What you are hearing is a British physician’s attitude toward Wikipedia–pretty amazing!!!
12/05/2011 A little history from U.S. National Library of Medicine National Institutes of Health
NLM Announces New Online Exhibition
“Building a National Medical Library on a Shoestring: 1872, the First Year”

“John Shaw Billings, c.1870s”
The National Library of Medicine, a component of the National Institutes of Health, celebrates a crucial turning point in its history with a new Web exhibition, “Building a National Medical Library on a Shoestring: 1872, the First Year.” The exhibition may be found at: http://www.nlm.nih.gov/exhibition/buildingnlm/index.html
The exhibition focuses on the dramatic 1872 change in the library’s mission. Founded in 1836 as the office library for the Army Surgeon General, the Library came under the stewardship of Army Major John Shaw Billings in 1865. Seven years later, the Library embarked on a venture to acquire the most complete set possible of medical books and journals. Billings and his work set the course for the Library’s identity today as the world’s largest medical library.
The core of the exhibition is found in the stories, difficulties, and situations that Billings encountered as he began building a comprehensive collection as quickly and frugally as possible. The exhibition also shows the Library’s early years, exploring the practical uses that the limited collection then supported.
Included is a full bibliography of published materials by and about John Shaw Billings, including articles and pamphlets, reports, books and monographs, and speeches.
During 2011, the Library is celebrating its 175th year with a variety of activities , events, and publications. The Library’s 175th anniversary Web site is found at http://apps.nlm.nih.gov/175/.
http://www.nlm.nih.gov/news/hmd_exhibit_NML_firstyear.html
And also from NLM:
Gallery of Mobile Apps and Sites
PubMed Mobile
Provides a simplified, mobile-friendly Web interface to access PubMed. PubMed contains millions of article citations from thousands of biomedical journals. Many citations include abstracts.
MedlinePlus Mobile
Authoritative consumer health information from MedlinePlus.gov in a mobile-optimized Web site that includes summaries for over 800 diseases, conditions and wellness topics as well as the latest health news, an illustrated medical encyclopedia, and information on prescription and over-the-counter medications. Available via the Web browser of any mobile device.
DailyMed
Provides high quality information about marketed drugs, including FDA labels (package inserts).
Water Emergency Response for Libraries
Covers basic steps on what you should do after a water emergency in your library or cultural heritage institution. Includes material-specific instructions as well as health and safety links.
AIDSinfo Mobile
The latest federally approved HIV/AIDS medical practice guidelines, HIV treatment and prevention clinical trials, and other research information. There is also a version of AIDSinfo for PDA users.
PubMed® for Handhelds
A Web site for searching MEDLINE® with the Web browser of any mobile device.
LactMed App for iPhone/iPod Touch
Need to know more about drugs and breastfeeding? LactMed can help. Find information about maternal and infant drug levels, possible effects on lactation and on breastfed infants, and alternative drugs to consider.
Radiation Emergency Medical Management (REMM)
Downloadable application providing health care providers with guidance on the diagnosis and treatment of radiation injuries during radiation and nuclear emergencies. Available for multiple types of mobile devices including Windows Mobile, Apple iPhone and iPod touch (iPad compatible), Android, and Blackberry devices.
Wireless System for Emergency Responders (WISER)
Stand-alone application (or downloadable application) to assist emergency responders in hazardous materials incidents. Available for multiple types of mobile devices including Windows Mobile, Apple iPhone and iPod touch (iPad compatible), Palm OS PDAs, and Blackberry (Internet connectivity required) devices.
Turning the Pages Mobile
Explore beautiful historical medical texts with this app for your iPad. Manuscripts come from a variety of regions and eras, from the Islamic medieval world to 19th century Japan to Renaissance Europe.
AIDSinfo HIV/AIDS Glossary
The AIDSinfo HIV/AIDS Glossary is a powerful tool that provides mobile access to over 850 pertinent HIV/AIDS glossary terms in both English and Spanish.
Embryo
Visually explore human embryo development with the Embryo app.
Health Hotlines
Health Hotlines is a directory of organizations with toll-free telephone numbers. It is derived from DIRLINE, the National Library of Medicine’s Directory of Information Resources Online. This database contains descriptions of almost 9,000 biomedical organizations and resources.
Reunite
App intended for medical aid and relief workers that are assisting in family reunification efforts after a disaster. May also be used by the general public to report missing and/or found people to the site.
12/03/2011 Having a Health Fair or other Outreach Activities? From the Southern region of NLM comes the following resources:
Printable Materials
| Related topics : |
|---|
| Promotional Materials Catalog - view and order items |
Brochures and Handouts 
- Emergency Preparedness
- NN/LM Emergency Preparedness & Response Plan (rev: May 2009)
- NN/LM Emergency Preparedness & Response Toolkit (rev: May 2009)
- A 10-step Approach to Service Continuity Planning (rev: May 2009)
- Selected NLM Disaster Resources (2.5 mb, rev: Feb 2010)
- Environmental Health
- Environmental Health and Toxicology Information Resources (rev: Jun 2010)
- Tox Town
- TOXMAP
- Health Information
- All About Drugs @ NLM (rev: Nov 17, 2011)
- Recursos sobre la salud para personas que hablan español (Consumer Health in Spanish) (rev: Feb 12, 2009)
- Resources for Nurses (rev: Jul 2009)
- Resources for Pharmacists (8″ x 10″, single page image)
- Senior Health (rev: Nov 6, 2009, trifold)
- MedlinePlus
- MedlinePlus (rev: Sep 22, 2011)
- MedlinePlus Connect (rev: Oct 20, 2011)
- MedlinePlus for Health Professionals (rev: Nov 21, 2011)
- MedlinePlus, Spanish translation (rev: Sep 22, 2011)
- Mobile MedlinePlus (rev: Feb 24, 2010)
- Minorities
- African-American Online Health Resources (rev: Nov 11, 2008)
- Asian-American Online Health Resources (rev: Nov 11, 2008)
- Latin-American Online Health Resources (rev: Nov 11, 2008)
- Minority Health Resources (rev: Jul 2010)
- Native American Online Health Resources (rev: Nov 11, 2008)
- Other
- AIDS Community Information Outreach Program (5 mb, rev: Jul 2010)
- Gateway Basics (rev: May 2, 2011)
- Household Products Database (rev: May 2, 2011)
- LactMed Basics (rev: Nov 4, 2010)
- Loansome Doc (rev: Nov 18, 2011)
- My NCBI (rev: Nov 18, 2011)
- PubMed
- PubMed Basics (rev: Nov 18, 2011)
- Full Text and PubMed (rev: Nov 17, 2011)
- Searching PubMed with MeSH (rev: Nov 17, 2011)
- Non-English Guides to PubMed (trifolds in various languages)
- Searching PubMed.gov

- Teachers and Students
- K-12 Resources on the Web (rev: Sep 2009)
- Resources for Science Teachers (8″ x 10″ front and back, rev: Mar 2010)
- ToxMystery
National Library of Medicine (NLM) Fact Sheets
- DOCLINE
- HSTAT (Health Services/Technology Assessment Texts)
- International MEDLARS Centers
- Loansome Doc
- MedlinePlus
- National Library of Medicine
- National Network of Libraries of Medicine
- PubMed
- Index of all NLM Fact Sheets
http://nnlm.gov/scr/outreach/addpromo.html
12/02/2011 This new info via 
MeSH 2012: Implications for LocatorPlus, NLM Catalog and NLM Classification
The National Library of Medicine adopted the 2012 MeSH for cataloging. Therefore MeSH heading in LocatorPlus have been changed to reflect the new 2012 vocabulary.
NLM will publish an article soon “What’s New for 2012 MeSH and MEDLINE Data Changes for 2012″ (will provide link as soon as NLM provides it). However the Technical Bulletin did mention a few of the changes.
Medical Technology vs. Biomedical Technology: The specialty term Technology, Medical changed toMedical Laboratory Science so that it was less ambiguous. “In examining the cataloging records assigned the heading Technology, Medical, we determined that it was better to change the MeSH heading to Biomedical Technology, rather than Medical Laboratory Science because, in the majority of the cases, this is the heading that better reflects the topic of these works. About 400 records where Medical Laboratory Science is more appropriate have been identified programmatically and will be changed after YEP.”
Publications Types: Addresses can now be used for PT.
New MeSH descriptors: “Cataloging does not use MeSH terms that represent corporate names or uniform titles that reside in the national authority file. Therefore, HapMap Project has the annotation: CATALOG: use NAF entry. Catalogers should use the NAF heading: International HapMap Project.”
For more information about the changes go to the NLM Technical Bulletin.
National Library of Medicine Launches YouTube Channel
New Outlet Will Allow Access to Lectures, Training, Special Events and Other Video Content
The National Library of Medicine, the world’s largest medical library and a component of the National Institutes of Health (NIH), is pleased to announce the launch of its new YouTube channel, at http://www.youtube.com/nlmnih.
YouTube is a free video-sharing Web site, created in February 2005, on which users can upload, view and share videos. Unregistered users may watch videos, and registered users may upload an unlimited number of videos.
The NLM YouTube channel will post videos of database training, NLM exhibitions (such as an overview of the new Native Voices: Native Peoples’ Concepts of Health and Illness), public service announcements, lectures and more. Interested parties can subscribe to be notified whenever new content is posted on the NLM channel. The NLM site also features links to NIH YouTube channels and other federal health resources.
Although figures for the number of YouTube users worldwide vary, most studies list it as the third most popular Web site, following Facebook and Google. In November 2006, YouTube, LLC was bought by Google Inc. for $1.65 billion, and now operates as a subsidiary of Google.
http://www.nlm.nih.gov/news/youtube_nlm_channel.html
10/14/2011 From
comes the following headline concerning mobile health devices
Apple iPhone 4S first consumer smartphone to offer Bluetooth 4.0, paving way for mobile health devices
It has been very difficult to cut through the understandable distractions provided by the recent passing of Steve Jobs to analyze the product Apple launched last week, the iPhone 4S.
When the device hits stores tomorrow it will probably be the least scrutinized new product Apple has launched in years, however there is one new element you will find in the new iPhone which might be seen in retrospect as the feature which brings body area network technologies to American consumers by Christmas 2011- Bluetooth 4.0.
The BLE standard was first announced by the Bluetooth Special Interest Group (SIG) in June 2010 with the hallmark features of the new protocol listed as :
- Ultra-low peak, average and idle mode power consumption
- Ability to run for years on standard coin-cell batteries
- Low cost
- Multi-vendor interoperability
- Enhanced range
Apple has been the first consumer device maker to begin embedding Bluetooth 4.0 in their products, starting with the MacBook Air and Mac Mini in July. By embedding Bluetooth 4.0 in their devices first, Apple has forced their competitors to follow their lead and integrate the technology into the next generation of Smartphone. More importantly, Apple has created a viable consumer base for developers of applications in the largely unexplored realm of body computing and wearable sensor networks.
IMS Research predicts the decision by Apple to pioneer BLE in their iPhone 4S device should be a huge stimulus for developers of emerging mobile health devices incorporating low energy technology. They anticipate the shipment of greater than 370 million units by the end of 2012, and 1.6 billion by 2015. It is anticipated wireless medical applications will be the most attractive opportunity for realizing the value of the new low energy protocol.
Several companies have already developed Bluetooth Low Energy chip sets including Broadcom, CSR, Texas Instruments, and Nordic Semiconductor among others. The first Bluetooth 4.0 heart rate monitor, developed using a Nordic Semiconductor chip set, was announced this past June (pictured below).
Bluetooth 4.0 enabled devices are backwards compatible, thus BLE will not be replacing the existing Bluetooth protocol used for most wireless interaction on mobile devices for higher latency activity. Instead the chip set includes “Closed Bluetooth”, “Bluetooth Highspeed”, and “Bluetooth Low Energy” in one unified stack.
High speed mode is based on Wi-Fi, while the classic mode supports legacy protocols, ensuring all existing Bluetooth enabled devices will work seamlessly with the new low energy technology. The advantages of the new standard become clear when you compare BLE head-to-head with other personal area network communications technologies.
BLE has big advantages over Near Field Communication (NFC), which is presently one of the leading low-powered wireless communication technologies on the market, the largest being range of the technologies, NFC (0.2 meters) and BLE (50 meters).
For the first time the medical community has good reason to believe the body computing future we have speculated and analyzed might be finally upon us.
Further reading:
Last year iMedicalApps was asked to interview Mike Foley, the executive director of the Bluetooth Special Interest Group. He wanted to reach out to our readers and let them know the huge implications Bluetooth 4.0 has for the medical community. The following is the interview we did with him: Bluetooth 4.0 is admitted to the hospital – Potential to revolutionize health care devices
Explore History
NLM historical collections of material related to health and disease are among the richest in the world and originate in all time periods and cultures. Our collections include rare books and manuscripts, historical prints and photographs, and historical films and videos.
You can learn about these collections through a variety of online resources, including:
- NLM’s Digital Collections: experience a variety of digitized books and videos
- Profiles in Science®: explore rich archival collections of leaders in biomedical research, clinical medicine, and public health
- Turning the Pages: touch, turn, and explore in visual and intellectual depth the pages of virtual rare books; and the many exhibitions of NLM’s award-winning exhibition program
- Images from the History of Medicine: view nearly 70,000 images in the collections of NLM
- Medicine in the Americas: read full-text digital medical Americana
Additionally, NLM historians and curators create specialized Web sites about a myriad of historical topics. Read about African Americans in Civil War medicine, cholera,Harry Potter and Renaissance science, magic, and medicine, public health posters, medieval manuscripts and early printed books, and more.
Recent Historical Exhibitions
You can also explore history through exhibitions of NLM’s award-winning exhibition program. Visit our upcoming exhibition on the subject of Native Peoples’ Concepts of Health and Illness when it opens in Fall 2011. Learn about these and many more previous exhibits online:
Against the Odds, looks at the revolution in global health that is taking place in towns and cities around the world. Communities, in collaboration with scientists, advocates, governments, and international organizations, are taking up the challenge to prevent disease and improve quality of life. People around the world have made a difference—working together, against the odds, for the benefit of all.
Visible Proofs explores the history of forensic medicine. This online exhibition presents how physicians, surgeons, and other professionals have struggled to develop scientific methods that translate views of bodies and body parts into “visible proofs” that can persuade judges, juries, and the public.
Changing the Face of Medicine presents many ways that women have influenced and enhanced the practice of medicine. The individuals featured here provide an intriguing glimpse of the broader community of women doctors who are making a difference.Visit Us
Visit the Library for tours and other activities.
Things to do and see at the Library
- Visit the upcoming exhibition on the subject of Native Peoples’ Concepts of Health and Illness (Opening Fall 2011).
- Take a tour of the History of Medicine Reading Room.
- See all exhibitions.
- Take a tour of the Library.
- “Turn the pages” of Elizabeth Blackwell’s A Curious Herbal, a beautifully illustrated 18th century book of medicinal plants, at the History of Medicine Reading Room’s Turning the Pages kiosk.
- Explore Objects of Art in the National Library of Medicine.
- Visit the interactive computer displays and pick up give-aways at the NLM Visitors Center, open weekdays except Federal holidays, 9:00 a.m.-4:00 p.m. (EST).
Things to do and see at NIH
http://www.nlm.nih.gov/hmd/explore-history.html
10/06/2011 I came across this article which I thought might be helpful. Just click on the title below to access the article by Helen Fallon from her blog http://academicwritinglibrarian.blogspot.com
Supporting Health Sciences Librarians to Publish: the Dublin EAHIL Workshop
08/25/2011 From the The American College of Physicians Foundation comes this video via YouTube. Link is below
ACP Foundation: Health Literacy
http://www.youtube.com/watch?v=ImnlptxIMXs
chttp://bit.ly/pWwlSC Murdoch University Library
left http://bit.ly/ndoIGg information-literacy.blogspot.com
8/24/2011 I uncovered from several years ago this slideshare presentation on using Second Life in Health Science libraries but it is something to engage students in learning through gaming. Please check out the link below to view this very interesting and informative presentation.
8/22/2011 From iMedicalApps comes this review of UptoDate for the iPhone
Review of the much anticipated UpToDate iPhone app, arguably the most read medical reference tool
UpToDate is the go-to reference for physicians at all stages, covering over 8,500 medical topics that are authored, edited, and reviewed by over 4,400 expert clinicians. To be honest, I don’t know how I could have gotten through my intern year without turning to UpToDate almost daily for assistance with diagnostics and management, as well as to learn more about my patient’s illnesses. In my last night float shift at the VA alone, I used UpToDate to learn about the intraductal papillary mucinous neoplasm (IPMN) seen on CT in my patient with pancreatitis symptoms, how to approach my post-CABG patient with hypertriglyceridemia, how to interpret the EKG in my patient with a dual-chamber pacemaker, and how to decide whether I should consult pulmonary for a bronchoscopy in my patient with possible tuberculosis.
In short, UpToDate is a comprehensive, physician-developed, evidence-based (over 385,000 references), widely-used (almost a half-million subscribers), continuously-updated, pharmaceutical-free, and illustrated resource. Until now, it was only available for mobile devices via an unwieldy webapp. Now, UpToDate finally hit the iPhone as a native iOS app , and here we review this much-anticipated mobile application for the iPhone.
For the rest of the article and others see the website below. In addition to iPhone it also contains information and reviews about medical apps for iPad, Android and Blackberry platforms
8/22/2011 The following resource is a translation of Consumer Health Information from the Spanish original. The URL in its original Spanish is below.

Summary Guidelines for Consumer
The guides are short summaries, complete with reviews of research. For Where to get notified when a new summary guide is available, subscribe to our email list.
For health condition
- Respiratory
- Cancer
- Heart and blood vessels
- Digestive system conditions
- Diabetes
- Pregnancy and Childbirth
- Muscle, bone and joint conditions
- Mental Health
Respiratory
Human growth hormone for children with cystic fibrosis: Review of research for parents and people who help care New!
The consumer guide published summary June 30, 2011
Cancer
Learn about radiation therapy in head and neck cancer: A guide for adults and people who help care New!
The consumer guide published summary June 30, 2011
Treatment for prostate cancer: A guide for men with localized prostate cancer
The consumer guide published summary June 18, 2008
When you have a breast biopsy: A guide for women and their families
The consumer guide published summary September 7, 2010
Reduce the risk of breast cancer drug: A Guide for Women
The consumer guide published summary September 7, 2010
Heart and blood vessels
A Guide for Patients in treatment of stable coronary heart disease New!
The consumer guide published summary 5 April 2011
Comparison of two types of pills for high blood pressure, ACEI and ARB – A Guide for Adults
The consumer guide published summary July 29, 2009
Treatments for renal artery stenosis: A Consumer Guide to
The consumer guide published summary July 29, 2009
Radiofrequency ablation to treat atrial fibrillation: A Guide for Adults
The consumer guide published summary September 7, 2010
Treatments for High Cholesterol: A Guide for Adults
The consumer guide published summary September 7, 2010
Digestive system conditions
Gastroesophageal Reflux Disease
The summary of the consumer guide published February 1, 2006
Diabetes
Premixed Insulin for Type 2 Diabetes: A Guide for Adults
The consumer guide published summary September 7, 2010
Gestational Diabetes: A Guide for Pregnant Women
The consumer guide published summary September 7, 2010
Pregnancy and Childbirth
Thinking of you induce labor? Guide for Pregnant Women
The consumer guide published summary September 7, 2010
Muscle, bone and joint conditions
Control pain with a broken hip: A guide for adults and people who help care New!
The summary of the consumer guide published 15 Aug 2011
Options to address the tearing of muscles and tendons of the shoulder: A Guide for Adults with injuries to the rotator cuff New!
The summary of the consumer guide published June 30, 2011
Choosing Pain Medication for Osteoarthritis
The summary of the consumer guide published November 21, 2007
Medications for rheumatoid arthritis: A Guide for Adults
The consumer guide published summary July 29, 2009
Osteoporosis treatments that help prevent bone fractures: A Guide for Women after menopause
The consumer guide published summary July 29, 2009
Osteoarthritis of the knee: A Guide for Adults
The consumer guide published summary September 7, 2010
Mental Health
Depression after brain injury: A Guide for Patients and caregivers who help with the care New!
The consumer guide published summary 15 Aug 2009
Antidepressant medications: A Guide for Adults with depression
The consumer guide published summary July 29, 2009
|
8/19/2011 The sources provided below from NNLM are a treasure trove of information and printable materials. It should prove helpful to be aware of the existence of these materials.
Printable Materials
| Related topics : |
|---|
| Promotional Materials Catalog - view and order items |
Brochures and Handouts 
- Emergency Preparedness
- NN/LM Emergency Preparedness & Response Plan (rev: May 2009)
- NN/LM Emergency Preparedness & Response Toolkit (rev: May 2009)
- A 10-step Approach to Service Continuity Planning (rev: May 2009)
- Selected NLM Disaster Resources (2.5 mb, rev: Feb 2010)
- Environmental Health
- Environmental Health and Toxicology Information Resources (rev: Jun 2010)
- Tox Town
- TOXMAP
- Health Information
- All About Drugs @ NLM (rev: May 2, 2011

- Recursos sobre la salud para personas que hablan español (Consumer Health in Spanish) (rev: Feb 12, 2009)
- Resources for Nurses (rev: Jul 2009)
- Resources for Pharmacists (8″ x 10″, single page image)
- Senior Health (rev: Nov 6, 2009, trifold)
- MedlinePlus
- MedlinePlus (rev: Aug 9, 2011)
- MedlinePlus Connect (rev: Aug 9, 2011)

- MedlinePlus for Health Professionals (rev: Jul 27, 2011)
- MedlinePlus, Spanish translation (rev: Aug 12, 2011)
- Mobile MedlinePlus (rev: Feb 24, 2010)
- Minorities
- African-American Online Health Resources (rev: Nov 11, 2008)
- Asian-American Online Health Resources (rev: Nov 11, 2008)
- Latin-American Online Health Resources (rev: Nov 11, 2008)
- Minority Health Resources (rev: Jul 2010)
- Native American Online Health Resources (rev: Nov 11, 2008)
- Other
- AIDS Community Information Outreach Program (5 mb, rev: Jul 2010)
- Gateway Basics (rev: May 2, 2011)
- Household Products Database (rev: May 2, 2011)
- LactMed Basics (rev: Nov 4, 2010)
- Loansome Doc (rev: Feb 12, 2010)
- My NCBI (rev: May 2, 2011)
- PubMed
- PubMed Basics (rev: Aug 16, 2011)
- Full Text and PubMed (rev: May 2, 2011)
- Searching PubMed with MeSH (rev: May 2, 2011)
- Non-English Guides to PubMed (trifolds in various languages)

- Teachers and Students
- K-12 Resources on the Web (rev: Sep 2009)
- Resources for Science Teachers (8″ x 10″ front and back, rev: Mar 2010)
- ToxMystery
National Library of Medicine (NLM) Fact Sheets
- DOCLINE
- HSTAT (Health Services/Technology Assessment Texts)
- International MEDLARS Centers
- Loansome Doc
- MedlinePlus
- National Library of Medicine
- National Network of Libraries of Medicine
- PubMed
- Index of all NLM Fact Sheets
http://nnlm.gov/scr/outreach/addpromo.html
8/18/2011 From

Should Hospitals Buy iPads or Let Doctor’s Use Their Personal Device?
Does your hospital allow iPads or tablet devices? How about smartphones? Nope don’t feel too bad, a lot of hospitals (including mine) still haven’t thought of personal devices as necessary medical devices. The personal information device (iPad, tablets, smartphones) represent a watershed event where doctors are able to access medical information on the go. They aren’t tied down to a computer or laptop. It will be interesting to see how small and large hospitals deal with this watershed event. It has been interesting to see what hospitals (well known and not so well known) have made the progressive leap and what hospitals (well known and not so well known) have not.
There are two schools of thought (three if you count a no adoption policy). One is the hospital buys one specific device and supports it. The other school of thought is to allow physicians to user their personal devices.
FierceMobileHealthcare looked at two institutions that implemented mobile device policies, one hospital bought the device and the other allowed doctors to use their own device(s). Both institutions are trying to provide doctors with a way to use mobile technology at the bedside, but each have their own reasons for the path they chose.
Hospital buys the device:
Dale Potter, CIO of 1,300-bed Ottawa Hospital in Ontario, Canada implemented an iPad roll out which was described by FierceMobileHealthcare as ”arguably the largest roll out of hospital-owned tablets in the northern hemisphere.”
Dale’s hospital bought 2,000 iPads, has 1800 iPad 2′s on order, and may buy even more in the year. Dale believes hospital ownership was important and the way to go for moving his hospital forward to be “recognized as a top 10 health center in North America.”
Because the devices are hospital owned, it allows them to have control over the apps and other software on the devices. They completely relying on the App store or outside vendors either, the hospital hired 120 developers to create apps for the institution, including a mobile electronic health record and a dozen in-house apps. Because the devices are hospital owned and they not only can control the apps and software but they have created a remote wipe, log-ins, and other security protocols. Even though the iPad is $600, Dale says that the costs of buying each doctor an iPad is cheaper than buying the a PC or laptop and “significantly less than other medical instruments that physicians carry with them each day.”
Doctor’s choice:
8/18/2011 Katherine Ellison explores the need for research and “scholarly” in the medical school curriculum. Who better to assist with this task than the Health Sciences Librarian
Medical student research and reading
Med students may also choose to become the subject of research by participating in a clinical trials as patients, although I’m not sure this counts for credit. I’ve had a few experiences with supervised research. One summer, I reviewed and collected data from pediatric charts for a study about the development of prepubescent girls growing up in an urban city environment. I spent my afternoons in the department of medical records collecting data, reviewed the relevant literature and by summer’s end, I had increased the data set available, gained some skill with reading patient charts and presented my take on the research to faculty and peers. Before medical school, I spent a summer preparing administrative paperwork for Institutional Review Board (IRB) approval, I collected documents and signatures, reviewed protocols for clinical trials, followed-up with patients on their ability to continue with studies and scheduled appointments.
Each encounter with research in a clinical setting has required me to complete research-specific certification on the Health Insurance Portability and Accountability Act (HIPPA) and the Human Subjects Protection Training. The required reading includes the Nuremberg Code, the World Medical Association’s Declaration of Helsinki and the Belmont Report. Furthermore, reading about the gravity of inhumane experimentation in the Tuskegee study along with many documented, but not so famous cases sheds light where “the lack of informed consent, deception, withholding information, withholding available treatment, putting [patients] and their families at risk, exploitation of a vulnerable group of subjects who would not benefit from participation” are evident and harmful. Civil rights leader and educator Dr. Dorothy Height served on the National Belmont Commission that developed the basis for regulations known as Common Rule 45 CFR part 46 defining the boundaries between practice and research with a code for ethical principals based on respect for persons, beneficence, and justice.
The most popular summer reading among my medical humanities colleagues is The Immortal Life of Henrietta Lacks by Rebecca Skloot. It’s the story of HeLa cells starting with the life of the donor Henrietta Lacks, an African American woman with cervical cancer who in the 1950s came to Johns Hopkins seeking medical care. Predating IRBs and ethical guidelines there was no mandate for the protection of the use of Lacks cells by physician-scientist George Otto Gey and his colleagues from around the world. Remarkably, Henrietta Lacks’ (named HeLa) cell line led to the discovery of vaccine development, molecular biology techniques including cloning, gene mapping applying scientific research for the advancement of medicine. I first came to know the immortal HeLa cell line in medical genetics when I did a poster presentation about Henrietta Lacks for the class. While some had worked with HeLa cells, no one had heard of Lacks or the unique history the immortal cell line. This story offers the opportunity for contemporary questions and discussions about biomedical research, health disparities, ethics and health policies.
The role of IRBs in research is now on the table for review with major revisions proposed to the Common Rule. High-volume research, technology, global collaborations among medical and academic centers as well as biomedical corporations drive the need for new guidelines and practices in research that will continue progress and benefit society.
Katherine Ellington is a medical student who blogs at World House Medicine.
8/15/2011 As much as I am not a fan of WebMD this application of technology to aid monitoring the patient intrigued me
‘Electronic Tattoo’ May Help Monitor Patients
Researchers See a Variety of Medical Applications for Ultra-Thin Electronics
WebMD Health News
Aug. 15, 2011 — Ultra-thin electronics, which can be placed on the skin as easily as a temporary tattoo, could pave the way for patient monitoring systems that would avoid the need for bulky equipment.
In one study, the adhesive patch was applied to a person’s chest to pick up electrical signals produced by the heart. The measurements agreed “remarkably well” with those produced by a hospital electrocardiogram, according to the researchers.
John Rogers, PhD, and colleagues at the University of Illinois and other institutions in the U.S., Singapore, and China, have developed a system “of epidermal electronics” that almost exactly match the properties of the skin.
The patch contains electronic monitors that are integrated onto a water-soluble polyester backing (elastomer). It is attached to the body by brushing it with water. Weak forces of attraction between the skin and the backing cause the patch to stick to the skin like super-adhesive cling film. The patch is extremely thin — less than the diameter of a human hair.
“The skin represents one of the most natural places to integrate electronics. As the largest organ in the body, and our primary sensory mode of interaction with the world, it plays a special role,” Rogers says.
In their study, reported in Science, the researchers note that the patch has been worn effectively for 24 hours without irritating the skin. However, because surface cells in the skin are constantly being shed and renewed, a new one would have to be attached at least every two weeks. The patch also still needs to be tested with range of skin conditions, from dry to sweaty.
The technology is being developed for a range of medical and non-medical applications. In another study, a patch incorporating a microphone was applied to a person’s throatand the signal fed to a computer. The computer recognized four different words (up, down, left, and right), suggesting that the technology could eventually be used to help people with some disabilities control computers, the researchers say.
“Ultimately, we think that [our] efforts can blur the distinction between electronics and biology,” Rogers says.
8/8/2011 From the National Library of Medicine comes this announcement followed by an article and photos.
NLM Launches Healing Totem Journey Blog in Advance of New Exhibition
The National Library of Medicine has launched a new blog in connection with its upcoming exhibition, Native Voices: Native Peoples’ Concepts of Health and Illness.
The exhibition, which will examine concepts of health and medicine among contemporary American Indians, Alaska Natives, and Native Hawaiians, will feature a healing totem pole intended to promote good health. The totem, created especially for NLM by artist Jewell Praying Wolf James of the Lummi Nation, will be transported on a truck and will stop for tribal blessings in nearly a dozen states as it makes its cross-country trip.
A healing totem journey blog (www.nlm.nih.gov/totemblog/) gives readers a special look at the making and meaning of this magnificent piece of art. The blog also will follow the totem on its journey from Washington state, where it was created, to NLM, where it will stand. The blog captures the sights and sounds of the journey through writings, photographs and video clips. Background information on the totem and its creation also appear, along with notes on the tribes conducting the blessings, and interviews with tribal leaders, National Network of Libraries of Medicine (NN/LM) members and others along the route. Readers are invited to comment and ask questions, and they can sign up for updates via e-mail and RSS.
“A huge amount of planning goes into bringing the totem to NLM,” explains Beth Mullen of NLM’s Exhibition Program, in the History of Medicine Division. She designed and will help monitor the blog. “We hope the blog will generate awareness and build excitement about the Native Voices exhibition and this important new addition to the Library’s grounds.”
The healing totem is scheduled to begin its journey on September 12, 2011. The Native Voices exhibition opens to the public on October 6, 2011.

http://www.nlm.nih.gov/news/totem_blog.html
8/2/2011 Check out the National Library of Medicine’s History Division
Learn more about Civil War medicine from the Life and Limb online exhibit from the National Library of Medicine http://ow.ly/5T6fw 
The advantage of Electronic Medical Records from the St. Louis Post Dispatch
Sebelius touts electronic health records in Joplin
- The scattering of X-rays and medical records 75 miles away from a Joplin hospital destroyed by a tornado helped illustrate the destructive power of the storm that killed 160 people in May.
But the drenched and torn documents found near Springfield weren’t another disaster. They were back-up copies kept in the hospital’s archives after St. John’s Regional Medical Center switched to electronic patient records a few weeks before.
It’s a move taking place in a growing number of hospitals and doctors’ offices, bolstered by an Obama administration initiative that offered billions of dollars in federal incentives to upgrade technology _ and one that Health and Human Services Secretary Kathleen Sebelius said Monday likely “saved lives” in Joplin.
The former Kansas governor joined Missouri Gov. Jay Nixon and other federal, state and local officials on a tour of the disaster site and recovery efforts.
“Think of a typical hospital waiting room, and the infamous clipboard where somebody is being asked to put together their medical history and prescription regime by memory, and add a huge traumatic incident on top of that,” Sebelius said in Associated Press interview later Monday. “There’s no question that … the availability of an electronic record may have actually saved lives. They were able to immediately go into the treatment phase and not spend a lot of energy trying to reconstruct (records).”
Roughly 20 percent of hospitals and 10 percent of doctors’ offices had converted to electronic health records before Obama’s $787 billion economic stimulus plan in the summer of 2009 offered an incentive plan that could reach $27 billion over a decade, Sebelius said. Those participation rates have since doubled, she said, and will likely double again by the next update.
The effort was initially touted as a patient-centered means to eliminate mistakes in prescribing drugs, botching surgeries or making other costly mistakes. But the Joplin tornado offered a compelling example of the ease in which hospitals miles apart can quickly and securely share patient data, said Dr. Robert Belton, trauma director at St. John’s. On May 22, outlying hospitals treating tornado victims received medical records within hours, he said.
“Everybody here is a believer,” Belton said. “This has just made the recovery of patient care that much easier.”
St. John’s continues to operate a mobile medical unit while its parent company, Sisters of Mercy Health System of St. Louis, finishes plans for a new medical center. Construction is scheduled begin next week on a sturdier temporary hospital _ the mobile unit is essentially a massive tent _ that will allow St. John’s to make it through the next two winters. The new medical center is expected to open in two years, with its location announced next week, Belton said.
Sebelius, who spent six years as governor of Kansas before joining President Barack Obama’s cabinet in 2009, is leading the administration’s effort to move doctors and hospitals to computerized medical records. Providers who don’t comply by 2015 face cuts in Medicare payments.
She also met Monday with Joplin’s school superintendent and reviewed plans for a childhood trauma center to treat the city’s youngest tornado victims.
Also Monday, Nixon said the state will pick up the 10 percent share of tornado debris removal costs not covered by the Federal Emergency Management Agency under an expedited debris removal program that runs through next Sunday. The federal government is paying 90 percent of the cost in that area, instead of its typical 75 percent share.
Alan Scher Zagier reported from Columbia, Mo. He can be reached at http://twitter.com/azagier.
From the Krafty Librarian blog comes new information on My NCBI enhancements and a link to the NLM Technical Bulletin which includes this page which came from the bulletin.

My NCBI Enhancements
The June 24, 2011 NLM Technical Bulletin reported on some enhancement to My NCBI’s My Bibliography. My Bibliography will soon display links to free full text, related citations, and articles cited in PMC. It will also have a “portlet” for related PubMed citations. The citations in the portlet will be based on topics of the citations that are stored in My Bibliography.
For more information including a picture of how it will look go to the NLM Technical Bulletin.

http://bit.ly/p3DBxN
6/29/2011 While I could have included this article in Social Networking and Health Sciences since it was discussing medical records I chose to put it here.

How social media will merge with electronic medical records
by Josh Herigon, MPH
Bryan Vartabedian, MD blogs at 33 Charts about the convergence of medicine and social media. A post last year gives a vision of how current social media concepts will merge with existing electronic medical record (EMR) technologies to produce a fully integrated communications system for health professionals.
The picture Dr. Vartabedian paints is a dream for those of us who extensively use technology in other parts of our lives (which I think would include nearly all current medical students). Social media technologies such as Facebook and Twitter have fundamentally changed the way the world communicates. Texting and email have also altered our communication habits. These technologies have brought added speed and functionality to many types of communication.
Yet, the medical world is still stuck using 1980s communication technologies. Many clinicians still rely on pagers and telephones as their primary means of communicating with care teams. Email systems within medical centers are secure and often used extensively, but violate HIPAA regulations if communicating with another health care professional outside the medical center. Many offices (probably the majority of private practices) still fax progress notes.
Although I dream of the day when we have a system like Dr. Vartabedian’s vision, I am not very optimistic such a system will come to fruition anytime soon. The biggest barrier is the general fragmentation of our health care system. Academic medical centers, hospitals, private practices, and ancillary facilities (imaging and laboratory centers) exist in silos. No form of integrated communication currently occurs between these pieces of the health care system. More importantly, each of these players is adopting their own EMR systems, few of which are interoperable.
I have tempered my expectations of what future systems will look like. Integration of audio clips into the EMR or speech recognition software to automatically include communication seems like a stretch for now. Also, automatic linking to relevant medical literature based on entering a diagnosis into the EMR would be fantastic but not practical at this point (put something like “ulcerative colitis” into PubMed or Google Scholar or even UpToDate and see all the irrelevant crap you come up with). I would be satisfied with truly interconnected EMR systems (i.e.–I can pull up any patient’s chart from any hospital or clinic and see their entire recorded medical history), the elimination of pagers and subsequent replacement with secure smartphone communication systems, widespread use of tablets at the bedside that update the record in real-time so I can finish notes at a workstation, and some level of integration of Facebook/Twitter-like communication within care teams (i.e.–during a hospitalization, I can see a feed of everything that has happened to my patient with links within the feed to notes/imaging/labs as they are updated in real-time and be able to leave short messages for other team members).
Health information technology seems to be steadily progressing towards this type of system. However, the speed is pedestrian at best. We need an increased pace of innovation and adoption to ensure health information technology keeps up with technological innovations outside the medical world. Ideally, the medical world could become a place where such technological innovations are pioneered, and it’s the rest of the world trying to keep up. Keeping pace would be good for now.
Josh Herigon is a medical student who blogs a Number Needed to Treat.
http://www.kevinmd.com/blog/2011/06/social-media-merge-electronic-medical-records.html
6/26/2011 Press announcement: New Biomedical Journal to be published
Leading research organisations announce top-tier, open access journal for biomedical and life sciences
27 June 2011

The Howard Hughes Medical Institute, the Max Planck Society and the Wellcome Trust announced today that they are to support a new, top-tier, open access journal for biomedical and life sciences research.
The three organisations aim to establish a new journal that will attract and define the very best research publications from across these fields. All research published in the journal will make highly significant contributions that will extend the boundaries of scientific knowledge.
A team of highly regarded, experienced and actively practising scientists will ensure fair, swift and transparent editorial decisions followed by rapid online publication. The first issue of the journal, whose name has yet to be decided, is expected to be published in the summer of 2012.
The three research organisations developed their plans following a workshop in 2010 at HHMI’s Janelia Farm Research Campus attended by a number of leading scientists. The participants concluded that there was a need for a model of academic publishing that better suits the needs of the research community.
Dr Robert Tjian, President of the Howard Hughes Medical Institute, says: “The message from the research community was clear: we are fortunate to have many excellent journals, but there is need for a different, more appropriate and efficient publishing model.”
Professor Herbert Jäckle, Vice President of the Max Planck Society, says: “A journal which aims to represent and publish the very best research outcomes needs an editorial team of experienced – and, crucially, actively practising – scientists. It must also be editorially independent of those who provide the financial support.”
Sir Mark Walport, Director of the Wellcome Trust, says: “We will attract the most outstanding science for publication by establishing a journal in which researchers have confidence in robust editorial decisions taken by their scientific peers. This will be a journal for scientists edited by scientists. The ethos of the journal will be to avoid asking authors to make extensive modifications or perform endless additional experiments before a paper can be published.”
Recruitment is under way for an Editor-in-Chief who – like each member of the journal’s editorial team – will be an experienced, active scientist. The editorial team will be editorially independent of the funders. They will rely on their scientific expertise and active research experience to identify the best papers, make scientifically based judgments and exercise leadership in steering these papers through peer review.
The journal will employ an open and transparent peer review process in which papers will be accepted or rejected as rapidly as possible, generally with only one round of revisions, and with limited need for modifications or additional experiments. For transparency, reviewers’ comments will be published anonymously.
As the journal will only exist online, it offers an opportunity to create a journal and article format that will exploit the potential of new technologies to enable improved data presentation. The journal will be an open access journal: the entire content will be freely available for all to read, to reproduce and for unrestricted use. This open access system will also enhance opportunities to share content and to more directly engage the reader.
The three organisations have made a commitment to cover the costs of launching the journal to ensure its success. The long-term business model will be developed by the incoming Editor-in-Chief and the team they build.
6/21/2011 NLM offers a tutorial on journal articles at the following link:
http://www.nlm.nih.gov/bsd/viewlet/search/journal/journal.html
6/18/11

The World’s Largest Medical Library
U.S. National Library of Medicine and National Institutes of Health have provided mobile apps which appear below from their website– a great resource
- Category – Mobile Phones
- Mobile Optimized Site
PubMed Mobile Beta
Provides a simplified, mobile-friendly Web interface to access PubMed. PubMed contains millions of article citations from thousands of biomedical journals. Many citations include abstracts.
- Category – Mobile Phones
- Mobile Optimized Site
MedlinePlus Mobile
Authoritative consumer health information from MedlinePlus.gov in a mobile-optimized Web site that includes summaries for over 800 diseases, conditions and wellness topics as well as the latest health news, an illustrated medical encyclopedia, and information on prescription and over-the-counter medications. Available via the Web browser of any mobile device.
- Category – Mobile Phones
- Mobile Optimized Site
DailyMed
Provides high quality information about marketed drugs, including FDA labels (package inserts).
- Category – Mobile Phones
- Mobile Optimized Site
Water Emergency Response for Libraries
Covers basic steps on what you should do after a water emergency in your library or cultural heritage institution. Includes material-specific instructions as well as health and safety links.
- Category – Mobile Phones
- Mobile Optimized Site
AIDS info Mobile
The latest federally approved HIV/AIDS medical practice guidelines, HIV treatment and prevention clinical trials, and other research information. There is also a version of AIDSinfo for PDA users.
- Category – Mobile Phones
- Mobile Optimized Site
PubMed® for Handhelds
A Web site for searching MEDLINE® with the Web browser of any mobile device.
- Category – iPhone, iPod Touch, iPad, Android, and Blackberry
Radiation Emergency Medical Management (REMM)
Downloadable application providing health care providers with guidance on the diagnosis and treatment of radiation injuries during radiation and nuclear emergencies. Available for multiple types of mobile devices including Windows Mobile, Apple iPhone and iPod touch (iPad compatible), Android, and Blackberry devices.
- Category – iPhone, iPod Touch, iPad, Palm OS PDAs, and Blackberry
Wireless System for Emergency Responders (WISER)
Stand-alone application (or downloadable application) to assist emergency responders in hazardous materials incidents. Available for multiple types of mobile devices including Windows Mobile, Apple iPhone and iPod touch (iPad compatible), Palm OS PDAs, and Blackberry (Internet connectivity required) devices.
- Category – iPad
Turning the Pages Mobile
Explore beautiful historical medical texts with this app for your iPad. Manuscripts come from a variety of regions and eras, from the Islamic medieval world to 19th century Japan to Renaissance Europe.
- Category – iPhone, iPod Touch and iPad
AIDS info HIV/AIDS Glossary
The AIDSinfo HIV/AIDS Glossary is a powerful tool that provides mobile access to over 850 pertinent HIV/AIDS glossary terms in both English and Spanish.
- Category – iPhone/iPod Touch
Embryo
Visually explore human embryo development with the Embryo app.
- Category – iPhone/iPod Touch
Health Hotlines
Health Hotlines is a directory of organizations with toll-free telephone numbers. It is derived from DIRLINE, the National Library of Medicine’s Directory of Information Resources Online. This database contains descriptions of almost 9,000 biomedical organizations and resources.
- Category – iPhone/iPod Touch
Appearing in the blog called Health Tap this entry discusses health and technology in an interactive way
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How Technology Has Changed The Way We Access Health
THE MOM TAP — BY RON GUTMAN ON JUNE 14, 2011 12:58 PM
Originally posted on Huffington Post
When I grew up, the primary sources of health information for most of us were our physicians or our friends and family. But over the past decade the resources we use and rely on for health information, and how we use it, have radically changed. With the ubiquitous availability of the Internet, we’re now taking on the role of gathering and assessing this information ourselves, often before we visit or return to our doctors. To find health information, most of us turn to search engines or health sites — whether to answer questions about a new physical discomfort, a known ailment or about a health matter facing a child or other person we care.
The way we find health information has problems
But when we look for health information online, we face significant challenges. The amount of health information we find is vast, and what we find is impersonal and often irrelevant. Also, in most cases, it’s provided by sources whose trustworthiness cannot be easily validated.
When we search for answers to health questions, we receive vast amounts of information — page after page of search results, countless posts on unstructured forums, opinions of people who for the most part are not trained medical professionals or lengthy articles that go on and on about every possible complication and treatment related to a health topic. What we find often leaves us more confused than when we started, uncertain as to what’s relevant and what to trust.
On the rare occasion that we find something that may be useful, we face another problem.
Today, health information online is organized around topics (like symptoms, conditions, and treatments) but not around what’s most important: you. This means that entirely different people (for example: you, me, an average 25-year-old pregnant woman, a 65-year-old man with a chronic disease, an 8-year-old child with asthma and a healthy 42-year-old man) get the same results when they enter the same search, or look on the same health website. This makes little sense: If these very different individuals went to the same doctor, they’d get different answers to the same question. Imagine visiting your doctor and receiving health information before being asked any basic questions about yourself (your age, gender, health history, etc.). We’d never accept this kind of non-contextual information from our physicians, yet we need to make important health decisions every day based on what we find online — even when what we find is not necessarily relevant for us.
The existing solutions for finding health information online are of little or no use to most of us. Research confirms this fact: Nearly 60 percent of adults report that the health information they find online is of no help at all, according to a 2010 Pew Internet Study.
Moreover, with all the great things that the Internet has brought for helping disseminate health information, there’s one thing that I believe is highly problematic: Physicians, who used to be in the epicenter of the health conversation when I grew up, have become marginalized on most health sites, and the emphasis is put on encyclopedias, articles, blog posts and message boards where health information is shared among and by people with no formal health education or expertise. This reality of online health has caused a dangerous and justified erosion of trust.
How online health information is changing
Thankfully, the way we look for and find health information online, how useful it is to us and what we do with it are all about to change. The wealth of information to which we have access is finally being made useful, relevant and — most important — engaging, through new innovations and technologies.
We are in the midst of historic evolution. Today — right now — the consumer health industry is being radically redefined. We’ve reached a tipping point where the right mix of technology, innovation, motivation and need are converging to create an opportunity for real, radical and positive change for anyone who looks for health information online. This convergence is opening the door to a promising and exciting era in health, which I’ve coined as: “Interactive Health.”
Interactive Health: Five factors that will forever change our relationship to health information
“Interactive Health” enables new ways of understanding and relating to our health by bringing together five primary elements to drive change: new apps and devices (including portable connected devices, like smart phones and tablets, and data collection devices); personalization (based on user-provided data); engagement (created by game dynamics and new user interfaces); the increased presence, leadership and participation of doctors online; and a vibrant social dialogue about health.
New Devices and Apps
Hundreds of thousands of smart phones and tablets are activated every day. The numbers are astonishing: More than 600,000 new devices running the Google Android operating system (mostly smart phones) and Apple iOS (including the iPhone and iPad) are activated every day. More than 30 million apps are downloaded each day. These go-anywhere devices and apps are like “computers on the go,” providing instant access to information and services in new ways.
Personalization
The ubiquity of cloud computing and new faster and cheaper ways to collect, store and process large amounts of data is enabling mass personalization for the first time. Data is being processed in exciting new ways to create personalization for users — financial information, entertainment, and general purchases (from books to consumer goods) are being personalized with services like Amazon.com, mint.com, and Netflix. We’re just beginning to see the potential of personalization in other areas of our daily lives.
Game Dynamics and Engagement
The gaming industry is now bigger than the film industry, and continues to grow. People of all ages are now engaging with games, and gaming elements, every day. As a result, interactive and game dynamics are now appearing in mobile and online applications and creating new types of engagement with information.
Doctors Coming Online
For years, physicians have been marginalized and visibly missing from the online conversation about health. They are now increasingly embracing social media and adopting new technologies and new ways of connecting with patients and patients and other physicians online. Physicians are engaging in new IT-based means of delivering care and sharing information, as well as new methods for sharing their expertise online.
The Social Conversion about Health
The online conversation about health, in social networks and beyond, is becoming increasingly vibrant. We’re finally facing up to the unsustainable path of our existing system of care, and starting to use the online conversation to connect with experts and other individuals similar to us when it comes to health. This trend helps people remain more engaged with their health and explore new ways of improving their health and well being.
Why now is the right time
Today, health care costs in the U.S. have ballooned to almost $3 trillion per year. This enormous burden, which is threatening the viability of our entire economy, can be traced in large part to inefficiencies in the healthcare system and to a lack of engagement by consumers in their health, whether they are well or chronically ill.
But there’s hope: Some of the best entrepreneurs, investors, engineers and physicians are finally looking for creative ways to engage people in their health and well being. They are bringing to health and health care the kind of personalization, socialization and engagement we’ve been used to receiving at Amazon, Facebook and Zynga to drive much-overdue change.
What’s special about Interactive Health
Interactive Health is all about becoming healthier and happier through your everyday engagement with your health and well-being. It’s about making health more than just the topic of periodic doctor visits or New Year’s resolutions, and making it a part of your everyday life. When heath information becomes personal and based on real validated data and grounded in trustworthy expert knowledge, we are more likely to become engaged with it and make better long lasting informed decision, as well as have a long-lasting impact on our health and well-being.
The first way to increase health engagement is by personalizing it through data and information that’s contextualized and actually about you. Today, new products are coming to market — fromelectronic wireless scales (that collect weight and BMI information), to interactive watchesthat gather biometric measurements, to always-on pedometers that monitor our physical activity. All of these can help us collect and make use of personal data in new, individualized ways. Moreover, in the near future, even more sensors will be integrated into smart phones and other devices we use every day. Information that previously was rarely collected, and then only during doctors’ visits (and even then we didn’t have access to it), is now being made personal. In addition, with increased EMR adoption in hospitals and physician practices, we’ll have better access to our own health information. Together, these trends, devices and apps will help us automatically collect, access, and monitor our personal health information in new ways.
The second way to increase our personal engagement with our health is to have a “personal health companion,” a new, easy-to-use tool for making personalized health information and data easy to manage, analyze and understand in real-time. A personal health companion built on what we choose to share can help us make better choices about our health and well-being, and provide us access — via an intuitive interface — to trusted medical information and support networks that will create and sustain the motivation needed for lasting health engagement.
This is not vision of a distant future. The foundation for Interactive Health exists today — in 2011 — and its time is now. We have the technology, social trends, motivation and talent to bring these elements together and make Interactive Health a reality.
What Interactive Health means for you
Interactive Health is a powerful vision that is quickly becoming a reality. In the world of Interactive Health, a doctor’s visit can start on a mobile device, progress to a real clinic and continue with instant access online. You can receive secure, tailored health information from a personal health companion that helps you make informed decisions before and in-between doctors visits. The new era of Interactive Health is an exciting world of possibility, and one where:
- Mobile and online applications for improving health are fast, simple and accessible, anytime and anywhere.
- Information is personalized and tools help you receive secure, tailored, relevant and actionable health information.
- There is 24/7, easy access to trusted physicians and their wisdom, online and offline.
- Interactive technologies connect you with relevant, experienced support groups to help you make informed decisions.
- Simple tools with game-like interactions make it fun to become and remain engaged in your health.
Interactive Health is not about “fixing” the broken health-care system or the problems of finding health information online. It’s about engaging each of us (well or ill) in our health, well-being and in the process of care. Moreover, it’s about empowering and inspiring physicians and health-care professionals to actively lead, participate and help us achieve better and more cost-effective care. Interactive Health is about making personalized health knowledge, supportive care and motivation available to you, anytime and anywhere, so that you can integrate this knowledge into your daily actions to live a longer, healthier, happier life.
Welcome to the new era of Interactive Health.
http://blog.healthtap.com/2011/06/how-technology-has-changed-the-way-we-access-health/
6/15/2011 Good News for Health Sciences Librarianship
NLM & Maryland Institutions to Collaborate on Education Initiatives for Librarians
The National Library of Medicine (NLM) and three other institutions in Maryland are forming a new partnership. They will work together to enhance the training of librarians and improve the public’s access to, and understanding of, health information.
Representatives from the National Library of Medicine; the Health and Human Services Library at the University of Maryland at Baltimore; the University of Maryland at College Park; and the Universities at Shady Grove signed a memorandum of understanding that outlines their collaboration.
The partner institutions share an interest in health and medical education, advanced training, and information dissemination. They will develop and participate in curriculums and courses, training and internship opportunities, and other educational initiatives. They also will explore areas of mutual interest for research, and will develop initiatives to increase access to careers in medicine and health, with a particular interest in reaching students who are under-represented in the fields.
As an initial effort, the partners will work with the University of Maryland, College Park, College of Information Studies (known as the iSchool) to:
- design a specialization in health sciences information for the iSchools Master of Library science program to be offered by the iSchool at the Universities at Shady Grove
- assess the feasibility of a series of regular internship placements for iSchool students at the partner libraries
- identify areas of mutual interest for research or other collaboration
The initiatives outlined in the agreement will be carried out to the extent funds are available. The partners will collaborate to secure external funding for the efforts where possible.
About the partner institutions:
The Universities at Shady Grove (USG) is a regional higher education center under the auspices of the University System of Maryland (USM) that provides access to baccalaureate and graduate degrees to residents in Montgomery County and the surrounding region. Nine USM institutions bring more than 60 degree programs into the region. These degrees programs include Pharmacy, Nursing, Public Health, Health Care Management, Respiratory Therapy, Information Studies/Library Science, and Biology. Other programs in communication, simulation, and psychology have strong health specializations. USG maintains strong partnerships with regional education, community colleges, businesses and community organizations to support its mission.
Since its founding in 1836, the National Library of Medicine (NLM) has played a pivotal role in translating biomedical research into practice. NLM, part of the National Institutes of Health, is the world’s largest medical library with more than 17 million items in its collection; and it is the developer of electronic information services used by scientists, health professionals, and the public around the world. NLM makes its information services known and available with the help of the National Network of Libraries of Medicine, which consists of 5,600 member institutions, including eight Regional Medical Libraries. NLM conducts and supports research that applies computer and information science to meet the information needs of clinicians, public health administrators, biomedical researchers and consumers.
Founded in 1813, the Health Sciences and Human Services Library at the University of Maryland, Baltimore (HS/HSL) is one of the largest health sciences libraries in the eastern United States, serving diverse constituents on campus, across the state and throughout the region. The HS/HSL supports the programs of the Schools of Medicine, Nursing, Dentistry, Pharmacy, Social Work, and the Graduate School as well as the University of Maryland Medical Center and Shock Trauma Center. Since 1983 the library has served as the headquarters for the Southeastern/Atlantic Region of the National Network of Libraries of Medicine under contract to the National Library of Medicine, part of the National Institutes of Health.
To accomplish its goal of serving the state through local and national engagement and worldwide impact, the University of Maryland, College Park exploits its advantages as the flagship of the University System of Maryland, its location in the resource-rich Washington, DC metropolitan area, its diverse community and its momentum. The College Park campus is home to 37,000 students in over 100 majors taught by 4,000 faculty members. Graduate degrees in over 100 fields are awarded. The University is supported in its academic endeavors by the University of Maryland Libraries, which is comprised of eight libraries and close to four million volumes. Electronic resources such as journals, databases and e-books now comprise over half the Libraries’ annual acquisitions of new materials.
http://www.nlm.nih.gov/news/md_ed_initiatives.html

Study Finds Equal Number of Errors in Hospitals, Doctors’ Offices
By Robert Preidt
Tuesday, June 14, 2011

TUESDAY, June 14 (HealthDay News) — Your chances of suffering harm because of a medical error are about the same in a doctor’s office as in a hospital, according to a new study.
Using the U.S. National Practitioner Data Bank, researchers at Weill Cornell Medical College compared malpractice claims paid on behalf of physicians who work in hospitals or doctors’ offices.
Of the nearly 11,000 malpractice payments made on behalf of physicians in 2009, about half were for adverse events from medical errors that occurred in a doctor’s office and half were from errors that occurred in a hospital.
Adverse outcomes in doctors’ offices were most often the result of incorrect diagnoses, whereas unsuccessful surgery was the most common cause of negative outcomes in hospitals, according to the study, published in the June 15 issue of the Journal of the American Medical Association.
The researchers said the finding shows the need to improve care in doctors’ offices.
“Physician practices have not been the focus of patient safety research, much less of policy efforts to reduce medical error,” the study’s lead author, Dr. Tara Bishop, an assistant professor of public health and medicine at Weill Cornell Medical College and a physician at New York Presbyterian Hospital/Weill Cornell Medical Center, said in a college news release.
“Our findings may reflect a lack of coordination within and between doctors’ offices,” Bishop said. “For example, a primary care physician may refer a patient to a specialist, but the actual appointment may never happen. A cardiologist may order a scan, unaware that it was already performed during a patient’s hospital stay.”
“The problems associated with outpatient safety may not be easy to fix, but the adoption of electronic health records is already improving communication between doctors,” she noted. “Patient safety is likely to improve markedly as more and more doctors’ offices change the way their records are kept, updated and accessed.”
SOURCE: Weill Cornell Medical College, news release, June 14, 2011
- More Health News on:
- Health Occupations
- Patient Safety
http://www.nlm.nih.gov/medlineplus/news/fullstory_113189.html

This is the sample page from NLM and the New York Academy of Medicine’s new Resource Guide for the consumer in preparation for disasters. 6/8/2011

Resource Guide for Public Health Preparedness
The Resource Guide for Public Health Preparedness is a gateway to freely available online resources related to public health preparedness. Resources include expert guidelines, factsheets, websites, research reports, articles, and other tools aimed at the public health community. All resources are cataloged and may be searched by keyword or browsed by topic.
For more information check the website at: http://phpreparedness.nlm.nih.gov/latest.php?currentPage=1¤tRecord=1&has_javascript=N
As reported by the website amdnews.com:
FDA signals it will regulate medical apps
Technically Speaking. By PAMELA LEWIS DOLAN, amednews staff. Posted May 30, 2011.
As more medical mobile applications get developed, one thorny question has arisen: Is there anyone who should be verifying whether these apps are effective and safe?
The question has come up, in particular, because of apps that claim to have a clinical component. They’re a small part of the app universe, but experts expect clinical apps to hit the market in a big way over the next few years.
As it turns out, someone is already beginning to answer that question. A handful of developers has sought and received Food and Drug Administration clearance for their mobile apps considered to be clinical devices. And the FDA, which hasn’t involved itself in regulating or enforcing any rules that might be related to clinical app development, has indicated that it will be more proactive in monitoring that class of product.
- See related content
Elisa Maldonado-Holmertz, vice president of business development for Emergo Group, which provides regulatory guidance to companies seeking FDA approval, recently learned about the agency’s efforts to regulate apps. At a town hall meeting she attended with the FDA in March, she found out that the agency’s Center for Devices and Radiological Health plans to issue guidance on mobile medical applications later this year.
So far, the app market has gone unregulated for the most part, although many clinical apps probably would fall under FDA 510(k) rules, an FDA classification reserved for medical devices. In February, the FDA finalized the rule that defines so-called Medical Device Data Systems. Under the rules, devices that transmit data but do not control or alter the function of a medical device are defined as MDDS, a Class I device that is exempt from 510(k) rules. The 510(k) classification is reserved for devices used for patient monitoring.
Physician focus
Monique Levy, senior director of research at Manhattan Research, said most of the apps on the market have focused on meeting the physicians’ need for quick and easy access to information.
“We really haven’t seen this kind of next generation of apps,” she said. The next generation she is referring to are apps that go beyond information source and serve as an actual clinical device used to make diagnosis or treatment decisions. However, “We think that’s something we’ll see coming up,” she said.
A few companies have come to the FDA for approval. The first app developer to receive FDA clearance was AirStrip Technologies in San Antonio, for its AirStrip OB application. The app, which the FDA cleared in 2009, allows physicians to monitor mother and baby remotely during delivery.
The company has three mobile apps with FDA clearance. The apps are considered to be true clinical tools, because physicians are using the information to make clinical decisions. The company said the FDA clearance gave it the confidence it needed to market it as a clinical tool and not a simple mobile app.
Many of the FDA-cleared apps are designed to work with an existing stationary system. AirStrip apps, for example, are sold only to hospitals to work with existing hospital monitoring systems. They are not available for download from a publicly available app store.
In February, the FDA granted clearance to MobiUS, an app developed by Mobisante, a medical device company in Redmond, Wash. The app allows viewing of medical images for diagnostic purposes. Mobile MIM, a remote diagnostic imaging tool developed by Cleveland-based MIM Software, was granted clearance the same month.
Bruce Brandes, chief sales officer for AirStrip, said seeking FDA approval helped the company develop a better product because of the quality standards the agency required. But he doesn’t think widespread FDA clearance for mobile apps would be a good thing for the industry.
“It would probably inhibit a lot of companies from innovating things that do have good utility to the consumer,” he said. There would be a lot of companies that would not make the investment that is required to seek FDA clearance, he said.
Manhattan Research’s Levy said meeting FDA regulations may not be the biggest hurdle in getting more mobile medical devices in physicians’ hands.
“Putting the FDA to the side and privacy of data, you’ve got simply integrating data into practice systems. That’s already something challenging, but I think that jump will be a bigger step than this first level,” she said.
Dolan is a business reporter. She can be reached at 312-464-5412 or by email(pamela.dolan@ama-assn.org).
ericrumsey 6/3/2011 Eric Rumsey on Twitter speculates:
Medical Librarians Notice? – PubMed Health now has Comparative Effectiveness Research links
Comparative Effectiveness Research from PubMed Health
PubMed Health has a special focus on comparative effectiveness research, in particular that research which evaluates the available evidence of the benefits and harms of different treatment options for different groups of people. In Comparative Effectiveness Research, experts often synthesize the evidence from dozens, or even hundreds, of individual studies.
The PubMed Health consumer guides on comparative effectiveness research are intended to:
- outline the known benefits and harms of different treatment options or prevention strategies
- explain what is known—and what is not known—about new or emerging health-care tests or treatments
- provide useful background on health conditions
For more information on comparative effectiveness research see What Is Comparative Effectiveness Research. (which follows)
http://www.ncbi.nlm.nih.gov/pubmedhealth/about/
defines“Comparative effectiveness research is designed to inform health-care decisions by providing evidence on the effectiveness, benefits, and harms of different treatment options. The evidence is generated from research studies that compare drugs, medical devices, tests, surgeries, or ways to deliver health care.
There are two ways that this evidence is found:
- Researchers look at all of the available evidence about the benefits and harms of each choice for different groups of people from existing clinical trials, clinical studies, and other research. These are called research reviews, because they are systematic reviews of existing evidence.
- Researchers conduct studies that generate new evidence of effectiveness or comparative effectiveness of a test, treatment, procedure, or health-care service.
Comparative effectiveness research requires the development, expansion, and use of a variety of data sources and methods to conduct timely and relevant research and disseminate the results in a form that is quickly usable by clinicians, patients, policymakers, and health plans and other payers. Seven steps are involved in conducting this research and in ensuring continued development of the research infrastructure to sustain and advance these efforts:
- Identify new and emerging clinical interventions.
- Review and synthesize current medical research.
- Identify gaps between existing medical research and the needs of clinical practice.
- Promote and generate new scientific evidence and analytic tools.
- Train and develop clinical researchers.
- Translate and disseminate research findings to diverse stakeholders.
- Reach out to stakeholders via a citizens forum.
Common questions about comparative effectiveness research
Q: Why is comparative effectiveness research needed? What problem is it trying to solve?
- If you don’t get the best possible information about your treatment choices, you might not make an informed decision on what treatment is best for you.
- When you shop for a new car, phone or camera, you have lots of information about your choices. But when it comes to choosing the right medicine or the best health-care treatment, clear and dependable information can be very hard to find.
- It’s true that some treatments may not work for everyone, and that some treatments may work better for some people than others. This research can help identify the treatments that may work best for you.
Q: What are the practical benefits of comparative effectiveness research?
- You deserve the best and most objective information about treating your sickness or condition. With this research in hand, you and your doctor can work together to make the best possible treatment choices.
- For example, someone with high blood pressure might have more than a dozen medicines to choose from. Someone with heart disease might need to choose between having heart surgery or taking medicine to open a clogged artery. Reports on these topics and others include the pros and cons of all the options so that you and your doctor can make the best possible treatment decision for you or someone in your family.
- Every patient is different — different circumstances, different medical history, different values. These reports don’t tell you and your doctor which treatment to choose. Instead, they offer an important tool to help you and your doctor understand the facts about different treatments”.
http://www.effectivehealthcare.ahrq.gov/index.cfm/what-is-comparative-effectiveness-research1/
The example that Ramsey gives is that of Asthma (seen below) in PubMed Health. There are many more conditions in PubMed Health which are just as exhaustively researched, analyzed and methods of treatment compared.
Asthma
Last reviewed: July 14, 2010.
Asthma is an inflammatory disorder of the airways, which causes attacks of wheezing, shortness of breath, chest tightness, and coughing.
See also: Pediatric asthma
Causes, incidence, and risk factors
Asthma is caused by inflammation in the airways. When an asthma attack occurs, the muscles surrounding the airways become tight and the lining of the air passages swells. This reduces the amount of air that can pass by.
In sensitive people, asthma symptoms can be triggered by breathing in allergy-causing substances (called allergens or triggers).
Common asthma triggers include:
- Animals (pet hair or dander)
- Dust
- Changes in weather (most often cold weather)
- Chemicals in the air or in food
- Exercise
- Mold
- Pollen
- Respiratory infections, such as the common cold
- Strong emotions (stress)
- Tobacco smoke
Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) provoke asthma in some patients.
Many people with asthma have a personal or family history of allergies, such as hay fever (allergic rhinitis) or eczema. Others have no history of allergies.
Symptoms
Most people with asthma have attacks separated by symptom-free periods. Some people have long-term shortness of breath with episodes of increased shortness of breath. Either wheezing or a cough may be the main symptom.
Asthma attacks can last for minutes to days, and can become dangerous if the airflow is severely restricted.
Symptoms include:
- Cough with or without sputum (phlegm) production
- Pulling in of the skin between the ribs when breathing (intercostal retractions)
- Shortness of breath that gets worse with exercise or activity
- Wheezing, which:
- Comes in episodes with symptom-free periods in between
- May be worse at night or in early morning
- May go away on its own
- Gets better when using drugs that open the airways (bronchodilators)
- Gets worse when breathing in cold air
- Gets worse with exercise
- Gets worse with heartburn (reflux)
- Usually begins suddenly
Emergency symptoms:
- Bluish color to the lips and face
- Decreased level of alertness, such as severe drowsiness or confusion, during an asthma attack
- Extreme difficulty breathing
- Rapid pulse
- Severe anxiety due to shortness of breath
- Sweating
Other symptoms that may occur with this disease:
- Abnormal breathing pattern –breathing out takes more than twice as long as breathing in
- Breathing temporarily stops
- Chest pain
- Nasal flaring
- Tightness in the chest
Signs and tests
Allergy testing may be helpful to identify allergens in people with persistent asthma. Common allergens include:
- Cockroach allergens
- Dust mites
- Molds
- Pet dander
- Pollens
Common respiratory irritants include:
- Fumes from burning wood or gas
- Pollution
- Tobacco smoke
The doctor will use a stethoscope to listen to the lungs. Asthma-related sounds may be heard. However, lung sounds are usually normal between asthma episodes.
Tests may include:
- Arterial blood gas
- Blood tests to measure eosinophil count (a type of white blood cell) and IgE (a type of immune system protein called an immunoglobulin)
- Chest x-ray
- Lung function tests
- Peak flow measurements
Treatment
The goal of treatment is to avoid the substances that trigger your symptoms and control airway inflammation. You and your doctor should work together as a team to develop and carry out a plan for eliminating asthma triggers and monitoring symptoms.
There are two basic kinds of medication for treating asthma:
- Control drugs to prevent attacks
- Quick-relief drugs for use during attacks
Control drugs for asthma control your symptoms if you don’t have mild asthma. You must take them every day for them to work. Take them even when you feel okay.
The most common control drugs are:
- Inhaled corticosteroids (such as Azmacort, Vanceril, AeroBid, Flovent) prevent symptoms by helping to keep your airways from swelling up.
- Long-acting beta-agonist inhalers also help prevent asthma symptoms. Do not take long-acting beta-agonist inhaler drugs alone. These drugs are generally used together with an inhaled steroid drug. It may be easier to use an inhaler that contains both drugs.
Other control drugs that may be used are:
- Leukotriene inhibitors (such as Singulair and Accolate)
- Omalizumab (Xolair), which blocks a pathway that the immune system uses to trigger asthma symptoms
- Cromolyn sodium (Intal) or nedocromil sodium (Tilade)
- Aminophylline or theophylline (rarely used anymore)
Asthma quick-relief drugs work fast to control asthma symptoms:
- You take them when you are coughing, wheezing, having trouble breathing, or having an asthma attack. They are also called “rescue” drugs.
- They also can be used just before exercising to help prevent asthma symptoms that are caused by exercise.
- Tell your doctor if you are using quick-relief medicines twice a week or more to control your asthma symptoms. Your asthma may not be under control, and your doctor may need to change your dose of daily control drugs.
Quick-relief drugs include:
- Short-acting bronchodilators (inhalers), such as Proventil, Ventolin, and Xopenex
- Your doctor might prescribe oral steroids (corticosteroids) when you have an asthma attack that is not going away. These are medicines that you take by mouth as pills, capsules, or liquid. Plan ahead. Make sure you do not run out of these medications.
A severe asthma attack requires a check-up by a doctor. You may also need a hospital stay, oxygen, and medications given through a vein (IV).
Asthma action plans are written documents for anyone with asthma. An asthma action plan should include:
- A plan for taking asthma medications when your condition is stable
- A list of asthma triggers and how to avoid them
- How to recognize when your asthma is getting worse, and when to call your doctor or nurse
A peak flow meter is a simple device to measure how quickly you can move air out of your lungs.
- It can help you see if an attack is coming, sometimes even before any symptoms appear. Peak flow measurements can help show when medication is needed, or other action needs to be taken.
- Peak flow values of 50% – 80% of a specific person’s best results are a sign of a moderate asthma attack, while values below 50% are a sign of a severe attack.
Support Groups
You can often ease the stress caused by illness by joining a support group, where members share common experiences and problems.
Expectations (prognosis)
There is no cure for asthma, although symptoms sometimes improve over time. With proper self management and medical treatment, most people with asthma can lead normal lives.
Complications
The complications of asthma can be severe. Some include:
- Death
- Decreased ability to exercise and take part in other activities
- Lack of sleep due to nighttime symptoms
- Permanent changes in the function of the lungs
- Persistent cough
- Trouble breathing that requires breathing assistance (ventilator)
Calling your health care provider
Call for an appointment with your health care provider if asthma symptoms develop.
Call your health care provider or go to the emergency room if:
- An asthma attack requires more medication than recommended
- Symptoms get worse or do not improve with treatment
- You have shortness of breath while talking
- Your peak flow measurement is 50% – 80% of your personal best
Go to the emergency room if:
- You develop drowsiness or confusion
- You have severe shortness of breath at rest
- Your peak flow measurement is less than 50% of your personal best
- You have severe chest pain
Prevention
You can reduce asthma symptoms by avoiding known triggers and substances that irritate the airways.
- Cover bedding with “allergy-proof” casings to reduce exposure to dust mites.
- Remove carpets from bedrooms and vacuum regularly.
- Use only unscented detergents and cleaning materials in the home.
- Keep humidity levels low and fix leaks to reduce the growth of organisms such as mold.
- Keep the house clean and keep food in containers and out of bedrooms — this helps reduce the possibility of cockroaches, which can trigger asthma attacks in some people.
- If a person is allergic to an animal that cannot be removed from the home, the animal should be kept out of the bedroom. Place filtering material over the heating outlets to trap animal dander.
- Eliminate tobacco smoke from the home. This is the single most important thing a family can do to help a child with asthma. Smoking outside the house is not enough. Family members and visitors who smoke outside carry smoke residue inside on their clothes and hair — this can trigger asthma symptoms.
Persons with asthma should also avoid air pollution, industrial dusts, and other irritating fumes as much as possible.
References
- National Asthma Education and Prevention Program Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Rockville, MD. National Heart, Lung, and Blood Institute, US Dept of Health and Human Services; 2007. NIH publication 08-4051.
- Wechsler ME. Managing asthma in primary care: putting new guideline recommendations into context. Mayo Clin Proc. 2009;84:707-717. [PubMed]
- Fanta CH. Asthma. N Engl J Med. 2009;360:1002-1014. [PubMed]
- Review Date: 7/14/2010.Reviewed by: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
An abstract from an article from PubMed on tobacco experimentation. To see the full article click on the link below: 
6/2/2011
The role of friends’ disruptive behavior in the development of children’s tobacco experimentation: results from a preventive intervention study.
Source
Department of Developmental Psychology, VU University Amsterdam, Van der Boechorststraat 1, 1081 BT Amsterdam, the Netherlands. pac.van.lier@psy.vu.nl
Abstract
Having friends who engage in disruptive behavior in childhood may be a risk factor for childhood tobacco experimentation. This study tested the role of friends’ disruptive behavior as a mediator of the effects of a classroom based intervention on children’s tobacco experimentation. 433 Children (52% males) were randomly assigned to the Good Behavior Game (GBG) intervention, a universal preventive intervention targeting disruptive behavior, and facilitating positive prosocial peer interactions. Friends’ disruptive behavior was assessed from age 7-10 years. Participants’ experimentation with tobacco was assessed annually from age 10-13. Reduced rates in tobacco experimentation and friends’ disruptive behavior were found among GBG children, as compared to controls. Support for friends’ disruptive behavior as a mediator in the link between intervention status and tobacco experimentation was found. These results remained after controlling for friends’ and parental smoking status, and child ADHD symptoms. The results support the role of friends’ disruptive behavior in preadolescents’ tobacco experimentation
http://www.ncbi.nlm.nih.gov/pubmed/20694577?dopt=Abstract
The BBC mobile reports today June 1:
Hundreds of GPs admit to using the website Wikipedia as a medical research tool
1 June 2011 Last updated at 07:15 ETHelp
A survey of hundreds of doctors across Europe found 60% admit to using Wikipedia for reference. In the UK the figure is one in two.
Dr Douglas Diggle, a GP from West Yorkshire, explained on BBC Radio 5 live why he finds the website useful: “The information… is highly technical.”
“We do have journals that are published every week,” Dr Diggle told the Morning Reports programme.
“Any legitimate way of sourcing information is OK.”
You can hear other BBC Radio 5 live highlights by visiting the Best Bits section on the website.
Morning Reports broadcasts seven days a week 0500 – 0530 on BBC Radio 5 live.
Is this scary to anyone else?
http://www.bbc.co.uk/news/health-13615420?utm_source=twitterfeed&utm_medium=twitter
There seems to be a lot of Wikipedia in the news lately and Eric Rumsey compares it to Medpedia in this article. “Eric Rumsey is a librarian and web developer at the Hardin Library for the Health Sciences, University of Iowa. He is the founder and manager of the Hardin MD site.”
Wikipedia vs Medpedia: 
The Crowd beats the Experts
May 31, 2011 – 9:31 am
In his keynote talk at the recent Medical Library Association annual meeting, Clay Shirky told the story of how Wikipedia, which is done by volunteers, has far surpassed the Medpedia project, which was founded in 2009 as an expert-doctor-produced system to compete with Wikipedia. Marcus Banks’s write-up of Shirky’s talk has a good segment on this:
Skirky contrasted the entry for biopsy on Wikipedia to that for biopsy on Medpedia, which utilizes physician editors rather than the unwashed masses. Turns out that the Wikipedia entry is much more robust and developed, a thorough introduction to the topic of biopsy available to all. On the other hand, Medpedia offers a puny paragraph and calls it a day.
In fairness, Shirky does exaggerate the contrast a bit, in not mentioning that the Medpedia article has links to five specific types of biopsy. But those other articles are relatively short, and Shirky is right that the total amount of information in Wikipedia far exceeds Medpedia. So he’s certainly correct that Wikipedia has won the battle for the general medical online information market. Searching PubMed shows it: A search for wikipedia retrieves 83 articles; a search for medpediaretrieves 0 (zero!) articles. So, indeed, Medpedia has just never caught on.
Bertalan Meskó: “I believe elitism kills content”
Shirky said in his MLA talk that he had predicted when Medpedia launched that it would be a failure (confirmed here). He also mentioned that other commentators had similar questions about the purpose of Medpedia. One of those was the prominent Hungarian physician-blogger Bertalan Meskó (@berci). He’s a Wikipedia administrator, and echoes the sentiments of Shirky inquestioning the need for Medpedia at the time of its launch in 2009 (boldface added):
When we have a Wikipedia, why do we need a Medpedia? … [do] we need Medpedia to provide reliable medical content? That’s what we are working on in Wikipedia. … I believe elitism kills content. Only the power of masses controlled by well-designed editing guidelines can lead to a comprehensive encyclopaedia.
Finally, a recently-published article gives more evidence for Wikipedia’s supremacy as the king of the medical information hill – Wikipedia: A Key Tool for Global Public Health Promotion, in Journal of Medical Internet Research (2011) is written by a group of Wikipedia medical administrators (including Meskó). The authors document the important place of Wikipedia in the online health information sphere, and make an appeal for more people with medical interests to participate as Wikipedia editors. Tellingly, the corresponding author, Michaël R Laurent, has an association with Medpedia — Apparently, from his leadership in Wikipedia, though, he’s decided it’s a better way to go than Medpedia.
Related articles:
- Wikipedia vs Encarta: The Ali-Frazier of Motivation – Well-told story by Daniel Pink, 2010 MLA keynote speaker
- As Spam hits Google Machine, Human Wikipedia Thrives
Eric Rumsey is at: eric-rumsey AttSign uiowa dott edu and on Twitter @ericrumsey
http://blog.lib.uiowa.edu/hardinmd/
The following article on how technology is changing the medical field appeared on the website, “Test Drive College Online.”
“Test Drive College Online (TDCO) is an innovative program that provides a unique opportunity for qualified participants to take an actual online college course. This program was created specifically for people who are interested in using TDCO as a stepping stone toward a degree”.
How Technology is Changing the Medical Field
Tuesday, May 24, 2011
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The use of technology within the medical field has been growing for years. The advent of portable devices has changed the way doctors, nurses, and health care workers perform their duties.
Stanford’s School of Medicine realized the difference one of these devices could make and lent iPads to new students last year. While many of the students stopped using their iPads after a few weeks many conveyed that they did like using the iPads, but only for certain subjects.
Medical students enjoyed using the tablet for their anatomy course as it allowed them to draw and make notations easily.
Step into any hospital and you’re likely to see that medical records are now electronic and portable. The switch to electronic records is nothing new and solved issues with illegible handwriting as well as providing easier access to records.
The usefulness of these devices in medical programs is undeniable. Students involved in internships and residencies can watch video tutorials, pull up “cheat sheets” and find vital information with a portable electronic device. This doesn’t mean they are not already trained, but think about how much easier it would be to have the information you need right at your fingertips.
Students involved in distance learning can easily get ahead of the game as they often become knowledgeable in computers and other forms of technology throughout their studies. Online degree programs may also be more likely to use various forms of technology including video conferencing, virtual worlds and possibly medical software.
http://blog.testdrivecollege.com/2011/05/24/technology-in-medical-field/
5/30/2011
I encountered the following study: The Value of Library and Impact of Library and Information Services by Joanne Gard Marshall, Alumni Distinguished Professor School of Information & Library Science, University of North Carolina at Chapel Hill which concentrates on medical libraries which can be found at
http://bit.ly/myZxM2
The Value Study was a partnership of the National Network of Libraries of Medicine, Middle Atlantic Region (NNLM/MAR) and the University of North Carolina at Chapel Hill (UNC).
5/26/2011
I don’t want to give away any trade secrets but PubMed Central (NCBI) is constantly posting articles on Twitter sometimes as many as 10 or 20 a day! It would be wise to start “following” them. Such as from Twitter today:
4/30/2011
I came across an interesting Health Sciences Librarian’s Blog with links for:
“How do you stay current with health care news?”
which I included with the links in the side panel which has other information as well.![]()
A Canadian Health Sciences Wiki
I encountered an amazing resource called HLWiki Canada. It contains a treasure trove of resources for health/medical librarians:
Health librarianship
| Introduction: |
- Answering health and medical reference questions
- Best Canadian medical books

- Core competencies
- CHLA/ABSC (Canada)

- Health librarianship pathfinder
- Health libraries
- International medical book & journal donation programs
- Medical Subject Headings (MeSH)
- Medical education in Canada

- National Library of Medicine (U.S.)
- PubMed – MEDLINE
- Reference services
- Top Biomedical Texts 2010, Print & Online
Searching in biomedicine:
- Medline & PubMed
- Expert searching
- Filters (ie. hedges)
- Hand-searching
- Nucleotide searching
- Point of care decision-making tools – Overview
- PubReMiner

- Scoping studies
- Systematic review searching
Evidence-based practice:
- Evidence-based health care
- Five steps of EBM
- Evidence-based librarianship
- Evidence-based web 2.0
- Major clinical studies & trial types
- Adult learning theory (androgogy)
- BOPPPS Model
- Course design
- Information literacy
- Library workshop evaluation
- Point of care decision-making tools – Overview
- Presentation skills
Social media landscape
Collaboration 2.0
http://hlwiki.slais.ubc.ca/index.php/UBC_HealthLib-Wiki_-_A_Knowledge-Base_for_Health_Librarians
The pathfinder below comes from the Canada Wiki above
Health librarianship pathfinder
This pathfinder (or start-here) is a guide to information sources in health librarianship for students, professional librarians and interested individuals. Its purpose is to provide a starting point for materials that support the study of health libraries and health librarianship. Links are provided to key journals and monographs, international associations, discussion groups and websites. Please add your own links and favourite websites. To browse our in-depth articles on a range of HSL topics, see the wiki index.
Literature searching
See also Open search
- E-prints for LIS
- Google scholar
- GoPubMed
- MedlinePlus at the National Library of Medicine

- OvidSP Databases (UBC Library)
- PubMed (Medline) at the National Library of Medicine

- PubMedCentral Canada]

- Scirus
Systematic review searching
See also What is systematic review searching?
- BETs Search Strategies
- Centre for Reviews and Dissemination (CRD)
- McMaster University HIRU – Search Hedges
- PubMed – Systematic Reviews Subset Strategy
- InterTASC ISSG Search Filter Resource
Associations
See also Health librarianship – professional journals and Medical Library Association (MLA)
- Association of Faculties of Medicine of Canada (AFMC)

- Canadian Health Libraries Association (CHLA/ABSC)

- European Association for Health Information and Libraries (EAHIL)
- International Federation of Library Associations (IFLA) Section of Health and Biosciences Libraries
- Health Libraries Association of BC (HLABC)

- CILIP – Health Libraries Group (U.K.)
- Medical Library Association (U.S.)

- Pacific Northwest Chapter of MLA (PNCMLA)
- SLA’s Biomedical and Life Sciences Division
Key monographs
- Garrison-Morton medical bibliography
- Boorkman Jo Anne, Huber Jeffrey T, Roper Fred W. Introduction to reference sources in the health sciences. 2004
- Booth A, Brice A. Evidence Based Practice for Information Professionals, 2004.

- Introduction to health sciences librarianship 2008 ed.

- MLA’s consumer health reference service handbook
- MLA’s guide to managing health care libraries
- Reference and information services in health sciences libraries
- Guardians of medical knowledge : the genesis of MLA
- John Shaw Billings, creator of the National Medical Library and its catalogue, first director of the New York Public Library
- Medical reference works 1679-1966 : a selected bibliography
- Thompson, LL. Bibliographic management of information resources in health sciences libraries
Associations – Canada 
- CHLA/ABSC – Canada

- Canada Institute for Scientific and Technical Information (CISTI)
- Open access in Canada
Associations – United States
- Medical Library Association (U.S.)

- National Library of Medicine – US

- Pacific Northwest Chapter of MLA (PNCMLA)
- National Network of Libraries of Medicine (NN/LM) – Pacific Northwest Region
International
Core journals
See also Health librarianship – professional journals
- BMC-Biomedical Digital Libraries
- Health Information and Libraries Journal (U.K.)
- Journal of the CHLA/ABSC
- Hypothesis – Research Section MLA
- Journal of the American Medical Informatics Association
- Journal of the Medical Library Association
- Medical Reference Services Quarterly (U.S.)
Blogs
Wikis
- EBM Librarian wiki
- Google’s Knol
- McGill Health Library – Global Health wiki

- Medpedia project
- HLWIKI Canada

- Selected list of medical wikis
Listservs
http://hlwiki.slais.ubc.ca/index.php/Health_librarianship_pathfinder#Literature_searching





















Thanks for adding HLWIKI Canada to your blogroll. It is an excellent, very well put together resource that I was not previously familiar with. I will definitely recommend it to students looking for information on health librarianship.
I am so glad that you found this to be useful. I am constantly looking for resources to be helpful to all librarians especially in the health sciences since that is my great love.
It is always hard to find well-informed people on this subject topic, you sound like you are aware of exactly what you are talking about! Bless you
Hey there would you mind sharing which blog platform you’re working with? I’m looking to start my own blog soon but I’m having a tough time making a decision between BlogEngine/Wordpress/B2evolution and Drupal. The reason I ask is because your layout seems different then most blogs and I’m looking for something completely unique. P.S Sorry for being off-topic but I had to ask! Flammable storage
I used WordPress but have been revising and editing and adding to this blog which is more like a hub for months. I have more information than I have time to add.
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