Christina Wallace, Editor
Valerie Reid, Webmaster
Table of Contents
MDMLG Summer Luncheon
Help! I Need a Review Article: Systematic Reviews and
Meta-Analyses
Michigan Library
Association Annual Conference
MLA '05-- Futuro Magnifico!
MHSLA Fall Conference 2005
E-Tracking: Keeping Statistics on our Electronic Resources
Recent Literature: 'Expert Searching' Bibliography
- 2005
Announcements
MDMLG Summer Luncheon
Make Thursday, June 16th your day to come to the island and enjoy lunch with
your library friends! The MDMLG Summer Luncheon will take place at the Detroit
Yacht Club on beautiful Belle Isle in Detroit. Our duet entree luncheon consists
of Chicken Princess and London Broil with vegetable medley, herb-roasted
potatoes, garden salad, rolls, butter, coffee, tea, or iced tea, and dessert
table. Valet parking is included in the price of your luncheon: $15 members, $30
non-members, $40 luncheon and membership.
Our speaker will be Gloria Jeff, Director of the Michigan Department of
Transportation who will speak to us of professionalism in the workplace.
Enjoy your elegant lunch in the restored clubhouse complete with ornate plaster
and Pewabic tile. A tour of the clubhouse will be included. Commodore Maisir
will provide a welcome and we will have a short business meeting.
Because our luncheon will be in the Fountain Room of the DYC, the 'second floor
dress code' is in effect. This is: suits and ties for men, business dress suits
or pants suits for women. I know you are all professionals, but I had to assure
the Detroit Yacht Club that I would mention this rule.
ALSO, the chef will be preparing a special dessert table of Black Forest Torte,
French Silk Pie,
Fresh Fruit, Cheesecake with strawberry sauce, cookies, and brownies.
Please check the MDMLG website for further details, directions, and a
registration form. We must have your RSVP by June 8th or you won't get onto the
island!!!
See you there.
Diana Balint
Oakwood Southshore Medical Center Medical Library
BACK TO THE TOP
Help! I Need a Review Article: Systematic Reviews and
Meta-Analyses
In my last article for the MDMLG News, I wrote that I would continue
my discussion about medical research statistics with a follow-up article
discussing statistics having to do with non-primary sources. Here it is folks.
The three types we will discuss are Systematic Reviews, Narrative Reviews and
Meta-Analyses. These are related methodologies, but they have different flavors.
Systematic reviews synthesize the strategies, assembly, and methodologies
of all relevant studies on a specific topic. They are also what most of our
physicians come in and ask us to locate. They are intended to look for bias and
to provide critical appraisal of all research on a given topic. They aim to be
as comprehensive as possible on a given topic, and therefore, present results
that ideally should carry medical decision-making weight for physicians.
Another type of review article is called a narrative review. They are
often broad in scope, may or may not prove to be unbiased, and may not meet the
critical appraisals, which exemplifies a systematic review. They may, however,
offer a broad perspective on a topic, and serve as a place to start to acquaint
a patron with a given condition or procedure. They may be historic in nature or
place the condition or procedure in context.
A meta-analysis is another type of review, which serves as a
statistical synthesis of the numerical results of several trials that all
addressed the same research question. 1 These reviews may be
particularly helpful to the clinician because, as they are re-evaluating the
original research figures, they may change the reporting mechanism and allow for
easier comparison of dosages and regimens. The number-heavy nature of the
meta-analysis may, in some cases, more particularly answer the clinical query.
They also test if the studies' outcomes show more variation than is expected
because of sampling more participants.
Review articles in general are useful to clinicians because they allow large
amounts of data to be amassed and interpreted for easier assimilation. They can
help reduce bias in terms of data conclusion and reporting, and can generate
reasons for inconsistency in results across studies in terms of methodologies
and results. They can also evaluate therapeutic effectiveness on a large scale
depending on the quality of the information available to the reviewer.
A valid review article should 2:
State the objectives of the review and explain criteria for inclusion and
exclusion
Do an exhaustive search for studies so that the wealth of available
material can be reviewed on a given topic
Assess methodological quality
Assemble the most complete data set possible
Carefully report results and justify conclusions with detailed explanation
of methods use to tabulate data
How sensitive are the results to the way the review was done?
There are some more questions a clinician should ask: 3
Is it unlikely that relevant studies were missed?
Was the validity of the included studies appraised?
Were assessments of studies reproducible?
Were the results similar from study to study?
What were the overall results or the review?
Can the results be applied to clinical patient care?
Were all clinically important outcomes considered?
Are the benefits worth the harms and costs?
There are inherent advantages to concluding results from a large pool of data
using consistent methodologies. Individual studies may not generate significant
results, but they might if data are pooled. Statistics that were insignificant
or inconclusive in an initial study may prove to have validity in larger groups.
The advantages review articles can give to clinicians and researchers are
numerous. They can define what is known and not known (or not proven). Single
studies are less likely to provide definitive answers. They can summarize
existing data and help define future research needs. Properly conducted and
analyzed reviews can give clinicians more clear guidance in terms of patient
care. In turn, clinicians can write better patient care policies, and provide
better guidelines for care.
However, review articles cannot take the place of sound clinical reasoning.
They cannot eliminate risk. They cannot "fix" bad methodology or statistical
compilation. They are by nature not cutting edge. It takes a little bit of time
for there to exist a large enough group of studies for the reviews to be a valid
representation of results. Because the review process itself (as with any
research process) 4 can contain bias, reviews cannot entirely
eliminate bias, but they can control it to a much larger degree than an
individual study, particularly if it has a smaller sample population. It's
always wisest to look at the results using best clinical judgment.
Review articles can be the most efficient routes to an answer for many
clinical queries. They can summarize results of many studies so that the
clinician can make treatment decisions and advise their patients. Currently,
there is more coverage of reviews than at any time in the past, and this trend
will more than likely continue as Evidence-Based Medicine and best nursing
practices increase. It's even more crucial that we all look at how the review is
undertaken in order to understand the results.
References:
- Greenhalgh, Trisha. How to Read a Paper: the basics of evidence based
medicine. 2nd ed. London: BMJ Books, 2001
- Evidence-based Medicine Recap: Systemic Review and Meta-Analysis (last
viewed 5/31/05)
- How to Use a Review (Centre for Health Evidence-Users' Guides to
Evidence-Based Practice) (last viewed 5/31/05)
- Cook DJ, Mulrow CD, Haynes RB. Systematic reviews: synthesis of best
evidence for clinical decisions. Ann Intern Med. 1997 Mar 1;126(5):376-80.
Juliet
Mullenmeister
St. Joseph Mercy of Macomb Medical Library
BACK TO THE TOP
Michigan Library
Association Annual Conference
The Michigan Library Association Annual Conference will be held October
25-28, 2005 at the Amway Grand Plaza Hotel in Grand Rapids, Michigan. This
year's theme "Libraries Helping Grow Minds" was inspired by the city's gardens
and sculpture park.
The Banquet keynote speaker T.H. Baughman, professor of history at the
University of Central Oklahoma, will talk about his research on polar history
and the leadership lessons learned from historical and polar figures. Other
keynote speakers include Chris Crutcher, a family therapist and banned author,
whose topic is "When real life meets the censor". Miles Harvey will present his
latest research on the 16th Century French artist Jacques Le Moyne de Morgues.
The Academic and Research Library Division is seeking proposals for the poster
sessions. The flyer, guidelines and application form are available on the
Program page of the Conference Website. The Librarian on the Loose is resuming
her travel adventures in Michigan during the summer. This year she is "blogging"
and her journal and pictures will be presented at the live auction. Area
attractions and walking and driving tours are listed on the Special Events Web
site. Conference participants will receive admission discounts to the Frederik
Meijer Gardens and Sculpture Park, the Gerald R. Ford Museum, Grand Rapids Art
Museum, Meyer May House, Van Andel Museum Center, and Voight House Victorian
Museum. The division and round tables programs and the program booklet will be
posted on the Web site.
Marie-Lise Shams
University of Detroit Mercy Dental Library
BACK TO THE TOP
MLA '05 -- Futuro Magnifico!
The 2005 MLA Futuro Magnifico Conference in San Antonio was a huge success.
There was a large turn-out and the sessions were extremely informative.
Attending the conference was a perfect opportunity to network, collaborate, and
discuss important initiatives that were in progress with colleagues. This avenue
of communication proved to be invaluable. It was clear from the variety of
projects being undertaken, that as health information professionals we are
reaching out to provide vital services to our patrons.
Shiffman Librarians @ MLA 2005 -- Futuro Magnifico
The following paper and poster sessions were presented by the Vera P.
Shiffman Medical Library at Wayne State University:
Paper Sessions
Nandita S. Mani & Wendy G. Wu "Delivering Personal Digital Assistant
(PDA) Information Alerts: AvantGo and Weblogs to the Rescue!"
Sandra I. Martin, Deborah H. Charbonneau & Ellen B. Marks "House Calls,
Information Clinics, and Inquiry: Revitalizing and Marketing Library Services to
Clinicians"
Poster Sessions
Deborah H. Charbonneau, Ellen B. Marks & Annette M. Healy "Collaborative
Campus-Community Model to Provide Quality Health Information to Arabic-Speaking
Providers and Consumers"
Nandita S. Mani and Wendy G. Wu "A Diverse Information Delivery Method:
AvantGo Made Easy for Librarians"
Sandra I. Martin & Deborah H. Charbonneau "Roadmap to Service Redesign:
Innovation in Library Staff Development and Accountability"
More information on the MLA'05 Conference proceedings can be found on the
MLANET.org website or you can purchase a copy of the MLA 2005 CD-ROM which
contains plenary sessions and section programs.
Nandita Mani
Wayne State University / Shiffman Medical Library
BACK TO THE TOP
MHSLA Fall Conference
2005
Pack your bags and head North for "Camp MHSLA: E-Ventures in Learning",
the Michigan Health Sciences Libraries Association Fall Conference. The 2005
Conference will be held at the beautiful Crystal Mountain Resort in
Thompsonville Michigan, thirty miles southwest of Traverse City, Michigan.
Programming for the three day conference will include an opening keynote
address by Jean Chabut, Chief Administrative Officer of the Michigan Department
of Community Health and a closing keynote address by clinical psychologist,
Vince Cornellier, Ph.D. entitled: Information as energy - from Dewey
Decimal to Quantum: Is the Librarian the motherboard?
MLA continuing education courses are scheduled for Wednesday, September 21:
- Recreating services with New Technologies: Service strategies for the
millennium (#2004, 8 contact hours), Stephen Abram, Dysart & Jones
Associates, Toronto, ON
- Copyright and electronic licensing issues (#4021, 4 contact hours),
Marilu Goodyear, Lawrence, KS
- Teaching evidence-based health care resources (#6611, 4 contact
hours), Jan Glover
Other sessions include: Link Resolver, Technologies for Personal Information
Management, Human Animal Bond, GMR Update and Contributed Posters and Papers.
In addition to networking, education and speakers, special events centered
around the outdoor beauty of Fall in Northern Michigan will be part of the
experience. Mark your calendars and plan to attend an exciting and stimulating
conference. Registration materials will be mailed in early June.
For more information and registration packets, consult the MHSLA website (
http://www.mhsla.org )
or contact
Munson Medical Center
Department of Library Services
1105 Sixth Street, Traverse City, MI 49684
231-935-6170
Library-HealthSciences@mhc.net
BACK TO THE TOP
E-Tracking: Keeping Statistics on our Electronic
Resources
In a time of budget cuts, reduced government funding, and library closures,
everyone has a responsibility to the hospital board to justify expenses.
However, during this time when door counts mean little and many administrators
believe everything to be free on the Internet, it is the health sciences
librarian's responsibility to communicate the value and worth of the library
resources. Whether it is fair or not, 'worth' and 'value' are often tied up with
'usage.' Usage statistics are tangibles that non-librarians, such as hospital
boards, can understand. But what is the best way to communicate usage for the
majority of our resources which are electronic? The MDMLG News has
touched on this topic in the past. Reports and Statistics: Communicating the
Value of Health Sciences Libraries appeared in the June 2004 issue (Vol. 30 #5).
However, as a group, MDMLG has not undertaken a recent survey to see how medical
librarians are maintaining statistics for e-resources. With many
single-librarian libraries as MDMLG members, it is important to share knowledge
about communicating our value, and with such rapidly changing technology, it is
difficult to keep up on your own.
Coming soon to the MDMLG website will be a survey to determine how we keep
track of our electronic resources as a group. The survey will be anonymous and
the results will be published in the next issue of the MDMLG News with an
analysis. Please participate if possible. Also, if you know of any good
materials on the subject of keeping statistics on electronic resources such as
books, websites, articles, software, etc., please send a list of suggested
resources to Christina Wallace via email. The collated list will also appear in
the next issue of the MDMLG News.
Brief Web-liography -- Electronic Resources and Usage Monitoring
Abels, EG., Cogdill, KW., Zach, L. "Identifying and communicating the
contributions of library and information services in hospitals and academic
health sciences centers." J Med Libr Assoc. 2004 January; 92(1): 46-55.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=314102
Bracke, PJ. "Web usage mining at an academic health sciences library: an
exploratory study." J Med Libr Assoc. 2004 October; 92(4): 421-428.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=521513
Covey, Denise. (2002). Usage and Usability Assessment: Library Practices
and Concerns.
http://www.clir.org/pubs/reports/pub105/contents.html
Davis, P.M., Solla, L.R. "An IP-level analysis of usage statistics for
electronic journals in chemistry: Making inferences about user behavior."
Journal of the American Society for Information Science and Technology.
Volume 54, Issue 11, Pages 1062-1068.
http://www3.interscience.wiley.com/cgi-bin/abstract/104537254/ABSTRACT
Franklin, B., Plum, T. "Library usage patterns in the electronic information
environment." Information Research, Vol. 9 No. 4, July 2004.
http://informationr.net/ir/9-4/paper187.html
Franklin B., Plum T. "Networked electronic services usage patterns at four
academic health sciences libraries." Performance Measurement and Metrics,
November 2002, Vol. 3, No. 3, pp. 123-133(11).
http://www.ingentaconnect.com/search/expand?pub=infobike://mcb/279/2002/00000003/00000003/art00002
ICOLC Issues Guidelines on Web Usage Statistics (1998).
http://www.library.yale.edu/~llicense/ListArchives/9811/msg00005.html
ICOLC Release - Preferred Practices & Web Statistics Updated (2001).
http://www.library.yale.edu/~llicense/ListArchives/0112/msg00014.html
Luther, Judy. (2001). White Paper on Electronic Journal usage.
Accessed May 24, 2005 at
http://www.clir.org/pubs/reports/pub94/pub94.pdf
Rozic-Hristovski, A., Hristovski, D., Todorovski L. "Users'
information-seeking behavior on a medical library Website." J Med Libr Assoc.
2002 April; 90(2): 210-217.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=100766
Shepherd, PT. "COUNTER: towards reliable vendor usage statistics." VINE,
April 2004, Vol. 34, No. 4, pp. 184-189(6).
http://www.ingentaconnect.com/content/mcb/287/2004/00000034/00000004/art00008
Website:
Council on Library and Information Resources (CLIR)
http://www.clir.org/index.html
Christina Wallace
JSTOR
BACK TO THE TOP
Recent Literature: 'Expert Searching'
Bibliography - 2005
Recently there was a great series of articles in the Journal of the
Medical Library Association on the topic of expert searching. The following
list, while not comprehensive, represents many aspects of expert searching.
Systematic reviews need systematic searchers
Jessie McGowan, Margaret Sampson
J Med Libr Assoc. 2005 January; 93(1): 74-80.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=545125
An evolution of experts: MEDLINE in the library school
Catherine Arnott Smith
J Med Libr Assoc. 2005 January; 93(1): 53-60.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=545122
Role of expert searching in health sciences libraries
Policy Statement by the Medical Library Association adopted September 2003
J Med Libr Assoc. 2005 January; 93(1): 42-44.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=545120
State of the art of expert searching: results of a Medical Library
Association survey
Ruth Holst, Carla J. Funk
J Med Libr Assoc. 2005 January; 93(1): 45-52.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=545121
Peer training in expert searching: the observation effect
Dorice L. Vieira
J Med Libr Assoc. 2005 January; 93(1): 69-73.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=545124
Expert searching
Ruth Holst
J Med Libr Assoc. 2005 January; 93(1): 41.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=545119
The role of expert searching in the Family Physicians' Inquiries Network (FPIN)
Deborah Ward, Susan E. Meadows, and Joan E. Nashelsky
J Med Libr Assoc. 2005 January; 93(1): 88-96.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=545127
The librarian's roles in the systematic review process: a case study
Martha R. Harris
J Med Libr Assoc. 2005 January; 93(1): 81-87.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=545126
Understanding the foundation: the state of generalist search education in
library schools as related to the needs of expert searchers in medical libraries
Scott Nicholson
J Med Libr Assoc. 2005 January; 93(1): 61-68.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=545123
Christina Wallace
JSTOR
BACK TO THE TOP
Announcements
Congratulations to Jill Turner, the first recipient of the MDMLG
Scholarship. She received a one-year membership to MDMLG, an invitation to the
Summer Luncheon, an award certificate, her name on a plaque displayed in the
LISP department, and a monetary award.
The ceremony on May 5th went very well. Lynda Baker and Marilyn
Kostrzewski presented the award. Photographs were taken to memorialize the
event. Dr. Mika was very verbose in his appreciation for the support of our
organization and establishing a new scholarship.
In addition, Doris Blauet and all her staff were there to celebrate the
graduation and awards to Melanie Bednarski.
The award is great PR for our organization and a great opportunity for LIS
students.
BACK TO THE TOP
Maureen LeLacheur passed away on April 13, 2005 after a long battle with
cancer. She was 61 years old, and had been married to her husband, Bill, for 41
years.
Before becoming a librarian, Maureen was an English instructor at the Detroit
Bible College. She started her librarian career working at Metropolitan
Hospital, which turned into the Detroit Northwest Clinic Library. Her next job
was at Mercy Hospital Library on Conner on the east side of Detroit. When that
library closed in 2000, she transferred to the Henry Ford Hospital Sladen
Library. She retired in 2002, but maintained her MDMLG membership. Most
recently, she was able to attend the December MDMLG Meeting at Henry Ford
Hospital. Her home address is listed in the MDMLG Directory, should you want to
send a card to her husband.
Memorials, in lieu of flowers, should be sent to either:
Jews for Jesus
60 Haight Street
San Francisco, California 94102-5895
or
Michigan Theological Seminary
41550 Ann Arbor Trail
Plymouth, MI 48170
Valerie Reid
Henry Ford Hospital Sladen Library
BACK TO THE TOP
Karen Tubolino is pleased to announce that Christine Miller has
accepted the position of MDMLG Secretary to complete Dee Callaway's term of
office. Christine began taking minutes at our April 4th meeting and
we are all very grateful.
BACK TO THE TOP
Communications Committee 2004-2005
BACK TO THE TOP
Newsletter Home | MDMLG Home
Site
Index
|