Hi, all- would those experienced catalogers out there consider this a major title change, from _American journal of hospice & palliative care_ to _American journal of hospice & palliative medicine_?  OCLC #21269606 considers it a minor change, while several OCLC #s, including 57519500, consider it a major change.

--Rebecca

Rebecca Kemp
Serials Coordinator Librarian
W.M. Randall Library
UNC Wilmington
601 S. College Rd.
Wilmington, NC 28403
phone (910) 962-7220
fax (910) 962-3078
kempr<at>uncw<dot>edu