Duke Medical Center Library & Archives

Guidelines for Biosafety Laboratory Competency
Posted On: Monday, April 18, 2011 - 10:23 by Beverly Murphy

The CDC has posted "Guidelines for Biosafety Laboratory Competency" as a supplement to Morbidity and Mortality Weekly. According to the CDC, "These guidelines for biosafety laboratory competency outline the essential skills, knowledge, and abilities required for working with biologic agents at the three highest biosafety levels (BSLs) (levels 2, 3, and 4). The competencies are tiered to a worker’s experience at three levels: entry level, midlevel (experienced), and senior level (supervisory or managerial positions). These guidelines are intended for laboratorians working with... MORE

The National Institute of Neurological Disorders and Stroke (NINDS) has stopped enrollment in a clinical trial that is evaluating whether intracranial angioplasty combined with stenting adds benefit to aggressive medical therapy alone for preventing stroke in patients with symptomatic intracranial arterial stenosis. The Stenting and Aggressive Medical Management for Preventing Recurrent stroke in Intracranial Stenosis (SAMMPRIS) study is the first prospective randomized multicenter trial to compare aggressive medical management alone versus aggressive medical management plus angioplasty combined with stenting in patients with symptomatic highgrade (70-99%) stenosis of a major intracranial artery.

The NINDS acted on the... MORE

Explore: Google Body
Posted On: Tuesday, April 12, 2011 - 09:09 by Beverly Murphy

What is it? A fun, free way to learn about human anatomy!

If you are a fan of Anatomy.TV and enjoy interactive, three-dimensional learning, give Google Body Browser a try!

Google Body Browser is a visually appealing resource that enables one to explore the multiple layers of a 3-D human body.  No plug-ins are needed to run Google Body.  However, it does require a browser that supports a Web-based Graphics Library (WebGL), such as Google Chrome or Mozilla Firefox 4.

Clinicians, students and anatomy enthusiasts will enjoy Google Body for... MORE

Explore: Mendeley
Posted On: Tuesday, April 12, 2011 - 09:05 by Beverly Murphy

What is it? A free, social citation management tool!

Offering many of the same features as tools like EndNote and RefWorks, Mendeley goes a step further by incorporating social networking tools to help you find and track articles. Mendeley can be downloaded onto the desktop of your Windows, Mac, or Linux computers for easy work off-line. Its ability to sync online allows you to access your citations anywhere.

If you have a large collection of pdf's saved on your computer, let Mendeley extract the bibliographic information for you! Or you can import citations from...


Tags: for researchers

Can this Patient Read and Understand Written Health Information?
Posted On: Monday, April 11, 2011 - 09:08 by Adrianne Leonardelli

This study was conducted at the Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center.

CONTEXT: Patients with limited literacy are at higher risk for poor health outcomes; however, physicians' perceptions are inaccurate for identifying these patients.

OBJECTIVE: To systematically review the accuracy of brief instruments for identifying patients with limited literacy.

DATA SOURCES: Search of the English-language literature from 1969 through February 2010 using PubMed, Psychinfo, and bibliographies of selected manuscripts for articles on health literacy, numeracy, reading ability, and reading skill.

STUDY SELECTION: Prospective studies...

Progesterone reduces rate of early preterm birth in at risk women
Posted On: Thursday, April 7, 2011 - 13:15 by Beverly Murphy

NIH study finds progesterone benefits women with short cervix

A new study published online in the journal Ultrasound in Obstetrics and Gynecology has found that progesterone, a naturally occurring hormone, reduced the rate of preterm birth before the 33rd week of pregnancy by 45 percent among one category of at risk women.



Finding What Works in Health Care: Standards for Systematic Reviews
Posted On: Monday, April 4, 2011 - 09:20 by Beverly Murphy

Healthcare decision makers—including clinicians and other healthcare providers—increasingly turn to systematic reviews for reliable, evidence-based comparisons of health interventions. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies. They can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. But the quality of systematic reviews varies; often the scientific rigor...


Standards for Systematic Reviews from the IOM
Posted On: Monday, March 28, 2011 - 10:38 by Beverly Murphy

The Institute of Medicine recently released a new report: Finding What Works in Health Care: Standards for Systematic Reviews.

In this report, the IOM recommends standards for systematic reviews of the comparative effectiveness of medical or surgical interventions. The standards are meant to assure objective, transparent, and scientifically valid systematic reviews. The evidence base for how best to conduct systematic reviews is limited, and no set of standards is generally accepted or consistently applied. For example, there is little research on how to manage bias for individuals providing input into the systematic review, or on who should screen and select... MORE

To Talk or to Text?
Posted On: Monday, March 21, 2011 - 12:21 by Beverly Murphy

Physician Communication in the 21st Century
Leora I. Horwitz, MD, and Allan S. Detsky, MD, PhD
JAMA, March 16, 2011, Vol. 305, No. 11

Last week's issue of JAMA featured a commentary on physician communication. The article challenges health systems to design communication systems that make communication easier and notes six steps that should be considered: the clinical context, using both synchronous and asynchronous communication simultaneously, standardization as appropriate, building systems that facilitate the synthesis of data, acknowledging when face-to-face is important, and teaching good communication practices.

Interested in communication among health care teams here at Duke? The recent "...


Tags: smartphone

NC among 15 states in “diabetes belt”
Posted On: Monday, March 14, 2011 - 12:27 by Beverly Murphy

Using data from the Behavioral Risk Factor Surveillance System and county-level estimates of diabetes prevalence, researchers at the Centers for Disease Control and Prevention have identified counties in 15 states, primarily in the Southeast, that have diabetes prevalence rates at or above 11%, compared to 8.5% for the rest of the country. Counties in this so-called “diabetes belt” are located in Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and West Virginia. Researchers also examined the excess risk associated with living in the diabetes belt, in relation to both modifiable and nonmodifiable risk factors. Awareness of the increased risk for developing diabetes in this region could be... MORE

Tags: statistics

What Meta-Analyses Don't Analyze
Posted On: Wednesday, March 9, 2011 - 11:38 by Beverly Murphy

Researchers report that among a group of meta-analyses of pharmacological treatments published in high-impact biomedical journals, information concerning primary study funding and author COIs for the included RCTs were only rarely reported. What else are we missing?
Although they synthesize many bits of information, meta-analyses often leave out a crucial piece -- financial conflicts in the studies they analyze, investigators found.

Pharmaceutical companies provide funding for a majority of trials included in meta-analyses, but only two of 29 literature reviews reported disclosures for the studies they assessed, Brett Thombs, PhD, of Jewish General Hospital in Montreal, and colleagues reported in the March 9 issue of the ...


Tags: research

Changes to PubMed's MeSH Database
Posted On: Friday, March 4, 2011 - 10:45 by Beverly Murphy

If you’re accustomed to using the MeSH Database to find standardized terms (Medical Subject Headings, known as MeSH terms) for searching PubMed, you may have noticed that it has a different look. The National Library of Medicine has redesigned the MeSH Database to make it easier to use.

There is a new MeSH Database home page, with links to help and additional resources. These links have replaced the ones previously found in the blue area to the left of the old MeSH Database.

When you find a heading in the MeSH Database and click on it to view the Full display, you’ll see a much clearer listing of the subheadings (qualifying terms) available for use with that MeSH heading. You may choose one or more subheadings in order to focus your search on specific...


Categories: Databases

NIH-funded study finds new possible risk factor of heart disease
Posted On: Tuesday, March 1, 2011 - 13:49 by Adrianne Leonardelli

Abnormal heart rate turbulence is associated with an increased risk of heart disease death in otherwise low-risk older individuals, according to a study funded by the National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health.

This study
appears in the Feb. 15 edition of the Journal of Cardiovascular Electrophysiology.

Among the nearly 1,300 study participants, heart rate turbulence, which reflects how well the heart reacts to occasional premature contractions, was an even stronger heart disease risk factor than elevated levels of C-reactive...

Explore: Wolfram Alpha
Posted On: Wednesday, February 23, 2011 - 08:53 by Beverly Murphy

What is it? A search engine for data, statistics, and calculations!

Wolfram Alpha  bills itself as a computational search engine. Basically, this means it applies mathematical and logical algorithms to your search terms, rather than simply finding the terms on a web page. Wolfram Alpha indexes many data sources to provide charts and statistics for your results. For example, a search on “prostate cancer” will not give us information about prostate cancer treatment or life with prostate cancer; instead results include the ICD-9 code...


Categories: Explore Tools

EXPLORE: Remember the Milk
Posted On: Tuesday, February 22, 2011 - 17:11 by Beverly Murphy

 Free Task Manager

Is your desk cluttered with sticky notes, to-do lists and calendars? Remember the Milk can help! This free online tool lets you create to-do lists to help you plan and prioritize your day. In Remember the Milk, you can assign tags, notes and due dates to tasks. You can also organize tasks by personal, study or work, and send yourself email or IM reminders about upcoming meetings. The service is flexible too; you can add tasks from anywhere, view tasks on Apple iCal or Google Calendar, or...


Categories: Explore Tools