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Objectives:

This study sought to ascertain the publication rate of abstracts presented at the annual meetings of the Medical Library Association (MLA) for the years of 2002 and 2003. The secondary objectives were to examine possible reasons for non-publication and factors influencing publication.

Methods:

A total of 442 abstracts from both meeting years, consisting of presented papers and posters, were examined. The 2 methods used to obtain a publication rate were literature searches and an online questionnaire sent to first authors. The questionnaire also asked abstract authors about reasons for non-publication and other factors that might have influenced their decisions about whether or not to submit the project for publication.

Results:

The overall publication rate from the survey was 26.5%, and the publication rate found via literature searching was 27.6%. The most common reason given for non-publication was time restrictions. Also notable was the large proportion of abstracts written by librarians working at universities and those having 25 or more years in the library profession.

Discussion:

Publication rates for abstracts presented at the Medical Library Association meetings for the years studied rank at the low end in comparison with other medical professional associations. Further research into factors affecting publication may reveal ways to increase this rate.

Highlights

  • Publication rates from posters and presentations at the Medical Library Association''s 2002 and 2003 annual meetings were estimated at less than 28.0% using data from an author survey and literature search. In contrast, a Cochrane systematic review of 79 similar biomedical research studies found a mean publication rate of 44.5%.
  • Respondents listed time restrictions as their primary reason for not submitting their presentations for publication.

Implications

  • Compared to biomedical conferences, relatively little of the information presented at Medical Library Association annual meetings is available as peer-reviewed evidence in the published literature.
  • Each profession has different norms for the nature and style of information in presentations at meetings. The further presenters get from basic research, the more difficult it may be for them to conceptualize a presentation as a formal paper. Diverse publication rates between professions are likely to remain.
  • Additional study could be aimed at further clarifying the reasons for non-publication and possible means to ameliorate them.
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Key points

  • Current publishing restrictions cause duplicated – and wasted – effort to delivery of accessible information to students.
  • Universities have a legal obligation to provide access, but this is not required from publishers.
  • Initiatives to support access are helpful, but do not completely resolve the accessibility problems.
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Key points

  • U.S. university OA policies are far less mandatory than those in the U.K.
  • The waiver clauses in U.S. university policies make it easy for authors to decline making their articles OA.
  • The relative autonomy – and competitiveness – of U.S. universities may be the reason for weaker OA policies.
  • OA in the U.S. is likely to be driven by government funding agency policies rather than by academia.
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Key points

  • Peer review, the cornerstone of academic publishing, has come under a lot of criticism for its flaws and has been manipulated by both authors and editors.
  • Lack of review transparency is a contributing factor to peer review problems.
  • Pressure to publish – among authors and journals – is adding to peer review problems.
  • Technology can help maintain review integrity, although editorial vigilance remains key.
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Objective:

A discourse analysis was conducted of peer-written blogs about the chronic illness endometriosis to understand how bloggers present information sources and make cases for and against the authority of those sources.

Methods:

Eleven blogs that were authored by endometriosis patients and focused exclusively or primarily on the authors'' experiences with endometriosis were selected. After selecting segments in which the bloggers invoked forms of knowledge and sources of evidence, the text was discursively analyzed to reveal how bloggers establish and dispute the authority of the sources they invoke.

Results:

When discussing and refuting authority, the bloggers invoked many sources of evidence, including experiential, peer-provided, biomedical, and intuitive ones. Additionally, they made and disputed claims of cognitive authority via two interpretive repertoires: a concern about the role and interests of the pharmaceutical industry and an understanding of endometriosis as extremely idiosyncratic. Affective authority of information sources was also identified, which presented as social context, situational similarity, or aesthetic or spiritual factors.

Conclusions:

Endometriosis patients may find informational value in blogs, especially for affective support and epistemic experience. Traditional notions of authority might need to be revised for the online environment. Guidelines for evaluating the authority of consumer health information, informed by established readers'' advisory practices, are suggested.

Highlights

  • Endometriosis patients who blog about the illness may determine authority of information sources through both cognitive and affective methods.

Implications

  • Because patients with chronic illnesses might have different authority criteria than medical librarians do, it could be useful to carefully incorporate electronic patient discussion forums, medical blogs written by laypeople, and other nontraditionally authoritative resources into consumer health information selection policies. Standard biomedical resources are certainly important to recommend to consumers, but they do not convey the complete picture of a chronic illness and its related experience.
  • Patients with chronic illnesses and caregivers can benefit from sources such as blogs and online discussion lists that provide social and emotional support as well as accounts of “lived experience.”
  • An understanding of the patient''s potential epistemological community can make the librarian''s recommendations more appropriate for the individual user.
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Key points

  • New forms of human/machine dialogue are emerging as robots understand vast amounts of content rather than simply indexing content as strings of characters.
  • Recognizing strings of characters as entities (e.g. = names = authors) allows for meaningful associations between entities and reasoning over these relationships.
  • Web‐scale adoption of the Semantic Web approach has been slow because it is too complex to implement and does not scale.
  • User intent, discovered through conversational models of human–computer interaction, allows for a deeper understanding of exactly what researchers are looking for.
  • Personal agents hold the promise of finding information that we will find useful before we have started to look for it.
  • Publishers can use Academic Knowledge APIs to interpret academic user queries and find rich information from the Microsoft Academic Graph.
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Objective:

The investigation provides recommendations for establishing institutional collection guidelines and policies that protect the integrity of the historical record, while upholding the privacy and confidentiality of those who are protected by Health Insurance Portability and Accountability Act (HIPAA) or professional ethical standards.

Methods:

The authors completed a systematic historical investigation of the concepts of collection integrity, privacy, and confidentiality in the formal and informal legal and professional ethics literature and applied these standards to create best practices for institutional policies in these areas.

Results:

Through an in-depth examination of the historical concepts of privacy and confidentiality in the legal and professional ethics literature, the authors were able to create recommendations that would allow institutions to provide access to important, yet sensitive, materials, while complying with the standards set by HIPAA regulations and professional ethical expectations.

Conclusion:

With thoughtful planning, it is possible to balance the integrity of and access to the historical record of sensitive documents, while supporting the privacy protections of HIPAA and professional ethical standards. Although it is theorized that collection development polices of institutions have changed due to HIPAA legislation, additional research is suggested to see how various legal interpretations have affected the integrity of the historical record in actuality.

Highlights

  • Ethical standards call upon special collections professionals to collect and provide access openly, while protecting individual privacy.
  • A systematic historical investigation of legal and professional ethics literature can lead to standard best practices that address issues of privacy and access.

Implications

  • Special collections professionals can establish guidelines that preserve the historical record and maintain collection integrity and access, while adhering to privacy legislation and ethical concerns.
  • The framework suggested here can be used to write a collection development and access policy that complies with the Health Insurance Portability and Accountability Act.
  • Librarians who interact regularly with hospital administrators or researchers using patient data need to be aware of the ethical and legal issues involved in patient data retention.
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Key points

  • Societies face increasing pressure to contain costs and retain revenues, which are threatened by open access mandates.
  • Funders and other science publishing campaigns need to recognize the value of learned societies and work with them to sustain the production of quality knowledge.
  • Self‐publishing via preprint servers may threaten the quality of academic research.
  • Societies can reinforce their value proposition through a model of academic entrepreneurship, including research activities, media engagement, and consultancy.
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Objectives:

The 170-year history of the library of the Royal Society of Medicine in Budapest illustrates both that political and cultural context matter and that “medical” libraries, if they survive, in due course become primarily “medical history” libraries.

Methods:

Two of the authors are on the staff of the Semmelweis Medical History Library; the third is a US scholar who makes frequent use of the library. Together, they avail themselves of archival and published materials—and personal experience with the collection—to establish the context that produced the original library, trace its evolution, and describe its present-day incarnation.

Results:

A tale of transformation emerges that reflects how collections are likely to change. The authors present events and individuals in the life of the Royal Society''s library and paint a picture of the value of today''s Semmelweis Medical History Library. Unique treasures in the collection are described.

Conclusion:

The story told here is of how a particular nineteenth-century library became a twenty-first–century institution. The authors establish its peculiarly Hungarian context and potential value to librarians and historians from outside Hungary. The overall message is that general medical libraries everywhere are perforce likely to become medical historical libraries over time.

Highlights

  • Context matters. The historical background of a library helps determine its functions and its future; shifts in modes of publishing affect and monetary concerns shape the development and preservation of an historical collection.
  • Libraries evolve. Medical libraries undergo a normal and profoundly useful transformation over time into repositories of medical history.
  • Books alone do not a library make: Libraries can and should be settings for continuing education, cultural affirmation, and assistance to scholars by preserving and making available for use a variety of sometimes rare archival and published materials.

Implications

  • Knowing the political and cultural background of a library is essential to understanding its history as well as its present-day status.
  • Preserving and expanding historical collections demands vigilance and creative management, especially under difficult fiscal and political circumstances. The loyal and diligent work of Hungarians and others who helped build and preserve this library can serve as a model for other threatened collections.
  • Sharing the story of a relatively unknown library''s development brings its general assets and unique resources to the attention of a wider audience of librarians and scholars. Few outside Hungary have previously had any way of knowing about the Semmelweis Medical History Library''s rich holdings.
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Key points

  • Increasing funding for research may not improve the quality of research.
  • Pakistan is investing heavily in research with commensurate increases in publications.
  • Pakistan's increase in article output is not being matched with increased quality – is this due to a fundamental problem with critical thinking skills?
  • All developing countries need to focus on critical thinking skills to realize the best use of their research funding.
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17.

Objectives:

Standards for evaluating evidence-based medicine (EBM) point-of-care (POC) summaries of research are lacking. The authors developed a “Critical Appraisal for Summaries of Evidence” (CASE) worksheet to help assess the evidence in these tools. The authors then evaluated the reliability of the worksheet.

Methods:

The CASE worksheet was developed with 10 questions covering specificity, authorship, reviewers, methods, grading, clarity, citations, currency, bias, and relevancy. Two reviewers independently assessed a random selection of 384 EBM POC summaries using the worksheet. The responses of the raters were then compared using a kappa score.

Results:

The kappa statistic demonstrated an overall moderate agreement (κ = 0.44) between the reviewers using the CASE worksheet for the 384 summaries. The 3 categories of evaluation questions in which the reviewers disagreed most often were citations (κ =  0), bias (κ = 0.11), and currency (κ = −0.18).

Conclusions:

The CASE worksheet provided an effective checklist for critically analyzing a treatment summary. While the reviewers agreed on worksheet responses for most questions, variation occurred in how the raters navigated the tool and interpreted some of the questions. Further validation of the form by other groups of users should be investigated.

Highlights

  • Few critical appraisal tools have been evaluated with inter-rater reliability testing.
  • The ways that users of evidence-based medicine (EBM) point-of-care (POC) tools interpret how to appraise an evidence summary—particularly when defining the grading of evidence, currency, and bias—may vary even when a standard evaluation sheet is used.
  • The Critical Appraisal for Summaries of Evidence (CASE) worksheet had a moderate level of inter-rater reliability, similar to previous evaluative studies of critical appraisals tools.

Implications

  • Medical librarians can develop tools useful for librarians, students, and clinicians to guide them in appraising clinical evidence summaries.
  • The CASE worksheet can be a valuable tool to consider the quality of individual evidence summaries and to see patterns of overall quality in EBM POC tools.
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Key points

  • Publishers must think of their websites as marketing tools as well as content delivery systems.
  • The five major strategies of content marketing are promotion, personalization, targeting, consumerization, and analysis and optimization.
  • Publishers must treat readers as customers, not simply as end users.
  • Content marketing is about the environment in which content exists, as well as the form that it takes.
  • To compete with pirate sites, publishers need to provide a richer user experience.
  • Content marketing benefits authors and readers as well as publishers.
  • Readers want the same enjoyable user experience and tailored content on all sites they visit.
  • Content marketing can increase site traffic, lengthen visits, boost revenues, thwart piracy, and heighten brand impact.
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Objectives:

This study examined the information-seeking behaviors of basic science researchers to inform the development of customized library services.

Methods:

A qualitative study using semi-structured interviews was conducted on a sample of basic science researchers employed at a university medical school.

Results:

The basic science researchers used a variety of information resources ranging from popular Internet search engines to highly technical databases. They generally relied on basic keyword searching, using the simplest interface of a database or search engine. They were highly collegial, interacting primarily with coworkers in their laboratories and colleagues employed at other institutions. They made little use of traditional library services and instead performed many traditional library functions internally.

Conclusions:

Although the basic science researchers expressed a positive attitude toward the library, they did not view its resources or services as integral to their work. To maximize their use by researchers, library resources must be accessible via departmental websites. Use of library services may be increased by cultivating relationships with key departmental administrative personnel. Despite their self-sufficiency, subjects expressed a desire for centralized information about ongoing research on campus and shared resources, suggesting a role for the library in creating and managing an institutional repository.

Highlights

  • Basic science researchers rely on a small network of individuals in their institution and at other institutions to satisfy their information needs.
  • Basic science researchers tend to ignore institutional boundaries when searching for information and do not necessarily view the library as the primary source of scholarly information.
  • Basic science researchers use the interlibrary loan service regularly but otherwise rarely use traditional library services such as mediated literature searching and instruction.

Implications

  • The library must establish a presence in researchers'' work environments, rather than expect them to seek out library resources and services.
  • The increased emphasis by funding agencies on clinical translational science may impact the information needs of basic science researchers in the future.
  • Libraries have an opportunity to capitalize on their positive reputation and basic scientists'' desire for more centralized information to create new information resources and services such as institutional repositories.
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