20th - 24 December
Due to adverse weather conditions the library will be shutting at 8pm on 22nd and 23rd December. Further snowfall may require earlier closure. Please phone to check that the library is open before coming in.
Phone:- 01223 336750
It will close at 12:30 on 24th December
Monday, December 20, 2010
Monday, December 13, 2010
Merry Christmas
The Medical Library will
close at 12.30pm on Friday 24th December 2010,
and reopen at 8.00am Tuesday 4th January 2011.
We wish all members of the Medical Library a very merry Christmas,
and best wishes for the new year.
Thursday, December 09, 2010
Cochrane Updates - new reviews & protocols for 2010 + audio updates
The Cochrane Library has been updated with a wealth of new and updated protocols and systematic reviews.
Included are:
You may also be interested the Audio Updates from The Cochrane Library - audio summaries of some of the new reviews.
Included are:
- Music interventions for mechanically ventilated patients
- Vitamin A supplementation for preventing morbidity and mortality in children from 6 months to 5 years of age
- Sublingual immunotherapy for allergic rhinitis
- Altered dietary salt intake for preventing and treating diabetic kidney disease
- Opioid antagonists for alcohol dependence
- Sound therapy (masking) in the management of tinnitus in adults
- Ginseng for cognition
For the full list of new content is available. You can search the whole Cochrane Library too.
Monday, December 06, 2010
3 x NHS Annual Evidence Updates: Stroke Rehabilitation; Malignancies post Kidney Transplant; Alcoholic Liver Disease
Stroke Rehabiliation
From the NHS Evidence Specialist Collection: Stroke
The 2010 Evidence Update on Stroke Rehabilitation covers systematic reviews published between 1st July 2009 and 30th September 2010, with expert reviewers summarising evidence and commenting on key developments in the field.
The 2010 update of the Annual Evidence Update on post-transplant lymphoproliferative disease (PTLD) will be live on the 6 December 2010. We have reviewed the literature for relevant systematic reviews, randomised controlled trials and cohort studies, and assessed the impact of this new evidence published since the introduction of the BSH/BTS guidelines for the diagnosis and management of PTLD which were published in June 2010.
Alcoholic Liver Disease
from the NHS Evidence Specialist Collection: gastroenterology and liver diseases
An update of the evidence on this topic NHS Evidence - gastroenterology and liver diseases.
NHS Evidence – gastroenterology and liver diseases will be publishing its second Evidence Update on alcoholic liver diseases on 6 December 2010. Alcohol misuse produces a spectrum of liver injury ranging from simple fatty change through alcoholic hepatitis to cirrhosis and, in some 20% of individuals, to hepatocellular carcinoma. We will be presenting an overview of the best systematic reviews from the past year, along with commentaries from experts in the field. We will also provide links to useful policy documents and other items of interest.
From the NHS Evidence Specialist Collection: Stroke
The 2010 Evidence Update on Stroke Rehabilitation covers systematic reviews published between 1st July 2009 and 30th September 2010, with expert reviewers summarising evidence and commenting on key developments in the field.
Malignancies Post Kidney Transplant
from the NHS Evidence Specialist Collection: kidney diseases and male urogenital disorders
An update of the evidence on this topic NHS Evidence - kidney diseases and male urogenital disorders.
The 2010 update of the Annual Evidence Update on post-transplant lymphoproliferative disease (PTLD) will be live on the 6 December 2010. We have reviewed the literature for relevant systematic reviews, randomised controlled trials and cohort studies, and assessed the impact of this new evidence published since the introduction of the BSH/BTS guidelines for the diagnosis and management of PTLD which were published in June 2010.
Alcoholic Liver Disease
from the NHS Evidence Specialist Collection: gastroenterology and liver diseases
An update of the evidence on this topic NHS Evidence - gastroenterology and liver diseases.
NHS Evidence – gastroenterology and liver diseases will be publishing its second Evidence Update on alcoholic liver diseases on 6 December 2010. Alcohol misuse produces a spectrum of liver injury ranging from simple fatty change through alcoholic hepatitis to cirrhosis and, in some 20% of individuals, to hepatocellular carcinoma. We will be presenting an overview of the best systematic reviews from the past year, along with commentaries from experts in the field. We will also provide links to useful policy documents and other items of interest.
Friday, November 26, 2010
Migration to e-journals
As part of the Medical Library’s continued migration to e-journals more print journals, which are duplicated within Cambridge University Libraries, have been identified for possible disposal to the UK Research Reserve, (see http://www.ukrr.ac.uk/.) This will allow the Medical Library to use the space for more pressing needs.
Please see the attached list, following this link
If you have any comments regarding our disposal of any particular title on the list, please email Anne Collins, ac224@cam.ac.uk before Friday 3rd December.
Monday, November 15, 2010
NHS Evidence Update: End of Life Care
This year's Annual Evidence Update (AEU) from the commissioning and innovation and improvement specialist collections is on end of life care.
It aims to bring together up-to-date knowledge and evidence about aspects of end of life care, including patient experience, measurement, pathways and access to services.
Thursday, November 11, 2010
Listen again .... BBC Radio 4 "Care in the UK 2010"
"The way care is funded and provided remains one of the biggest unresolved matters of the age, but we are at a turning point.
Three quarters of us are likely to need some form of social care during our retirement, and thousands of younger disabled people are already requiring social care, according to a recent White Paper. Many thousands of others are affected in their role as a carer.
Radio 4's Care in the UK season looks at the costs of care and asks who should pay."
http://www.bbc.co.uk/radio4/features/you-and-yours/care-in-the-uk-2010/
Listen again to the podcasts, try the care calculator, and more.
Three quarters of us are likely to need some form of social care during our retirement, and thousands of younger disabled people are already requiring social care, according to a recent White Paper. Many thousands of others are affected in their role as a carer.
Radio 4's Care in the UK season looks at the costs of care and asks who should pay."
http://www.bbc.co.uk/radio4/features/you-and-yours/care-in-the-uk-2010/
Listen again to the podcasts, try the care calculator, and more.
Monday, November 08, 2010
NHS Evidence Update: Diabetes
Annual Evidence Update: Diabetes
From NHS Evidence: Diabetes http://www.library.nhs.uk/Diabetes/
"... identifies new relevant systematic reviews on all aspects of diabetes care published between September 2009 and September 2010. As in previous years, the clinical lead of NHS Evidence – diabetes, Dr Roger Gadsby provides an overall commentary. This year we also have expert commentaries from Dr Ed Sharples on recently published evidence on Diabetic Nephropathy, and from Consultant Dietitian Lindsay Oliver on Vitamin D and Diabetes. "
The 2010 Annual Evidence Update on Diabetes has been published to coincide with World Diabetes Day on the 14th November 2010.
From NHS Evidence: Diabetes http://www.library.nhs.uk/Diabetes/
"... identifies new relevant systematic reviews on all aspects of diabetes care published between September 2009 and September 2010. As in previous years, the clinical lead of NHS Evidence – diabetes, Dr Roger Gadsby provides an overall commentary. This year we also have expert commentaries from Dr Ed Sharples on recently published evidence on Diabetic Nephropathy, and from Consultant Dietitian Lindsay Oliver on Vitamin D and Diabetes. "
The 2010 Annual Evidence Update on Diabetes has been published to coincide with World Diabetes Day on the 14th November 2010.
Medical Education England report
Foundation for Excellence
- An Evaluation of the Foundation Programme
- An Evaluation of the Foundation Programme
"Medical Education England (MEE) has launched its evaluation of the medical Foundation Programme, which was chaired by Professor John Collins, Visiting Professor in the Nuffield Department of Surgery at the University of Oxford.
Professor Collins’ report, ‘Foundation for Excellence’, is a detailed evaluation of the Foundation Programme based on extensive written and oral evidence that included a review of nearly 300 relevant publications. Professor Collins was supported by an Expert Panel that helped to conduct the evaluation and develop the final report and recommendations."
Full text (pdf) is available here from the Medical Education England website.
Tuesday, November 02, 2010
NHS Annual Evidence Update - Head & Neck Cancer; Psoriasis
collaboratively from NHS Evidence - cancer www.library.nhs.uk/cancer; NHS Evidence - ENT and audiology www.library.nhs.uk/ENT/ and NHS Evidence - oral health www.library.nhs.uk/oralhealth/
NHS Evidence specialist collections for cancer, ENT and audiology, and oral health will launch the first collaborative Head and Neck Cancer Annual Evidence Update on 1 November 2010.
The update will include key guidance and quality appraised systematic reviews published since the SIGN guidance, combined with expert commentaries on the following topics:
* Causes, risks and prevention
* Screening
* Assessment and diagnosis
* Treatment and disease management
* Service delivery and standards.
Additional therapeutic uncertainties will highlight research gaps and there will be links to relevant high quality patient information.
from NHS Evidence - skin disorders: www.library.nhs.uk/skin
NHS Evidence - skin disorders is publishing its fourth Annual Evidence Update on Psoriasis on 1 November 2010, with the results of a search for new national guidance and systematic reviews published since the 2009 Annual Evidence Update. There will be our usual “what’s new” analysis, discussing the new evidence and its implications for clinical practice — this year written by Dr Amy Foulkes, Professor Chris Griffiths and Dr Richard Warren.
Thursday, October 14, 2010
Changes to Wolfson Room Computing Facilities
It is always unsafe practice to save files to public computers.
Owing to changes to the server facilities from Tuesday 26th October 2010 it will no longer be possible to save files to the hard drive of the Wolfson Room computers.
The Wolfson Computer Room will be closed all day Wednesday 27th October 2010.
We apologise for any inconvenience this may cause.
- Please bring a memory stick/USB with you, or purchase one from the Library Desk if you wish to save documents.
- Please ensure you remove all documents from your profile by Tuesday 26th October
Monday, October 11, 2010
"Buying Healthcare" - BBC Radio4
"It will turn the NHS upside down" is one description of the proposed changes in the Health White Paper published in July.GPs are to be put in charge of buying services for their patients, a role currently held by the Primary Care Trusts. Penny Marshall investigates how this will change the NHS and asks what it will mean for patients."
Listen again to this BBC Radio4 programme (available for 7 days from 11th October 2010)
Listen again to this BBC Radio4 programme (available for 7 days from 11th October 2010)
Kings Fund responds to the NHS White Paper
"The White Paper Equity and Excellence: liberating the NHS represents one of the biggest shake ups of the health system since the NHS was established. We'll be looking at the issues that it raises, analysing the reforms it suggests and commenting on the topics it discusses in both a health care and wider context."
includes video, blogs, and audio.
includes video, blogs, and audio.
NHS Evidence - Annual Evidence Updates
Recent annual evidence updates from the NHS Evidence Specialist Collections are:
- Breast Cancer: 11-15 October 2010
This is the sixth Annual Evidence Update (AEU) on Breast Cancer prepared by NHS Evidence - cancer. It includes the systematic reviews and guidance that have been published since October 2009. - Heart Failure: 4-8 October 2010
Following on from the partial update of NICE's Heart Failure guidelines in August 2010 and our last evidence update in October 2009 this update for health professionals and patients will present significant advances in knowledge about heart failure. Topics will include diagnosis, pharmacology, organisation of care, devices, rehabilitation, palliative care and psychology. There will also be a section on uncertainties identified and, as usual, expert summaries will be included to help make sense of the new evidence presented - CAM for Depression: 4-8 October 2010
This is the third Annual Evidence Update on CAM for Depression. This update aims to identify, organise and present the latest information on this topic. We have searched a large number of databases for studies published or updated since the 2009 update.
This AEU presents the evidence on specific therapies and approaches such as acupuncture, diet and nutrition, herbal medicine, massage, meditation and mindfulness, and yoga. - Depression: 4-8 October 2010 The Annual Evidence Update (AEU) contains the best available evidence published on Depression during 2009-2010.The AEU is divided up into sections on:Epidemiology and Prevalence / UK and International Guidelines / Neuropsychology / Diagnosis and Risk Factors / Pharmacological Treatments including: SSRIs, SNRIs and TCAs / Psychosocial Treatments including: CBT and CCBT / Other Treatments including: Electroconvulsive therapy and Transcranial Magnetic Stimulation / Populations and Settings including: Children and Adolescents, Older People, Women, Ethnicity and the Workplace / Genetics / Co morbidity / Dual DiagnosisThe NHS Evidence – mental health team have searched and sifted evidence from a number of databases, including Medline, Embase, PsycINFO, Cinahl and TRIP.
- Antenatal and Pregnancy Care: 27 September - 1 October 2010
NHS Evidence - women's health is holding its next Annual Evidence Update from Monday 27 September. The Antenatal Care Evidence Update builds on the accumulated knowledge-base and provides an up-to-date summary of the latest evidence in this area including the provision of antenatal care, patient information needs, common pregnancy problems, antenatal ultrasound and fetal monitoring. All the information contained in our AEU has been subject to rigorous selection criteria. We know it is very difficult for busy health professionals to keep up-to-date with the huge volume of literature that is published each year and so the specialist collections are here to do this for you.
Wednesday, October 06, 2010
NHS Evidence is now mobile
1. Start the web browser you phone
2. Type http://m.evidence.nhs.uk into the address field
3. Press “Go”
It's as easy as that to access the high quality evidence searchable via NHS Evidence on you iPhone, or any mobile device.
2. Type http://m.evidence.nhs.uk into the address field
3. Press “Go”
It's as easy as that to access the high quality evidence searchable via NHS Evidence on you iPhone, or any mobile device.
Tuesday, October 05, 2010
NNT - critical appraisal just got easier
"number of patients that need to be treated for
one to benefit compared with a control"
one to benefit compared with a control"
Number needed to treat is a useful measure when evaluating the benefit (or harm) of a new treatment. Sometimes that's not terribly clear from the articles which are published (although there are calculations you can do to work out the NTT, such as this one from EBEM.org, or this one from CEBM.org or this one from GP-Training.net)
There's a new website that might help too - http://www.thennt.com/
"At TheNNT.com we believe that the traditional peer review process, while effective in some ways, has led to important problems in the way evidence is presented, interpreted, and implemented. In particular the methods of results reporting in peer-reviewed medical journals have not been consistent, clear, or understandable. TheNNT.com is designed to address this gap."
You can search, or browse by speciality, system or by rating (green, amber, red, depending on how much benefit or harm there is).
Essence of Care 2010
Essence of Care 2010 is now available.
It contains 12 benchmarks, following a consultation exercise late in 2009. It aims to support localised quality improvement, by providing a set of established and refreshed benchmarks supporting front line care across care settings at a local level.
The benchmarking process outlined in Essence of Care 2010 helps practitioners to take a structured approach to sharing and comparing practice, enabling them to identify the best and to develop action plans to remedy poor practice. This edition supersedes the previous versions originating since 2001.
Full range of documentation is available from DoH website.
It contains 12 benchmarks, following a consultation exercise late in 2009. It aims to support localised quality improvement, by providing a set of established and refreshed benchmarks supporting front line care across care settings at a local level.
The benchmarking process outlined in Essence of Care 2010 helps practitioners to take a structured approach to sharing and comparing practice, enabling them to identify the best and to develop action plans to remedy poor practice. This edition supersedes the previous versions originating since 2001.
Full range of documentation is available from DoH website.
Thursday, August 12, 2010
Drug Resistant Bacteria - an analysis
The recent news stories about a new drug resistant super-bug were ignited by "Emergence of a new antibiotic resistance mechanism in India, Pakistan, and the UK: a molecular, biological, and epidemiological study" Kumarasamy,KK; Toleman, MA; Walsh, TR et al
The Lancet Infectious Diseases, Early Online Publication, 11 August 2010 doi:10.1016/S1473-3099(10)70143-2
Lancet Infectious Diseases provides some Reflection and Reaction
Full text access to both the article and reflection is available on University computers in the library, or using University of Cambridge RAVEN login.
You may also find it helpful to read the useful overview and analys provided by NHS Choices Hitting the Headlines service
The Lancet Infectious Diseases, Early Online Publication, 11 August 2010 doi:10.1016/S1473-3099(10)70143-2
Lancet Infectious Diseases provides some Reflection and Reaction
Full text access to both the article and reflection is available on University computers in the library, or using University of Cambridge RAVEN login.
You may also find it helpful to read the useful overview and analys provided by NHS Choices Hitting the Headlines service
Tuesday, July 27, 2010
summer reading - e-books weigh less in your suitcase!
The Medical Library is delighted to announce that the Oxford Textbook of Medicine (5th edition) is now available as an e-book to all library users.
"The Oxford Textbook of Medicine is the foremost international textbook of medicine. Unrivalled in its coverage of the scientific aspects and clinical practice of internal medicine and its subspecialties, it is a fixture in the offices and wards of physicians around the world."
Use your
Using NHS ATHENS, log in here and browse the titles available to you.
Titles include
Using the University computers and wifi in the Medical Library or RAVEN login if you're "off campus" then any books you find on Newton the library catalogue that have [electronic resource] after their title are just that - e-books.
Titles include:
"The Oxford Textbook of Medicine is the foremost international textbook of medicine. Unrivalled in its coverage of the scientific aspects and clinical practice of internal medicine and its subspecialties, it is a fixture in the offices and wards of physicians around the world."
Use your
- University RAVEN login or
- your NHS ATHENS login or
- the computers and wifi in the library with no password (or any university networked computer),
The addition of the OTM compliments
the existing wide range of e-books available:
the existing wide range of e-books available:
Using NHS ATHENS, log in here and browse the titles available to you.
Titles include
- Concept Mapping: A Critical-Thinking Approach to Care Planning
- Dementia Nursing: A Guide to Practice
- Oxford Textbook of Palliative Medicine
- Oxford Handbook of Nurse Prescribing
- Oxford Handbook of General Practice
- Trauma: Emergency Resuscitation, Perioperative Anesthesia, Surgical Management
Using the University computers and wifi in the Medical Library or RAVEN login if you're "off campus" then any books you find on Newton the library catalogue that have [electronic resource] after their title are just that - e-books.
Titles include:
- Child Public Health - Waterston, Dr Tony; Blair, Dr Mitch; Crowther, Dr Rachel; Stewart-Brown, Professor Sarah.January 2010.
- Public Health - Walley, John; Wright, John. January 2010.
- ABC of Eyes - Khaw, P. T.; Shah, P.; Elkington, A. R. 4Th Ed. 2004.
- ABC of Diabetes - Watkins, Peter J. 2003.
- ABC of Clinical Genetics - Kingston, Helen M. 2002.
- Critical Appraisal of Epidemiological Studies and Clinical Trials - Elwood, Mark. January 2007.
- Risk Communication and Public Health - Bennett, Peter; Fischbacher-Smith, Denis; Curtis, Sarah; Calman, Kenneth. January 2010.
- The Limits of Consent - Richards, Martin; McMillan, John; Weijer, Charles; Liddell, Kathleen; Corrigan, Oonagh. January 2009.
Inside the Ethics Committee - podcast
BBC Radio 4's Inside the Ethics Committee is back since last Tuesday - you can listen again or download to your MP3 player the last series and the more recent programmes.
Today's programme looked at "When should a seriously ill child have a say in their treatment?" and last weeks at "Should a man who believes his life-saving surgery is a conspiracy to kill him be forced?"
The programmes are produced in conjunction with the Open University and more information about the programme is available including a conversation with convenor of the Addenbrooke's Hospital clincal ethics forum, Rebekah Ley.
Today's programme looked at "When should a seriously ill child have a say in their treatment?" and last weeks at "Should a man who believes his life-saving surgery is a conspiracy to kill him be forced?"
The programmes are produced in conjunction with the Open University and more information about the programme is available including a conversation with convenor of the Addenbrooke's Hospital clincal ethics forum, Rebekah Ley.
Tuesday, July 13, 2010
"Equity and Excellence - Liberating the NHS"
With the publication of the White Paper "Equity and Excellence: Liberating the NHS" there are several overviews which you might find useful:
The Knowledge & Library Service at Newham University Hospital NHS Trust have created a blog post which brings together both their synopsis and also many comments from other sources, including Kings Fund, NHS Confederations, and many comments from newspapers and other media
There is also a media round up available from the busy folk at Newnham - including links to Newsnight extended coverage (12 July 2010) – iPlayer (available until 19 July 2010)
here's what people are Twitter-ing about "equity and excellence" and "#healthwhitepaper" and "nhswhitepaper"- Plus, this from the NHS Evidence Health Management specialist collection which includes opinion and analysis from a wide variety of sources.
Wednesday, July 07, 2010
CEBM: Resources & YouTube channel
The Oxford based Centre for Evidence Based Medicine have made a wide selection of powerpoints available from their website.
Titles include:
This is just one example of the content:
"A Clinical Introduction to a Pre-Clinical Course in Biostatistics" which features Professor David Sackett teaching first-year medical students
Titles include:
- Introduction to EBM - Paul Glasziou
- RCT Appraisal - Dan Lasserson
- Systematic Reviews - Paul Glasziou
This is just one example of the content:
"A Clinical Introduction to a Pre-Clinical Course in Biostatistics" which features Professor David Sackett teaching first-year medical students
Monday, July 05, 2010
Monday, June 28, 2010
Spring Clean for Library Catalogue - update
UPDATE (30th June 2010): thank you for your patience - the catalogue is back, better than ever, but looking pretty much exactly the same!
NHS Evidence Update: Health needs of people with Learning Disabilities
Health needs of people with Learning Disabilities
from the NHS Evidence - learning disabilities specialist collection
People with learning disabilities have a higher level of health needs than the general population, many of which are unmet. The Health Needs Annual Evidence Update 2010 will provide bibliographies of published research for the following key health issues:
from the NHS Evidence - learning disabilities specialist collection
People with learning disabilities have a higher level of health needs than the general population, many of which are unmet. The Health Needs Annual Evidence Update 2010 will provide bibliographies of published research for the following key health issues:
- Cancer
- Challenging behaviour
- Coronary heart disease
- Epilepsy
- Respiratory illness.
Tuesday, June 22, 2010
Falls Awareness Week
21st - 25th June, 2010
- Falls among elderly people cost the NHS more than £4.6 million a day, new analysis found.
- Up to one in three (3.4 million) people over 65 fall each year in the UK, existing figures show.
- Almost half of all falls are among the over-80s, half of whom fall again in the following year.
from BBC News Falls amongst the elderly cost the NHS millions daily
Perhaps this Map of Medicine Falls Pathway can help?
Or an overview of the best quality evidence from NHS Evidence , or this more focused perspective from the NHS Evidence Specialist Collection: Later Life
Contact Isla at the Medical Library if you'd like support in getting the best from these and other information resources.
Medical Images from TRIP
A pictures is worth a thousand words....
so where to get the best images?
On the front page of results you'll see the "four top medical images for a given search term on the main results page. We then allow users to 'See more images' and as you'll see from the image below we automatically import Google images to enhance the selection"
In addition to the images, TRIP is also a great place to "skim the cream" since it quickly find answers to clinical questions using the best available evidence, using a clear.
And it's so easy to use! Give it a try today.
Monday, June 21, 2010
NHS Evidence Update: Oesophago-gastric cancers
This is the second Annual Evidence Update on oesophago-gastric cancers prepared jointly by NHS Evidence - cancer and NHS Evidence - gastroenterology and liver diseases.
It includes an editorial by Dr Jamshed Bamanji (MBBS, PhD, FRCR, FRCP, Head of the Department, Institute of Nuclear Medicine, T5, University College Hospital)
The update of the Annual Evidence Update on oesophago-gastric cancers provides an opportunity to present an up-to-date comprehensive collection of systematic reviews and guidance that have been published since June 2009 and have been subject to rigorous selection criteria. Information is organised by topic areas and links are provided within each topic to the relevant systematic reviews, guidelines and patient information.
- Clinical commentary by Dr. Jamshed Bomanji on The role of FDG PET in Oesophago-Gastric Cancer
- Clinical introduction by Dr Chris Alcock
- Results of 2010 Annual Evidence Update on Oesophageal cancers
- Results of 2010 Annual Evidence Update on Stomach cancer
- Patient Information Resources for Oesophago-gastric cancers
- Additional Resources for Oesophago-gastric cancers
Friday, June 18, 2010
Journal Citation Reports 2009 now available
Journal Citation Reports®(JCR®) offers a systematic, objective means to critically evaluate the world's leading journals, with quantifiable, statistical information based on citation data. By compiling articles' cited references, JCR helps to measure research influence and impact at the journal and category levels, and shows the relationship between citing and cited journals.
Available at wok.mimas.ac.uk using University of Cambridge RAVEN login
Monday, June 14, 2010
NHS Evidence Update: Macular Degeneration; Homeopathy
Age Related Macular Degeneration
from NHS Evidence - eyes and vision
Age Related Macular Degeneration (AMD) is one of the commonest causes of certifiable visual impairment in the UK. The 2010 Evidence Update focuses on the management of neovascular (wet) AMD and highlights the:
Homeopathy
from NHS Evidence - complementary and alternative medicine
The NHS Evidence - complementary and alternative medicine specialist collection will present an Annual Evidence Update (AEU) on Homeopathy from 14 June. This update will provide a summary of systematic reviews, meta-analyses, RCTs and other relevant studies published in the twelve months since the 2009 AEU on Homeopathy.
from NHS Evidence - eyes and vision
Age Related Macular Degeneration (AMD) is one of the commonest causes of certifiable visual impairment in the UK. The 2010 Evidence Update focuses on the management of neovascular (wet) AMD and highlights the:
- key evidence base underpinning current interventions (key randomised controlled trials and current guidance);
- new evidence that is likely to inform a change in clinical practice;
- emerging evidence for Lucentis, Avastin and combination treatments from key RCTs that have recently reported at scientific conferences but not yet published in peer reviewed literature;
- current uncertainties in the effectiveness of treatments.
Commentaries have been provided by Robin Hamilton, Consultant Ophthalmic Surgeon and Praveen Patel, Consultant Ophthalmologist, Moorfields Eye Hospital NHS Foundation Trust and by Angela Reidy and Darwin Minassian, EpiVision.
from NHS Evidence - complementary and alternative medicine
Friday, June 11, 2010
A review by another other name......
Review articles are useful pieces of work, which are often percieved as being relatively straightforward to do - desk based research, not requiring ethical approval, etc.
But what is a review?
According to a paper out today, it could be any one of 14 different things.
Health Info Libr J. 2009 Jun;26(2):91-108.
A typology of reviews: an analysis of 14 review types and associated methodologies.
Grant MJ, Booth A.
BACKGROUND AND OBJECTIVES: The expansion of evidence-based practice across sectors has lead to an increasing variety of review types. However, the diversity of terminology used means that the full potential of these review types may be lost amongst a confusion of indistinct and misapplied terms. The objective of this study is to provide descriptive insight into the most common types of reviews, with illustrative examples from health and health information domains.
METHODS: Following scoping searches, an examination was made of the vocabulary associated with the literature of review and synthesis (literary warrant). A simple analytical framework -- Search, AppraisaL, Synthesis and Analysis (SALSA) -- was used to examine the main review types.
RESULTS: Fourteen review types and associated methodologies were analysed against the SALSA framework, illustrating the inputs and processes of each review type. A description of the key characteristics is given, together with perceived strengths and weaknesses. A limited number of review types are currently utilized within the health information domain.
CONCLUSIONS: Few review types possess prescribed and explicit methodologies and many fall short of being mutually exclusive. Notwithstanding such limitations, this typology provides a valuable reference point for those commissioning, conducting, supporting or interpreting reviews, both within health information and the wider health care domain.
PubMed ID : 19490148
(paper available in full-text on University computers, or using University RAVEN login)
Tuesday, June 08, 2010
NHS Evidence Update: Drug Misuse; Neurological Conditions
Drug Misuse
From NHS Evidence - National Library for Public Health
This evidence update covers drugs misuse treatment in offender populations with a special focus on female offenders. It is an update of the evidence from March 2009 through April 2010.
Neurological Conditions
From NHS Evidence - Neurological Conditions
This bulletin aims to update you on:
From NHS Evidence - National Library for Public Health
This evidence update covers drugs misuse treatment in offender populations with a special focus on female offenders. It is an update of the evidence from March 2009 through April 2010.
Neurological Conditions
From NHS Evidence - Neurological Conditions
This bulletin aims to update you on:
- Interesting items recently added to the collection
- The latest journal articles as highlighted by our Clinical Lead and Topic Advisors
- Upcoming events of interest
- What the project team are currently doing
Monday, June 07, 2010
NHS Evidence Update: Atrial Fibrillation
This update for health professionals and patients will present significant advances in knowledge about atrial fibrillation since our last update in June 2009. Topics will include medication, cardioversion, prevention of stroke, catheter ablation therapy and surgical treatment. This year we've also identified new systematic reviews on genetics and atrial fibrillation. As usual expert summaries with be included on this and the other topics identified to help make sense of the new evidence presented.
Friday, June 04, 2010
Mandatory surveillance weekly reports
"Beginning this week, the Department of Health will be publishing weekly hospital data on MRSA bloodstream infections and C.Difficile between March and May 2010. Previously, data was only published monthly and by NHS trust. From early July, infection figures for every NHS hospital in England will be updated on data.gov.uk weekly, giving statistics for each of the previous 12 weeks. This document provides guidance on the collection of data for this new initiative. (Health Protection Agency - publications)"
From NHS Evidence - Health Management current awareness bulletin. Permalink
From NHS Evidence - Health Management current awareness bulletin. Permalink
Tuesday, June 01, 2010
Feedback from last year's LibQUAL+ survey of Medical Library users
Most readers will recall that in November-December 2009 we ran an online survey, LibQUAL+, asking you what you thought of us. Two other branches of the University Library - the Central Science Library and the Moore Library - ran their own LibQUAL+ surveys at the same time.
First of all, we are very grateful to the more than three hundred readers who took the time and trouble to complete the Medical Library survey, and in many cases to record additional comments.
Since the end of the survey we have been busy analysing the results (which are processed for us by the US-based organisation that manages LibQUAL+ as a management tool for libraries worldwide) and deciding how best to address the issues raised. This report summarises the picture that has emerged, with our responses and the actions that we plan to take or have already taken.
General observations
In overall terms users seem to be reasonably happy with what we provide. The survey included three top-level "satisfaction" questions and asked respondents to give us a rating out of 9 (1=bad, 9=good). Our scores were as follows, compared with the average 2009 score for all UK academic libraries.
- "In general, I am satisfied with the way in which I am treated at the library":
Med Lib = 7.78 (UK average = 7.22) - "In general, I am satisfied with library support for my learning, research, and/or teaching needs":
Med Lib = 7.31 (UK average = 6.74) - "How would you rate the overall quality of the service provided by the library?":
Med Lib = 7.45 (UK average = 6.96)
Analysis of detailed survey data
The survey questions were structured to reflect three broad areas of interest, covering (a) the way library staff deal with readers, (b) the resources we provide, and (c) the library as a place.
It was clear from the results that there was a consistently high level of satisfaction with the way library staff deal with readers, while the library as a place attracted a more neutral rating. By comparison, the resources we provide came in for heavier criticism, especially with regard to inadequate provision of electronic journals.
The personal information provided by each respondent allowed us to analyse these answers in more detail by user groups (student, allied health, medical staff, etc.). This exposed some significant differences in the way we are regarded by the various user categories, with non-clinical staff emerging as our most satisfied clients and allied health staff as our least satisfied.
The structured survey results were complemented by the free-text comments. We were impressed by the generally thoughtful and constructive contributions made by respondents here, and many of the comments helped to amplify the data gathered from the structured survey (though some comments also appeared to contradict the data analysis!). Putting the results of the survey and the comments together, we have been able to identify a list of issues that require a response from us. In some cases we are able to act immediately, in others the problem raises matters of policy or other broader issues that we need to take up with other bodies; and in yet other cases the responses indicate a misunderstanding of what is on offer, and thus a need for us to explain more clearly what we do and why.
A more detailed list of the issues that emerged, together with our responses, may be found here.
Arcadia Seminar: Death 2.0: What Becomes of Digital Assets after Death?
Part of the series of Arcadia seminars
Professor Lilian Edwards, Department of Law, University of Sheffield
Tuesday 01 June 2010, 18:00-19:15
Wolfson College, Old Combination Room (OCR).
Please email your intent to attend to Michelle Heydon at mh569@cam.ac.uk.
Abstract
Death seems to be discussed in web 2.0 circles only when it is tragic (eg internet suicide clusters) or in some other newsworthy (eg the Lori Drew online harassment case ). Yet if Facebook alone claim some 400 million subscribers, then it stands to reason that some of them will be reaching their final end as I write in quite ordinary ways. Yet the law is vague in the extreme (and varies from jurisdiction to jurisdiction) on who would “own” a user’s Facebook profile in that sad event; and more significantly, what rights either the deceased or the heirs might have against Facebook to demand that the profile be deleted, maintained as a going concern, exported or preserved(“memorialised”). Nor is this problem confined to Facebook. Digital assets will be increasingly important as items in succession – and as cultural heritage – as the web 2.0 generation ages; and might include not only profiles on social networking sites, but also reputations and identities on money-making sites like eBay, photos on sites like Flickr and even user preferences on sites like Last.fm. Yet so far little or no attention has been paid to the legal nature and transmission of digital assets, except within the limited (if glamorous) domain of virtual property in virtual worlds and MMORP Gs. Neither are all digital assets likely to fall into categories of recognisable intellectual property (IP) protection. This paper seeks to investigate this domain, having regard to the interests of user, relatives, platform and especially, the public interest in preservation of online cultural heritage.
About the speaker
Professor Edwards’s principal research interests are in the law relating to the Internet, the Web and new technologies, with a European and comparative focus. She has co-edited three bestselling collections on Law and the Internet (Hart Publishing, 1997, 2000 and 2009) with Charlotte Waelde, and a third collection of essays—The New Legal Framework for E-Commerce—in Europe was published in 2005. Her work in on-line consumer privacy won the Barbara Wellbery Memorial Prize in 2004 for the best solution to the problem of privacy and transglobal data flows. She worked at Strathclyde University from 1986-1988 and Edinburgh University from 1989 to 2006 before moving to become Chair of Internet Law at Southampton from 2006-2008. She is Associate Director, and was co-founder, of the Arts and Humanities Research Council (AHRC) Centre for IP and Technology Law, funded from 2002-2012. She has taught IT, e-commerce and Internet law at undergraduate and postgraduate level since 1996 and been involved with law and artificial intelligence (AI) since 1985. She has been a visiting scholar and invited lecturer to universities in the USA , Canada, Australia, Mexico, and Latin America and has undertaken consultancy for the the European Parliament, the European commission and McAfee.
Please email your intent to attend to Michelle Heydon at mh569@cam.ac.uk.
NHS Evidence Update: Menorrhagia
from the NHS Evidence - women's health)
"NHS Evidence - women's health is holding its next Annual Evidence Update from Tuesday 1 June. The update aims to provide clinicians with the most up-to-date knowledge on the diagnosis and management of heavy menstrual bleeding.
We know that it is very difficult for busy clinicians to keep up-to-date with the huge volume of literature that is published each year and so the women's health specialist collection does this for you so that you don't have to!"
Friday, May 28, 2010
Thursday, May 27, 2010
follow up to "student beware"
Following on from the blog about student behaviour on Facebook if you use Facebook, even if you're not a sutdent, privacy is (or should be) a big issue.
You may find this BBC guide to adjusting your Facebook privacy settings and this overview of the issues useful.
You may find this BBC guide to adjusting your Facebook privacy settings and this overview of the issues useful.
Wednesday, May 26, 2010
NLM's Pill Box - pill identification system
The National Library of Medicine has launched a (beta) service Pillbox to facilitate rapid identification of unknown pills.
"Pillbox was developed to aid in the identification of unknown solid dosage pharmaceuticals. The system combines high-resolution images of tablets and capsules with FDA-approved appearance information (imprint, shape, color, etc.) to enable users to visually search for and identify an unknown solid dosage pharmaceutical.
This system is designed for use by emergency physicians, first responders, other health care providers, Poison Control Center staff, and concerned citizens."If you've ever used Epocrates, particularly the iPhone app, you'll recognised the easy way it allows you to pick the colour, shape, size and markings of the unknow pill before giving you pictures of the options to chose from.
There's a really good review here , you may find this overview useful:
or you could try it yourself - http://pillbox.nlm.nih.gov/index.html
Remeber it is still in beta phase.
Tuesday, May 25, 2010
student beware....
Facebook and the professional behaviours of undergraduate medical students
Au: Jayne Garner and Helen O'Sullivan
The Clinical Teacher Volume 7 Issue 2, Pages 112 - 115
ABSTRACT
Background: The rapid growth and accessibility of social networking websites has fundamentally changed the way people manage information about their personal and professional lives. In particular, it has been suggested that interaction in virtual communities erodes elements of responsibility, accountability and social trust that build traditionally meaningful communities. The purpose of this study was to investigate how undergraduate medical students use the social network website Facebook, and to identify any unprofessional behaviour displayed online.
Methods: A voluntary anonymous online survey was devised by the University of Liverpool, and emailed to students. Question topics included the use of Facebook, privacy settings, groups relating to the course and professional behaviours. Results were input to spss for analysis.
Results: The response rate was 31 per cent (n = 56). The majority of respondents did have a Facebook account and admitted there were photos they found embarrassing on the site. Over half of the respondents reported they had seen unprofessional behaviour by their colleagues on Facebook. Although students say that they are aware of the UK's General Medical Council (GMC) guidance, unprofessional behaviour is still demonstrated on the site.
Discussion: This research highlights the issue of social networking websites and professionalism amongst medical students. Further guidance from the GMC and medical schools should remind students that images and information placed on social networking sites is in the public domain, and could impact upon their professional reputation and identity.
Au: Jayne Garner and Helen O'Sullivan
The Clinical Teacher Volume 7 Issue 2, Pages 112 - 115
ABSTRACT
Background: The rapid growth and accessibility of social networking websites has fundamentally changed the way people manage information about their personal and professional lives. In particular, it has been suggested that interaction in virtual communities erodes elements of responsibility, accountability and social trust that build traditionally meaningful communities. The purpose of this study was to investigate how undergraduate medical students use the social network website Facebook, and to identify any unprofessional behaviour displayed online.
Methods: A voluntary anonymous online survey was devised by the University of Liverpool, and emailed to students. Question topics included the use of Facebook, privacy settings, groups relating to the course and professional behaviours. Results were input to spss for analysis.
Results: The response rate was 31 per cent (n = 56). The majority of respondents did have a Facebook account and admitted there were photos they found embarrassing on the site. Over half of the respondents reported they had seen unprofessional behaviour by their colleagues on Facebook. Although students say that they are aware of the UK's General Medical Council (GMC) guidance, unprofessional behaviour is still demonstrated on the site.
Discussion: This research highlights the issue of social networking websites and professionalism amongst medical students. Further guidance from the GMC and medical schools should remind students that images and information placed on social networking sites is in the public domain, and could impact upon their professional reputation and identity.
Monday, May 24, 2010
Journal Watch
From the Centre for Evidence Based Medicine comes the latest issue of Richard Lehman's Journal Watch - "a personal comment on articles from the main medical journals selected for their interest to doctors (and a few others!)"
NHS Evidence Update: Kidney disorders
Proteinuria and estimated Glomerular Filtration Rate
from NHS Evidence - kidney diseases and male urogenital disorders
NHS Evidence - kidney diseases and male urogenital disorders presents its third Annual Evidence Update on Proteinuria and estimated Glomerular Filtration Rate (eGFR). The 2010 Annual Evidence Update on Proteinuria and eGFR will provide an update with the highest-quality evidence on the following subtopics:
1. Basic science
2. Clinical aspects
3. Management.
from NHS Evidence - kidney diseases and male urogenital disorders
NHS Evidence - kidney diseases and male urogenital disorders presents its third Annual Evidence Update on Proteinuria and estimated Glomerular Filtration Rate (eGFR). The 2010 Annual Evidence Update on Proteinuria and eGFR will provide an update with the highest-quality evidence on the following subtopics:
1. Basic science
2. Clinical aspects
3. Management.
Friday, May 21, 2010
Reference Management: so much to learn
Useful overview of various reference management systems is available on Martin Fenner's blog
If you'd like to discuss and have a "play" with some of the tools available (eg Zotero, Mendeley, Endnoteweb or Endnote X2, please contact Isla (phone: 336750 or email)
If you'd like to discuss and have a "play" with some of the tools available (eg Zotero, Mendeley, Endnoteweb or Endnote X2, please contact Isla (phone: 336750 or email)
Wednesday, May 19, 2010
NHS Evidence Update: Oral Health
Oral health
from the NHS Evidence - oral health
To mark the start of National Smile Month 2010 NHS Evidence – oral health is presenting an Annual Evidence Update covering all aspects of oral health. The specialist collection team has systematically identified and appraised the best available evidence (systematic reviews) which is presented, along with recently published guidelines. The Update covers the range of oral health topics with commentaries from experts in the field.
from the NHS Evidence - oral health
To mark the start of National Smile Month 2010 NHS Evidence – oral health is presenting an Annual Evidence Update covering all aspects of oral health. The specialist collection team has systematically identified and appraised the best available evidence (systematic reviews) which is presented, along with recently published guidelines. The Update covers the range of oral health topics with commentaries from experts in the field.
Thursday, May 13, 2010
Access to new journals
Science Translational Medicine Mission:
To promote human health by providing a forum for communication and cross-fertilization among basic, translational, and clinical research practitioners and trainees from all relevant established and emerging disciplines.
"... the creation of a redefined discipline of translational medicine will require the emergence of a new and vibrant community of dedicated scientists, collaborating to fill knowledge gaps and dissolve or circumvent barriers to improved clinical medicine." ~Elias A. Zerhouni, M.D., Chief Scientific Advisor, Science Translational Medicine
"... the creation of a redefined discipline of translational medicine will require the emergence of a new and vibrant community of dedicated scientists, collaborating to fill knowledge gaps and dissolve or circumvent barriers to improved clinical medicine." ~Elias A. Zerhouni, M.D., Chief Scientific Advisor, Science Translational Medicine
Online only:-
You can access it via ejournals@cambridge (http://sfx7.exlibrisgroup.com/cambridge/az) , or Link to this record:
·URL : http://hooke.lib.cam.ac.uk/cgi-bin/bib_seek.cgi?cat=ul&bib=4942179 which includes the correct links, using the Library, or other University computers.
·URL : http://hooke.lib.cam.ac.uk/cgi-bin/bib_seek.cgi?cat=ul&bib=4942179 which includes the correct links, using the Library, or other University computers.
Users off-campus should log in using the links provided by the publisher on the web site marked "Institutional login", "Log in via your home institution" or "Shibboleth", and login with their RAVEN password.
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