United States National Library of Medicine

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United States
National Library of Medicine
Logo of U.S. National Library of Medicine.png
United States National Library of Medicine 1999.jpg
Library in 1999
United States National Library of Medicine
38°59′45″N77°05′56″W / 38.995951°N 77.098832°W / 38.995951; -77.098832
Location Bethesda, Maryland, United States
Type Medical library
Established1836;188 years ago (1836) [1]
(as the Library of the Office of the Surgeon General of the Army) [2]
Reference to legal mandatePublic Law 941 – August 3, 1956, an amendment to Title III of the Public Health Service Act
Branch of National Institutes of Health
Collection
Items collectedbooks, journals, manuscripts, images, and multimedia; genomic, chemical, toxicological, and environmental data; drug information; clinical trials data; health data standards; software; and consumer health information
Size27.8 million (2015)
Criteria for collectionAcquiring, organizing, and preserving the world's scholarly biomedical literature
Access and use
Access requirementsOpen to the public
Circulation309,817 (2015)
Other information
Budget US$341,119,000 [3]
Director Patricia Flatley Brennan, RN   PhD [4]
Employees1,741
Website nlm.nih.gov

The United States National Library of Medicine (NLM), operated by the United States federal government, is the world's largest medical library. [5]

Contents

Located in Bethesda, Maryland, the NLM is an institute within the National Institutes of Health. Its collections include more than seven million books, journals, technical reports, manuscripts, microfilms, photographs, and images on medicine and related sciences, including some of the world's oldest and rarest works.

The current director of the NLM is Patricia Flatley Brennan. [4]

History

The precursor of the National Library of Medicine, established in 1836, was the Library of the Surgeon General's Office, a part of the office of the Surgeon General of the United States Army. The Armed Forces Institute of Pathology and its Medical Museum were founded in 1862 as the Army Medical Museum. Throughout their history the Library of the Surgeon General's Office and the Army Medical Museum often shared quarters. From 1866 to 1887, they were housed in Ford's Theatre after production there was stopped, following the assassination of President Abraham Lincoln.[ citation needed ]

In 1956, the library collection was transferred from the control of the U.S. Department of Defense to the Public Health Service of the Department of Health, Education, and Welfare and renamed the National Library of Medicine, through the instrumentality of Frank Bradway Rogers, who was the director from 1956 to 1963. The library moved to its current quarters in Bethesda, Maryland, on the campus of the National Institutes of Health, in 1962.[ citation needed ]

Directors

Directors from 1945 to present [6]

PortraitDirectorTook officeLeft office
Leon L. Gardner.jpg Leon Lloyd Gardner19451946
Noimage.svg Joseph Hamilton McNinch19461949
Frank B. Rogers.jpg Frank Bradway Rogers 19491963
Martin M. Cummings.jpg Martin Marc Cummings 19641984
Former National Library of Medicine Director Donald A.B. Lindberg, M.D.jpg Donald A. B. Lindberg 19842015
Betsy Humphreys (cropped).jpg Betsy Humphreys (acting)20152016
Patricia Flatley Brennan Headshot 2019.jpg Patricia Flatley Brennan 2016present

Publications and informational resources

Since 1879, the National Library of Medicine has published the Index Medicus, a monthly guide to articles, in nearly five thousand selected journals. The last issue of Index Medicus was printed in December 2004, but this information is offered in the freely accessible PubMed, among the more than fifteen million MEDLINE journal article references and abstracts going back to the 1960s and 1.5 million references going back to the 1950s. [7]

The National Library of Medicine runs the National Center for Biotechnology Information, which houses biological databases (PubMed among them) that are freely accessible on the Internet through the Entrez search engine [8] and Lister Hill National Center For Biomedical Communications. [9] As the United States National Release Center for SNOMED CT, NLM provides SNOMED CT data and resources to licensees of the NLM UMLS Metathesaurus. [10] NLM maintains ClinicalTrials.gov registry for human interventional and observational studies. Additionally NLM runs ChemIDplus which is a chemical database of over 400,000 chemicals complete with names, synonyms, and structures. It includes links to NLM and other databases and resources, including links to federal, state and international agencies. [11]

Toxicology and environmental health

The Toxicology and Environmental Health Program was established at the National Library of Medicine in 1967 and is charged with developing computer databases compiled from the medical literature and from the files of governmental and nongovernmental organizations. [12] The program has implemented several information systems for chemical emergency response and public education, such as the Toxicology Data Network, TOXMAP, Tox Town, Wireless Information System for Emergency Responders, Toxmystery, and the Household Products Database. These resources are accessible without charge on the internet.[ citation needed ]

Radiation exposure

The United States National Library of Medicine Radiation Emergency Management System [13] provides:

Radiation Emergency Management System is produced by the United States Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Office of Planning and Emergency Operations, in cooperation with the National Library of Medicine, Division of Specialized Information Services, with subject matter experts from the National Cancer Institute, the Centers for Disease Control and Prevention, and many U.S. and international consultants. [13]

Extramural division

The Extramural Division provides grants to support research in medical information science and to support planning and development of computer and communications systems in medical institutions. Research, publications, and exhibitions on the history of medicine and the life sciences also are supported by the History of Medicine Division. In April 2008 the current exhibition Against the Odds: Making a Difference in Global Health was launched.[ citation needed ]

National Center for Biotechnology Information division

National Center for Biotechnology Information is an intramural division within National Library of Medicine that creates public databases in molecular biology, conducts research in computational biology, develops software tools for analyzing molecular and genomic data, and disseminates biomedical information, all for the better understanding of processes affecting human health and disease.[ citation needed ]

See also

Related Research Articles

<span class="mw-page-title-main">National Center for Biotechnology Information</span> Database branch of the US National Library of Medicine

The National Center for Biotechnology Information (NCBI) is part of the United States National Library of Medicine (NLM), a branch of the National Institutes of Health (NIH). It is approved and funded by the government of the United States. The NCBI is located in Bethesda, Maryland, and was founded in 1988 through legislation sponsored by US Congressman Claude Pepper.

MEDLINE is a bibliographic database of life sciences and biomedical information. It includes bibliographic information for articles from academic journals covering medicine, nursing, pharmacy, dentistry, veterinary medicine, and health care. MEDLINE also covers much of the literature in biology and biochemistry, as well as fields such as molecular evolution.

PubMed is a free database including primarily the MEDLINE database of references and abstracts on life sciences and biomedical topics. The United States National Library of Medicine (NLM) at the National Institutes of Health maintains the database as part of the Entrez system of information retrieval.

<span class="mw-page-title-main">Entrez</span> Cross-database search engine for health sciences

The Entrez Global Query Cross-Database Search System is a federated search engine, or web portal that allows users to search many discrete health sciences databases at the National Center for Biotechnology Information (NCBI) website. The NCBI is a part of the National Library of Medicine (NLM), which is itself a department of the National Institutes of Health (NIH), which in turn is a part of the United States Department of Health and Human Services. The name "Entrez" was chosen to reflect the spirit of welcoming the public to search the content available from the NLM.

MedlinePlus is an online information service produced by the United States National Library of Medicine. The service provides curated consumer health information in English and Spanish with select content in additional languages. The site brings together information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), other U.S. government agencies, and health-related organizations. There is also a site optimized for display on mobile devices, in both English and Spanish. In 2015, about 400 million people from around the world used MedlinePlus. The service is funded by the NLM and is free to users.

<span class="mw-page-title-main">Medical Subject Headings</span> Controlled vocabulary

Medical Subject Headings (MeSH) is a comprehensive controlled vocabulary for the purpose of indexing journal articles and books in the life sciences. It serves as a thesaurus that facilitates searching. Created and updated by the United States National Library of Medicine (NLM), it is used by the MEDLINE/PubMed article database and by NLM's catalog of book holdings. MeSH is also used by ClinicalTrials.gov registry to classify which diseases are studied by trials registered in ClinicalTrials.

A medical classification is used to transform descriptions of medical diagnoses or procedures into standardized statistical code in a process known as clinical coding. Diagnosis classifications list diagnosis codes, which are used to track diseases and other health conditions, inclusive of chronic diseases such as diabetes mellitus and heart disease, and infectious diseases such as norovirus, the flu, and athlete's foot. Procedure classifications list procedure code, which are used to capture interventional data. These diagnosis and procedure codes are used by health care providers, government health programs, private health insurance companies, workers' compensation carriers, software developers, and others for a variety of applications in medicine, public health and medical informatics, including:

<span class="mw-page-title-main">Medical library</span> Library focused on medical information

A health or medical library is designed to assist physicians, health professionals, students, patients, consumers, medical researchers, and information specialists in finding health and scientific information to improve, update, assess, or evaluate health care. Medical libraries are typically found in hospitals, medical schools, private industry, and in medical or health associations. A typical health or medical library has access to MEDLINE, a range of electronic resources, print and digital journal collections, and print reference books. The influence of open access (OA) and free searching via Google and PubMed has a major impact on the way medical libraries operate.

The Unified Medical Language System (UMLS) is a compendium of many controlled vocabularies in the biomedical sciences. It provides a mapping structure among these vocabularies and thus allows one to translate among the various terminology systems; it may also be viewed as a comprehensive thesaurus and ontology of biomedical concepts. UMLS further provides facilities for natural language processing. It is intended to be used mainly by developers of systems in medical informatics.

The Systematized Nomenclature of Medicine (SNOMED) is a systematic, computer-processable collection of medical terms, in human and veterinary medicine, to provide codes, terms, synonyms and definitions which cover anatomy, diseases, findings, procedures, microorganisms, substances, etc. It allows a consistent way to index, store, retrieve, and aggregate medical data across specialties and sites of care. Although now international, SNOMED was started in the U.S. by the College of American Pathologists (CAP) in 1973 and revised into the 1990s. In 2002 CAP's SNOMED Reference Terminology was merged with, and expanded by, the National Health Service's Clinical Terms Version 3 to produce SNOMED CT.

PubMed Central (PMC) is a free digital repository that archives open access full-text scholarly articles that have been published in biomedical and life sciences journals. As one of the major research databases developed by the National Center for Biotechnology Information (NCBI), PubMed Central is more than a document repository. Submissions to PMC are indexed and formatted for enhanced metadata, medical ontology, and unique identifiers which enrich the XML structured data for each article. Content within PMC can be linked to other NCBI databases and accessed via Entrez search and retrieval systems, further enhancing the public's ability to discover, read and build upon its biomedical knowledge.

<span class="mw-page-title-main">SNOMED CT</span> System for medical classification

SNOMED CT or SNOMED Clinical Terms is a systematically organized computer-processable collection of medical terms providing codes, terms, synonyms and definitions used in clinical documentation and reporting. SNOMED CT is considered to be the most comprehensive, multilingual clinical healthcare terminology in the world. The primary purpose of SNOMED CT is to encode the meanings that are used in health information and to support the effective clinical recording of data with the aim of improving patient care. SNOMED CT provides the core general terminology for electronic health records. SNOMED CT comprehensive coverage includes: clinical findings, symptoms, diagnoses, procedures, body structures, organisms and other etiologies, substances, pharmaceuticals, devices and specimens.

The Vancouver system, also known as Vancouver reference style or the author–number system, is a citation style that uses numbers within the text that refer to numbered entries in the reference list. It is popular in the physical sciences and is one of two referencing systems normally used in medicine, the other being the author–date, or "Harvard", system. Vancouver style is used by MEDLINE and PubMed.

Index Medicus (IM) is a curated subset of MEDLINE, which is a bibliographic database of life science and biomedical science information, principally scientific journal articles. From 1879 to 2004, Index Medicus was a comprehensive bibliographic index of such articles in the form of a print index or its onscreen equivalent. Medical history experts have said of Index Medicus that it is “America's greatest contribution to medical knowledge.”

Edward ("Ted") Hance Shortliffe is a Canadian-born American biomedical informatician, physician, and computer scientist. Shortliffe is a pioneer in the use of artificial intelligence in medicine. He was the principal developer of the clinical expert system MYCIN, one of the first rule-based artificial intelligence expert systems, which obtained clinical data interactively from a physician user and was used to diagnose and recommend treatment for severe infections. While never used in practice, its performance was shown to be comparable to and sometimes more accurate than that of Stanford infectious disease faculty. This spurred the development of a wide range of activity in the development of rule-based expert systems, knowledge representation, belief nets and other areas, and its design greatly influenced the subsequent development of computing in medicine.

TOXMAP was a geographic information system (GIS) from the United States National Library of Medicine (NLM) that was deprecated on December 16, 2019. The application used maps of the United States to help users explore data from the United States Environmental Protection Agency's (EPA) Toxics Release Inventory (TRI) and Superfund programs with visual projections and maps.

The Hazardous Substances Data Bank (HSDB) was a toxicology database on the U.S. National Library of Medicine's (NLM) Toxicology Data Network (TOXNET). It focused on the toxicology of potentially hazardous chemicals, and included information on human exposure, industrial hygiene, emergency handling procedures, environmental fate, regulatory requirements, and related areas. All data were referenced and derived from a core set of books, government documents, technical reports, and selected primary journal literature. Prior to 2020, all entries were peer-reviewed by a Scientific Review Panel (SRP), members of which represented a spectrum of professions and interests. Last Chairs of the SRP are Dr. Marcel J. Cassavant, MD, Toxicology Group, and Dr. Roland Everett Langford, PhD, Environmental Fate Group. The SRP was terminated due to budget cuts and realignment of the NLM.

<i>Environmental Monitoring and Assessment</i> Academic journal

Environmental Monitoring and Assessment, first published in 1981, is a weekly, peer-reviewed, scientific journal published by Springer. The managing editor is G.B. Wiersma.

Citing Medicine: The NLM Style Guide for Authors, Editors, and Publishers is the style guide of the United States National Library of Medicine (NLM). Its main focus is citation style and bibliographic style. The citation style of Citing Medicine is the current incarnation of the Vancouver system, per the References > Style and Format section of the ICMJE Recommendations. Citing Medicine style is the style used by MEDLINE and PubMed.

Martin Marc Cummings, MD (1920-2011), was director of the National Library of Medicine (NLM) from 1964 to 1983, and subsequently Distinguished Professor at Georgetown University School of Medicine. During his two decades at the NLM, it was transformed into a unique international biomedical communications center, tr and one of the most advanced scientific libraries in the world. During this time, NLM was established as a new, civilian entity on the National Institutes of Health campus in Bethesda, Maryland. [it was already a civilian agency, and already on campus, but became an official component of NIH in 1968].

References

  1. "A Brief History of NLM". National Library of Medicine. Retrieved September 29, 2016.
  2. "Our Milestones. Archived 2013-02-16 at the Wayback Machine National Library of Medicine. Retrieved September 29, 2016.
  3. "H.R. 3020 – Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2016". 114th Congress. 2015.
  4. 1 2 "National Library of Medicine Welcomes New Director Dr. Patricia Flatley Brennan". National Library of Medicine in Focus. August 15, 2016.
  5. DeBakey ME (1991). "The National Library of Medicine. Evolution of a premier information center". JAMA. 266 (9): 1252–58. doi:10.1001/jama.266.9.1252. PMID   1870251.
  6. "National Library of Medicine (NLM) - NLM Directors". The NIH Almanac. National Institutes of Health. November 3, 2023. Archived from the original on Sep 22, 2023.
  7. "PubMed". United States National Library of Medicine. Retrieved May 28, 2013.
  8. "NCBI Educational Resources". United States National Library of Medicine. Retrieved May 28, 2013.
  9. "LHNCBC" . Retrieved 1 August 2018.
  10. "SNOMED CT" . Retrieved 19 July 2018.
  11. "ChemIDplus Lite – Chemical information with searchable synonyms, structures, and formulas".
  12. "Toxicology and Environmental Health Program". National Library of Medicine. Retrieved July 11, 2007.
  13. 1 2 "Radiation Emergency Management System". National Library of Medicine.

Further reading