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This study replicates and extends a previous study conducted in the Southeast on Loansome Doc services provided by libraries and the experiences and opinions of end-users. A total of 531 active Docline Libraries and 318 end-users were surveyed. Many of the findings from a previous study of Loansome Doc in the Southeast are duplicated in this study of Midwest libraries. Approximately half of all the libraries offered Loansome Doc services. Those that did not were not interested in adding the service in the future. Most libraries had minimal increases in number of users and interlibrary loan activity. Problems were rare and satisfaction was high. End-users were primarily physicians, residents, and medical students who found out about Loansome Doc through PubMed. Most end-users thought Loansome Doc was convenient and articles were received in a timely manner. The single improvement of Loansome Doc most often suggested by end-users was electronic delivery of articles. Libraries should be encouraged to provide electronic delivery if they don't already provide it. Better promotion of Loansome Doc by local libraries and at the regional and national level may lead to increases in the number of participating libraries and endusers. [ABSTRACT FROM AUTHOR]

This study investigates the extent to which hospital librarians use and are satisfied with Loansome Doc. One hundred and ninetytwo libraries in the southeast region were surveyed. Results indicate that hospital libraries using Loansome Doc were not overburdened with end-users or requests. Hospital libraries' satisfaction with Loansome Doc was generally high. However, many libraries did not offer Loansome Doc services due to limited staff, fear of increased workload, cost/billing issues, and unfamiliarity with the system. Hospital librarians should consider offering Loansome Doc because of the potential for considerable timesaving benefits. Also, Loansome Doc can be an important promotional tool, fostering user confidence in the library's ability to quickly and conveniently meet information needs. [ABSTRACT FROM AUTHOR]

Low-carbohydrate diets raise high-density lipoprotein (HDL) cholesterol levels by approximately 10%; soy protein with isoflavones raises HDL by 3% (strength of recommendation [SOR]: C, based on meta-analysis of physiologic parameters). The Dietary Approaches to Stop Hypertension (DASH) diet and multivitamin supplementation raise HDL 21% to 33% (SOR: C, based on single randomized trial each measuring physiologic parameters). No other dietary interventions studied raise HDL (SOR: C, based on meta-analysis of physiologic parameters).

Objectives: The study examines how Loansome Doc services are implemented and used by libraries in the Southeast Region and describe end users' experiences with and attitudes toward Loansome Doc., Methods: 251 active DOCLINE libraries and 867 Loansome Doc users were surveyed., Results: Roughly one half of the libraries offered Loansome Doc services. Of those that did not, most indicated no plans to offer it in the future. The majority had a small number of end users and experienced minimal increases in interlibrary loan activity. Problems were relatively rare. Satisfaction with Loansome Doc was high among all types of libraries. End users were usually physicians or other health care professionals who requested articles for research and patient care. Most learned about Loansome Doc through PubMed or Internet Grateful Med. End users appeared to be largely self-taught or received informal instruction in Loansome Doc. Loansome Doc filled document requests in a timely manner, and end users reported being satisfied with the service., Conclusions: Greater promotion of what Loansome Doc is and how it can benefit libraries can increase the number of participating libraries. While satisfaction of Loansome Doc end users is high, satisfaction could be increased with more help on the PubMed screen, more library training, and faster delivery methods.