Medical Library Research Articles

A Descriptive Review of Medication-Overuse Headache: From Pathophysiology to the Comorbidities.

Medication-overuse headache (MOH) is an important problem worldwide, with different areas of controversy regarding its entity. This article reviews the risk factors, comorbidities, pathophysiology, clinical presentation, effective management, and prognosis of MOH by summarizing and integrating the results and findings from previously performed more than 15,000 studies (from 2010 to 2023) available from the scientific database of the University Medical Library in the University Clinical Center of Niš, which aimed to investigate and define the complexity of this type of headache. It has been proposed that all acute migraine medications can lead to MOH, with differences in the propensity of different agents to cause the problem. Early data suggests that triptans and other painkillers used for the acute treatment of migraine may be an exception. Recent studies show that practitioners and the general public are still largely unaware of the problem of medication overuse and its damaging effects. Although it is likely that MOH does occur, restricting the number of acute medications is necessary to prevent it. It is also possible that increasing amounts of acute medications are simply a reflection of poorly controlled headaches rather than a cause. Further research needs to be developed to identify more precise mechanisms for effective MOH management and its evolution.

An Unedited Witness to the Early Middle English Lyric Candet Nudatum Pectus in London, Wellcome Historical Medical Museum and Library, MS 801A

An Unedited Witness to the Early Middle English Lyric <i>Candet Nudatum Pectus</i> in London, Wellcome Historical Medical Museum and Library, MS 801A

Tren Penelitian Bibliometric pada Jurnal Media Pustakawan Tahun 2015-2022

The study was conducted to determine bibliometric research trends in Media Pustakawan journals accredited at SINTA. The purpose of the study is to provide an overview of the development of scientific publications related to content analysis of articles published in Media Pustakawan journals from 2015-2022. The data is taken from media librarians who have been accredited at SINTA. In total, there are 211 scientific research articles published. Next, the bibliometric review articles from these journals were collected. Articles published before January 2023. Of the 211 articles collected, there are 27 articles that examine bibliometrics. The results of the study showed that the types of quantitative research found 24 (88.89%) articles, the types of research articles found 26 (96.30%), research objects sourced from 22 journals (81.48%), the data collection instrument used Microsoft Excel worksheet found 16 (59.26%) articles, the bibliometric study group in descriptive form found 14 (51.85%) articles, and data analysis using percentages found 19 (70.37%) articles. Furthermore, the results of the authorship aspect based on the type of researcher found 15 (55.56%) collaborated, 21 (53.85%) research was conducted by women, 18 research institutions (66.67%) were non-university researchers, and 25 research areas (92.59%) came from the island of Java. The conclusion of this study is that the research trend of Media Pustakawan journals has increased and librarianship studies are increasingly in demand as a research area in Indonesia. Then, the topic of bibliometric research is of sufficient interest to researchers.

Effect of Bougie Use on First-Attempt Success in Tracheal Intubations: A Systematic Review and Meta-Analysis

The use of a bougie, a flexible endotracheal tube introducer, has been proposed to optimize first-attempt success in emergency department intubations. We aimed to evaluate the available evidence on the association of bougie use in the first attempt and success in tracheal intubations. This was a systematic review and meta-analysis of studies that evaluated first-attempt success between adults intubated with a bougie versus without a bougie (usually with a stylet) in all settings. Manikin and cadaver studies were excluded. A medical librarian searched Ovid Cochrane Central, Ovid Embase, Ovid Medline, Scopus, and Web of Science for randomized controlled trials and comparative observational studies from inception to June 2023. Study selection and data extraction were done in duplicate by 2 independent reviewers. We conducted a meta-analysis with random-effects models, and we used GRADE to assess the certainty of evidence at the outcome level. We screened a total of 2,699 studies, and 133 were selected for full-text review. A total of 18 studies, including 12 randomized controlled trials, underwent quantitative analysis. In the meta-analysis of 18 studies (9,151 patients), bougie use was associated with increased first-attempt intubation success (pooled risk ratio [RR] 1.11, 95% confidence interval [CI] 1.06 to 1.17, low certainty evidence). Bougie use was associated with increased first-attempt success across all analyzed subgroups with similar effect estimates, including in emergency intubations (9 studies; 8,070 patients; RR 1.11, 95% CI 1.05 to 1.16, low certainty). The highest point estimate favoring the use of a bougie was in the subgroup of patients with Cormack-Lehane III or IV (5 studies, 585 patients, RR 1.60, 95% CI 1.40 to 1.84, moderate certainty). In this meta-analysis, the bougie as an aid in the first intubation attempt was associated with increased success. Despite the certainty of evidence being low, these data suggest that a bougie should probably be used first and not as a rescue device in emergency intubations.

A five-year department-based electronic usage data analysis on electronic journal access, library training courses, and scholarly publications

PurposeThis study aims to evaluate the efficacy of a digital medical library, including department-based electronic journal access, library training course participation and scholarly publications.Design/methodology/approachThe data on full-text electronic journal access, participants of library training courses and scholarly publications were exported from a digital medical library database during 2017–2021. In addition, electronic journal access and library training courses were divided into high-level and low-level groups, while scholarly publications were divided into physician and non-physician groups.FindingsThe scholarly publications had a positive correlation to library training courses and electronic journal access. Furthermore, scholarly publications showed a significant difference between the high-level and low-level electronic journal access groups but not between the high-level and low-level library training course groups. Scholarly publications and electronic journal access had positive correlations for both the physician and non-physician groups. Scholarly publications and library training courses, and electronic journal access and library training courses had positive correlations only in the non-physician group.Practical implicationsThe importance of electronic journal access for scholarly publications is suggested based on the findings of the present study. The training courses held by the medical library had a positive effect on scholarly publications for the non-physician group.Originality/valueThe current study provides insights relevant to the electronic journal access of library-supported scholarly publications among medical departments. These results can serve as a reference for medical library development planning and decision-making in the future.

2023 Medical Library Association and Special Library Association Hybrid Meeting Research Awards

Congratulations to the award-winning research papers and posters from MLA/SLA ’23 Hybrid Meeting held in Detroit, Michigan! The MLA Research Caucus is pleased to announce the winners for best research papers and posters presented at the MLA/SLA 2023 Hybrid Meeting.

Competency building in a busy working day for librarians and for libraries

Medical librarians know very well that they must build new competencies to offer relevant services and develop new library services. In a workshop at the EAHIL conference 2023, suggestions for competency building, and how libraries can build competency, were discussed. Positive and enthusiastic participants came up with many ideas: different types of clubs, webinars and courses, knowledge sharing with colleagues, regularly block out time, or just solve your tasks in a new way. The experiences showed that competency building in a busy work schedule is possible. The initiatives have in common that they portray an attitude to learn more, but also the willingness to organise activities and share competency with colleagues.

Introducing Life-long Learning Skills in a Patient Presentation Problem-Based Curriculum: The Case for Librarian Integration.

Medical students must learn how to find, critically appraise, and apply high-quality information to support their clinical decisions. To reinforce these skills, the Hackensack Meridian School of Medicine embedded medical librarians into a longitudinal case-based, problem-based learning curriculum, where they provide individualized feedback on student's skills in this area.

Usage of Medical Library Resources: A Study in the Regional Institute of Medical Sciences, Imphal

This paper aims to analyse the usage of library resources, both physical and electronic, in the Central Library of the Regional Institute of Medical Sciences, Imphal. The study was designed to assess the usage of library resources in the Central Library of the Regional Institute of Medical Sciences, Imphal. The library visitor registry was surveyed for statistics. The research is limited to the usage of library resources at the RIMS’ central library during the 2016–2021 academic session. The Library has 645 members registered during the last five academic sessions. The library has a record of 13738 women and 12435 men, totalling a total of 2,6173 users who visited the library during the last 2016-2021 academic years. The highest number of visitors (1179) was recorded in September during the 2019-20 academic year, followed by (1139) in September during the 2018-19 academic year, (1127) in October, (1115) in May during the academic year 2018-19 respectively. A total of 280 users visited the print journals section of the library during the academic year 2016-17, 342 during 2017-18, 356 during 2018-19, 365 during 2019-20 and 109 during 2020-21 respectively. The library has the highest number of visitors (906) who use E-resources recorded in September followed by(827) in October during the academic year 2019-20. The least number of visitors (106) were recorded in January during the 2020-21 academic session. Further, it is found that the highest number of users (6270) visited the library during 2018-19, and only (818) during 2020-21.

Reflux Disease Questionnaire Scoring and Utilization: A Scoping Review

Background: The RDQ was developed to assist in diagnosing GERD, but is now widely used in multiple contexts and validated in several languages. However, there is no standard RDQ scoring rubric, making comparisons between its uses challenging. Therefore, we performed a scoping review to explore the current applications and scoring cutoffs of the RDQ. Methods: The MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and Web of Science electronic databases were systematically searched from January 2001 to January 2021 by a medical librarian using controlled vocabulary terms and keywords to identify experimental and observational study designs. Results: The search strategy yielded 5707 studies and 116 met inclusion criteria yielding a total patient population of 115 064. Studies utilized the RDQ to establish a GERD diagnosis (n = 52, 45%), report the prevalence of GERD symptoms within a specific population (n = 21, 18%), and assess the effect of an intervention on symptoms (n = 43, 37%). There was variability between the scoring threshold used for diagnosing GERD, with total GERD domain score ≥12 being the most commonly used (n = 16, 14%). Conclusions: The RDQ was designed as an aid for diagnosing GERD, but scoring methods and thresholds vary and the RDQ now is used to describe the prevalence of GERD symptoms and to assess symptom response to intervention. Based on the current review, the use of RDQ appears best suited for comparing diagnostic or treatment cohorts in which symptoms are evaluated. Interpretation of RDQ findings outside of a study-specific context is limited without accepted scoring standards.

Improving Diabetes Self-Help in Natural Disasters: Qualitative Parameters and Recommendations

Background: When natural disasters occur, people with diabetes face more physical and mental challenges than healthy individuals. Therefore, innovative programs and policies are crucial for providing ongoing education to patients on how to better manage their condition. Objectives: The present study aimed to identify the components of empowerment literacy for diabetic patients during disasters. Methods: The present research employed a qualitative content analysis approach using a conventional deductive method. Purposive sampling was conducted, and data were collected through semi-structured interviews. The panel consisted of 24 participants, including native Iranian endocrinologists, nurses, emergency medical center managers, and experts in the field of medical librarianship and information. These participants had direct experience in relief efforts during critical situations such as natural disasters. The interviews were recorded and transcribed into written format. Data analysis was performed using thematic analysis with the assistance of MaxQDA software. Results: The content analysis resulted in identification of 10 main categories, 61 sub-categories, and five themes, including Disaster risk perception literacy, Medication literacy, Resilience literacy, Nutrition literacy, and Self-help literacy. Conclusion: The obtained findings have informed the creation of targeted health literacy education materials for policymakers in disaster scenarios specifically designed for individuals with diabetes. Diabetic individuals, particularly those residing in disaster-prone areas, should possess knowledge of emergency and disaster policies to enhance their health literacy. They should actively manage their condition while keeping abreast of policymakers' guidelines.

Poster (Health Services, Economics and Policy Change) ID 1977284

Background/Objective Activity-based therapies (ABT) are task specific, repetitive and intensive active movement interventions that may improve function and independence for individuals with spinal cord injury. The cost of implementing ABT is an important consideration for rehabilitation facilities interested in providing this intervention. Thus, a scoping review was conducted to evaluate the economic evidence for ABT for the rehabilitation of upper or lower limb impairment. Design/Methods A search of various scientific literature databases (including EMBASE, MEDLINE and CINAHL) was conducted using search terms developed in collaboration with a Medical Librarian. Studies were included if they were economic analyses of an ABT conducted for individuals with upper or lower limb mobility impairment. Titles and abstracts were initially screened by two of the authors followed by a full-text review of remaining articles. Articles included in the review were evaluated for methodological quality and presented descriptively because of the heterogeneity in study design, populations and outcomes. Results Of the 6,031 unique citations originally identified, 14 articles were included after full-text screening. Two-third of the studies were for stroke and half of the studies originated from the US. Robot-assisted therapies represented half of the studies and about a quarter were locomotor training programs. In the stroke and spinal cord injured population, robot-assisted therapies and body supported treadmill therapy appear to be cost-effective respectively. Conclusions There is some evidence to support the cost-effectiveness of robot-assisted therapies and body supported treadmill therapy. However, the evidence is very limited and additional research is needed.

Student Competition (Health Services, Economics and Policy Change) ID 1977283

Background/Objective Assistive technologies (AT) span a large range of products from mobility aides such as canes to electronic systems that provide reminders. These technologies are important in facilitating independence, recovery and improved quality of life for individuals with spinal cord injury (SCI). However, clinical and economic outcomes for AT evaluated in the scientific literature is unclear. Thus, the aim of this study is to review the clinical and economic evidence for AT in the SCI population. Design/Methods Scientific literature databases including EMBASE, MEDLINE and CINAHL will be searched using terms identified in collaboration with a Medical Librarian. In the first stage, the titles and abstracts of clinical studies and economic analyses of AT focused in SCI will be screened by two reviewers. This will be followed by a second stage full-text screening for inclusion in the review by the same reviewers. The types of ATs evaluated will be identified along with the outcomes measured. Where applicable, study results will be presented using summary statistics. Results Work is currently underway to identify the citations. Two reviewers will then screen the titles and abstracts. It is anticipated that a large majority of the citations will be screened out with a small number of studies remaining. Most studies are also expected to be for the clinical evaluation of AT with variable outcomes. Conclusions The results of this scoping review will provide valuable insight on the types of AT where clinical and economic evidence is available and identify where the current research gaps are.

Viral Hepatitis in Pregnancy: ACOG Clinical Practice Guideline No. 6.

The purpose of this document is to describe the specific types of viral hepatitis, their implications during pregnancy, the risk of perinatal transmission, and issues related to both treatment and prevention of infection. Pregnant or postpartum women and individuals who screen positive for viral hepatitis infection. The onset of these conditions may have predated the perinatal period or may have occurred for the first time in pregnancy or the first year postpartum. This guideline was developed using an a priori protocol in conjunction with a writing team consisting of one specialist in obstetrics and gynecology appointed by the ACOG Committee on Clinical Practice Guidelines-Obstetrics and one external subject matter expert. ACOG medical librarians completed a comprehensive literature search for primary literature within Cochrane Library, Cochrane Collaboration Registry of Controlled Trials, EMBASE, PubMed, and MEDLINE. Studies that moved forward to the full-text screening stage were assessed by two authors from the writing team based on standardized inclusion and exclusion criteria. Included studies underwent quality assessment, and a modified GRADE (Grading of Recommendations Assessment, Development, and Evaluation) evidence-to-decision framework was applied to interpret and translate the evidence into recommendation statements. This Clinical Practice Guideline includes recommendations on hepatitis B virus and hepatitis C virus screening in pregnancy; prepregnancy, antepartum, intrapartum, and postpartum management for patients with hepatitis B virus infection or hepatitis C virus infection; management of accidental and occupational exposure to hepatitis B virus or hepatitis C virus in pregnant health care workers; and hepatitis A virus and hepatitis B virus vaccination in pregnancy. Recommendations are classified by strength and evidence quality. Ungraded Good Practice Points are included to provide guidance when a formal recommendation could not be made because of inadequate or nonexistent evidence.

On the history of formation and characteristics of development of the chair of social hygiene, the first one in Russia

The purpose of the study is to analyze changes occurred, against the background of social challenges, in functioning of the Chair of Social Hygiene since its establishment in 1922 at the Faculty of Medicine of the I Moscow State University to the present time at the N. A. Semashko Chair of Public Health and Health Care at the Sechenov University. The historical method was applied to analyze the documents from the Moscow Central State Archive, the N. A. Semashko Chair of Public Health and Health Care and published materials from eLibrary.ru and the Central Scientific Medical Library for 100-year period.

The Medical Costs of Firearm Injuries in the United States: A Systematic Review

BackgroundFirearm injury poses a significant public health burden in the United States. ObjectivesThe purpose of this systematic review was to provide a comprehensive accounting of the medical costs of firearm injuries in the United States. MethodsA systematic literature review was conducted to identify studies published between January 1, 2000 and July 13, 2022 that reported medical costs of firearm injuries. A search of Embase, PubMed, and the Cochrane Library databases was performed by a medical librarian. The National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies was used to evaluate for risk of bias. Health care-related charges and costs per firearm injury were presented and trends were identified. ResultsSixty-four studies were included in the analysis. Study sample sizes ranged from 18 to 868,483 patients. Reported costs per injury ranged from $261 to $529,609. The median cost reported was $27,820 (interquartile range [IQR] $15,133–$40,124) and median charge reported was $53,832 (IQR $38,890–$98,632). Studies that divided initial hospitalization costs and follow-up medical costs identified that initial hospitalization accounts for about 60% of total costs. ConclusionsWe found a significant volume of literature about the medical costs of firearm injury, which identified a highly heterogeneous cost burden. A significant amount of cost burden occurs after the index hospitalization, which is the only cost reported in most studies. Limitations of this study include reporting bias that favors hospitalized patients as well as a large focus on hospital charges as measurements of cost identified in the literature.

Non-Type 2 and Mixed Inflammation in Chronic Rhinosinusitis and Lower Airway Disease.

The aim was to discuss the role of non-type 2 inflammation in patients diagnosed with chronic rhinosinusitis (CRS) and comorbid lower airway disease. Medline, Embase, National Institute for Health and Care Excellence, TRIP Database, ProQuest, Clinicaltrials.gov, Cochrane Central Registry of Controlled Trials, Web of Science, government and health organizations, and graduate-level theses. This scoping review followed PRISMA-ScR guidelines. Search strategy was peer-reviewed by medical librarians. Studies were included if they utilized airway sampling, non-type 2 cytokines, and patients with CRS and lower airway disease. Twenty-seven from 7060 articles were included. In patients with CRS and comorbid asthma, aspirin-exacerbated respiratory disease (AERD), and chronic obstructive pulmonary disease (COPD)/bronchiectasis, 60% (n = 12), 33% (n = 2), and 100% (n = 1), respectively, demonstrated mixed or non-type 2 endotypes. Comorbid CRS and asthma produced type 1 (n = 1.5), type 2 (n = 8), type 3 (n = 1), mixed type 1/2 (n = 1), and mixed type 1/2/3 (n = 8.5) endotype shifts. AERD demonstrated type 2 (n = 4), mixed type 2/3 (n = 1), and mixed type 1/2/3 (n = 1) endotype shifts. CRS with COPD or bronchiectasis demonstrated a mixed 1/2 (n = 1) endotype shift. Type 2 disease has been extensively reviewed due to advent biologics targeting type 2 inflammation, but outcomes may be suboptimal due to the presence of non-type 2 inflammation. A proportion of patients with CRS and comorbid lower airway disease demonstrated mixed and non-type 2 endotype shifts. This emphasizes that patients with unified airway disease may have forms of inflammation beyond classical type 2 disease which could inform biologic development. Laryngoscope, 134:1005-1013, 2024.

Effects of economic interventions on pediatric and adolescent HIV care outcomes: a systematic review

ABSTRACT Economic insecurity and poverty present major barriers to HIV care for young people. We conducted a systematic review of the current evidence for the effect of economic interventions on HIV care outcomes among pediatric populations encompassing young children, adolescents, and youth (ages 0–24). We conducted a search of PubMed MEDLINE, Cochrane, Embase, Scopus, CINAHL, and Global Health databases on October 12, 2022 using a search strategy curated by a medical librarian. Studies included economic interventions targeting participants <25 years in age which measured clinical HIV outcomes. Study characteristics, care outcomes, and quality were independently assessed, and findings were synthesized. Title/abstract screening was performed for 1934 unique records. Thirteen studies met inclusion criteria, reporting on nine distinct interventions. Economic interventions included incentives (n = 5), savings and lending programs (n = 3), and government cash transfers (n = 1). Study designs included three randomized controlled trials, an observational cohort study, a matched retrospective cohort study, and pilot intervention studies. While evidence is very limited, some promising findings were observed supporting retention and viral suppression, particularly for those with suboptimal care engagement or with detectable viral load. There is a need to further study and optimize economic interventions for children and adolescents living with HIV.

Madeline Earle Stanton (1898–1980): Librarian and Consultant of the Medical Historical Library at Yale University, Research Assistant in Bibliography in the Yale Department of the History of Medicine, Associate Editor of the Journal of the History of Medicine and Allied Sciences, and Secretary and Protégé of Harvey Cushing

This historical account reviews the course and lasting impact of Madeline Earle Stanton (1898-1980) in neurosurgery. The writing of this project was sparked by the discovery of original scientific and bibliographical information about Stanton. It is a thorough review of literature on Stanton and reflects the scope and depth of these prior works. Beginning with Madeline Stanton's venture with Dr. Harvey Cushing at Harvard and Peter Bent Brigham Hospital in Boston, this project follows the transformation of her role as Cushing's secretary to the secretary of the Medical Historical Library at Yale. Stanton played an integral role in the development of the Yale Medical Historical Library, becoming the librarian of the Historical Collections and remaining a historical consultant after retirement. Stanton served as an assistant and associate editor for the Journal of the History of Medicine and Allied Sciences. Stanton's work created an access point to valuable medical literature for the furthering of medical education and development. Our article provides glimpses into the personality of Madeline Stanton and her marked impact on neurosurgery.

Technological trends in Swedish medical libraries.

Medical libraries in Sweden are digitised to a large extent, technically advanced and developing rapidly. This paper investigates technological trends among Swedish medical libraries in the near and distant future and their application within different areas of library activities. The authors also present a roadmap to increase technological developments within medical libraries in Sweden. Current technological trends include digital collaboration tools, mobile technologies and visualisation. Artificial intelligence, big data and smart technologies are upcoming trends. Technologies are applied within all areas of library activities, but preconditions for academic and hospital libraries differ. To remain a relevant provider of information services, libraries must be able to monitor, test and adopt new technologies.