Medlib's Round delay & near-pandemic social media progress

Due to a combination of people preparing for the Medical Library Association's upcoming conference in Hawaii and the global outbreak of H1N1 influenza, the Medlib's Round blog carnival is delayed until June 6th with publication on June 9th.

Many are, as usual, wondering if "the media" has overblown the H1N1 outbreak. I haven't watched any television news or talk shows recently (I rarely to never do anyway) so I can't comment there. However, when it comes to online and social media outlets, two things in particular impress me for signs of how the National Library of Medicine (NLM) and the National Institutes of Health (NIH) are opening up to these tools as high quality information resources during a near-pandemic situation.

The first is MedlinePlus and PubMed with the placement of the Department of Health and Human Services (HHS) H1N1 widget on the front pages. In addition, the very first hyperlink offered for the H1N1 Flu (Swine Flu) MedlinePlus page is @CDCemergency, an official Centers for Disease Control & Prevention (CDC) Twitter account. When I began writing this post the morning of May 6th, it had 104,266 followers. As of 10:25 that same evening the number had jumped up to 108,698! Others without Twitter accounts may be subscribing via RSS feed, those numbers are not included.

The second is the inclusion of Patricia Anderson's iGoogle H1N1 swine flu tab as an information resource within the NIH Library. To be clear, this is not NLM as NLM is the medical library for everyone and the NIH Library is for the 27 entities that make up the National Institutes of Health.

Are these uses of online & social media and the resources wiki I started all hype? Of course not. As is always the case for work and our own personal sanity, we must enable our own filters to narrow in on quality resources, share them, and tune out misinformation. A bit of humor now and then for you is good for you too.

This is a good opportunity to review your own emergency preparedness plans too... H1N1 isn't too severe now, but nobody can say that will continue to be the case during the flu season this fall. Will your library be prepared to still function if social distancing measures are enacted? Check out a pandemic planning exercise for more details.

I'm still hopeful for the day when we will see an NLM social media presence. CDC are truly the 2009 HHS social media pioneers who have had their hands full between the peanut recall and now H1N1. Hopefully things will settle down to allow for evaluation to determine some best practices to be shared by all, but in the meantime keep up the amazing work!

Hidden in the Bookshelf: PubMed & Discovery Initiative

Many thanks go out to Kathel Dunn, Associate Fellowship Coordinator at the National Library of Medicine (NLM), who sent me an email and Amy Donahue, Associate Fellow at NLM, who wrote a #pubmed tag on Twitter (what does that mean?) at about the same time this morning.



The news?

Buried within the NCBI Bookshelf, yet not the same as the Bookshelf announcement listserv or linked from the Bookshelf front page (check the 'breadcrumbs', or filepath below), are NCBI News archives including a February 2009 article with details about the Discovery Initiative and PubMed.



Please read Featured Resource: Improvements to NCBI Services Promote Discovery in its entirely (not too long & very informative) and click on the links of the PubMed screenshots highlighting the Document Summary view of the Gene Sensor, 'Also try..' and 'Recent Activity' in addition to the Abstract Plus summary view of the pre-computed Related Articles and Recent Activity. See how the article title is the hyperlink in the Document Summary view but not in Abstract Plus view as noted in the PubMed Update guide?

As an update regarding #pubmed on Twitter: I have heard from NLM that several there are 'aware of' this as a user feedback venue, yet feel that 'it is too brief.' Again, to my knowledge there is no official NLM presence on Twitter or other social media venues, although the National Institutes of Health (NIH, which includes NLM as 1 of 27 Institutes and Centers) does have two Twitter news accounts.

I offer as a contrast the Centers for Disease Control and Prevention (CDC) and the US Food and Drug Administration (FDA)'s involvement in social media, which David Rothman has covered well.

Andrew P. Wilson, who describes himself as "Member of HHS social media team," (The Department of Health and Human Services - HHS - includes NIH, CDC, FDA & many others) noticed that many people stopped following the FDA recalls Twitter account today. Note his approach to soliciting and responding to user feedback below (read from the bottom up):



Later he wrote as an additional response "Thanks - an experiment and there will be successes & failures (and in between). Appreciate everyones feedback, & support though."

An experiment. Willingness to try. Soliciting and appreciating user feedback. Placing so much information on a single page instead of having to dig through various venues to find relevant news.

Mr. Wilson, you have my thanks for your approach during the increasing number of peanut product recalls, and I hope NIH (and NLM) is included within the scope of the HHS social media team.

Friday Foolery #5: 3 centuries of ginger, antibiotics & MRSA

These are some of the contents of a medicine chest, circa 1820, housed at the British Columbia Medical Association Medical Museum that I learned about on Wednesday thanks to Morbid Anatomy. If I ever make it to New York in my lifetime, I will visit the Morbid Anatomy Library because a project with a mission to 'survey the interstices of art and medicine, death and culture' sounds like a kindred spirit to me. I can't watch MedlinePlus surgery videos without getting queasy but could study still life artistic depictions of disfiguring diseases, dissections & death and never be bored.

Speaking of queasy, I'm not sure how the ginger was prepared in the 19th century for the medicine chest but a 21st century preparation of it in lollipops (Preggie Pops, which have now evolved to drops) helped me function well enough that I never had morning sickness at work. Laudanum is ethanol with opium (yum!), and the other medicine chest contents are

Goulard's extract [a solution of lead acetate and lead oxide], paregoric elixir [a camphorated tincture of opium], spirits of nitre, oppodeldoc [a mixture of soap in alcohol, to which camphor and sometimes a number of herbal essences, most notably wormwood, were added] and ether.

100 years after this medicine chest there were numerous innovations in the field of medicine such as the discovery of insulin, vitamins and the (re-discovery of) penicillin. Check out the accomplishments of the Nobel Laureates of that era in addition to the (re)discoveries details, then note the following from the Antiseptics page with a header of How Germs Get Used to Antiseptics, 1921

VARY YOUR ANTISEPTICS; otherwise the disease germs will get used to them. The distinguished French physician and bacteriologist, Charles Richet, has recently laid before the French Academy of Sciences a note on researches made by him, together with Henry Cardot, on acquired characteristics and heredity in microbes. He experimented, among other things, on the influence of antiseptics, to determine especially whether bacteria may acquire immunity to toxic substances in the same manner that the higher animals do.

It's 2008, and methicillin-resistant Staphylococcus aureus (MRSA, or mer-sah... one of a handful of acronyms where you don't say each individual letter out loud) is a real threat due to exactly what Dr. Richet was warning the medical community about regarding antibiotic resistance almost a century ago.

According to the Centers for Disease Control (CDC), there are over 12 million doctor visits for skin infections by American patients annually and half of them turn out to be MRSA. Please know the symptoms to watch for & check out the National MRSA Education Initiative for more information.