Journal of the Medical Library Association最新文献

Background: A shortage of images of pathology on diverse skin tones has been recognized for decades in health professions education. Identifying skin manifestations of disease depends on pattern recognition, which is difficult without visual examples. Lack of familiarity with visual diagnosis on skin of color can lead to delayed or missed diagnoses with increased morbidity and mortality. As the United States continues to increase in ethnic and racial diversity, addressing the disparity in health outcomes with education is vital.

Case presentation: At the Hackensack Meridian School of Medicine, students, librarians, and faculty came together to address this problem and develop a database of dermatological conditions in people with darker skin tones. A student group initiated a series of meetings with faculty to determine the best approach to address and enhance the representation of diversity in disease images within the curriculum. With the guidance of faculty and librarians, students performed a literature search and created a database of images of skin pathologies in people with darker skin tones. The database was disseminated to course directors and lecturers, and the noted disparities were corrected for the next cohort of students. The database provides an easily accessible resource for creating lecture slides.

Conclusion: This project brought awareness of the need for inclusivity and generated a broad review of the curriculum to be more representative of all patient populations. Most importantly, our experience provides a roadmap for institutional change through student, librarian and faculty collaboration and cultivation of a culture of optimism and acceptance.

Objective: To consider the approaches within Web of Science Core Collection (WoSCC) databases for limiting geographically. To compare the limits to an adaptation of NICE's UK MEDLINE filter for use on WoSCC databases.

Methods: We tested and appraised the inbuilt functions and search field options that support identification by countries/regions and affiliations. We compared these with an adapted filter to identify healthcare research on or about the UK. We calculated the recall of the inbuilt limits and filter using 177 studies and investigated why records were missed. We also calculated the percentage reduction of the overall number-needed-to-screen (ONNS).

Results: Inbuilt limits within WoSCC enable identification of research from specific countries/regions or affiliations if there is data in the address field. Refining by affiliations allows retrieval of research where affiliations are in the 200 or 500 most frequent for a set of results. An adaptation of the UK MEDLINE filter achieved an average of 97% recall. ONNS was significantly reduced using the filter. However, studies where the countries or regions are only mentioned within the full text or other non-searchable fields will be missed.

Conclusion: Information specialists should consider how inbuilt geographic limits operate on WoSCC and whether these are suitable for their research. The adapted filter can sensitively limit to the UK and could be useful for systematic reviews due to its high recall and ability to significantly reduce ONNS. Geographic filters can be feasible to adapt for use on WoSCC databases (where similar search fields are used between platforms).

Background: History and health humanities instruction offers a framework for professional students to examine the arc and development of their profession as well as develop cultural competencies. Exploring ideas, themes, and health care practices and approaches through historical instruction can show students how culture influences health care and practice, therefore providing a context for further development of cultural competence skills.

Case presentation: This case report describes a collaboration among a dentistry course instructor, a liaison librarian, and curators of a rare book collection. Working together, this team offers an active learning class that examines the historical arc of the dental profession. We aim to have students use primary source materials to examine the experiences, research, and narratives of their profession.

Discussion: Using a World Cafe with thematic tables allows students to safely examine rare materials and artifacts and have meaningful conversations about themes that are critical to dentistry's past, present, and future. Students reported that engaging with artifacts and historical materials provided a different way to understand history and enhanced their learning experience. Engaging students in this work builds critical thinking skills that are essential to evidence-based practice.

Background: Librarians play an important role on systematic review teams because of their expertise in information organization, database searching, and records management. Many systematic review training opportunities exist, but not all are tailored to the needs of librarians. The Medical Library Association, along with a workgroup of experts on systematic reviews and review services, developed a Systematic Review Services Specialization (SRSS) that was launched in 2022. One of the required courses in the specialization was developed by the authors, who set out to build a value-added curriculum that would provide essential searching skills for librarians working in evidence synthesis domains.

Case presentation: The authors present a case report on creating a framework for developing a new course in the Medical Library Association's Systematic Review Services Specialization. The objectives of the course were intended to align with six systematic review competencies for librarians developed and published by a group of health science librarians from the University of Michigan in 2017, which include 1) conducting a reference interview, 2) performing preliminary searches, 3) selecting appropriate resources to search, 4) building an extensive, comprehensive, and documented search strategy, 5) peer reviewing search strategies, and 6) reporting search methods. With these objectives in mind, the instructors created four separate modules and an activity.

Conclusion: Systematic review skills for librarians are essential to many health science library jobs since librarians are considered important collaborators within systematic review teams. Through eleven cohorts of the course held over 2022-2024, the authors constructed and delivered a comprehensive curriculum.

Diversity, flexibility, easy accessibility, broad continuing acceptance in developing countries and increasing popularity in developed countries, relative low cost, low levels of technological input, relative low side effects, and growing economic importance are some of the positive features of traditional medicine. In rural India, traditional medicine continues to be the only available form of care. Many communities continue to treat patients using their old methods, unaffected by contemporary medical advancements. Due to their accessibility, affordability, and ease of use, tribal tribes prefer to utilize and consult their own traditional healers. These are likewise thought to be highly effective and without any adverse effects. This paper aims to identify various traditional medicines used for treating illness and infirmities, by taking accounts from the residents of Chungtlang village, Mamit District, Mizoram. The objective here lies in discovering traditional knowledge of medicinal plants and their uses for various infirmities.

Objective: To understand the performance of EndNote 20 and Zotero 6's full text retrieval features.

Methods: Using the University of York's subscriptions, we tested and compared EndNote and Zotero's full text retrieval. 1,000 records from four evidence synthesis projects were tested for the number of: full texts retrieved; available full texts retrieved; unique full texts (found by one program only); and differences in versions of full texts for the same record. We also tested the time taken and accuracy of retrieved full texts. One dataset was tested multiple times to confirm if the number of full texts retrieved was consistent. We also investigated the available full texts missed by EndNote or Zotero by: reference type; whether full texts were available open access or via subscription; and the content provider.

Results: EndNote retrieved 47% of available full texts versus 52% by Zotero. Zotero was faster by 2 minutes 15 seconds. Each program found unique full texts. There were differences in full text versions retrieved between programs. For both programs, 99% of the retrieved full texts were accurate. Zotero was less consistent in the number of full texts it retrieved.

Conclusion: EndNote and Zotero do not find all available full texts. Users should not assume full texts are correct; are the version of record; or that records without full texts cannot be retrieved manually. Repeating the full text retrieval process multiple times could yield additional full texts. Users with access to EndNote and Zotero could use both for full text retrieval.

Background: Involving librarians as team members can lead to better quality in reviews. To improve their search results, an international diabetes project involved two medical librarians in a large-scale project planning of a series of systematic reviews for clinical guidelines in diabetes precision medicine.

Case presentation: The precision diabetes project was divided into teams. Four diabetes mellitus types (type 1, type 2, gestational, and monogenic) were divided into teams focusing on diagnostics, prevention, treatment, or prognostics. A search consultation plan was set up for the project to help organize the work. We performed searches in Embase and PubMed for 14 teams, building complex searches that involved non-traditional search strategies. Our search strategies generated very large amounts of records that created challenges in balancing sensitivity with precision. We also performed overlap searches for type 1 and type 2 diabetes search strategies; and assisted in setting up reviews in the Covidence tool for screening.

Conclusions: This project gave us opportunities to test methods we had not used before, such as overlap comparisons between whole search strategies. It also gave us insights into the complexity of performing a search balancing sensitivity and specificity and highlights the need for a clearly defined communication plan for extensive evidence synthesis projects.

Professional associations provide resources to support members' career development and facilitate ways for members to engage with and learn from one another. This article describes Medical Library Association (MLA) activities related to the revision of professional competencies and the restructuring of the organization's communities during the past twenty-five years. Grounded in MLA's Platform for Change, the MLA competency statement underwent two revisions with core themes remaining consistent. Major efforts went into rethinking the structure of MLA communities, and it became a strategic goal of the association. Numerous groups spent considerable time guiding the changes in MLA's community structure. Sections and special interest groups were transformed into caucuses. Domain hubs were established to facilitate project coordination across caucuses and create more leadership opportunities for MLA members, but their implementation did not meet expectations. Member engagement and leadership are ongoing challenges for MLA. The next twenty-five years will undoubtedly see additional revisions to the competencies and continued iterations of the community structure.

Objective: The objective of this study was to evaluate the discoverability of supporting research materials, including supporting documents, individual participant data (IPD), and associated publications, in US federally funded COVID-19 clinical study records in ClinicalTrials.gov (CTG).

Methods: Study registration records were evaluated for (1) links to supporting documents, including protocols, informed consent forms, and statistical analysis plans; (2) information on how unaffiliated researchers may access IPD and, when applicable, the linking of the IPD record back to the CTG record; and (3) links to associated publications and, when applicable, the linking of the publication record back to the CTG record.

Results: 206 CTG study records were included in the analysis. Few records shared supporting documents, with only 4% of records sharing all 3 document types. 27% of records indicated they intended to share IPD, with 45% of these providing sufficient information to request access to the IPD. Only 1 dataset record was located, which linked back to its corresponding CTG record. The majority of CTG records did not have links to publications (61%), and only 21% linked out to at least 1 results publication. All publication records linked back to their corresponding CTG records.

Conclusion: With only 4% of records sharing all supporting document types, 12% sufficient information to access IPD, and 21% results publications, improvements can be made to the discoverability of research materials in federally funded, COVID-19 CTG records. Sharing these materials on CTG can increase their discoverability, therefore increasing the validity, transparency, and reusability of clinical research.

Objective: To determine if librarian collaboration was associated with improved database search quality, search reproducibility, and systematic review reporting in otolaryngology systematic reviews and meta-analyses.

Methods: In this retrospective cross-sectional study, PubMed was queried for systematic reviews and meta-analyses published in otolaryngology journals in 2010, 2015, and 2021. Two researchers independently extracted data. Two librarians independently rated search strategy reproducibility and quality for each article. The main outcomes include association of librarian involvement with study reporting quality, search quality, and publication metrics in otolaryngology systematic reviews and meta-analyses. Categorical data were compared with Chi-Squared tests or Fisher's Exact tests. Continuous variables were compared via Mann Whitney U Tests for two groups, and Kruskal-Wallis Tests for three or more groups.

Results: Of 559 articles retrieved, 505 were analyzed. More studies indicated librarian involvement in 2021 (n=72, 20.7%) compared to 2015 (n=14, 10.4%) and 2010 (n=2, 9.0%) (p=0.04). 2021 studies showed improvements in properly using a reporting tool (p<0.001), number of databases queried (p<0.001), describing date of database searches (p<0.001), and including a flow diagram (p<0.001). Librarian involvement was associated with using reporting tools (p<0.001), increased number of databases queried (p<0.001), describing date of database search (p=0.002), mentioning search peer reviewer (p=0.02), and reproducibility of search strategies (p<0.001). For search strategy quality, librarian involvement was associated with greater use of "Boolean & proximity operators" (p=0.004), "subject headings" (p<0.001), "text word searching" (p<0.001), and "spelling/syntax/line numbers" (p<0.001). Studies with librarian involvement were associated with publication in journals with higher impact factors for 2015 (p=0.003) and 2021 (p<0.001).

Conclusion: Librarian involvement was associated with improved reporting quality and search strategy quality. Our study supports the inclusion of librarians in review teams, and journal editing and peer reviewing teams.