11 research outputs found
Library support needs of the Medical Faculty at the University of Basel and the University Hospital
At the University of Basel, the Faculty of Medicine and Faculty of Science together represent about 60% of students. In recent years, in particular the Life Sciences have expanded and diversified to a great extent. Close cooperation is fostered between University departments, University spin-offs, the University Hospital, local biomedical institutes and pharmaceutical companies. The complex research landscape in Basel requires a diversity of library services to meet the information needs of scientists and clinicians. An increasing demand for extensive advice on complex literature searches can be observed. We therefore substantially expanded our public training programme. ILT curricula were further strengthened. In addition, we intend to implement a new service for âsystematic literature searchingâ to support our medical researchers and clinicians
A systematic review of the impact of 7-keto-DHEA on body weight.
7-Keto-DHEA has been commercially advertised as a dietary supplement to support weight loss. The objective of the present systematic review it to summarize the evidence supporting the use of 7-keto-DHEA in overweight and obese population. The systematic search was conducted in Medline, Embase, Cochrane Library, CINAHL, Web of Science, Scopus, ICTRP, and ClinicalTrials.gov. Additionally, reference lists of eligible studies were considered, and authors of relevant studies were contacted. Two authors independently screened the studies against the inclusion criteria and assessed their risk of bias. In total, 4 out of 686 studies were included in the review. They all held a low risk of bias. Half of them showed a significant reduction in body weight. One study found a decrease in body fat percentage and another one reported a decrease in BMI. Two studies stated an increase in resting metabolic rate. No serious adverse effects were reported. Various possible mechanisms in favor of weight loss are discussed; however, with the evidence currently available, no clear answer can be given regarding 7-keto-DHEA and weight loss. Further studies need to be conducted to clarify the efficacy and safety of this drug before it can be recommended for therapeutic use
Influence of the levonorgestrel-releasing intrauterine system on the risk of breast cancer: a systematic review.
PURPOSE
The intention of this systematic review was to analyze the literature on breast cancer (BC) and the use of the levonorgestrel-releasing intrauterine system (LNG-IUS).
METHODS
The literature was searched in Medline, Embase, Cochrane Library, CINAHL, Web of Science and ClinicalTrials.com and included search terms related to breast cancer and LNG-IUS. After elimination of duplicates, 326 studies could be identified and were assessed according to inclusion and exclusion criteria. In the end, 10 studies met the defined criteria and were included in the systematic review.
RESULTS
6 out of the 10 selected studies were cohort studies, three were case-control studies and one a systematic review/meta-analysis. 6 found a positive association between BC and the use of LNG-IUS. One study only found an increased risk for invasive BC in the subgroup of women aged 40-45Â years. In contrast, three studies showed no indication of a higher BC risk.
CONCLUSION
The results imply an increased BC risk in LNG-IUS users, especially in postmenopausal women and with longer duration of use. Positive effects of the LNG-IUS such as reduced risks for other hormonal cancers have been observed, were, however, not focus of this systematic review. The heterogeneity of the analyzed studies and vast number of confounding factors call for further investigations in this issue. Patients should be advised according to their individual risk profile and hormone-free alternatives may be considered for women with a history of BC
Impact of estrogens on resting energy expenditure: A systematic review.
The fear of weight gain is one of the main reasons for women not to initiate or to early discontinue hormonal contraception or menopausal hormone therapy. Resting energy expenditure is by far the largest component and the most important determinant of total energy expenditure. Given that low resting energy expenditure is a confirmed predictive factor for weight gain and consecutively for the development of obesity, research into the influence of sex steroids on resting energy expenditure is a particularly exciting area. The objective of this systematic review was to evaluate the effects of medication with natural and synthetic estrogens on resting energy expenditure in healthy normal weight and overweight women. Through complex systematic literature searches, a total of 10 studies were identified that investigated the effects of medication with estrogens on resting energy expenditure. Our results demonstrate that estrogen administration increases resting energy expenditure by up to +208âkcal per day in the context of contraception and by up to +222âkcal per day in the context of menopausal hormone therapy, suggesting a preventive effect of circulating estrogen levels and estrogen administration on weight gain and obesity development
Erratum: Fernandez-Palomo, C., et al. Animal Models in Microbeam Radiation Therapy: A Scoping Review. Cancers 2020, 12, 527.
The authors wish to make the following corrections to this paper [...]
Iodine supplementation for preventing iodine deficiency disorders in children and adolescents
This is a protocol for a Cochrane Review (intervention). The objectives are as follows:
To assess the efficacy and safety of iodine supplementation for preventing iodine deficiency in children and adolescents
Organizational structure, acquisition practice and collection development in a botanical research library in the United States
In this survey the organizational structure, the acquisition practice and collection development at the LuEsther T. Mertz Library of the New York Botanical are analyzed and discussed. The Mertz Library specializes in botany and horticulture and it collects materials published in all core botanical subjects as comprehensively as possible. The library serves both as an institutional research library and a public library. It is sought by a broad constituency, locally and abroad, for plant information. The budget organization and financial management is a complex, long-term planning process that requires the implementation of a detailed strategic program and finance plan in which the entire parent institution is involved. The strength-of-collection analysis, the collection development analysis and age-of-collection analysis conducted within the framework of this study provide detailed information on the growth of monograph collections in all main collecting areas of the Mertz Library, in the Library of Congress-Classes Q (Science) and S (Agriculture). This survey also allows a comparison of the library acquisition practice with the goals and mission of the parent organization
Medizinbibliotheken: Information â Jahrestagung der Arbeitsgemeinschaft fĂŒr Medizinisches Bibliothekswesen (AGMB) e.V. vom 22. bis 24. September 2014 in Mannheim
[english] From September 22 to 24 2014 the Annual Meeting of the German MLA (AGMB) took place at Mannheim. It was co-hosted by the Library of the Medical Faculty of Mannheim. Main topics of the conference were strategic development, new publications forms and information literacy. The program included exhibitions, workshops and product reviews by the participating companies as well as four workshops
Comprehensive review with pooled analysis on external and internal jugular vein aneurysm.
OBJECTIVE
The aim of the present comprehensive review was to present an overview of the clinical presentation and treatment options for external (EJVAs) and internal jugular vein aneurysms (IJVAs) to help clinicians in evidence-based decision making.
METHODS
A systematic literature search was conducted in accordance with the PRISMA (preferred reporting items for systematic reviews and meta-analyses) statement and included MEDLINE, Embase, Cochrane Library, Scopus, WHO (World Health Organization) trial register, ClinicalTrials.gov, and the LIVIVO search portal. The inclusion criteria were studies of patients who had presented with IJVAs or EJVAs. The exclusion criteria were animal and cadaver studies and reports on interventions using the healthy jugular vein for access only (ie, catheterization). Analysis of the pooled data from all eligible case reports was performed.
RESULTS
From 1840 identified reports, 196 studies were eligible. A total of 256 patients with JVAs were reported, with 183 IJVAs and 73 EJVAs. IJVAs were reported to occur in 66% on the right side compared with the left side (P = .011). The patients with IJVAs were mostly children (median age, 12 years; interquartile range, 5.8-45.2 years). The patients with EJVAs were young adults (median age, 30 years; interquartile range, 11.0-46.5 years). EJVAs were more frequently reported in women and IJVAs in men (P = .008). Most of the patients were asymptomatic. Pulmonary embolization in association with thrombosed EJVAs was only reported for one patient. A report of the outcomes after surgery and conservative management was missing for âŒ50% of the patients. No relevant complications were reported after ligation of the EJVA without reconstruction. Intracranial hypertension after ligation of the right-sided IJVA was reported in three children; in one of them, a pontine infarction was observed.
CONCLUSIONS
JVAs are a disease of the younger population but can occur at any age. It seems to be safe to observe patients with nonthrombosed JVAs. However, in the presence of thrombus or pulmonary embolization, surgical treatment should be considered. A reconstruction technique of the IJVA with venous patency preservation should be preferred
Cognitive health after menopause: Does menopausal hormone therapy affect it?
Dementia is a pandemic chronic non-communicable disease. 10 in 100 women above age 65 will be diagnosed with dementia, primarily Alzheimer's disease (AD). Apart from age and hereditary risk factors, there are multiple acquired risk and protective factors. So far, Menopausal Hormone Therapy (MHT) is not recommended as preventive measure. A systematic literature search on MHT and dementia risk and MHT and cognitive performance in demented women, respectively, was performed. Two recent meta-analyses identified 18 and 16 studies analyzing the impact of MHT on dementia/AD risk. Our systematic literature search identified eight additional original articles. The majority of studies found a risk reducing impact of MHT by 11-33%. However, results may vary depending on MHT type, age at initiation and study design. For example, the Women's Health Initiative Memory Study (WHIMS) reported an approximately 2-fold increased risk of dementia/Alzheimer's disease if MHT comprising conjugated equine estrogens and medroxyprogesterone acetate was initiated in predominantly comorbid postmenopausal women above age 65. In general, MHT displays a beneficial effect on several dementia risk factors and also augments some protective factors. Accordingly, clinicians can be reassured that MHT can be safely prescribed in the context of cognition in women free of dementia. However, MHT is not indicated for cognitive improvement in demented women. International scientific guidelines on MHT and dementia should consider incorporating most recent data