Alisha764’s Blog

A solo medical librarian’s ramblings

Rumor Mill: Apple + McGraw-Hill

Posted by alisha764 on January 27, 2010

The rumors are flying about a certain release from Apple, supposedly debuting in about 3 hours.  I’ve watched with some interest–  after all this new device could be a big change for how information is accessed. Just think of physicians, nurses, and even patients carrying around a sleek larger iPhone with their chart information (if Apple is releasing a tablet of some form).

Medpage Today speculated these very ideas in a recent post.  The ideas are endless. Consumer health could be completely revolutionized by a tablet device.  Think of a patient entering their insurance information on a tablet PC, words are highlighted as they are entered, so in a simple click the patient is taken to MedlinePlus to learn more about diabetes.

I won’t speculate on the possibility that Apple is releasing a tablet or what it might look like/include. I will speculate on the possible applications for the medical field and for libraries.

Speaking of libraries, the McGraw-Hill CEO had a very interesting interview yesterday on CNBC. In the interview he alluded to an Apple tablet and confirmed McGraw-Hill had been working with Apple to display the McGraw-Hill textbooks.

Sorry the CNBC video would not embed in WordPress.

The idea here of medical textbooks on a tablet device and the possibility of transferring the textbooks, assuming this is what the CEO meant, is intriguing.  While having textbooks on a tablet would make it easier, there are several unknowns about the Apple device: battery life, price, screen resolution, option to switch to some form of e-ink, did I mention price?, etc.

If the item is priced in the right range this could really help boost the adoption of ebooks across the board. If however, Apple prices itself out of the library’s budget (not hard to do) then it probably would not help libraries.

Personally, I am still excited about Notion Ink’s Adam with the Pixel Qi screen, which provides the ability to switch between LCD and ebook format. This option extends battery life and makes reading from a screen easier on the eyes. (see previous post Technology & Medicine: New Screens)

We will just have to wait until after the release to hear more about the new Apple product and connections with McGraw-Hill.


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Friday Shout Out: MedlinePlus Developers for optimized mobile MedlinePlus

Posted by alisha764 on January 22, 2010

Today’s Friday shout out goes to the developers over at MedlinePlus for the new mobile version!

Here is the release from the The MedlinePlus Team:

Mobile MedlinePlus includes many of your favorite MedlinePlus and MedlinePlus en español pages in a display that is optimized for mobile devices.

Mobile MedlinePlus includes

*   Topic summaries – “snackable” pieces of information, you can access and digest quickly
*   News – the latest in treatment, medical research and healthy living tips
*   Images – visual appeal is important
*   Encyclopedia articles & drug information – heavily-used content

Mobile MedlinePlus does not include

*   External links – these pages are not optimized for mobile; they are “regular” Web pages
*   Interactive tutorials – Flash doesn’t work on many mobile devices
*   Some licensed content – we’ll work on adding in the future

Note:  This should have been published last Friday; however, something happened with the scheduler. Sorry for the delay!

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New WhiteHouse App

Posted by alisha764 on January 21, 2010

At first, I was thrilled to see the WhiteHouse had created an app for staying current with government news. Watching the State of the Union even if you are on the go is an excellent idea. Then I started thinking and looking at the post, , http://www.whitehouse.gov/blog/2010/01/19/whitehousegov-anywhere,  a little closer.

Yes WhiteHouse.gov anywhere… that is as long as you have an Apple iPhone or iPod Touch.

First, the WhiteHouse created an app before making Whitehouse.gov a mobile friendly website. This would have been, in my opinion, the best first step to reach the maximum number of mobile users. This creates the second issue.

The mobile app is only for iPhone and iPod Touch users. While I think the Apple products are excellent, it is obvious everyone does not have an iPhone or iPod Touch. Many people use other types of mobile devices. Why would the White House limit the app they have created for the people by limiting the delivery platform? Additionally, by limiting the app to only Apple devices it creates a further conundrum. Is the White House supporting Apple while ignoring other mobile devices? It’s just something to consider. Perhaps WhiteHouse.gov will make a change soon and offer the app on other mobile devices.  This is just the first step for the White House mobile platform.

Again, I think the ventures into mobile technology and social media by the White House are excellent ideas. I just think it should have started with a mobile friendly WhiteHouse.gov before a limited Apple app.

And yes, I realize this post is slightly cynical; however, I think WhiteHouse.gov could have created an excellent mobile website just like MedlinePlus first and then ventured into creating apps. The new MedlinePlus mobile website is simple, easy to use, and available to all mobile users.

**Please note the comments in this post are my own opinion and are not influenced, supported, or endorsed by any other entity, organization, institution or anything else. Also I am open to other opinions and thoughts on the reasoning behind the White House’s first step into the mobile platform. A different viewpoint could alter my opinion.**

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What’s in your Wordle?

Posted by alisha764 on January 14, 2010

I was recently reviewing a wonderful SlideShare presentation on the Top 100 Tools for Learning 2009.  Most people are probably very familiar with many of the tools in this list. I quickly sped through various Google products, Delicious, Twitter, and others. Then I ran across a few I had heard of, but not used.  I added some to delicious and tried out a few others.

One tool caught my attention, Wordle.

“Wordle is a toy for generating “word clouds” from text that you provide. The clouds give greater prominence to words that appear more frequently in the source text. You can tweak your clouds with different fonts, layouts, and color schemes. The images you create with Wordle are yours to use however you like. You can print them out, or save them to the Wordle gallery to share with your friends.”

We’ve all seen these word images floating around. They are in presentations, posted on websites, and just about any where they can be posted. I thought, just for fun I’ll plug in my blog’s address and create it’s very own Wordle.

I was surprised to get this:

Why? Well I am happy to see “information” is one of the larger items; however, I was not happy to see “WebMD” as the largest item on the screen. Yes I could have removed the term from the Wordle; however, I didn’t want to alter the image. I wanted to see what terms where used most on my blog according to Wordle.

No matter how many times I ‘randomized’ the Wordle, “WebMD” was still the prominent term.

The term is probably ranked higher than others due to a recent post, and thanks to this post probably rates even higher now!

So what does this all mean? Why am I posting about Wordle? Well it was a way of inspiring me.  Inspiring me to post more, and to also consider the overall affect of what I am posting.

Also, I started to think of the different uses for World. Do you keep a list of searches, articles, or other statistical information about your library? Maybe you could drop all of the information into Wordle to do a catchy display of the items most requested by patrons. For instance you could take the list of article request to determine the journal requested most often.

It looks like I’ve been filling a lot of ABOG request! One note, Wordle does not like spaces. It would probably work well with search request, or if you keep a list of patrons job title to show who is utilizing the library services more. For instance, if you do a Wordle on the latest request and see you have several for OB/GYN physicians but not much from nurses then you could plan more outreach to the nursing departments.

Yes I know statistics are better, but a picture is always a nice addition. Plus it is a different way to display information. Think about displaying a list of different task you do throughout the day or week. Then including this in a meeting with your boss to show, in addition to statistics, where you spend a majority of your time.  It could be a nice addition, especially if the person you are presenting to is a visual learner. Keep in mind the information on Wordle is entered by you and can be changed. It is up to the creator to make sure the inputted information matches the actual statistical information.

Can you think of other uses of Wordle in a medical library?

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Technology & Medicine: New Screens

Posted by alisha764 on December 7, 2009

I enjoy reading, evaluating, testing, and just learning about new technology.  Everyday I try to read several RSS feeds from various technology websites and follow some of the technology leaders on Twitter. Why would a solo hospital librarian be interested in technology?

Well, there are two reasons: 1.) I’m a Geek inspired by and passionate about technology, and 2.) Technology can and does have major impacts on medicine.

Over the last few weeks I’ve followed some posts about new screens which are currently in development.  We’ve all seen the news about the Barnes & Noble Nook (eReader).  I thought the inclusion of a small color screen at the bottom was a nice added feature, but what could this do for the medical community?

Next I saw several post about the enTourage eDGE. Curious, I investigated. I wasn’t able to get far since this device has not been released but when it is released it could have major impacts on technology used in medicine to find health information, especially at point-of-care. Here is a blurb from the company’s website:

The enTourage eDGe™ is the world’s first dualbook, combining the functions of an e-reader, netbook, notepad, and audio/video recorder and player in one. It’s a comprehensive device that lets you read e-books, surf the Internet, take digital notes, send emails and instant messages, watch movies and listen to music anywhere, at any time. This is nothing you’ve ever seen before!

The product is flexible (check out the pictures to see how it can be flipped 180 degrees), has a long battery life when using the eReader side, connects via WiFi or 3G, has Bluetooth capability for connecting an external keyboard, and much more.  No, I do not currently own an enTourage eDGe so I cannot give a product review. The finished product is on pre-order and will ship in February 2010.

So what, right?  Well, here is where I think this product could help the medical community.  A physician rounding on patients would have a device that folds together like a book making it easy to carry. They could write notes on one screen while talking to patients, pull up information on the netbook side to look up disease information or pull up consumerhealth information, and if they didn’t want to write down their notes they could use the audio recorder to dictate their notes.

It is one device with several features. Whether or not these features will surpass any of the current eReaders, netbooks, etc. is yet to be seen. The idea here is simplicity. One device. Yes you could use a mobile device to accomplish many of these task; however, the screens are normally too small to take notes, or show information (think of a picture or diagram) to patients. Also, I find it difficult to read on a mobile device for a long period of time. The enTourage eDGe would allow a physician to read articles on the fly without exhausting their eyes straining to see a small screen.

Maybe I’m way off base, but in my opinion this device has several applications and possibilities. I will be very curious to see the reviews when the official model is demonstrated at the upcoming 2010 International CES Conference in January.

If you are not interested in a dual device, then what about the ability to use your mobile device, laptop, netbook, etc. in daylight, bright light, and still use the device in normal conditions, with a color LCD screen?  Have you ever tried to read your mobile device on a sunny day? I normally have to find a shade tree or someone’s shadow to see anything.

Next year a new screen will be released that will make it possible, according to the company’s website, to view screens in different lighting. Pixel Qi, the company that created the screen for One Laptop Per Child, has been feverishly working on a new LCD screen which can be viewed in any lighting setting.

If an EMS is on the scene and needs to pull up WISER then the new Pixel Qi screen would make it possible even on a sunny day to review the information.  If the screens are able to conserve battery life (feature coming in 2010), then it would mean busy physicians, nurses, EMS, and other healthcare providers would not have to recharge as often. Plus, if the company is able to help reduce the price it would make it easier to afford these devices. I say if, because these are all future features yet to be seen.

All of these scenarios are merely possibilities until these new screens are released next year.  But just think of the possibilities and implications in the medical field!

Please visit the related websites for photos of these new screens. The photos were not posted here due to Copyright Law. If I have misstated anything then please let me know. The information on these new devices is limited since they will not be released until next year. If you know of any other new screens in development then please post a comment.  Please note I am not affiliated with the companies listed on this page in any way, nor do I endorse or support either of these companies. This post is for evaluating the impacts these new screens could have on the medical community.

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FREE CE: Beyond an Apple a Day

Posted by alisha764 on December 1, 2009

Another FREE online CE: Beyond an Apply a Day!

The class does not start until next year (Jan. 4, 2010- Feb. 7, 2010) but I would go ahead and register now before it fills up!

The class is worth 4 MLA CE, for those who complete the course, and is a Category A course option for the Medical Library Association’s (MLA) Consumer Health Information Specialization (CHIS) program.

For more information check out Nikki Dettmar’s post at the Dragonfly.

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Free CE: Spotlight- NLM Gateway

Posted by alisha764 on November 30, 2009

I’ve been trying to send these out as I see them, but I am sure I missed a few. Here is the last of the Spotlight Series for this year. So if you are rushing to get in another MLA credit check it out:

Last Spotlight! session of the year – NLM Gateway – Add it to your calendar – Dec. 9 – Wednesday, 1:00MT, 2:00 CT

This free CE is good for 1 MLA credit provided you attend and complete the activities. To learn more about this CE opportunity check it out at the MidContinental Region News Page.

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Health information: WebMD & the FDA?

Posted by alisha764 on November 11, 2009

While the partnership between WebMD & the FDA isn’t new (see Junkfood Science Post for past information), there was a recent announcement about expanding the partnership.

I am very leery and skeptical of a paternship between WebMD & the FDA. Why? Well if you haven’t visited the WebMD site lately then you’ve missed all of the wonderful drug ads. Let me start by saying I have nothing against the WebMD site. It does offer useful information and clearly states consumers should consult their physician, and states some items are written by ’sponsored’ parties. The problem I have is with all of the ads and the fact that they do let “3rd parties” write post:

webmd homepage

 

Wait, where is the FDA information? And did I miss the ad?  If you look closely the very first item on WebMD is an ad. It is kind of hard to tell, at least to me. There is no mention of a drug company just a statement “See how it affects the arteries.”  This ad is on the page twice, but where is the FDA link or information?

 

webmd fda

 

So the FDA information is almost at the bottom of the page?  What about being proud “to partner with the FDA to help Americans live healthier lives”?  Why wouldn’t the FDA link and information be at the top of the page?!?

Well what happens if I click on the ‘advertisement’ link:

sponsored article

The article pulls up and is very interactive… but what is the small line under the title “Sponsored by” mean?

Sponsored by

Wow. So who wrote this? I cannot say who wrote the article, it is not clear to me (please point it out if you see it). I can say there are TONS of ads for a certain drug.

Now, I will say WebMD or whoever wrote this page did put in references about contacting your medical professional and even:

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch or call 1-800-FDA-1088.

Wait, what happened to the link to the WebMD FDA information? I don’t see it on this page. Plus all of the ads for the drug take up tons of space and you barely notice the text about contacting your physician or the FDA, or at least I barely notice it.

WebMD does not say who these “3rd parties” are; however, with all of the ads, it ‘leads’ me to believe some of the articles are written by pharmaceutical companies. I cannot say who wrote these articles since it is not clear on the page to me.  Yes, there is a note saying it was written by another party other than WebMD but would people easily see this information?

The WebMD FDA page is free of all ads:

webmd fda site

What happens though if I use the search box at the top of the WebMD FDA page?

Webmd FDA search

I searched from the WebMD FDA page, but the first few items are actually advertisement links?!? The actual first item in the list, below the advertisement links, actually takes you back into WebMD….

webmd diabetes

Wait, I thought I was on the WebMD FDA site? I’m confused.

Yes, the search box at the top had a watermark of WebMD in the search box, which probably was an indication that it was only for searching WebMD and not WebMD FDA, but is that really clear?

WebMD does state all over the website that consumers should consult their physician, that

WebMD does not provide medical advice, diagnosis or treatment.

The question becomes can the consumer make this distinction or are the waters too muddy? The FDA has partnered with WebMD because:

“We see partners like WebMD as critical to helping us reach the public with important health information” said Margaret A. Hamburg, M.D., Commissioner of Food and Drugs.

The FDA, whether they meant to or not, has attached their name to WebMD. In a time when new rules are being established to separate hospitals, physicians, etc. from pharmaceutical companies the FDA has attached itself to a website which clearly displays tons of pharmaceutical company ads and has articles written by “sponsors.”  In my opinion, this has only muddied the waters. It also reminds me of the “ghosted” articles in medical journals, but the difference is WebMD does put a link saying it is sponsored by a unaffiliated 3rd party.

Maybe I am wrong. Consumers may check all of the references, sponsored by links, etc. on every page and not be influenced by the ads.

Personally, I would have liked to see the FDA partner with MedlinePlus and then advertise MedlinePlus more.


**Note: The comments in this post are my own and are written by me, Alisha Miles. They are not sponsored by, endorsed by, encouraged, or written by anyone else including any person, organization and/or company. The screen-shots have been taken directly from WebMD. The screen-shots have been cropped to only include the WebMD page and not include the internet browser toolbar(s). Besides cropping out irrelevant items outside the WebMD page, the screen-shots have not been altered. They have been utilized to illustrate the details and location of ads and not as an endorsement of any website or anything else. The author does not endorse, condone, approve or disapprove of any of the content in the links, pictures, ads, or screenshots utilized in this post. Also, the content on WebMD has not been questioned on this post, merely the use of ads and articles by ’sponsored’ parties.***

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SCMLA: Paper Session 2

Posted by alisha764 on November 5, 2009

This paper session was a little more hectic. Not only were all of the rooms off schedule but one of the doors was locked! So I wanted to see “Don’t Be Lonesome Tonight: Public Librarians as Go Local Partners” I couldn’t see since I couldn’t get in!

I did get to see:

“Distance Education Dissonance? A Study of Barriers and Benefits”

By: Shelia Snow-Croft and Terri Ottosen

They did an excellent job of presenting about the NN/LM distance classes on Moodle. I have taken a Moodle class “Geeks Bearing Gifts”, which was awesome. Terri & Shelia explained the issues with the distance causing disconnect.

They have had problems with people dropping out during the middle of the class due to time constraints. Shelia pointed out they have been working on this issue by following up with students, making sure the instructors are easily accessible throughout the class and providing ample time to complete the class.

I must say if you have not taken any of these classes you should look into them. There are some great topics plus you can take the class from your office for free!

“Developing a Culture of True Integration through Active Participation in the Organizational Leadership Vision”

By: Annette Williams

The project seems pretty intense and time consuming. It is similar to how some academic libraries are structured. There is a liaison to different medical departments. Each librarian works with the department and actually attends the rounds. This not only lets the librarian see the every day events of physicians, residents, pharmacists, nurses, etc. But the medical librarians help the medical staff answer questions.

It was interesting to hear how the clinical staff was actually intmidated by the process because they were afraid to admit they didn’t know something. So it is not just the librarians who are nervous.

By rounding the librarians had to present themselves even if they are introverts. You have to just jump out there and find your own rhythm to answering questions. They don’t force librarians to adopt one way to handle the questions on the rounds. Some people write the information down, others use technology like PDA & tablet PC, etc.

The librarians do store the questions and answers so they can train new librarians to conduct a reference interview. Plus storing these questions allows them to reference when the same or similar questions are asked.

Time does become an issue but the team support is how they survive. They triage questions, know each other’s strengths, and help with daily tasks.

I think this was an excellent project but in reality I could never implement due to time constraints . It is something I think all medical librarians should do at some point, round with physicians. Why? It helps you see the day-to-day tasks and challenges. By understanding the physicians, nurses, and other medical personnel work flow you can better serve their information needs.

 

**If you worked on one of the papers above and have any corrections/additions please post a comment! Thank you!***

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SCMLA: Alcenia’s

Posted by alisha764 on November 5, 2009

This afternoon Last Thursday afternoon was spent exploring Memphis… well at least the down town area. We walked around Beale Street and took some great pictures:

IMAGE_244

Finally, we decided to walk to Alcenia’s.

IMAGE_288

It was a little far from the Peabody. We walked down and then decided it would be better to take the trolley. It was well worth the $1 each way.

Alcenia’s was very festive with delicious food. The owner greeted everyone with a hug as they walked in.

Alcenia and me

The vegetables were extremely good and definitely had a little “soul” to them:

IMAGE_299

A great little restaurant tucked away in downtown Memphis!  Again well worth the trolley ride! The cornbread (not in the picture above) was delicious!

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