Grand Rounds 5.14 Holiday Edition

Seasons Greetings! Welcome to the Holiday Edition of Grand Rounds, featuring some of the best articles of the biomedical and healthcare blogosphere.

There’s a revolution occurring on the Web: those “authoritative” articles written on traditional, static websites are being replaced with blogs, wikis and online social networks. In the sphere of health, medicine and information technology, this “real-time Web” consists of many who are professionals in the field; their posts are listed below.
In the digital age, these are the characteristics of new media: recent, relevant, reachable and reliable.

At this time last year, I announced the Highlight HEALTH Network, a single source that aggregates content from all the Highlight HEALTH websites. This year, I have a similar gift for biomedical and healthcare blogosphere readers:

Health and Medicine blog carnival email and RSS subscriptions!

The Power of Gratitude to Cultivate Happiness

You’ve undoubtably heard the adage, “the pen is mightier than the sword.” Ongoing research is finding that the pen is indeed a mighty weapon that can cultivate happiness. According to Dr. Steven Toepfer at Kent State University, we all possesses an amazing resource — gratitude — that can be used to improve our quality of life [1].

How much of our happiness can we nurture ourselves?

To address this question, Toepfer designed the “Letters of Gratitude” study to assess whether an extended writing campaign would improve happiness, life satisfaction and gratitude. Toepfer evaluated the effects of expressing thankfulness by enlisting 85 students on three Kent State University campuses writingto write three letters of gratitude to people who had positively impacted their lives. The letters had to be nontrivial, insightful and reflective, and contain a high level of appreciation or gratitude expressed in a positive manner. Instead of writing letters, a control group filled out questionnaires.

Survival Rate Influences the Type of Web Communities Used by Cancer Patients

Cancer patients are using online support communities more than ever before. These sites offer both emotional and informational support, and empower patients by enabling them to talk with other patients who are facing similar issues. According to a new study, online support communities for cancers with a high survival rate contain a greater amount of emotional support than do online communities for cancers with a low survival rate [1]. Researchers at the University of Michigan Health System and VA Ann Arbor Healthcare System also found that online support communities for cancers with a low survival rate contained more informational support than did communities for cancers with a high survival rate.

online-help-and-supportThe new study, presented last month at the 2008 annual meeting of the North American Primary Care Research Group [2], evaluated the differences in emotional and informational social support content in online communities for cancers with low and high survival rates.

The researchers analyzed over 3,500 messages from 587 individuals in eight online support communities located within Yahoo!Groups and the Association of Cancer Online Resources (ACOR) websites for four different types of cancer with low or high five-year survival rates. Across all communities, there was a greater amount of emotional support than informational support.

High survival rate communities contained a greater proportion of emotional support than low survival rate communities (65% vs. 55%). In contrast, low survival rate communities contained a greater proportion of informational support than high survival rate communities (33% vs. 25%).

High survival rate community support
Emotional support: 65%
Informational support: 25%

Low survival rate community support
Emotional support: 55%
Information support: 33%

Participants in the study were members of support communities for four different types of cancer: lung cancer, melanoma, pancreatic cancer and thyroid cancer. They participated in eight different online communities and were all reviewed under the same time period.

According to the primary author of the study, Lorraine Buis, Ph.D. [3]:

When primary care providers refer individuals to online communities for support, they should be aware that there might be differing amounts of support based on the survival rate of a particular cancer.

According to the National Cancer Institute’s Surveillance Epidemiology and End Results (SEER) Cancer Statistics Review, which reports the most recent cancer incidence, mortality, survival, prevalence and lifetime risk statistics, from 1975 to 2005 cancer patients with thyroid cancer and melanoma of the skin had high survival rates (96.6% and 91.2% respectively) while lung cancer and pancreatic cancer had low survival rates (12.1% and 5.1% respectively) [4].

In addition to helping patients, online support communities help family and friends cope with the struggles that cancer presents. This is the first study to assess the influence of cancer patient survival rates on social support content in online communities for cancer.

A number of patient social networks are listed in the Highlight HEALTH Web Directory.

References

  1. Buis et al. Relationship between cancer survival rate and social support within online communities for cancer. 2008 Annual Meeting of the North American Primary Care Research Group, Rio Grande, Puerto Rico.
  2. 2008 Annual Meeting of the North American Primary Care Research Group (NAPCRG) Program. 2008 Nov 15 — 18.
  3. Cancer survival rates impact type of Web communities used by patients. University of Michigan Health System press release. 2008 Nov 18.
  4. SEER Cancer Statistics Review, 1975-2005, Age-adjusted SEER Incidence and U.S. Death Rates and 5-year Relative Survival Rates, National Cancer Institute. Bethesda, MD, based on November 2007 SEER data submission, posted to the SEER web site, 2008.

Neurodegenerative Disease and the Coming Epidemic

At Neuroscience 2008, the 38th annual meeting of the Society for Neuroscience held last month in Washington D.C., a number of researchers presented evidence that a small, soluble, clustered form of a protein called amyloid beta may be responsible for brain damage in Alzheimer’s disease patients [1]. In addition, scientists report that they are finding new sources and uses of neural stem cells that may replace cells damaged by neurodegenerative disorders such as Alzheimer’s and Parkinson’s disease [2].

neuronal-network.jpg
Creative Commons License photo credit: neurollero

Why are these reports significant? Because until recently, large insoluble amyloid beta plaques, or deposits, were considered the likely cause of Alzheimer’s disease. The plaques were thought to disrupt brain cell communication. However, new findings show that an early (i.e. small), soluble, clustered form of amyloid beta called protofibrils is found in high levels in the brains of people with Alzheimer’s disease [1]. Researchers also found a strong correlation between the presence of high levels of protofibrils in the brains of transgenic mouse models of Alzheimer’s disease and the cognitive impairments associated with the disease.

Review of Mednar Search

This article was written by Hope Leman.

Mednar is here and it is good. Check it out medical librarians, public library staff, academic librarians who do life science searches, busy front-line clinicians, clinical researchers, medical school faculty, power searchers generally in the health sciences and anybody, indeed, who wants quick, authoritative results in health searching. Yet another impressive achievement of the firm Deep Web Technologies, which already has a stellar record of achievement providing the underlying technology of Scitopia.org, Science.gov, WorldWideScience.org and the brand new Biznar, a free, publicly available business research site. Check that one out, too.

Why is the firm called Deep Web Technologies and what is federated search, which is its specialty? Federated search is simply the capacity to search several online resources at the same time. The Deep Web is also called “The Invisible Web” and consists of gray literature and similar hard-to find content, such as heavy duty science and medical databases that the average search engines don’t tend to provide results from. That is where Deep Web Technologies comes in. Professional societies and the big players in federally-funded science search rely on it. It delivers sleek, elegant interfaces and solid search results. I like its stuff a lot. That is why I am up at 4:23 a.m. playing with it rather than sleeping before I have to get ready for my day job at around 7 a.m. Good technology should be exciting and something that compels you to get out of bed to go seek information about subjects you care about. Therefore, scientists, medical people and people who are ill or who love someone who is driven to seek information should take a spin in Mednar and the other products of Deep Web Technologies. They are the must-have tools of today and tomorrow.

Okay, enough rhapsodizing (couldn’t help it — it is that good). Why do I like Mednar so much?

Well, as someone who works in a medical library and spends many happy hours working in the kingdom of medical search tools, PubMed, I am always interested in seeing what else is out there in health sciences search. One thing I liked right away about Mednar was how it easy it was to set up an email alert on the latest results on my subject of choice, in this case my consuming interest amyotrophic lateral sclerosis. I have been receiving daily updates of the latest research on that subject from Mednar and they are quite fascinating. Now that might some strike some as not particularly novel or exciting (think Google Alerts), but it is really surprising how few options one has in terms of current awareness of authoritative (where Google falls down) daily bulletins and it never hurts to supplement the services one can get from PubMed. The one glitch in the email alerts is that when I click on some of the options I am taken to the log-in page of a resource I may not subscribe to. But at least I get the title to work with and can use other avenues to learn more about an article I might never have learned about otherwise. And if you follow a rare disease or even a common one that is making your life miserable, you don’t want to run the risk of missing out on key developments.

In that regard, Mednar is an extremely useful complement to PubMed in that there is a lag time before the very latest articles get into PubMed. Everything is vetted to the nth degree before it enters the hallowed halls of PubMed and while that is desirable and necessary, it also prevents timely notice of interesting developments or awareness of perhaps ultimately insignificant but nonetheless interesting, thought-provoking developments. By contrast, Mednar include among its results EurekAlerts and identifies them by the institution (e.g. Brandeis University) or organization (e.g. the American Academy of Neurology) that the press release concerned is discussing so that you don’t click on something of little interest. That’s an excellent way to monitor where the centers of research activity are in certain medical conditions and an easy method of keeping up in an engaging, entertaining way on what is happening now instead of waiting for a meta-analysis to appear in PubMed two years hence. You can learn a lot from press releases. For instance, in my search through the EurekAlerts in my search on ALS I came across this result about a touching article in the Journal of Palliative Medicine, something I might not have encountered otherwise. What I want from a search engine is for it to tell me something I don’t already know or that I would not have learned about from one of its rivals. Mednar does all of that.

Additionally, Mednar provides results by author, which enables users to quickly determine who seems to be the leading authority in a given field or at least someone who has published quite a bit in it.

Mednar also is a forgiving, patient envirnoment. For instance, I tried “proteomics in nephrology” but that resulted in much extraneous stuff. I then tried just “proteomics nephrology” and got tons of useful material. That is the mark of a good search engine. If you bumble and fumble and get nothing, trying different wording improves matters. Mednar definitely is on its way to becoming an outstanding launch pad for medical subject searching and it easy to see why frugal but astute purchases of services for government scientific agencies, demanding overseers of the databases of scientific societies and university libraries turn to Deep Web Technologies for prowess in search technology. Those are not easy audiences to win over and it has consistently done that. This is the state-of-the-art stuff, folks.

I wish had the brains of its CEO, Abe Lederman. I am in jaw-dropping, stupefied awe at the general excellence of the products of his firm. Anything that saves all of us time as we hunt for relevant data amidst overwhelming amounts of information on every conceivable aspect of disease day after day catches my attention and it has been caught today by Mednar. It searches many databases that PubMed and NLM Gateway do not, let alone other commercial search engines. That alone is a public service and I fondly hope that Elsevier and Springer and the other sci-tech publishers will start to see the value in working with innovative superstars in search and enlist them to render their superb content searchable. My wallet is open to good stuff in the sciences if I can find it and Mednar helps me find it. It is up to the sci-tech publishers to decide if they want to find eager, paying consumers of their content by working with Mednar. In the meantime, Mednar is educating us all about databases that we didn’t even know existed. Edifying those of us who like to think we know everything is noble work.

About the author: Hope Leman is a research information technologist for a health network in Oregon and is also Web administrator of the grants and scholarship listing service ScanGrants.

Additional health search resources are listed in the Highlight HEALTH Web Directory.