MDMLG News

Volume 29 Number 3
February 2003

 

 

Sue Skoglund, Editor
Valerie Reid, Webmaster


Table of Contents

It's Not Hi-Fi, It's Wi-Fi! - Wireless in the Library
Profile on Members:  Welcome to our New Members
Web Sites for PDAs
Slate of Candidates
New Logo Contest
February MDMLG Meeting
Announcements
Upcoming Dates

 


It’s not Hi-Fi, It’s Wi-Fi! - Wireless in the Library

We’ve all heard a great deal about the new wireless technology. We’ve heard that we can sit in the park and submit our taxes, surf the net from a table in a restaurant, and send our email from a yacht in the Caribbean (I wish!). It all sounds wonderful.

In general terms wireless connectivity means the ability to access networks, or the Internet, without the need for a telephone or Ethernet jack. It might allow a person to send items to a printer without having the need to be connected via cable to that machine. The jargon used might be a word called Bluetooth, or Wi-Fi. You might hear of a standard called 802.11. You might see terms like WLAN or WPAN.

Many hospitals have gone in at least some part towards this model of connectivity. Attending personnel are able to retrieve and submit patient data while at bedside. They access medical information while simultaneously sending out a request for prescriptions to be available at the patient’s pharmacy. They can run a quick Medline search to double-check a particular course of action, and they can add all of that information to a patient EMR.

There are a few caveats. One is able to do all of these things to a relative degree, but it presumes a degree of connectivity that simply is not available as of yet. Starbucks coffee in Seattle has designated a dozen or so shops in the greater Seattle area as wireless network hubs. You can have your latte and surf the net too.

In practical terms though, connectivity is not routine. There’s competition for signal, server problems and a simple matter of not every square foot of space even reaches the network hubs. In the right place and time you’re simpatico, but it’s sometimes not reliable enough to partake in a Net conference or to submit time-urgent information for most of us.

There are many terms thrown about here. I will attempt to make sense of the muddle at least in terms of what we might see in a hospital.

Bluetooth is the transmitter format that is to free us from our cables. It’s a device that transmits radio signals. Its intent is to allow devices to communicate at fairly close range, about 30 feet, and it’s meant to replace cords and cables. Printers can "read" the data sent from the laptop’s wireless card. You are on the network, but not literally plugged into it. They have been installed in cellular phones, PDA’s and computers (hardware and peripherals). The devices can ‘sense" one another; they then will automatically transmit to each other as needed.

The IEEE standard 802.11x is a wireless LAN (local area network) standard. It’s not a specific product. It refers to a way in which a wireless network hub and device modem or card interact and the speed with which the transmission occurs. There’s been 802.11b (wireless fidelity, Wi-Fi, and current standard) and 802.11a; 802.11g has just been approved as a standard, with 802.11i in development.

IEEE approved 802.11b in 1997 as a wireless transmission standard. Chips and transmitters were manufactured to use the 2.4 GHz part of the spectrum. This allows transmission of a signal for 300 feet or more consistently, as opposed to Bluetooths 30-100 feet range. This is also the same part of the signal that new cordless phones, some cell phones, and pagers use, so it can cause noise, distortion and dropped signals can happen during transmission. This is an annoyance in a telephone, but life threatening in a patient monitor. Many hospitals configure their pager scheme around this frequency, and most facilities don’t allow the use of cellular phones to limit this type of interference. 802.11g (just approved a few weeks ago) resolves some of these issues by allowing the signal to be broken and transmitted in different packets so that it suffers less interruption and is less hackable. The 802.11g standard also offers backward compatibility, a useful consideration.

The 802.11a standard approved in 2002 transmits at roughly the same speed as 802.11g. It isn’t compatible with the devices which run on 802.11b however. 802.11a offers a more complex schema to encrypt data and transmit it through packet formation and routing. It is a consideration for a facility just going to a wireless network that doesn’t have to account for older standards.

Many of the incompatibilities are manageable through the network creation in IT. These are just issues facing the implementation.

Network jargon is an issue for many of us so it might be helpful here to define a few of these terms: WPAN, WAN, WLAN, WEP, and WPA. WPAN (Wireless Personal Area Network) is usually a close range use of wireless technology, say inside an office or a home. It might run peripherals to multiple computers using Bluetooth and allow multiple Internet users within range of the signal. WAN (Wireless Area Network) is a not clearly defined term, but is often used with a WLAN (Wireless Local Area Network). They are sometimes used to describe the same type of setup – networks with several nodes covering multiple departments and often multiple buildings in a given area. WEP (wireless encryption protocol) and WPA (Wi-Fi Protocol Access) are types of security used in encoding wireless transmissions. WEP is the available standard given in 802.11b, but WPA is the updated version until the standard of 802.11i is a workable standard.

Security is a huge problem. Wireless networks are not as secure as hardwire, and we all know how faulty wired Ethernet/LAN can be. I was on a cruise 2 years ago; my credit card number was stolen over the wireless transmission between the port laptop and the cruise ship network. It’s very hard to trace because the hacker can change location and network usage very quickly. This was a major inconvenience to me, but it is nothing compared to a facility being sued over patient records. Mobile hackers are able to sit in a car and break into secure transmissions using your own wireless or a nearby wireless frequency. The very thing that makes it so convenient also creates the problem.

HIPPA, the elephant in the corner, demands heightened security protocols, one of which affects wireless setups already in place in many hospitals. The current solution is to demonstrate that the system is using the best available firewall, VPN and encryption technology reasonably available. As long as errors and fumbles are kept within reasonable limits, we should be able to implement these technologies. That may change over time. It’s too new to everyone to know how the next five years will fare with HIPPA. Libraries, depending on how the firewalls are implemented, may or may not be subject to the same regulations. We have to be concerned about the rules not only because they affect our organizations, but because we, in implementing new technology to make our facilities more efficient and user-friendly, also run the risk of creating a parking space for the Trojan horse.

Websites to check out for further information:

http://www.wi-fiplanet.com 

http://www.computer.org 

http://www.ieee.org/portal/index.jsp 

http://www.wired.com 

Juliet Mullenmeister 
St. Joseph Mercy of Macomb

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Profile on Members:  Welcome to Our New Members

Jennifer Bowen, Family Resource Librarian at Children’s Hospital, came to Children’s from a position as Reference Librarian at Plunkett & Cooney law firm. Although Jennifer had planned to be a law librarian, she decided to look for a part-time position when she became pregnant with her first child. She found the job at Children’s to be a "perfect fit," and hopes to stay there as she raises her family. She finds her work in the Resource Center more rewarding than legal research. She says the parents of sick and hospitalized children really appreciate the information she gives them, and she truly feels that she is able to make a difference.

Jennifer joined MDMLG to learn more about the medical field. She finds the meetings very interesting, and appreciates problem-solving and other advantages of networking with other members.

Barbara LeTartereceived her LTA degree from Oakland Community College and has worked in many different kinds of libraries, including medical, dental, legal, school and academic. She spent several years at home raising her family, and then returned to work at Hutzel Hospital in 1995. Since 1997, she has been the Document Services Team Leader at Sladen Library, Henry Ford Hospital. Currently, Barbara is enrolled at Central Michigan working for her B.S., and plans to follow that with a Master’s in Library Science, "if I have the stamina!"

As a member of MDMLG, Barbara appreciates the opportunity to exchange ideas with others – particularly with regard to the rapidly changing technology.

She has two daughters and describes herself as an outdoor person and an avid gardener.

Alan Naldrett is completing his final semester in Library Science at Wayne State, and is in a practicum at Mt. Clemens General Hospital. He is also working part-time at Wayne State’s Addiction Research Institute and is involved in maintaining a national website dealing with addiction, http://www.projectmainstream.net . Alan says the website is a communications network for professionals involved in substance addition research, but contains resources for the general public, as well.

Alan will be looking for a full-time library job at the end of April, but may also continue at WSU toward a specialist degree. In his spare time, Alan plays guitar, bass, and keyboard for a blues band at bars, fund-raisers, and other events.

He says he heard about MDMLG in a class with Linda Baker, and appreciates the opportunity his membership gives him to associate with others in the field.

Roma Svera graduated in December, 2002 from Wayne State University library school, and is now looking for her first full-time library position. She is especially interested in a medical library, but is open to any library opportunity. Meanwhile, she is continuing in a position she has held for a long time in market research, where, among other projects, she has used Microsoft Access to create several databases for her company.

Like Alan, Roma joined MDMLG as a result of her class at WSU with Linda Baker. Recently, she attended her first meeting, and enjoyed not only the program, but also the opportunity to network with medical librarians and learn a little more about their work.

Teri White, Information Research Assistant at Bon Secours Cottage Health Services, moved from a job in Admitting to her current library position because, she says, she was "ready for a change." For awhile she missed the interactions with patients that were a major part of her job in Admitting, but, with the opening of the new community Health Resource Center at Cottage Hospital, Teri finds that her opportunities for direct contact with patients – and staff - are increasing. And, she says, the people she interacts with in her library position are more appreciative – kinder – than they were in Admitting. Even the medical staff!

At work, dividing her time between two libraries, and at home, raising two children, Teri says that she never has enough time to just read!

Carol Attar
Attar Associates

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Web Sites for PDAs  

There has been a lot of interest for some time now about PDAs (personal digital assistants). Everybody seems to have one. You hear of people downloading software for theirs. PDAs are supposed to be innovative in terms of organization and time savings. Where do you start? How do you learn about the different types of PDAs? What exactly can they do? What types of software are available for them? Where can you find this software?

Whether you want to purchase a PDA for yourself or assist your library customers in using theirs to the fullest potential, you’ll need some assistance in navigating through the myriad of web sites available on the subject. I’ve collected some sites that will be helpful to you in learning more on all aspects of PDAs.

After visiting these sites, you’ll realize that a PDA is much more than just an electronic appointment scheduler, an address book and a way to play games. It is really a revolutionary method of information storage and retrieval, and will have an impact on our lives similar to that of the internet.

The prominent manufacturers of PDAs are:

Here are a couple of buyer’s guides and general web sites to get you started:

There are literally hundreds of web sites where you can download software for your PDA and thousands of software titles available for download. Many are free of charge, some are shareware, and others are available for purchase.

General Software Download Sources:

  • About.com / Resources for All Your PDA Needs
    This site is an extremely comprehensive web page with links to all aspects of handhelds: Buyer's Guide, manufacturers, download sites, user groups, tutorials and more.
  • AvantGo
    AvantGo is one of the premiere PDA download sources, and allows you to pull information from the web and turn your PDA into a portable information source at no charge.
  • FreeDownloadsCenter.com – 
    Both shareware and freeware programs for PDAs are offered on this site.
  • Handago
    This site's software is available for both the Palm OS and the Pocket PC, and they offer more than 20,000 applications.
  • Palm Digital Media / Electronic Books
    Palm Digital Media offers contemporary fiction and non-fiction books, newspapers, and magazines for reading on PDAs.
  • PalmGear.com
    This site offers everything for the Palm, including personal library organizers and tools for calendar maintenance, contact management, office applications, and task management.
  • PocketGear.com
    This resource provides links to PocketPC downloadable software such as task management, projects, contact management, and calendar.
  • TuCows - 
    This company was the first to provide software on a "freeware" or "shareware" basis and now offers 30,000 software titles.

Medical / Health Software Download Sources:

  • BioMedicalPDA – 
    This knowledge-management platform, produced by Professional PDA Publishing and John Wiley & Sons, contains curated databases of biological information ranging from cell biology to pharmacology.
  • E-MedTools – 
    E-Med Tools provides specific medical software and texts for the Palm OS.
  • EBM Calculator / Centre for Evidence-Based Medicine – 
    The EBM Calculator is designed to calculate relevant statistics for Diagnostic Studies, Prospective Studies, Case Control Studies, and Randomized Control Trials (RCT).
  • Ectopic Brain 
    This is designed to be a starting point for physicians using PDAs in clinical practice. It gives excellent basic information as well as links for files and applications.
  • ePocrates – 
    This site distributes a free drug-information database that updates automatically each time you perform a sync operation.
  • HandHeldMed.com – 
    The PocketClinician Medical Library™ bundles resources on this site. You can also customize your PDA with everything from the DSM IV: Text Revision to Taber's Cyclopedic Medical Dictionary.
  • Healthy PalmPilot – 
    This is billed as the internet's largest collection of medical resources for the Palm OS; there are close to 800 downloadable resources.
  • JournalToGo – 
    Health care professionals can keep current with medical literature abstracts and healthcare news articles delivered to their PDAs. This service is available at no charge, and includes: automatic literature searches, peer-reviewed journal abstracts from the National Library of Medicine and news articles from Reuters.
  • Medical Pocket PC 
    This website was founded by physicians and medical students with extensive experience in the use of handhelds, and offers physicians and health care professionals the latest medical software for the Pocket PC.
  • New England Journal of Medicine / PDA Services
    Users of PDAs can get the NEJM latest full-text articles or complete issues, abstracts, editors' summaries, and table of contents.
  • PDA MD.com – 
    This premier web site provides tutorials, forums, news, and software for health care professionals who use PDAs.
  • Pediatric Pilot – 
    This site contains database files on drug therapy, immunization, and medical calculations, and provides links to both PDA and pediatric web sites.
  • Pediatrics on Hand / The Complete Guide to the Pediatric Handheld – 
    Pediatrics on Hand maintains the most up-to-date collection of pediatric specific programs and files for the handheld.
  • Skyscape.com – 
    This site allows downloading of time-limited trial versions or purchasing medical resources for the Palm or PocketPC PDAs.
  • Unbound Medicine
    Using Unbound Medicine's CogniQ™ knowledge management platform, content is provided from the BMJ Publishing Group, including handheld versions of BMJ, Clinical Evidence, and tables of contents and abstracts from specialty journals.

In addition, the Medical Library Association sponsors a listserv for librarians on PDAs. For further information and to subscribe, visit http://mlanet.org/education/telecon/pda/pdadiscuss.html .

Valerie L. Reid
Henry Ford Hospital

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Slate of Candidates for 2003-2004

The Nominating Committee has drafted the following slate of candidates for 2003-2004. Profiles of each candidate are available in the Members-Only portion of the MDMLG web site at http://www.mdmlg.org/members/biographical-profiles.htm .

PRESIDENT-ELECT

Karen Tubolino

EXECUTIVE BOARD

Marilyn Kostrzewski

NOMINATING COMMITTEE

Lynda Baker
Diana Balint
Alexia Estabrook
Misa Mi

Nominations for the Board and the Nominating Committee may be made from the membership at large by petitions signed by not fewer than ten (10) regular members providing they are submitted in writing to the chair of the Nominating Committee at least twenty-one (21) days before the election. Petitions must be accompanied by a written statement of acceptance from the candidate and biographical sketch. The deadline for submitting petitions to Gina Hug is April 17th.

Sue Skoglund
Henry Ford Wyandotte Hospital

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New MDMLG Logo Contest

The Public Relations Committee is sponsoring a competition to develop a new logo for MDMLG. We have had the current letterhead and stationary design for about the last 15 years. Tap into your artistic talents and design a new logo to update our look. The following rules apply:

  1. All entrants must be members of MDMLG.
  2. Designs must be representative of the library profession and should not violate copyright protection.
  3. For any questions, please contact Misa Mi at 313.745-0252 or mmi@dmc.org

The unveiling will be at the summer luncheon meeting where the designer of the award winning logo will receive the prize of $50.

The deadline for entries is February 20, 2003, at 5:00 p.m. Please email, fax or mail your logo design to:

Carol Vandenberg
Madonna University Library
36600 Schoolcraft Rd.
Livonia, MI 48150

cvandenberg@madonna.edu

734.432.5687 (Fax)
734.432.5691 (Phone)

Misa Mi
Children's Hospital of Michigan

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February MDMLG Meeting

The next MDMLG meeting will be held at Providence Hospital on Thursday, February 20, 2003. Dr. David Svinerich, Director of Research at Providence Hospital, will discuss the Institutional Review Board process and suggest ways that librarians can get involved. Registration begins at 12:30 p.m. The program will begin at 1:00 p.m. followed by a break and the Business Meeting at 2:30 p.m. An Ebsco-sponsored lunch is available at 11:30 only for those who signed up. Further information, along with a map, can be found on the MDMLG Meetings web page.

Sue Skoglund
Henry Ford Wyandotte Hospital

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  Munson Healthcare was awarded a $109,000 grant from the National Library of Medicine. The grant is funding the Northern Michigan Access Project, an initiative to create digital library services for five Munson Healthcare affiliate hospitals as well as three rural clinics. The focus of the grant will be to provide access to medical databases and research for rural healthcare providers as well as lay level health information to communities in the Munson service area. Grant money will also be used to provide computers and printers at each site as well as provide training to end users.

  Karen Tubolino invites area librarians to attend a series of teleconferences broadcast from noon to 2:00 p.m. over the VA Knowledge Network. Upcoming programs include:

  • Reference Series: Virtual, Electronic and Traditional 
    (part 1: February 7, 2003; part 2: April 11, 2003)

  • Library Support Staff Soar to Great Heights: How Library Workers Give Back 
    (March 21, 2003)

  • Electronic and Networked Information and Databases: Making Choices 
    (part 1: May 2, 2003; part 2: June 6, 2003)

Past titles have included: Building Another Bridge: Equal Access to Technology for Special Populations (November 15, 2002), Effective Web Design for Your Institution: A Fresh Look (December 6, 2002), and Time Management: Getting Things Done (January 24, 2003)

All programs will be taped and available for interlibrary loan. Call the VA Library for more information at 313/ 576-1085. All are welcome to attend.  

  Wayne State University's Teaching, Learning, and Technology Roundtable will be holding its fourth annual conference, Enhancing Teaching through Technology, on March 6, 2003. Sessions on PDA applications have been added to the schedule and will be held at Shiffman Library. Stay tuned for further information. 

Upcoming Dates:

Date Event
February 20, 2003 MDMLG Meeting
March 6, 2003 Wayne State University Teaching, Learning and Technology Roundtable
April 17, 2003 MDMLG Meeting
June 19, 2003  Summer Luncheon at the Sterling Inn, Sterling Heights
September 18, 2003 MDMLG Meeting

 

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Communications Committee 2002-2003

Carol Attar carolattar@comcast.net
Carla Caretto ccaretto25@hotmail.com 
Maureen LeLacheur mlelach1@sladen.hfhs.org 
Juliet Mullenmeister mullenmj@trinity-health.org 
Jill Werdell Spreitzer werdeljc@udmercy.edu 
Valerie Reid, Webmaster vreid1@sladen.hfhs.org
Sue Skoglund, Chair rohlibrary@hotmail.com

 

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