Indianapolis I3: the third generation Integrated Advanced Information Management Systems.

In 2001, the Regenstrief Institute for Health Care and the Indiana University School of Medicine (IUSM) began an IAIMS planning effort to create a vision and a tactical plan for the first Integrated Advanced Information Management Systems (IAIMS) implementation to cross a large area and include unaffiliated institutions. A number of elements made this planning effort unique. Among these elements were the existence of a network infrastructure that supported the Indianapolis Network for Patient Care, the existence of a mature medical informatics program at the Regenstrief Institute, and the existence of a wide-area knowledge network fostered by the IUSM libraries. However, the leadership for a strong information technology role in the IUSM that could promote collaboration in support of education and research across the diverse Indianapolis hospital systems had been lacking. By bringing together various groups, each with a commitment to improve health care quality and public health across the Indianapolis metropolitan area, regardless of individual institutional affiliation, the strategic directions for I3-Indianapolis IAIMS Initiative have been defined and the foundations for a third generation IAIMS construct have been laid in Indianapolis, Indiana.     

How much effort is needed to keep up with the literature relevant for primary care?

OBJECTIVES: Medicine must keep current with the research literature, and keeping current requires continuously updating the clinical knowledge base (i.e., references that provide answers to clinical questions). The authors estimated the volume of medical literature potentially relevant to primary care published in a month and the time required for physicians trained in medical epidemiology to evaluate it for updating a clinical knowledge base. METHODS: We included journals listed in five primary care journal review services (ACP Journal Club, DynaMed, Evidence-Based Practice, Journal Watch, and QuickScan Reviews). Finding little overlap, we added the 2001 "Brandon/Hill Selected List of Print Books and Journals for the Small Medical Library." We counted articles (including letters, editorials, and other commentaries) published in March 2002, using bibliographic software where possible and hand counting when necessary. For journals not published in March 2002, we reviewed the nearest issue. Five primary care physicians independently evaluated fifty randomly selected articles and timed the process. RESULTS: The combined list contained 341 currently active journals with 8,265 articles. Adjusting for publication frequency, we estimate 7,287 articles are published monthly in this set of journals. Physicians trained in epidemiology would take an estimated 627.5 hours per month to evaluate these articles. CONCLUSIONS: To provide practicing clinicians with the best current evidence, more comprehensive and systematic literature surveillance efforts are needed.     

Web usage mining at an academic health sciences library: an exploratory study.

OBJECTIVES: This paper explores the potential of multinomial logistic regression analysis to perform Web usage mining for an academic health sciences library Website. METHODS: Usage of database-driven resource gateway pages was logged for a six-month period, including information about users' network addresses, referring uniform resource locators (URLs), and types of resource accessed. RESULTS: It was found that referring URL did vary significantly by two factors: whether a user was on-campus and what type of resource was accessed. CONCLUSIONS: Although the data available for analysis are limited by the nature of the Web and concerns for privacy, this method demonstrates the potential for gaining insight into Web usage that supplements Web log analysis. It can be used to improve the design of static and dynamic Websites today and could be used in the design of more advanced Web systems in the future.     

Building typologies identification to support risk mitigation at the urban scale – Case study of the old city centre of Seixal,Portugal

The old urban centres are marks of an historical and architectural heritage that should be protected and safeguarded. For such, it is fundamental to have a complete understanding of the genesis, regarding both building and the urban mesh. This fact is essential to the support of qualified, conscientious and sustainable rehabilitation interventions on the old building stock. The research carried out addresses the issue of the old urban centres from the perspective of the analysis and inventory of buildings features. The cataloguing process of the building typologies is presented in this work as a synthesis of the principal construction forms, with the old city centre of Seixal being used as a case study. The identification of building typologies has supported a seismic and fire vulnerability assessment of the old building stock. The assessment methodologies developed and used are based on the detailed survey and building inspection, therefore the building typology cataloguing is essential in the analysis at such a large scale. Then we discussed the strategy for the conservation actions incorporated in a broader risk management policy.     

John Marshall and the Humanities in Europe: Shifting Patterns of Rockefeller Foundation Support

John Marshall is best remembered asthe first resident director of the RockefellerFoundation's Study and Conference Center atBellagio. Yet, his influence on knowledge,thought, and practice rivalled that of any ofhis contemporaries at the Rockefeller. Thispaper describes how he `went about hisbusiness' as a Foundation officer, and examineshis contribution to the creation of atransatlantic community of like-mindedtheorists and practitioners of communications.     

A focus on quality--the library's role in occurrence screening

One of the highest priorities in today's hospitals is the provision of quality care to patients. The medical librarian has an increased responsibility to furnish quality information to the medical staff. Traditional methods of reference service continue to work well, but it is increasingly important for librarians to become more directly involved in hospital quality assurance (QA) activities. Occurrence screening is one system of QA where the librarian can make a difference.