MedlinePlus??: The National Library of Medicine?? Brings Quality Information to Health Consumers

The National Library of Medicine???s (NLM??) MedlinePlus?? is a high-quality gateway to consumer health information from NLM, the National Institutes of Health (NIH), and other authoritative organizations. For decades, NLM has been a leader in indexing, organizing, and distributing health information to health professionals. In creating MedlinePlus, NLM uses years of accumulated expertise and technical knowledge to produce an authoritative, reliable consumer health Web site. This article describes the development of MedlinePlus???its quality control processes, the integration of NLM and NIH information, NLM???s relationship to other institutions, the technical and staffing infrastructures, the use of feedback for quality improvement, and future plans.published or submitted for publicatio

Examining the role of MEDLINE as a patient care information resource: an analysis of data from the Value of Libraries study

Objective: This study analyzed data from a study on the value of libraries to understand the specific role that the MEDLINE database plays in relation to other information resources that are available to health care providers and its role in positively impacting patient care.Methods: A previous study on the use of health information resources for patient care obtained 16,122 responses from health care providers in 56 hospitals about how providers make decisions affecting patient care and the role of information resources in that process. Respondents indicated resources used in answering a specific clinical question from a list of 19 possible resources, including MEDLINE. Study data were examined using descriptive statistics and regression analysis to determine the number of information resources used and how they were used in combination with one another.Results: Health care professionals used 3.5 resources, on average, to aid in patient care. The 2 most frequently used resources were journals (print and online) and the MEDLINE database. Using a higher number of information resources was significantly associated with a higher probability of making changes to patient care and avoiding adverse events. MEDLINE was the most likely to be among consulted resources compared to any other information resource other than journals.Conclusions: MEDLINE is a critical clinical care tool that health care professionals use to avoid adverse events, make changes to patient care, and answer clinical questions

Examining the role of MEDLINE as a patient care information resource: an analysis of data from the Value of Libraries study

Objective: This study analyzed data from a study on the value of libraries to understand the specific role that the MEDLINE database plays in relation to other information resources that are available to health care providers and its role in positively impacting patient care. Methods: A previous study on the use of health information resources for patient care obtained 16,122 responses from health care providers in 56 hospitals about how providers make decisions affecting patient care and the role of information resources in that process. Respondents indicated resources used in answering a specific clinical question from a list of 19 possible resources, including MEDLINE. Study data were examined using descriptive statistics and regression analysis to determine the number of information resources used and how they were used in combination with one another. Results: Health care professionals used 3.5 resources, on average, to aid in patient care. The 2 most frequently used resources were journals (print and online) and the MEDLINE database. Using a higher number of information resources was significantly associated with a higher probability of making changes to patient care and avoiding adverse events. MEDLINE was the most likely to be among consulted resources compared to any other information resource other than journals. Conclusions: MEDLINE is a critical clinical care tool that health care professionals use to avoid adverse events, make changes to patient care, and answer clinical questions

Interdisciplinary study of warm core ring physics, chemistry, and biology

We are conducting an interdisciplinary study of the structure and dynamics of Gulf Stream \Warm Core Rings by a time series investigation of selected rings. This program consists of highly integrated components which include physical, chemical, and biological investigation and modeling studies. These components are designed to provide information on the structure of rings and exchange mechanisms at ring boundaries, on their marine chemistry, and on the environmental controls of biological activity of selected constituents associated with Warm Core Rings. This research is being conducted by approximately two dozen investigators from thirteen marine institutions. An interdisciplinary program of the scope proposed is required in order to understand the interdependence among biological, chemical, and physical processes in the ocean. This study of the structure and evolution of Warm Core Rings will enhance the understanding of fundamental oceanic processes and the role of rings in the region where they occur

Observations of storm-induced mixing and Gulf Stream Ring incursion over the southern flank of Georges Bank : winter and summer 1997

Author Posting. © American Geophysical Union, 2010. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Journal of Geophysical Research 115 (2010): C08008, doi:10.1029/2009JC005706.High-resolution hydrographic measurements collected along the southern edge of Georges Bank during March and June–July 1997 focused on characterizing processes that drive fluxes of material between the slope and bank. Wintertime sampling characterized changes driven by a strong storm. A Scotian Shelf crossover event produced a ribbon of anomalously fresh water along the bank's southern flank that was diluted during the storm. Comparison of prestorm and poststorm sections shows that over the bank changes in heat and salt inventories are consistent with those expected solely from local surface fluxes. In deeper waters, advective effects, likely associated with frontal motion and eddies, are clearly important. Summertime surveys resolve the development of a massive intrusion of Gulf Stream-like waters onto the bank. East of the intrusion, a thin extrusion of bank water is drawn outward by the developing ring, exporting fresher water at a rate of about 7 × 104 m3/s. A large-amplitude Gulf Stream meander appears to initiate the extrusion, but it quickly evolves, near the bank edge, into a warm core ring. Ring water intrudes to approximately the 80 m isobath, 40 km inshore from the bank edge. The intrusion process seems analogous to the development of Gulf Stream shingles (a hydrodynamic instability) in the South Atlantic Bight. It appears that, once the intruded water is established on the bank, it remains there and dissipates in place. Although the intrusion is an extremely dramatic event, it is probably not actually a major contributor to shelf edge exchanges over a seasonal time scale.This work was supported by the National Science Foundation as part of the U.S. Global Ocean Ecosystems Dynamics (GLOBEC) program through grant OCE-9632349. Lee received additional support from OCE-0628379

Editorial

Data Sharing Statements for Clinical Trials: A Requirement of the International Committee of Medical Journal Editor

Organizing Electronic Information to Serve the Needs of Health Practitioners and Consumers

From its beginnings as the Library of the Army Surgeon General to today???s Internet-driven information environment, the U.S. National Library of Medicine (NLM) has served a variety of audiences. As NLM strives to provide the best possible service to health scientists and consumers, the form of that service has changed depending on resources available and the state of technology. Throughout its history, NLM has adopted innovative programs and technology at the earliest sensible moment that would serve its patron needs. Today, NLM is a leader in providing electronic biomedical information to health professionals, researchers, the public, and anyone else with access to the Internet. These services have evolved in response to available technology and the demands of the various audiences, from clinicians to consumers. To serve the needs of this variety of patrons, NLM connects health information resources in ways that enable each audience to fi nd the information appropriate to its need. NLM continues to improve this organization as the demand and technology and resources allow.published or submitted for publicatio

Serving Librarians and Physicians Before the

From its beginnings as the Library of the Army Surgeon General to today’s Internet-driven information environment, the U.S. National Library of Medicine (NLM) has served a variety of audiences. As NLM strives to provide the best possible service to health scientists and consumers, the form of that service has changed depending on resources available and the state of technology. Throughout its history, NLM has adopted innovative programs and technology at the earliest sensible moment that would serve its patron needs. Today, NLM is a leader in providing electronic biomedical information to health professionals, researchers, the public, and anyone else with access to the Internet. These services have evolved in response to available technology and the demands of the various audiences, from clinicians to consumers. To serve the needs of this variety of patrons, NLM connects health information resources in ways that enable each audience to find the information appropriate to its need. NLM continues to improve this organization as the demand and technology and resources allow