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January 2000

MLA News Changes Editors
Submitted by Carla J. Funk, Executive Director, and Tomi Gunn, Public
Relations Assistant
Jean Demas Completes Six Successful Years as MLA News Editor
This year Jean Demas, AHIP, Alliance of American Insurers, Downers Grove,
IL, completed her second three-year term as MLA News editor. Demas
has made many significant enhancements to the MLA News during her
tenure. Her experience in writing and editing promotional communications,
including newsletters enabled her to update the design of the MLA News
and make it more readable. She established uniform guidelines for column
content responsibility and worked closely with her associate editors to
provide timely, informative, and interesting articles, increasing the
value of the MLA News to the membership. Demas, working with MLA
staff, has made portions of the MLA News available on MLANET and
worked with the editor of the Bulletin of the Medical Library Association
and staff to develop the MLA
Manual of Style, also available on MLANET.
MLA has been fortunate to have Jean Demas as MLA News editor for
the past six years. She has more than met the challenges of this position
and made a lasting contribution to our publications program. The MLA Board
of Directors joins members, the association’s publication committees,
and headquarters staff in thanking Demas for her excellent work.
Beverly Murphy Appointed New MLA News Editor
Beverly Murphy, Medical Center Library, Duke University Medical Center,
Durham, NC, was appointed by the MLA Board of Directors to take over as
editor of the MLA News beginning with the January 2000 issue.
One of the health sciences information profession’s most committed leaders,
Murphy has made many contributions to the profession and particularly
her chapter, MLA’s Mid-Atlantic Chapter (MAC). She has served as editor
of MAC Messages, the chapter’s newsletter, and as MAC Treasurer
from 1997–99. Murphy recently received the 1999 Marguerite Abel Service
Recognition Award, sponsored by MAC, for her tireless efforts on behalf
of the chapter during the past year.
Murphy’s contributions on the national level include her work as a member
of the MLA Publications Committee and as an MLANET Task Force liaison.
A senior member of the Academy of Health Information Professionals, Murphy
is very active in the academy, having volunteered as an academy mentor
and as an academy counselor for MAC.
Another honor was recently bestowed on Murphy when the National Library
of Medicine (NLM) highlighted her accomplishments during its observance
of National Medical Librarians Month (NMLM).
MLA congratulates Murphy on her new role and looks forward to working
with such a dedicated and talented professional.

Meeting with a View towards the Ocean, the Mountains, and the Future
Submitted by Shona Lam, B.Sc., M.L.I.S., Vancouver Public Library
on behalf of the MLA 2000 Local Assistance Committee, Publicity Committee
Attend the library event of the millennium as MLA and CHLA/ABSC host
their combined annual meetings, May 5–11, 2000, in one of the world’s
top destinations—Vancouver, British Columbia, Canada. Celebrate the Chinese
year of the dragon at the gateway to the Pacific Rim with this year’s
theme "Demystifying the Dragon, Strategies for 2000 Plus."
The meeting will be held at the Vancouver Convention & Exhibition
Centre right by the waterfront. From this scenic and convenient location,
you can walk along the cobbled sidewalks of historic 1860s Gastown. Nearby
are the fashionable Robson Street boutiques and the Vancouver Art Gallery
with its excellent collection of works by Canadian artists, including
Emily Carr. Take a short SeaBus ride across the inlet to Vancouver’s North
Shore and browse around Lonsdale Quay Market.
Near downtown is the thousand-acre Stanley Park. Visit the Vancouver
Aquarium Marine Science Centre or hike the park’s trails and see the flowers
in bloom. Walk, jog, bike, or inline skate along the park’s famous Seawall
and view spectacular English Bay.
Vancouver has a wide range of excellent restaurants such as Chinese,
Japanese, Korean, Thai, Vietnamese, Indian, French, Italian, and Spanish.
Savour fresh seafood from the Pacific! Sample the best sushi outside of
Japan! Have an authentic dim sum lunch! Experience West Coast and Fusion
cuisine! Enjoy your meals with British Columbian wines or beers from local
microbreweries.
Tour North America’s third largest Chinatown and the Dr. Sun Yat-Sen
Garden, the only authentic Ming Dynasty Garden built outside of China.
The Museum of Anthropology, located on the Universityof British Columbia’s
impressive campus, contains a superb collection of Northwest Coast First
Nations art and artifacts, including sculptures by Haida artist, Bill
Reid. Visit Granville Island, a vibrant public market with restaurants,
craft, and specialty food shops.
Attend a play or a concert at one of Vancouver’s many theatres, such
as the Orpheum or the Ford Centre of Performing Arts. If you have time,
visit Victoria for afternoon tea at the Empress Hotel and tour Butchart
Gardens, travel to the Gulf Islands for hiking and nature watching, or
head to the Whistler resort for golf or biking amongst the mountains.
With so many places to sightsee in Vancouver, there’s always a coffee-bar
around to provide rejuvenating espresso! To top it off, Americans have
the benefit of the great exchange rate and are eligible to receive a sales
tax rebate.
Come and discover why Vancouver is spectacular by nature!

Medical Informatics Librarians: Dual Roles as Teacher and Student
Edited by Virginia A. Lingle, AHIP
Submitted by Kristine M. Alpi, Professional Development Liaison, Medical
Informatics Section
In our automated work world, the scopes of information management, bibliographic
instruction, and medical informatics (MI) increasingly overlap. Librarians
who are involved in teaching in a medical informatics curriculum may often
consider themselves students at the same time. In one particular case,
the relationship of medical informatics to education and training has
been fully recognized by the merging of these respective columns in the
journal Medical Reference Services Quarterly into a single "Informatics
Education" column [1].
As befits such a computer-oriented discipline, education in MI is best
enabled by technology. Classes and resources can be delivered to the desktop
of virtual students who rarely have to visit the physical campus. Certificate
programs and stand-alone online courses are available through distance
education from universities such as Oregon Health Sciences University,
Stanford University, and the University of Arizona. Organizations such
as the American Medical Informatics Association’s (AMIA) Education Working
Group are developing individual Web-based teaching modules. In-person
opportunities for instruction abound such as NLM-sponsored courses and
fellowships [2], tutorials at AMIA meetings, or onsite classes at an individual’s
own institution. A wide range of opportunity exists—from reading an article
to spending a week at Woods Hole—to educate oneself about the constantly
changing and growing field of medical informatics.
Training opportunities are often multidisciplinary and intended for audiences
from many different backgrounds. Information professionals can benefit
from courses designed for medical students or computer majors. Medical
informatics workshops geared for the hospital administrator or faculty
from other disciplines can also be beneficial. The teaching roles that
librarians assume may vary across curricula, but, most often, information
management and literature searching are librarians’ areas of expertise.
These skills can be enhanced by interaction with a variety of people and
through the possibilities for collaboration that medical informatics affords.
In May of 1999, the Medical Informatics Section membership completed
a continuing education needs assessment that revealed areas of informatics
in which more training was desired. A need for distance learning and self-education
materials became evident, which led the section to begin the development
of a Web page of informatics self-education resources ranging from bioinformatics
applications to issues with vocabularies such as the Unified Medical Language
System (UMLS). The site is designed to be useful to librarians who are
learning new skills and librarians who are teaching in medical informatics.
The Continuing Education Needs Assessment results, in addition to the
Self-Education Resources Project, are available on the section Website
(www.medinfo.mlanet.org).
References
1. Hannigan GG, Seago BL. Medical Informatics and Education and Training
columns will merge. Med Ref Serv Q 1999 Spring;18(1):73–4.
2. NLM opportunities for training and education: medical informatics.
[Web document]. Bethesda, MD: National Library of Medicine, 1998. [rev
27 Jul 1998]. <http://www.nlm.nih.gov/pubs/factsheets/trainedu.html#informatics>.

Bookmarklets
Edited by Melissa L. Just
Submitted by Matthew Eberle, M.L.S., The Forsyth Institute, Boston,
MA
Bookmarklets are powerful little programs disguised as bookmarks or shortcuts
in the latest Web browsers. Technically, they are compact javascripts
that the browser treats as part of the current page. Distribution and
installation are quick and easy. Libraries can use them to test new Web-based
services and make other services more useful and accessible. Two specific
examples that you can adapt for use in your own library are described
below. Both examples are compatible with the latest version of either
Netscape Navigator or Internet Explorer.
A common function for bookmarklets is searching, such as the National
Library of Medicine’s PubMed system. A bookmarklet can be set to read
text the user has highlighted on a Web page and use the text as the search
string for any number of search engines. Because of the way that PubMed
is designed, searchers can use a simple search bookmarklet to extend the
search capabilities. One useful feature of PubMed is the ability to use
a MeSH heading or other term from one record as the basis for a new search.
Currently, this action requires multiple steps, but with a PubMed bookmarklet,
only two steps are required: highlight the relevant text and select the
bookmarklet. A PubMed bookmarklet also makes it easy to use PubMed in
conjunction with another resource, such as Gale’s Health Reference Center
database, which is more consumer-oriented. Text from a Health Reference
Center search can be highlighted and run in PubMed. By using the Gale
database first, general information can be quickly provided on the topic,
because the Gale database includes some general reference works. Then
selecting the text and activating the bookmarklet runs the search in PubMed.
Bookmarklets can be developed for specialized MEDLINE search filters,
such as evidence-based medicine (EBM) filters, to make searching easier
for the users.
Because of the status of bookmarklets as browser bookmarks or favorites,
they may be especially useful where widespread distribution is not desirable.
For example, a bookmarklet that provides a form for requesting services
from the library can be built. Many libraries remain wary of placing a
"Got a Question?" banner at the top of their Web pages, for
fear of being overwhelmed with questions. A bookmarklet can be distributed
to a selected subset of patrons enabling the library to control and track
access to the service.
More information about bookmarklets can be obtained by visiting the Websites
listed below. To obtain the code for the specific bookmarklets mentioned
above or for more information, contact the
author.
Resources
1. Kangas S. Bookmarklets home page. [Web document]. 1998 [cited 1 Dec
1999]. <http://www.bookmarklets.com>.
2. Shiran Y, Shiran T. Bookmarklets. [Web document.] webreference.com,
1999 [cited 1 Dec 1999]. <http://www.webreference.com/js/column35/>.

Influenza
Edited by Melissa L. Just
Submitted by Candice Benjes, M.L.I.S., Norris Medical Library, University
of Southern California–Los Angeles
Internet Resources
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Name
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URL and Description
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| Centers for Disease Control
and Prevention: Influenza Prevention and Control |
www.cdc.gov/ncidod/diseases/flu/fluvirus.htm
This Centers for Disease Control (CDC) page has information about
vaccines and antiviral medication, surveillance methods and reports,
and links to recent MMWR articles about the disease.
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| FluNet |
oms.b3e.jussieu.fr/flunet/
Coordinated by the World Health Organization, this site links national
influenza centers throughout the world in order to provide global
surveillance of the virus. Summaries of the weekly influenza reports
received from the National Influenza Centres and maps detailing
epidemic areas throughout history are available online.
|
| Influenza A to B |
www.medinfo.ufl.edu/cme/flu/flu.html
This learning module from University of Florida presents four case
studies regarding the flu. Each case study includes a multiple-choice
question-and-answer section and links to patient education information
sheets. A post-test is included for physicians interested in earning
continuing medical education (CME) credit.
|
| Influenza Bibliography |
www.nimr.mrc.ac.uk/Library/flu/
This current awareness service publishes citations from MEDLARS.
The online files date back to 1993, and a new list is distributed
every one to two months. A search feature is currently being developed.
|
| Influenza Sequence Database |
www.flu.lanl.gov
This database holds all influenza A, B, and C sequences that are
in GenBank, as well as a few nonpublished sequences for influenza
A. The site is designed for the researcher who wants to retrieve
or deposit sequences and provides tools to aid in the analysis of
sequences.
|
| Relenza Information |
www.fda.gov/cder/news/relenza/default.htm
This Food and Drug Administration (FDA) Web page contains information
regarding Relenza (zanamivir), an inhaled anti-viral drug for the
treatment of type A and B influenza. The FDA talk paper, Approval
Letter, label, and memorandum from the agency can be accessed from
this page.
|
| Scientific American:
Disarming Flu Viruses |
www.sciam.com/1999/0199issue/0199laver.html
The Website consists of a January 1999 article discussing efforts
to develop vaccines to prevent influenza infection. It also provides
a good overview on pandemics and the biology of the virus.
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Research Spotlight
Edited by Virginia A. Lingle, AHIP
Submitted by Kristin Stoklosa, National Institutes of Health Library,
Bethesda, MD, and Research Resources Committee, MLA Research Section
Editor's Note: This series features MLA members’ research projects
published outside the library literature in scientific and biomedical
publications. The Research Resources Committee of the MLA Research Section
shares this series to promote awareness of information research, to encourage
research in library practice, to stimulate interest in a variety of publications,
and to inspire further MLA research.
"Toward a Framework for Computer-Mediated Collaborative Design
in Medical Informatics"
MLA Member and Project Leader
Robert A. Greenes, M.D., Ph.D., Decision Systems Group, Brigham and Women’s
Hospital, Harvard University, Boston, MA
Source
Patel VL, Kaufman DR, Allen VG, Shortliffe EH, Cimino JJ, Greenes RA.
Toward a framework for computer-mediated collaborative design in medical
informatics. Methods Inf Med 1999 Sep;38(3):158–76.
Project Description
The purpose of this descriptive study is to explore how electronic communication
can support multi-institutional collaboration on project design. Specifically,
the authors use as their subject the InterMed Collaboratory, an Internet-based
medical informatics project among groups at four participating universities.
The research is especially suited to one of the InterMed Collaboratory’s
main objectives: the development of tools and resources for disseminating
clinical guidelines across medical disciplines and settings. To study
how various communication modes facilitate collaborative design, the researchers
collected and analyzed observational data from the InterMed Collaboratory
over eighteen-month and ten-month time periods. Their conclusions emphasize
the importance of matching modality with purpose: face-to-face meetings
can coalesce shared group goals; email is advantageous for clarifying
technical details but limited for conflict resolution and negotiation;
and conference calls facilitate the clarification of executive activities.
The product of this research is a theoretical and methodological framework
to characterize effective collaborative communication practices in the
context of medical informatics.
"Hierarchical Concept Indexing of Full-Text Documents in the
Unified Medical Language System Information Sources Map"
MLA Member and Project Leader
Holly K. Grossetta Nardini, John Hopkins University, SAIS Bologna Center,
Bologna, Italy
Source
Wright LW, Nardini HKG, Aronson AR, Rindflesch TC. Hierarchical concept
indexing of full-text documents in the Unified Medical Language System
Information Sources Map. J Am Soc Inf Sci 1999;50(6):514–23.
Project Description
Focusing on information source identification and full-text document retrieval,
this study observed the manner in which automatic hierarchical indexing
could improve the quality of source and document selection. Using the
Health Services/Technology Assessment Text (HSTAT) database in the context
of NLM’s Information Sources Map, the researchers sectioned and indexed
sixty-six HSTAT documents. SGML-Extractor was used to produce document
fragments based on structure, and natural language processing was used
in a program called MetaMap Indexing (MMI) to map medical text to concepts
in the UMLS Metathesaurus. Applying the indexing terms to the document
sections created a hierarchical index in which 60% of MMI-generated MeSH
term assignments were not covered by current HSTAT indexing. To test document
selection, they provided the hierarchically indexed document fragments
to the Inquery retrieval system. Comparing Inquery and HSTAT search results
revealed that the Inquery database retrieved both small sections and entire
documents, whereas HSTAT posted only the lowest level passages. From these
findings, the researchers postulated that hierarchical concept indexing
and document sectioning could improve selection quality.

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