Time to rethink the role of the library in educating doctors: driving information literacy in the clinical environment

Question:

Can information literacy (IL) be embedded into the curriculum and clinical environment to facilitate patient care and lifelong learning?

Setting:

The Australian School of Advanced Medicine (ASAM) provides competence-based programs incorporating patient-centred care and lifelong learning. ASAM librarians use outcomes-based educational theory to embed and assess IL into ASAM''s educational and clinical environments.

Methods:

A competence-based IL program was developed where learning outcomes were linked to current patients and assessed with checklists. Weekly case presentations included clinicians'' literature search strategies, results, and conclusions. Librarians provided support to clinicians'' literature searches and assessed their presentations using a checklist.

Main Results:

Outcome data showed clinicians'' searching skills improved over time; however, advanced MEDLINE searching remained challenging for some. Recommendations are provided.

Conclusion:

IL learning that takes place in context using measurable outcomes is more meaningful, is enduring, and likely contributes to patient care. Competence-based assessment drives learning in this environment.     

Techno-Nationalism and the Construction of University Technology Transfer

Our historical study of Canada’s main research university illuminates the overlooked influence of national identities and interests as forces shaping the institutionalization of technology transfer. Through the use of archival sources we trace the rise and influence of Canadian technological nationalism—a response to Canada’s perceived dependency on the United States’ science and technology. Technological nationalism provided a symbol for producing a shared understanding of the desirability and appropriateness of technology transfer that legitimated the commercial activities of university scientists.     

Altered movement patterns but not muscle recruitment in moderately trained triathletes during running after cycling

Abstract

Previous studies have shown that cycling can directly influence neuromuscular control during subsequent running in some highly trained triathletes, despite these triathletes' years of practice of the cycle–run transition. The aim of this study was to determine whether cycling has the same direct influence on neuromuscular control during running in moderately trained triathletes. Fifteen moderately trained triathletes participated. Kinematics of the pelvis and lower limbs and recruitment of 11 leg and thigh muscles were compared between a control run (no prior exercise) and a 30 min run that was preceded by a 15 min cycle (transition run). Muscle recruitment was different between control and transition runs in only one of 15 triathletes (<7%). Changes in joint position (mean difference of 3°) were evident in five triathletes, which persisted beyond 5 min of running in one triathlete. Our findings suggest that some moderately trained triathletes have difficulty reproducing their pre-cycling movement patterns for running initially after cycling, but cycling appears to have little influence on running muscle recruitment in moderately trained triathletes.     

Ground Reaction Force Differences in the Countermovement Jump in Girls With Different Levels of Performance

Purpose: The aim of this study was to ascertain the biomechanical differences between better and poorer performers of the vertical jump in a homogeneous group of children. Method: Twenty-four girls were divided into low-scoring (LOW; M _age = 6.3 ± 0.8 years) and high-scoring (HIGH; M _age = 6.6 ± 0.8 years) groups based on their performance on the vertical jump. The force-, velocity-, displacement-, and rate of force development (RFD)-time curves of vertical jumps were analyzed to determine the differences between groups. Results: The analysis of the data showed differences in the pattern of the ensemble mean curves of the HIGH and LOW groups, although the majority of the differences occurred during the eccentric contraction phase of the jump. The differences in the HIGH group with respect to the LOW group were: lower force at the beginning of the movement, higher speed and RFD during the eccentric phase, high force at the beginning of the concentric phase, higher velocity during the concentric phase, and a higher position at takeoff. Conclusion: The results showed that the HIGH group achieved a higher jump height than did the LOW group by increasing the effectiveness of the countermovement and achieving a more advantageous position at takeoff.     

Sweat lactate response during cycling at 30°C and 18°C WBGT

Sweat lactate reflects eccrine gland metabolism. However, the metabolic tendencies of eccrine glands in a hot versus thermoneutral environment are not well understood. Sixteen male volunteers completed a maximal cycling trial and two 60-min cycling trials [30°C?=?30±1°C and 18°C?=?18±1°C wet bulb globe temperature (WBGT)]. The participants were requested to maintain a cadence of 60 rev?·?min^?1 with the intensity individualized at ～ 90% of the ventilatory threshold. Sweat samples at 10, 20, 30, 40, 50 and 60?min were analysed for lactate concentration. Sweat rate at 30°C (1380±325?ml?·?h^?1) was significantly greater (P<0.05) than at 18°C (632±311?ml?·?h^?1). Sweat lactate concentration was significantly greater (P<0.05) at each time point during the 18°C trial, with values between trials tending to converge across time. During the 30°C trial, both heart rate (20, 30, 40, 50 and 60?min) and rectal temperature (30, 40, 50 and 60?min) were significantly higher than in the 18°C trial. Higher sweat lactate concentrations coupled with lower sweat rates may indicate a greater relative contribution of oxygen-independent metabolism within eccrine glands during exercise at 18°C. Decreases in sweat lactate concentration across time suggest either greater dilution due to greater sweat volume or increased reliance on aerobic metabolism within eccrine glands. The convergence of lactate concentrations between trials may indicate that time-dependent modifications in sweat gland metabolism occur at different rates contingent partially on environmental conditions.