Searching the literature on transition to adult care

We seem to get a lot of requests for literature on transition between the pediatric and adult care systems. I have searched this question for adolescents with chronic conditions, for children with mental illnesses, and adolescents with diabetes, among others, so I thought I’d share a tip on searching in Medline around these topics. The heading Transition to Adult Care was added to MeSH in 2012, presumably because this is becoming a hot policy issue. Previously, articles on this topic were indexed with the heading “Continuity of Patient Care,” a much broader subject heading that also included non-related things like continuity of care when patients are transferred to a different level of care or type of facility.

It appears there has been no retrospective re-indexing of older articles with the new subject heading, so unfortunately any searches done on this topic in the next few years will need to employ both terms to ensure a complete search. You can filter your results somewhat by limiting to Adolescents and Young Adults (19-24 years), or by adding in the keyword “transition*”, which is almost always used in articles on this topic.

Removing Case Reports from PubMed/MEDLINE Results

This helpful search tip was posted on CANMEDLIB.

In addition to the removing comments, letters, editorials, etc. from a results list, I’ve been asked to remove case reports.  I note that a citation can share many publication types (e.g. a meta-analysis of case reports), and I wonder if there is a safe way to remove these without losing potentially relevant citations.

I believe this would be similar to the approach of removing pure animal studies i.e., Animals/ NOT (Animals/ AND Humans/) so I think you could do something like the logic string, below.

Using PubMed as an example:

case reports[Publication Type] NOT (case reports[Publication Type] AND ("randomized controlled trial"[Publication Type] OR "controlled clinical trial"[Publication Type] OR "multicenter study"[Publication Type] OR clinical trial[Publication Type] OR "evaluation studies"[Publication Type] OR review[Publication Type] OR meta-analysis[Publication Type]))

The list of alternate publication types would have to be fairly extensive and I only show a selection, above.

Has anyone tried this? Are there any potential risks?

I have also posted this to the Expert-Searching listserv so apologies for cross-posting.

Many thanks for your help!

Becky

Becky Skidmore, BA(H), MLS

Medical Research Analyst / Analyste de recherche médicale

The Society of Obstetricians and Gynaecologists of Canada / La Société des obstétriciens et gynécologues du Canada (SOGC)

780, promenade Echo Drive

Ottawa, ON  K1S 5R7

Phone / téléphone : 613 730 4192 ext 246

800-561-2416 ext 246

Fax / télécopieur : 613 730 4314

Email / courriel : bskidmore@sogc.com

Web / Site Web : www.sogc.org

HSL Access Notes - July 24th

Hello Everyone,

A few notes for the week….

New delivery

The weekly notes will no longer be distributed by email.  I will send out an email with a link to the Keeping Current blog post of the notes.  Please let me know if you are having any trouble accessing or viewing the blog.  The blog is bookmarked on the service counter workstations.

Flex Plan

In answer to the following  interesting flex–plan  question, “ can you earn flex on a day when you have an appointment or other time away”, we have received this response from HR:

Staff members cannot combine any other time with their flex time earned. They must work the entire shift, plus the extra flex time. On days that they are away for a paid benefit, they are not entitled to work flex time.

Please let me know if you have any questions.

Clinical Expired Clients

We have seen a few more clinical clients whose records expired on June 30, 2012.  In these clinical staff cases (UofC staff, not students) it is best explain that the library privileges are tied to their status with the UofC, and to refer the client to the HR help desk at 220-5932 to follow up regarding their UofC status.  If they are still associated with the University we can offer to extend their library privileges for two weeks in Sirsi while the system processes any updates.  Staff are asked to update the expiry date manually in the Modify User function using the override, and add a note to the Extended Info screen indicating the situation and the action taken plus staff initials.  These types of situations can also be referred to me (client name, barcode and contact please) for follow up.  Please let me know if you do run into this type of situation so we can monitor the problem.  Thanks.

Intranet – naming-blog updates- remove from R drive

We are continuing to develop the HSL Intranet as a key location for HSL information.

All HSL/HIN staff should have access to the HSL Intranet.  You may need to add UC_ADMIN\ before your login.  Please let me know if you are having any trouble with access.

A couple of recommendations have come from a recent Communications Group meeting:

·         Naming convention:  If you are adding a document or wiki page to the Intranet, please use the following naming convention:  description YYYY MM DD staff initials.  Example:  Staff contacts 2012 07 24 mg

·         Master file:  if you are adding a document or file to the Intranet, it should become the master file and other copies of the file should be removed from the shared drive or common files.

·         To inform staff that a file or document has been added or migrated to the Intranet, please post an update in the Keeping Current blog.

HSL Literature Search Form – Online

There is a new online Literature Search Form  on the HSL webpage under Research and Teaching support.  It may be helpful for staff to direct clients requesting assistance with in depth reference questions or literature searches to the online form when a librarian is not immediately available, for example during evenings.  The form will allow the clients to provide helpful information to the librarians who will then be able to follow up appropriately with initial contact within one business day.  Forms submitted online are directed to hslibr email.

http://library.ucalgary.ca/health-science-library-search-request-form

There are also print copies of the form in the service area files in case of system failures, but the online form submission would be preferred and encouraged.  Staff can add the information to the online form on behalf of a client while assisting the client at the desk or on the phone.

This is a new service, so any staff or client comments or input would be appreciated.

Mackie items 

We have 78 items from the Mackie History of Neuroscience Collection that have been flagged to be in fragile condition and are being prepared for transfer to Special Collections.

There is new Mackie History of Neuroscience signage in the History of Medicine Room to highlight the collection.

Journal Count

We are conducting an ‘in library use’ count for the following four journal titles during the months of July and August:

·         Oncogene

·         Journal of Cell Biology

·         Drugs

·         Pharmacoeconomics

Students will be recording a stick count of any issues of these titles on a stat sheet at the front counter before shelving.

Old edition (2006) of Neonatal Resuscitation (NRP)

Recently at HSL we had a few AHS staff looking specifically for the older edition (2006) of the NRP textbook.  HSL  withdrew most of our older copies when we received the updated 2011 version, however we do have one copy of the older edition on our compulsory Education shelves (for AHS staff)as well as one copy in our main stacks (for UofC clients).

Holds on BLS for Healthcare Providers   – contact pick up location

Most Knowledge Centres have a good supply of BLS manuals in the Compulsory Education collection for AHS staff, so there is generally no need for AHS staff to place holds on the title.  However if a client does place a hold on the title, it could lead to many copies being flagged for the same client while the item is checked out on an ‘in transit’ card.  We can hopefully avoid the ‘in transit’ and multiple copy problem  by filling the hold at the location where the client wants to pick up the item.  if staff see a BLS manual on the hold pick up list with a different pick up location, rather than pull the item and place it in transit, please call the pick up location KC and ask them to pull and process the item at that location.  Thanks for flagging the issue Tuyet!

Rooms in HSL

·         Available for online booking:   1453, 1454, 1455, 1456 A & B, 1458

·         Available for online booking and extended booking:  1481 A, 1481 B, 1481C, 1481D

·         Not currently available (eventually for online evening and weekend booking): 1461B, 1462B, 1463A &B, 1464 A&B

·         Available for internal staff booking:  1459, 1460A & B (Commons), 1483 (HOM)

Please note that Sara is now able to make bookings for the Computer Commons as well as the extended bookings for the individual study rooms.

Computer Commons – update

Up until this point, the Computer Commons was the only area in HSL where food and drink have not been permitted.  We are now updating this policy to permit beverages in the Computer Commons.  This reflects the guidelines used in the Research Park at TFDL.

Printing Options with Older  OneCards

Clients who have an older OneCard that is not recognized by our Network Printer,  can still add funds to their cards and use their cards for transactions in our POS.

Therefore they can use the back up printer and still pay at the POS using their OneCard (or cash, debit or Visa!).

Key Projects

HSL Key inventory:  Leslie has been working on an inventory of all HSL keys. 

HSL door Key control:  Sara is working on a key control system to track HSL door keys.  

August Schedule

The HSL August consult office/desk schedule  will be posted in the HSL Intranet early next week.  This will become the master copy of the schedule, and any changes that need to be made should be made on the Intranet file.

Please let me know if you have any questions, suggestions or concerns.   I will be away on vacation August 7 – 17^th.

Mary

HSL Access notes - July 16th

Hello Everyone,

A few notes to begin the week...

HSL Weekend Closures

HSL continues to be closed Saturdays and Sundays through July and August.  I have spoken with HSC Security staff and they confirm that they fielded only the occasional question regarding the weekend closure and no complaints. 

Staff are asked to continue to remind clients that we are closed on weekends through the summer, especially if directing them to the library for any follow up, or giving out our hours of operation (our summer closures are not noted on our handout).

SPSS

Glenn from ITS was able to reload version 19 of the statistical software SPSS on the workstations in the Computer Commons.  Version 20 will be installed when the workstations are loaded with the fall software load, sometime during the next month.  This software will not be available on the public workstations outside of the Commons due to licensing restrictions.

Library Privilege Issues

We have seen 4 or 5 clients this week who have contacted us with concerns that their library access has stopped.  In all these cases when I have followed up we have found that these clients were clinical staff with contract positions that ended on June 30, 2012.  Since library access is tied to UofC status, their access will have expired as of June 30, 2012.  We should advise these clients that if they continue to work with the UofC, they should speak to their UofC  ‘reports to’ manager about completing the appropriate HR forms to extend their contract.  As soon as their UofC status is reinstated (if they are eligible), their library access will be reinstated.  In some cases we can manually extend privileges for 2 weeks as a sign of good will while HR deals with their status.  If this is done a note should be added to their ‘extended info’ screen in Sirsi.   I am always pleased to follow up with client privilege issues as well.   

Residents and Fellows

Some helpful information from Helen regarding new residents and fellows who have begun their programs this month and who have begun using the library……

U of C residents (should load in Sirsi as grad students)  and fellows generally have AHS badges, but  are also eligible for, and encouraged to pick up the U of C photo ID card (now called ONEcard), which would give them access to library services and other services associated with it (debit card, access to gym, etc). 

If they go in person, to the ONEcard/Security office to get their cards, they will get their pictures taken and their cards issued right away. They need to have their U of C ID number and one piece of government issued photo ID.  

Please note  if you are directing clients to the Security ID Office at main campus:

·         We do have handouts in the public handout display that include a map, directions to main campus and ID Office contact information and hours. 

·         Please always advise clients to call the office first to confirm that they are in the system,  before making a trip over for a OneCard.

·         The office is closed over the lunch hour.

·         The office does have extended hours a day or two each month including:   

o    August 1, 27-30: open until 6:00p.m.  and

o   September 3-6, 10-13, 17-20: open until 6:00p.m.

o   More info See http://www.ucalgary.ca/onecard/contact_ONEcard.

Lexi comp/Dynamed Requests

Information from Helen regarding student access to popular databases  Lexi-comp and Dynamed…

2^nd year (pre-clerkship) and 3^rd year (clerkship) medical students are U of C students and as such, are eligible to get Lexi-Comp through the Health Sciences Library. Each student is issued an individual product code. Lourdes is in charge of issuing codes and Brian is the back-up when she is away. If both are away, Caitlin, as the UME librarian, is their backup.  If clients come to the desk asking about these products, please have them complete the brief form that is available at the front counter and pass on to the appropriate staff person mentioned above.

Residents and post-graduate fellows are both U of C grad students and AHS employees. AHS makes Lexi-Comp available to all their staff, including the residents and fellows. To register for access, they MUST use their AHS email and the AHS portal to register (either iWeb or inSite). When they register, they will get an institutional product code to download Lexi-Comp. Instructions are in SharePoint at https://spse.ucalgary.ca/sites/HSL/HSL%20Wiki%20Pages/Lexicomp%20for%20Residents%20and%20AHS%20staff.aspx and on the Mobile Devices libguide under Featured Point-of-Care Resources http://libguides.ucalgary.ca/mobile (which is where you would point them), and also printed in the reference binder.

Residents must get Lexi-Comp through AHS and not through U of C.

GGM42 Key

Staff are asked to check their GGM42 key in the lock on the door leading from the public part of the library to the administrative, office and workroom area.  If your key is not working with the new cylinder, please let me know and I can provide a new key.

Update to Room booking system

There will be a minor system upgrade to the HSL Room Booking System (RBS) this week. This upgrade is necessary to fix a problem some users are experiencing when logging in with an email account that’s not known to our system.

The upgrade should only take about 15 minutes. During that time, the RBS will be unavailable. We will not  lose any bookings. We hope to know more once the time of the upgrade is confirmed.

Also, we have another extended room booking in individual study room 1481A, so that both 1481 A and C will be locked when not in use.

Thunderbird

There was a message this week regarding the Thunderbird email service.  This will not affect our use of Thunderbird for our group email accounts such as hslcirc and hsldoc.

HSL Literature Search Form

There is a new online Literature Search Form  on the HSL webpage under Research and Teaching support.  It may be helpful for staff to direct clients requesting assistance with in depth reference questions or literature searches to the online form when a librarian is not immediately available, for example during evenings.  The form will allow the clients to provide helpful information to the librarians who will then be able to follow up appropriately with initial contact within one business day.  Submitted forms are directed to hslibr email.

http://library.ucalgary.ca/health-science-library-search-request-form

There are also print copies of the form in the service area files, but the online form submission would be preferred.

This is a new service, so any staff or client comments or input would be appreciated.

Copyright

We have received news that our LCR copyright procedures for the fall term will be the same as those used last year.  Hopefully, that will make things a bit easier as LCR personnel and faculty members have some familiarity with the requirements.  Also, the information on the copyright page has been updated, see http://library.ucalgary.ca/copyright.

Microfilm Machine

 The microfilm reader is still not available and may not be repairable.  We are looking into our best options.

Please let me know if you have any questions, concerns or suggestions.

Rapid vs. Systematic Reviews

Liberating the Literature (a blog by Jon Brassey, creator of TRIP) has recently published two articles about the differences between rapid and systematic reviews. Lots of links to other good articles in here.

Rapid versus Systematic Reviews

Rapid versus Systematic Reviews - Part 2

When/if You Search Guidelines in Ovid Medline

Not scientifically validated, but I have been working quite extensively on this. Feel free to refine them:

1. exp Guideline/
2. exp Guidelines as Topic/
3. guideline.pt.
4. exp Practice Guideline/
5. exp Practice Guidelines as Topic/
6. practice guideline$.mp.
7. practice guideline.pt.
8. CPG$.tw.
9. exp Health Planning Guidelines/
10. best practi$.mp.
11. ((practice or consensus or position) adj2 (guideline$ or recommendation$ or statement$)).tw.
12. professional standard$.tw.
13. "standard of care".tw.
14. or/1-13

What is a Scoping Review?

I'm currently involved in working on a "scoping review" with MHCC. These types of reviews seem to be fairly popular in some fields as a way to get an initial idea of the extent and nature of the literature on a topic, where that literature is located, how rigorous it is, and any gaps. Often a scoping review will serve as an initial step towards a more systematic review.

However, the term "scoping review" is often thrown around without a clear understanding of the methods or what's involved. One of my researcher colleagues pointed me to quite a good article that attempts to provide a methodological framework for scoping reviews, and then I found a more recent followup article that fleshes the concept out even further. If you're ever asked to work on one of these, you might find these two articles useful:

Arksey, H. and L. O'Malley (2005). "Scoping studies: towards a methodological framework." International Journal of Social Research Methodology 8(1): 19-32.
This paper focuses on scoping studies, an approach to reviewing the literature which to date has received little attention in the research methods literature. We distinguish between different types of scoping studies and indicate where these stand in relation to full systematic reviews. We outline a framework for conducting a scoping study based on our recent experiences of reviewing the literature on services for carers for people with mental health problems. Where appropriate, our approach to scoping the field is contrasted with the procedures followed in systematic reviews. We emphasize how including a consultation exercise in this sort of study may enhance the results, making them more useful to policy makers, practitioners and service users. Finally, we consider the advantages and limitations of the approach and suggest that a wider debate is called for about the role of the scoping study in relation to other types of literature reviews.

Levac, D., H. Colquhoun, et al. (2010). "Scoping studies: advancing the methodology." Implementation Science 5(1): 69.
BACKGROUND:Scoping studies are an increasingly popular approach to reviewing health research evidence. In 2005, Arksey and O'Malley published the first methodological framework for conducting scoping studies. While this framework provides an excellent foundation for scoping study methodology, further clarifying and enhancing this framework will help support the consistency with which authors undertake and report scoping studies and may encourage researchers and clinicians to engage in this process.

DISCUSSION:We build upon our experiences conducting three scoping studies using the Arksey and O'Malley methodology to propose recommendations that clarify and enhance each stage of the framework. Recommendations include: clarifying and linking the purpose and research question (stage one); balancing feasibility with breadth and comprehensiveness of the scoping process (stage two); using an iterative team approach to selecting studies (stage three) and extracting data (stage four); incorporating a numerical summary and qualitative thematic analysis, reporting results, and considering the implications of study findings to policy, practice, or research (stage five); and incorporating consultation with stakeholders as a required knowledge translation component of scoping study methodology (stage six). Lastly, we propose additional considerations for scoping study methodology in order to support the advancement, application and relevance of scoping studies in health research.

SUMMARY:Specific recommendations to clarify and enhance this methodology are outlined for each stage of the Arksey and O'Malley framework. Continued debate and development about scoping study methodology will help to maximize the usefulness and rigor of scoping study findings within healthcare research and practice.

New MeSH Descriptors - 2012

Examples:
MH OLD = Technology, Medical []
MH NEW = Medical Laboratory Science

MH OLD = Translational Research [P]
MH NEW = Translational Medical Research

See the full list at: http://www.nlm.nih.gov/mesh/newd.html

Useful database: Linguistics and Language Behavior Abstracts

I had a literature search request while on the HSL reference desk yesterday that led me to a database I'd never used before, but I think it would be a good one to add to our toolkit for certain literature searches.

The client wanted articles on translation/interpretation services in health care, and I thought I would search a linguistics database as well as the usual suspects. Linguistic and Language Behavior Abstracts turns out to have all kinds of interesting health-related content. I found some relevant articles to my search, but also turned up lots of stuff from the speech-language literature (not sure what the overlap with CINAHL would be here), and lots of great stuff on topics like doctor-patient communication and health literacy. If we are asked to search on these topics, it would definitely be a good idea to include a search of this database. In addition to keyword searching, it seems to have a fairly good set of index terms.

There's another database called Linguistics Abstracts online, but it appears more academic in nature, and its so-called Advanced Search doesn't offer the option of building very complex search strings, so I gave up on it.

Literature Searching

Health Sciences librarians typically play one of the following roles in supporting the production of systematic reviews:

As /consultants /they either advise others on, or themselves do the following:

• Recommend and rank research databases, research and clinical trial registries, and internet search engines for their likely yield of relevant studies and documents for the research question(s).
• Develop search terms and search strategies tailored to the research question(s)
• Conduct or provide advice to the person(s) conducting the scoping search(es)
• Revise the search terms and search strategies of the initial scoping search in light of both search results and feedback from the principle investigator(s) / research team
• Keep detailed records of search results and search strategies, so that these can be documented in final review report / article

As /co-authors/** (using the ICMJE definition below) of the review, they:

• Conduct or supervise others doing the literature search as noted in the steps above
• Participate in meetings of the research team to discuss the search strategies and the implications of choosing various search strategies (ie. in terms of the relative completeness of the records retrieved, and in terms of meeting current recognized standards and benchmarks for systematic review literature searches 1, 2, 3)
• Write up the Search Strategy portion of the Methods section of the review
• Review Figure 1 of the review report for completeness and accuracy
• Review the final draft of the article for clarity and readability (as a non-content-expert reader)

**International Committee of Medical Journal Editors (ICMJE): http://www.icmje.org/index.html#author