was small, these unique items would otherwise have been missed. CONCLUSIONS: Extended systematic search methods are effective tools for uncovering material for the systematic review. The quality of the items uncovered has yet to be assessed and will be key in evaluating the value of the systematic search methods.     

中医院图书馆管理模式改革与强化信息服务的措施

针对中医院图书馆管理模式现状,从馆藏建设、信息服务、人力资源建设等方面提出相应的改革建议。     

Postgraduate training in public health medicine: St George's Hospital Medical School Library public health information service

This article examines the development of the St George's Hospital Medical School Library public health information service. Begun in 1997 as a pilot project to support Public Health Specialist Registrars in South Thames West, it is now an established part of postgraduate training in the region. An outline of the service is described, including the evolution of the post of Public Health Librarian. Issues influencing the development of the service, and the establishment of the Librarian as part of the public health network are discussed. This is a transferable model of public health information provision, which as a centralized resource makes best use of available funding. As a LIS model it is an effective and efficient way of maximizing resources, and delivering a service to a specialist user group that is spread across a wide geographical area.     

Evaluation of evidence-based medicine search skills in the clinical years

The librarians of the Health Sciences Library worked with the director of the Primary Care Clerkship to reinforce the principles of Evidence-Based Medicine (EBM) searching, taught during the first two years of medical school, through an intensive workshop. The purpose of the program was to ensure that students apply EBM principles in a timely and effective manner in clinical situations. Working in teams led by a resident and librarian, students researched real cases and then evaluated the effectiveness of their approach to the problems. This paper outlines the rationale for the team approach, reviews the administration of a computer-based workshop, and discusses the evaluation process. Evaluation focused on both the current workshop and its implications for the informatics program presented to students during years one and two.     

The evolving role of the librarian in evidence-based medicine.

Librarians' participation in evidence-based medicine (EBM) is rooted in past practices, most notably in clinical medical librarianship. EBM extends the librarians' role beyond identification of the literature to involvement in practicing and teaching quality filtering and critical appraisal of the literature. These activities require librarians to acquire new knowledge and develop new skills. A professional development program for librarians at the Library of the Health Sciences (LHS) at the University of Illinois at Chicago (UIC) is described. The program's goals are to increase librarians' skills and support the EBM curricular initiative at the UIC College of Medicine (COM). The unique program has been a collaborative effort of the LHS and the COM. The locally developed classes provide librarians with instruction in clinical study designs, statistical concepts, and critical appraisal of the literature. Other interventions such as an EBM round table are also described. The programs' success is measured by librarians' growing involvement in EBM medical curricula, journal clubs, and morning reports. Additionally, librarians gained competence in new skills and professional satisfaction from working collegially with COM students, residents, and faculty.     

高校图书馆专业化服务与学科馆员

从探讨高校图书馆专业化服务入手，重点讨论了学科馆员的地位作用和时代要求。     

网络环境下图书馆咨询服务中的营销

在网络环境下传统参考咨询服务面临的困境，引入营销理念是在市场经济机制下走出困境的一种可操作模式。     

图书馆自助服务的优势及实施保障

文章阐述了图书馆自助服务的基本内涵及典型特征,分析了其主要优势,提出了图书馆自助服务的实施保障。     

图书馆人文服务的思考

本文从图书馆"以人为本"的角度出发,探讨了新时期图书馆如何实施"以人为本"的服务理念与服务方式,并对新时期图书馆如何建设人文服务的管理机制提出了一些看法.     

高校图书馆社会化服务之我见

高校图书馆是信息化社会的重要支点,是社会大系统中的一个子系统.作为高校图书馆应充分利用自身人才、设备、资源、地区、资金优势,为公民提供社会化服务.     

1999－2004年国外图书馆学情报学研究领域的分析

采用词频统计的内容分析法，选取SSCI(社会科学引文索引)数据库中1999－2004年图书馆学情报学四种期刊共 1304篇文献，利用WordSmith Tools软件进行词频统计，并结合SSCI数据库的文献分析功能，从学科专业、研究方法、研究主题三个方面对国外图书馆学情报学的研究领域进行分析，得出国外图书情报学研究已大大拓展，其研究内容趋向务实等结论。     

高校图书馆学科服务体系探析

从我国高校图书馆学科服务开展现状来看,各高校图书馆学科服务水平存在较大差距,学科服务未能深入到教学科研之中.高校图书馆学科服务体系应该以学科馆员为主体,优化各种学科信息资源,丰富学科服务形式,为各学科用户提供高水平服务.     

图书馆服务质量特性及表现形式

本文通过对服务质量的分析,论述了服务质量具有功能性、文明性、舒适性、时间性、安全性和经济性等六个方面的特性,并指出服务质量特性是通过服务输入、服务过程、服务活动结果全方位来体现,不同的读者群体对服务质量特性的要求和表现形式有所不同。进而提出了以读者为本,全面升华服务质量特性内涵。     

Preliminary comparison of the performance of the National Library of Medicine's systematic review publication type and the sensitive clinical queries filter for systematic reviews in PubMed

Objective:The National Library of Medicine (NLM) inaugurated a “publication type” concept to facilitate searches for systematic reviews (SRs). On the other hand, clinical queries (CQs) are validated search strategies designed to retrieve scientifically sound, clinically relevant original and review articles from biomedical literature databases. We compared the retrieval performance of the SR publication type (SR[pt]) against the most sensitive CQ for systematic review articles (CQrs) in PubMed.Methods:We ran date-limited searches of SR[pt] and CQrs to compare the relative yield of articles and SRs, focusing on the differences in retrieval of SRs by SR[pt] but not CQrs (SR[pt] NOT CQrs) and CQrs NOT SR[pt]. Random samples of articles retrieved in each of these comparisons were examined for SRs until a consistent pattern became evident.Results:For SR[pt] NOT CQrs, the yield was relatively low in quantity but rich in quality, with 79% of the articles being SRs. For CQrs NOT SR[pt], the yield was high in quantity but low in quality, with only 8% being SRs. For CQrs AND SR[pt], the quality was highest, with 92% being SRs.Conclusions:We found that SR[pt] had high precision and specificity for SRs but low recall (sensitivity), whereas CQrs had much higher recall. SR[pt] OR CQrs added valid SRs to the CQrs yield at low cost (i.e., added few non-SRs). For searches that are intended to be exhaustive for SRs, SR[pt] can be added to existing sensitive search filters.     

Meeting the information needs of clinicians for the practice of evidence-based healthcare

This article reports on clinicians’ use of library resources and the competencies they require to access information necessary for the practice of evidence-based healthcare. It is based on the results of a study commissioned by North Thames Region to identify the training needs of clinicians for the adoption and practice of evidence-based healthcare. Participants in this qualitative research study included librarians, clinicians (doctors, nurses and PAMs) and managers from four Acute and Community Trusts in and around London. The research indicates that the majority of clinicians recognize the need to keep up-to-date with changes in their specialty and many visit their libraries on a frequent basis, however, few appear to be searching for information with which to inform their immediate clinical decisions. Our sample acknowledged their low usage of journals such as Bandolier, the Health Effectiveness Bulletin and Journal of Evidence-Based Medicine. Similarly, low use of electronic databases, such as Cochrane and Cinahl, were reported. Examination of skill and self-efficacy levels in accessing and using information databases revealed wide variations across professions, specialities and Trusts. Qualitative research methods were employed to elicit the key competencies required to access clinically relevant research evidence, and a framework for integrating these competencies is presented.