Friday, October 16, 2020

PubMed Clinical Queries Update to Include a Covid-19 Search for Best Evidence

The PubMed Clinical Queries page will soon be updated with design and content changes. The new page design aligns with the new PubMed and includes a new category for COVID-19 searches. Links and bookmarks created for the legacy PubMed Clinical Queries page will be redirected to the new page when this change takes effect.

The PubMed Clinical Queries page will initially include COVID-19 Articles and Clinical Study Categories (see Figure 1). The new COVID-19 filter strategies are published in the PubMed User Guide and may evolve over time.

Figure 1: PubMed Clinical Queries Page.

The Systematic Review and Medical Genetics filters that were included in the legacy PubMed Clinical Queries page have moved:

  • Systematic Review is available as a default Article Type filter on the filter sidebar for PubMed search result pages (see Figure 2).
  • The Medical Genetics searches are available as filters that may be added to a query using the filter name with the search field tag [filter]: for example, sickle cell anemia AND genetic counseling[filter]. The complete list of filters and associated search strategies are published in the PubMed User Guide.

Figure 2: PubMed Article Type Filter.

For more information about using Clinical Queries and the filter strategies, please see the PubMed User Guide:

By Jessica Chan
National Center for Biotechnology Information

Originally posted to the NLM Technical Bulletin on October 14, 2020.

Chan J. PubMed Clinical Queries Update Coming Soon. NLM Tech Bull. 2020 Sep-Oct;(436):e8.

Thursday, October 15, 2020

Masks May Do More Than We Think: ZDoggMD Talks with Dr Monica Gandhi


This is recent episode from ZDoggMD' podcast.    

I'd read cited the NEJM article last month and was intrigued with the idea of variolation, so I was happy to hear one of the authors talk about it in this discussion with Dr. Zubin Damania (aka ZDoggMD).   Dr. Gandhi also goes over the current state of the evidence re: face masks.  I was pleased to hear that I was familiar with all the studies she talks about concerning the efficacy of masks to prevent transmission of respiratory infections.  Dr. Gandhi comes from a background of treating patients with HIV, and has a different approach to convincing people to take care of themselves and others, whether it be wearing condoms or face masks.  No shaming here. ;-)

I hope you enjoy it as much as I did!  

Here is the PubMed citation for her article: 

Facial Masking for Covid-19 - Potential for "Variolation" as We Await a Vaccine.
Gandhi M, Rutherford GW.N Engl J Med. 2020 Sep 8. doi: 10.1056/NEJMp2026913. Online ahead of print.  PMID: 32897661

Masks May Do More Than We Think (w/Dr. Monica Gandhi)

From ZDogg's introduction to this episode:

What if masks acted to reduce severity of COVID-19 infection for the WEARER, fostering immunity like a vaccine and allowing a full societal reopening?

Dr. Monica Gandhi is a UCSF professor of Medicine in the division of HIV, infectious diseases, and global medicine. She and her colleagues recently proposed just such a theory in the New England Journal of Medicine. In this fantastic interview she outlines the emerging data in support of the idea that masks may do more than we think.

Here’s a NY Times piece about her proposal, and here’s a paper she co-authored in the Journal of General Internal Medicine.

And here’s ZDogg's piece on masks that summarizes some of Dr. Gandhi’s work.

Full Transcript is available at ZDoggMD.

References (directly from Dr. Gandhi) :

Viral inoculum theory: Higher viral inocula or “dose” linked to severity of disease

Well described in animal studies and some human studies for respiratory and GI illnesses -higher infective dose thought to lead to faster/greater pathogen replication, leading to a more aggressive and damaging innate inflammatory response, or overwhelming adaptive immune response- all leading to more severe disease.   This is a hypothesis for diseases in which immunopathology plays a role in viral pathogenesis, such as COVID-19 (Rouse BT, Sehrawat S. Immunity and immunopathology to viruses: what decides the outcome? Nat Rev Immunol. 2010;10(7):514-526)

Some evidence for the “viral inocula” theory for SARS/MERS. Evidence in SARS-CoV-2 fom degree of illness in household contacts/ health care workers at beginning of pandemic.  Papers supporting viral inoculum theory. [43 more citations available at ZDogg's site.]

Tuesday, October 6, 2020

Nurses Choice Recommended Reading - October 2020


October 2020

See what your fellow nurses are reading! Browse this month's round-up of the top 10 most read articles from Lippincott's prestigious list of nursing journals. 

Check out the new pocket card below, Transporting Critically Ill Patients, from NursingCenter.CIN: Computers, Informatics, Nursing

Building a Reliable Health Care System: A Lean Six Sigma Quality Improvement Initiative
on Patient Handoff

Journal of Nursing Care Quality, Publish ahead of print

Second Victim Support: Nurses' Perspectives of Organizational Support
After an Adverse Event

JONA: Journal of Nursing Administration, October 2020

Lessons Learned from the COVID-19 Pandemic for Pediatric Workplaces
MCN, The American Journal of Maternal/Child Nursing, September/October 2020

Designing a workplace violence prevention and recovery program
Nursing Critical Care, September 2020

Telehealth, Telemedicine, and Related Technologic Platforms: Current Practice
and Response to the COVID-19 Pandemic

Journal of Wound, Ostomy & Continence Nursing, September/October 2020

Suicide Risk Management Protocol for a Randomized Controlled Trial of
Cardiac Patients Reporting Hopelessness

Nursing Research, Publish ahead of print

Feeding Behaviors in Infants With Prenatal Opioid Exposure: An Integrative Review
Advances in Neonatal Care, October 2020

The Promise of Smartphone Applications in the Remote Monitoring of Postsurgical
Wounds: A Literature Review

Advances in Skin & Wound Care, September 2020

ICU buddy staffing to combat COVID-19
Nursing Management, Publish ahead of print

Moving Toward Standardized Pediatric Performance Improvement Measures in
Child Physical Abuse: A Modified Delphi Approach

Journal of Trauma Nursing, September/October 2020

* List and links courtesy of Anne Chaney at Wolters-Kluwer/Ovid.
* Questions about access, contact Your Ascension Wisconsin Librarians
 Michele Matucheski        Kellee Selden

Monday, October 5, 2020

ISMP Medication Safety Newsletters Improve Patient Safety


Ascension Library Services subscribes to 3 ISMP Medication Safety newsletters that can have a big impact on patient safety in our organization.  

Read more about the 3 newsletters below.  

The ISMP Medication Safety Alert!® Acute Care is a digital newsletter, published every two weeks for hospital healthcare professionals. 
  • Practitioners are encouraged to share this publication at committee meetings to initiate conversations about preventing similar errors within their organizations.

The ISMP Medication Safety Alert!® Nurse AdviseERR is a digital newsletter, published monthly. It is specifically designed to meet the unique medication safety and education needs of nurses who transcribe orders, administer medications, and monitor the effect of medications on patients.  

Nurses in the following settings read this newsletter: 

  • Acute care hospitals
  • Behavioral health facilities
  • Community health clinics
  • Surgical centers
  • Birthing centers
  • Faculty at academic settings to share with student nurses 

The ISMP Medication Safety Alert!®Community/Ambulatory Care is a digital newsletter, published monthly for healthcare practitioners in ambulatory settings, including community pharmacies, outpatient clinics, physician offices, and state institutions.

Who reads this newsletter?

  • Community/ambulatory care pharmacists
  • Pharmacy managers and executives
  • Pharmacy technicians and other pharmacy staff
  • Physicians and nurses in ambulatory practice
  • Anyone concerned with medication safety

Friday, October 2, 2020

Updated DynaMed User Guide and 15-minute recorded training sessions



Updated DynaMed User Guide.
The User Guide will lead you through signing up for a personal account.  

DynaMed (Direct link)

DynaMed Off-Site or Remote Access 

DynaMed Search Tips

Includes info on signing up for a personal account.  

DynaMed Quick Consult Training Sessions

  • Catch a 15 minute llive or recorded training session and get the information you need quickly.
  • Designed for 
    • Physicians
    • Providers
    • Nurse Practitioners
    • Physician Assistants
  • Other Health Care Team Members are also welcome to attend and use DynaMed:
    • Nurses
    • Rehab Professionals
    • Pharmacists
    • Leaders
    • and any other Ascension Associate interested in learning to use this physician point-of-care tool.  


Earning your CME and MOC credits with DynaMed:

    • Learn about the types of credits offered
    • How to set up your CME/MOC profile
    • and how to earn credit certificates.


     DynaMed: About CME/CPD/CE and MOC

     DynaMed: Claiming CME Credits & Hours [Tutorial]

     DynaMed: Signing up for a Personal Account


Access anywhere with the DynaMed mobile app

  • Learn how to get the DynaMed mobile app and access all of the key mobile features including CME, interaction checking, and topic updates, right from your iOS and Android devices.

Here a few more helpful links:

Ascension off-site link (also found in the DynaMed User Guide):  DynaMed Remote Access 

Stay Current with DynaMed Updates and Alerts:

  • Learn how DynaMed updates and alerts can keep you current in your practice: 

Thursday, October 1, 2020

October is National Medical Librarians Month 2020 - Celebrate with Ascension Wisconsin Library Services

Click on the image above to see a larger version.

October is National Medical Librarians Month

Did you know Medical Librarians are essential 
to improving patient-care outcomes and clinical decision making?

Visit the Ascension Wisconsin Library Services website.  

Meet your Ascension Wisconsin Librarians.  

Michele and Kellee are available to help you with research, getting full-text articles, training, evidence-based practice and more.  

Sign up for New Issue Alerts for your favorite medical and nursing ejournals. 
          > FREE for Ascension Wisconsin Associates.

Check out our many subject and audience specific LibGuides, filled with databases, tools, and fulltext to make your work life easier and better informed.  
Here are a few of the most popular guides:

Got an idea for your own Guide to help standardize care statewide, or improve outcomes?
Let us know!

Comments, questions, requests or suggestions, please contact your Ascension Wisconsin Librarians:

Tuesday, September 29, 2020

AW Library Newsletter - September 2020: Covid Drug Wars - CMD&T 2021 - Nurses Choice - NRC Plus Mobile App - New PubMed video - Copyright Awareness


Your Ascension Wisconsin Librarians are safe-at-home, supporting our Health Care Heroes.    

Catch up on the latest news from Ascension Wisconsin Library Services:

This month, we are focusing on Copyright Awareness with the following 6-part series.
Sharing journal articles, videos, forms, tools and other resources found on the internet helps us be more efficient in our work but sharing also means we have a responsibility to respect copyright law.  

Questions, comments, or search requests, contact Your Ascension Wisconsin Librarians: 
 Michele Matucheski        Kellee Selden

Monday, September 28, 2020

The Covid Drug Wars


The Covid Drug Wars that Pitted Doctor Against Doctor 

  • from The New York Times Magazine - August 8, 2020
  • You can also listen to it (like a podcast) if you prefer to multi task.
  • There's a Wisconsin tie-in with a doctor at UW-Madison, who later went to Aurora-Milwaukee
Every once in a while, I stumble across a podcast, article, or discussion that sticks with me, and haunts me enough to share it with you here on the Ascension Wisconsin Library Blog in the hopes that it might generate some additional discussion. This is such an article.

I found out about this fascinating article by way of Daniel Griffin, MD, PhD, a NYC physician and instructor at The Columbia University Medical Center.  He works in the trenches of The Covid Pandemic and gives a regular Covid-19 clinical update on the This Week in Virology (TWiV) Podcast.  He talked about this article back on August 23, 2020. 

Click arrow to play

  • from August 23, 2020
  • Listen to the first 40 min. (or so) for Griffin's talk.  [Skip the first 5:30 min. of introductions.]
  • They also have a Microbe tv version where you can watch the Zoom mtg, if you prefer.

I think it's helpful to hear Griffin's talk about it because he was seeing some of the same things in real life.   As a Medical Librarian during Covid-19, I was distressed about the lack of best evidence and how people were making treatment decisions.  It just goes to show that physicians are people, too.  Human Beings.  When confronted with so much human suffering,  the emotional drive to do something/anything can override what might be best for the patient -- esp. when you don't really know what treatments work or not.   

It's a fascinating look at what happened, and what went wrong.
I'd love to know what you think ..

Saturday, September 26, 2020

Copyright Awareness: AW Library Newsletter Special Edition


This month, we are focusing on Copyright Awareness with the following 6-part series.

Sharing journal articles, videos, forms, tools and other resources found on the internet helps us be more efficient in our work but sharing also means we have a responsibility to respect copyright law.  

Friday, September 25, 2020

Copyright Awareness Part 6: Tips for Using Copyrighted Materials at Ascension Wisconsin


Tips for Using Copyrighted Materials at Ascension Wisconsin

Now that you know about some of the resturctions on using copyrighted materials, let's look at what you CAN do without infringing copyright.

When in doubt about sharing an article, use a permalink.  [See #3 below.]

Under the Fair Use Clause of the Copyright law, libraries are allowed to provide a single copy of an article for the personal use of our patrons. Since Ascension Wisconsin Health Care is NOT considered an educational institution (even if your purposes are for continuing education), we do not get the same consideration as a university or a school for copyright purposes.

If you want to use an article for a class, meeting, committee/policy work, it's up to YOU to get copyright permission and or pay any royalties required.   Sometimes this is easy--the authors and publishers want to have the info spread as far and wide as possible, so they sometimes grant permission without payment. Other times they require royalties for each copy made and distributed which can be quite costly.

Other options for providing the information without infringing copyright follow:

1) Provide a citation of the article--as with a reference or bibliography list. Then only those people who are most interested can follow-up in the library to get the full article individually.

2) Copy the first page of the article only.  This usually gives enough info for library staff to track down a copy of the full article, and it gives more of a full-bodied flavor for the article than just a brief citation. But it doesn't give away so much that the copyright holders would be distressed, or lose income.

3) If it is something to which we have online access, you could also provide a link to the full-text.     

  • Yes: Providing a link to full-text is not considered the same as providing a photocopy--even though an individual may print a copy themselves.  Most databases or publishers provide a persistent url or permalink to the article.  If you are unsure of how to do this, contact us and we can help you.  
  • No: Forwarding a PDF of copyrighted material to a group of people is in direct violation of copyright laws and guidelines unless permission is noted or our licensing allows for this.   

4) Materials such as the skill sheets, Evidence-based care sheets, etc.  taken from the Nursing Reference Center Plus may be copied, distributed, and adapted per our licensing agreement.  Full text journal articles may be copied and distributed within Ascension Health Care but permission is required to use of any tables, forms, assessments, tools etc. that are found within a journal article.   

5) Full Text articles accessed through ClinicalKey data base may be duplicated and distributed within Ascension Wisconsin.  Permission is required to use of any tables, forms, assessments, tools etc. that are found within a journal article or ebook.   Our license does allow us to copy and use images from Clinical Key's Image Collection for use within Ascension Wisconsin.  

6) Full text articles accessed through the following databases and/or publishers may be duplicated and distributed within Ascension Wisconsin.  Permission is required to use any tables, forms, assessments, tools etc. that are found within a journal article.

  • OVID Medline or LWW eJournals
  • BadgerLink (EBSCO)
  • NEJM and JAMA
  • CINAHL-FullText

Want to learn more?  Visit the Copyright LibGuide.

Remember, your Librarians, Michele Matucheski and Kellee Selden are available to help you with copyright questions as well as other reference and research needs.