A sample text widget

Etiam pulvinar consectetur dolor sed malesuada. Ut convallis euismod dolor nec pretium. Nunc ut tristique massa.

Nam sodales mi vitae dolor ullamcorper et vulputate enim accumsan. Morbi orci magna, tincidunt vitae molestie nec, molestie at mi. Nulla nulla lorem, suscipit in posuere in, interdum non magna.

New VisualDx Is Here

The new VisualDX has gone live as of March 1, 2016.  The previous version can currently be reached via the “Previous Version” link at the top of the page.

Look for the following 3 Key Features of the New VisualDX:

newvisualdx_1 1. Visualization of the differential diagnosis using “Sympticons™.” 
Sympticons are what we call symptom or findings icons. They allow for graphical comparison of the key features of each disease. Through visualization, VisualDx Sympticons can speed your patient work-up, recognition, and diagnosis.
newvisualdx_2 2. Emphasis on variant presentations.
In additions to multiple  images of each disease, there are multiple Sympticons capturing key variant presentations. The VisualDx system intelligently re-sorts the pictures and Sympticons so you can see the best match for your patient presentation.
newvisualdx_3 3. Guided questionnaires.
Type in a patient finding or chief complaint then choose to be guided with a questionnaire and/or rapidly type in your patient findings. When working up an unusual patient complaint, VisualDx can help you to remember which questions are relevant to a particular symptom or complaint.

Zika Virus Resources


VALERY HACHE/AFP/Getty Images via http://www.independent.co.uk/

Looking for health information on the Zika Virus?  The National Library of Medicine (NLM) has compiled a list of authoritative resources for health care providers, public health departments, librarians, and others looking for information on the virus and disease.  Information covers topics such as;  general information, travel, epidemiology, laboratory detection and diagnosis, surveillance and control of mosquito vectors, and information in Portuguese and Spanish.  We have put the NLM’s information in our Library Guide of free resources:  http://libguides.llu.edu/aecontent.php?pid=19909&sid=139450.

-University Libraries

Stat!Ref: Learning through Audio Pronunciations

How do you best learn? With more and more advanced, interactive multi-media content buzzing around these days, licensing partners are finding that students learn best though audio pronunciations, videos and other multi-dimensional outlets and forums. How is this changing the face of our electronic resources?


Davis’s Drug Guide for Nurses, one of STAT!Ref’s most popular resources for nursing, now contains a component that makes it easier for students and practicing nurses to learn about important drug information. STAT!Ref is pleased to announce that audio pronunciations have been added to the monographs in this very important resource!





13th Ed. 2013, ©F.A. Davis Company, April Hazard Vallerand PhD, RN, FAAN & Cynthia A. Sanoski BS, PharmD, FCCP, BCPS

Life-saving Guidance at a Glance

  • New audio pronunciations in all monographs
  • Medication pictures in some monographs
  • Red tab for high alert medications, plus in-depth high alert and patient safety coverage
  • Red, capitalized letters for life-threatening side effects
  • Drug-drug, drug-food, drug-natural product interactions
  • Pedi, Geri, OB, and Lactation cautions
  • IV Administration subheads
  • REMS (Risk Evaluation and Mitigation Strategies) icon
  • Pharmacogenomic content
  • Canadian-specific
  • Updates quarterly!

Originally posted on the Stat!Ref blog: http://www.typepad.com/services/trackback/6a00e54eff5c268834017d40496309970c


Search More

Burden HallDid you know our catalog can now search the Loma Linda University’s Digital Archive?  Try it out such as searching for “Burden Hall” from the catalog search.  Also look for image results from the “LLU Digital Archive” facet on the left of the search result page.


“Interdisciplinarity involves the combining of two or more academic disciplines into one activity (e.g. a research project). It is about creating something new by crossing boundaries, and thinking across them. ” –Wikipedia

Interdisciplinarity has become a favored model of scholarly inquiry and interdisciplinary research is spreading all over the landscape in all disciplines.   In a recent annual conference of the Medical Library Association held in Seattle, WA,  a number of librarians shared accounts of their experiences as they took leadership in advancing interdisciplinary research in their own institutions.  Having sat in many of these presentations, the issue piqued my curiosity and wondered how many LLU faculty are engaged in  ‘interdisciplinary research.’

Returning from the conference, I decided to take on a small research project.  The objective is simply to identify interdisciplinary connections LLU faculty researchers have made with other researchers in other academic disciplines within the university.  For the purpose of this small study, interdisciplinary research is defined here as research done by a faculty member from one discipline in collaboration with other faculty member from one or more academic disciplines.

Scope:  My liaison responsibility to the School of Nursing dictated the scope of this small study.  I decided to focus on LLU nursing faculty research emerging in published journal articles with multiple authors.  These are articles by LLU nursing faculty who conducted research and published collaboratively with other faculty from other academic disciplines.

Keywords:  Pubmed uses ‘interdisciplinary studies’  to represent the concept of interdisciplinary research;  CINAHL uses ‘Research, interdisciplinary,’ and OVID, ‘interdisciplinary research.’  However, these terms are used in the databases to index articles about interdisciplinary research; rather than research done collaboratively by researchers across one or more disciplines.  I quickly discovered there was no easy way to search these databases to isolate articles of diverse multiple authorship by discipline.

Process: Three major databases were searched: Pubmed, CINAHL, and Ovid Nursing.  The search consisted of two phases:  a quantitative phase in which articles of multiple authorship were identified, and a qualitative phase in which subject themes were identified to show the focus associated with located articles.

Given the database handicap mentioned earlier, it was necessary to search by affiliation using ‘Loma Linda University School of Nursing,’ and then systematically hand select article citations with multiple authors; and only those with co-authors from another academic discipline.  The inital search yielded 23 article citations from Pubmed;  98 from CINAHL; and 28 from OVID/nursing.  In OVID, the equivalent tag for ‘affiliation’ is ‘institution.’  ClearlyCINAHL appeared to be the winner, with 98 citations retrieved.  However, OVID had 5 entries that were absent in the CINAHL result.  A total of 103 citations were retrieved from all three databases.  No date filter was applied to the search.

Multiple authorships:   All 103 citations were quickly scanned for multiple authorship; found  only 14 from Pubmed; 45 from CINAHL, and 17 from Ovid/Nursing.  After eliminating duplicate postings across these results, only  47 unique total citations with multiple authorships were identified.

Analysis of results

Author affiliations:   Two general patterns of collaboration by affiliation emerge from these results:
1) Inside affiliation—faculty researcher  collaborating with another faculty within LLU, and  2) Outside affiliations–faculty researcher collaborating with faculty from another institution.

Results of data show the majority of research collaboration to date have been among nurses from within the school of nursing (inside affliliation), with a few (primarily faculty who are also graduate nursing students in another institution) collaborating with other nurses from those institutions; fewer still are those who engage in ‘interdisciplinary research.’  Of the 47 citations of multiple authorship, only article citations by 5 nursing faculty may be classified as interdisciplinary.  These were studies conducted in collaboration with the Schools of Public Health, Allied Health, Religion, and Medicine.    Thematic focus of these research are on the subject of caregivers and caregiving, spirituality, men’s health, and basic science concepts in neonatal intensive care.

A similar database search in the future may show improved results.  There is emerging research on campus that is interdisciplinary by nature.  A growing number of nursing faculty are teaming up with Ph.D. students in other disciplines who are conducting doctoral research in areas that intersect with nursing.


This study describes the process employed to locate citations of articles that imply nursing faculty researchers to have made interdisciplinary connections with another faculty researcher.

Searching the databases for interdisciplinary research (studies conducted across disciplines) is problematic.  Database indexers typically tag author affiliation only for the first author and do not take the time to check and tag institutional affiliations of other collaborating authors.  Hence, access points for institutional affiliations are incomplete, and non-existent for added authors.

The relatively small citation count retrieved for nursing challenges us to think about what librarians can do to help promote interdisciplinary research on campus.  For instance, how can we make it easy for a faculty to identify faculty from another academic discipline who share similar research interest?  When  ordinary databases fail to deliver, what can the Library do to augment this handicap?   How can liaison librarians support interdisciplinary research in the schools they serve?  And above all, how do we librarians promote interdisciplinarity among our ranks?

Nelia Wurangian-Caan
Send comments to:

Nelia Wurangian-Caan is Associate professor, Loma Linda University, and is Chair of Technical Services at the Del E. Webb Memorial Library, with liaison responsibilities to the School of Nursing since 1997; graduated with a Master’s in Library Science (1982) from the University of Western Ontario–London, Ontario, Canada; and is a Distinguished Member of the Academy of Health Information Professionals (AHIP) since 1995.   

UpToDate Subscription Cancellation

The Library’s subscription to UpToDate will end on May 31, 2012.     Unfortunately, the cost to continue the subscription would be prohibitively expensive for the University Library to maintain.

The Library, in conjunction with the Medical Center, provides other quality point-of-care tools,  which you can use instead.  Find these point-of-care tools on the VIP Intranet Clinical Desktop and on the LLU Libraries Databases page:

DynaMed is an evidence-based clinical reference tool created by physicians for physicians and other health-care professionals for use primarily at the point-of-care.  It contains clinically-organized summaries for over 3200 medical topics.  DynaMed is updated daily and monitors over 500 medical journals and systematic evidence review databases in order to integrate new evidence within existing content.

MD Consult, reinforced by the First Consult iPad/iPhone app, can be used together for comprehensive clinical information—first, through the quick reference, point-of-care content of the First Consult iPad app, then, through the more in-depth reference content of MD Consult.

Micromedex in addition to comprehensive and reliable drug information provides both in-depth and summary clinical monographs through DISEASEDEX Emergency Medicine (evidence-based acute information) and DISEASEDEX General Medicine (evidence-based diagnosis and treatment information).

Unlike our UpToDate subscription, these are available from on- and off-campus and via mobile devices.    Mobile Access instructions for these and other resources are available on the Library’s Mobile Access guide. For more information about library resources for clinicians, see the Clinicians Library User Guide.

EndNote and PubMed Classes

  Having trouble searching, or managing all the information you do find?  Acquire skills to become more efficient at finding and managing information at the following classes.  Open to students, staff, and faculty–all are welcome!


Tuesday, February 21, 3-4pm

Centennial Complex – Conference Center – 4th Floor

PubMed Tips and Tricks

Thursday, February 23, 1:40 – 2:30pm

Centennial Complex – Conference Center – 4th Floor

Introducing a new way to search CDC resources and TOXNET

A search in the database  STAT!Ref now also gives you results from TOXNET databases and four Centers for Disease Control resources; CDC Pink Book, CDC Yellow Book, The Community Guide, and Morbidity Mortality Weekly.

TOXNET, short for TOXicology Data NETwork, consists of many databases concerning toxicology, hazardous chemicals, environmental health and related areas. It is managed by the Toxicology and Environmental Health Information Program (TEHIP) in the Division of Specialized Information Services (SIS) of the National Library of Medicine (NLM).  To learn more about TOXNET, check out the fact sheet from the U.S. National Library of Medicine.

STAT!Ref cross-searches the following TOXNET databases:

*Hazardous Substances Data Bank (HSDB)     *Integrated Risk Information System (IRIS)     *International Toxicity Estimates for Risk (ITER)     *Chemical Carcinogenesis Research Information System (CCRIS)     *Genetic Toxicology (GENE-TOX)     *Tox Town®     *Drugs and Lactation ( LacMed)     *Carcingenic Potency Database (CPDB)     *Comparative Toxicogenomics Database (CTD)

To access these resources, merely perform a search in STAT!Ref from the library databases as you normally would and look for the Additional Resources column on the left.

UpToDate webinar series announcement

UpToDate Introduces Graphics Search

If you have ever needed an image or graphic to use in a class, paper, or presentation, you have likely used Images.MD (now a part of the Medical and Life Science collection of images on Springer Images), an image database we have made available for some time.  You now have another option.  UpToDate, a database primarily used clinically, now offers a graphics search.  Keep in mind that UpToDate is only available on campus.  For more information, see their flyer below.