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Month: January 2018

NLM Technical Bulletin, Jan-Feb 2018, NLM Classification 2018 Winter Edition Now Available

Willis SR. NLM Classification 2018 Winter Edition Now Available. NLM Tech Bull. 2018 Jan-Feb;(420):e3.
Starting in 2017, the NLM Classification, available online at https://www.nlm.nih.gov/class, has moved from an annual spring update to twice-yearly updates.
Scope of Revision of the 2018 Winter Edition
The 2018 MeSH (Medical Subject Headings) vocabulary was evaluated for inclusion in the Classification Index. Several additions and changes were made to the Index and Schedules based on this review. All main index headings are now linked to the 2018 vocabulary in the MeSH Browser. Additional minor updates were made to the Index AND Schedules.
Summary Statistics for the 2018 Winter Edition
93 index main headings added (86 from 2018 MeSH)
114 index entries modified
2 index headings deleted
8 class numbers added
1 new schedule range header modified
11 class number captions or notes modified
No class numbers canceled
Examples of Additions & Changes Based on MeSH 2018
Smoking TerminologyThe majority of the new & modified smoking-related terms from MeSH 2018 were added to the Classification Index. Also, notes were added to relevant index entries to classify general works on smoking in WM 295. Specific substances are classified by the substance. For example, a general work on pipe smoking is classified in WM 295. A work on tobacco pipe smoking is classified with tobacco at WM 290.
Survival TermsThe new 2018 terms, Cancer Survivors & Survivorship were added to the Classification Index. The caption at WM 167 was changed from “Psychological aspects of crime victims” to “Psychological aspects of survivors and survivorship.” An instructional note was added to “Classify works on…

NLM Classification Updated, January 31, 2018

Starting in 2017, the NLM Classification, available online at https://www.nlm.nih.gov/class, has moved from an annual spring update to twice-yearly updates. The 2018 winter edition has been issued as of January 31, 2018.
For the winter edition, the 2018 MeSH (Medical Subject Headings) vocabulary was evaluated for inclusion in the Classification index. Several additions & changes were made to the Index and Schedules based on this review.  All main index headings are now linked to the 2018 vocabulary in the MeSH Browser.  Additional minor updates were made to the Index & Schedules.
Summary Statistics for the 2018 Winter Edition
93 index main headings added (86 from 2018 MeSH)
114 index entries modified
2 index headings deleted
8 class numbers added
1 new schedule range header modified
11 class number captions or notes modified
No class numbers canceled
The 2018 summer version will be published in mid-to-late August 2018. It will encompass the ongoing systematic review of selected classification schedules and other miscellaneous updates. The PDF version will be updated with all 2018 classification data in the fall.
Contact NLM for further information, or if you have questions or comments.

Since its founding in 1836, the National Library of Medicine https://www.nlm.nih.gov has played a pivotal role in translating biomedical research into practice & is a leader in information innovation. NLM is the world’s largest medical library, & millions of scientists, health professionals AND the public around the world use NLM services every day.
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Alert – Yellow Fever in Brazil

Warning – Level 3, Avoid Nonessential Travel
Alert – Level 2, Practice Enhanced Precautions
Watch – Level 1, Practice Usual Precautions

In early 2017, the Brazilian Ministry of Health reported outbreaks of yellow fever in several eastern states, including areas where yellow fever was not traditionally considered to be a risk. Although virus spread decreased by mid-2017, yellow fever cases have reappeared in several states since the end of 2017, especially in São Paulo State, including areas close to the city of São Paulo. In early 2018, the GeoSentinel Surveillance System reported a case of yellow fever in an unvaccinated Dutch traveler who had stayed near the São Paulo metropolitan region.
In response to the outbreak, the Globe Health Organization expanded the list of areas where yellow fever vaccination is recommended for international travelers to Brazil. Most recently, the city of São Paulo was added to this expanded list (below). Please note that this list contains temporary expanded vaccine recommendations.
In addition to areas in Brazil where yellow fever vaccination has been recommended since before the recent outbreaks, it is now also recommended for people who are traveling to or living in:
All of Espirito Santo State.
All of Rio de Janeiro State, including the city of Rio de Janeiro.
All of São Paulo State, including the entire city of São Paulo.
A number of cities in Bahia State.
The Brazilian Ministry of Health maintains a regular list of all other cities in Brazil for which yellow fever vaccination has been recommended since before the recent outbreaks. This list does…

Ill-Conceived, Well Drawn-and Powerful: Graphic Medicine Exhibition Debuts at NLM

From Cancer Vixen, Marisa Acocella Marchetto, 2006 (Courtesy Marisa Acocella Marchetto & Penguin Random House LLC)

Welcome to the world of graphic medicine—the use of comics to tell stories of illness & health.
What’s NLM got to do with graphic medicine?
A lot!
Dozens of images are now online in Graphic Medicine: Ill-Conceived AND Well-Drawn!, a multi-formatted exhibition which explores this increasingly popular genre & showcases the National Library of Medicine’s growing collection of graphic medicine works.
Curated by Seattle cartoonist & educator Ellen Forney, author of the New York Times bestselling graphic book Marbles: Mania, Depression, Michelangelo, & Me, the new exhibition introduces the genre, discussing who creates graphic medicine, how it conveys meaning, & its impact on readers & creators.
Topics covered in this groundbreaking exhibition include cancer, Alzheimer’s, eating disorders, lupus, hearing loss, & many more. Texts & images can be funny, edgy, irreverent, and jarringly honest—sometimes, in the same comic!
As text in the exhibition states:

Learning about illness and treatment can be an effective coping AND healing strategy for the author, & sharing that information with readers can transform a negative experience into a positive one.

It can also provide help & healing for others going through the same experience, & inform health professionals, too.
How can I am check it out?
There’s lots of information for you, but here it is, in a nutshell:
There will be a special Graphic Medicine display in the History of Medicine Reading Room January 30, 2018 through January 3, 2019. You’re welcome to visit weekdays except federal holidays. Group tours are…

How to Buy Medicines Safely From an Online Pharmacy

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Ever been tempted to buy your medicines from an online pharmacy or another website?
Protect yourself and your family by using caution when buying medicine online. There are many pharmacy websites that operate legally & offer convenience, privacy, & safeguards for purchasing medicines.
But the U.S. Food & Drug Administration warns that there are many rogue online pharmacies that claim to sell prescription medicines at deeply discounted prices, often without requiring a valid prescription. These Internet-based pharmacies often sell unapproved or counterfeit medicines outside the safeguards followed by licensed pharmacies.
These rogue sites often prominently display a Canadian flag, but may actually be operated by criminals from the other side of the worldwide with no connection to Canada. Medicines bought from these websites can be dangerous & may put your health at risk.
How can you tell if an online pharmacy is operating legally? The FDA’s BeSafeRx can help you identify & avoid fake online pharmacies.
Signs of a Rogue Online Pharmacy
Beware of online pharmacies that:
Allow you to buy prescription medicine without a valid prescription from your health care provider.
Do not have a U.S. state-licensed pharmacist available to answer your questions.
Offer very low prices that seem too good to be true.
Send spam or unsolicited email offering cheap medicine.
Are located outside of the United States or ship worldwide.
These pharmacies often sell medicines that can be dangerous because they may:
Have too much or too little of the active ingredient you need to treat your disease or condition.
Not contain the right active ingredient.
Contain…

NLM Launches “Graphic Medicine: Ill-Conceived & Well Drawn!”

Special Display, Traveling Banner Exhibition, and Online Exhibition open January 30, 2018
The National Library of Medicine (NLM) announces Graphic Medicine: Ill-Conceived & Well Drawn!, a special display, a traveling banner exhibition made available free of charge to cultural institutions across the country, & an online adaptation available to the worldwide, also on January 30, 2018.
Graphic Medicine: Ill-Conceived & Well Drawn! explores the meaning of an emerging genre of medical literature that combines the art of comics & personal illness narrative. This approach can reveal the emotional power of these illness narratives and the clinical data they often involve. As a way of understanding illness & health care, these stories can be essential to effective treatment, healing, & understanding. Artist, educator, and New York Times bestselling author Ellen Forney guest curated the exhibition, which acknowledges & celebrates the NLM’s newly-acquired collection of graphic medicine publications.
Public Program on March 1, 2018
Complementing Graphic Medicine: Ill-Conceived & Well Drawn!, NLM Director Patricia Flatley Brennan, RN, PhD will host a “Conversation about Graphic Medicine,” a special public program which will address the place of graphic medicine within medical literature & the landscape of personal health communication in the 21st century. Dr. Brennan will be in conversation with the project’s guest curator, Ms. Forney; Dr. Michael Green, a physician, bioethicist, & professor in the Departments of Humanities & Internal Medicine at Penn State University where he cares for patients, teaches medical students & residents, & conducts research in bioethics, and has co-authored articles and publications about Graphic Medicine; &…

Focus on: Health Literacy

To find out what’s going on in the growing field of health literacy, NLM in Focus spoke with resident expert Rob Logan, PhD, in the Office of Communication & Public Liaison at NLM. Logan is the co-editor of a new novel on health literacy research and practice.
What are the main points you want the public to know about health literacy?
Health literacy has an impact on your health and life expectancy as well as your ability to cope with & navigate the health care delivery system.
Yet few people are “proficient”—that’s the actual term—or are health literate. The last US national assessment suggests only about 12 percent of the population is health literate, or proficient.
What about the rest of the globe?
It’s about the same in the countries in the worldwide where health literacy has been measured.
Sadly, I suspect health literacy may be low everywhere.
Did that surprise you?
Better health literacy helps you navigate the health care system.

It saddened me.
Poor health literacy is a global concern.
Health literacy is important to you—whoever you are.
Better health literacy helps you use the health care delivery system. It improves your ability to communicate with a physician or health care provider. It improves your ability to cope. & it very much improves your ability to understand the directions that you’re given, or to demand an explanation when they aren’t clear. It even gives you self-confidence.
Better health literacy also can motivate you to get well. That seems to be the case for people who have acute & chronic illnesses. Recent…

NIH MedlinePlus Salud Magazine Now Available

The annual issue of NIH MedlinePlus Salud magazine is now available online & in print.
Salud, which means health in Spanish, is a Freeware magazine of NIH and the Friends of the National Library of Medicine.
Salud brings accurate & timely information in Spanish & English on health topics to patients AND helps explain how NIH turns “discovery into health.”
This issue covers—
Black Eyed Peas’ Taboo on music, research, & his fight against cancer
Journalist Liz Hernandez on how Alzheimer’s has affected her family
Breast cancer & Latinas
Latest asthma research
Tips for your doctor visit
Clinical trials
Subscribe to Salud today. It’s Freeware!
La revista MedlinePlus Salud de los NIH ya está disponible
La edición de este año de Salud ya está disponible en forma impresa y en línea.
La revista es gratuita y es producida por los NIH y los Amigos de la Biblioteca Nacional de Medicina de los EE. UU.
Salud brinda información de salud precisa y actualizada a pacientes en español y en inglés y explica cómo los NIH transforman descubrimientos en salud.
Esta edición incluye:
El cantante de los Black Eyed Peas, Taboo, nos cuenta sobre su música, investigación y su lucha contra el cáncer
La periodista Liz Hernandez nos habla de cómo la enfermedad de Alzheimer ha afectado a su familia
Cáncer de seno y las mujeres latinas
Lo último en investigación sobre asma
Sugerencias para cuando visite a su doctor
Estudios clínicos
Suscríbase a Salud hoy. Es gratuita!

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Is My Dog or Cat a Healthy Weight? Important Questions to Ask the Vet

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Your 8-year-old chocolate lab is putting on weight, and you know she should probably lose a pound or two. But when she looks at you pleadingly with those big brown eyes, how can you resist handing out just one more treat?
It’s not easy. But it may be important.
“Just as obesity has become a serious problem in people, it’s also a growing problem in pets, one that can seriously harm your pet’s health,” says Carmela Stamper, a veterinarian in the Center for Veterinary Medicine (CVM) at the U.S. Food & Drug Administration (FDA). Among CVM’s responsibilities are making sure that food for animals—which includes animal feed, pet food, & pet treats—is properly labeled with truthful claims, & is safe for animals & the people who handle it.
According to a 2015 survey by the Association for Pet Obesity Prevention, an estimated 58% of cats & 54% of dogs in the United States are overweight.
“The diseases we see in our overweight pets are strikingly similar to those seen in overweight people,” Stamper says, naming as examples diabetes mellitus (also known as Type 2 Diabetes, in which the body does not use insulin properly), osteoarthritis, high blood pressure, heart & respiratory disease, AND kidney disease.
“We want our pets to live happy lives, but we also want them to live long ones,” Stamper says. Obesity in your pet can significantly shorten the animal’s life span.
How Fat is Too Fat?
In pets, 20 percent over ideal body weight is considered obese….

It's Not Too Late to Get Your Flu Shot

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Haven’t had your flu shot yet? It’s not too late. & there are still good reasons to get one.
Flu — more formally known as influenza — is a serious viral disease that can lead to hospitalization & even death. Although every flu season is different, flu has resulted in anywhere from 9.2 million to 35.6 million illnesses; 140,000 to 710,000 hospitalizations; & 12,000 to 56,000 deaths every year since 2010, according to the Centers for Disease Control & Prevention (CDC).
Flu viruses are spread through tiny droplets by people infected with flu who cough, sneeze, or talk. Flu also is spread by touching a surface or object that has flu viruses on it. Although influenza viruses circulate year-round, flu activity peaks between December & February most years, but activity can last as late as May in the U.S.
A Flu Vaccine Can Help
An annual seasonal flu vaccine is the best way to reduce your risk of getting sick AND spreading it to others. The vaccine typically is redesigned each year to contain flu virus strains expected to be prevalent during the upcoming flu season. The strains have been inactivated so that they don’t cause you to get sick with flu, but will trigger your immune system to produce antibodies that can protect against influenza disease.
When more people get vaccinated, less flu can spread through a community. It can take about two weeks after vaccination for antibodies to develop in the body.
The U.S. Food & Drug Administration plays…

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