PSR Data Science
The National Library of Medicine’s Radiation Medical Emergency Management (REMM) has been updated. This resource provides guidance for health care providers, primarily physicians, about clinical diagnosis and treatment of radiation injury during radiological and nuclear emergencies.
- Key detailed guidance document from HHS for senior leaders managing the medical complexities of a nuclear detonation: A Decision Makers Guide: Medical Planning and Response for a Nuclear Detonation.
- Links to two documents that supplement the Planning Guidance for Response to a Nuclear Detonation, Second Edition, 2010.
- Major update of the REMM template/prototype for hospital orders during a radiation emergency. There is one order set for adults and another for children.
- The radiation detectors page has been completely redone to include much more detailed information. A new table describes and illustrates various types of detectors and their optimal use. The key references section provides new information about radiation detection devices and estimating dose in large radiation incidents when adequate detection resources may be scarce.
- The myeloid cytokines page has significant new information, including mention that Leukine (sargramostim) has been approved by the FDA for use with radiation-induced myelosuppression.
- The three key algorithms for clinical management of radiation exposure and contamination, (exposure, contamination, exposure + contamination), have been updated with new content and design.
- REMM has aggregated and updated information about Personal Protective Equipment (PPE).
- New multimedia assets have been added to the multimedia carousel; they help explain radiation and response issues.
- The Protection Actions page has several changes, including a table comparing references values for emergency responder radiation safety.
- Printable wall poster for the EAST Tool: Exposure and Symptom Triage to assess patients with potential radiation exposure during a large mass casualty incident.
- New publications about using CBCs to estimate dose from exposure and use this information for triage.
- Link on the RDD page to new excellent monograph, Radiological Dispersal Device (RDD) Response Guidance, Planning for the first 100 Minutes, (DHS, NUSTL, NNSA, FEMA, November 2017).
- Descriptions of a new radiation incident response specialist: Radiological Operations Support Specialist (ROSS).
- Update to the REMM page for Planners including new national documents about strategies, plans, and national assets.
- Updates to REMM’s Key Documents page.
- Updates to REMM’s Biodosimetry page.
- Updates to REMM’s Antiemetics page.
- Updates to REMM’s Fever and Neutropenia page.
New on the Mobile REMM app:
- A new version of the Mobile REMM app, which contains selected pages from online REMM, was released in the App Store and Google Play Store. This new version reflects the content updates published on REMM online.
In a recent blog post, Amanda J. Wilson, head of NLM’s National Network Coordinating Office, laid out priorities for NNLM in the upcoming year.
Engaging through All of Us: All of Us is a nationwide program with the ambitious goal of enrolling one million or more diverse participants. As an All of Us partner, the National Network of Libraries of Medicine develops activities and creates opportunities to provide health resources through public libraries. The NNLM All of Us Community Engagement Network funds outreach projects and develops programming to raise awareness about All of Us and improve health literacy. The NNLM partnership has reached 16 states and more than 500 individuals through 150 Network-sponsored activities and events. In addition, last November the Community Engagement Network launched the NNLM Reading Club to help libraries address health information needs through book clubs.
Equipping a Data-Ready Workforce of Librarians: Since the NNLM Training Office (NTO) launched the training program Biomedical & Health Research Data Management for Librarians in January 2018, there have been two cohorts. The program works to better equip health information professionals with the knowledge and skills necessary to support research and deliver improved services to their institutions, communities, and colleagues. NNLM RD3: Resources for Data-Driven Discovery supports their ongoing activities. In addition, videos from the 2018 research data management webinar series are available on YouTube. Topics range from Wikidata to data visualization and from library research data management services to teaching R for statistical computing. In 2019, a new course debuts, Beyond Research Data Management for Biomedical and Health Sciences Librarians. This second-level course will cover advanced topics in research data management, including science communications and the role of data management in data sciences and open science. (The application period for this course closed January 4.)
Editing Wikipedia: The world’s largest medical library continues to increase its presence on the world’s largest online encyclopedia. Through two national edit-a-thons last year, Network members helped improve available health information by editing Wikipedia articles related to rare diseases and women’s health. In total, participants made 1,441 edits to 315 articles, which, collectively, have been viewed over four million times. They also engaged with their peers and with NNLM staff on Twitter via the hashtag #CiteNLM2018. The first Wikipedia #CiteNLM Edit-a-Thon of 2019, Elevating Health Equity, will be held this May during the Medical Library Association annual meeting!
Through these activities and more, the National Network of Libraries of Medicine is looking to expand our reach, enhance our impact, and entice more medical librarians to join our efforts to improve the public health and the public’s access to trusted, quality health information. If you aren’t already a member, consider joining. You’ll be glad you did!
In her first blog post of 2019, NLM Director Dr. Patti Brennan had many exciting updates to share. First, as of January 1, NLM has a new organizational chart that anticipates the outcome of a first phase of reorganization that will be implemented over the coming year. This initial phase focuses on consolidating NLM staff and related programs into fewer divisions and offices to improve efficiency and our overall effectiveness. Details of these changes will continue to be worked on during the year, with regular updates on the progress and the implications for specific NLM programs and services.
Missing from the new organizational chart is the Specialized Information Services (SIS) Division, the place within NLM that addressed the health information needs of specific communities, including Native Americans, minority-serving institutions, and urban teens. Commitment to these and other populations traditionally underserved within health care have not wavered, but NLM is working to ensure both the sustainability of this notable work and its integration into the fabric of the new NLM. The new, streamlined organization will incorporate within other offerings the critical information resources and services SIS originally provided.
Second, the Office of High Performance Computing and Communications, situated within the Lister Hill National Center for Biomedical Communications since the early 1990s, has closed. This unit offered many innovations over the years, advancing health computing to the 21st century and launching one of NLM’s most incredible ventures, the Visible Human Project. NLM will continue to make the Visible Human data available, but staff from the Office will be incorporated into other branches of the Lister Hill Center.
The third arm of the reorganization integrates the creative design and development services of the Audiovisual Programs Development Branch, also from the Lister Hill Center, into NLM’s Office of Communications and Public Liaison. This realignment will help incorporate advanced media and visualization techniques into NLM’s robust communication programs to better inform the public of the many information services and research advances.
Finally, NLM is renaming its Office of Health Information Programs Development the Office of Strategic Initiatives (OSI). OSI will play a key role in advancing NLM efforts in data and open science, program evaluation, and the strategic plan implementation.
Along with these changes there will be assessment of staff skills and evaluation of interests to best align those skills and interests with NLM’s evolving needs. NLM is committed to retaining its federal staff as functions are realigned, and will do its best to ensure matching of the talented staff with work they enjoy and the Library needs.