ABSTRACT
The increasing expectation for easy, yet full remote access to library materials necessitates innovative thinking on the part of libraries. Other traditional methods of providing access don't always meet the needs of the library or the patrons. This paper describes the project of one library to develop a Virtual Desktop, making access easy to grant or withhold, and also making available a wider array of resources.
Subject(s)
Computer Communication Networks , Libraries, Medical/organization & administration , Library Services/organization & administration , User-Computer Interface , Alabama , Databases, Bibliographic , Humans , Internet , Microcomputers , Organizational Innovation , Program DevelopmentABSTRACT
The Ovid local holdings feature can be very beneficial to library patrons. This article describes the use of the feature for one academic health sciences library. Topics covered include how the function works, how it was implemented, how it is updated, the impact of electronic journals, and benefits and drawbacks of use. Also included are suggested enhancements to the system.
Subject(s)
Libraries, Medical , Library Automation , Library Materials , MEDLINE , Periodicals as Topic , Software , Alabama , Databases as Topic , Humans , Online Systems , PublishingABSTRACT
A case of aortic graft infection with bacille Calmette-Guérin (BCG) is described. The graft was placed during urgent repair of a ruptured abdominal aortic aneurysm 2 years after intravesical administration of BCG for grade II transitional cell carcinoma of the bladder with associated carcinoma in situ. At the time of operation, no gross evidence of infection was found and pathologic examination of the aortic wall was unremarkable. Aortic graft infection with BCG was diagnosed 1 year after placement of the graft. Retrospective examination of formalin-fixed, paraffin-embedded aortic wall and thrombus removed at the time of graft placement by the polymerase chain reaction technique demonstrated the presence of mycobacterial DNA. The patient's condition improved with medical therapy during an observation period of 18 months with near total resolution on computed tomography scanning. Ultimately (20 months later), an aortoenteric fistula developed that required graft removal and axillobifemoral bypass.
Subject(s)
Aneurysm, Infected/etiology , Aortic Aneurysm, Abdominal/microbiology , Aortic Rupture/microbiology , BCG Vaccine/adverse effects , Blood Vessel Prosthesis , Carcinoma, Transitional Cell/therapy , Mycobacterium bovis , Tuberculosis/etiology , Urinary Bladder Neoplasms/therapy , Administration, Intravesical , Aged , Aged, 80 and over , Aneurysm, Infected/diagnosis , Aortic Aneurysm, Abdominal/surgery , Aortic Rupture/surgery , BCG Vaccine/administration & dosage , Humans , Male , Tuberculosis/diagnosisSubject(s)
Capitation Fee , Economics, Medical , Specialization , Cost-Benefit Analysis , Group Practice/economics , United StatesABSTRACT
A 73-year-old man had chronic meningitis of uncertain origin. Ophthalmologic examination revealed juxtapapillary choroiditis with an associated localized serous retinal detachment. Subsequent laboratory evaluation demonstrated absent serum complement-fixing antibody titers to Coccidioides immitis, but serological examination of the CSF demonstrated an antibody titer of 1:2. The final diagnostic impression was that of chronic meningitis in association with juxtapapillary choroiditis due to C immitis.
