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Biomedical subjects

J Yeoh

Publications and source records attributed to J Yeoh.

6 recordsLinked to original sources

Selection of library services by post-registration nursing, midwifery and health visiting students.

This paper describes a small-scale survey undertaken with 300 nurses, midwives and health visitors on post-registration courses and registered for the ENB Higher Award. The aim was threefold: first to examine reasons for electing to use particular libraries; second, the relationship between workplace, home, teaching site and choice of library services; and third, the use of library enquiry services. There was a 56% response rate to the postal questionnaire and results indicated that the key factor in selecting a library was availability of resources rather than convenience to home or workplace. The third largest group of respondents worked in community organizations with little or no on-site access to resources and were dependent on access to other libraries. Most who used the library for literature searching needed to seek help in spite of preliminary user education sessions. Similar levels of assistance were needed to locate journals and use the computerized book catalogue. The paper recommends explicit information on strategic entry points, necessity of a broad central collection, integration of information retrieval into post-registration courses, use of self-study packs, better trust/university liaison and recognition of the need for resource transfer from teaching to learning.

Allied Health Personnel

Reader activity in a multidisciplinary health sciences library: a case study at St George's Library.

This paper reports on a survey of user activity in a London teaching hospital with a multidisciplinary health sciences library. Library users were asked to complete a simple survey form on each visit to the library over a week long period. Information was required to help establish a formula for funding. The user survey examined reasons for visiting the library, frequency of visits, length of visit and also asked for comments and suggestions. Finally there is discussion regarding the effectiveness of the survey in terms of the practical framework utilized and of the gains obtained.

Budgets

Librarian or educator: into the classroom.

There is a traditional view of librarians as keepers of information. This paper reports on the development of a post of Tutor Librarian who is actively involved in nurse education and inservice training. Project 2000 and its accompanying curriculum changes provide an opportunity to develop the Tutor Librarian's role.

Education, Nursing

The prognostic significance of pretreatment serum lactate dehydrogenase in patients with small-cell lung cancer.

Pretreatment serum lactate dehydrogenase (LDH) levels were assayed in 288 patients presenting with small-cell lung cancer (SCLC) between 1976 and 1985. Patients were routinely staged by physical examination, chest x-ray, bone, brain, and liver scans, and bone marrow evaluation. Clinical response and survival were assessed following treatment with combination chemotherapy as part of four clinical trials. Patients with extensive disease (ED) presented with a higher incidence (108 of 147, 73%) of abnormally elevated LDH (greater than 193 IU/L) than those (65 of 141, 46%) with limited disease (LD) (P = 2 x 10(-6)). Forty percent of patients had an initial normal LDH level and a higher response rate (89 of 108, 82%; complete response [CR], 47%) than those with elevated values of LDH (119 of 156, 76%; CR, 29%). The CR rate varied inversely with the level of LDH in patients with LD (P = .026) but not in those with ED (P = .300). The median survival time and 1-year and 2-year survival rates for patients with elevated LDH were 39 weeks and 33% and 6%, respectively, whereas for those with a normal LDH level these were 53 weeks and 54% and 16%, respectively. Patients with LD and elevated levels of LDH manifested a higher relative death rate (1.63:1) when compared with patients with LD and LDH in the normal range (P = .0083). The survival of patients with ED did not differ between those with normal and elevated levels of LDH (P = .273). A significant survival advantage persisted for patients with LDH in the normal range following adjustments for extent of disease, performance status (PS), and treatment protocol (P = .044, log-rank analysis). In conclusion, serum LDH appears to be a significant independent pretreatment prognostic factor in patients with SCLC that correlates with stage of disease, response to treatment, and survival.

Adult