Worldwide Doctor Dot Com

The purpose of a hospital biomedical library is to provide all professionals of the institution-doctors, nurses, pharmacists, managers, psychologists, medical practice marketing, etc. - support information needed to accomplish three objectives: clinical practice, teaching and research.

Their peculiarities correspond mainly to the internal organization and the added nuance, and which we believe gives a special importance in the libraries of health sciences, is that besides the necessary information to support research and teaching is performed in hospital, should help improve the quality of patient care. They will be same as online medical resources, such as
Hippocrates Publishing (to find more information, please visit About Hippocrates Publishing), that provide resources for medical practitioner.

In this regard the information would be provided:
* continuously, keeping up to date knowledge of professional or
* in specific cases when help establish a diagnosis or treatment for a particular clinical case.

The hospital library impacts, on clinical decision making, has been studied extensively in recent years and are now classic studies by authors such as Haynes, Marshall or Garfield1, 2.3, to mention some of them work Robert Veenstra, Hartford Hospital in Connecticut, a review of the literature that documents the important contribution of hospital library on patients care.

It is therefore possible that the characteristics that best define the hospital library are the dynamics that has to organize its work in knowledge transfer, and scientific rigor and completeness that should be present in the information it provides.

Hospital librarians often have occasion to test the importance of the speed with which information is needed, especially when such cases are directly related to patient care. Furthermore, this information should be sought with the highest quality possible: comprehensive, current, relevant, factual and scientifically, to mention some of the necessary attributes.

And it seems that this production will decrease, so it is a serious problem for medical practice. If the information is synthesized, stored and managed, the communication channels will collapse and lose their potential applications.

The difficulty in the use of the literature published in periodicals to solve clinical problems lies mainly in the time needed to review and collect the appropriate information. The systems of electronic information retrieval have come to solve the problem of access to bibliographic references and abstracts of articles, including full text articles that can be applied to specific situations.

This makes the hospital library today may be much more than a collection facilities located in more or less adequate: it must be the point from which the user will find all the information you need in optimal conditions. So what has traditionally been called "library" of hospital should actually be an information service and specialized documentation for getting the information that users need, which uses different technologies and media-paper and electronic-which currently coexist, and run by real professionals who manage the service and who guide their users in today's sea of information available.

Within the activity of these professionals, and the facet of bibliographic information providers to be applied to patient care in recent decades has developed a specific figure, that of clinical medical librarian, a concept that exposed 19,716 Lamb.

Its primary mission is to provide very specific information to physicians in treating a patient. The clinical librarian accompanies the team when passing visit, clinical sessions, medical conferences and other activities, allowing it to acquire an accurate knowledge of the environment and how it can contribute its share in the team.

According to Kay tells Cimple, since early 1970 on how to implement health care includes the formation of multidisciplinary teams consisting of doctors, pharmacists, nurses, nutritionists, social workers and psychologists. The library saw an opportunity to take its place as specialists in biomedical literature accompanying doctors on their visit to the patient and then return to the library to find the relevant literature related to the case.

The knowledge acquired by the librarians in these activities helps them understand, analyze and respond effectively to specific clinical questions selected information qualitatively. Pinpoint current, save time for the doctor, and increase the use of library resources by part of it.

But elaborating on this trend in recent years has been coined a new term that has acquired the status of genuine paradigm for understanding today in medicine. This concept is known as a medicine based on scientific evidence (EBM), which is already included as a descriptor in the Medical Subject Headings (MeSH) of the National Library of Medicine of EUA8.

The scientific evidence is the set of studies with sufficient methodological rigor which have demonstrated the practical benefits of terapias9. The origin of EBM is linked to new epidemiological and statistical methods in clinical research, especially in randomized clinical trial and the meta-analysis and systematic review of the literature. Its goal is to have the best available scientific information (evidence) to apply to clinical practice.

The evidence-based medicine uses a number of strategies which include the rapid recovery of publications and studies that are directly relevant to the clinical problem that is posed, the critical review of these studies, and applying the results of the best work in relation to the clinical problem. All this process involves the application of scientific method in determining the optimal treatment for each patient.

Thus the evidence-based medicine is based on a systematic process of finding relevant information to be applied to specific clinical cases, which is outlined in four steps:

1. formulate a clear question from clinical problem to be analyzed;
2. search systematically the available evidence from the literature to identify relevant papers;
3. evaluate scientific evidence, analyzing the validity and usefulness of the results described, and
4. implement the findings.

However it is obvious that for the information collection meets all the guarantees of quality, relevance and scientific rigor so that it can be used for better patient treatment must be applied search techniques make it possible to collect between the huge amount of existing information that will really be needed. This is a very important think in starting a medical practice resource.


The hospital librarian-documentary

This is where the documentary hospital librarian has to bring into play all their knowledge and skills, which means that increasingly, they are most needed highly skilled professionals, experts in information on health sciences and management and recovery information, and having the knowledge to distinguish between different types of scientific papers suitable for each case.

Since the result of a search is significantly different depending on whether or not an expert makes, it must consider how each is built and structured information source, familiar with all the resources offered.

Practitioners are increasingly aware of the importance of skill in the quest for medical knowledge and skills necessary to help them increase their cognitive potential, and this was demonstrated in a study of obligatory reference, made by Williamson and colleagues on more than 700 physicians, which concluded that "medical professionals require substantial assistance to meet their needs for scientific information 10.

For example, in regard to correct use of the Medline database, the most widely used in biomedicine, it is essential to achieve a good knowledge of construction and possibilities.

It is necessary to take into account a number of ways, including: the use of the thesaurus, which contains over 17,000 terms, which are added new concepts that appear each year, and any amendments, namely to locate the precise term used to represent a concept and differentiate the thematic areas and possess the ability to distinguish between terms that are significant and which are not, as some words that the novice user can be used meaningless as too unspecific.

It is also necessary to use subheadings (subheadings) to limit the retrieval of information to specific aspects of a topic, such as diagnosis, epidemiology, etiology, genetics, etc.., The terms group check tags (labels), with an very broad attributes of content items such as p. eg. geographical regions, gender, age groups, etc..

All this and more is part of the training of an expert who has managed to base their study skills and experience, and you cannot improvise.

There is no doubt therefore that the medical librarian must meet today more than ever, a number of capabilities that allow you to not only manage and manipulate information by being aware of existing and different systems of access and retrieval of the same, but also, and perhaps what is most fundamental to understand the information it manages.

To this end, both documentary language and, of course, knowledge of languages, especially English language papers appearing in most of the work most relevant to biomedicine are essential and have knowledge of methodology and techniques development of scientific work.

In the early nineties the Medical Library Association developed "The task force on knowledge and skills" (Working Group on knowledge and skill), aware that the changes in the information world have conditioned the formation of librarians, but as discussed Bruade11 is essential (could not be otherwise) the incorporation of technology to daily operations of libraries and documentation services, as this profession is developed within an environment expansion.

In Spain, there are authors such as Ribes Cot, in a documented study on training of medical librarian lists a number of facets which should submit the outline of this professional today. Mentioned first the importance of continued training to keep their knowledge to the rhythm of their environment, and emphasizes the need for good preparation in areas such as management and administration, language, terminology, knowledge of basic concepts in medicine, teaching techniques, research methodology, knowledge of current technologies and techniques marketing.

Within all of these common tasks of hospital librarians, archivists, perhaps one that should influence has been enhanced in recent times: as experts in information retrieval, have undertaken the training of users on the proper use of bases data in order to achieve comprehensive and accurate searches.

The teaching aspect of hospital librarians, archivists, had a huge development especially from the nineties, with the widespread use of technologies, making it one of their daily activities.

In a recent study on hospital libraries in Spain found that 64% of librarians used to instruct users in the use of bases datos13, a widespread practice in other countries like USA, Canada or Australia, where this activity contained in their respective standards of hospital libraries.

But even after forming end users can perform searches, would highlight the fact that serve as advisors to the end user, as librarians, archivists have the knowledge and training in regard to nomenclature, conceptual hierarchies, power, resources, etc. which will serve as a bridge between information systems and their users. This is usually constantly being consulted to develop a successful search strategy, the choice of a descriptor, the appropriate database, and so on.

From all these observations, which certainly could be added many more, we can expect the hospital librarian-documentary before a field of activity to develop really significant part of the multidisciplinary group of professionals involved in the mission to offer the best health care to the community.

From a professional point of view will have the opportunity to occupy a significant place in your institution if you are able to offer their services as the provider of the information defining an area in which it is essential.

The sun begins to tighten this year, which is the perfect excuse to gain ideal sunglasses and fashionable to wear on the beach. But most of you forget that this is not the main purpose of this "accessories", if not serving to protect our eyes from solar radiation.

The glasses must be manufactured under an EU directive 89/686/EEC, giving them optimal conditions of quality endorsed by the European Union. This mark ensures that the eye is protected from ultraviolet radiation (UVA and UVB), infrared radiation and visible radiation (light that we perceive).

Sunscreen protects our eyes from harmful radiation from the sun to the eye without adversely modify the colors and contrasts. You must choose a pair of sunglasses with a filter that fits the use to which they will give.

The color of the lens is important to know that the color and how dark the lens does not determine its degree of protection and a greater ability to block ultraviolet light. In addition, different tones and colors represent different usage recommendations.

Other recommendations, in addition to those already mentioned, the ideal sunglasses should cover the front and side of the sun. Your form must be protected as well as allowing a perfect view. The best practice is to be with crystals or organic, never plastic because it tends to warp over time.