Medical Librarianship in Nigeria--a review of the literature and comments on some problems and prospects.

The literature of medical librarianship of Nigeria is reviewed. The staff structure of Nigerian univeristy libraries and, in particular, of the medical libraries attached to them is restrictive, unprogressive, and unconducive to the development of medical librarianship in Nigeria. These medical libraries should cease to be administered and regarded as just unavoidable appendages of the main university libraries. They should be independent, full-fledged libraries of their own, recognixed as full academic departments of their respective colleges or faculties, with their heads being in no way inferior in status to other heads of academic departments.The granting of faculty status to Nigerian unviersity librarians should go the whole way and let the principle of multiple professorships be applied to the staff structure of unviersity libraries. Efforts are being made to effect bibliographic organization of Nigerian medical literature. A national library of medicine for Nigeria, however, humble its beginning, should be established.     

A description of the catalog division project at the College of Physicians of Philadelphia Library.

This paper describes the procedures used at the Library of the College of Physicians of Philadelphia to divide its ninety-year-old dictionary card catalog. The division was necessitated by overcrowding, obsolete subject headings, and lack of a complete authority list which resulted in like materials being scattered throughout the catalog under several headings. Two catalogs were created: the historical-biographical catalog, representing all works published before 1950 and all works of historical or biographical nature; and the current catalog, containing all works published from 1950 on, excepting historical or biographical materials. The 1950- catalog was further divided into name and subject catalogs, and the subject section was revised according to MeSH. The project was completed in about two years. As a result, searching time has been much reduced, and the library is able to take advantage of the annual revisions of MeSH to update the subject catalog.     

Bakhtin Applied: Employing Dialogism to Analyze the Interplay of the Ideologies of Individualism and Community Within the Discourse of Alcoholics Anonymous

An ongoing debate regarding the nature of therapeutic communities concerns the extent to which these communities reinforce the ideologies of individualism and community. This article engages this discussion through a process of social text analysis informed by the dialogism theory of Russian philosopher and literary scholar Mikhail Bakhtin. Dialogism seeks to understand the multiple voices interpenetrating particular utterances, revealing an emergent social construction of meaning. Applying this approach to examples of discourse from a prominent therapeutic community, Alcoholics Anonymous, illustrates how meaning in the discourse of this movement can be understood to emerge among the interplay between the ideologies of individualism and community as expressed within the movement's narrative practice.     

Organizational Power and the Institutional Review Board

In this essay, we respond to the narratives and essays in this issue by examining organizational power issues related to researchers and institutional research boards (IRBs). Rather than taking a singular perspective on power, we use multiple perspectives and suggest that the cumulative analyses provide the best understanding of IRBs and organizational power.