As part of the omnibus budget measure signed by President Obama in December 2014, Congress changed the name of NCCAM to the National Center for Complementary and Integrative Health, or NCCIH. The change was made to more accurately reflect the Center’s research commitment to studying promising health approaches that are already in use by the American public. Since the Center’s inception, complementary approaches have grown in use to the point that Americans no longer consider them an alternative to medical care. The name change is in keeping with the Center’s existing Congressional mandate and is aligned with the strategic plan currently guiding the Center’s research priorities and public education activities. The mission of the organization will remain unchanged.
Large population-based surveys have found that the use of “alternative medicine,” unproven practices used in place of conventional medicine, is actually rare. By contrast, integrative health care, which can be defined as combining complementary approaches into conventional treatment plans, has grown within care settings across the nation, including hospitals, hospices, and military health facilities. The goal of an integrative approach is to enhance overall health, prevent disease, and to alleviate debilitating symptoms such as pain and stress and anxiety management that often affects patients coping with complex and chronic disease.
The Office of Alternative Medicine (OAM) was established in 1992 within the Office of the Director, NIH, to facilitate the study and evaluation of complementary and alternative medical practices and to disseminate the resulting information to the public. In 1998, NCCAM was established by Congress, elevating OAM to the status of an NIH center. In February 2011, NCCAM released Exploring the Science of Complementary and Alternative Medicine: Third Strategic Plan 2011–2015, which continues to guide NCCIH’s work.
As of December 15, PubMed/MEDLINE citations (including the backlog of citations indexed since November 19 with 2015 MeSH), the MeSH database, and the NLM Catalog were updated to reflect 2015 MeSH. The MeSH translation tables were also updated on December 15. Now that end-of-year activities are complete, MEDLINE/PubMed may be searched using 2015 MeSH vocabulary. Highlights of MEDLINE Data Changes for 2015 were previously published in the NN/LM PSR Latitudes blog. On December 16, NLM resumed daily MEDLINE updates to PubMed.
The National Library of Medicine plans to release DOCLINE 5.1 on the morning of Thursday, December 11, 2014. This latest version of DOCLINE will allow libraries to turn off checking LinkOut as the source for embargo periods during routing for all titles. The global on/off setting is only displayed for LinkOut participants. Additionally, a new summary count of holdings by format and by type of embargo (e.g., LinkOut, manual, none) will be added. Following is an overview of the upcoming features including links to screenshots:
- Membership: Added new feature to allow libraries to turn off checking LinkOut as source for embargo periods during routing for all titles. The global on/off setting is only displayed for LinkOut participants.
- Membership: Added new summary count of holdings by format and by type of embargo (e.g. LinkOut, manual, none).
- Online Help: Updated online help manual and FAQs for new or modified features.
For more information, visit the DOCLINE 5.1 Release Notes.
The National Library of Medicine (NLM) TOXMAP’s new Flash-based beta now includes 2013 coal emissions data published by the US EPA’s Clean Air Markets program. Data was obtained from the Air Markets Program Data (AMPD) tool, a publicly-available data system for searching and downloading data collected as part of EPA’s emissions trading programs. In 2013, about 2.1 billion metric tons of carbon dioxide emissions were attributable to electricity generated from coal.
TOXMAP is a Geographic Information System (GIS) from the National Library of Medicine (NLM) that uses maps of the United States to help users visually explore data from the EPA’s Toxics Release Inventory (TRI) and Superfund Programs.
The National Library of Medicine (NLM) adopted the 2015 MeSH vocabulary for cataloging on November 24, 2014. Accordingly, MeSH subject headings in LocatorPlus were changed to reflect the 2015 MeSH vocabulary and appear in that form as of November 24. When year-end processing (YEP) activities are completed in mid-December, the NLM Catalog, MeSH database, and translation tables will be updated to reflect 2015 MeSH. Until then, there will be a hiatus in the addition of new and edited bibliographic records to the NLM Catalog. The Index to the NLM Classification will not reflect 2015 MeSH changes until Spring 2015. In general, the Cataloging Section implemented the vocabulary changes in NLM bibliographic records for books, serials, and other materials, as they were applied for citations in MEDLINE. Following are a few highlights:
Death vs. Mortality
New terms were created: Infant Death and Perinatal Death. These terms complement the existing MeSH terms Infant Mortality and Perinatal Mortality. Death terms are used for biological, physiological, or psychological concepts while mortality terms are used for statistical concepts. There is some overlap with the perinatal terms. Catalogers should follow the annotations carefully.
The new term Sociological Factors, formerly an entry term (ET) to the specialty term Sociology, now serves as an overall heading for specific sociological characteristics and phenomena. Other new “social” terms include Social Theory, Social Capital, Social Norms, and Social Skills.
Missions Terms and Religious Personnel
The 2014 MeSH Missions and Missionaries was deleted. For 2015 MeSH, the concept of missions was separated from the persons involved in missionary work. Two new terms were created: Religious Missions and Missionaries. The automated MeSH changes that took place November 22-23 replaced the term Missions and Missionaries with Religious Missions. Cataloging staff will conduct additional manual processing in December to add Missionaries to the set of records that also have PT Biography, Autobiography, or Personal Narratives. Note that the existing term Medical Missions, Official is still available. Religious Personnel was created as an overall term under which Clergy and the new terms Monks and Nuns are treed. Several entry terms were created for the existing term, Clergy: Chaplains, Clerics, Deacons, Imams, Ministers, Pastors, Priests, and Rabbis.
The new term Manufacturing Industry, formerly an entry term to Industry, now serves as an overall heading for specific manufacturing industries.
Publication Types (PTs) and Related Terms
No new Publication Types were created for 2015.
Rural and medically underserved areas often have challenges including both increased health disparities and population health issues combined with limited resources and healthcare providers to help meet these challenges. The use of appropriate program evaluation measures can help to assess what actually works for rural health settings since many evidence-based strategies are based on urban and non-rural populations.
The Rural Assistance Center has recently issued a freely available online guide, which is intended to help an organization:
- Identify the similarities and differences among rural health research, assessment, and evaluation
- Discuss common methods, such as surveys and focus groups
- Provide contacts within the field of rural health research
- Address the importance of community-based participatory research to rural communities
- Look at the community health needs assessment (CHNA) requirements for non-profit hospitals and public health
- Examine the importance of building the evidence-base so interventions conducted in rural areas have the maximum possible impact
NLM will be including the databank name for the Thai Clinical Trials Registry (TCTR) starting with citations to articles published in 2014. TCTR is a World Health Organization (WHO) primary clinical trial registry. The MEDLINE Databank Sources webpage has been updated to include this new listing.
Other clinical trial databank sources that appear in the Secondary Source ID [SI] element in the PubMed MEDLINE display include:
- ClinicalTrials.gov Database (NIH/NLM)
- Australian New Zealand Clinical Trials Registry
- Chinese Clinical Trials Registry
- Clinical Research Information Service, Republic of Korea
- Clinical Trials Registry – India
- German Clinical Trials Register
- EU Clinical Trials Register
- Iranian Registry of Clinical Trials
- International Standard Randomized Controlled Trial Number (ISRCTN.org) Register
- Japan Primary Registries Network
- The Netherlands National Trial Register
- Pan African Clinical Trial Register
- Brazilian Clinical Trials Registry
- Cuban Public Registry of Clinical Trials
- Sri Lanka Clinical Trials Registry
AIDSinfo has announced the release of the AIDSinfo HIV/AIDS Drug Database app. Using data from the AIDSinfo Drug Database, the drug app provides information on more than 100 HIV-related approved and investigational drugs. The information, offered in English and Spanish, is tailored to meet the needs of both health care providers and consumers. The app is designed to automatically refresh when the user is connected to a wireless or cellular data network. The auto update feature eliminates the need to manually update the app to view the most current drug information. In addition, the app works offline, ensuring that health care providers and consumers can access vital drug information anywhere, even in health care facilities that may not have an Internet connection.
Health care providers surveyed on the AIDSinfo website indicated that access to Food and Drug Administration (FDA) labels for HIV-related drugs would be a useful feature of a drug app. Thus FDA drug labels pulled from DailyMed are integrated into the app in an easy-to-navigate format. This feature, coupled with the auto update feature, makes it easy for health care providers to quickly find the latest drug information when seeing patients. In addition, information from the FDA labels is condensed in easy-to-understand summaries in English and Spanish for consumers. The app also includes information on HIV-related investigational drugs for both health care providers and consumers.
Available for both iOS and Android devices, users can personalize the free AIDSinfo Drug App to suit their needs:
- Receive notifications when content is updated.
- Bookmark frequently referenced drugs for easy access at any time.
- Add personal notes to any drug.
- Select from a menu of alarms to set pill reminders for any drug.
AIDSinfo also has the AIDSinfo Glossary of HIV/AIDS-Related Terms app, available for both iOS and Android devices, which includes English and Spanish definitions of more than 700 HIV/AIDS-related terms.
At the NN/LM update session during the 2014 QuintEssential Chapter Meeting in Denver, RMLs asked attendees to respond to two questions:
- Other than financial issues, what is a critical issue facing your library?
- What is a bold idea that the RML can do to help address a critical issue?
Over 100 members from five MLA Chapters (MCMLA, MLGSCA, NCNMLG, PNCMLA, and SCCMLA) proposed bold ideas, which were recorded on note cards and passed around to other attendees to be scored. Each idea could receive a maximum score of 25. A complete list of ideas and scores is available on the NN/LM Midcontinental Region’s web site.
An increasing number of U.S. hospitals are now equipped to treat patients with Ebola, giving nationwide health system Ebola readiness efforts a boost. According to the Centers for Disease Control and Prevention (CDC), state health officials have identified and designated 35 hospitals with Ebola treatment centers, with more expected in the coming weeks. Four of the facilities are located in California. Hospitals with Ebola treatment centers have been designated by state health officials to serve as treatment facilities for Ebola patients based on a collaborative decision with local health authorities and the hospital administration.
Ebola treatment centers are staffed, equipped and have been assessed to have current capabilities, training and resources to provide the complex treatment necessary to care for a person with Ebola while minimizing risk to health care workers. The additional facilities supplement the three national bio containment facilities at Emory University Hospital, Nebraska Medical Center, and the National Institutes of Health (NIH), which will continue to play a major role in the overall national treatment strategy, particularly for patients who are medically evacuated from overseas. Facilities will continue to be added in the next several weeks to further broaden geographic reach.
CDC also released guidance for states and hospitals to use as they identify and designate an Ebola treatment center. The guidance covers the range of capabilities hospitals need in order to provide comprehensive care for patients with Ebola. HHS, through the CDC and the Office of the Assistant Secretary of Preparedness and Response (ASPR), also provided technical assistance to health departments and hospitals.