MDMLG News

Volume 28 Number 2
November 2001

 

 

Sue Skoglund, Editor
Valerie Reid, Webmaster

For a text-only version of this newsletter, see http://www.mdmlg.org/members/v28no2-text-only.htm


Table of Contents

PubMed LinkOut Feature
Remember When...
Long-Term MDMLG Members
Highlights of the MHSLA Conference

When the Hospital Administration Has to Make Cuts
Bioterrorism:  Responding to the New Reality
November MDMLG Meeting with Special Luncheon
Announcements


PubMed LinkOut Feature

E-journals hook up with LinkOut

By Bridget Faricy

LinkOut is a feature of PubMed that is designed to provide users with links to full text sources. Although this feature was initially not well publicized, many were happy to trip across its functionality. One day the tempting publisher icon at the top of a citation was boldly clicked and, believe it or not, the link actually worked!

As exciting as that was, the glow quickly faded as the functionality proved to be a mixed bag. While many links worked, many more did not. It became clear that only when an institution had already established IP access with a publisher did the links really work. Librarians could not recommend that users waste their time endlessly clicking and clicking only to find that the journal wasn’t one of ours. The question quickly became, what good does a link do if a user cannot have a reasonable expectation that the link will take him or her to the desired text?

NLM now has the answer to that question! Libraries can now submit their IP identity and their electronic holdings to NCBI using a free software utility from NLM. Once that information is in place, a special web address (specific to your institution) is created. When PubMed is accessed from that special address, only your institution’s publisher icon links are displayed!

You can learn all about the new LinkOut functionality for libraries and the complete setup process at the NLM web site or you can call your RML LinkOut Representative at 1 800 338-7657.

 

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Remember When

By Sue Skoglund, reminiscing with Audrey Bondar

Remember when …

… we had SLOBS, then ULOSSOM – printed union lists of journal holdings of MDMLG libraries? You had to find the journal title, then look down a long list of libraries to see who had the volume/year you needed. Do you remember what the acronyms meant?  (Selected List of Biomedical Serials and Union List of Selected Serials in Michigan)

… we used to call Shiffman Medical Library and ask them to check the union list card file they maintained of several (but not all) MDMLG libraries’ monograph holdings? Limit of 3 at a time, please. Beyond that, we had to call around blindly to see if anyone held a needed book.

… we used Texas Instruments dumb terminals for Medline searches, putting our phones into the acoustical coupling device? These babies had a speed of 300 baud and printed on thermal paper that curled up like scrolls. Medline would print about 25 lines and then give a "continue printing yes/no?" message to which you needed to reply "y" every time.

… we didn’t even have computers at all? OR fax machines OR word processing OR a photocopier located in the library?

… broad term Medline searches yielded the GEN TERM OVERFLOW error message?

… we picked up or delivered STAT interlibrary loans by car?

… we had sufficient staffing and budgets for our libraries?

… we could all attend MDMLG meetings four times per year, where we would form warm associations with colleagues and swap photocopied interloan requests?

If you remember any of these, you are a "long-termer." You can attest to the fact that technology has certainly changed the way we do our jobs. You can also confirm that the relationships formed with MDMLG colleagues have remained a constant and valuable asset through everything.

 

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Long-Term MDMLG Members

By Carol Attar

In the last issue of the MDMLG News, we introduced new members of MDMLG.  This, the second article in our series on MDMLG members, focuses on the opposite end of the spectrum...our, shall we say, "long-term" members. It is surprising how many long-term members there are in MDMLG, including the author of this article. It is also evidence of the value we accord to our professional organization. If you are one of those who have been a member for 20 years or more, but have not been interviewed for this issue, please be patient. We may be "saving" you for a future column. In the meantime, we can all learn from the experience and advice of these colleagues:

Ellen O'Donnell, Director of Medical Library, St. John Hospital & Medical Center, has been a member of MDMLG since 1977. Asked what changes she has seen in the organization during that time, Ellen notes a significant reduction in both the size of the organization and the attendance at meetings. She remembers that, in her early years with MDMLG, meetings were often attended by 60 or more people. By contrast, she says, today's meetings are considered well attended if 30 librarians are present. In the 1960's, Ellen explains, grant money was made available for the education of medical librarians, placing more professionals and larger staffs in the 
medical libraries of the larger hospitals at that time. By the 70's, however, a cycle of budget reduction had already begun. Through the years, she also notes, there has been a shift in resource sharing from the local level, early on, to the national level with the advent of Docline.

Asked how she believes our profession has changed during that time, Ellen cites a major difference in how she spends her day. Where she used to spend most of her time doing reference work (especially searches), she is now educating end-users and dealing with the headaches of technology. Her patrons today expect instant access to electronic journals, creating a host of new issues like licensing and archiving of electronic resources. Ellen also notes that she has additional responsibility - for the patient TV system - and is operating with fewer staff positions than in the past.

From the perspective of her 20+ years of experience, what would Ellen recommend to her colleagues who are just beginning their careers? On the positive side, she says, medical librarians enjoy autonomy and the opportunity to be involved in patient care. However, she adds, medical librarians in hospitals have fewer opportunities for interaction with colleagues than those in academic or public libraries. Since career ladders are generally lacking for hospital librarians, learning different skills in a variety of positions is particularly valuable. "Take opportunities for varied experiences in jobs," she says, "and realize that a lot of what you will do is managing people and projects, not reference work."

Daria Drobny joined MDMLG almost 32 years ago, at about the same time she accepted her position as Director of Medical Library at the Rehabilitation Institute of Michigan in the Detroit Medical Center. Daria remembers being told she would have responsibility for the library's budget, and thinking, "I don't even have a check book!"  She moved beyond budget management, however, and in 1982, with funds she acquired from a Skillman Foundation grant, she expanded the Rehabilitation Institute's library into a Learning Resources Center, which now encompasses a Patient Education Library and Media Center, in 
addition to the Medical Library. The Learning Resources Center continues to serve the needs of both patients and caregivers, providing information resources and Internet and Health Literacy courses upon request. It also houses the archives of the Rehabilitation Institute.  The Media Center supports all audiovisual services, including teleconferencing and outreach to satellite facilities.

Daria feels that the last five years have been the most challenging for her, in dealing with the impact of managed care on our libraries, as well as on healthcare in general. She notes shrinking FTE's in hospital library departments along with diminished budgets for training and conferences. She says that, "What has sustained me for so long is working in an environment where you are reminded everyday how fortunate you are and how life can change in an instant. Witnessing the determination of patients and the dedication of the staff still serves as a constant inspiration."  Another constant, Daria notes, is the "fervor and dedication" of the members of the Metropolitan Detroit Medical Library Group throughout the years.

Asked about "lessons learned" through her years as a medical librarian, Daria cites the importance of networking with other people. She says, "It is important to look for opportunity to provide additional services, change your services and be customer oriented...and look to promote services at every appropriate opportunity."  She would also advise those just beginning their careers to get involved in making presentations. "Start with poster presentations to get your feet wet, and then get involved in speaking engagements. Becoming members of hospital committees and working on administrative projects are extremely beneficial in promoting your skills.  Take risks and accept challenges."

Sandra I. Martin, Assistant Director, Shiffman Medical Library at Wayne State University, has major responsibility for reference and circulation service, monograph acquisitions and library instruction programs. She also provides back up, as needed, for the reference desk. Sandra has been a member of MDMLG for about 24 years.

As Sandra looks back at her years as a medical librarian, she notes a cyclical pattern of activity in our local professional organization. Early on, she remembers hearing that the focus in MDMLG was on networking with fellow librarians to share skills and experiences. Later, MDMLG began tackling major projects. Members hosted regional meetings and worked together on large cooperative projects such as creating a union catalog to facilitate the sharing of resources. Education and professional development of members became a major goal. These projects, she observes, served as a training ground for later committee work. In those early years, there was a somewhat adversarial relationship between MDMLG and MHSLA, and little cooperation between the two organizations. Now, however, the responsibility for major projects and meetings has shifted to MHSLA and the MLA chapters, and MDMLG, Sandra feels, has returned to its earlier emphasis on networking among colleagues. Agreeing with Ellen, Sandra attributes much of this change to the advent of Docline, which shifted resource sharing away from the local level.

Technology has resulted in a major change in the profession of medical librarianship, as well. Sandra notes that librarians used to control all the information resources -- acquiring them, organizing them, and using them to find needed information. Now, the "end-user" has control over a great deal of that process, changing the role of the librarian from gatekeeper to that of instructor/facilitator.

Sandra's experience in different positions during her career has taught her that medical librarians, although they face many challenges today, have a very useful set of skills which equip them for many new opportunities in today's world. To medical librarians beginning their careers, she advises, "Be a communicator. There are many different styles of communication, so communicate in whatever way you are comfortable -- but get your thought and views out!"

"Think out of the box. Be flexible. You may need to learn new skills or be asked to assume new responsibilities. With today's increasing rate of change, you must be flexible to adapt. Also, keep on learning."  Sandra recalls a longevity study, which cited the "lifelong learner" trait as a factor in a long life. Beyond that, Sandra says wryly, " passion for learning may also be a factor in the longevity of your career!"

Sharon Phillips is an example of someone whose skills and flexibility have taken her into one of those "new opportunities."  After spending many years as a hospital librarian, Sharon became the Director of Media Services at Wayne State, and now has moved to a position at WSU so new that she does not yet have a title. She explains that this move is part of a reorganization and strategic planning effort within the WSU library system, so her job duties will be evolving over the next few months. Her probable title will be Director of Training and 
Development. In this position, she will be responsible for planning and coordinating training and development for librarians and support staff across the Wayne State campus. She also will be involved in developing faculty skills in using technology for instruction and research.

Sharon has been a member of MDMLG since 1977, and through the years, she notes that the membership has become smaller. "That is not surprising," she adds, "since there are fewer hospitals now!" She compares the change in our organization to the changes in healthcare - notably constraints in both time and money - that prevent MDMLG members from the degree of participation in the organization that was possible in prior years. Also, Sharon sees a reduction in support from members' institutions. This creates a challenge for MDMLG to find smarter ways to manage finances. A great example of this, she says, is moving the directory and newsletter to the web, saving both time and money for the organization and its members.

Sharon has also observed a change in MDMLG's role in recent years, as MHSLA has taken on more responsibility. She links this to a change in demographics, resulting in more librarians in out state hospitals, where once they were concentrated in the metro-Detroit area.  As to changes in our profession over 20+ years, Sharon, too, points to the changes in technology. She remembers the time when searches were done on terminals connected to remote computers. Libraries had to pay, by the citation, for their printouts, and search strategies were always carefully prepared in advance, so you could get on and off quickly. She says, "We thought that when, later, we got our own Medline on CD's, we had gotten rid of modem and connection problems forever! Now, however, we have come full circle and are again paying for use times and again subject to being bumped offline...   The Internet has changed all libraries and we need to reexamine the role of libraries and librarians. We have become more facilitators, and less mediators in the search for information." She feels, however, that medical librarians have a stronger grasp of this situation than librarians in other types of libraries.

To colleagues, Sharon echoes the need for flexibility. She acknowledges that hospital jobs are less predictable than in the past, but she believes that hospitals provide a good environment for medical librarians to develop a broad range of skills and experiences that are transferable. She would like to see medical librarians play a stronger role in developing the Internet as an effective information resource, citing the current difficulty in retrieving good, specific information using Internet interfaces. She is concerned that information technology development is taking place in medicine without involvement of medical librarians. "We need," she says, "to do a better job of promoting our unique  skills to assess the quality of information and match information with user needs."  

Finally, Sharon says to those beginning their career, "Pursue as many opportunities for learning as possible. Choose the work because you love it, and success will follow!"

 

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Highlights of the MHSLA Conference

By Marilyn Kostrzewski

The Michigan Health Sciences Libraries Association held its 28th annual conference on October 10-12, hosted by the Mid-Michigan Health Sciences Libraries Group, at the beautiful Soaring Eagle Resort. The conference, entitled Soaring to New Heights: Weaving Tradition and Technology, provided opportunities to investigate the electronic, physical and multicultural challenges of healthcare information needs.

Three distinct continuing education classes were offered on Wednesday. The full day course dealing with the management and licensing of electronic resources was taught by Laurie Thompson, Director of the Health Sciences Library, SUNY Upstate Medical University in Syracuse, New York. In the morning, she guided the class through multiple facets of digital licensing, including explanations of terminology, contract process and how the Copyright laws apply to this type of licensing. The afternoon was spent analyzing an actual contract, assessing needs, negotiating strategies and tips on working with your company’s legal department. It provided a very relevant and systematic guide for tackling the challenges of electronic resource management.

Stephanie Weldon from the GMR, taught the "Consumer Health Information Course", a useful class for librarians developing strategic plans for their consumer health libraries. Covered topics included needs assessment, mission statements, funding, disclaimer statements, marketing, library volunteers, collection development, and benchmarking. As is so often true when librarians get together, the shared insights and experiences of attendees contributed to the success of this class.

The lively course entitled "Using the Basic Tool of the Information Age - Your Brain", taught by Dr. Barbara Herrin of Dominican University’s Graduate School of Library and Information Science, was both informative and entertaining. Attendees learned how their individual personalities, as determined by the Myers-Briggs tool, influence how they solve problems and work with others. Barbara used a variety of visual aids and role-playing techniques to illustrate concepts and stimulate discussion. Ask Diane O’Keefe how this class augmented her enjoyment of the conference.

Thursday launched the transcultural aspect of the conference, with the keynote speakers, husband and wife team Duncan Sings-Alone (Dr. C.W. Duncan, PhD and Dr. Priscilla Cogan, PhD), presenting a very enlightening and engaging presentation of storytelling and personal anecdotes. They contrasted Western and Native American medicine’s role in the healing process of mind, body and spirit.

A variety of vendors were present, on Thursday, to present product demonstrations and answer questions. Breakfast and breaks were supported in part by a few of them.

The business meeting was conducted by President, Doris Blauet. State librarian Christie Pearson Brandau addressed the audience concerning the NetLibrary, the state library cooperative ventures, her cabinet position role in Governor Engler’s Department of History, Arts and Libraries and stated how impressed she was by our group’s camaraderie. Mike Simmons, Sparrow Hospital, incoming president accepted the gavel for the upcoming year. He provided the group with a very inspiring slide presentation. Judy Barnes, Ingham Medical Center, was introduced as the incoming secretary. The following scholarship winners were introduced: Pat Vinson from Wayne State, Barbara Few from U of M, and Jill Werdel Spretzer, University of Detroit Mercy, a new MHSLA member. The MHSLA poster session was enjoyed on Thursday with 6 presentations.

At the conclusion of the program, Joanie Emahiser, Beaumont-Royal Oak and Doreen Bradley, Taubman Medical Library, Ann Arbor invited the assembly to the 29th Conference to be held in Ann Arbor, October 16 - 18, 2002, hosted by MDMLG region.

Following lunch, the Barbara Coe Johnson and Jeanne Brennan Memorial Speaker, Felita Wilson, from Wayne State University, highlighted the consequences of inadequate patient literacy levels in relation to the types of health information available, and discussed current research being done in this arena.

Later in the afternoon, Duncan Sings-Alone presented an enlightening interactive program on Reiki Healing. Participants experienced how the energy flow within themselves, channeled in the proper way, can provide relaxation and comfort for themselves and others.

The special event featured the Saginaw Chippewa Indian Tribe providing entertainment following a delicious meal prepared by the resort chefs. Singers, dancers and musicians, of all ages, outfitted in a variety of native costumes, provided entertainment and insight into the Native American culture and customs.

Concurrent sessions were the order of the day on Friday. Our own Alexia Estabrook, Providence Hospital, presented two sessions concerning the MHSLA electronic journal club. She explained the Web Crossings software, topic choices, responsibility of the convener, and receiving MLA credit that can be used to apply for or renew AHIP memberships.

Jeanne Drews, Michigan State University, presented a very practical course on preparing for a library disaster. At the conclusion we all had the materials to create a complete disaster plan.

The Multicultural Challenges of Healthcare was the topic of the program presented by Rose Alcodray-Kalifa, RN, Oakwood Healthcare Systems. Her session addressed the impact of cultural and ethnic traditions and beliefs on the delivery of healthcare services. Concepts of cultural competency were explained.

Stephanie John, Saginaw Cooperative Hospitals, presented an authoritative program on Using Personal Digital Assistants. She discussed how information professionals are supporting PDAs in their resource centers. A demonstration of a variety of devices and their uses complemented the program.

I found this conference to be very instructional and invigorating. It presented aspects and items affecting the delivery of healthcare information that are not traditionally considered. Entertaining presenters, enthusiastic participants, attractive facilities, and delicious cuisine provided a very enjoyable and educational event.

 

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When the Hospital Administration Has to Make Cuts

By Christine Miller

When a hospital administration has to make cutbacks, the medical library and positions in the library are always in a precarious position. The medical library itself does not provide direct patient care nor does it generate income, which makes the medical library appear quite expendable.

As a solo librarian in a community hospital medical library, my job was recently in jeopardy, as was the status of the medical library itself. The entire (tiny) library budget was going to be cut. The new administration was not aware of the many services offered by the medical library. In addition to providing reference, research and article ordering for all employees in the hospital, I order all publications for the entire hospital. I also provide reference help to patients, their families and the community - when they can find my little library! We do not have a community health library. Fortunately for me, and for the hospital, a large number of physicians objected to the cutback plan.

My library may be somewhat unique in that it is situated immediately adjacent to the Doctors Lounge, and near the doctor's dictation area, which is attached to the Medical Records department. As a solo librarian, my work is quite visible to the doctors. In no particular order, I think that some of the following points may have been somewhat instrumental in influencing physician support:

  • I love my job, and it probably shows.

  • I put the physician’s research requests at the top of the priority list.

  • I interact with all library patrons in a professional manner, everyday.

  • I try to help everyone to be comfortable with computers and not to feel "challenged" by technology.  (The doctors seem to be impressed with my computer ability, knowledge of medical terminology, and my ability to do quality medical information research.)

  • Working with an incredibly small budget, I manage to purchase core reference materials and highly recommended texts.

Perhaps it boils down to doing a professional job, enjoying it, and having a great staff of doctors who know that "Information is your best medicine. " (Michael E. DeBakey MD – as quoted on the MEDLINEplus.gov Health Information pencil holder on my desk!)

 

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Bioterrorism:  Responding to the New Reality

By Elena V. Koustova

In the aftermath of the tragic events of the past September all of us share in grief and anger, as we struggle to understand the causes of the recent past and worry about the future. As librarians, we face a daunting yet urgent task of finding effective ways of helping our country and the communities we serve to deal with the present and potential threats. This article will address some of the issues concerning one of such threats: bioterrorism.

The first of these issues that begs notice is the necessity of differentiating between "biological terrorism" and "biological warfare (weapons)". These terms are sometimes used interchangeably in publications geared towards the general public as well as some professional writings. However, they are not one and the same thing. Their differences are important for the understanding of our current situation and planning response to any future events involving biological threats.

Biological warfare defined as employment in war (i.e., in the context of a military confrontation) of microorganisms to injure or destroy people, animals, or crops [1] is probably almost as ancient as war itself [2, 5]. The use of biological weapons was outlawed by the 1925 Geneva Protocol, but the concerns over the possibility remained. In 1972 these concerns were addressed by the 1972 Biological Weapons Convention which outlawed development, production, and stockpiling of biological weapons including the ones based on naturally occurring toxins [3].

In the period between 1945 and, approximately, 1979, the threat of biological warfare was viewed almost exclusively in the context of hostile actions between states as evidenced by this quote from a 1946 US government study: "…only a nation with sizable resources in specially-trained scientific personnel and industrial facilities can produce the means to wage open, large-scale biological warfare. In order to utilize successfully the biological warfare potentialities of any nation, a favorable national policy and the support of high governmental agencies are prerequisites" [4].

This view of state-supported programs as the only potential source of development and use of biological weapons was about to be challenged by two important developments: proliferation of terrorism, particularly terrorism of religious extremists, and rapid advances in molecular genetics and biotechnology. The first of those trends was about to supply motives and the second one the means for bioterrorism - the use, or threatened use, of biological agents to promote or spread fear or intimidation upon an individual, a specific group, or the population as a whole for religious, political, ideological, financial, or personal purposes.

In 1984 the Rajneesh group in The Dalles, Oregon, contaminated food with salmonella in an attempt to disrupt and influence the outcome of local elections. This event is considered to be the first known instance of intentional use of a biological agent with terrorist purposes on US territory. More than 700 people became seriously ill; luckily, the terrorists' choice of pathogen did not intend to cause deaths and none occurred [3]. Despite this ominous event, during the next ten years the potential use of biological weapons continued to be viewed almost exclusively in connection with state-supported programs [5].

The turning point in the perception of bioterrorism as a real threat came in 1995 after the members of a Japanese religious cult "Aum Shinrikyo" released Sarin in the Tokyo subway, killing thirteen and injuring several hundred people. The subsequent investigation revealed multiple prior attempts by this group to produce and disperse biological agents (Clostridium botulinum and anthrax). These findings and the resulting surge of public interest in bioterrorism [6] prompted several research projects attempting to provide global overview of any events concerning the actual use or attempts to use biological agents, attempts to purchase materials, hoaxes, threats, consideration or discussion of use, etc. [3, 7]. The studies produced several interesting conclusions, which were proved to be true by recent events:

  • "Since 1985, the number of terrorist incidents involving the threatened or actual use of chemical, biological, radiological, or nuclear materials has risen sharply…"

  • "… two types of targets have increased in frequency: the general civilian population (with the apparent intent of inflicting indiscriminate casualties) and a symbolic building or organization."

  • "… the technical barriers to mass-casualty terrorism are eroding." [7].

The implications of these statements become even more poignant if one recollects the ruling paradigm of the previous decades: only states [nations] are capable of using and producing biological weapons on a large scale. Consequently, the U.S. bio-defense programs designed by the latter half of the 1990's were predominantly intended to protect the armed forces against biological warfare [9] and did not address the fact that terrorists attacking civilian population had become a threat of equal importance.

The growing probability of such attacks prompted the federal government and some non-government organizations to conduct a review of the existing US programs of dealing with biological assaults. Examples of such reviews can be found in the reports on bioterrorism published by the United States General Accounting Office (http://www.gao.gov/)  and the Chemical and Biological Weapons Nonproliferation Project of the Henry L. Stimson Center.

According to the GAO reports, the major flaws in the plans of response to bioterrorism are:

  • Lack of coordination between various agencies responsible for federal terrorism research, preparedness, and response programs (see the "Organizational chart for terrorism response", http://www.cns.miis.edu/research/cbw/domestic.htm#wmdchart)

  • Insufficient state and local planning and a lack of hospital participation in training on terrorism and emergency response planning

  • Need of better management of federal medical stockpiles that can be used to treat civilian and military victims in the event of a biological attack

The Stimson Center Report "Ataxia: The Chemical and Biological Terrorism Threat and the US Response" further detailed the "pitfalls in front-line readiness" to Biological attacks:

  • Disease surveillance system is not prepared for early detection of a covert bioterrorist attack

  • Lack of awareness of the symptoms and epidemiological patterns of biowarfare diseases by the majority of primary care and emergency department physicians, which would compound the difficulty of telling a covert biological attack from a natural outbreak and organizing a response in a timely manner

  • The current cost-cutting practices of just-in-time stocking of supplies by hospitals would be counter-productive in case of a mass disease outbreak caused by an act of terrorism

  • Mass psychogenic effects of a biological attack would further complicate the work of hospitals; the staff is likely to be affected as well

Numerous changes addressing these and other shortcomings of the US disaster response plans occurred since the publication of the reports cited above, including the National Pharmaceutical Stockpile Program (http://www.bt.cdc.gov/stockpile) and the establishment of the CDC Bioterrorism Preparedness and Response Program.  However, the ability of primary and emergency care physicians to recognize and report the onset of a biological attack remains crucial for the success of all the renewed plans and programs. It also continues to remain unsatisfactory [13].

How are we as medical librarians responding to this situation?

Building specialized collections of web-based materials on bioterrorism seems to be the unanimous first response of the library community. Webliographies and bibliographies on bioterrorism were created almost overnight by MEL, MLA (http://www.mlanet.org/resources/caring/resources.html), NLM, on the sites of various other libraries and organizations.

Some of the benefits of this approach include:

  • Assembling materials compiled by different agencies in one collection helps to remedy the insufficient coordination of effort between agencies noted in the GAO reports

  • Such collection is "instant", easily (or "self") updated, remotely accessible by patrons

The main drawbacks of such solution are the inevitable duplication of efforts and its total dependence on the communication technology. While we can tolerate the former, the latter becomes dangerous in the event of any disruption of communication systems. This issue has been raised on MEDLIB-L by Jeannine Gluck (http://listserv.acsu.buffalo.edu/cgi-bin/wa?A2=ind0109c&L=medlib-l&F=&S=&P=12846)  who suggested a possible solution: keeping printouts of reputable resources on diagnosis and treatment of illnesses caused by biological agents most likely to be used.

This approach solves the problem of dependence on communications but creates some challenges of its own: keeping the printout collection sufficiently updated and deciding which agents have higher priority.  Nevertheless, creating a collection of printed materials at least on the Category A agents appears to be an excellent idea. Adding printouts of local information such as state/county bioterrorism preparedness and response plans [11] and contact information for local emergency management programs  might be another way to enhance such a collection.

Some of the other possible approaches to the situation might be:

  • Tailoring routine bibliographic instruction to cover more of the terminology and resources specific to bioterrorism and infectious diseases

  • Developing partnerships with local first response organizations as well as public libraries in order to educate the public on issues related to potential biological attacks

Active professional communication is still another way to contribute to thwarting the threat of bioterrorism. The discussion and recommendations on MEDLIB-L (http://listserv.acsu.buffalo.edu/cgi-bin/wa?A0=medlib-l&D=0)  that followed the initial terrorist attacks and their aftermath have already provided a wealth of resources and ideas. Let us hope that our professional community will continue to be a source of strength and wisdom to all of us in those difficult times.

REFERENCES

  1. Biological warfare: Infoplease.com
    http://www.infoplease.com/ce6/history/A0807621.html
     

  2. R. E. Hurlbert. Chapter XV, Addendum: Biological weapons. In: Malignant Biology.  Microbiology 101 Internet Text, 1997.

  3. M. Leitenberg. Biological Weapons in the Twentieth Century: A Review and Analysis*

  4. Biological Warfare, Activities and Capabilities of Foreign Nations, A Military Intelligence Service Special Study, War Department, Washington, DC, March 31, 1946, p. 18, Declassified.

  5. Medical Management of Biological Casualties. U.S. Army Medical Research Institute of Infectious Diseases, 1998.

  6. D.E.Kaplan. Terrorism's next wave, Nerve gas and germs are the new weapons of choice. U.S. News Online, November 17, 1997.  

  7. J. B. Tucker. Historical Trends Related to Bioterrorism: An Empirical Analysis. Emerging Infectious Diseases. 5(4):498-504, 1999 Jul-Aug.  http://www.cdc.gov/ncidod/eid/vol5no4/tucker.htm 

  8. T.J. Torok, et al. A large community outbreak of salmonellosis caused by intentional contamination of restaurant salad bars. JAMA 1997;278:389-95.

  9. B.Rosenberg. A way to prevent bioterrorism. San Francisco Chronicle, 18 September 2001, A17.  http://www.sfgate.com/cgi-bin/article.cgi?f=/chronicle/archive/2001/09/18/ED180411.DTL 

  10. J.R. Baker Jr., G.S. Omenn. Practical plan can deter bioterrorism. Detroit News, 10 October 2001.

  11. A.E. Smithson, L.A. Levy. Ataxia: The Chemical and Biological Terrorism Threat and the US Response. Henry L. Stimson Center, Washington, D.C. October 2000.

  12. A.Goldstein. Anti-Terror Campaign Turns to Doctors :Physicians Scramble to Learn About Bio-Weapons; Some Urge Mandated Training. Washington Post , October 14, 2001; Page A12.
    http://www.stimson.org/pub.cfm?ID=12

 

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November MDMLG Meeting with Special Luncheon

By Sue Skoglund

The next MDMLG meeting will be held at Genesys Regional Medical Center in their new Athletic Sports Center on Thursday, November 15, 2001. Denise Forro, head of interlibrary loan services for Michigan State University, will discuss ARIEL – how to do it, problems and concerns.

In keeping with the Sports Center location, there will be a "Take Me Out to the Ballgame" light luncheon (hot dogs, nachos, etc.) provided before the meeting. Jill VanBuskirk will present an overview of the upcoming MLA survey on benchmarking with tips on how to complete the survey form during this brown bag luncheon without the brown bag.

The luncheon begins at 12:00 noon. The business meeting will begin at 1:00 p.m., followed by a break and the program. Further information, along with a map, can be found on the MDMLG Meetings web page.

 

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Misa Mi is looking for two people to join her Public Relations Committee. E-mail her at mmi@dmc.org  or call her at Children’s Hospital 313/745-0252 if you are interested.

Jill VanBuskirk wants to encourage MDMLG members to participate in the upcoming MLA survey on benchmarking. Jill is the Benchmarking Chapter Educator for MC/MLA. More information should be available on the MDMLG and MLA web sites later in November. The survey itself should be coming out by the end of the year.

The location of the February 21st MDMLG meeting has been changed. It will be at the Ford Community and Performing Arts Center in Dearborn.

Mark you calendar for June 10-11, 2002. The Professional Development Committee is working on a National Library of Medicine workshop similar to the ones held in Ann Arbor (Pubmed, Toxnet). The date and place are set: June 10-11, 2002 at Shiffman Medical Library.  More details to come.

Providence Hospital Helen L. DeRoy Medical Library has hired a new LTA, Donell Decenzo. Don was a teacher in Detroit for 30 years and had been a volunteer in the library for the past 4 years. His developing interest in libraries led him to take LTA courses at Oakland Community College. Don is also a new member of MDMLG.

Congratulations to Gina Hug on the birth of her son. Alexander Paul Hug was born September 18th, weighing five pounds, one ounce.

 

 

 

 

 

 

 

 

 

 

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Communications Committee 2001-2002

Carol Attar…………………..  carolattar@home.com 
Gay Byrnes………………….  Gaybyrnes@yahoo.com 
Bridget Faricy……………….   bfaricy@beaumont.edu 
Helen Koustova……………..   hkousto1@sladen.hfhs.org 
Maureen LeLacheur…………   mlelach1@sladen.hfhs.org 
Valerie Reid, Webmaster……   vreid1@sladen.hfhs.org 
Sue Skoglund, Chair…………   rohlibrary@hotmail.com 

 

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