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Objective: Medical care for cancer is increasingly directed by genomic laboratory testing for alterations in the tumor genome that are significant for diagnosis, prognosis and therapy. Uniquely in medicine, providers must search the biomedical literature for each patient to determine the clinical significance of these alterations. Access to published scientific literature is frequently subject to high fees, with access limited to institutional subscriptions. We sought to investigate the degree to which the scientific literature is accessible to clinical cancer genomics providers, and the potential role of university and hospital system libraries in information access for cancer care. Methods: We identified 265 journals that were accessed during the interpretation and reporting of clinical test results from 1,842 cancer patients at the University Health Network (Toronto, Canada). We determined the degree of open access for this set of clinically important literature, and for any journals not available through open access we surveyed subscription access at seven academic hospital systems and at their affiliated universities. Results: This study found that nearly half (116/265) of journals have open access mandates that make articles freely available within one year of release. For the remaining subscription access journals, universities provided a uniformly high level of access, but access available through hospital system collections varied widely. Conclusion: This study highlights the importance of different modes of access to the use of the scientific literature in clinical practice and points to challenges that must be overcome as genomic medicine grows in scale and complexity. [ABSTRACT FROM AUTHOR]

Introduction: Predatory journals have been acknowledged as an increasing concern in the scholarly literature over the last decade, but research on the subject has been sparse. Research that has focused on predatory journals in the Canadian context has been even rarer, and limited to work focused on a single university. This study explores publishing trends in predatory journals by authors affiliated with Canadian universities. Methods: Articles published by authors at 30 Canadian universities, including all universities in the U15, were pulled from select predatory journals. Key data including author affiliation, article type, discipline, and grant information were extracted from the articles. Results: All universities in the study were found to have publications in predatory journals. The health sciences accounted for 72% of the publications, and the sciences for 20%. Research articles accounted for 50% of the articles. Opinion, editorial, or commentary pieces accounted for 24% and 19% were review articles. Grant funding was indicated in 34% of the articles, with NSERC and CIHR being top funders. The research-intensive U15 universities were found to publish more in predatory journals than their non-U15 compatriots, even when the universities were of similar size. Discussion: Canadian scholars were found to publish in predatory journals, particularly those scholars from the health sciences and research-intensive U15 universities. Grant funding was common, and often came from high profile funders like NSERC and CIHR. This study suggests that policy and education initiatives may be warranted in Canadian contexts, especially in the health sciences and at research-intensive universities. [ABSTRACT FROM AUTHOR]

This personal reflective piece explores precarity in academic libraries from the perspective of someone who has been a precariously employed librarian but has shifted to more stable employment. The author explores the detrimental aspects of precarious work, both in relation to individuals and in relation to the institutions that hire precariously. There is discussion of the lack of attention paid to this critical topic and a call for those with secure positions to turn their attention towards the problem of precarity in libraries. [ABSTRACT FROM AUTHOR]

As part of the University of Manitoba Libraries Outreach Services, the Winnipeg Regional Health Authority (WRHA) Virtual Library provides library services to hospitals, health centres, community health agencies, and personal care homes throughout the city of Winnipeg, Manitoba. All services of the WRHA Virtual Library, including the collection, are entirely virtual, though staff are physically located in the university's health library. In March 2020, shortly after the World Health Organization declared the novel coronavirus (COVID-19) pandemic, libraries around the world started closing their doors and staff were required to work from home. The virtual infrastructure of our services and collections required no changes in how our patrons accessed the Virtual Library and a smooth transition was expected, but the sudden shift to working from home revealed gaps. This article discusses the unique experience of the WRHA Virtual Library transitioning to a completely virtual environment, the previous reliance on the university's physical infrastructure, and the inequities identified between librarians and library technicians. [ABSTRACT FROM AUTHOR]

The article talks about the education session developed in response to low health professional awareness of predatory journals. Topics discussed include publications have addressed the awareness that health professionals have about predatory journals; risk that health professionals could use the content to inform their decisions, or publish in predatory journals unknowingly; and health librarians have a role to play in active education about predatory journals.

Introduction: The emergency department (ED) is a potentially harmful environment for older adults with dementia, and rural EDs face unique challenges in providing care to this population. The purpose of this study was to understand safety and harm in rural ED transitional care for community dwelling older adults with dementia from the perspective of healthcare professionals (HCPs)., Methods: An interpretive, descriptive exploratory design from a social ecological perspective was used. Using purposive and snowball sampling, HCPs were recruited from two rural hospital EDs in two Canadian provinces. Data collection involved participant interviews using a semi-structured interview guide. Audio-recorded interviews were transcribed, transcripts coded, and themes identified using constant comparative analysis with thematic coding., Results: A total of 12 HCPs, seven from one province and five from the other, participated in the study. HCPs worked directly in the ED or consulted in the ED from hospital-based social work, rehabilitation and community liaison services. Three themes were identified: physical environment (space, design and equipment), work environment (pressure to perform) and practice environment (family, knowledge and processes). A conceptual model was developed to illustrate how HCPs worked to balance safety and harm for older patients with dementia within a milieu created by the overlapping and synergistically interacting environments., Conclusions: HCPs in rural EDs working at the interface of hospital and community constantly attempt to balance promoting safety and avoiding harm for older adults with dementia. Participants perceived safety broadly, understanding that the consequences of the milieu were created through an interaction between physical, work and practice environments. These consequences related to the physical, cognitive and emotional wellbeing of older adults with dementia and their caregivers. Within the practice environment, participants identified a 'rural advantage' that was tied to their knowledge of community and the people with dementia and their caregivers who sought care in the participating EDs. However, familiarity can be a double-edged sword and to minimize potential harm healthcare professionals must seek input from caregivers regarding altered functional status, and policies to change triage to include gerontological knowledge and create elder-friendly rural ED environments are needed.