bims-librar Biomed News
on Biomedical librarianship
Issue of 2019‒10‒20
thirty-nine papers selected by
Thomas Krichel
Open Library Society


  1. J Clin Epidemiol. 2019 Oct 11. pii: S0895-4356(19)30462-7. [Epub ahead of print]
    Lunny C, Salzwedel DM, Liu T, Ramasubbu C, Gerrish S, Puil L, Mintzes B, Wright JM.
      OBJECTIVE: Our aim was to validate search filters for retrieval of clinical practice guidelines (CPGs) in MEDLINE, Embase and PubMed.STUDY DESIGN AND SETTING: A search for filters for identifying CPGs was conducted in Google and the InterTASC Information Specialists Sub-group Search Filter Resource. To retrieve a random sample of CPGs to test sensitivity and precision of the filters, we used the TRIP and Epistemonikos databases. The citations were screened independently by two researchers. The sensitivity and precision was calculated.
    RESULTS: Five search filters were retrieved: two from CADTH, two from the University of Texas, and one from the MD Anderson Cancer Center Library. A total of 478 records were screened to identify 109 CPGs which comprised the sample for testing sensitivity and precision. The sensitivity ranged from 87% to 98% for the five search filters and very low precision (<1%) across all databases.
    CONCLUSION: Knowledge users who are interested in retrieving all relevant CPGs, can use the CADTH broad filter with the highest sensitivity. However, our analysis shows that it remains difficult to efficiently identify CPGs due to low precision of five search filters. We recommend searching guideline-specific resources as a more time efficient approach than searching bibliographic databases.
    Keywords:  clinical practice guideline; medical subject headings (MeSH); search filter; search strategy; sensitivity; validation
    DOI:  https://doi.org/10.1016/j.jclinepi.2019.09.022
  2. J Med Libr Assoc. 2019 Oct;107(4): 595-596
    Anderson PF, Hurst EJ.
      Since the Journal of the Medical Library Association (JMLA) Virtual Projects section was first announced in 2012, the virtual projects featured in the JMLA have expanded or improved library spaces, services, collaborations, connections, and future directions. Virtual projects selected by the JMLA Virtual Projects Section Advisory Committee have been both practical and responsive to library and patron needs and illustrate ways that librarians are leading their communities and services in new directions. Virtual projects highlighted in this year's section demonstrate innovative adaptations of technology into the modern medical library that strengthen collaborative commitments and clinical and research partnerships. They also illustrate how technologies support the idea of "library as place" by providing spaces for users to explore new technologies, as well as tools for space and service planning. This year's virtual projects fully embrace changes in learning, research patterns, technologies, and the role of the health sciences librarian and the library.
    DOI:  https://doi.org/10.5195/jmla.2019.788
  3. J Nurses Prof Dev. 2019 Oct 10.
    Carey MG, Trout DR, Qualls BW.
      With so few nurse scientists, it is important to increase the research activities of nurses. A nurse scientist and a librarian investigated if increasing library skills in a hospital-based research internship increases nurses' scholarship. Library-related content was added throughout the internship; interns were surveyed to measure specific skills. All interns improved their skills and valued librarians. Most interns conducted literature searches and utilized library resources. Research internships increased nurses' capacity for library-related skills.
    DOI:  https://doi.org/10.1097/NND.0000000000000585
  4. Ann Emerg Med. 2019 Oct 14. pii: S0196-0644(19)30570-0. [Epub ahead of print]
    Morshed T, Hayden S.
      STUDY OBJECTIVE: We assess which search tool returns the highest-quality, most relevant citations for standardized clinical questions arising at the point of care in the emergency department (ED).METHODS: Search terms related to 3 clinical questions commonly encountered in the ED were entered into 5 search tools. The following search engines and tools were assessed: Google Web, Google Scholar, PubMed, PubMed Clinical Queries set to narrow search, and PubMed Clinical Queries set to broad search. The first 60 hits, in the order of most recent first, were reviewed and assessed for quality of evidence, relevance versus irrelevance, and number of high-quality hits, and each search instrument was graded for overall readability with a visual analog scale. Quality relevance ratio, defined as the ratio of high-quality relevant hits to low-quality irrelevant hits, was calculated for each tool according to these searches.
    RESULTS: Overall, PubMed Clinical Queries narrow search had the highest quality relevance ratio, averaging 0.85. PubMed Clinical Queries narrow search also returned high-quality relevant hits without the need to filter out as many low-quality irrelevant hits. Google Scholar retrieved the highest number of systematic reviews and randomized controlled trials, and returned the most complete search results, finding relevant citations other search engines did not. Google Web consistently had the lowest quality relevance ratio and contained many duplicate hits.
    CONCLUSION: For the common clinical questions assessed in this study, PubMed Clinical Queries narrow search had the highest-quality, most relevant, and most readable hits. Google Scholar performed well, in some cases retrieving citations that other search engines did not. PubMed and Google Web were not as efficient.
    DOI:  https://doi.org/10.1016/j.annemergmed.2019.07.003
  5. Res Synth Methods. 2019 Oct 15.
    Gusenbauer M, Haddaway NR.
      Rigorous evidence identification is essential for systematic reviews and meta-analyses (evidence syntheses), because the sample selection of relevant studies determines a review's outcome, validity, and explanatory power. Yet, the search systems allowing access to this evidence provide varying levels of precision, recall, and reproducibility and also demand different levels of effort. To date, it remains unclear which search systems are most appropriate for evidence synthesis and why. Advice on which search engines and bibliographic databases to choose for systematic searches is limited and lacking systematic, empirical performance assessments. This study investigates and compares the systematic search qualities of 28 widely used academic search systems, including Google Scholar, PubMed and Web of Science. A novel, query-based method tests how well users are able to interact and retrieve records with each system. The study is the first to show the extent to which search systems can effectively and efficiently perform (Boolean) searches with regards to precision, recall and reproducibility. We found substantial differences in the performance of search systems, meaning that their usability in systematic searches varies. Indeed, only half of the search systems analysed and only a few Open Access databases can be recommended for evidence syntheses without adding substantial caveats. Particularly, our findings demonstrate why Google Scholar is inappropriate as principal search system. We call for database owners to recognise the requirements of evidence synthesis, and for academic journals to re-assess quality requirements for systematic reviews. Our findings aim to support researchers in conducting better searches for better evidence synthesis.
    Keywords:  Academic search systems; Discovery; Evaluation; Information retrieval; Systematic review; Systematic search
    DOI:  https://doi.org/10.1002/jrsm.1378
  6. J Med Libr Assoc. 2019 Oct;107(4): 588-594
    Lackey MJ, Greenberg H, Rethlefsen ML.
      Background: The authors present efforts to build capacity at our institution for conducting systematic reviews and other forms of evidence synthesis through partnerships and a recharge model. This report describes how we successfully created and launched a for-fee systematic review core at our library.Case Presentation: Throughout 2014 and 2015, library leadership proposed different models for getting institutional and financial support for librarians and staff to better support university researchers conducting systematic reviews. Though well received, initial requests for financial support were not funded. The executive director of the Health Sciences Library released two years' worth of salary and benefits to fund an evidence synthesis and retrieval librarian position. With this new position, the team formed a charge-back core facility in partnership with our university's Clinical Translation and Science Award hub. A series of procedural decisions and operational changes helped the group achieve success. Within eighteen months after launching the Systematic Review Core, we reached maximum capacity with more than twenty ongoing reviews.
    Discussion: Assigning a dollar value to our expertise put us on par with other subject matter experts on campus and actually drove demand. We could act as paid consultants in research projects and shifted the perception of librarians from service providers to research partners. Affiliating with our partners was key to our success and boosted our ability to strengthen our campus' research infrastructure.
    DOI:  https://doi.org/10.5195/jmla.2019.711
  7. J Med Libr Assoc. 2019 Oct;107(4): 572-578
    McGowan BS.
      This case report describes the redesign process for an undergraduate evidence-based practice (EBP) nursing course in which the librarian serves as both co-instructor and co-instructional designer. As part of the undergraduate outcomes-based core curriculum, this required course teaches the principles of the research process; teaches students to identify the strengths and limitations of research articles in relation to EBP; and builds student confidence in their abilities to execute information literacy, data management, and scholarly communication competencies. The course redesign built on an existing student-centered course design, with the specific goal of transitioning the course from a senior-level course to a sophomore-level course, while achieving the same learning objectives. This goal was accomplished by integrating a combination of distributed practice and interleaved practice learning experiences into the course curriculum.
    DOI:  https://doi.org/10.5195/jmla.2019.663
  8. J Med Libr Assoc. 2019 Oct;107(4): 508-514
    Stevens GA, Hinton EG, Brown RE.
      Introduction: The increasing popularity of distance education has led many advanced practice nursing (APN) programs to shift to either online or hybrid models. To meet the needs of these students, some nursing librarians are using technology for virtual research and instruction. This study was designed to assess the extent to which librarians in North America are providing virtual research and instruction services for APN students.Methods: An institutional review board-approved, ten-question survey was developed to determine how librarians are providing services for APN students. It was announced in October 2017 through several health sciences librarian email discussion lists. The survey ran for four weeks. Data were analyzed using Qualtrics and Excel.
    Results: Eighty complete responses were received. The majority of respondents (66%) indicated that their universities' APN programs were conducted in a hybrid format. Sixty-seven percent also indicated that they provide library instruction in person. Most librarians indicated that they have provided research assistance through some virtual method (phone or email, at 90% and 97%, respectively), and some have used online chat (42%) and video chat (35%). A strong majority of librarians (96%) indicated that they felt comfortable using technology to provide research assistance and instruction.
    Conclusion: Opportunities exist to leverage technology to provide virtual research assistance and instruction. Greater promotion of these alternative methods can supplement traditional in-person services to provide greater flexibility for graduate nursing students' busy schedules. Some outreach may be necessary to highlight the advantages of virtual services, and further research is needed to identify other barriers and potential solutions.
    DOI:  https://doi.org/10.5195/jmla.2019.689
  9. J Med Libr Assoc. 2019 Oct;107(4): 603-605
    Hartmann J, Van Keuren L.
      Background: In 2013, the Dahlgren Memorial Library (DML) at the Georgetown University Medical Center began using text mining software to enable its clinical informationists to quickly retrieve specific, relevant information from MEDLINE abstracts while on patient rounds.Description: In 2013, DML licensed the use of the Linguamatics I2E text-mining program, and DML's clinical informationist began using it to text mine MEDLINE abstracts on patient rounds. In 2015, DML installed I2E on a server at Georgetown and negotiated with Elsevier to obtain the right to download and text mine the full text of clinical journals in ScienceDirect to support clinical decision making. In 2016, the license agreements for the New England Journal of Medicine and the BMJ platform were modified to allow text mining. In 2018, PubMed Central open access content was added to the Linguamatics license.
    Results: DML's informationists found that they were able to quickly find useful information that was not retrievable by traditional methods, and clinicians reported the information was valuable.
    Conclusion: The ability to text mine MEDLINE abstracts and selected journal articles on patient rounds has allowed DML's clinical informationists to quickly search large amounts of medical literature that can be used to answer physicians' clinical questions. DML plans to acquire additional journal articles from selected publishers in the future, which should increase the usefulness of the project.
    DOI:  https://doi.org/10.5195/jmla.2019.758
  10. J Med Libr Assoc. 2019 Oct;107(4): 560-565
    McElfresh KR, Gleasner RM.
      Background: After several years of storing a large number of historical medical books that had been weeded from the general collection, the University of New Mexico Health Sciences Library and Informatics Center developed a set of evaluation criteria to determine whether the material should be kept and included in the library catalog or discarded. The purpose of this article is to share lessons learned in evaluating and processing a historical medical book collection. The authors share how we determined review criteria as well as cataloging and processing procedures.Case Presentation: Best practices for evaluating, cataloging, and processing historical library material were determined through a literature search and then reviewed and adapted for application to this project. Eight hundred sixty-two titles were selected to add to the catalog and were added to a shelving location in our offsite storage facility.
    Conclusions: These materials are now discoverable in the library's catalog for library users who are interested in historical research, and the materials have been processed for easy retrieval as well as preservation purposes.
    DOI:  https://doi.org/10.5195/jmla.2019.666
  11. J Med Libr Assoc. 2019 Oct;107(4): 601-602
    Grinstead C, Schwartz A.
      In January 2018, library services at Providence St. Joseph Health merged to form a single, unified system, incorporating nine libraries and sixteen full-time staff. As a small, nonclinical team of librarians, we needed to make sure our work and value were visible to clinicians, administrators, and other nonlibrary stakeholders. Using REDCap, we developed a form to seamlessly collect statistics about our services.
    DOI:  https://doi.org/10.5195/jmla.2019.768
  12. J Med Libr Assoc. 2019 Oct;107(4): 613-617
    Fox ZE, Williams AM, Blasingame MN, Koonce TY, Kusnoor SV, Su J, Lee P, Epelbaum MI, Naylor HM, DesAutels SJ, Frakes ET, Giuse NB.
      All too often the quality and rigor of topic investigations is inaccurately conveyed to information professionals, resulting in a mischaracterization of the research, which, if left unchecked and published, may in turn mislead potential readers. Accurately understanding and categorizing the types of topic investigation searches that are requested of information professionals is critical to both meeting requestors' needs and reflecting their intended methodological approaches. Information professionals' expertise can be an invaluable resource to guide users through the investigative and publication process.
    DOI:  https://doi.org/10.5195/jmla.2019.707
  13. J Med Libr Assoc. 2019 Oct;107(4): 488-498
    Kipnis DG, Palmer LA, Kubilius RK.
      Objective: This study uses survey research methods to gain a deeper understanding of the institutional repository (IR) landscape in medical schools and academic health centers.Methods: Members of the Association of Academic Health Sciences Libraries (AAHSL) were surveyed about their IRs. The authors used a mixed-methods approach of a survey and qualitative content analysis to identify common themes.
    Results: Survey results indicate that a large majority of responding medical schools and academic health centers have or are implementing an IR (35 out of 50, 70%). Of these, 60% (21 institutions) participate in an institution-wide IR rather than administer their own repositories. Much of the archived content is grey literature that has not already been published, but the percentage of original content varies greatly among institutions. The majority (57.1%) of respondent institutions are not considering an open access policy or mandate. Most institutions (71.4%) reported that repository staff are depositing materials on behalf of users. DSpace and bepress Digital Commons are the most popular repository platforms in this community. The planned enhancements that were most frequently reported were implementing a discovery layer and ORCID integration. The majority of respondents (54.3%) do not plan to migrate to a different platform in the foreseeable future. Analysis of respondent comments identified the following themes: integration, redundancy, and reporting; alternatives and exploration; uniqueness; participation; and funding and operations.
    Conclusions: The study results capture a view of the IR landscape in medical schools and academic health centers and help readers understand what services their peers have in place as well as their plans for future developments.
    DOI:  https://doi.org/10.5195/jmla.2019.653
  14. J Med Libr Assoc. 2019 Oct;107(4): 611-612
    Eldermire ERB.
      Library users frequently make individual requests to staff about how they would like us to improve the services and resources, but it can be difficult to prioritize such requests. To proactively understand how we can improve our library, library staff undertook a comprehensive assessment of spaces and resources using Suma.
    DOI:  https://doi.org/10.5195/jmla.2019.757
  15. J Med Libr Assoc. 2019 Oct;107(4): 566-571
    Capdarest-Arest N, Opuda E, Stark RK.
      Background: Gamification is correlated with increased motivation and engagement of learners and is increasingly being incorporated into library instruction. Opportunities for librarians to learn and practice principles of gamification can be helpful for those desiring to incorporate gamification into instruction. This report describes the development and delivery of an interactive special content session at MLA '18, the 2018 Medical Library Association annual meeting in Atlanta, Georgia, focusing on principles of low-tech game design for health sciences library classroom instruction.Case Presentation: The special content session, titled "Design, Play, Learn: A Special Content Session to Design a Game for Database Instruction," was designed and delivered using multimodal instruction (e.g., flipped classroom, didactic component, active learning) that also incorporated principles of design thinking. A pre- and post-survey was given to all participants at the beginning and end of the session to measure confidence and desire to incorporate gamification into instruction and as a formative feedback indicator for instructors. Participants reported increased confidence and desire to use games for library instruction after participating in the session. A selection of games was uploaded to a shared content folder designed for course participants as an ongoing repository for ideas and communication.
    Conclusions: For librarians who are interested in incorporating principles of gamification into library instruction, attending a relatively short hands-on workshop can facilitate learning and confidence around prototyping and creating games for use in library instruction. We intend to improve upon the workshop and offer it again in additional contexts, based on direct observations of the session and participant feedback.
    DOI:  https://doi.org/10.5195/jmla.2019.636
  16. J Med Libr Assoc. 2019 Oct;107(4): 609-610
    Lilly J, Kaneshiro KN, Misquith C, Dennett B.
      Background: The Technology Team at the Ruth Lilly Medical Library, Indiana University (IU), first started exploring virtual reality (VR) in 2016. In 2017, we began offering weekly sessions dubbed VRidays ("VR Fridays") to give students an opportunity to experience the technology. We also purchased a portable VR setup that allowed us to demonstrate VR at our regional campuses.Description: To lower the entry barrier to VR, the Technology Team collaborated with the IU Advanced Visualization Lab to establish a reality lab in our collaborative learning space. The lab opened in the fall of 2018 and consists of four high-end VR stations that are accessible to students at any time, but they can also make an appointment for a more guided experience. Information and instructions are available on a LibGuide.
    Conclusion: We are currently collecting data on the number of unique users and evaluating application usage. We are working on a feedback mechanism and looking to develop collaborative partnerships across the university.
    DOI:  https://doi.org/10.5195/jmla.2019.784
  17. J Med Libr Assoc. 2019 Oct;107(4): 499-507
    Toews L.
      Objectives: The objectives of this study were to benchmark roles that veterinary librarians at universities and colleges play in systematic reviews (SRs) and scoping reviews that are conducted by faculty and students at their institutions, to benchmark the level of training that veterinary librarians have in conducting SRs, to identify barriers to their participation in SRs, and to identify other types of literature reviews that veterinary librarians participate in.Methods: Sixty veterinary librarians in universities and colleges in Canada, the United States, England, Scotland, Ireland, Australia, and New Zealand were surveyed online about their roles and training in conducting SRs, barriers to participation in SRs, and participation in other types of literature reviews.
    Results: Veterinary librarians' highest participation was at an advising level in traditional librarian roles as question formulator, database selector, search strategy developer, and reference manager. Most respondents reported pretty good to extensive training in traditional roles and no or some training in less traditional roles. Sixty percent of respondents received few or no requests to participate in SRs, and only half of respondents had participated in SRs as a review team member. Sixty percent of respondents stated that their libraries had no policies regarding librarian roles and participation in SRs.
    Conclusions: The surveyed veterinary librarians participated in SRs to a lesser degree than human health sciences librarians, experienced low demand from veterinary faculty and students to participate in SRs, and participated as review team members at significantly lower rates than human health sciences librarians. The main barriers to participation in SRs were lack of library policies, insufficient training, and lack of time.
    DOI:  https://doi.org/10.5195/jmla.2019.710
  18. J Med Libr Assoc. 2019 Oct;107(4): 606-608
    Volk R, Obeid N.
      Objective: The project enabled clinicians to utilize the electronic medical record (EMR) to easily prescribe preapproved online patient education resources to their patients.Background: Physicians and other clinicians are concerned about the wide use of "Dr. Google" and the difficulties of responding to patients who demand unproven or unnecessary tests and therapies they found out about on the Internet.
    Setting/Participants/Resources: Participants were providers at a large health system using Epic EMR. The institution maintains a web-based database that links to print and electronic patient education materials that have been vetted by content experts.
    Methods: Clinicians worked with librarians to create web pages that link to the resources they recommend for their patients. Librarians collaborated with the information technology (IT) department to implement a solution that enables clinicians to quickly and easily send the uniform resource locator (URL) to the after visit summary (AVS) or as a message via the patient portal.
    Results: This solution has been implemented in more than 20 units across the institution. Analytics data demonstrate that the majority of patients in a surgery clinic visited recommended resources.
    Conclusion: This simple solution is effective in directing patients to reliable resources. It can be easily adapted by other institutions using an EMR system such as EPIC or Cerner.
    DOI:  https://doi.org/10.5195/jmla.2019.774
  19. J Med Libr Assoc. 2019 Oct;107(4): 527-537
    Charow R, Snow M, Fathima S, Giuliani ME, McEwan K, Winegust J, Papadakos J.
      Objectives: As there is a dearth of information about anal cancer available at cancer centers, patients often use the Internet to search for information. This is problematic, however, because the quality of information on the Internet is variable, and the health literacy demanded is higher than the average patrons' capacity. The purposes of this study were to (1) determine the most common websites with anal cancer consumer health information, (2) identify the supportive care needs that each website addresses, and (3) evaluate the websites' quality and health literacy demand.Methods: Medical Subject Headings (MeSH) entry terms for "Anus Neoplasms" were used in Google Canada to identify websites. Seven domains of supportive care needs were defined using Fitch's Supportive Care Framework for Cancer Care. Website quality was evaluated using the DISCERN tool. Health literacy demand was assessed using readability calculators, where best practice dictates a grade 6 or lower, and the Patient Education Material Assessment Tool (PEMAT) that computes a percentage score in 2 domains, understandability and actionability, with 80% being an acceptable score.
    Results: Eighteen unique websites were evaluated. One website met health literacy best practices and had a "good" quality rating. Most websites addressed only 1 supportive care domain (61%), were of "fair" quality (67%), had readability scores higher than grade 6 (89%), and had PEMAT scores ranging from 41%-92% for understandability and 0-70% for actionability.
    Conclusion: The information gaps on anal cancer websites warrant a need for more health literate anal cancer health information on the Internet.
    DOI:  https://doi.org/10.5195/jmla.2019.393
  20. J Health Commun. 2019 Oct 14. 1-11
    Oh HJ, Lee H.
      This study explores the roles of perceived message importance, health anxiety, and health literacy in the relationship between message factors (message label and message valence) and behavioral intentions for rumor verification and sharing. 660 Twitter users responded to unverified information regarding the influenza vaccine. A 3 (label: none vs. news vs. rumor) × 2 (valence: positive vs. negative) online semi-experiment, with a survey to measure health anxiety and health literacy, showed the following results: First, perceived message importance mediated the relationship between message factors and behavioral intentions: only in the condition of the negative message, participants considered a news-labeled message more important than a rumor-labeled or a no-label message. Perceived message importance was associated with intentions to verify and share the message. Second, health anxiety interacted with perceived message importance only when predicting an intention to share the message. Last, healthy literacy interacted with perceived message importance when predicting intentions to both verify and share the message. The results will provide implications for health communication research and practices, especially on managing and controlling rumor dissemination on social media.
    DOI:  https://doi.org/10.1080/10810730.2019.1677824
  21. J Med Libr Assoc. 2019 Oct;107(4): 538-554
    Kosteniuk J, Stewart NJ, Wilson EC, Penz KL, Martin-Misener R, Morgan DG, Karunanayake C, MacLeod MLP.
      Objective: This study examined accessibility of communication tools in the workplace, use of education to update nursing knowledge, and use of information to make specific decisions in practice among registered nurses (RNs) and licensed practical nurses (LPNs) in rural and remote communities in Canada.Methods: Data were analyzed from the cross-sectional survey, "Nursing Practice in Rural and Remote Canada II," of regulated nurses practicing in all provinces and territories of Canada. Data were collected from April 2014 to August 2015.
    Results: The survey was completed by 3,822 of 9,622 nurses (40% response), and the present analysis was conducted with a subsample of 2,827 nurses. High-speed Internet was the most accessible communication tool, and nurses used "online/electronic education" more often than "in-person education" to update their nursing knowledge. Internet searches were used more often than several other online/electronic sources to inform decision making. Compared to LPNs, RNs reported greater workplace access to most communication tools and greater use of online/electronic education as well as information sources in online/electronic and print formats. Compared to nurses in community-based health care and hospital settings, nurses in long-term care settings reported lower access to most communication tools, lower use of online/electronic and in-person education, and lower use of online/electronic information.
    Conclusions: Access to continuing education and up-to-date information is important for effective patient care. This study points to a need for further research on the continuing education and information needs of rural and remote RNs and LPNs, and on their capacity to incorporate and apply new knowledge in practice.
    DOI:  https://doi.org/10.5195/jmla.2019.632
  22. J Med Libr Assoc. 2019 Oct;107(4): 618-620
    Lapidow A, Scudder P.
      In most scientific communities, the order of author names on a publication serves to assign credit and responsibility. Unless authors are presented in alphabetical order, it is assumed that the first author contributes the most and the last author is the driving force, both intellectually and financially, behind the research. Many, but not all, journals individually delineate what it means to be a contributing author and the nature of each author's role. But what does this mean when a paper has co-first authors? How are academic librarians going to handle questions surrounding co-first authorship in an era in which author metrics are important for career advancement and tenure? In this commentary, the authors look at the growing trend of co-first authorship and what this means for database searchers.
    DOI:  https://doi.org/10.5195/jmla.2019.700
  23. J Med Libr Assoc. 2019 Oct;107(4): 515-526
    Eldermire ERB, Fricke S, Alpi KM, Davies E, Kepsel AC, Norton HF.
      Objective: To practice evidence-based medicine, clinicians must be competent in information literacy (IL). Few studies acknowledge the critical role that reading strategies play in IL instruction and assessment of health professional students. The purpose of this study was to understand the information-seeking and evaluation behaviors of doctor of veterinary medicine (DVM) students in regard to scientific papers.Methods: The authors studied DVM student behaviors across eight programs in North America using a web-based survey of closed- and open-ended questions about finding and evaluating scientific papers, including a task to read a linked scientific paper and answer questions about it.
    Results: A total of 226 individuals responded to the survey. The sections of a scientific paper that were most commonly read were the abstract, introduction, and conclusions. Students who reported reading a higher proportion of scientific papers were more likely to feel confident in their abilities to interpret them. A third of respondents answered open-ended questions after the paper reading task. Respondents felt the least amount of confidence with one of the final steps of evidence-based medicine, that of interpreting the significance of the paper to apply it in veterinary medicine.
    Conclusions: DVM students may lack the skills needed to evaluate scientific literature and need more practice and feedback in evaluating and interpreting scientific papers. Librarians who support DVM students can (1) help DVM students to efficiently evaluate scientific literature, (2) seek training opportunities in alternative modes of teaching and learning IL skills, and (3) partner with veterinary faculty and clinicians to provide students with practice and feedback in information evaluation.
    DOI:  https://doi.org/10.5195/jmla.2019.674
  24. J Med Libr Assoc. 2019 Oct;107(4): 597-600
    Wrigley J, Carden V, von Isenburg M.
      This project characterized current research and collaboration patterns in pain research at one institution after researchers working on a grant application approached the library to better understand current institutional research and publishing about that topic. To address this question, library staff developed a collaborative, multi-tool process for bibliometric analysis and network visualization. The primary data source used was a preexisting, curated EndNote library of institutional publications. This EndNote library was searched using keywords relevant to the topic in order to create two sublibraries: one on pain and one specifically on musculoskeletal pain. Article data from each library were exported into InCites to create a benchmarking analysis. In addition, article data were imported into VOSviewer to visualize collaboration networks by author and create concept maps. Researchers were consulted to identify and label resulting clusters in the VOSviewer visualizations. This project successfully generated useful visualizations via bibliometric mapping that characterized current and potential pain research at the institution. The analysis was included in a grant proposal for funding a center for pain research and for catalyzing further collaborative research.
    DOI:  https://doi.org/10.5195/jmla.2019.764
  25. J Med Libr Assoc. 2019 Oct;107(4): 468-471
    Akers KG, Read KB, Amos L, Federer LM, Logan A, Plutchak TS.
      As librarians are generally advocates of open access and data sharing, it is a bit surprising that peer-reviewed journals in the field of librarianship have been slow to adopt data sharing policies. Starting October 1, 2019, the Journal of the Medical Library Association (JMLA) is taking a step forward and implementing a firm data sharing policy to increase the rigor and reproducibility of published research, enable data reuse, and promote open science. This editorial explains the data sharing policy, describes how compliance with the policy will fit into the journal's workflow, and provides further guidance for preparing for data sharing.
    DOI:  https://doi.org/10.5195/jmla.2019.801
  26. J Med Libr Assoc. 2019 Oct;107(4): 579-587
    Bakker CJ, McBurney J, Chew KV, Aho M, Reed D.
      Background: As the need to demonstrate research impact increases, faculty are looking for new ways to show funders, departments, and institutions that their work is making a difference. While traditional metrics such as citation counts can tell one part of this story, these metrics are focused on the academic sphere and often miss the wide-ranging public impact that research can have in areas such as the news or policy documents.Case Presentation: This case report describes how one library piloted and established the Policy & News Media Impact Service, where librarians generate reports for faculty members of the University of Minnesota Academic Health Center that tracks citations of their research in governmental and organizational policies as well as local, national, and international news media. Workflows of, resources used in, and faculty feedback on the service are described.
    Conclusions: This Policy & News Media Impact Service pilot was successful and resulted in the establishment of a permanent service that is available to all departments in the Academic Health Center. Faculty feedback indicated that the service was valuable in demonstrating the public impact of their research.
    DOI:  https://doi.org/10.5195/jmla.2019.709
  27. Comput Methods Programs Biomed. 2019 Oct 04. pii: S0169-2607(19)31137-X. [Epub ahead of print]184 105117
    Moradi M, Dorffner G, Samwald M.
      BACKGROUND AND OBJECTIVE: Capturing the context of text is a challenging task in biomedical text summarization. The objective of this research is to show how contextualized embeddings produced by a deep bidirectional language model can be utilized to quantify the informative content of sentences in biomedical text summarization.METHODS: We propose a novel summarization method that utilizes contextualized embeddings generated by the Bidirectional Encoder Representations from Transformers (BERT) model, a deep learning model that recently demonstrated state-of-the-art results in several natural language processing tasks. We combine different versions of BERT with a clustering method to identify the most relevant and informative sentences of input documents. Using the ROUGE toolkit, we evaluate the summarizer against several methods previously described in literature.
    RESULTS: The summarizer obtains state-of-the-art results and significantly improves the performance of biomedical text summarization in comparison to a set of domain-specific and domain-independent methods. The largest language model not specifically pretrained on biomedical text outperformed other models. However, among language models of the same size, the one further pretrained on biomedical text obtained best results.
    CONCLUSIONS: We demonstrate that a hybrid system combining a deep bidirectional language model and a clustering method yields state-of-the-art results without requiring labor-intensive creation of annotated features or knowledge bases or computationally demanding domain-specific pretraining. This study provides a starting point towards investigating deep contextualized language models for biomedical text summarization.
    Keywords:  Biomedical text mining; Clustering; Contextualized embeddings; Deep learning, domain knowledge; Text summarization
    DOI:  https://doi.org/10.1016/j.cmpb.2019.105117
  28. J Vasc Surg. 2019 Oct 11. pii: S0741-5214(19)32171-8. [Epub ahead of print]
    Radonjic A, Fat Hing NN, Harlock J, Naji F.
      OBJECTIVE: Patients are increasingly referring to the Internet after a diagnosis of vascular disease. This study was performed to quantitatively define the accuracy and reliability of information on YouTube regarding abdominal aortic aneurysms (AAA).METHODS: A systematic search of YouTube was conducted using multiple AAA-specific keywords. The default YouTube search setting of "relevance" was used to replicate an average search attempt, and the first 50 results from each keyword search were reviewed and analyzed by two independent reviewers. Descriptive characteristics, Journal of the American Medical Association Score, modified DISCERN score, Video Power Index, and a novel scoring system for the management of AAAs, the AAA-Specific Score (AAASS), were used to record data. Inter-rater agreement was analyzed using intraclass correlation coefficient estimates and the Kruskal-Wallis test was used for intergroup comparisons.
    RESULTS: Fifty-one videos were included for analysis. The mean Journal of the American Medical Association Score, DISCERN, and AAASS values among videos were 1.74/4.00 (standard deviation [SD], 0.84), 2.37/5.00 (SD, 0.97), and 6.63/20.00 (SD, 3.23), respectively. Of all the included videos, 78% were educational in nature, 14% were patient testimonials, and 8% were news programs. Based on the AAASS, the majority of analyzed videos fell into the poor category (41%), followed next by the very poor (31%), moderately useful (25%), very useful (2%), and exceptional (0%) categories. Videos by nonphysicians were significantly more popular (P < .05) than vascular surgeon sources.
    CONCLUSIONS: Although variable in source and content, the completeness and reliability of information offered on YouTube for AAA diagnosis and treatment is poor. Patients watching YouTube for information on their AAA diagnosis are receiving an incomplete and perhaps misleading picture of available diagnostic and treatment options. Given that vascular surgeons are likely to be affected by unrealistic treatment expectations from patients accessing online materials regarding AAA, it is important to acknowledge the nature of content on these platforms.
    Keywords:  AAA; Abdominal aortic aneurysm; Accuracy; Internet; Online; Reliability; Review; YouTube
    DOI:  https://doi.org/10.1016/j.jvs.2019.08.230
  29. J Med Libr Assoc. 2019 Oct;107(4): 621-625
    Ewing ET, Randall K, Reznick JS.
      This article illustrates the value and impact of collaboration among scholars, archivists, and librarians working across universities and government institutions, and how changes in medium-from a born-physical photograph and printed postcard to a digital reproduction to a simultaneously born-digital and printed book-create new possibilities for scholarly analysis, interpretation, and dissemination, which in turn suggest future directions for research and engagement across fields of inquiry. In doing so, this article argues that history matters by illuminating past networks that, through humanistic inquiry, continue to connect people, ideas, and institutions in the present and into the future.
    DOI:  https://doi.org/10.5195/jmla.2019.745
  30. Vasc Endovascular Surg. 2019 Oct 13. 1538574419879855
    Scott BB, Johnson AR, Doval AF, Tran BN, Lee BT.
      BACKGROUND: Patients commonly use online materials as a source of health information. Since poor health literacy has been shown to correlate with negative outcomes, it is recommended that patient-directed materials be written at a sixth-grade reading level. This study evaluates the readability and understandability of commonly accessed online materials pertaining to both endovascular and open repair of abdominal aortic aneurysm.METHODS: Searches for "endovascular repair abdominal aortic aneurysm" and "open repair abdominal aortic aneurysm" were performed on both Google and Bing, and the top 10 websites from each search engine were identified. Relevant websites (total N = 28, endovascular n = 15, open n = 15, and 2 redundant sites) with patient-directed content were analyzed. Readability was assessed using 9 established methods, and understandability was assessed using the Patient Education Materials Assessment Tool scoring system.
    RESULTS: The average reading grade level for all sites was 12.8. Endovascular sites averaged a reading grade level of 13.6 with a range from 11.5 to 15.6. Open-repair websites had a grade-level average of 12.1 with a range from 9.9 to 14.1. Readability was found to be inversely related to understandability, with a Pearson correlation coefficient of -0.551 (P = .003). No website was written at or below the recommended sixth-grade reading level.
    CONCLUSIONS: Patient-directed online health information pertaining to open and endovascular repair of abdominal aortic aneurysm exceeds the recommended sixth-grade reading level. Increasing complexity of health literature correlates with poor understandability. Modifications such as shorter sentences, fewer words with more than 6 letters, and increasing usage of clear visual aids can increase readability and understandability.
    Keywords:  AAA repair; EVAR; abdominal aortic aneurysm; readability; understandability
    DOI:  https://doi.org/10.1177/1538574419879855
  31. PeerJ. 2019 ;7 e7706
    Lotto M, Aguirre PEA, Strieder AP, Cruvinel AFP, Cruvinel T.
      Background: The preferences of Web users can be influenced by distinct factors of populations. Hence, hypothetically, source-based patterns of health-related Web searches might differ between individuals from developed and developing countries, due to their distinct educational, social, economic, political, cultural, and psychosocial backgrounds. In this context, this study aimed to determine the trends of toothache-related searches performed on Google Search and YouTube, regarding differences between developed and developing countries.Methods: This retrospective longitudinal study analyzed computational metadata on toothache-related interests of Internet users. Google Trends was accessed to obtain the monthly variation of relative search volume (RSV) of the topic "Toothache-Disease" on Google (G) and YouTube (YT) through 2008-2017. Autocorrelation and partial autocorrelation plots, ARIMA models, Kruskal-Wallis, Dunn's and T tests were performed for evaluating trends, 12-month forecasts and the differences of annual ratios of YT/G searches between developed and developing countries, respectively (P < 0.05).
    Results: Uptrends of RSVs were observed in both country groups over time, although 12-month forecasts tended to plateau.The volumes of searches were higher in developed countries in comparison to developing ones; however, this difference was not observed regarding Google searches performed between 2016 and 2017. Independently of country groups, the ratios YT/G remained relatively constant throughout the period, indicating a greater interest in toothache-related information available on Google.
    Conclusion: In conclusion, toothache-related searches from Google and YouTube increased during the last decade. The preferences of Web users seemed to be influenced by the differences between developed and developing countries, such as the availability and penetration of the Internet, and education levels.
    Keywords:  Health education; Health information; Toothache; eHealth
    DOI:  https://doi.org/10.7717/peerj.7706
  32. Cureus. 2019 Aug 10. 11(8): e5360
    Kaleem T, Malouff TD, Stross WC, Waddle MR, Miller DH, Seymour AL, Zaorsky NG, Miller RC, Trifiletti DM, Vallow L.
      Introduction There is widespread public interest when celebrities are diagnosed with cancer. We sought to assess how this interest impacts awareness of prevalent cancers. Methods We reviewed common cancer-related search terms using Google Trends (Google LLC, Mountain View, CA) between the years 2004 and 2017 and retrospectively correlated these findings with media or celebrity-related events. The Google Trends application was used to obtain the "search volume index" (SVI), defined as the number of searches for a specific term standardized to the total number of searches over that time period. Data were presented in a graphical format. Isolated peaks of greater than 25% from the baseline SVI were identified. Using the date of the peaks, a further search was performed to determine if any event in the media triggered the peak. Results "Lung Cancer," "Pancreas Cancer," "Endometrial Cancer," "Cervical Cancer," "Brain Cancer," and "Glioblastoma" each had the highest peak correspond with a celebrity-related event covered in the media. These search terms displayed several additional isolated peaks, the majority of which could all be correlated with a significant media event (%). The search term "Breast Cancer" consistently had a peaked interest during October (breast cancer awareness month). Breast cancer events relating to public figures had little to no relative impact on search volume during this period. None of the other cancer search terms displayed the same cyclical pattern during their respective awareness months. Colon, rectal, and prostate cancer demonstrated stable search volumes over time, without an isolated peak. Conclusion Internet search activity among English speakers of most general cancer terms exhibit peaks coinciding with events that occur to celebrity figures or advances in medicines that are substantially covered in the media. In all cases but "breast cancer," these events lend to higher search activity as compared to campaigns and awareness months. Our study suggests that media coverage of public figures with cancer may trigger substantial Internet interest in non-breast cancers, more so than traditional efforts to raise awareness.
    Keywords:  cancer; celebrity; google; search engine
    DOI:  https://doi.org/10.7759/cureus.5360
  33. J Med Libr Assoc. 2019 Oct;107(4): 555-559
    Petrey J.
      Background: The University of Louisville School of Medicine is the pilot site for the eQuality project, an initiative to integrate training for providing care to lesbian, gay, bisexual, and transgender (LGBT) patients into the standard medical school curriculum. Inspired by and in support of this School of Medicine initiative, Kornhauser Health Sciences Library staff have developing our own initiative. Because of past and current lack of competent provider training and the resulting need for patients to be knowledgeable self-advocates, however, our initiative was broadened to include the goal of providing LGBT individuals in our communities-both on campus and in the broader public-with the resources and tools that they need to access information about their own health.Case Presentation: This paper describes the development of that twofold initiative and the tangible methods used in its implementation, including collection development, interdepartmental collaboration, electronic resource guide creation, and community engagement through outreach.
    Conclusions: Outcomes of the initiative to date will also be discussed, along with plans for further development.
    DOI:  https://doi.org/10.5195/jmla.2019.422
  34. Eur Urol Focus. 2019 Oct 09. pii: S2405-4569(19)30293-7. [Epub ahead of print]
    Farag M, Bolton D, Lawrentschuk N.
      CONTEXT: The use of video in surgical education and training is an innovative means to teach and expose learners to surgical procedures. The accessibility of YouTube provides a favourable platform for educational content; however, the current lack of peer review may mean that content is lacking or inaccurate.OBJECTIVE: We reviewed articles that examined the quality of videos describing surgical procedures, and especially those found on the sharing platform "YouTube". In particular, studies investigating videos for their benefit to surgical trainees were included.
    EVIDENCE ACQUISITION: A literature review was performed to determine the educational quality of surgical videos found on YouTube.
    EVIDENCE SYNTHESIS: Articles were included, which reviewed the quality of videos describing surgical procedures, their accuracy, and their utility for surgical trainees to complement traditional surgical education.
    CONCLUSIONS: The studies reviewed suggested that there is a lack of comprehensive material currently found on YouTube across multiple surgical disciplines. However, the popularity of YouTube among surgical trainees suggests that it is in the interest of surgical colleges and surgical educators to participate in sharing videos on this platform.
    PATIENT SUMMARY: YouTube videos are inevitably used as supplementary tools in surgical education. To harness the popularity and accessibility of YouTube for educational purposes, a peer-reviewed YouTube video library may be necessary.
    Keywords:  Educational videos; Surgical training; Teaching videos; YouTube
    DOI:  https://doi.org/10.1016/j.euf.2019.09.017
  35. J Med Libr Assoc. 2019 Oct;107(4): 465-467
    Philbrick JL.
      In this profile of Julia M. Esparza, AHIP, Medical Library Association President, 2019-2020, she is described as a pleasure to work with, practical, and intelligent, and she adds a spark of humor to any activity. Esparza has spent the last twelve years of her career in the Health Sciences Library and Department of Medical Library Science at Louisiana State University Health Sciences Center Shreveport. She is an excellent role model for medical librarians who want to engage in scholarly activities and is active in supporting the educational needs of health care providers, students, library personnel, and the community through her instructional efforts.
    DOI:  https://doi.org/10.5195/jmla.2019.802
  36. J Med Libr Assoc. 2019 Oct;107(4): 637
      [This corrects the article on p. 403 in vol. 107, PMID: 31258446.].
    DOI:  https://doi.org/10.5195/jmla.2019.800
  37. J Med Libr Assoc. 2019 Oct;107(4): 638
      [This corrects the article on p. 291 in vol. 107, PMID: 31258435.].
    DOI:  https://doi.org/10.5195/jmla.2019.814
  38. J Med Libr Assoc. 2019 Oct;107(4): E21-E23
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    DOI:  https://doi.org/10.5195/jmla.2019.821