Integrating with users is one thing,but living with them? a case study on loss of space from the Medical Center Library,University of California,San Diego

The University of California, San Diego (UCSD) Medical Center is the primary hospital for the UCSD School of Medicine. The UCSD Medical Center Library (MCL), a branch of the campus''s biomedical library, is located on the medical center campus. In 2007, the medical center administration made a request to MCL for space in its facility to relocate pharmacy administration from the hospital tower. The university librarian brought together a team of library managers to deliberate and develop a proposal, which ultimately accommodated the medical center''s request and enhanced some of MCL''s public services.     

The switch library: new service in rehabilitation librarianship

This article discusses the role of assistive devices in patient rehabilitation programs and the problems in evaluating and assessing patients for prescribing these devices. The rehabilitation library can solve many of these problems and enhance patient rehabilitation programs by providing a circulation service for adapted microswitches and other assistive devices. The article outlines library management of such a program, including funding, acquisitions, classification, and cataloging strategies. A comprehensive library classification scheme for assistive devices is proposed, and schedules are given for microswitches and environmental controls. It is predicted that this service will rapidly expand nationally over the next decade to become an integral part of rehabilitation library patient services.     

Retrieving randomized controlled trials from medline: a comparison of 38 published search filters

Background: People search medline for trials of healthcare interventions for clinical decisions, or to produce systematic reviews, practice guidelines, or technology assessments. Finding all relevant randomized controlled trials (RCTs) with little extraneous material is challenging. Objective: To provide comparative data on the operating characteristics of search filters designed to retrieve RCTs from medline . Methods: We identified 38 filters. The testing database comprises handsearching data from 161 clinical journals indexed in medline . Sensitivity, specificity and precision were calculated. Results: The number of terms and operating characteristics varied considerably. Comparing the retrieval against the single term ‘randomized controlled trials.pt.’ (sensitivity for retrieving RCTs, 93.7%), 24 of 38 filters had statistically higher sensitivity; 6 had a sensitivity of at least 99.0%. Four other filters had specificities (non retrieval of non‐RCTs) that were statistically not different or better than the single term (97.6%). Precision was poor: only two filters had precision (proportion of retrieved articles that were RCTs) statistically similar to that of the single term (56.4%)—all others were lower. Filters with more search terms often had lower specificity, especially at high sensitivities. Conclusion: Many RCT filters exist (n = 38). These comparative data can direct the choice of an RCT filter.     

Patient education and health outcomes: implications for library service

Many librarians take an active role in patient education, for practical and ethical reasons; however, it is important to examine the effect of such activities on health outcomes. Although the rationale for patient education is that increased knowledge leads to a change in attitude that in turn affects behavior, studies have shown that this is not always true. Furthermore, other studies have shown that patient education programs by themselves have no lasting influence on patient compliance with therapy that has been linked to improved health. Librarians should examine a variety of reasons for their involvement in patient education activities. For librarians who accept improved patient compliance as a goal, specific recommendations based on literature review are made to help implement effective strategies.     

Through the nominations of principals: Effective teachers of African American students share limitations of high-stakes testing

This study examines how elementary school teachers, nominated by their principals as effective teachers of African American students, perceive their effectiveness in an era of high-stakes testing that is influenced and constrained by policy dominance. The implications in this study might be useful in preparing prospective and practicing teachers to examine their instructional practices as they pursue successful outcomes with culturally diverse students.     

Alpha hemispheric asymmetry in children with learning disabilities and normally achieving children during story comprehension and rehearsal prior to narrative production

Twelve children with learning disabilities attending a remedial summer clinic were compared with 12 normally achieving controls balanced for age, sex, and handedness on alpha amplitude and production of narratives. Specifically, all subjects participated in three conditions. Condition 1 was a vigilance condition, Condition 2 involved listening to a story without an ending that had to be retold, and Condition 3 was an opportunity to rehearse the story mentally and construct an appropriate ending. Alpha amplitudes were monitored during the three conditions to determine any hemispheric asymmetry or differences between groups or conditions in alpha production. The subjects' narrative productions of retelling the story with a novel ending were also analyzed using a cohesion analysis procedure. The results showed no significant differences between the groups in alpha amplitude, but there was a significant task effect with the vigilance condition, story comprehension, and rehearsal showing decreasing alpha amplitudes in both groups of subjects. Analysis of the narratives showed the group with learning disabilities to produce significantly shorter and less cohesive stories. Results are discussed in relation to other studies of hemispheric processing differences in populations with learning disabilities.