MDMLG News

Volume 31, Number 4
June 2005

 

 

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:

    1. Greenhalgh, Trisha. How to Read a Paper: the basics of evidence based medicine. 2nd ed. London: BMJ Books, 2001
    2. Evidence-based Medicine Recap: Systemic Review and Meta-Analysis (last viewed 5/31/05)
    3. How to Use a Review (Centre for Health Evidence-Users' Guides to Evidence-Based Practice) (last viewed 5/31/05)
    4. 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:

    1. Recreating services with New Technologies: Service strategies for the millennium (#2004, 8 contact hours), Stephen Abram, Dysart & Jones Associates, Toronto, ON
    2. Copyright and electronic licensing issues (#4021, 4 contact hours), Marilu Goodyear, Lawrence, KS
    3. 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

    Jennifer Bowen jbowen@dmc.org 
    Carla Caretto ccaretto25@hotmail.com 
    Nandita Mani nmani@med.wayne.edu 
    Juliet Mullenmeister mullenmj@trinity-health.org 
    Marie-Lise Shams  shamsml@udmercy.edu 
    Sheryl Stevens sstevens@mco.edu 
    Christina Wallace, Chair cwallace@jstor.org 
    Valerie Reid, Webmaster vreid1@sladen.hfhs.org

     

    BACK TO THE TOP

     

    Newsletter Home  |  MDMLG Home
    Site Index