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1.

Key points

  • Publishers should layer on the right standards to create accessible publications.
  • Accessible publications have accessible content at the core, wrapped in semantic structure, and topped off with accessible metadata.
  • Resources to help publishers implement accessibility in their programmes are available.
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2.

Key points

  • Bookshare is the world's largest library of accessible titles provided to members and through special agreements.
  • Dyslexia is often forgotten as an impediment to access but must be accounted for within accessible publications.
  • Certification of accessibility provides confidence for purchasers and a marketing tool for publishers.
  • Accessibility requires multiple routes to access, on different platforms and in different formats.
  • Accessible artworks need particular attention, and this is often lacking in ‘accessible’ publications.
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3.

Key points

  • Testing for accessibility after extensive changes to a website and addressing them as technical debt is unsustainable in the long term.
  • To stay modern and efficient, providers of digital content to academic institutions should build accessibility into development.
  • For JSTOR, working with participating institutions to understand their concerns was essential to reaching WCAG 2.0 AA conformance.
  • With Artstor recently joining ITHAKA, we face the challenge of making a visual archive accessible.
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4.

Key points

  • Convergence of international standards has made requirements for accessible multimedia content clearer.
  • Legal and commercial pressure for accessible content is mounting for higher education institutions (HEIs) and publishers as highlighted by recent high‐profile settlements in North America.
  • Accessibility requirements for multimedia can be met by setting realistic, progressive goals and focusing resources on key content.
  • Multimedia accessibility benefits range from wider audiences and increased user engagement to greater discoverability and improved search engine optimization.
  • Vendors are ramping up their offerings for accessible production, and costs are going down.
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5.

Key points

  • Current publishing restrictions cause duplicated – and wasted – effort to delivery of accessible information to students.
  • Universities have a legal obligation to provide access, but this is not required from publishers.
  • Initiatives to support access are helpful, but do not completely resolve the accessibility problems.
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6.

Key points

  • The UK policy landscape supports access for the users whilst allowing publishers to maintain business models.
  • Advancements such as EPUB 3, aligning publishing with web technologies, and the Inclusive Publishing hub help publishers reach accessibility compliance.
  • Print impairment is not an on/off switch, and each reader has his or her own unique set of requirements – a fact that is supported by EPUB 3.
  • The time is ripe for publishers to make firm commitments to accessibility initiatives.
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7.

Key points

  • Accessibility of publications in academia is a non‐negotiable legal requirement.
  • The accessibility of your journal or other scholarly publication is the most important design consideration in your workflow.
  • EPUB Accessibility 1.0 and Web Content Accessibility Guidelines 2.0 provide a clear publishing pathway.
  • Consider the readability chain: Any link can result in accessibility failure but an unbroken chain will benefit all readers.
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8.
9.

Objectives:

The research determined (1) the information sources that family physicians (FPs) most commonly use to update their general medical knowledge and to make specific clinical decisions, and (2) the information sources FPs found to be most physically accessible, intellectually accessible (easy to understand), reliable (trustworthy), and relevant to their needs.

Methods:

A cross-sectional postal survey of 792 FPs and locum tenens, in full-time or part-time medical practice, currently practicing or on leave of absence in the Canadian province of Saskatchewan was conducted during the period of January to April 2008.

Results:

Of 666 eligible physicians, 331 completed and returned surveys, resulting in a response rate of 49.7% (331/666). Medical textbooks and colleagues in the main patient care setting were the top 2 sources for the purpose of making specific clinical decisions. Medical textbooks were most frequently considered by FPs to be reliable (trustworthy), and colleagues in the main patient care setting were most physically accessible (easy to access).

Conclusions:

When making specific clinical decisions, FPs were most likely to use information from sources that they considered to be reliable and generally physically accessible, suggesting that FPs can best be supported by facilitating easy and convenient access to high-quality information.

Highlights

  • Medical textbooks were the most popular information source for family physicians'' (FPs'') clinical decision-making purposes, and medical journals were the most popular information source for the purpose of updating FPs'' general medical knowledge.
  • FPs considered medical textbooks to be the most reliable (trustworthy) source, colleagues the most physically accessible, and continuing medical education the most relevant and intellectually accessible.
  • The lowest ranked information sources across all four attributes were personal digital assistants, mental health professionals, pharmaceutical sales representatives, and other decision aids.

Implications

  • The most popular information sources for clinical decision-making purposes among FPs were sources characterized as reliable and generally physically accessible.
  • This study suggests the need for further research into interventions that target information access barriers in FPs'' practice settings and the promotion of reliable evidence for FPs'' clinical decision-making purposes.
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10.

Key points

  • Educational accessibility needs to accommodate not only text but also supplemental, multimedia, and interactive elements.
  • Accessibility considerations need to address user needs for timeliness, quality, cost, and security.
  • Schools often default to remediation instead of embracing EPUB 3 for practical reasons and to respond to student preferences.
  • PDF is often preferred over EPUB for creating alternate formats because of familiarity and expediency.
  • Schools require accessibility to deal with increased legal pressure from both government agencies and disability advocates.
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11.
  • Plain language summaries (PLS) are accessible, short, peer-reviewed summaries of scholarly journal articles written in non-technical language.
  • The aim of PLS is to enable a broader audience of experts and non-experts to understand the original article.
  • Here, we outline the evidence base for the value and impact of PLS and how they can enable diversity, equity, inclusion and accessibility in scholarly publishing.
  • PLS can diversify readership and authorship, address information inequity, include typically under-represented stakeholders and provide an accessible route into scholarly literature.
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12.
13.

Key points

  • U.S. university OA policies are far less mandatory than those in the U.K.
  • The waiver clauses in U.S. university policies make it easy for authors to decline making their articles OA.
  • The relative autonomy – and competitiveness – of U.S. universities may be the reason for weaker OA policies.
  • OA in the U.S. is likely to be driven by government funding agency policies rather than by academia.
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14.
15.

Objectives:

This study examined the information-seeking behaviors of basic science researchers to inform the development of customized library services.

Methods:

A qualitative study using semi-structured interviews was conducted on a sample of basic science researchers employed at a university medical school.

Results:

The basic science researchers used a variety of information resources ranging from popular Internet search engines to highly technical databases. They generally relied on basic keyword searching, using the simplest interface of a database or search engine. They were highly collegial, interacting primarily with coworkers in their laboratories and colleagues employed at other institutions. They made little use of traditional library services and instead performed many traditional library functions internally.

Conclusions:

Although the basic science researchers expressed a positive attitude toward the library, they did not view its resources or services as integral to their work. To maximize their use by researchers, library resources must be accessible via departmental websites. Use of library services may be increased by cultivating relationships with key departmental administrative personnel. Despite their self-sufficiency, subjects expressed a desire for centralized information about ongoing research on campus and shared resources, suggesting a role for the library in creating and managing an institutional repository.

Highlights

  • Basic science researchers rely on a small network of individuals in their institution and at other institutions to satisfy their information needs.
  • Basic science researchers tend to ignore institutional boundaries when searching for information and do not necessarily view the library as the primary source of scholarly information.
  • Basic science researchers use the interlibrary loan service regularly but otherwise rarely use traditional library services such as mediated literature searching and instruction.

Implications

  • The library must establish a presence in researchers'' work environments, rather than expect them to seek out library resources and services.
  • The increased emphasis by funding agencies on clinical translational science may impact the information needs of basic science researchers in the future.
  • Libraries have an opportunity to capitalize on their positive reputation and basic scientists'' desire for more centralized information to create new information resources and services such as institutional repositories.
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16.

Background:

To encourage evidence-based practice, an Annals of Internal Medicine editorial called for a new professional on clinical teams: an informationist trained in science or medicine as well as information science.

Objectives:

The study explored the effects of informationists on information behaviors of clinical research teams, specifically, frequency of seeking information for clinical or research decisions, range of resources consulted, perceptions about access to information, confidence in adequacy of literature searches, and effects on decision making and practice. It also explored perceptions about training and experience needed for successful informationists.

Methods:

Exploratory focus groups and key interviews were followed by baseline and follow-up surveys conducted with researchers and clinicians receiving the service. Survey data were analyzed with Pearson''s chi-square or Fisher''s exact test.

Results:

Comparing 2006 to 2004 survey responses, the researchers found that study participants reported: seeking answers to questions more frequently, spending more time seeking or using information, believing time was less of an obstacle to finding or using information, using more information resources, and feeling greater satisfaction with their ability to find answers. Participants'' opinions on informationists'' qualifications evolved to include both subject knowledge and information searching expertise.

Conclusion:

Over time, clinical research teams with informationists demonstrated changes in their information behaviors, and they valued an informationist''s subject matter expertise more.

Highlights

  • Informationist involvement in traditional team activities—going on rounds and searching and critically evaluating the literature—increased over time.
  • As the relationship between a clinical team and informationist developed, activities expanded to include projects such as development of wikis, databases, and websites.
  • Clinical teams came to view subject knowledge as key to an informationist''s preparation; however, their expertise as information scientists was valued most highly.
  • “Initiative,” approaching research staff in their workplace, was the one personal trait focus group participants agreed on as most desirable for an informationist.
  • When first introduced to the concept, researchers cited customization of services to team needs as a major benefit.

Implications

  • To assure a successful informationist program, libraries must be prepared to commit time and money.
  • Whether informationists or not, librarians should be prepared to support users'' increased need for genetics and molecular biology information.
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17.
18.
19.

Objectives:

This study sought to ascertain the publication rate of abstracts presented at the annual meetings of the Medical Library Association (MLA) for the years of 2002 and 2003. The secondary objectives were to examine possible reasons for non-publication and factors influencing publication.

Methods:

A total of 442 abstracts from both meeting years, consisting of presented papers and posters, were examined. The 2 methods used to obtain a publication rate were literature searches and an online questionnaire sent to first authors. The questionnaire also asked abstract authors about reasons for non-publication and other factors that might have influenced their decisions about whether or not to submit the project for publication.

Results:

The overall publication rate from the survey was 26.5%, and the publication rate found via literature searching was 27.6%. The most common reason given for non-publication was time restrictions. Also notable was the large proportion of abstracts written by librarians working at universities and those having 25 or more years in the library profession.

Discussion:

Publication rates for abstracts presented at the Medical Library Association meetings for the years studied rank at the low end in comparison with other medical professional associations. Further research into factors affecting publication may reveal ways to increase this rate.

Highlights

  • Publication rates from posters and presentations at the Medical Library Association''s 2002 and 2003 annual meetings were estimated at less than 28.0% using data from an author survey and literature search. In contrast, a Cochrane systematic review of 79 similar biomedical research studies found a mean publication rate of 44.5%.
  • Respondents listed time restrictions as their primary reason for not submitting their presentations for publication.

Implications

  • Compared to biomedical conferences, relatively little of the information presented at Medical Library Association annual meetings is available as peer-reviewed evidence in the published literature.
  • Each profession has different norms for the nature and style of information in presentations at meetings. The further presenters get from basic research, the more difficult it may be for them to conceptualize a presentation as a formal paper. Diverse publication rates between professions are likely to remain.
  • Additional study could be aimed at further clarifying the reasons for non-publication and possible means to ameliorate them.
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20.

Objectives:

The 170-year history of the library of the Royal Society of Medicine in Budapest illustrates both that political and cultural context matter and that “medical” libraries, if they survive, in due course become primarily “medical history” libraries.

Methods:

Two of the authors are on the staff of the Semmelweis Medical History Library; the third is a US scholar who makes frequent use of the library. Together, they avail themselves of archival and published materials—and personal experience with the collection—to establish the context that produced the original library, trace its evolution, and describe its present-day incarnation.

Results:

A tale of transformation emerges that reflects how collections are likely to change. The authors present events and individuals in the life of the Royal Society''s library and paint a picture of the value of today''s Semmelweis Medical History Library. Unique treasures in the collection are described.

Conclusion:

The story told here is of how a particular nineteenth-century library became a twenty-first–century institution. The authors establish its peculiarly Hungarian context and potential value to librarians and historians from outside Hungary. The overall message is that general medical libraries everywhere are perforce likely to become medical historical libraries over time.

Highlights

  • Context matters. The historical background of a library helps determine its functions and its future; shifts in modes of publishing affect and monetary concerns shape the development and preservation of an historical collection.
  • Libraries evolve. Medical libraries undergo a normal and profoundly useful transformation over time into repositories of medical history.
  • Books alone do not a library make: Libraries can and should be settings for continuing education, cultural affirmation, and assistance to scholars by preserving and making available for use a variety of sometimes rare archival and published materials.

Implications

  • Knowing the political and cultural background of a library is essential to understanding its history as well as its present-day status.
  • Preserving and expanding historical collections demands vigilance and creative management, especially under difficult fiscal and political circumstances. The loyal and diligent work of Hungarians and others who helped build and preserve this library can serve as a model for other threatened collections.
  • Sharing the story of a relatively unknown library''s development brings its general assets and unique resources to the attention of a wider audience of librarians and scholars. Few outside Hungary have previously had any way of knowing about the Semmelweis Medical History Library''s rich holdings.
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