“Print Chapter” Feature of AccessMedicine To Be Turned Off Sept. 1 September 1, 2011
Posted by cshannon in Clinical.Tags: Library News, online resources
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Last week, only a few days after the newest version of Harrison’s Principles of Internal Medicine had been posted to AccessMedicine, the title was discovered circulating on a number of digital lockers, torrent sites, and other means of illicit file sharing. A quick examination of the file revealed that the party (or parties) who had created it simply printed every chapter of Harrison’s, then “bound” it as an ebook and started distributing it. Presently, the “Print Chapter” view makes it far too easy to do this.
To address this issue of digital piracy, McGraw Hill will remove the “Print Chapter” option on all Access products. This is scheduled to be effective Thursday, September 1, on AccessMedicine. However, the “Print Section” option will remain.
PubMed’s MeSH Database Updated March 16, 2011
Posted by cshannon in Clinical, Information Skills, News and Announcements.Tags: PubMed
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Recently, the MeSH database, the controlled vocabulary by which articles in PubMed are indexed, was changed.
An autocomplete feature, a dropdown list of suggested terms, was added to the main MeSH search page.
The Search Builder within the MeSH database has been moved from the top of the page to the right side. Select your term from the Summary page (the list of results from your search in the MeSH database), then click “Add to search builder”. When you’ve added all the terms you need and selected the correct Boolean operators, click “Search PubMed”.
To add subheadings to MeSH terms, simply click on the MeSH term on the Summary (or main) page, then check the subheading.
To read the full story, click here.
New from the American Journal of Public Health November 23, 2010
Posted by cshannon in Clinical, Dental Public Health, Pediatric Dentistry, Research.Tags: Medicaid, periodontal disease, pregnancy
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Radiation Worries for Children in Dentists’ Chairs November 23, 2010
Posted by cshannon in Clinical, Consumer Health, Dental Public Health, News and Announcements.Tags: radiation
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Part of the New York Times “Radiation Booms” series is an article about the increasing doses of radiation that children receive from general dentists and specialists.
http://www.nytimes.com/2010/11/23/us/23scan.html
A related article for health consumers lists questions to ask your dentist about radiation used in dental practice.
And follow the discussion on the NYT‘s Well blog.
UpToDate Access Will Continue August 20, 2010
Posted by Mark in Clinical, Resources, Uncategorized.Tags: uptodate
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Due to the generosity of the UM Medical School, UpToDate will continue to be available on campus. This will allow the University Library to continue offering other valuable resources to UM community.
Non-Renewal of UpToDate August 12, 2010
Posted by Mark in Clinical, Resources.Tags: clinical, resources, uptodate
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Update: This post is out of date. See the update here.
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UpToDate is a clinical point-of care resource that has been available to the University of Michigan Health System for nearly eight years. It is primarily used by physicians, medical students, and nurses. In 2005, the University Library was forced to discontinue remote access to UpToDate because of the extremely high cost for off-site use, but was able to maintain access to the database in designated locations on campus.
In addition to this lack of remote access, our ongoing evaluation of UpToDate has raised these concerns:
* timeliness of content
* unclear use of evidence-based research for topic reviews including diagnosis and therapy recommendations
* lack of an archive of content to support review of medical decisions at a later date
* no institutional access on handheld devices
At the beginning of 2010, the University began negotiations with the publisher of UpToDate for our on-campus subscription renewal. Despite repeated discussions, the publisher insisted on a 43% price increase over the next two years. We cannot justify this increase and are concerned that other resources will have to be cut to afford this one.
As a result of all these factors, effective September 1, 2010, UpToDate will no longer be available through the University of Michigan Library. We are in good company as libraries at several peer institutions including Duke University have made similar decisions.
We will continue to offer DynaMed, an alternative point-of-care, evidence-based resource. DynaMed is updated daily and provides similar content, remote access and access via mobile devices, clinical summaries drawn from journal literature and systematic reviews, and links to PubMed.
Further details about our decision can be obtained here. Taubman Health Sciences Library will work with departments and individuals to make the transition away from UpToDate as smooth as possible. If you have any questions or concerns, or if you need additional information, please contact us at thlibrary@umich.edu.
New Systematic Reviews & Guidelines June 29, 2010
Posted by pfanderson in Clinical, News and Announcements.add a comment
20394501
Qian, Qian. Wang, Qian. Zhan, Ping. Peng, Ling. Wei, Shu-Zhen. Shi,
Yi. Song, Yong.
The role of matrix metalloproteinase 2 on the survival of patients with non-small cell lung cancer: a systematic review with meta-analysis.
Cancer Investigation. 28(6):661-9, 2010 Jul.
20339227
Laaksonen, Matti. Sorsa, Timo. Salo, Tuula.
Emdogain in carcinogenesis: a systematic review of in vitro studies. [Review] [108 refs]
Journal of Oral Science. 52(1):1-11, 2010.
20153908
Korreman, Stine. Rasch, Coen. McNair, Helen. Verellen, Dirk. Oelfke,
Uwe. Maingon, Philippe. Mijnheer, Ben. Khoo, Vincent.
The European Society of Therapeutic Radiology and Oncology-European Institute of Radiotherapy (ESTRO-EIR) report on 3D CT-based in-room image guidance systems: a practical and technical review and guide. [Review] [120 refs]
Radiotherapy & Oncology. 94(2):129-44, 2010 Feb.
20381940
Joss, Christof Urs. Joss-Vassalli, Isabella Maria. Kiliaridis, Stavros.
Kuijpers-Jagtman, Anne Marie.
Soft tissue profile changes after bilateral sagittal split osteotomy for mandibular advancement: a systematic review. [Review] [42 refs]
Journal of Oral & Maxillofacial Surgery. 68(6):1260-9, 2010 Jun.
ADA's New Evidence Based Dentistry Site March 10, 2009
Posted by pfanderson in Clinical, Information Skills, News and Announcements.add a comment
Of interest to our entire community, the American Dental Association has just released their new website on evidence-based dentistry.
ADA: EBD: http://ebd.ada.org/

The site includes a useful set of resources and tools, including: systematic reviews, clinical synopses of the evidence, recommendations from the ADA, resources and tools, as well as a community space.

The community space is not terribly well developed at this point, being a new service, but I am very excited that it was included and eagerly anticipate richer expansion of this section. I sent this and a few other thoughts and suggestions. I hope that you will also send your thoughts to the ADA to help develop this new and valuable community resource in directions of the greatest value to the profession.
Aphthous Stomatitis – is it really this easy? January 7, 2009
Posted by pfanderson in Clinical.add a comment
You might be interested in this new article on aphthous stomatitis.
Volkov I, Rudoy I, Freud T, Sardal G, Naimer S, Peleg R, PressY. Effectiveness of Vitamin B12 in Treating Recurrent Aphthous Stomatitis: A Randomized, Double-Blind, Placebo-Controlled Trial. Journal of the American Board of Family Medicine 22 (1): 9-16 (2009).
http://www.jabfm.org/cgi/content/full/22/1/9
ABSTRACT:
Background: The frequency of recurrent aphthous stomatitis (RAS), the most common oral mucosa lesions seen in primary care, is up to 25% in the general population. However, there has been no optimal therapeutic approach. Our objective was to confirm our previous clinical observation of the beneficial treatment of RAS with vitamin B12.
Methods: A randomized, double-blind, placebo-controlled trial was done using primary care patients. A sublingual a dose of 1000 mcg of vitamin B12 was used in patients in the intervention group for 6 months.
Results: In total, 58 patients suffering from RAS participated in the study: 31 were included in the intervention group and 27 were included in control group. All parameters of RAS among patients in the intervention group were recorded and compared with the control group. The duration of outbreaks, the number of ulcers, and the level of pain were reduced significantly (P < .05) at 5 and 6 months of treatment with vitamin B12, regardless of initial vitamin B12 levels in the blood. During the last month of treatment a significant number of participants in the intervention group reached "no aphthous ulcers status" (74.1% vs 32.0%; P < .01).
Conclusion: Vitamin B12 treatment, which is simple, inexpensive, and low-risk, seems to be effective for patients suffering from RAS, regardless of the serum vitamin B12 level.
New Clinical Guidelines in Dentistry June 18, 2007
Posted by pfanderson in Clinical, Pediatric Dentistry.add a comment
The American Academy of Pediatric Dentistry and the Michigan Quality Improvement Consortium have both recenetly released new clinical guidelines of potential interest to practicing dentists. MQIC has a number of other guidelines on common conditions that might be of interest to clinicians in general practice when encountering non-dental conditions in their patients.
American Academy of Pediatric Dentistry (AAPD): http://www.aapd.org/media/policies.asp
Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures: An Update: http://www.aapd.org/media/Policies_Guidelines/G_Sedation.pdf
Use of Xylitol in Caries Prevention: http://www.aapd.org/media/Policies_Guidelines/P_Xylitol.pdf
Michigan Quality Improvment Consortium(MQIC):
http://www.mqic.org/guid.htm
MQIC: Acute pharyngitis in children: http://www.mqic.org/pdf/REVISED%20MQIC%202007%20Acute%20Pharyngitis%20in%20Children%20Guideline.pdf