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Exploring Medical Librarianship and Web Geekery

 
 
 
 

Archive for For Medical Libraryfolk

How to: Add a Free Medical Dictionary to Word 2003/2007

Got an email from a friend the other day:

“I wonder if you have found a free add-on for Word 2003 that includes medical terms in the spell check feature and is secure enough for me to recommend to my users at the hospital?”

This is such a great question and something that has come up at my place of work previously. Out of the box, Microsoft Office Word doesn’t recognize a whole lot of the specialized medical vocabulary that people at our hospital use every day. The result of this is that Word frequently fails to recognize clinical terms and underlines them in red, essentially making them false positives for spelling errors.

Only one employee in my department has Stedman’s medical dictionary installed in her copy of Word 2003 because paying a license for each copy used in an entire hospital would add up to an unmanageable sum quite quickly.

Among the books made available to all employees through our hospital’s intranet is a medical dictionary- and that’s okay for the kinds of people who don’t mind stopping what they’re doing to look up a word, but it would be so much faster and easier for Word to be able to spell-check and correct spelling issues with medical terms.

So I promised the friend I’d think it over and come up with some recommendations.

In MS Word, a “dictionary” is just a list of words.

That’s all. Nothing on pronunciation, etymology, or definition.

A quick search reveals that these “dictionaries” (word lists) are stored as .dic files.

Microsoft even tells you how to MAKE a custom dictionary.

So, what we really need is a list of words to turn into a custom dictionary.

OpenMedSpel is pretty awesome.
Free, open source, and released under a GPL license, OpenMedSpel includes nearly 50,000 medical terms. This is all looks great, but while they have a plug-in for OpenOffice, there doesn’t seem to be one for MS Word.

No problem, though. I took apart a .dic file, and it is pretty much a .txt file with a word on each line, renamed with a “.dic” file extension. This means we can just download the .txt version (in the .zip fail available here) and rename it from OpenMedSpel 100.txt to OpenMedSpel 100.dic and save it to our computer.1

To add this .dic file to Word (2003 or 2007), we just follow these instructions from Microsoft:

  1. Start Word.
  2. In Microsoft Office Word 2003 and in earlier versions of Word, click Options on the Tools menu.

    In Microsoft Office Word 2007, click the Microsoft Office Button, and then click Word Options.

  3. In Word 2003 and in earlier versions of Word, click Custom Dictionaries on the Spelling & Grammar tab.

    In Word 2007, click Proofing, and then click Custom Dictionaries under When correcting spelling in Microsoft Office programs.

  4. Click New to create a new custom dictionary.
  5. In the File name box, type a name for the
    new custom dictionary, and then click Save.

    The custom dictionary is added to the Dictionary list.

  6. In the Custom Dictionaries dialog box, click OK, and then click OK in the Options dialog box.

That’s it. You have medical term spell-checking in Word 2003 or Word 2007.

PLEASE NOTE: I would not hesitate to recommend this solution to my hospital’s CIO and could demonstrate to him why there is absolutely no security risk in adding this .dic file- but I wouldn’t go around setting it up on other employees’ computers without his go-ahead.

Want to go with a bigger word list?

The MTHerald blog has built on the OpenMedSpel list to one that contains almost 100,000 terms. I downloaded and checked it out and will recommend it as a harmless, malware-free .dic file- but as with any file I don’t host myself, I can’t promise that’ll be true tomorrow.

There are a number of other sources for lists of medical terms or abbreviations you can find online and add to your .dic file as suits you.

Know of any other especially good sources? Please advise in the comments.


1 If you want to take a shortcut, you can download my .dic file here (right-click, Save As), but please note I don’t plan on keeping it updated as OpenSpelMed makes changes- so if you’re reading this more than a year after it was posted, I’d go get a fresh copy of the .txt file from OpenMedSpel. Firefox users: Firefox’s native spell-checking isn’t bad at all, but OpenMedSpel has a free Firefox plug-in you’ll probably want to check out.

Big Pharma in your iPhone and Nintendo

From The Independant: Medicines not working? There’s an app for that

(Is anyone else completely done with the “There’s an app for that” meme?)

Novartis, for example, signed a $24 million (£15.3 million) deal last month with US-based Proteus Biomedical to create “smart pills” that can transmit data from inside the body to monitor patients’ vital signs and check they have taken medicines as prescribed.

Bayer is connecting its glucometer for diabetic children to Nintendo’s video-gaming consoles to promote consistent blood sugar testing.

And Johnson & Johnson’s Lifescan unit has an iPhone application that lets users upload readings from their connected blood glucose monitors to their Apple phone.

Ben Goldacre Explains the Placebo Effect

[EDIT]

I did NOT mean to post the same video with the same post title a day after Nikki did.

[/EDIT]

Ever have a hard time explaining the placebo effect? Let Dr. Ben Goldacre do it for you in this video from the NHS:

Yet Another Reason to Love the NLM: Emergency Access Initiative

I just caught up and noticed this…and think it is brilliant.

http://eai.nlm.nih.gov/

The Emergency Access Initiative (EAI) is a partnership of the National Library of Medicine, the National Network of Libraries of Medicine, and the Professional/Scholarly Publishing Division of the Association of American Publishers. EAI provides free access to full text articles from major biomedicine titles to healthcare professionals, librarians, and the public in the United States affected by disasters.

Of course, I won’t be using this because I’m not doing anything related to the disaster in Haiti- but the NLM deserves all kinds of attention and praise for doing this, as do contributing publishers:

American Academy of Pediatrics, American Association for the Advancement of Science, American College of Physicians, American Society of Health-Systems Pharmacists, ASM Press, B.C. Decker, BMJ, Elsevier, FA Davis, Mary Ann Liebert, Massachusetts Medical Society, McGraw-Hill, Merck Publishing, Oxford University Press, People’s Medical Publishing House, Springer, University of Chicago Press, Wiley, and Wolters Kluwer.

USDA and Social Media

In my previous post about social media endeavors at the CDC and HHS, I should also have mentioned the United States Department of Agriculture.1

Are there other government agencies (related to health and/or healthcare) with social media projects I haven’t noticed yet? Please let me know in the comments?


1 Full disclosure: My friend Craig Stoltz is working on USDA social media projects, and they’re very lucky to have him. There are a lot of social media “experts” who are not actually all that expert- but Craig really knows his stuff.

CDC and HHS Guidelines/Policies on Social Media

Does it say something that these .gov agencies have formal social media operations and policies?

Centers for Disease Control
CDC Social Media Tools Guidelines & Best Practices

Front page for social media at the CDC:
http://www.cdc.gov/socialmedia/

Health and Human Services
The HHS Center for New Media, Standards and Policies

Front page for HHS Center for New Media:
http://www.newmedia.hhs.gov/

Brief “interview” from AdAge with Andrew P. Wilson, web manager for HHS:
http://adage.com/digital/article?article_id=134332

Excerpt:

Pblackshaw: So Andrew, does the Health and Human Services Department really have a social-media team?

AndrewPWilson: Yes. See http://tinyurl.com/accz97. The social-media outreach effort is being directed by the department’s new Social Media Center.

Pblackshaw: What does that mean — Social Media Center? Just you? A full team? A body of activity?

AndrewPWilson: People in the department have been working with social media for some time, e.g., http://tinyurl.com/bsrtt8 (and others). Now we’re starting broader initiatives.

Pblackshaw: But just you? What’s your role?

AndrewPWilson: It’s still evolving but much more than just me. To start, developing resources and expertise in the dept to help HHS understand and use new tools.

Atul Gawande on The Daily Show

Among the things I like: Patient safety, Jon Stewart, and Atul Gawande.

Gawande talks with Stewart about The Checklist Manifesto (video embedded below).

The Daily Show With Jon Stewart Mon – Thurs 11p / 10c
Atul Gawande
www.thedailyshow.com
Daily Show
Full Episodes
Political Humor Health Care Crisis

Steven Levitt calls this “…the best book I’ve read in ages.”

Dagnabbit. Now I need to read it.

The Health Tweeder

The Health Tweeder appears to be an attempt at visualizing tweets about health conditions on Twitter. Interesting.

MLGSCA/NCNMLG 2010 Slides (#jm2010az)

Perhaps I can write a bit more about my trip to Arizona soon, but for now I wanted to get the slides posted for those who attended.

It was lots of fun and a treat for me to get to leave Syracuse in January and gape at palm trees for a couple of days. :)

Behind the Scenes at the #mlamobile Webcast

[Embedded video below]

[Embedded video above]

Notes on the #mlamobile Webcast (Questions and Comments)

So, we had just decided that we should encourage people to tweet about the Webcast using a hashtag and we jumped online to announce it…and discovered Nikki Dettmar had beaten us to it by a few minutes.

GMTA, Nikki.  :)

Anyway, it has been a lot of fun reading the tweets and I’m so grateful to those who participated for providing such useful, fun, fast feedback.

Some tweets I found interesting:

BerrymanD Great content today. Would recommend that, in the future, we skip the history lesson and go directly to the current content. #mlamobile

Wed, 18 Nov 2009 21:00:38 +0000 – tweet id 5837056058 – 552

Donna, I could not disagree more.  The history provides context showing that technological change isn’t new, but is happening faster and faster. Without context, we’d just be talking about this week’s information instead of shedding a little light on longer-term trends.  Also, Max rules and I learned a whole lot from his history lesson.

ericrumsey RT @joepemberton Android vs iPhone Debate Looks Like Windows vs Mac Debate #MLAmobile (Wired) http://bit.ly/11iy2G (via @jmk)

Wed, 18 Nov 2009 20:57:48 +0000 – tweet id 5836982620 – 540

I think of it as more analogous to “Windows vs. Linux.”

bohyunkim App development requires a web developer, says Rothman. Excellent point – mobilization requires resources + staff. #mlamobile

Wed, 18 Nov 2009 20:55:54 +0000 – tweet id 5836934904 – 532

App development requires, I believe, a developer.  Simple iPhone-optimized Web sites seem within the reach of people who are already comfortable with XHTML and CSS …and those people aren’t necessarily programmers/developers.

jopomojo #mlamobile nice image of Google’s modus operandi: throw it against the wall and see if it sticks. Was that Rothman who said that?

Wed, 18 Nov 2009 20:52:21 +0000 – tweet id 5836846201 – 518

Nope. That was Bart.  Bart was, I believe, the most consistently funny presenter.

ilyse324 #mlamobile so glad to see how happy Bart and David are to be there and talk about these technologies :)

Wed, 18 Nov 2009 20:48:18 +0000 – tweet id 5836744716 – 503

Well, I’m more accustomed to being asked to STOP talking about the stuff that interests me…so this was a nice change of pace.

dial_m #mlamobile google conversion util good to way to preview how ur current website displays on a mobile phone http://www.google.com/gwt/n

Wed, 18 Nov 2009 20:44:47 +0000 – tweet id 5836655564 – 490

I don’t think I agree. The Google mobile conversion tool isn’t an emulator that shows you what a page will look like on a mobile browser.  Its purpose is to take pages that are NOT mobile-friendly and present them in such a way that they are easier to view in a mobile browser.

greeneyed_ives Does anyone have current patrons using PubGet? Especially practicing clinicians? Curious if it as popular as Rothman says. #mlamobile

Wed, 18 Nov 2009 20:04:55 +0000 – tweet id 5835687873 – 338

Did I say PubGet was popular?  I don’t think it is yet…but I don’t understand why not.  Besides, PubGet is only REALLY useful to patrons if their library implements it.  It is free and and easy to try- why not get in touch with the folks at PubGet, set it up, and see if patrons like it?  If you’d like an introduction to Ian at PubGet, let me know.  He seems an awfully sharp, very nice guy who really likes libraries and librarians.

gabinator says @davidlrothman says Palm Pre’s problem is poor marketing #mlamobile

Wed, 18 Nov 2009 19:41:35 +0000 – tweet id 5835110236 – 214

Well, that’s one of its problems.  iPhone marketing is everywhere and excellent.  The marketing pushes for the T-Mobile MyTouch and the Verizon Droid have been strong.  The other important problem Palm has with the Pre is that it is the only device using its operating system…so development for it is going to be pretty limited.

Other dangling queries:

Someone asked about an Android phone called the “Hero.”

HTC makes a phone called the “Hero” which runs on Android 1.5 and a user interface that HTC made themselves. It looks purty.

Another viewer emailed to ask: “What are the health risks in using these devices?”

Dependency?  Max, Emily, and Bart seem a little addicted to their iPhones.  Maybe accidents caused by walking and texting? [PubMed search]

Any other questions you feel haven’t been answered yet?

Leave a comment here and we’ll try to answer it.

Still to come:

More behind-the-scenes photos and video.

Webcast Tomorrow on Twitter: #mlamobile

So we’re in Chicago getting ready for the Webcast tomorrow.

We just figured out that we want people to be able to submit questions or discuss the Webcast on Twitter, so use the hashtag #mlamobile to do so.

Thanks!

-David, Bart, Max, and Emily

(Nikki set up an archive for these tweets at Twapper Keeper.)

[UPDATED] Another Question about ‘Clinical Reader’ …and the NEJM

[UPDATE: 11/12/2009]

Got a call from Tom Richardson at the NEJM (who I saw play with the Bearded Pigs at MLA 2008!).

According to Tom, NEJM has no arrangement with Clinical Reader and did not license their content to Clinical Reader. So it appears that Clinical Reader is again violating copyright.

[/UPDATE]

So, Clinical Reader shows video content from the NEJM, including a video on chest tube insertion (yeah, the same one I blogged about a ways back).

I thought this was odd.

After all, if you go to the NEJM’s home for this video, it clearly says one needs a subscription to view the content.

Hmmm.

So I decided to look around for any notes from either organization that would indicate Clinical Reader is using this video content with permission. Didn’t find it. Also didn’t find any published terms under which NEJM offered to license it.

My curiosity piqued, I decided to poke around more to see if anyone else was showing NEJMs content. Sure enough, somebody with a subscription to NEJM downloaded a decent copy and posted it on Vimeo:

It has been viewed there over 1,600 times.

Note to Vimeo: This violates terms of service. The user who uploaded it did not own it (as should be fairly obvious by the title cards). As much as I enjoy free access to high quality video, this belongs to NEJM, not this user. The video should at least be taken down from your servers.

Anyway, Vimeo allows users to download videos in .flv format. I downloaded that .flv with no problem…so now Vimeo is serving as a distribution channel for others who would like unlicensed copies. I wonder if perhaps that is how Clinical Reader got a copy to show from their site.

I’d be interested to hear from the NEJM and Clinical Reader: Was this content licensed to Clinical Reader? If so, why is the video quality so much poorer than in the original at the NEJM’s site OR the Vimeo copy?

If not, why isn’t the NEJM interested that their content is being stolen?

I mean…if I didn’t sweat pesky things like copyright, I think I could build an AMAZING portal for health information…made of other people’s content.

Clinical Reader’s FAQ says:

Clinical Reader respects all copyrights and legal restrictions on content and access. Clinical Reader cannot give a user access to articles to which the user does not already have access to copyright-restricted content. For example, if a user does not have access to a research article in the BMJ (either through an individual subscription or through the user´s institution), Clinical Reader will not be able to show the item in full.

Huh. I don’t have access to NEJM from here at home. But I can still view its content in Clinical Reader.

[EDIT]
Veoh is showing this video, too.

and medicalvideos.us

…and there’s a RapidShare link on this blog.
[/EDIT]

New PubMed Video (U of Manitoba)

Mayo’s LibBlog Shows You How to Use My NCBI

Melissa Rethlefsen does it again with another great screencast:

[via: http://liblog.mayo.edu/2009/10/13/video-tutorial-my-ncbi-custom-filters-and-sharing-collections/]

Melissa rules.

LigerCat

In a recent comment, Creaky (Kathleen Crea) made me aware of LigerCat, a 3rd-Party PubMed/MEDLINE tool that is new to me. I’m really enjoying working with it.1

I’m sure that more experienced Medical Libraryfolk don’t have to do this, but as I start putting together a lit search, I often start by going to the MeSH Browser http://www.nlm.nih.gov/mesh/MBrowser.html to begin working out what MeSH terms I might be working with. Alternately, I might go to Novo|Seek or GoPubMed with a few key words to get a frequency analysis of MeSH terms. In these examples, I’m doing some preliminary searching on Acute Disseminated Encephalomyelitis.

LigerCat isn’t necessarily *better* at this, but its presentation is simpler. Rather than putting the frequency analysis of MeSH terms in a left sidebar, it gives a cloud of MeSH terms:

Seeing the biggest, most obvious tag item in the cloud (see above) is delightful. If one clicks on the tags in the MeSH cloud, they’re added to the search. When you’re done adding terms, you can click “Go to PubMed” to run the search there.

In this example, the query run in PubMed is:
(”encephalomyelitis, acute disseminated”[MeSH Terms] OR (”encephalomyelitis”[All Fields] AND “acute”[All Fields] AND “disseminated”[All Fields]) OR “acute disseminated encephalomyelitis”[All Fields] OR (”acute”[All Fields] AND “disseminated”[All Fields] AND “encephalomyelitis”[All Fields])) AND (”Encephalomyelitis, Acute Disseminated”[mh] AND “Humans”[mh] AND “Treatment Outcome”[mh])

…and the results aren’t bad.

If I was caught up in Google Reader (I’m not, and haven’t been for about 15 months), I would have noticed Creaky’s post on LigerCat a couple of days ago. This reminds me to move Kathleen’s feed into my “High Priorities” folder. You may want to do the same.


1 Just a reminder that I don’t consider myself an expert searcher. I figure I’m basically competent, but sometimes need to get advice from more experienced searchers (right, Melissa?) for help on more challenging literature searches- so any tool that helps me do more (or miss less) is gold to me.

PubMed Preview

http://preview.ncbi.nlm.nih.gov/sites/pubmed

First impression: TONS of wasted screen real estate on that front page.

What do you think?

(Thanks to Patricia Anderson for the heads up!)


Patricia’s take is here.

CiteSmart (3rd-Party PubMed/MEDLINE Tool)

citesmartlogo

CiteSmart is a citation software specifically developed for PubMed users to faciliate the writing of manuscripts and other academic documents. With CiteSmart, retrieving references from PubMed is just a click away. This revolutionary software has many new features not found anywhere else. You will be able to:

* Search PubMed from your Word document.
* Insert a citation directly into your document from Internet Explorer.

These two features will save an enormous amount of time. It reduces extraneous clicking and the need to create a database of references. CiteSmart handles it all!

Anyone care to try it and write up a proper review? Perhaps for the JMLA?

‘Qualities’ not ‘Quality’ – Text Analysis Methods to Classify Consumer Health Websites

Guocai Chen, Jim Warren, Joanne Evans. ‘Qualities’ not ‘Quality’ – Text Analysis Methods to Classify Consumer Health Websites. electronic Journal of Health Informatics, 2009; 4(1): e5.

Abstract

There is an increasing need to help health consumers to achieve timely, differentiated access to quality online healthcare resources. This paper describes and evaluates methods for automated classification of consumer health Web content with respect to qualitative attributes relevant to the preferences of individual health consumers. This is illustrated in the context of identifying breast cancer consumer web pages that are ‘supportive’ versus ‘medical’ perspective, as compared to an existing manual classification employed by a breast cancer portal with personalised search preference options. Classification is performed based on analysis of word co-occurrences and an enhanced decision tree classifier (a decision forest). Current classification test results for ‘medical’ versus ‘supportive’ type resources are 90% accurate (95% confidence interval, 86-94%) using this decision forest classifier. These early results are indicating that language use patterns can be used to automate such classification with acceptable accuracy; however, a wider range of websites and metadata attributes needs to be assessed and compared to end-user feedback. Future application may be either in a tool to facilitate metadata coders in populating the databases of domain-specific portals such as BCKOnline, or in providing tagging or sorting on content type on live search results from health consumers.

Full Text: PDF (Free, registration required)

Ohio State University Medical Center: On Using the iPhone and iTouch

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