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The Pulse: Volume 4, Issue 4 - April 2010

In this Issue:


Dana Library Construction Project

Construction began March 15 on improvements to the first floor of the Dana Biomedical Library. Space formerly devoted to shelving for unbound issues of journals, and to some study carrels, will be transformed into two, new meeting rooms. The area currently devoted to quiet study will be improved by adding a new wall to block sound. The quiet study area and the new meeting rooms will be air-conditioned.

We had previously announced that the quiet study area would also be accessible 24/7. Unfortunately, the Town of Hanover would require that the proposed 24/7 space be fully handicapped-accessible. The funding currently available for renovations doesn't permit the construction (ramps, doors, etc.) that would be required to make this possible in a way that doesn't compromise the operation of the library, so that piece of the project was cut. 24/7 space is an important capability for the library and we'll keep it on the list of changes we would like to see in the future.

Thank you to the Medical School for funding these renovations and to David Nierenberg, Senior Associate Dean for Medical Education, for funding the rooms' furniture.

Questions about the project may be directed to Peggy Sleeth, Associate Director/Information Resources, or Dave Izzo, Manager of Computing and Media Services.

Floor plan for the new space:

Dana Library New Floor Plan


Reference Survey

The Dartmouth College Library is conducting a survey in early April. We want to know about the kinds of assistance you need when finding, evaluating, and using information. We also want to find out how you want to request and receive that assistance, and when you need it. An invitation to fill out the survey has been sent to a sample of faculty, students, and staff beginning April 7. Please help us help you! If you receive the survey, please complete it by April 21. We'll report on the results in a future issue of The Pulse.


Mobile Medical Resources: Find Them Easily From Our New Webpage!

I phoneDo you use your iPhone, Android, or other high-end smartphone to access information for patient care? Want to know if resources such as UpToDate and PubMed are mobile-friendly? 

Then visit our new webpage, “Mobile Medical Resources” designed for you to access information resources that are mobile ready. Our page includes: key medical information resources such as UpToDate, PubMed, and CINAHL; general searching resources such as Google; RefWorks; and links to extensive lists of additional medical applications.


Visiting Vietnam: Highlights from Hanoi Trip

Pamela Bagley, Research and Education Librarian, recently returned from Vietnam as part of a team lead by Joseph Rosen, M.D., Associate Professor of Surgery and of Radiology, Dartmouth Medical School. 

For the third year in a row, I accompanied Dr. Rosen and his RICE team to Hanoi, Vietnam. There are two components to the RICE Project. The first, Reconstructive International Cooperation Exchange, involves a team of nurses and surgeons who partake in advanced complex surgical reconstructions at the National Hospital of Pediatrics (NHP) in Hanoi, Vietnam.

I was involved in the second component of the trip, Remote Interaction Consultation Epidemiology. The goal of this project is to integrate information resources and services into the Vietnamese healthcare system, using evidence-based medicine as the guide. My involvement included teaching classes to the medical residents at the NHP, collaborating with a team from University of Melbourne to develop training materials for the NHP library, and to visit hospitals with members of the RICE team to assess needs that the RICE team could address in the future. I also visited Thang Long University to examine a new academic library.

New Library New Library interior

New Library interior New Library interior

Thang Long University (Thang Long is the old name of Hanoi), was the first private university in Vietnam, founded in 1988. They have a very modern-looking new campus that is about three years old. I visited the library and walked around campus. The library had a modest collection of books that do not circulate; books are read in the reading room of the library. The library had both individual and group study space and an area with computer and looked very much like a university library in America. I spoke with the director of the library and he said that librarians at Thang Long University developed the library’s collections to support the courses being taught, but the librarians themselves did no teaching or reference, which are prominent activities of libraries in the U.S.

Son Tay Hospital
Courtyard in the hospital in Son Tay. We were told
that these bunkers were used for surgery during the war.

Operating Room
An operating room in the hospital in Son Tay.

Patient transport
Transport of patients between buildings at Viet Duc Hospital.

Here is a brief explanation of the hospitals in Vietnam. There are three levels of hospitals: national, provincial, and district. The national hospitals in northern Vietnam are all in Hanoi and they all specialize. There is a pediatric hospital (the National Hospital of Pediatrics) as well as a surgery/trauma hospital (Viet Duc), an infectious disease hospital, an ophthalmology hospital, an oncology hospital, etc. Overall there are about 30 national hospitals, 100 provincial hospitals, and 1,000 district hospitals. The more complicated patients are supposed to be referred to the national hospitals; the less complicated patients are supposed to be treated at the provincial hospitals. 

We visited Viet Duc, the surgery and trauma hospital in Hanoi. It is an 800 bed hospital and is close to completing a new building which will have an additional 600 beds. It has a different feel from DHMC- much less privacy and much more involvement of the patient’s family members in the patient’s care. We also visited a provincial hospital in Son Tay, about 50 km from Hanoi.

In my visits to Hanoi I have become fascinated by their efficient distribution of a wide variety of fresh local produce through numerous markets, large and small. I was told that women typically shopped twice a day at the markets and that a market was never more than a block or so away. Here are a few pictures that illustrate this.

Produce in Vietnam 

Produce in Vietnam Produce in Vietnam

Produce in Vietnam Produce in Vietnam



New Chemistry Digital Resource: Reaxys

The Dartmouth College Library has recently licensed a major resource in chemistry that may be of interest to researchers in biology and medicine.

Reaxys ( is based on the combined content of Beilstein, Gmelin, and the Patent Chemistry Database and is an extensive repository of reaction and substance property data for organic, organometallic, and inorganic compounds. Substance and reaction profiles provide a tabular view of validated experimental data. Reaxys' integrated synthesis planner and intuitive web interface support the development of efficient synthesis strategies. Reaxys is produced by the major scientific publisher Elsevier.

For those who are familiar with the Library's current Beilstein and Gmelin Crossfire databases, parallel access to those systems will be available through December 2010. However, at that time they will be discontinued as Reaxys has incorporated and will replace those databases.


The EBM Corner: An Exploration of Evidence-Based Medicine (EBM) Resources

Evidence-Based Medicine (EBM) is the integration of best research evidence with clinical expertise and patient values. [Sackett DL, Straus SE, Richardson WS, et al. Evidence-Based Medicine: How to Practice and Teach EBM. 2d ed. Edinburgh: Churchill Livingstone, 2000.] The Biomedical Libraries’ EBM Research Guide has descriptions of and links to resources that can help you find the best research evidence.

Evidence Based Medicine Pyramid

Our pyramid above represents the hierarchy of evidence, with the strongest evidence being at the top. You will see that levels of the pyramid are clickable and will show you the corresponding information resources. Here’s how it works: you might be looking for background information. Click on our pyramid’s foundation to see corresponding information resources. If you are looking for answers to more specific “foreground” questions, start at the top of the pyramid and drill down.

Systematic Reviews/Meta-Analyses are at the top of our pyramid. Authors of a systematic review ask a specific clinical question, perform a comprehensive literature search, eliminate the poorly done studies, and attempt to make practice recommendations based on the well-done studies. A meta-analysis is a systematic review that combines all the results of all the studies into a single statistical analysis of results.

The EBM movement in the early 1990s spawned the development of filtered resources that appraise the quality of studies and often make recommendations for practice. Authors of critically-appraised topics evaluate and synthesize multiple research studies (e.g., clinical practice guidelines; BMJ’s Clinical Evidence). Authors of critically-appraised individual articles evaluate and synopsize individual research studies (e.g., ACP Journal Club; BMJ’s EvidenceUpdates).

Evidence is not always available via filtered resources. Searching the primary literature (referred to in the pyramid as “unfiltered information”) may be required.

We’ll explore some of the individual resources in future issues of The Pulse. But for now, if you have questions about EBM, the pyramid, etc., please ask a librarian by email (Biomedical.Libraries.Reference@Dartmouth.EDU), phone (603-650-7660) or stop by our Reference Desks.


Staff News

Heather Blunt, Research and Education Librarian, attended a program sponsored by the National Network of Libraries of Medicine, New England Region, in Shrewsbury, MA, on March 25, 2010, called, "Librarians and Nurses: Relationships that Work." This one-day seminar was an opportunity to explore the relationships and connections between librarians and nurses.

Access Services Supervisor Susan Jorgensen, along with Library Services Assistants David Sandberg and Danelle Sweeney, attended the annual Ivies+ Access Services Symposium at Harvard University on March 16. This forum provided opportunities for access services staff to exchange information about what each of their institutions are currently doing, explore challenges confronting access services, and share solutions.


Library Book Exchange: A Variety of Books for Your Reading Pleasure

Looking for something other than a textbook or biomedical journal to take home and read over the weekend? Want to take a break from your studying or grant writing? Look for the "Book Exchange" shelves at both Dana Library and the Matthews-Fuller Library. We offer a variety of donated books, including popular fiction titles, non-fiction, occasional movies, and childrens' books. We invite you to take a book with you, bypassing the usual process of checking the book out at the Circulation Desk. You can return it whenever you'd like, replace it with a different book, or keep it! We also welcome your donations to the collection. Simply drop off a book or two with the Circulation Desk, and we will make sure it gets on the shelf.


Library Grand Rounds - Global Health Resources: From Exploration to Take Off

Wednesday, April 28, 2010
Noon - 1:00 p.m.
Auditorium G
Library Grand Rounds Website

Participating in a global health project can be an exciting, educational, and fulfilling experience. There are numerous resources to help you explore volunteer opportunities, find funding sources, learn about your destination, and prepare you for travel. We will use a case-based approach to highlight useful resources for clinicians and medical students.

This Library Grand Rounds will feature Joseph O'Donnell, MD, Senior Advising Dean and Director of Community Programs, Dartmouth Medical School, and Senior Scholar of the C. Everett Koop Institute; Lisa Adams, MD, Assistant Professor, Section of Infectious Disease and International Health, and Director, Global Health Initiative, John Sloan Dickey Center at Dartmouth College; and Pamela Bagley, MLS, PhD, Research and Education Librarian, Dartmouth Biomedical Libraries.

Please join us! No registration is necessary.

If you are unable to attend the Grand Rounds at DHMC, you can view the presentation live on the web. To view this Grand Rounds at the time of the presentation:
* Go to
* Click on "Conferences on the Web"
* Select "Library Grand Rounds"

Library Grand Rounds are a forum for presenting information resources and tools of interest to Dartmouth clinicians. Please contact us, if you have questions, comments, or suggestions for future Library Grand Rounds.


Consumer Health Topic: Senior Health

Senior Patient and DoctorThere is a growing amount of information on the web specific to aging adults and their families, including healthy living, exercise, conditions and treatments, medications, insurance, long-term care, caregiving, and much more. The following websites offer you and your patients reliable and up-to-date information.

AARP: Health
The various AARP (American Association of Retired Persons) websites provide a wealth of information on conditions and diseases, long-term care, money, healthy living, insurance, and more.

The AGS Foundation for Health in Aging
The American Geriatrics Society Foundation website offers information on the health and care of older adults. Divided into four subjects: Aging in the Know, Eldercare at Home, The FHA Physician Referral Guide, and Health in Aging Stories.

CDC’s Healthy Aging
This Centers for Disease Control website has statistics and research information, a copy of the latest State of Aging and Health in America report, information on the Healthy Brain Initiative, information on end of life issues, lists of organizations, and links to other articles and reports.

Centers for Medicare & Medicaid
This is the official U.S. government site for people with Medicare. It contains information on Medicare health plans, the Medicare drug benefit, Medigap insurance plans, links to state information, long term care information, full text of pamphlets, and more.

Dartmouth-Hitchcock Aging Resource Center
The Dartmouth-Hitchcock Aging Resource Center connects people with a variety of resources, including health education, decision support, advanced care planning, and compassionate care services for older adults and their family members. Their website provides information about upcoming lectures on aging-related topics, geriatric initiatives at DHMC, common health issues of older adults, and more.

NIH Senior Health
Provides aging-related health information which is well-illustrated and readable, including a unique spoken language feature and the ability to increase contrast and size of type for easier viewing. Also includes some short videos and links to MedlinePlus for additional information.


New Research Guide: Publishing Your Article

If you write for publication, then this is for you! We have recently created a new research guide with a variety of useful tips to use throughout the publishing process. This comprehensive guide includes links to information about deciding where to publish, writing your article, submitting your article, copyright, and more. Visit our Publishing Your Article research guide for further information.

Image of the research guide



Scholarly Publishing at Dartmouth: Compact for Open Access Publishing Equity

The Dartmouth College Library, including the Biomedical Libraries, supports scholarly publishing. Visit the Library’s website, Scholarly Publishing & Communication: Issues & Resources, for comprehensive information for faculty, students, administrators, and staff, on current issues, problems, and opportunities in the world of scholarly communication. The website includes links to informative materials on the topics of author rights, copyrights, publishers' archiving policies and copyright contracts, and innovations in scholarly publishing.

Of special note, is the Compact for Open Access Publishing Equity. Below are questions and answers to help you better understand this important initiative and how it could support your publishing activities.

What is the Open Access Publication Compact?

  • An agreement that the participating institutions commit funds to support “reasonable publication charges” for Open Access scholarly journal articles.
  • Five institutions have signed initially—Cornell, UC Berkeley, MIT, Harvard, Dartmouth—and others have since joined.

What kinds of journals qualify for this support?

  • Open access journals as defined by being available to all without a subscription charge, a membership fee, or a charge for individual article access.
  • This program does not pay for the “Open Choice” option that is offered by many subscription-based journals, which makes a single article available. The College already supports those journals through the Library’s subscriptions.

What kinds of articles qualify for this support?

  • Any scholarly or scientific article in any subject area that is not a direct product of grant-funded research. Authors supported by grants have the opportunity to ask those sources for support.

Who is funding this?

  • The Provost’s Office and the Library.

Why is the Library supporting this?

  • The Library has always supported scholarly journal publishing through dedicating a large part of the information resources budget to institutional subscriptions to these journals.
  • Through the Compact for Open Access Publication, the Library extends this support to open access journals, for which there is no subscription fee, through this program.

How does it work?

What other support is offered for Open Access journal article publication?

  • The Library offers faculty and student authors an amendment to a publishing contract that helps authors retain more rights to their own material.
  • The Library offers support to authors in negotiating publication contracts.
  • The Library offers education and outreach programs, formal and informal, to individuals and departments about all aspects of scholarly publishing, including Open Access publishing.

For more information, visit the Compact for Open Access Publishing Equity website, or contact Barbara DeFelice, Director, Digital Resources Program, Dartmouth College Library, 603-646-3565 or email,

Note: the content for the Compact for Open Access Publishing Equity questions and answers section of this article was co-authored by Barbara DeFelice, Director, Digital Resources Program, Dartmouth College Library, and Elizabeth Kirk, Associate Librarian for Information Resources, Dartmouth College Library.


Meet the Dana Library Access Services Staff!

 Dana Library Access Services Staff
From left to right: Danelle Sweeney, Susan Jorgensen,
Owen McDowell, Marilyn Milham

The Access Services department at the Dana Biomedical Library takes care of all circulation, reserves, stacks maintenance, and some preservation work at Dana. We also stock a free book exchange bookcase, for when you need some light, casual reading. We have four full-time employees. And while we all contribute to all the major areas of access service, we each have our own areas of concentration. 

Susan Jorgensen, Access Services Supervisor: The Access Services Department is the most immediate and visible face of Dana Library. Susan says, “As a department, it is our goal to be a friendly, approachable presence to all library patrons, to help meet their needs and resolve routine issues. My goal as supervisor of the department is to develop and maintain an efficient and knowledgeable staff, with cooperative work relationships." Susan takes responsibility for patron account needs, as well as keeping us all on track and focused on what we need to do; making sure that any problems with the general upkeep, appearance, and security of Dana are reported to the appropriate person; suggests solutions; and follows through to see that issues are resolved.

She also pulls some duty at the Dana Library Reference Desk. She has been at Dana for about seven years, before which she spent some time in Dartmouth’s Sherman Art Library and the Vermont Law School Library before that. In her spare time she likes boating, gardening, sewing, going for motorcycle rides, and taking trips to visit family and the ocean in Newport, RI. 

Owen McDowell, Library Services Assistant: Owen has been at Dana for eight years. Owen oversees the revolving art exhibits in Dana Library. He has also come to know the books in the basement very well. In addition to being involved with the reorganization of the 1920-1980 journals in compact shelving downstairs, he has also been working his way through Dana Onsite Storage, sending books to offsite storage, organizing what remains, and also performing preservation work to keep our more well-used volumes in good circulating condition. Before coming to Dana, Owen worked in commercial printing. In his spare time, Owen spends a lot of time chopping firewood in his back 40, working in his printmaking studio, and keeping up with his kids and grandkids.

Marilyn Milham, Student Supervisor: Marilyn has been at Dana for 2.5 years. In addition to access services duties, Marilyn takes care of our wonderful crew of student employees. This involves hiring, scheduling, training, trouble-shooting, and supporting them as they juggle their jobs with life as a student at Dartmouth College or Dartmouth Medical School. Before embarking on this challenge, Marilyn worked in sales, painted murals, and ran a gallery. In her spare time, Marilyn enjoys working in the art studio she shares with her husband, Owen McDowell, and walking on beaches with her family.

Danelle Sweeney, Library Services Assistant: Danelle has been at Dana for two years. She organizes the course reserves each term for DMS, TDI, and Biological Sciences classes. She sends off journals to the bindery, as well as theses from medical students and Biological Sciences graduate students. She processes the reference books, and gets a curious thrill out of making sure the third floor monographs are in proper call number order. Before coming to Dana, Danelle worked at the League of NH Craftsmen, sold her pottery at farmers markets, did some volunteer work for non-profits, and a bit of copyediting. In her spare time she likes to play her flute, sing in a choir, and raise her two fabulous teenage kids.


Schedule a Research Consultation: Meet with a Librarian for Personalized Service

Consulting LibrarianAre you working on a paper, grant proposal, or research project? Writing a systematic review or other article for publication? Meet with one of our librarians in Dana Library, the Matthews-Fuller Library, or a location convenient for you, to discuss information resources and strategies that would be helpful. Simply complete our web-based form, giving us an idea of your research topic and availability to meet, and we will be in touch with you to schedule a meeting. We can help you identify appropriate databases and other resources, formulate your search strategies, and much more. 

You may also stop by either of our Reference Desks to schedule a meeting, send email to Biomedical.Libraries.Reference@Dartmouth.EDU, or call 603-650-7660.

We look forward to hearing from you!


Newsletter Credits

The Pulse is a quarterly publication of the Dartmouth Biomedical Libraries.  

Cindy Stewart (, Editor
Danelle Sweeney, Editorial Assistant
David Sandberg, Editorial Assistant
Don Fitzpatrick, Website Manager

William Garrity (mailto: (, Director of Biomedical Libraries

All photos by David Izzo, unless otherwise noted.

Last Updated: 1/20/15