Info-Rx: Newsletter of the Health Sciences Libraries April 2010 Your prescription for quality health information

From the Editor|

Welcome to Phase I of the library's massive renovation project. This renewal of the largest of the University of Manitoba Health Sciences Libraries has been made possible with new funding from the federal government's Knowledge Infrastructure Program and the many contributions

from generous donors to our Health Information Place (HIP) Campaign.

For more information about the new library and about the temporary changes that construction will bring, follow our special renovations blog. This month we highlight two key educational resources. Procedures Consult is a new medical education resource providing multimedia training modules. EXAM MASTER OnLine is an important resource for anyone preparing for licensure and board exams. The library's subscription provides you with help for USMLE, PANCE/PANRE (Physician Assistants), NAPLEX (Pharmacy), and NBDE (Dentistry).

This month we are highlighting recent PubMed improvements — and the end of a year-long experiment in providing the Cochrane Library free to all Canadians.

You've heard about journal impact factors, but have you heard of the h-index? It's a new way of measuring the the impact of an individual author's scholarly output, but its reception has not been without controversy. If you do research, you should know about the h-index. Our regular feature on what your patient reads looks at recent research on erectile dysfunction as a warning sign for heart disease.

2010 is a year of change in our human resources as well as our physical surroundings. Significant staff changes are taking place in the Health Sciences Libraries. Analyn Cohen Baker is retiring. Since 2002 Analyn has managed the Seven Oaks General Hospital Library with distinction. Three new librarians have joined us recently. Orvie Dingwall is the Outreach Services Librarian. Carol Friesen has also joined the Outreach team as the Manitoba Health Outreach Librarian. Sherri Vokey is the new Health Sciences Centre Librarian.

Thank you for your patience during the Neil John Maclean Library's transformation. Construction is on schedule and should end in September. The next few months will continue to be challenging, but on the bright side of things the library promises to be a more interesting and useful space — a true learning commons.

Database News

The h-Index

Beyond Google

Customize PubMed with My NCBI

Pubmed extends its reach: back to 1947

What Your Patient Reads

Does ED indicate cardiovascular disease?

Canadian Health News

Cochrane update: free national trial over

@ Your Library

Follow our renovations on our special blog

News|

Library renovations: the hoardings are up but it's business as usual Apr 12, 2010 11:00 AM Library staff continue to assist patrons from a single service desk. Farewell to Analyn Cohen Baker: Seven Oaks General Hospital Librarian retires Apr 11, 2010 10:27 AM Analyn has managed the SOGH Library with distinction since 2002. New staff for a new library: three talented librarians fill important positions Apr 10, 2010 4:00 PM Two librarians hired for Outreach Services. A new liaison librarian for the Health Sciences Centre. Procedures Consult: online medical procedures training Apr 10, 2010 3:00 PM A new online resource providing multimedia modules designed to make procedures education more effective. Exam Master: advanced Board preparation for medicine and the health sciences Apr 9, 2010 6:00 PM Designed to simulate and help prepare you for USMLE (1,2,3), National Board Certification, PANCE/PANRE, NAPLEX, NBDE.

More...

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About the Health Sciences Libraries|

The Health Sciences Libraries support the teaching, research, and patient care activities of the staff and students of the Faculties of Dentistry, Medicine, Nursing, Pharmacy, and the Schools of Dental Hygiene and Medical Rehabilitation at teaching sites in Winnipeg and rural Manitoba. Working with the Winnipeg Regional Health Authority, the University of Manitoba provides full library services to Winnipeg's nine hospitals and all WRHA personnel. The Health Sciences Libraries now include the Neil John Maclean Health Sciences Library (Health Sciences Centre), and the hospital libraries of Concordia, Deer Lodge, Grace, Misericordia, Riverview, Seven Oaks, St. Boniface, and Victoria.

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Manitoba's Health Information and Knowledge Network (MHIKNET) is a special outreach service dedicated to the staff of Manitoba Health, participating Regional Health Authorities in Manitoba, and physicians in Manitoba. The Health Sciences Libraries offer a wide range of services, including document delivery, literature searches, and innovative consulting and training. We provide access to an extensive collection of monographs, journals, videos, and health databases.

Publication Information|

Info-Rx is the electronic newsletter of the University of Manitoba Health Sciences Libraries. Its purpose is to inform our primary audience of services or resources that will help them to access quality health information. Info-Rx is published six times a year. Comments, questions, or letters to the editor should be addressed to: info-rx@umanitoba.ca

Info-Rx Editor: Mark Rabnett, Neil John Maclean Health Sciences Library

Co-editors: Laurie Blanchard, J.W. Crane Memorial Library Carol Friesen, NJM Library Lori Giles-Smith, Grace Hospital Library Tania Gottschalk, NJM Library Christine Shaw-Daigle, St. Boniface General Hospital Library

Library renovations: the hoardings are up but it's business as usual

When you approach the Neil John Maclean Health Sciences Library you will immediately see the "walled garden" effect that the newly erected hoardings make. During Phase I of construction, the library's main floor is where the action is.

"When the hurly-burly's done, when the battle's lost and won" Workers have put up hoardings to contain the dust and hurly-burly of construction (but not the noise, unfortunately). The north, east and west areas of the main floor have disappeared. That includes the former Circulation Desk. You will find both circulation staff and librarians at the reorganized Information Desk (the round desk on your right as you enter).

Other library staff are working in the Ross and Paterson labs, which have been repurposed for the duration of construction.

Although it's rather noisy with lots of people coming and going, the library is still open at our regular hours, and we'll do our best to serve your information needs. You can still access the print collection and study carrells upstairs. Photocopiers and the debit card and change machines are upstairs too. There are also plenty of public workstations available for your use.

Look for a spanking new look for the main floor by the end of May.

Farewell to Analyn Cohen Baker: Seven Oaks General Hospital Librarian retires

After eight years of providing innovative library services to the Seven Oaks General Hospital, Analyn Cohen Baker is retiring as of the end of April, 2010.

An Assistant Librarian with the University of Manitoba since 2002, Analyn received her Master of Library Science degree from Emporia University in 1996.

Analyn worked directly with the SOGH clinical and administrative staff, offering reference, training and literature search services. She also provided library support to employees of the Winnipeg Regional Health Authority in the Seven Oaks and Inkster community offices.

Analyn was well suited to her position, successfully combining her nursing knowledge – she is a graduate of the Winnipeg General Hospital School of Nursing – with her library expertise. She played a vital role in the consolidation of Winnipeg's hospital libraries into the Health Sciences Libraries of the University of Manitoba. Analyn has made important contributions professionally and personally. She will be sorely missed by her colleagues and by the staff of Seven Oaks.

New staff for a new library: three talented librarians fill important positions

OUTREACH SERVICES LIBRARIAN

Orvie Dingwall is the Outreach Services Librarian at the Neil John Maclean Health Sciences Library. In this role, Orvie will be providing and coordinating reference services and literature searches through Manitoba's Health Information and Knowledge Network (MHIKNET), and creating new opportunities for engagement and dissemination of health information to Manitoba Health, participating Regional Health Authorities, and physicians in Manitoba.

After completing her Master of Library and Information Science degree from the University of Western Ontario in 2005, Orvie became the first librarian for the Canadian Patient Safety Institute (CPSI) in Edmonton. Currently, she is Vice President / President Elect of the Canadian Health Libraries Association. Across all spectrums of her work, Orvie is passionate about evidence-informed decision making, providing access to information, pan-Canadian collaboration, patient safety, and contributing to the evidence base.

Email: dingwall@cc.umanitoba.ca Phone: 977-5660 MHIKNET: http://mhiknet.lib.umanitoba.ca/

OUTREACH LIBRARIAN - MANITOBA HEALTH

Carol Friesen is the Manitoba Health Outreach Librarian, a newly created liaison position to serve the information needs of Manitoba Health. Carol works two days a week at the 300 Carlton St. offices of the ministry. After receiving degrees in political science (BA, University of Winnipeg and MA, York University) and working in various administrative positions (several with the federal government), Carol completed a Master's in Library and Information Studies (MLIS) at the University of Alberta. After graduating in 2004 she worked as Research Librarian with the Alberta Research Centre for Child Health Evidence in Edmonton, where she conducted comprehensive literature searches for systematic reviews and evidence reports, provided training on searching, and conducted a case study on the effectiveness of searching for grey literature (which she presented as a poster at the 2005 Cochrane Colloquium in Melbourne, Australia). Since 2008 Carol has worked in contract positions with the NJM Health Sciences Library.

Neil John Maclean Health Sciences Library (Tue/Wed/Fri): Email: carol_friesen@umanitoba.ca Phone: 480-1391 Manitoba Health (300 Carlton Street, Mon/Thu): Email: carol.friesen@gov.mb.ca Phone: 788-6477

HEALTH SCIENCES CENTRE LIBRARIAN

Sherri Vokey is the new Health Sciences Centre Librarian at the Neil John Maclean Health Sciences Library, and an Assistant Librarian with the University of Manitoba. Before moving to her current position at the Neil John Maclean Health Sciences Library, she held positions as an academic librarian at the University of Winnipeg, University of Nevada, Las Vegas, and the University of Toronto. Sherri was the lead instructor in the Library & Information Technology Program at Red River College from 2007-2010. She graduated from the University of Western Ontario with a Master of Library and Information Science in 2002, and a Master of Arts from Queen's University in 2000.

As the Health Sciences Centre Librarian, Sherri acts as a liaison between the library and researchers, clinical practitioners, health care administrators and teachers and students in nursing and selected allied health programs at the HSC. She provides reference services, literature searches, collection development, and orientation and education programs for library services.

Email: sherri_vokey@umanitoba.ca Phone: 789-3344

Procedures Consult: online medical procedures training

Designed for physicians, medical residents and students, Procedures Consult is an online multimedia training and reference tool that offers easy access to complete details on how to prepare for, perform and test your knowledge of the most common procedures required in today's hospital setting.

Featured specialties include Internal Medicine, Anesthesia, Emergency Medicine and Orthopedics. Procedures Consult is designed to meet the procedural needs of physicians through every stage of their career. Residents and students can watch videos of experts performing procedures before performing procedures themselves. Physicians looking to maintain their skills and knowledge have a new, easy way to access important reference content.

Procedures Consult helps reduce the potential for medical errors and complications by providing immediate access to information on high-risk/high-volume procedures as well as medical procedures performed infrequently that are critical to patient safety.

Procedures Consult covers the procedures required by the ABIM (American Board of Internal Medicine) and conforms to ACGME standards to help physicians and residents to consistently achieve the best patient outcomes.

Features:

• High-quality video, text and illustrations for important medical procedures • Browsable and searchable for quick and easy access to any procedure • Highlights when patient “informed consent” is required • Customizable, for institution-specific protocols and procedures • Time-effective, self-directed procedures training and testing • Reinforces Joint Commission patient safety concepts • Provides Pre-, During, and Post-procedure reference

Procedures Consult is built on learning management software and offers comprehensive procedures information optimized for consistency in training, reference and review. In addition, Procedures Consult includes:

• Customization tools to edit text to precisely fit organization needs; ability to add procedure-specifc alerts and links to institutional resources • Self-directed testing that saves educators valuable time by managing the testing process online for one or a large group of trainees • Tracking and reporting to monitor trainee performance and competence of assigned procedures necessary for credentialing

Benefits of Procedures Consult: • Enhances efficiency and consistency of medical procedures education • Fully customizable • Accessible online anywhere, anytime • Includes testing, competency tracking and reporting

View a demo of Procedures Consult here:

http://app.proceduresconsult.com.proxy1.lib.umanitoba.ca/PCMedia/procedures.html

A short video on Procedures Consult for iPhone and iPod Touch:

http://www.youtube.com/watch?v=9fniaieyHqg

Exam Master: advanced Board preparation for medicine and the health sciences

Are you prepared for your Licensure or National Board Exams? Try EXAM MASTER OnLine - designed to simulate and help prepare you for licensure and board exams including:

� USMLE (1,2,3) � National Board Certification in

o Internal Medicine o Family Medicine o General Surgery o General Pediatrics o OB/GYN

� PANCE / PANRE (Physician Assistants) � NAPLEX (Pharmacy) � NBDE (Dentistry)

Exam master combines a powerful test engine with a large question bank. Take realistic computer-based exams, receive scoring diagnostics, review explanatory text, and track results.

Features:

• Selection from 17,000+ questions. • Custom Exam building capability. • Provides the look and feel of Board & Licensing Exams. • Timed Test & Study modes. • Pause / Resume capability in Test and Study Modes. • Time Remaining displays for Test and Study Modes. • Explanations shown for all questions in Study Mode. • Mark questions for later review. • Normal Labs (U.S. values) access from all questions.

• Detailed score reporting. • User Name and Password secured access. • Worldwide access from any Internet connection.

For Faculty Exam Master now includes Academic Manager, a testing system for medical educators to assess student knowledge.

Some of its features:

• Large question bank - basic and clinical medical sciences • Subject outlines and integrated body system outlines • Authoring tool to enter your own questions • Ability to create case clusters • Advanced score reporting and feedback by student and class

Go to www.exammaster.com/faculty for more information. Faculty should contact the NJMHS Library to get access instructions for Academic Manager.

To access Exam Master: Go to the Health Sciences Libraries home page: www.umanitoba.ca/libraries/health Choose "More Health Databases" and choose Exam Master. Bookmark the following URL:

http://proxycheck.lib.umanitoba.ca/libraries/online/proxy.php?http://www.exammaster2.com/wdsentry/manitoba.htm

To start: First register with the system (only once) and then use a username and password to access the main menu. The system maintains personal information and examination and study history for each user.

To start simply "Click to Start." For those who have not registered, click on "Not Registered Yet?" A password is immediately sent by email. You can change your password at any time.

Once at the Main Menu, select "Create Exams" and use the on-screen help if needed.

Measuring the impact of an author's research: the h-index

If you were distributing grant money to researchers, wouldn't you be interested in knowing how influential an author's body of work has been? The same goes if you are applying for a grant, or for promotion.

First proposed in 2005 by J.E. Hirsch, a physicist at the University of California, San Diego, the h-index quantifies scientific output as a single statistic based on both the number and impact of a researcher’s publications. For example, a scientist who has published 30 papers that each have at least 30 citations would have an h-index of 30.

The h-index helps to correct for the disproportionate weight of highly-cited papers or papers that have not yet been cited. It conveys the broad impact of work over time and never decreases. Authors with similar h-index values are theoretically comparable in overall scientific influence, even if their numbers of papers or citations are very different.

Web of Science and Scopus both provide h-index statistics. You can also download a Firefox add-on for h-index calculation from Google Scholar.

Let's look briefly at how Web of Science does h-index statistics. You can access reports that have an author's h-index through the Citation Report feature in the Web of Science literature database. You will find Web of Science in the T-Z section of the health sciences databases list.

1. In Search (not Cited Reference Search), do a query on an author's name

2. In the search results, click on "Create Citation Report."

3. In the Citation Report, h-index is listed to the right of the bar graphs.

The h-index is not a perfect measure of author impact. Like the journal impact factor, it should be kept in perspective as just one component in the assessment of a scientific career. But until a better means of tracking an author's productivity and impact is developed, the h-index is the best measure available.

Customize your PubMed searches with My NCBI: improvements make it worth looking at again

Searchers are now able to tailor the display of PubMed search results using My NCBI. Introduced on March 17, these improvements to the interface will be welcome to those who prefer to see search results in the Abstract format, to view more than 20 citations per page, or to sort the order of results. In addition, the number of PubMed filters you can select has been expanded from 5 to 15.

Result Display Settings The current default in PubMed displays multiple items in the Summary format, 20 per page, and sorted by items recently added at the top. To change this, access My NCBI, click on "PubMed Preferences," then "Result Display Settings" (see Figure 1).

Figure 1: PubMed Preferences in My NCBI

Select either the Abstract or the Summary format. You can change the number of citations to be displayed per page – up to 200, and choose from the sort options of Recently Added, Pub Date (Publication Date), First Author, Last Author, Journal, or Title (see Figure 2). You must be signed in to My NCBI to apply your display selections to your PubMed search results, and note also that a change to the display may result in a longer response time. This does not change the display of single records which will continue to display in the Abstract format.

Figure 2: Result Display Settings.

A two minute Quick Tour, Changing Your Default Display Settings, will be available on the PubMed Online Training page.

Searchers who want the Supplemental Data (e.g., MeSH terms) to always display are reminded to use the Abstract Supplemental Data preference option. For more information about this and other My NCBI preferences, see My NCBI Help: Using Preferences.

Filters You can also now use My NCBI to select up to 15 filters for PubMed. All filters are displayed as links under "Filter your results" on the upper right of your search results (see Figure 3). Click on any of the filter links to display a subset of your results. To change your filter selections, click on "Manage Filters."

Figure 3: Results filters.

From NLM Technical Bulletin, March-April, 2010 By Lidia Hutcherson National Center for Biotechnology Information

PubMed extends its reach by moving back in time to 1947

Citations to more than 60,000 other articles indexed in the 1947 Current List of Medical Literature (CLML) are now available in the National Library of Medicine's MEDLINE/PubMed database (www.pubmed.gov).

When the original MEDLINE database made its debut in 1971, it contained citations to journal articles mostly published from approximately 1966 forward. NLM began to expand the retrospective coverage of the database in 1996, when more than 307,000 citations originally published in the 1964 and 1965 Cumulated Index Medicus were made available as OLDMEDLINE. The Library has been moving steadily backward in time ever since.

Although 1947 may seem far back in the rear view mirror of history, important articles in biomedicine appeared that year and may hold vital lessons for research in the 21st century. "Some contemporary medical questions can only be answered by consulting the older literature," observed NLM Director Dr. Donald A.B. Lindberg. "NLM is working to make the journal citations in older printed indexes electronically searchable, and our goal is to go back at least as far as World War II."

With the addition of the 1947 citations, the MEDLINE/PubMed subset now contains over 20 million citations produced during 63 years of indexing of the biomedical literature.

For additional information about the data conversion project, go to: http://www.nlm.nih.gov/databases/databases_oldmedline.html.

Does ED Indicate Cardiovascular Disease?

CTV.ca reported on March 16, 2010 that men with heart disease and erectile dysfunction are at an increased risk of a major heart event. While erectile dysfunction and heart disease have been related for a while, a research study in Circulation is the first to show that such people are twice as likely as men with heart disease alone to have a heart attack, stroke or heart failure. The study cohort consisted of 1,519 patients from 13 countries who were enrolled in two studies of two medications to treat heart disease. Dr. Michael Bohm says that because the blood vessels in the penis are smaller, symptoms of atherosclerosis may show up there before it would in heart arteries. Therefore, when patients complain of erectile dysfunction they should be examined for heart disease. Patients with ED, Bohm reported, tended to be older and had a higher prevalence of high blood pressure, stroke, diabetes and lower urinary tract surgery than people without erectile dysfunction. The study also claimed that ACE inhibitors and angiotensin receptor blockers did not help erectile dysfunction but they can reduce heart events.

Erectile dysfunction a warning sign for heart disease. CTV.ca. March 16, 2010

Referenced Work Böhm M, Baumhäkel M, Teo K, et al. Erectile Dysfunction Substudy Investigators. Erectile Dysfunction Predicts Cardiovascular Events in High-Risk Patients Receiving Telmisartan, Ramipril, or Both. The Ongoing Telmisartan Alone and in combination with Ramipril Global Endpoint Trial/Telmisartan Randomized Assessment Study in ACE intolerant subjects with cardiovascular Disease (ONTARGET/TRANSCEND) Trials. Circulation. 2010 Mar 15. [Epub ahead of print]

Bohm’s Key Points

• In this study, the association of erectile dysfunction (ED) at baseline with subsequent major cardiovascular events was studied in 1519 male patients of the ONTARGET and TRANSCEND trials.

• In this population ED occurred in 55% of the patients; twice as high as it prevalence in the general population. • In high-risk cardiovascular patients, ED is predictive of all-cause death and the composite primary outcome, which

consisted of cardiovascular death , myocardial infarction, hospitalization for heart failure and stroke. • Endothelial dysfunction is associated with ED; it is also an early step in the development of advanced

atherosclerosis and is predictive of future cardiovascular events. • Evaluation of ED in the medical history as an early symptom of endothelial dysfunction and atherosclerosis might

be relevant to identify patients at high risk of experiencing a cardiovascular event

References from the Medical Literature

1: Böhm M, Baumhäkel M, Probstfield JL, Schmieder R, Yusuf S, Zhao F, Koon T; ONTARGET/TRANSCEND ED-Investigators. Sexual function, satisfaction, and association of erectile dysfunction with cardiovascular disease and risk factors in cardiovascular high-risk patients: substudy of the ONgoing Telmisartan Alone and in Combination with Ramipril Global Endpoint Trial/Telmisartan Randomized AssessmeNT Study in ACE-INtolerant Subjects with Cardiovascular Disease (ONTARGET/TRANSCEND). Am Heart J. 2007 Jul;154(1):94-101.

2: Araujo AB, Hall SA, Ganz P, Chiu GR, Rosen RC, Kupelian V, Travison TG, McKinlay JB. Does erectile dysfunction contribute to cardiovascular disease risk prediction beyond the Framingham risk score? J Am Coll Cardiol. 2010 Jan 26;55(4):350-6.

3: Hall SA, Shackelton R, Rosen RC, Araujo AB. Sexual activity, erectile dysfunction, and incident cardiovascular events. Am J Cardiol. 2010 Jan15;105(2):192-7.

PubMed Central PMCID: PMC2824175.

4: Bouwman II, Van Der Heide WK, Van Der Meer K, Nijman R. Correlations between lower urinary tract symptoms, erectile dysfunction, and cardiovascular diseases: are there differences between male populations from primary healthcare and urology clinics? A review of the current knowledge. Eur J Gen Pract. 2009;15(3):128-35.

5: Mulat B, Arbel Y, Mashav N, Saar N, Steinvil A, Heruti R, Banai S, Justo D. Depressive symptoms and erectile dysfunction in men with coronary artery disease. Urology. 2010 Jan;75(1):104-7. Epub 2009 Nov 22.

6: Ponholzer A, Gutjahr G, Temml C, Madersbacher S. Is erectile dysfunction a predictor of cardiovascular events or stroke? A prospective study using a validated questionnaire. Int J Impot Res. 2010 Jan-Feb;22(1):25-9. Epub 2009 Sep 24.

7: Hoffman BM, Sherwood A, Smith PJ, Babyak MA, Doraiswamy PM, Hinderliter A, Blumenthal JA. Cardiovascular disease risk, vascular health and erectile dysfunction among middle-aged, clinically depressed men. Int J Impot Res. 2010 Jan-Feb;22(1):30-5. Epub 2009 Sep 24.

8: Schwartz BG, Kloner RA. How to save a life during a clinic visit for erectile dysfunction by modifying cardiovascular risk factors. Int J Impot Res. 2009 Nov-Dec;21(6):327-35. Epub 2009 Aug 20.

Consumer Health Information

Mayo Clinic. Erectile dysfunction: A sign of heart disease?

National Library of Medicine MedlinePlus: Erectile dysfunction

College of Family Physician of Canada. Erectile dysfunction: learning the causing and what you can do.

Cochrane update: free national trial over

The Canadian Cochrane Network and Centre has changed its name to Cochrane Canada. On April 1, 2010 a year-long, open-access national trial of this excellent evidence-based resource came to an end.

The Cochrane Library continues to be available to holders of University of Manitoba library cards. You can access Cochrane from the Health Sciences Libraries home page.

Here is the update as posted by Cochrane Canada on their website:

The Cochrane Library - National Licence update

We thank you for your support throughout The Cochrane Library national licence pilot project. The pilot, which began April 2009, has allowed us to compile compelling data that provides a solid rationale for a national licence. We invite you to read a summary of our Library User Survey results here.

We thank all of you who have renewed your subscriptions in 2010 and continue to support us. We continue to make every effort to secure a funding source for a permanent national license. We have made it this far because of your dedication and support.

If you have not already, we encourage you to contact your local MP stating the importance of this resource and asking that the government get behind it. Please feel free to send us a copy of such communications. You can find your local MP here.

We will continue to relay information regarding The Cochrane Library as it develops. Thank you again for your support.

Please direct any questions you may have to cochrane@uottawa.ca

Sincerely, The Pan-Canadian Cochrane Library Task Force