Association for
Veterinary Informatics
NEWSLETTER

July - August, 1997



Harmon Rogers (Lake Stevens, WA) - President; - President-Elect; James T. Case (UC-Davis) - Secretary Treasurer; Ronald D. Smith (Illinois) - Newsletter Editor

IN THIS ISSUE

  • ASSOCIATION NEWS
  • AVI Meeting Times and Places
  • How to Contact AVI
  • CORRESPONDENCE
  • Web-Based Case-Based Project
  • NAHMS as an Additional Educational Resource for Staff and Students
  • FEATURE ARTICLE: ROBUST TEXT - BASED EMR
  • PRODUCT AVAILABILITY/REVIEWS/COMPARISONS
  • CDC announces a new version of EpiInfo
  • GIDEON (Global Infectious Diseases and EpidemiOlogy Network) Software
  • INTERNET RESOURCES
  • AVIARY-L - E-zine About BIRDS Now Aviary-List on New Host
  • Birdfeeder - Discussion List About Birdwatching
  • Hog Links Helps Find Swine Information Fast
  • NEWS AND COMMENTARY
  • Free MEDLINE
  • Information Technology and the Wealth of Nations
  • MEETINGS AND EDUCATIONAL OPPORTUNITIES
  • Make the Link Workshop (World Wide Web for Everyone)
  • 6th International Conference on Health and Medical Informatics Education
  • 15th International Joint Conference on Artificial Intelligence; Nagoya, Japan
  • GEOMED '97; Rostock, Germany
  • Veterinary Informatics at the 5th World Equine Veterinary Association; Padova, Italy
  • NAWEB97: Web Course Developers Conference; Fredericton, New Brunswick, Canada
  • SUGGESTED READING
  • The "BOOK" (You'll definitely want one of these!)
  • CLOSING BITS
  • Twenty Signs You've Been on the Net Too Long

  • ASSOCIATION NEWS


    AVI Meeting Times and Places
    From: James Case <
    jcase@CVDLS.UCDAVIS.EDU>

    The AVI working groups and annual business meeting will be held on Tuesday July 21, 1997 at the following times and places:

    Sands Regency Hotel

    8am -12pm Heritage II Room - Computer Assisted Instruction Working Group

    8am-12pm Embassy Room - Electronic Medical Records and Standards Working Groups

    12-2pm - Heritage II - AVI Annual Business meeting and luncheon

    The business meeting is open to all members and lunch will be provided. Non members can attend the luncheon for $20 and receive a free associate membership in the AVI, or can join the AVI at the associate level ($20) or the full membership level($35) and receive a free luncheon. Either method is acceptable.

    For those who are planning on attending the business meeting, please let me know so we can plan for enough space and food.

    Jim Case
    Secretary/Treasurer, AVI

    How to Contact AVI

    Applications for membership, accompanied by a check for $35 payable to the AVI, should be sent to:

    Dr. James T. Case; Secretary Treasurer, AVI; 1590 Augusta Ct., Dixon, CA 95620
    Phone: 916/752-4408; FAX: 916/752-5680; e-mail:
    JimCase@aol.com

    Dr. Case is responsible for distribution of the hardcopy version of the AVI Newsletter.

    Newsletter items can be sent to:

    Dr. Ronald D. Smith, Newsletter Editor, AVI; UI College of Veterinary Medicine; 2001 South Lincoln; Urbana, IL 61801.
    Phone: 217/333-2449; FAX: 217/333-4628; e-mail:
    rd-smith@uiuc.edu

    If you are an AVI member and would like to be on the AVI Newsletter electronic distribution list, send an e-mail message to the Newsletter Editor. Although the electronic version is only an ASCII (text) file, it's faster, searchable, easier to store and retrieve, and environmentally friendly.

    Current and past issues of the AVI Newsletter are also available on the Web at the following URL:

    http://netvet.wustl.edu/avi.htm.


    CORRESPONDENCE


    Web-Based Case-Based Project
    From: Fred Smith <
    fsmith@CALC.VET.UGA.EDU>

    If you are interested in Web-based case-based learning then you may be interested in the following.

    We have a small funded project under way to develop a case-based learning system with outputs in several different formats, including the Web. We have divided the project into three parts. They are:

    1. Case editor - A program to collect case data from the content expert and store that data in the abstraction file.

    2. Abstraction file - a data file where the abstracted case data can be stored.

    3. Output filters - software that takes the data in the abstraction file and produces any desired output format for the case.

    We have defined the preliminary format for the abstraction file. We are now writing the first of several Java-based filters. This first filter will produce Web-based (HTML) cases. Future filters can produce case output as VRML (3D), audio-only, class-presentation or any other format. (As the programmer says, "We can use interpretive dance if that is what someone wants!".) The Java-based editor will follow later.

    If this sounds like something you might be interested in please visit our web site (vrml.vet.uga.edu) for some early examples. Or just drop me a note.

    Thanks....
    Fred

    Fred G. Smith, DVM, PhD
    Voice: (706) 542-5550 FAX: (706) 542-0051
    FSMITH@CALC.VET.UGA.EDU
    http://WWW.VAR.VET.UGA.EDU

    NAHMS as an Additional Educational Resource for Staff and Students
    To: rd-smith@uiuc.edu
    From: Lisa Lumar <
    llumar@www.aphis.usda.gov>

    (Editor: The following comments were sent to me relative to the University of Illinois College of Veterinary Medicine site that I manage. I'm sharing them as they are of interest to all "Webmasters" and "Bookmarkers".)

    Please consider adding the National Animal Health Monitoring System's (NAHMS) page to your web site listings. Our site contains animal health information on several commodites: aquaculture, sheep, dairy, swine, beef cattle, beef feedlot cattle, BSE, food safety issues, management and production issues, etc. The address is

    http://www.aphis.usda.gov/vs/ceah/cahm/nproj.htm

    It might prove to be a useful resource for your students and staff. Also, I noticed you had a link to the gopher for DxMonitor, we have a web site for DxMonitor as well that might have more current information (htpp://www.aphis.usda.gov/vs/ceah/cahm/dxmon.htm).

    Thank you,
    Lisa Lumar
    USDA:APHIS:VS-CEAH
    Center for Animal Health Monitoring (CAHM) and the National Animal Health Monitoring System.


    ROBUST TEXT - BASED EMR

    Paul Brentson

    Hospital Administrator
    Veterinary Medical Teaching Hospital
    UC Davis, California 95616

    e-mail: pbrentson@ucdavis.edu
    voice: 916/752-2945
    fax: 916/752-9620


    The Veterinary Medical Teaching Hospital (VMTH) at UC Davis has developed a hospital information system that is well integrated, merging pieces of demographic, financial, diagnostic, pharmaceutical and medical information as they relate to clients, patients or specific visits. The resulting computerized patient records (CPRs) contain a wealth of information that is useful for case management, clinical instruction and retrospective research, and provides a primary link to our referral community. This system will be demonstrated and discussed at the AVHIMA (American Veterinary Health Information Management Association) section of the AVMA meeting in Reno on July 23, 1997, in a session entitled "Free Text EMR - Ten Years Later".

    In 1987, the VMTH embarked on a controversial path of free text entry and retrieval of medical, surgical and diagnostic information into an electronic medical record (EMR). Our experience over the past 10 years has convinced us beyond a shadow of a doubt that we made the right decision for our hospital. This path has resulted in our medical records being completed in timely fashion without complaint, and they are much more complete, detailed, legible and professional than at any time in the past. Many sections of the EMR are created by the DVM students and residents or faculty during the course of the patients' visits, so the EMR now plays a central role in both our clinical instruction and daily case management. Elements of the EMR (which we call our Visit Summary) include:

    The complete nature of textual entries (all of which is stored electronically) into medical records, has dramatically improved retrieval of pertinent cases for any set of search criteria. When searching for pertinent cases, the entire body of EMRs can be searched, or the search can be limited to one of the above fields (e.g., clinical diagnoses). Every word entered in the free-text fields is automatically identified as a "keyword" in the database, and is cross-referenced to the particular field of the specific EMR (visit). An individual word may provide the basis for a search, or words in combination may be searched with "or" operators (e.g., renal or kidney), or "and" operators (e.g., acute and renal and failure). Words of interest are typically searched with wildcards to pick up different word forms and suffixes (e.g., enterol* would retrieve enterolith, enteroliths, enterolithiasis, etc.), or misspellings (e.g., fec*lith would retrieve fecolith or fecalith).

    A general search template has been created which allows users to specify not only keywords of interest, but other criteria, as well. These criteria include: species; breed; sex; weight range; age range; date ranges of interest; clinicians; and procedures performed. Future plans for the general search template call for the inclusion of laboratory results parameters and cross-platform searching. Most desired searches (>95%) can currently be conducted by clinicians, students or staff without programmer or medical records staff assistance, and the appropriate cases are typically found in a matter of seconds, even when searching ten years of data.

    The CPR contains all the EMR information noted above, as well as detailed financial information, demographic information (client, patient and referring veterinarian), appointment information and various histories (laboratory values, weight, locations, pharmaceuticals, etc.). Information in these CPRs provides the basis for great operational support, using the computer to full advantage for such things as: scheduling appointments across a wide variety of Service Units and individual receiving schedules; electronic creation of invoices for each visit from appointment information; daily census reconciliation; managing clients' credit status; managing accounts receivable; documenting client and referring veterinarian communications; and managing reminders for any number of different purposes.

    Point-of-service (POS) entry of information is a key element of the existing EMR. Reception staff enter presenting complaints (which become part of the appointment information and part of the EMR information), lab staff enter lab requests upon receipt of the sample (which become part of the invoice and part of the EMR) and lab results upon acquisition of those results (which become part of the EMR), ICU technicians enter hospitalization information daily (which becomes part of the invoice), students and/or clinicians enter pertinent history and physical examination findings immediately following the examination (which becomes part of the EMR), etc. Where possible, direct interfaces between lab equipment and the hospital computer have been programmed to further improve the speed of results reporting. No piece of information is entered more than once, but many pieces are viewed in multiple output formats.

    The same information that is in the EMR is formatted a little differently, and used for referral communications. The Referral Summary looks a lot like the Visit Summary, but is formatted for mailing in a windowed envelope, allows for a personal note to the referring veterinarian, and does not include the detailed Plans and Progress Notes section. Referral Summaries are automatically staged for mailing as soon as the case is assigned a "final" status, or at ten days post discharge, whichever comes first. Also, the Discharge Instructions section is formatted differently still, and automatically mailed to the referring veterinarian within 24 hours of discharge. Both of these communications have transformed labor intensive processes (characterized by erratic and untimely communications) into powerful information provided in timely fashion, because all the information is simply a by-product of that used for many other purposes. To further improve these communications capabilities, we have made the full EMR available to the referring veterinarian or primary care provider across the World Wide Web (individual password protected) as soon as a "final" status has been assigned to a visit.

    In summary, the use of free text in our EMR (in a complex teaching hospital) has elevated the centrality and importance of the medical record to a level far beyond what was ever envisioned when we originally embarked on this journey. In addition to facilitating timely entry of comprehensive medical, surgical and diagnostic information, this approach has had a significant positive impact on individual case management, the delivery of clinical instruction, retrospective retrieval of cases of interest and referral communications. And all this has been accomplished with no net increase in staff support positions!

    Paul Brentson
    Hospital Administrator
    Veterinary Medical Teaching Hospital
    UC Davis, California 95616


    PRODUCT AVAILABILITY/REVIEWS/COMPARISONS


    CDC announces a new version of EpiInfo
    From:
    PopMed@ncsu.edu (Population Medicine)

    The latest version of the public domain medical statistics package EpiInfo (v6.04b) has just been released by the Epidemiological Program Office of the Centres for Disease Control. Copies of the program are available on the Internet and from Brixton Books. This version is still limited to two digits dates but a fix will be available soon that will allow you to enter and analyse four digit dates. Work has started on a Windows(TM) version of the program which should be available by Autumn 1997.


    GIDEON (Global Infectious Diseases and EpidemiOlogy Network) Software
    From: Steve Berger <
    mberger@post.tau.ac.il>

    We have developed a software program for diagnosis, decision support, disease simulation and informatics in the fields of Clinical Infectious Diseases, Global and Country- Specific Epidemiology, Anti-infective Agents and Vaccines, and Medical Microbiology. The program is marketed under the name GIDEON (Global Infectious Diseases and EpidemiOlogy Network), and is used by several hundred facilities in 35 countries.

    There are currently more than 300 generic infections, caused by over 1,000 named pathogens, most having a distinct ecology,clinical presentation, epidemiological profile and therapy. Experts can no longer keep up with emerging pathogens, outbreaks, therapeutic agents, vaccines and diagnostic tests. Relevant books and journals are generally outdated.

    GIDEON is a DOS-based software program written in Paradox, which occupies approximately 6 MB of hard disk space and requires 4 MB of RAM; for IBM-compatible computers having 386 CPU or higher. The program consists of four modules: Diagnosis, Epidemiology, Therapy, Microbiology. Extensive help screens are accessible throughout. All material can be printed as hard copy, transferred to a word processing program, or filed for later use (eg, to follow a patient or bacterial strain as data become available; or for use in teaching, simulation or future publication). Data are derived from reports of the WHO, CDC, individual health ministries, standard journals and texts, internet sites and searches of Medline.

    DIAGNOSIS:
    The diagnosis module is designed for disease simulation and diagnosis. The user may select from a list 205 countries or regions of disease origin; or generate a ranked differential diagnosis for all countries (eg, the worldwide causes of jaundice and eosinophilia). Any number of signs, symptoms and laboratory tests can be entered, in any order. Timing (food ingestion, entry and exit from a country, etc) can also be indicated.
    A ranked Bayesian (ie, based on known incidence and symptom probability) differential diagnosis is generated. The user may then review the precise numerical probability, disease profile (incubation period, clinical features, vector, vehicle, diagnostic tests, therapy for child and adult, etc) and status of the disease worldwide, or in the country in question. Another option suggests additional discriminative tests for differentiation among the listed diseases.
    Further options 'explain' why a given additional disease was discounted (not listed in the differential diagnosis), or why a given disease was assigned a low probability on the list. A 'What If' option allows expansion of clinical data, or generation of a list for other countries, given the same clinical picture. The latter is useful when assessing tourists who have visited multiple countries in sequence. In a blinded multicenter study, the correct diagnosis was accessed in 94.6% of 495 cases ('sensitivity') and was ranked first in 75% ('specificity').

    EPIDEMIOLOGY:
    Access the epidemiological profile and current status of all infectious diseases (318 generic infections in the current version): endemic countries, clinical features, diagnostic tests, etc. Lists generated by either country or disease. Display the current epidemiology for each disease either worldwide, or by country. Data concerning 'global impact diseases' are presented separately: AIDS, Malaria, Tuberculosis, Cholera and Yellow Fever (including vaccination requirements). A second option generates a list of diseases compatible for any group of user-specified parameters. For example, all diseases transmitted by mosquitoes vs. all viral diseases transmitted by mosquitos in Uganda.

    THERAPY
    Current descriptive data and guidelines for all anti- infective drugs (antibiotics, antivirals, antifungals, antiparasitics, antiretrovirals), vaccines and globulin preparations: mechanism of action, derivation, dosage for adult or child, cerebrospinal fluid penetration, renal failure and dialysis adjustments, toxicity, interactions, timing of boosters and contraindications. Display worldwide proprietary names (currently over 2,300) for each drug, or the generic name for a given proprietary name. The user may also list drugs or vaccines associated with a given form of toxicity or contraindication; or list all drugs effective against any pathogen or group of pathogens.

    MICROBIOLOGY
    Generate a ranked list of bacteria, mycobacteria or yeasts compatible with any phenotypic test or group of tests; then access an optimized (ie, best listed first) list of further tests to differentiate among the listed organisms; or 'ask' why any additional organism was discounted (not listed). Generate a complete phenotypic and ecological profile for any given taxon, or compare two to 21 taxa selected by the user. Current and previous taxonomic designations are also given for all species.

    Further information is available at our website -
    http://www.cyinfo.com/

    Thank you.
    Stephen A. Berger, M.D.


    INTERNET RESOURCES


    AVIARY-L - E-Zine About BIRDS Now Aviary-List on New Host
    From: Christine Tarski <
    tarski@fastlane.net>

    The list AVIARY-L has moved. Aviary-L@lists.best.com has now become Aviary-List@userhome.com. All existing subscribers have been moved.

    Aviary-List on majordomo@userhome.com

    Aviary-List is a monthly e-zine devoted to birds. It is produced by The Aviary <
    http://theaviary.com/> and contains articles of interest to birders, casual birdwatchers, and pet bird owners. Articles include information about species of birds, trip reports, stories, attracting birds to your backyard, and care of pet birds. This is a monthly distribution list but subscribers are encouraged to submit articles and topics to be considered for future issues.

    To subscribe to the list, send:

    SUBSCRIBE

    to:
    aviary-list-request@userhome.com

    Owner: Christine Tarski <
    webmaster@theaviary.com>

    Birdfeeder - Discussion List About Birdwatching
    From: Christine Tarski <
    Christine.Tarski@plains.NoDak.edu>

    Birdfeeder on majordomo@userhome.com

    For the novice birder to the experienced, the birdfeeder list is a mailing list for anyone who enjoys wild birds, which includes attracting them to your property, feeding them, providing housing for them to nest in, or just watching them while they go about their daily business. While many other birding lists discourage discussing the feeding of wild birds, the birdfeeder list makes a point of encouraging it, hence the name. However, feel free to discuss the other aspects of birding as well.

    To subscribe to the list, send:

    SUBSCRIBE

    to:
    birdfeeder-request@userhome.com

    To subscribe to the digest version, send:

    SUBSCRIBE

    to: birdfeeder-digest-request@userhome.com

    Owner: Christine Tarski <
    webmaster@theaviary.com>
    Moderator: Stefanie Wieclawek <
    nan@vaxxine.com>

    Hog Links Helps Find Swine Information Fast
    From: FSNET-L@LISTSERV.UOGUELPH.CA

    June 12, 1997
    Ontario Farmer Daily

    If you are involved in the swine industry and have been frustrated in your efforts to locate swine sites on the Internet, there is a new web site you will want to explore. An expanded and categorized version of OMAFRA's Internet Sites for the Swine Industry is now online on the Swine Page of the OMAFRA Internet Site at:

    http://www.gov.on./omafra/english/livestock/swine/index.html

    When you go to the OMAFRA Swine page, there are two options: "Pork News and Views" and "Hog Links." To explore a list of sites, choose "Hog Links". Scroll through the list, or select a category, and when you see a site that interests you, just click on its name. You will not need to type in any of those long, complicated addresses or search through pages of sites generated by a search engine.

    The list is organized according to topic areas, covering a wide range of interests and issues, including: General Agriculture, Animal Care/Behaviour, Breeding and Genetics, Colleges and Universities, Crops, Extension Services, Government Agencies, Health, Internet Resources, Marketing, Medial/Publications, Nutrient Management, Nutrition, Producer Groups, Production/Management, Quality Assurance, Research, Statistics, General Swine, and Weather.


    NEWS AND COMMENTARY


    Free MEDLINE
    http://www.nlm.nih.gov/databases/freemedl.html

    Department of Health and Human Services; Public Health Service; National Institutes of Health; National Library of Medicine; Bethesda, Maryland 20894

    On June 26, 1997, the National Library of Medicine will hold a press conference on Capitol Hill, Washington, D.C. to announce free web-based MEDLINE accessible through PubMed and Internet Grateful ed. Attached is the Press Release for the press conference which ou are encouraged to share with your users and other colleagues on June 26th.

    PubMed is an experimental search system that provides free access to MEDLINE in a single search. The search features include:

    Sets of related articles pre-computed for each article in MEDLINE; Choice of search interfaces from simple keywords to advanced Boolean expressions; Searching by MeSH index terms (main topics and subheadings) and field restrictions; Links to publishers' Web sites for full text-journals. Initially 24 journals are available, some by subscription only; Clinical query form with search filters for diagnosis, therapy and prognosis; Links to molecular biology database of DNA/protein sequences and 3-D structure data.

    Internet Grateful Med provides free access to MEDLINE, as well as AIDSLINE and HealthSTAR. The features include:

    * Use of the full range of Medical Subject Headings (MeSH) and the UMLS Metathesaurus;

    * Ability to limit searches by language, publication type, age groups, etc., using pull down menus;

    * Loansome Doc document delivery service.

    Currently, searching Internet Grateful Med requires a valid User ID and password; however, users will not be billed. A new version to be released in July will include free access to several additional databases (AIDSDRUGS, AIDSTRIALS, DIRLINE, HISTLINE, HSRPROJ, OLDMEDLINE and SDILINE) and will no longer require a User ID.

    Free MEDLINE is limited to Web-based searching via the Internet because of great savings to NLM in telecommunications and software costs. Thus, access to all NLM non-Web-based systems will continue to be billed ( i.e., direct command language searching of ELHILL; TOXNET; PDQ; and the DOS, Macintosh and Windows versions of Grateful Med whether access is by direct dial, FTS2000, or the Internet).

    The Press Release and hot links to IGM and PubMed will be available on the NLM home page (http://www.nlm.nih.gov) immediately following the press conference. Please direct current and new users to the NLM Web home page to search free MEDLINE and to obtain updated and additional information about NLM databases and information services.

    Each member of the National Network of Libraries of Medicine plays a vital role in making health information accessible throughout the country. The Library's announcement of free MEDLINE is only one step toward bringing quality health information to those Americans who search the Web. Your efforts to inform users about available information resources, to educate them about the effective use of the various search engines, and to assist them in obtaining copies of the articles containing the information they seek, are critical to ensuring that every citizen has access to the best and most up-to-date health information. We at NLM look forward to working with you to provide the very best and most useful information products and services.

    Donald A.B. Lindberg, M.D.


    ATTACHMENT

    Vice President Gore to launch free access to world's largest source of published medical information on World Wide Web. Consumers and health professionals worldwide to have fingertip access to cutting-edge research.

    (Bethesda, MD -- June 26, 1997) -- The National Library of Medicine, a part of the National Institutes of Health, will today launch a new service to provide all Americans free access to MEDLINE -- the world's most extensive collection of published medical information -- over the World Wide Web. Prior to his announcement, users have had to register and pay to search MEDLINE and other NLM databases. This free service will be demonstrated by Vice President Albert Gore at a press briefing to be hosted by Senator Tom Harkin (D-IA) on Thursday, June 26, 1997 at 10:30 a.m. in Room 192 of the Dirksen Senate Office Building, United States Senate.

    In announcing the new free service, Health and Human Services Secretary Donna Shalala said, "American citizens now have at their fingertips both the scientific information gathered by the National Library of Medicine, as represented in MEDLINE, and the extensive consumer health information in healthfinderTM, the service for the public that we announced in April. We are committed to using the new technology, including the World Wide Web and the Internet, to provide health information to the public."

    "The National Library of Medicine's debut of free Web-based searching could not be more timely," said NLM Director Donald A.B. Lindberg, M.D. "The health care delivery landscape is changing. Citizens are increasingly turning to the Web as a source of information to improve their daily lives, including their health. So, it is vital that they, and the health professionals who serve them, have access to the most current and credible medical information."

    "Medical breakthroughs are happening so rapidly that I believe health care professionals and consumers alike should be able to tap into the most recent medical information," added pioneering heart surgeon Michael E. DeBakey, M.D., chair of NLM's Board of Regents. "Such information is often the critical link in reaching the correct diagnosis, resulting in lives saved, unnecessary treatment avoided, and hospitalization reduced. Even with all our modern advances in health care, I still consider good information to be the best medicine." Dr. DeBakey emphasized this same point this past spring in testimony before a Capitol Hill appropriations subcommittee.

    Harold Varmus, M.D., Director of the National Institutes of Health, applauded free access and observed it would have the additional benefit of proving the nation's scientific literacy. "The press briefing will demonstrate how the public, including high school and college science classes, will be able to search through MEDLINE and the Human Gene Map, another one of NLM's Web-based databases, and learn about inherited diseases that are located on our chromosomes -- in terms that the public can understand. No longer will the public be left in the dark as this fascinating and historic human genome research process unfolds."

    "The medical library community is pleased that this vast treasure trove of medical knowledge will be opened up to the general public," said Rachel K. Anderson, President of the Medical Library Association. "Patients and their families are regularly turning to health sciences librarians to find reliable health information. Free MEDLINE means that we can now provide consumers with better access to the quality information they need, and librarians can help them to tap into the full power of this authoritative source."

    To demonstrate the value this new service will have for consumers and health professionals, the press briefing will bring together a sampling of Americans whose stories are compelling examples of how access to MEDLINE and other sources of medical information from the Library positively touched their lives. Among those who will provide written or oral statements are:

    Other individuals, from throughout the United States, will be available for comment by contacting the NLM.

    The web address for the National Library of Medicine is: http://www.nlm.nih.gov. On June 26, this site will display free MEDLINE. Press will also be invited to view a demonstration of "PubMed" -- a new free NLM online service that will allow the public to establish direct web links between MEDLINE abstracts and the publishers of the full-text articles. This new service is the result of a collaboration between the NLM and major science publishers such as the New England Journal of Medicine, Science, Journal of Biological Chemistry, and The Proceedings of the National Academy of Sciences.

    Information Technology and the Wealth of Nations
    From: "EDUCOM Edupage Mailing List" <
    edupage@educom.unc.edu>

    FCC Chairman Reed Hundt says that the information revolution is the key to increasing world wealth. "If it's possible to have the information revolution lead to a general elevation in world wealth and a better distribution of that wealth, then this is a very important thing...People will vote on the Internet, get an education on the Internet ... watch TV on computers, look for jobs on the Internet and just plain work on the Internet. Communications technology will alter everyday living from dawn to dusk, top to bottom." What should countries do to get richer faster? "Deregulate like crazy... Those countries that adopt the competitive model more quickly will be the ones that get richer faster." (AP 25 Jun 97)


    MEETINGS AND EDUCATIONAL OPPORTUNITIES

    See the informatics section of NetVet for a more complete and current list of informatics-related activities at <http://netvet.wustl.edu/info.htm>


    June 16 - August 9; July 14 - September 6; August 11 - October 3
    Make the Link Workshop (World Wide Web for Everyone)
    (See the May-June, 1997 AVI Newsletter for details)

    August 14-16, 1997; Newcastle, Australia
    6th International Conference on Health and Medical Informatics Education
    (See the May-June, 1997 AVI Newsletter for details)

    August 23-29, 1997
    15th International Joint Conference on Artificial Intelligence; Nagoya, Japan
    (See the Jan-Feb, 1997 AVI Newsletter for details)

    September 4-6, 1997
    GEOMED '97; Rostock, Germany
    (See the Jan-Feb, 1997 AVI Newsletter for details)

    September 10-14, 1997
    Veterinary Informatics at the 5th World Equine Veterinary Association; Padova, Italy
    (See the July-August, 1996 AVI Newsletter for details)

    October 4-7, 1997
    NAWEB97: Web Course Developers Conference; Fredericton, New Brunswick, Canada
    (See the May-June, 1997 AVI Newsletter for details)


    SUGGESTED READING


    The "BOOK" (You'll definitely want one of these!)
    Posted to AVI-L@WUVMD.WUSTL.EDU
    by "Dale M. Cooper" <
    coope019@MAROON.TC.UMN.EDU>

    Announcing the new Built-in Orderly Organized Knowledge device, otherwise known as the BOOK.

    It's a revolutionary breakthrough in technology: no wires, no electric circuits, no batteries, nothing to be connected or switched on. It's so easy to use even a child can operate it. Just lift its cover. Compact and portable, it can be used anywhere-even sitting in an armchair by the fire -- yet it is powerful enough to hold as much information as a CD-ROM disk.

    Here's how it works: each BOOK is constructed of sequentially numbered sheets of paper (recyclable), each capable of holding thousands of bits of information. These pages are locked together with a custom-fit device called a binder which keeps the sheets in their correct sequence. By using both sides of each sheet, manufacturers are able to cut costs in half.

    Each sheet is scanned optically, registering information directly into your brain. A flick of the finger takes you to the next sheet. The BOOK may be taken up at any time and used by merely opening it. The "Browse" feature allows you to move instantly to any sheet, and move forward or backward as you wish. Most come with an "index" feature, which pinpoints the exact location of any selected information for instant retrieval.

    An optional "BOOKmark" accessory allows you to open the BOOK to the exact place you left it in a previous session-even if the BOOK has been closed. BOOKmarks fit universal design standards; thus a single BOOKmark can be used in BOOKs by various manufacturers.

    Portable, durable and affordable, the BOOK is the entertainment wave of the future, and many new titles are expected soon, due to the surge in popularity of its programming tool, the Portable Erasable-Nib Cryptic Intercommunication Language stylus [PENCIL].


    CLOSING BITS


    Twenty Signs You've Been on the Net Too Long
    From: Greg Prater <
    gprater@eastky.com>

    1. You wake up at 3 a.m. to go to the bathroom and stop to check your e-mail on the way back to bed.
    2. You get a tattoo that reads "This body best viewed with Netscape Navigator 1.1 or higher."
    3. You name your children Eudora, Mozillia and Dotcom.
    4. You spend half of the plane trip with your laptop on your lap...and your child in the overhead compartment.
    5. You decide to stay in college for an additional year or two, just for the free Internet access.
    6. You laugh at people with 9600-baud modems.
    7. You start using smileys in your snail mail.
    8. Your hard drive crashes. You haven't logged in for two hours. You start to twitch. You pick up the phone and manually dial your ISP's access number. You try to hum to communicate with the modem. ...And you succeed.
    9. You find yourself typing "com" after every period when using a word processor.com
    10. You refer to going to the bathroom as downloading.
    11. You start introducing yourself as "JohnDoe at AOL dot com."
    12. All of your friends have an @ in their names.
    13. Your cat has its own home page.
    14. You can't call your mother...she doesn't have a modem.
    15. You check your mail. It says "no new messages." So you check it again.
    16. Your phone bill comes to your doorstep in a box.
    17. You don't know what sex three of your closest friends are, because they have neutral nicknames and you never bothered to ask.
    18. You move into a new house and decide to Netscape before you landscape.
    19. You tell the cab driver you live at "http://1000.edison.garden/house/brick.html."
    20. You start tilting your head sideways to smile.