NLM News 1994 March-April; Vol. 49, No. 2

	The NLM News is published 6 times a year by the National 
Library of Medicine (National Institutes of Health, Department of 
Health and Human Services).  Beginning with Vol. 49, No. 1, the NLM 
News is avaiable via the Internet.  To access, ftp to 
nlmpubs.nlm.nih.gov and login as anonymous.  Use your e-mail address 
as the password.  

	In addition to electronic access, the printed NLM News is 
mailed without charge to institutions and individuals interested in 
health sciences communications.  For further information, contact 
NLM's Office of Public Information (8600 Rockville Pike, Bethesda, 
MD 20894); e-mail address: publicinfo@occshost.nlm.nih.gov.  
NLM Director, Donald A.B. Lindberg, M.D.
Chief, Office of Public Information, Robert B. Mehnert,
Editor, Roger L. Gilkeson; e-mail address: 
Roger_Gilkeson@occshost.nlm.nih.gov 
********************************************************************

Contents:

New Contracts Link Health Care and Advanced Technology
New Regents Appointed
Full-Text Retrieval Service Offers Clinical Practice Guidelines
NLM Exhibit Opens on Health Care to Native Americans
Building the Library of the Future
NLM Joins Adopt-a-School Program
NLM at MLA
Publications
NLM in Print
Monographs and Serial G aps
********************************************************************

New Contracts Link Health Care and Advanced Technology

	Ten projects designed to help physicians practice better 
medicine by utilizing advanced computing and networking capabilities 
along the "Information Superhighway" were announced recently by the 
National Library of Medicine and the National Coordination Office 
for High Performance Computing and Communications.  

	The projects--involving 12 contracts totaling $26 million--are 
the first awards in health care to be made under the High 
Performance Computing and Communications Program.  That program is a 
multiagency effort to focus the Nation's energies on developing and 
applying high performance computers and the appropriate software to 
help solve society's problems, and to provide the technological 
foundations for the National Information Infrastructure (or 
"Information Superhighway") that will put the vast amount of 
resulting information at users' fingertips.

	The ten projects will fund healthcare applications such as: 
	o testbed networks to share information resources, 
computerized patient records, and medical images; 

	o telemedicine projects to provide consultation and medical 
care to patients in rural areas; and 

	o advanced computer simulations of human anatomy for training 
via "virtual surgery."  A list of the projects appears at the end of 
this article.

	"The successful outcome of these projects will help to contain 
health care costs through sharing scarce resources while raising the 
quality of patient care," said NLM 
Director Donald A.B. Lindberg, M.D.*  "By using telemedicine, 
doctors and other health care providers can consult with specialists 
thousands of miles away, continually upgrade their education and 
skills, and share medical records and X-rays."  The projects will 
also "provide practical experience with real-world applications, 
such as how to protect the privacy of medical records and images 
that are subject to computer network transmission, storage and 
retrieval."
__________________
* Dr. Lindberg also serves as director of the National Coordination 
Office for High Performance Computing and Communications.

	HPCC technology to be developed by the projects will not only 
improve health care delivery, but reduce costs as well, said Dr. 
Lindberg.  "Twenty-five cents of every dollar on a hospital bill 
goes to administrative costs and does not buy any patient care.  
Better use of information technology and the development of health 
care applications for the National Information Infrastructure can 
make important contributions to health care reform.  It has been 
estimated that telecommunications applications such as computerized 
patient records could reduce health care costs by $36 billion to 
$100 billion each year, while improving quality and increasing 
access."

	The incorporation of high performance computing and 
communications technologies such as virtual reality will have a 
profound impact on medical training as well, according to Dr. 
Lindberg.  "One of the new projects funded will develop computer 
simulations of human organs so that students can 'operate' first on 
a computer screen rather than patients."

	The ten projects and twelve institutions receiving the 
contract awards are listed below, along with the principal 
investigators and estimated total cost (most awards are for a three-
year period).  More detailed information is available from NLM's 
Public Information Office (e-mail: publicinfo@nlm.nih.gov).

Testbed Networks

o Toward a National Collaboratory for Healthcare Informatics: 
Columbia University, James Cimino, M.D. ($1,036,223); Harvard 
University, Robert A. Greenes, M.D., Ph.D. ($991,398); and Stanford 
University, Edward H. Shortliffe, M.D., Ph.D. ($933,801).  This 
project is a collaboration between three medical informatics 
research groups to build Internet-accessible shared systems which 
support computerized patient records, clinical research protocols, 
medical vocabulary servers, teleconferencing, and health professions 
education.

o Pilot Indianapolis-Wide 10 Megabit Network for Patient Care and 
Research: Indiana University, Clement J. McDonald, M.D. 
($2,398,160).  This project will employ a variety of digital 
networking technologies to tie together a major teaching hospital 
with community clinics and pharmacies, providing access to a 
computerized patient record system, computerized prescriptions, and 
online medical knowledge sources.  The evaluation component of this 
project will assess the cost and patient outcomes changes which 
result from the use of shared medical information.

o A Chicago Metropolitan Medical Network: Northwestern Memorial 
Hospital, Timothy R. Zoph, M.D. ($2,334,852).  This award represents 
a planning phase which is part of a new facility development plan 
for Northwestern Memorial Hospital.  State of the art internal 
networks in the new medical center complex will be linked to primary 
care locations in the metropolitan area.  Both scientific and 
patient-specific clinical information will travel over the network.

o A High Performance Testbed Network for Telemanagement of Neuro-
Imaging: University of California, San Francisco, Ronald L. Arenson, 
M.D., ($1,542,874).  A high performance wide area network will be 
used to transmit neuro-radiology images for consultation, patient 
monitoring, and shared clinical management.  The project will 
examine the patient outcomes which result from use of digital 
networks to transmit Computed Tomography and Magnetic Resonance 
Imaging of the brain and spinal cord.

o Iowa Testbed Network: University of Iowa, Michael Kienzle, M.D. 
($7,250,017).  This project will use the newly developed state-wide 
digital network in Iowa for creation of a Telecommunications Health 
Education Resource Center, linking of three rural hospital sites, 
improved information services for rural healthcare providers, and 
several Telemedicine prototype systems.

Virtual Reality for Medicine

o Development of Organ Models in Support of Virtual Surgery 
Simulation: University of Pennsylvania, N. Badler, M.D. ($484,593).  
This project will create and evaluate advanced computer simulations 
of human anatomic structure which support surgical planning and 
health professions education.

Collaborative Technology for Real Time Treatment of Patients

o Implementation of a Teleradiology System to enhance consultative 
services between Primary and Secondary Care Hospitals and a Tertiary 
Care Facility: University of Pittsburgh, Howard Yonas, M.D. 
($2,301,608).  This project will link six outlying hospitals in 
western Pennsylvania with the University of Pittsburgh Medical 
Center for teleradiology to improve neurosurgery, neurology, trauma 
and critical care.  The impact of the system on patient outcomes 
will be studied.

o A Comprehensive Teledermatology Program: Oregon Health Sciences 
University, Douglas A. Perednia, M.D. ($1,896,731).  Remote 
diagnosis of skin lesions via teleconsultation to underserved rural 
areas will be developed and tested in five primary care clinics in 
Oregon and Kansas.

o Collaboration Technology for Real-time Treatment of Patients in 
West Virginia: West Virginia University, Ramana Reddy, Ph.D. 
($4,110,000).  A consortium of nine institutions led by the 
Concurrent Engineering Research Center of the University of West 
Virginia will build and evaluate a regional telemedicine system for 
rural areas of the state. (See NLM News, September-October 1993.)

Information Access

o Linking Images to a Clinical Information System: University of 
Pittsburgh, Henry J. Lowe, M.D. ($1,199,134).  This project will 
develop automated text analysis methods to link the textual 
component of an existing computerized patient record system with a 
new computerized system for diagnostic images, including pathology, 
radiology, MRI, and ultrasound.  


New Regents Appointed

	Secretary of Health and Human Services Donna Shalala has 
appointed two new members to four-year terms on the NLM Board of 
Regents.

	Edwin Michael Cortez, Ph.D. has been associate professor at 
the School of Library and Information Studies at the University of 
Wisconsin since 1988.  He was formerly acting dean of the School of 
Library and Information Science at Catholic University in 
Washington, D.C.  Dr. Cortez, a cum laude graduate of Wagner 
College, Staten Island, New York, received his M.L.S. from the 
University of Arizona.  He has held positions in several city public 
library systems, the Library of Congress in Washington, D.C., the 
University of Michigan,and the Pratt Institute, Brooklyn, New York.  

	Steven Joseph Phillips, M.D. is adjunct associate clinical 
professor, College of Pharmacy, Drake University in Des Moines, 
Iowa, and senior heart surgeon at the Iowa Heart Center of the Mercy 
Hospital Medical Center.   He received a B.A. from Hobart College in 
Geneva, New York and his M.D. from Tufts University School of 
Medicine, Boston.  His internship and residency were done at 
Maimonides Medical Center, Brooklyn, New York.  Dr. Phillips has 
held teaching positions with the University of Oregon Medical 
School; College of Osteopathic Medicine and Surgery, Des Moines, 
Iowa; Dartmouth Hitchcock Medical Center, Hanover, New Hampshire; 
Iowa State University; and the University of Rome, Italy.

	The NLM Board of Regents meets three times a year to advise on 
policy matters and to review grant applications. Created by the 1956 
National Library of Medicine Act, the Board consists of 10 appointed 
members and 9 Federal ex officio members.


Health Care Decision-Making Tools Now Available at No Charge:
New Full-Text Retrieval Service 
Offers Clinical Practice Guidelines

By Betsy L. Humphreys
Assistant Director for Health Services Research Information

	NLM is pleased to announce HSTAT (Health Services/Technology 
Assessment Text)--a free, electronic service which provides access 
to the full-text of clinical practice guidelines developed under the 
auspices of the Agency for Health Care Policy and Research (AHCPR).  

	HSTAT also includes the following other documents useful in 
health care decision making: NIH Consensus Statements, NIH 
Technology Assessments, and the U.S Preventive Services Task Force 
Guide to Clinical Preventive Services.  AHCPR Technology Assessments 
will be added in the future.

	Developed by the Information Technology Branch of the Lister 
Hill Center, HSTAT is the latest component of the expanded health 
services research information program coordinated by NLM's new 
National Information Center on Health Services Research and Health 
Care Technology (NICHSR); see NLM News, September-October 1993.  The 
fiscal year 1994 increase in NLM's appropriation which accompanied 
the establishment of NICHSR allows the Library to offer this new 
service free of charge.  NICHSR works closely with AHCPR to improve 
the organization and dissemination of the results of health services 
research, including practice guidelines and technology assessments.  
From FY 1990-1993, NLM's health services research information 
program was funded by AHCPR via an interagency transfer of funds.

	To accommodate users with a range of computing and 
communications environments, HSTAT is available via a number of 
different electronic access methods.  The NLM Full-Text Retrieval 
System (FTRS) provides a menu-driven interface to the text of the 
guidelines and other sources, a table of contents for each document 
from which a particular section can be selected, and the ability to 
search by words or phrases.  Mosaic, a multi-media information 
access program developed by the National Center for Supercomputer 
Applications (NCSA), provides access to hypertext documents composed 
of text, images, and sound.  Through Mosaic, it is possible to view 
the text, graphics, and tables of clinical guidelines in a form 
which is very similar to the printed copy published by AHCPR.  The 
Mosaic version will eventually make use of the basic retrieval 
capabilities of NLM's Full-Text Retrieval System.  In addition to 
the interactive access to the contents of HSTAT provided by the NLM 
FTRS or Mosaic, users may also use ftp or gopher to transfer the 
text of particular guideliness to their local systems.  (See box for 
technical details.)

	The current forms of HSTAT are an initial step toward more 
user-friendly, integrated access to the full-text of practice 
guidelines in the context of a MEDLINE search or a computer-based 
patient record system.  Individuals affiliated with a health 
sciences library may wish to consult their librarians for advice and 
assistance in making use of this new information source.

	For additional information, contact: 

		National Information Center on Health Services Research
			and Health Care Technology (NICHSR)
		National Library of Medicine
		8600 Rockville Pike 
		Bethesda, MD 20894
		telephone: 1-800/272-4787 (Select 1,6,3) or 301/496-0176
		e-mail: nichsr@nlm.nih.gov

Accessing HSTAT

o NLM's Full-Text Retrieval System: To access HSTAT via NLM's FTRS:

	(1) Users of the PC version of Grateful Med (6.0 or greater) 
may obtain a script that will load a Grateful Med menu option for 
HSTAT; see the Grateful Med Bulletin Board or contact NICHSR for 
instructions, or use the Internet to ftp the script from the 
nlmpubs/hstat/gmhstat directory on nlmpubs.nlm.nih.gov.  This script 
will accomodate modem access only.  If you have a Novell 
communication server, if you use the Internet and do not have a 
modem locally attached to your computer, or if you are using 
Grateful Med for the Macintosh, you should use the other options for 
access to HSTAT outlined below.  Access to HSTAT will be built into 
Grateful Med (with a user-friendly form screen) beginning in 1995.

	(2) telnet to text.nlm.nih.gov

	(3) dial 1-800-952-4426  (This method is designed for users 
with a modem but neither the PC version of Grateful Med nor 
Internet.)

	Note: For (2) and (3) above, users a) login as hstat or HSTAT, 
and b) emulate a VT100 or VT102 terminal.

	Internet users have three additional ways to access HSTAT, 
each with different functions:

o Mosaic: specify this URL-- http://www.nlm.nih.gov/, select NLM 
Online Information Services, and then select HSTAT  (Public domain 
Mosaic client software is available from NCSA for unix workstations, 
Macintoshes, and PCs with Windows; effective use of Mosaic requires 
a fast Internet connection.)

o File Transfer Protocol (FTP): ftp to nlmpubs.nlm.nih.gov and 
obtain HSTAT documents from the hstat directory 

o NLM Gopher: once connected to the NLM Gopher server 
(gopher.nlm.nih.gov), select HSTAT from the menu  (Gopher is a 
program developed at the University of Minnesota to facilitate 
accesss to Internet resources through a series of hierarchically 
structured menus.)

Charles M. Goldstein, chief of the Lister Hill Center's Information 
Technology Branch (ITB), demonstrates HSTAT to Gerri Michael Dyer 
and David M. Maletz of the AHCPR's Center for Research Dissemination 
and Liaison.  

The HSTAT, Full-Text Retrieval System development team led by Mr. 
Goldstein (rt), includes (seated) Van Nguyen (ITB) and Dharitiri 
Misra, Ph.D., Century Computing Systems (CCS); and (standing from 
l.) Barry Warsaw and Tin Li (CCS), and Maureen Prettyman (ITB). 


NLM Exhibit Opens on Health Care to Native Americans

	"'If You Knew the Conditions...': Health Care to Native 
Americans" is a new exhibit on display through August in the 
National Library of Medicine's main lobby (Building 38).  

	The exhibit traces the evolution of health care the Government 
provided to Native Americans from the 19th-century to the present.  
It follows federal responsibility through the executive branch 
Departments of War, Interior, and Health, Education, and Welfare 
(now the Department of Health and Human Services).

	Displayed are books, catalogs, films, government documents, 
journal articles, manuscripts, maps, photographs, and posters from 
the library's own collections and elsewhere.  Highlighted are items 
from the History of Medicine Division's collection, including 
college bulletins and catalogs that help trace the developing 
careers of some of the first Native American physicians to receive 
degrees from U.S. medical schools and to go on to work in the 
federal service.  Also featured is a videodisc selection of 
government films, including three from the NLM Historical 
Audio/Visuals Collection.

	Important contributions from other institutions include loaned 
items from the Dickinson College Library's Special Collections, 
photographic reproductions from the Smithsonian Institution's 
National Anthropological Archives and the Cumberland County 
Historical Society in Carlisle, Pennsylvania, as well as color 
reproductions of manuscript items from the National Archives and 
Records Administration.  

	The title of the exhibit contains a quotation from a letter 
written in 1907 by the first Native American woman medical doctor, 
Susan LaFlesche Picotte, to the Commissioner of Indian Affairs in 
Washington, D.C.  Picotte tells of improvements needed in federal 
health care for the Omaha Reservation in Nebraska, beginning, "If 
you knew the conditions...".

	For further information, contact David Vecchioli, History of 
Medicine Division, at 301/496-5405.  

Havasupai woman receives injection from PHS officer, Grand Canyon, 
AZ, late 1960s.  [NLM's Prints and Photographs Collection, History 
of Medicine Division] n3build.doc


Building the Library of the Future

As this issue of the News goes to press, the symposium Building the 
Library/Information Center of the Future--jointly sponsored by the 
University of Maryland at Baltimore and NLM on April 7-8 at NLM--has 
just concluded.  The Library's Lister Hill Center auditorium was 
filled to capacity by an assemblage of academic administrators, 
librarians, health informaticians, computer center directors, campus 
planners, and architects from throughout the country who learned, 
through multi-media presentations by experts in the field, how the 
physical library/information center building of the future must 
differ from the structures now in use.  Proceedings of the 
conference are to be published as a special issue of Computer 
Methods and Programs in Biomedicine (autumn 1994).  


NLM Joins Adopt-a-School Program

	On Monday, February 7, 1994, at a special ceremony held  in 
Washington, D.C., NLM Director Donald A.B. Lindberg, M.D. and Deputy 
Director Kent Smith signed a "Declaration of Partnership" with 
Calvin Coolidge High School.  The National Library of Medicine is 
now one of over 300 organizations providing partnership to a school 
in the District of Columbia Public School System under the "adopt-a-
school" program--Partners in Education.

	The Library hopes to assist Coolidge High School in 
establishing an Internet node in the school and in using Internet-
accessible information resources, including NLM databases, to 
enhance educational opportunities for Coolidge students and faculty.  
NLM will also help the high school to improve its basic library 
collection in science and technology and will collaborate with 
Coolidge faculty and staff in a variety of programs designed to 
encourage students to pursue careers in science and medicine, 
including medical informatics, biotechnology, and library and 
information science.  Exposure to the world's largest medical 
library will afford the participants an opportunity to develop their 
interests and understand these important specialized fields.  
Students will learn about current advances in biomedical information 
systems through seminars and lectures, see how computers link health 
institutions around the world, and see demonstrations of how  
artificial intelligence can assist in providing vital research 
information.  

	Students will meet with scientists, computer specialists, 
librarians, and engineers and participate in engineering and 
computer laboratories to gain basic practical experience.  One-on-
one tutoring will also be available.

	Current members of the Partnership in Education program 
include major Federal and local government agencies, private 
businesses, churches, community groups, universities, and embassies.  
What an organization provides in the partnership depends on the 
needs of the school and the interests and capabilities of the 
organization.  While forging a partnership between educators in the 
D.C. Public School System and the local community and enhancing 
services to students, the program's purposes include broadening the 
perspectives of students, teachers and administrators, encouraging  
careers in science, medicine, engineering, and biotechnology and 
providing positive role models for students. 

	The NLM-Coolidge High School partnership was arranged largely 
through the efforts of former NLM EEO Chairperson Cynthia Gaines,  
NLM's EEO Officer David L. Nash, and the members of the NLM EEO 
Advisory Committee.

Dr. Donald A. B. Lindberg, director of the National Library of 
Medicine, signs an agreement with Calvin Coolidge High School in 
Washington, D.C., making NLM a "Partner in Education" with Coolidge.  
Under the agreement, Coolidge students will be exposed to a variety 
of NLM programs, including library science, biotechnology, computer 
science, and engineering.  Looking on are (from left) NLM Deputy 
Director Kent Smith, Coolidge Principal Leonard Upsom, D.C. 
Representative-at-Large Valencia Mohammed, and D.C. Ward 4 
Representative Sandra Butler-Truesdale.  At the signing ceremony, 
Dr. Lindberg offered his encouragement to the aspiring young 
students to pursue careers in science and medicine.  Calvin Coolidge 
High, founded in 1938, also has partnerships with the Bell Atlantic 
Company and the Federal Trade Commission.

Shown from left, David Nash, Pamela Meredith (head, Reference 
Section), Betsy Humphreys (deputy associate director, Library 
Operations, and assistant director for health services research 
information), JoAnn Dawson (chairperson, Partnership Committee, 
Coolidge High School), Pauleze Bryant (librarian, Coolidge High 
School), and Dr. Lindberg.  Ms. Bryant and Ms. Dawson visited NLM on 
March 22nd for demonstrations of NLM systems and meetings with 
senior NLM staff members coordinated by Ms. Meredith.


NLM at MLA

	Listed below are some of the NLM-related events and papers 
planned for this year's annual meeting of the Medical Library 
Association (San Antonio, May 13-18).  Please see the final program 
for additional items and further details.

NLM Update

	The annual NLM Update will include presentations by NLM Deputy 
Director Kent Smith, Associate Director for Library Operations Lois 
Ann Colaianni, and Associate Director for Health Information 
Programs Development Elliot R. Siegel, Ph.D.: Monday, May 16, 10:30 
a.m. to noon.

NLM Exhibit Booth

	The NLM Exhibit Booth (opening Sunday, May 15, 6:00 p.m. to 
8:00 p.m.; closing Wednesday, May 18, 11:00 a.m.) will highlight:

	o High Performance Computing and Communications (HPCC)--
Grants, MOSAIC, UMLS

	o Internet--Locator, Gopher, Auto SDIS 

	o Increasing Information Access--Health Services Research 
Databases (HSTAR, HSRProj, HSTAT), AIDS information, online updating 
of SERHOLD, Fixed Fee Programs

Lunch and Learn (Online Update)

	NLM staff will provide updates on MEDLARS databases and 
DOCLINE activities.  Topics will include plans for new databases, 
system features, fixed fee programs, and training opportunities.  
This is also your opportunity to comment on your experiences as 
users of NLM's products and services.  Monday, May 16, 12:30 p.m. to 
1:15 p.m.

African American MLA

	David L. Nash, NLM's EEO officer, will deliver the keynote 
address ("African Americans: Diversity within MLA for the Year 
2000") at the meeting of the African American Medical Library 
Association (AAMLA): Monday, May 16, 2:00 p.m. to 4:30 p.m.

SERHOLD

	The SERHOLD meeting is scheduled for Tuesday, May 17, 2:00-
3:30 p.m.

NLM Fixed Fee Users Meeting

	Join with NLM staff and current fixed fee program participants 
who will share their experiences including unique application 
situations, password distribution systems, and education and 
training needs: Tuesday, May 17, 2:00-3:30 p.m.

Section Programs

	o Public Services Section, Special Interest Group on Public 
Services Management: Pamela A. Meredith, head, Reference Section, 
NLM, will moderate a brainstorming session to create a "Basic Skills 
Inventory for the Reference Librarian of the Future": Tuesday, May 
17, 2:00-3:00 p.m.

	o Technical Services Section: "The Year in Technical 
Services."  Speakers include Wen-Min Kao, Technical Services 
Division, NLM, who will give a brief presentation on the NLM 
Classification from 8:30-9:00 a.m.: Wednesday, May 18, 8:30-10:00 
a.m.

Contributed Paper

	o "Creating a Toxicology and Environmental Health Gopher:  
Locating Resources through the Internet," Gale Dutcher, Tamas 
Doszkocs, Stacey Arnesen, Division of Specialized Information 
Services, NLM: Monday, May 16, 2:00-3:30 p.m.

Poster Session

	Library Research Section: "Fresh Findings II: Ongoing Research 
Projects in Health Sciences Librarianship," including "Grateful Med 
Follow-up/Evaluation Project," Jane B. Bryant, University of 
Kentucky: Monday, May 16, 4:00-5:30 p.m.

Special Event

	The Friends of the NLM are offering an opportunity to 
experience another cultural side of Texas at the historic and 
nationally recognized Southwest Craft Center: Monday, May 16, 6:00 
to 9:00 p.m.

Continuing Education

	Classes may fill early or be cancelled late; please contact 
the MLA for registration details.

	o "The Environment of Health Care and Biomedical Information," 
including the role of NLM in collecting, organizing, and 
disseminating health sciences information: Friday, May 13, 8:00 a.m. 
to 5:00 p.m.

	o "Health Statistics Sources," including coverage of 
statistical information in MEDLINE and other bibliographic 
databases: Friday, May 13, 8:00 a.m. to 5:00 p.m.

	o "Essentials of Database Searching," including examples from 
the MEDLINE database: Saturday, May 14, 8:00 a.m. to 5:00 p.m.

	o "Oncology:  Concepts and Resources," including emphasis 
given to NLM's indexing principles for neoplasia and MeSH to enhance 
searching MEDLINE and other databases relevant to oncology: 
Saturday, May 14, 8:00 a.m. to 5:00 p.m.

	o "MeSH for Searchers": Saturday, May 14, 8:00 a.m. to 5:00 
p.m.

	o "Searching the PDQ Database for Novice Users": Saturday, May 
14, 8:00 a.m. to noon.

	o "Searching the PDQ Database for Advanced Users": Saturday, 
May 14, 1:00 to 5:00 p.m.

	o "Information Resources in Dentistry," including a discussion 
of MeSH, NLM, and LC classification and search techniques in online 
databases relative to dentistry: Wednesday, May 18, 1:00 to 5:00 
p.m.

	o "Quality Filtering of Medical Literature," including what 
objective indicators of quality exist in MEDLINE: Wednesday, May 18, 
1:00 to 5:00 p.m.

	o "Biotechnology Information: The NLM Databases," presented by 
Maureen Madden, Gene Sequence specialist and Catherine Soehner, 
Grateful Med coordinator, NLM: Wednesday, May 18, 1:00 p.m. to 5:00 
p.m.

Information Infrastructure and HPCC

"Building a National Health Information Infrastructure: The Role of 
High-Performance Computing and Communications (HPCC)," sponsored by 
MLA's Medical Informatics Section and the National Coordination 
Office, High-Performance Computing and Communications, Executive 
Office of the President and including presentations by Donald A.B. 
Lindberg, M.D., director, National Library of Medicine and Daniel R. 
Masys, M.D., director, Lister Hill National Center for Biomedical 
Communications, NLM: Thursday, May 19, 8:30 a.m. to 5:00 p.m.


Perez on Medicine Exhibit Opens

	An exhibit of 28 oil paintings by the distinguished artist 
Jose Perez recently opened in the rotunda area of the Library.  The 
satirical works, to be displayed through May 31, include depictions 
of such medical specialties as The Public Health Doctor, The 
Dentist, and The Pediatrician, as well as paintings titled The 
Emergency Room and the large centerpiece of the exhibit A Day in the 
Hospital.  A collection of this work was published in Perez on 
Medicine: The Whimsical Art of Jose Perez (WRS Publishing, 1993 ). 

	Perez has said of his own work: "Satirical painting suits my 
need as an artist: it gives me the freedom to distort and yet remain 
in the spectrum of the fine arts...The social comment, in which 
satirical art experesses its power, is without malice; it merely 
represents my personal view of the world as I see it, either from an 
historical point, the present, or the future."

	The Friends of the National Library of Medicine are sponsoring 
a reception--an evening with the artist--at the Library on May 23 
(5:30 pm to 7:00 pm).  For information, please contact Robin Abner 
(202/462-9600).

	For further information on the exhibit, contact NLM's History 
of Medicine Division (301/496-5405) or use the following e-mail 
address: Phil_Teigen@occshost.nlm.nih.gov.  

The artist, Jose Perez (l.), converses with Dr. Philip Teigen, 
acting chief of NLM's History of Medicine Division, in front of 
several of his works now on display through May 31.  The painting in 
the center, The Surgeon, likens the operating room to a repair shop.


Publications

Guide to NIH HIV/AIDS Information Services

	This 22-page booklet brings together in a single, easy-to-use 
source, a variety of data about the many HIV/AIDS information-
related activities of the National Institutes of Health.  It is a 
reformatted version of an appendix to Information Services for 
HIV/AIDS: Recommendations to the NIH, the report of a conference co-
sponsored in 1993 by NLM and the NIH Office of AIDS Research (News, 
January-February 1994).  In addition to NIH resources, the Guide 
includes selected offerings from other components of the U.S. Public 
Health Service.

	Single copies or bulk orders (preferably in multiples of 25) 
are available at no charge from the Office of Public Information, 
Attn: Guide, National Library of Medicine, Bethesda, MD 20894.  
Please enclose a self-addressed mailing label with your request (no 
postage necessary); or e-mail your request via the Internet: 
publicinfo@occshost.nlm.nih.gov.

AIDS Bibliography: Geographics Added, FTP Access

	Beginning in 1994, geographic subject headings have been added 
to the AIDS Bibliography, NLM's monthly listing of references to 
articles, books, and audiovisuals on HIV/AIDS (GPO: $76; $95 
foreign; GPO List ID AID94).  Users can now easily retrieve such 
articles discussing the spread of AIDS in New York City or the 
incidence of AIDS/HIV in pregnant women in Uganda simply by looking 
under the relevant city, state, country, or region of the world.  
(Note: NLM always indexes to the most specific term, so that an 
article on AIDS in San Francisco, for example, would not also be 
indexed to California or the Southwestern United States unless the 
article specifically discussed the state and/or region.)  

	The three most recent issues of the AIDS Bibliography are now 
available to anyone with Internet access through FTP (File Transfer 
Protocol).  FTP to nlmpubs.nlm.nih.gov and login as nlmpubs.  The 
index file in each directory provides information about the files in 
that directory.  (Suggestions, comments, or questions may be 
submitted by e-mail to ftpadmin@nlmpubs.nlm.nih.gov.)

New Current Bibliographies in Medicine

	NLM's Reference Section produces a series of bibliographies 
covering a distinct subject area of current interest to the 
biomedical community.  Included as part of this series are all 
bibliographies prepared in support of NIH Consensus Development 
Conferences (indicated by an asterisk on the list below).  CBM93 
series subscriptions are available for $24 ($30 foreign) or 
individually for $3.50 ($4.38 foreign).  The seventh and final 
bibliography in that series is listed below.  

	CBM94 series subscriptions (to include approximately 10 
titles) are available for $60 ($75 foreign) or individually for $8 
($10 foreign).  A list of available titles appears in each monthly 
issue of Abridged Index Medicus and Index Medicus.  Mail orders to: 
New Orders, Superintendent of Documents, P.O. Box 371954, 
Pittsburgh, PA 15250-7954.  GPO Phone Orders: 202/783-3238.  Recent 
CBMs are also accessible through FTP (see "AIDS Bibliography" 
above).

o CBM 93-7:  Community-based health care models.  January 1987 
through August 1993.  113 citations. [S/N 817-009-00007-7]

o CBM 94-1*: Effect of corticosteroids for fetal maturation on 
perinatal outcomes.  January 1985 through December 1993. 715 
citations. [S/N 817-010-00001-6.

o CBM 94-2*: Ovarian cancer. January 1990 through January 1994 plus 
selected earlier references.  1908 citations. [S/N 817-010-00002-4]

o CBM 94-3*: Persian Gulf experience and health.  January 1971 
through March 1994. 594 citations. [S/N 817-010-00003-2]

NLM Classification

	Publication of the fifth edition of the NLM Classification, 
originally announced for Spring 1994, is now planned for Fall 1994.  
The new edition will be available from the Superintendent of 
Documents, U.S. Government Printing Office.  The fourth edition of 
the NLM Classification is out-of-print; libraries wishing to 
purchase copies should wait for the announcement of the fifth 
edition.  Order and price information will appear in the NLM News 
and other sources when it is known.

NLM Current Catalog, 1993 
NLM Audiovisuals Catalog, 1993

	The final editions of these two catalogs are expected to 
appear in late May 1994.  It was announced last year that 
publication of both quarterly and annual editions would cease 
following the 1993 cumulations (News, May-June 1993).  

	NLM cataloging information will still be found in NLM's 
databases CATLINE and AVLINE (among the user-friendly files 
searchable through Grateful Med software).  The databases are also 
accessible through NLM Locator, the Library's public access catalog.  
To access NLM Locator via the Internet, telnet to 
locator.nlm.nih.gov and login as locator (lower case).  For further 
information, contact NLM's Office of Public Information (National 
Library of Medicine, Bethesda, MD 20894) or e-mail 
publicinfo@occshost.nlm.nih.gov.

o NLM Current Catalog, Annual Cumulation, 1993. $85 ($105 foreign).  
Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-
7954.  202/783-3238. Stock Number: 017-052-00317-8. 

o NLM Audiovisuals Catalog, Annual Cumulation, 1993. $33 ($41.25 
foreign).  Superintendent of Documents (see above).  Note: Included 
automatically as fourth quarterly for subscribers; available 
separately: Stock Number 717-138-00004-0.

A Review of Evaluation Instruments 
in Interactive Instruction

	This monograph from the Lister Hill Center's Educational 
Technology Branch incorporates and assesses instruments to evaluate 
interactive instruction in nursing and other health sciences.  The 
authors, Susan M. Sparks, R.N., Ph.D., and Marjorie A. Kuenz, Ph.D., 
analyze the characteristics of the instruments and provide a topical 
guide for instrument development and selection.  They also offer 
overall observations about the evaluation process.

o Interactive Instruction in Nursing and Other Health Sciences: 
Review of the Evaluation Instruments. $44.50 ($89 foreign); $17.50 
microfiche ($35 foreign m/f).  National Technical Information 
Service, Springfield, VA 22161. 703/487-4650.  Accession No. PB94-
127909.


NLM in Print

	The following references cite works that discuss the products 
and services of the National Library of Medicine.  If you know of 
other appropriate citations for this column, please send reprints or 
references to the editor, NLM News, National Library of Medicine, 
Bethesda, MD 20894.  (Note: Some of the articles below may be from 
journals that are out of scope for the NLM collection and are 
therefore not available from the Library on interlibrary loan.)

Berry JN. A lesson in leadership from NLM [editorial]. Libr J 1994 
Feb 15;119(3):90.

Cala MA. Grateful Med simplifies literature searches. Med Trib 1994 
Feb 10:27.

Coleburn J. NLM cataloger talks about automation help. Libr Cong Gaz 
1994 Jan 14:19.

Fink M. Using MEDLINE to solve clinical problems [letter]. JAMA 1993 
Nov 3;270(7):2054.  Reply, same page: Lindberg DAB, Siegel ER.

Glitz B. Grateful Med: access in the drug information age. Calif 
Pharm 1994 Feb:22-4.

Humphrey SM. Knowledge-based systems for indexing. In: Fidel R, Hahn 
TB, Rasmussen EM, Smith PJ. Challenges in indexing electronic text 
and images; 1994, Learned Information: Medford, NJ. p. 161-75.
Humphreys BL, McCutcheon DE. Growth patterns in the National Library 
of Medicine's serials collection and in Index Medicus journals, 
1966-1985. Bull Med Lib Assoc 1994 Jan;82(1):18-24. 

Jaeschke R, Guyatt G, Sackett DL. Users' guides to the medical 
literature. JAMA 1994 Feb 2;271(5):389-91.

Jossi KL. The National Library of Medicine. Nurs Spectr 1994 Jan 
10;4(1):5,15.

Okuma E. Selecting CD-ROM databases for nursing students: a 
comparison of MEDLINE and Cumulative Index to Nursing and Allied 
Health Literature (CINAHL). Bull Med Lib Assoc 1994 Jan;82(1):25- 9. 

Pao ML, Grefsheim SF, Barclay ML, Woolliscroft JO, McQuillan M, 
Shipman BL. Factors affecting students' use of MEDLINE. Comput 
Biomed Res 1993;226:541-55.

Roberts L. NIH, DOE battle for custody of DNA sequence data [news] 
Science 1993 Oct 22;262(5133):504-5. _ _

Satya-Murti S. A core electronic medical library in a rural setting: 
update. Kans Med 1993 Oct;94(10):264-7.

Sparks SM. The world of electronic communications and interactive 
learning [editorial]. SCI Nurs 1993 Aug;10(3):82. 

Wilson C. The AHEC libraries. J Arkansas Med Soc 1993 Oct;90(5):202-
3.

Wurangian N. Local systems implementation: working smarter with 
OCLC. OCLC Syst Serv 1993 Summer;9(2):32-6.

o "Grateful Med" "Loansome Doc" are really serious learning. _Tex 
Nurs 1993 May;67(5):14. _ _

o Adam's family values [Visible Human Project]. Economist 1994 Mar 
4;130(7853):94,97.

o Common sense about AIDS: free databases make electronic 
information more accessible.  AIDS Alert Suppl 1994 Mar:1-2.

o National Library of Medicine sets AIDS databases free: online 
charges dropped. AIDS Alert 1994 Mar:45-6.

o NLM nixes AIDS database fees. Libr J 1994 Feb 15;119(3):99-100.

o Nursing classifications recognized by National Library of 
Medicine. Am Nurse 1993 Mar;25(3):9. _ _

o Toxicology Data Bank. Natl Clgh Poison Control Cent Bull 1979 
Feb;23(2):4-5. _ _


Monograph & Serial G aps

	NLM regularly seeks the help of the medical library community 
in filling gaps in its monograph and serial collections.  If you can 
provide any of these items we would be most grateful.  

Monographs

	If you are able to provide a copy of any of the monographs 
listed below, please send to:

		National Library of Medicine
		TSD-MONOGRAPHS Attn:  L. Turnage
		Bethesda, MD 20894

	Decker, John L.; Kaliner, Michael A., editors.  Understanding 
and managing asthma.  New York: Avon Books, c1988.  

	Gallagher, Hugh Gregory.  FDR's splendid deception. 1st ed.  
New York: Dodd, Mead, c1985.

	Hudson, Liam.  Human beings: the psychology of human 
experience.

Garden City (NY): Anchor Press, 1975.

	Lewinsohn, Peter M.  Control your depression. 1st Prentice-
Hall Press ed.  Englewood Cliffs (NJ): Prentice-Hall, c1986.

	Mairesse, Michelle.  Health secrets of medicinal herbs.  New 
York: Arco Pub., c1981.

	Norwood, Christopher.  Advice for life: a woman's guide to 
AIDS risks and prevention.  1st ed.  New York: Pantheon Books, 
c1987.

	Rom, William N.; Archer, Victor E., editors.  Health 
implications of new energy technologies.  Ann Arbor (MI): Ann Arbor 
Science Publishers, 1980.

	Seitner, Philip G.  Categorization of drug subject headings 
systematized and indexed by anatomical, physiological 
pharmacodynamic, pharmacotherapeutic, disease, and other concepts.  
Chicago: American Medical Association, Documentation Section, Dept. 
of Drugs, 1968.

	Stolz, E., editor.  Management of infected wounds: proceedings 
of a European symposium held in The Hague, 9th September, 1978. 
Amsterdam: Excerpta Medica; New York: Elsevier/North Holland, 1979.

Serials Gaps

Please address serial issues to:
	National Library of Medicine
	TSD-GAPS Attn: C. Fields
	Bethesda, MD 20894

American Industrial Hygiene Association Journal 49:1,10, 1988
American Journal of Drug and Alcohol Abuse 1:3-4, 1974
Annals of the New York Academy of Sciences 579, 1990
AORN Journal 56:3, 1992
Archives of Emergency Medicine 2:2, 1985; 7:3, 1990; 8:1, 1991
Biulleten Eksperimentalnoi Biologii I Meditsiny 115:2, 1993
British Journal of Sports Medicine 4:3-4, 1969; 5:3, 1971
Canadian Association of Radiologists Journal 38:1-4, 1987
Colorado Medicine 78:9-12, 1981; 84:20, 1987
Computers in Nursing 11:3, 1993
Contemporary Topics in Molecular Immunology 11:1986
Critical Reviews in Biomedical Engineering 19:5, 1992
Critical Reviews in Food Science and Nutrition 20:2,5-6, 1984; 31:5, 
1992
Dialogues in Dermatology 27:1-6, 1990; 28:1-6, 1991
Early Human Development 33:2, 1993
Experimental Medicine and Surgery 28:4, 1970
Health Technology Assessment Reports 4-8, 1988-1990
Histochemical Journal 20:12, 1988
IMJ. Illinois Medical Journal 154:1,3,5, 1978
Journal - American Intra-Ocular Implant Society 2:1-4, 1976
Journal of the Association for Academic Minority Physicians 3:3, 
1992
Journal Belge de Radiologie 74:6, 1991
Journal of Gerontology 44:5-6, 1989; 46:1, 1991
Kardiologiia 33:2, 1993
Klinika Oczna 94:9, 1992
Mechanisms of Ageing and Development 66:2, 1992
Metabolic, Pediatric, and Systemic Ophthalmology 14:2, 1991
Michigan Medicine 70:35-38, 1972; 71:25, 1972; 72:25,29-38, 1974; 
73:30, 1975; 74:32, 1975; 77:20,23,26,29,32-33, 1978; 78:1-19, 1979
Missouri Medicine 73 Suppl, 1976; 74-76, 1977-1979
Molecular Carcinogenesis 5:5-6, 1992
Morfologiia 102:1-4, 1992
Obstetrical and Gynecological Survey 38:2, 1983
Polski Tygodnik Lekarski 46:11-13, 27-29, 1991
Radiography 32:374,376,379, 1966; 33:392, 1967; 42:493-504, 1976
Terapevticheskii Arkhiv 65:2-4, 1993
Veterinary Surgery 20:6, 1991
Vital and Health Statistics. Series 1: Programs and Collection 
Procedures 17: 1985
Vital and Health Statistics. Series 11: Data from the National 
Health Survey 39-100, 107, 162-200, 19??
Zeitschrift fur Lymphologie. Journal of Lymphology 16:2, 1992