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The library as finals resting place: expanding service to health sciences students during final exams.

To increase services to health sciences students during their final exam period, and to demonstrate to campus administration that the library is in tune with the students' fluctuating needs, the Kornhauser Health Sciences Library, University of Louisville, increased its hours of operation; created an inviting, comfortable environment; and offered free snacks and drinks for the students. The event, coined the "Finals Resting Place," was a positive public relations tool that strengthened the library's relationship with its students. Moreover, it reinforced the library's role and mission to the campus administration, particularly that of the dental and medical schools.

Allied Health Personnel↗

Information needs of university programs in health administration: report of survey response.

Program directors and librarians providing information support for academic programs in health administration share similar perceptions of the information needs of their students and faculty. Where they differ in identification of helpful products or key discussion topics, the difference appears to be a function of their role. For example, it is probable that librarians do not consider preparation of user-specific bibliographies from on-line databases as an important AHA Resource Center product because they prepare these themselves at the local level. Conversely, it is probable that program directors do not see an overview of current issues in health administration as a high-priority topic for a meeting because they have access to more immediate resources for that kind of information. Not unexpectedly, program directors and librarians alike see the AHA Resource Center's role as a secondary one and look within their own institution first for information support. A report of survey results and information about the AHA Resource Center were shared with survey respondents and nonresponding program directors in January 1985. The AHA Resource Center is utilizing responses to this survey to plan services and programs that will be helpful to faculty and students in university programs in health administration and to library staff serving these programs.

American Hospital Association↗

Library service.

Explore the source record for details and available documents.

Hospital Administration↗

Role of the hospital library within the hospital system.

The results of a survey of hospital administrators, attending staff and house staff physicians, librarians, library committee chairmen, and nursing staff in five Northeastern Ohio hospitals concerning the status of the hospital library within the total hospital system are related. Results indicate that hospital libraries operate in the "fringe" area of the hospital system. A concentric-circle figure indicates the present position of the majority of hospital libraries surveyed. The future relationship of the library within the hospital system has also been represented by a concentric-circle figure.

Hospital Administration↗

Proposed standards for professional health sciences library services in hospitals of New York State.

Hospital libraries are considered to be the basic unit of the medical information system. A major statewide effort was begun in 1978 to introduce and support legislation in the New York State Legislature which would encourage hospitals to establish and maintain libraries that meet minimum services standards. Included in this legislation is the concept that the Commissioner of Education in consultation with the Commissioner of Health shall have the power to establish standards for hospital libraries. The Ad Hoc Committee for the Promotion of Hospital Library Services, Western New York Library Resources Council, proposes The Standards for Professional Health Sciences Library Services in Hospitals of New York State to clarify and to strengthen existing hospital library standards. These standards differ specifically from the Joint Commission on Accreditation of Hospitals standards in that they place equal and specific emphasis on eleven points: administration, qualifications of library staff, continuing education of library staff, requirement for a library advisory committee, required library services, required library resources, library space requirements, library budget, library network and consortium membership, documentation of library policy, and continued evaluation of the needs of the hospital for library service. Detailed interpretations are provided. An appendix describes the qualifications of a hospital library consultant.

Libraries, Hospital↗

The future role of the health sciences library in the Department of Veterans Affairs.

The Department of Veterans Affairs (VA) conducted a survey to ascertain the perceptions of 322 library service chiefs and health care administrators within the VA health care system. Participants were asked to rate the desirability and probability of twenty-five predetermined statements and to identify the forces that would have an impact, either positive or negative, on whatever statements became reality. The response rate was 93%. Analysis of the data indicated that there was no significant difference between the library managers and health care administrators in their perceptions. Results indicate that both groups believe libraries serve an integral role in VA medical centers and that library services cannot be provided as successfully off site. The data also appear to reveal a clear consensus on the part of both groups for increased library involvement in educational activities and information delivery.

Attitude of Health Personnel↗

Centralization vs. decentralization in medical school libraries.

Does the medical school library in the United States operate more commonly under the university library or the medical school administration? University-connected medical school libraries were asked to indicate (a) the source of their budgets, whether from the central library or the medical school, and (b) the responsibility for their acquisitions and cataloging. Returns received from sixtyeight of the seventy eligible institutions showed decentralization to be much the most common: 71 percent of the libraries are funded by their medical schools; 79 percent are responsible for their own acquisitions and processing. The factor most often associated with centralization of both budget and operation is public ownership. Decentralization is associated with service to one or two rather than three or more professional schools. Location of the medical school in a different city from the university is highly favorable to autonomy. Other factors associated with these trends are discussed.

Libraries, Medical↗

Identification of receptor ligands with phage display peptide libraries.

With the development and maturation of the technology of displaying peptides on bacteriophage, it has become possible to isolate peptide ligands to various targets. In the phage display strategy, up to 10(9) peptides of different permutations are expressed on the surface of filamentous phage. Thus, peptides capable of binding target molecules in vitro and even target tissues in vivo can be identified. In recent years, a series of libraries that display degenerate peptides of different lengths have been constructed, and specific ligands to cell surface receptors, such as integrins, have been isolated. In the in vivo biopanning, peptides targeting distinct organs or tumors have been rescued after intravenous administration of phage libraries into mice. In one application, the isolated peptide ligands have been used to direct a cytotoxic drug to tumor vasculature in mice. Further applications in radioimaging and radiotherapy are being investigated.

Animals↗

A job with a view: perspectives from the corporate side of the hospital.

A change in job responsibilities from library manager to hospital administrator provides this year's Doe lecturer the opportunity to reflect on the values of the library profession from a fresh perspective. Librarians play a unique role and remain vital to the health care enterprise but are frequently misunderstood. Their role can be viewed from three angles: service, technology, and a unique sort of professionalism. Librarians must focus their service priorities on the needs of the institution, while remaining true to their own unique professional values. They must be advocates for the appropriate use of technology in support of those service roles. The passion that many librarians bring to their jobs makes librarianship a vocation as much as a profession. The mission and vision developed by the American Society of Health-System Pharmacists in 2001 provides a useful model for defining a personal professional mission and vision.

Attitude of Health Personnel↗

What is new with the beta2-agonists: issues in the management of asthma.

OBJECTIVE: To review the more recent literature addressing the issue of whether beta2-agonists can worsen asthma and/or increase the risk of severe exacerbations and death from asthma. DATA SOURCES: PubMed was searched (2001-December 2004), along with the Food and Drug Administration and Cochrane Library Web sites. In addition, the bibliographies of recent reviews of the subject were assessed. STUDY SELECTION AND DATA EXTRACTION: Randomized clinical trials, retrospective and prospective cohort studies, and meta-analyses published in the past 3 years were reviewed. Studies assessing the potential for beta2-agonists to worsen outcomes in asthma as well as long-term studies assessing asthma outcomes that included an arm with regular administration of short- or long-acting inhaled beta2-agonists (LABAs) were selected. Worsening asthma was defined as a decline in lung function, an increase in bronchial hyperresponsiveness, exacerbations, or death. Studies older than 3 years selected from the bibliographies of the primary articles that addressed background perspective were also included where appropriate. DATA SYNTHESIS: The studies fell into 3 primary categories with some overlap: those assessing toxicity of the S-enantiomer of albuterol, those evaluating the risk of specific genotypes regarding worsening asthma, and those assessing asthma outcomes with LABA therapy. CONCLUSIONS: The current data on the use of beta2-agonists continue to support the national and international guidelines for the treatment of asthma. That is, short-acting inhaled beta2-agonists should only be used as needed for symptoms and prevention of exercise-induced bronchospasm, and LABAs should only be used regularly as adjunctive therapy with inhaled corticosteroids in patients whose asthma is not controlled with low to medium doses of the inhaled corticosteroid.

Administration, Inhalation↗

The delivery of continuing education: teleconferencing, an alternative mode.

An experimental offering of the Medical Library Association's continuing education course CE 46, Library Management/Budgeting, was made available to sixteen health sciences librarians via the University of Wisconsin-Education Telephone Network. Features of the hardware of the teleconference network, a few applications relating to medicine and library science, and administrative considerations are examined. The paper also describes how the experimental course was conducted, course participants, design, problems encountered, and evaluation data obtained from participants. A comparison between the teleconferencing mode of delivery and the traditional face-to-face format is stressed. Recommendations call for continued consideration of teleconferencing as a method of delivering continuing education courses and suggest the possibility of MLA providing its own teleconferencing network.

Education, Continuing↗