"Prevention of root caries: a literature review of primary and secondary preventive agents"Gluzman, Rima; Katz, Ralph V; Frey, Barbara J; MCGOWAN, RICHARD
GRANTS:T32 DE007255/DE/NIDCR NIH HHS/United States
PURPOSE: This literature review summarizes the effectiveness of the seven leading root caries preventive agents and provides recommendations for use of those agents in clinical practice with older adults and vulnerable elderly. METHOD: Studies were eligible if they assessed the effectiveness of either fluoride, chlorhexidine, xylitol, amorphous calcium phosphate, sealants, saliva stimulators, or silver diamine fluoride to prevent/control root caries in an English language articles between 1979 and 2010. RESULTS: In the 31 eligible studies, the most effective primary (1 degrees ) prevention agents had reductions in RC incidence ranging from 72% to nearly 200% as compared to a placebo while for secondary (2 degrees ) prevention, the best agents demonstrated arrest rates between 67 and 80%. CONCLUSION: For 1 degrees prevention of root caries the recommended "best choice" is a 38% Silver Diamine Fluoride solution professionally applied annually, while for the 2 degrees prevention of root caries, the recommended "best choice" is a 22,500 ppm Sodium Fluoride varnish professionally applied every 3 months..
"Informationist Support for a Study of the Role of Proteases and Peptides in Cancer Pain"Surkis, Alisa; McCrillis, Aileen; MCGOWAN, RICHARD; Williams, Jeffrey; Schmidt, Brian L; Hardt, Markus; Rambo, Neil
Two supplements were awarded to the New York University Health Sciences Libraries from the National Library of Medicine's informationist grant program. These supplements funded research support in a number of areas, including data management and bioinformatics, two fields that the library had recently begun to explore. As such, the supplements were of particular value to the library as a testing ground for these newer services. This paper will discuss a supplement received in support of a grant from the National Institute of Dental and Craniofacial Research (PI: Brian Schmidt) on the role of proteases and peptides in cancer pain. A number of barriers were preventing the research team from maximizing the efficiency and effectiveness of their work. A critical component of the research was to identify which proteins, from among hundreds identified in collected samples, to include in preclinical testing. This selection involved laborious and prohibitively time-consuming manual searching of the literature on protein function. Additionally, the research team encompassed ten investigators working in two different cities, which led to issues around the sharing and tracking of both data and citations. The supplement outlined three areas in which the informationists would assist the researchers in overcoming these barriers: 1) creating an automated literature searching system for protein function discovery, 2) introducing tools and associated workflows for sharing citations, and 3) introducing tools and workflows for sharing data and specimens.
"Use of ayurvedic diagnostic criteria in ayurvedic clinical trials: a literature review focused on research methods"Brar, Bhupinder S; Chhibber, Richa; Srinivasa, Vani Murthy H; Dearing, Bianca A; MCGOWAN, RICHARD; Katz, Ralph V
Abstract Objectives: The objective of this literature review is to evaluate whether Ayurvedic diagnostic criteria or Western medicine diagnostic criteria have been used in published clinical trials testing an Ayurvedic intervention/treatment. Design: The PubMed, Embase, and Allied and Complementary Medicine databases were searched to identify Ayurvedic clinical trials published from 1980 to 2009. A total of 45 Ayurvedic clinical trials were identified and grouped into two time periods: pre- and post-2000 periods. Each article was independently reviewed by two calibrated reviewers. Results: Analysis revealed that not 1 of these 45 studies, in either time period, reported "only-and-full" use of the 23 available Ayurvedic diagnostic criteria. In fact, 24.4% of these 45 articles never specified any diagnostic criteria at all. While the percentage of articles using Ayurvedic diagnostic criteria (either as "only use" or "combined use with Western Medicine diagnostic criteria") doubled over the two time periods (27.7% to 59%), rarely were more than 2 of the 23 Ayurvedic diagnostic criteria ever used. Conclusions: To improve confidence in their findings, future studies should strive to correct this observed inappropriate and gross underuse of Ayurvedic diagnostic criteria in the designing of clinical studies that aim to rigorously test the effectiveness of Ayurvedic treatments..
"American Academy of Orthopaedic Surgeons Clinical Practice Guideline on: Optimizing the Management of Rotator Cuff Problems"Pedowitz, Robert A; Yamaguchi, Ken; Ahmad, Christopher S; Burks, Robert T; Flatow, Evan L; Green, Andrew; Wies, Janet L; St Andre, Justin; Boyer, Kevin; Iannotti, Joseph P; Miller, Bruce S; Tashjian, Robert; Watters, William C; Weber, Kristy; Turkelson, Charles M; Raymond, Laura; Sluka, Patrick; MCGOWAN, RICHARD
"Optimizing the management of rotator cuff problems"Pedowitz, Robert A; Yamaguchi, Ken; Ahmad, Christopher S; Burks, Robert T; Flatow, Evan L; Green, Andrew; Iannotti, Joseph P; Miller, Bruce S; Tashjian, Robert Z; Watters, William C 3rd; Weber, Kristy; Turkelson, Charles M; Wies, Janet L; Anderson, Sara; St Andre, Justin; Boyer, Kevin; Raymond, Laura; Sluka, Patrick; MCGOWAN, RICHARD
Of the 31 recommendations made by the work group, 19 were determined to be inconclusive because of the absence of definitive evidence. Of the remaining recommendations, four were classified as moderate grade, six as weak, and two as consensus statements of expert opinion. The four moderate-grade recommendations include suggestions that exercise and nonsteroidal anti-inflammatory drugs be used to manage rotator cuff symptoms in the absence of a full-thickness tear, that routine acromioplasty is not required at the time of rotator cuff repair, that non-cross-linked, porcine small intestine submucosal xenograft patches not be used to manage rotator cuff tears, and that surgeons can advise patients that workers' compensation status correlates with less favorable outcomes after rotator cuff surgery.
"Searching Effectively And Efficiently For Accurate Answers To Clinical Questions: A Workshop Utilizing Interprofessional Collaborations To Optimize Training And Teaching"Schenkel, Andrew B; MCGOWAN, RICHARD
Evidence based decision making (EBDM) is one of the driving forces in our healthcare delivery system today. It is an aspect of dentistry and dental education that is ideal for taking advantage of opportunities in interprofessional teaching and learning. The theories, processes and applications of EBDM are the same across all fields of healthcare and provide the perfect opportunities for collaboration. Many fields can be tapped for their expertise in order to optimize its learning and teaching. Acquiring the literature needed to answer your clinical question is usually presented as the second step in the EBDM process. This poster will describe the faculty development workshop that will be presented at the 2011 Annual Meeting of ADEA in San Diego. The program will provide hands on searching experience to participants with their own laptop computers. Through the collaboration established between NYU College of Dentistry and the NYU Medical Center Health Science Library staff we will show how to comfortably and confidently apply the principles and practices of EBDM in searching the existing databases in order to obtain the literature to correctly answer to your clinical questions. This association has afforded us the opportunity for collaboration in this area with the establishment of courses and support in the area of searching. Highlighted among these are the integrated case presentation seminars involving the students across all four years of their dental education- D1 through D4. The medical librarian's knowledge and expertise is essential for training students and faculty searching for answers to clinical questions. This format for collaboration between library and dental school faculty and staff was also the basis for a successful series of FSDC workshops and will form the basis of our ADEA faculty development workshop for learning effective and efficient searching strategies.
"American Academy of Orthopaedic Surgeons clinical practice guideline on the treatment of carpal tunnel syndrome"Keith, Michael Warren; Masear, Victoria; Chung, Kevin C; Amadio, Peter C; Andary, Michael; Barth, Richard W; Maupin, Kent; Graham, Brent; Watters, William C 3rd; Turkelson, Charles M; Haralson, Robert H 3rd; Wies, Janet L; MCGOWAN, RICHARD
"American Academy of Orthopaedic Surgeons clinical practice guideline on treatment of pediatric diaphyseal femur fracture"Kocher, Mininder S; Sink, Ernest L; Blasier, R Dale; Luhmann, Scott J; Mehlman, Charles T; Scher, David M; Matheney, Travis; Sanders, James O; Watters, William C 3rd; Goldberg, Michael J; Keith, Michael Warren; Haralson, Robert H 3rd; Turkelson, Charles M; Wies, Janet L; Sluka, Patrick; MCGOWAN, RICH
"American Academy of Orthopaedic Surgeons clinical practice guideline on the treatment of osteoarthritis (OA) of the knee"Richmond, John; Hunter, David; Irrgang, James; Jones, Morgan H; Snyder-Mackler, Lynn; Van Durme, Daniel; Rubin, Cheryl; Matzkin, Elizabeth G; Marx, Robert G; Levy, Bruce A; Watters, William C 3rd; Goldberg, Michael J; Keith, Michael; Haralson, Robert H 3rd; Turkelson, Charles M; Wies, Janet L; Anderson, Sara; Boyer, Kevin; Sluka, Patrick; St Andre, Justin; MCGOWAN, RICHARD
"Treatment of carpal tunnel syndrome"Keith, Michael Warren; Masear, Victoria; Amadio, Peter C; Andary, Michael; Barth, Richard W; Graham, Brent; Chung, Kevin; Maupin, Kent; Watters, William C 3rd; Haralson, Robert H 3rd; Turkelson, Charles M; Wies, Janet L; MCGOWAN, RICHARD
In September 2008, the Board of Directors of the American Academy of Orthopaedic Surgeons approved a clinical practice guideline on the treatment of carpal tunnel syndrome. This guideline was subsequently endorsed by the American Association of Neurological Surgeons and the Congress of Neurological Surgeons. The guideline makes nine specific recommendations: A course of nonsurgical treatment is an option in patients diagnosed with carpal tunnel syndrome. Early surgery is an option with clinical evidence of median nerve denervation or when the patient so elects. Another nonsurgical treatment or surgery is suggested when the current treatment fails to resolve symptoms within 2 to 7 weeks. Sufficient evidence is not available to provide specific treatment recommendations for carpal tunnel syndrome associated with such conditions as diabetes mellitus and coexistent cervical radiculopathy. Local steroid injection or splinting is suggested before considering surgery. Oral steroids or ultrasound are options. Carpal tunnel release is recommended as treatment. Heat therapy is not among the options to be used. Surgical treatment of carpal tunnel syndrome by complete division of the flexor retinaculum is recommended. Routine use of skin nerve preservation and epineurotomy is not suggested when carpal tunnel release is performed. Prescribing preoperative antibiotics for carpal tunnel surgery is an option. It is suggested that the wrist not be immobilized postoperatively after routine carpal tunnel surgery. It is suggested that instruments such as the Boston Carpal Tunnel Questionnaire and the Disabilities of the Arm, Shoulder, and Hand questionnaire be used to assess patient responses to carpal tunnel syndrome treatment for research.
"American Academy of Orthopaedic Surgeons Clinical Practice Guideline on diagnosis of carpal tunnel syndrome"Keith, Michael Warren; Masear, Victoria; Chung, Kevin C; Maupin, Kent; Andary, Michael; Amadio, Peter C; Watters, William C 3rd; Goldberg, Michael J; Haralson, Robert H 3rd; Turkelson, Charles M; Wies, Janet L; MCGOWAN, RICHARD
"Treatment of osteoarthritis of the knee (nonarthroplasty)"Richmond, John; Hunter, David; Irrgang, Jay; Jones, Morgan H; Levy, Bruce; Marx, Robert; Snyder-Mackler, Lynn; Watters, William C 3rd; Haralson, Robert H 3rd; Turkelson, Charles M; Wies, Janet L; Boyer, Kevin M; Anderson, Sara; St Andre, Justin; Sluka, Patrick; MCGOWAN, RICHARD
GRANTS:R01 AR048212-05/AR/NIAMS NIH HHS/United States;R01 HD037985-08/HD/NICHD NIH HHS/United States
The clinical practice guideline was explicitly developed to include only treatments less invasive than knee replacement (ie, arthroplasty). Patients with symptomatic osteoarthritis of the knee are to be encouraged to participate in self-management educational programs and to engage in self-care, as well as to lose weight and engage in exercise and quadriceps strengthening. The guideline recommends taping for short-term relief of pain as well as analgesics and intra-articular corticosteroids, but not glucosamine and/or chondroitin. Patients need not undergo needle lavage or arthroscopy with debridement or lavage. Patients may consider partial meniscectomy or loose body removal or realignment osteotomy, as conditions warrant. Use of a free-floating interpositional device should not be considered for symptomatic unicompartmental osteoarthritis of the knee. Lateral heel wedges should not be prescribed for patients with symptomatic medial compartmental osteoarthritis of the knee. The work group was unable either to recommend or not recommend the use of braces with either valgus- or varus-directing forces for patients with medial unicompartmental osteoarthritis; the use of acupuncture or of hyaluronic acid; or osteotomy of the tibial tubercle for isolated symptomatic patellofemoral osteoarthritis.
"Trends in reference usage statistics in an academic health sciences library"De Groote, Sandra L; Hitchcock, Kristin; MCGOWAN, RICHARD
PURPOSE: To examine reference questions asked through traditional means at an academic health sciences library and place this data within the context of larger trends in reference services. METHODOLOGY: Detailed data on the types of reference questions asked were collected during two one-month periods in 2003 and 2004. General statistics documenting broad categories of questions were compiled over a fifteen-year period. RESULTS: Administrative data show a steady increase in questions from 1990 to 1997/98 (23,848 to 48,037, followed by a decline through 2004/05 to 10,031. The distribution of reference questions asked over the years has changed-including a reduction in mediated searches 2,157 in 1990/91 to 18 in 2004/05, an increase in instruction 1,284 in 1993/94 to 1,897 in 2004/05 and an increase in digital reference interactions 0 in 1999/2000 to 581 in 2004/05. The most commonly asked questions at the current reference desk are about journal holdings 19%, book holdings 12%, and directional issues 12%. CONCLUSIONS: This study provides a unique snapshot of reference services in the contemporary library, where both online and offline services are commonplace. Changes in questions have impacted the way the library provides services, but traditional reference remains the core of information services in this health sciences library.
"Eating disorders"MCGOWAN R
"Implementing PubMed's LinkOut to full-text E-journals: challenges and solutions"Armstrong AR; MCGOWAN R; Scherrer CS
Providing library patrons with seamless linking from database citations to full-text electronic journals (e-journals) is a goal of librarians, database vendors, and patrons. A number of products have been developed with this goal in mind. One important resource that provides such links to full-text publications from PubMed is LinkOut, freely available from the National Library of Medicine. Libraries face three practical issues when trying to implement PubMed's LinkOut: managing e-journals in general, determining which vendors, aggregators, and/or e-journals can work with LinkOut, and guiding patrons to access all of the full text that the library offers. This paper discusses each of these challenges from one library's perspective.