Producing an information leaflet to help patients access high quality drug information on the Internet: a local study

Objectives: To develop a patient information leaflet (PIL) to help local patients meet their drug information needs using the Internet, and to perform a preliminary evaluation of this tool. Methods: Development—a cross‐sectional survey of the drug information needs of local patients using a semi‐structured questionnaire; assessment of websites offering free, consumer‐orientated medicines information using set criteria; identification of consensus criteria to evaluate the quality of health‐related on‐line information; evaluation—views on a draft patient information leaflet from a focus group. Results: Those surveyed felt that being directed to high‐quality websites and being provided with assessment criteria for on‐line information would be useful. The three websites fulfilling most of the set quality criteria were Surgery Door ( www.surgerydoor.co.uk ), InteliHealth ( www.intelihealth.com ) and medline plus ( www.nlm.nih.gov/medlineplus ). The six most frequently cited assessment criteria were currency, authorship, commerciality, relevance, links and attribution. A draft leaflet was constructed listing the above three websites and six criteria along with tips on how to search the Internet effectively. A focus group reacted favourably. Conclusion: The Internet is a source of drug information—an information leaflet may help to guide local patients through its variable information quality.     

The effect of two different 18-week walking programmes on aerobic fitness, selected blood lipids and factor XIIa

Forty-nine previously sedentary or low active individuals aged 40-71 years were allocated to three groups. The long walking group participated in an 18-week walking programme which consisted of walks lasting 20-40 min; the repetitive short walking group completed walks of between 10 and 15 min, up to three times a day, with no less than 120 min between each walk; and the control group maintained their low level of activity. Both walking programmes began at a prescribed 60 min x week(-1), which increased steadily up to 200 min x week(-1) by week 12. During the study, the long walking group walked for an estimated 2514 min (139 min x week(-1)), expending an estimated 67.5 MJ (3.72 MJ x week(-1)) at an estimated 73% of their age-predicted maximum heart rate and 68% of their estimated VO2max. The repetitive short walking group walked for an estimated 2476 min (135 min x week(-1)), expending an estimated 58.5 MJ (3.17 MJ x week(-1)) at an estimated 71% of their age-predicted maximum heart rate and 65% of their estimated VO2max. The results showed a statistically significant reduction in heart rate during a standardized step test (pre- vs post-intervention) in both walking groups, indicating an improvement in aerobic fitness, although the control group showed a higher average heart rate during the post-intervention test, indicating reduced fitness. When compared with the male subjects pre-intervention, the females possessed more favourable levels of high-density lipoprotein (HDL) cholesterol (P< 0.001), apolipoprotein (apo) AI (P < 0.001) and ratios of total cholesterol:HDL cholesterol (P< 0.02) and low-density lipoprotein (LDL) cholesterol: HDL cholesterol (P< 0.02). Compared with the controls post-intervention, the walking groups showed no statistically significant changes in total cholesterol, LDL cholesterol, HDL cholesterol, apo AI, apo AII, apo B, or the ratios of total cholesterol: HDL cholesterol, LDL cholesterol: HDL cholesterol, apo AI: apo B or apo AI: apo AII (P > 0.05). Relative to the walking groups, factor XIIa increased in the control group (P < 0.05). We conclude that, although both walking programmes appeared to improve aerobic fitness, there was no evidence of improvements in the blood lipids or associated apolipoproteins of the walking groups. Further analysis indicated that this apparent lack of change may have been related to the subjects' relatively good pre-intervention blood lipid profiles, which restricted the potential for change. The implications of the observed changes in the coagulation/fibrinolytic factors remain unclear.     

Coming in from the Cold? Further education and training in South Africa

As South Africa enters the Mbeki Presidency so the fortunes of the country are thrown into sharp relief. One of the central elements determining South Africa's short- to medium-term future will be the success of educational transformation, particularly when it is directed to addressing issues of equity and economic development. This paper explores the 1998 reforms of the further education and training system in the context of broader questions of educational and economic transformation in South Africa.     

The need for administrative know-how in libraries

The need for administrative know-how in libraries is great. Problems of administration in libraries do not differ significantly from those in other types of organizations. It behooves librarians to be aware of modern management theory, as developed and tested in the environment of business, and to adopt such useful tools as operations analysis and the systems approach to problems in the library environment.