Remote access to a clinical decision support tool is now available through DynaMed at: www.ebscohost.com/dynamed/. Produced by a physician for use at the point-of-care, DynaMed has clinical summaries for about 2,000 topics, which are updated daily and organized by 12 categories: General Information (including ICD-9 codes), Causes and Risks, Complications, History, Physical, Diagnosis, Prognosis, Treatment, Prevention and Screening, References, Patient Information, and Acknowledgements. The information in each category is displayed in descending order by level of evidence. Evidence summaries focus on patient-oriented outcomes and absolute risks (NNT). See www.dynamicmedical.com for more information. Following is a brief comparison of the DynaMed and UpToDate databases accessible to the UMMSM/JHS:

Feature Remote Access PDA Access* Clinical Focus Number of Topics Evidence Reporting Frequency Drug Compendium Graphics

DynaMed Yes Yes General Medicine 2,000 Evidence levels for all info. Daily No No

UpToDate Not available UMMSM Wireless Network Internal Medicine and subspec. 7,000 Evidence levels for <5% of info. 3 times yearly Yes Yes

*See www.ebscohost.com/dynamed/technical.php

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The National Center for Biotechnology Information (NCBI) of the National Library of Medicine introduced a new database "designed to archive and distribute data from genome wide association (GWA) studies. GWA studies explore the association between specific genes (genotype information) and observable traits, such as blood pressure and weight, or the presence or absence of a disease or condition (phenotype information). Connecting phenotype and genotype data provides information about the genes that may be involved in a disease process or condition."

The initial release of dbGaP is accessible at: www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=gap and contains study documentation, summaries of measured variables, and pre-computed analyses of the level of statistical association between genes and selected phenotypes of two studies:

• Age-Related Eye Diseases Study (AREDS) which gathered DNA, cell line samples and detailed phenotypic data on 600 subjects with gene-based eye diseases: age-related macular degeneration and age-related cataracts
• Parkinson Study which gathered DNA, cell line samples and detailed phenotypic data on 2,573 subjects. The studies in dbGaP have two levels of access: open and controlled. Data on the individual level will require preauthorization.

During the coming year, data from additional GWA studies will be added, including the landmark Framingham Heart Study and data from the Genetic Association Information Network (GAIN). The focus of dbGaP will be heart disease, women's health, neurological disorders, neuropsychiatric disorders, diabetes and environmental factors in disease.

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RefWorks and EndNote are bibliographic citation management programs designed to save users time in the creation, management, and storage of bibliographic references for easy access and sharing. Other well known programs include Reference Manager, WriteNote and ProCite.

Although EndNote has been highly popular, its supremacy is being challenged by RefWorks. Accessible University-wide for many years at www.refworks.com/Refworks/, RefWorks claims to convert 100-150 EndNote citation management databases daily.

Following is a comparison of the two programs to help introduce the easy to use, powerful, and web-accessible RefWorks program to faculty, staff and students who may not yet be familiar with it and to help you decide which is best for you. To support the ever increasing popularity of RefWorks at the medical center, the Library has developed introductory and intermediary courses to support the databases you search and your needs. Please contact Tanya Feddern-Bekcan at tfeddern@med.miami.edu to schedule a group course.

Feature	RefWorks 4.2	EndNote X
Web accessible	Y	N*
Import filters for online databases	800+	590+
Manually insert references	Y	Y
Unlimited number of references	Y	Y
Maximum number of reference types	31	45
Maximum number of fields	51	52
Output styles	726	2,300+
Modify, create output styles	Y	Y
Manuscript templates	N	Y
Online tutorial	Y	Y
Integrate with Blackboard	Y	N
Store mp3, PowerPoint, PDF, etc.	N	Y
Autoformat Word documents	Y	Y
Compatible with earlier versions	Y	N
Import EndNote files into RefWorks and vice versa	Y	Y
Link to PDF files on WWW or desktop	Y	Y
Search and replace	Y	Y
Spell check	N	Y
Detect duplicate citations	Y	Y
Authority list of authors, etc.	Y	Y
Sort by field	Y	Y
Share files with colleagues and students	Y	Y
Create subject bibliographies	N	Y
Write-N-Cite/Cite While You Write	Y	Y
Post databases or references to WWW	Y	N

*EndNote Web is a web-based program which facilitates the exporting of citations from databases such as Science Citation Index to the desktop program, EndNote X.

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In 2006, David R. Millard,III acquired the rights to two of his father's books: Cleft Craft; the Evolution of its Surgery, vols. 1-3, 1977-1980 and A Rhinoplasty Tetralogy: Corrective, Secondary, Congenital, Reconstructive, 1996. In the interest of making these classic texts readily accessible to students and practitioners worldwide, Mr. Millard had digitized files made and gave the Library permission to make the files available at the �Electronic Books� link on the Millard website at calder.med.miami.edu/Ralph_Millard. The following volumes debuted on the website in January.

Designed and created by the Library in 1998, the D. Ralph Millard, M.D. Plastic Surgery site also includes his Biography, Bibliography, Honors & Awards, Presentations, and his historical photograph archive of Other Pioneers and Leaders in Plastic Surgery during the past two millennia, accessible by Name, Birth Date, and Contribution. In 2006, there were more than 30,000 page accesses of the site worldwide.

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Access to the following electronic journals was activated University-wide in January:

Cancer Gene Therapy, 1999- Cloning and Stem Cells, 1999- Disease Markers, 2000- European Journal of Human Genetics, 1998- Genes and Immunity, 1999- Genetic Testing, 1999- Journal of Medical Screening, 1998- Molecular Interventions, 2001- Multiple Sclerosis, 1998- Mutagenesis, 1006- Nature Protocols, 2006- Stem Cells and Development, 2004- Twin Research and Human Genetics, 2005-

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The University of Chicago Press, "in an effort to support educational use of the latest scholarly research," has amended its policy regarding classroom use, which now reads:

Beginning January 1, 2007, educators at institutions with Enterprise-Wide access may make multiple hard copies of journal content for the purpose of classroom use � [and] � materials published electronically by the University of Chicago Press, Journals Division may also be placed on e-reserve by members of institutions with Unlimited Enterprise-Wide subscriptions. All other copying for classroom and educational use beyond the fair-use pro- vision of Section 107 of the Copyright Act of the U.S. requires written permission from the University of Chicago Press.

There is Unlimited Enterprise-Wide access to the following health sciences journals published by the University of Chicago Press: American Journal of Human Genetics, Clinical Infectious Diseases, and Journal of Infectious Diseases.

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