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University libraries have long since recognized information literacy as an important issue in their daily work, and they offer a wide range of lectures and workshops on this topic. The understanding of information literacy has changed over the years under the influence of digitization, social media and the broadening of the target groups to be addressed. In order for libraries to be able to respond adequately to the particular requirements of individual target groups, cooperating with internal and external partners is essential. Other library functions, such as research database management and flexible journal licensing, are also facilitated through cooperation with the relevant parties. This article presents and describes cooperation models in use at three different medical libraries.

In academic libraries, advice and professional support are important parts of everyday working life. In order to meet the changing, often very complex information needs of our heterogeneous target groups and to take advantage of new opportunities for the dissemination of information, the library of the Medical Faculty Mannheim (MedMA-Bib) has adapted and expanded its consultation services in recent years.

There is a slow but continuous decline in testosterone (T) levels with age, with a substantial percentage of males exhibiting T levels in the hypogonadal range. This age-dependent decline in circulating androgens is asso-ciated, in large part, with reduced sexual functioning and libido. The effectiveness of Testim(R) 1% (Auxilium Pharmaceuticals, Inc., Norristown, Pennsylvania) topical T gel was evaluated in older hypogonadal males who failed to experience satisfactory symptom relief after treatment with AndroGel(R) 1% (Solvay Pharmaceuticals, Inc., Marietta, Georgia). In this open-label study, consecutive subjects were assigned randomly to experimental treatment with Testim 1% (5 g) or to maintenance therapy (control group) with AndroGel 1% (5 g). Seventy-six experimental subjects and 75 control subjects were followed for 4 weeks to evaluate improvements in sexual functioning and satisfaction. Changes from baseline in the 5 domains of the Brief Male Sexual Function Inventory were compared between groups. The mean percentage improvement favored the experimental treatment in sexual drive (23% vs 16%, P < 0.3), erectile function (32% vs 8%, P < 0.03), ejaculatory function (11% vs 9%, P < 0.4), problem assessment (47% vs 12%, P < 0.01), and sexual satisfaction (62% vs 23%, P < 0.02). A greater percentage of subjects also reported satisfaction with the experimental treatment (55% vs 33%, P < 0.02), and these subjects were less likely to require upward dose titration at the final follow-up visit (53% vs 72%, P < 0.03). Consideration of Testim 1% gel in patients who have an inadequate response to prior T therapy is encouraged, although it is difficult to estimate the contribution of nonspecific study effects (eg, placebo) in this trial. [ABSTRACT FROM AUTHOR]