Friday, August 13, 2010
CDC Report looks at Foods and Foodborne agents associated with Outbreaks in the United States
A total of 1,097 foodborne disease outbreaks were reported in 2007 to the Centers for Disease Control and Prevention, according to a CDC analysis. State investigators reported 21,244 illnesses and 18 deaths as a result of these outbreaks. The report also provides the most recent data on how many illnesses were linked to specific types of foods.
http://www.cdc.gov/mmwr/
http://www.cdc.gov/media/pressrel/2010/r100812.htm
Monday, August 09, 2010
NIH Genomic Mapping Study Finds Largest Set of Genes Related to Major Risk Factor for Heart Disease
Scanning the genomes of more than 100,000 people from all over the world, scientists report the largest set of genes discovered underlying high cholesterol and high triglycerides — the major risk factors for coronary heart disease, the nation’s number one killer. Taken together, the gene variants explain between a quarter and a third of the inherited portions of cholesterol and triglyceride measured in the blood. The research, representing scientists from 17 countries, appears in two papers in the Aug. 5 issue of Nature.
For UHM use only:
http://micro189.lib3.hawaii.edu/ezproxy/details.php?dbId=2548
Friday, August 06, 2010
Trial of Nature Protocols
Nature Protocols is an interactive online resource for laboratory protocols for bench researchers. Protocols are presented in a 'recipe' style providing step-by-step descriptions of procedures that users can take to the lab bench and immediately apply in their own research. Protocols on the site are fully searchable and organized into logical categories to be easily accessible to researchers.
http://micro189.lib3.hawaii.edu/ezproxy/details.php?dbId=56321
Access is only for UH Manoa faculty, students, and staff.
Tuesday, August 03, 2010
Wiley Interscience down Aug 6-8th
Wiley will be transitioning from its current Wiley Interscience platform to its new Wiley Online Library during the downtime. For more information on new features in Wiley Online Library, visit: http://info.onlinelibrary.wiley.com/view/0/UserServices.html
After the transition, if you encounter any problems accessing Wiley e-journals, please let the Library know (hslinfo@hawaii.edu or 692-0810)
Monday, August 02, 2010
Library closing at 8pm on Wed, 8/4
We apologize for the inconvenience.
Wednesday, July 21, 2010
Android Apps for Medicine
They looked at over 1,200 “Health” apps in the Android Marketplace and created a list of the best 60 apps organized into 18 categories (such as anatomy, pediatrics, study guides, dictionaries) that were designed specifically for doctors, nurses and students.
So, check it out if you have an Android!
If you have an iPhone, check out our iPhone Medical Apps subject guide.
Monday, July 12, 2010
CDC Survey Finds Nine in 10 U.S. Adults Consume Too Much Sodium
Less than 10 percent of U.S. adults limit their daily sodium intake to recommended levels, according to a new report, "Sodium Intake in Adults – United States, 2005-2006," published today in CDC's Morbidity and Mortality Weekly Report. The report also finds that most sodium in the American diet comes from processed grains such as pizza and cookies, and meats, including poultry and luncheon meats.
According to the report, U.S. adults consume an average of 3,466 milligrams (mg) of sodium per day, more than twice the current recommended limit for most Americans. Grains provide 36.9 percent of this total, followed by dishes containing meat, poultry, and fish (27.9 percent). These two categories combined account for almost two-thirds of the daily sodium intake for Americans.
http://www.cdc.gov/media/pressrel/2010/r100624.htm
Friday, July 09, 2010
NOTICE: Library Website URL change
Please discontinue using: http://www.hawaii.edu/hslib/
The Library's new URL is:
http:// hslib.jabsom.hawaii.edu
Please update your personal Web bookmarks if necessary and any other affected service or Web based tools.
FYI for now, if you go to the Library's old web address, you will be automatically redirected to our new website.
We encourage users to contact the Library if you should discover any broken links or Web pages that are functioning improperly. We will try to fix them as soon as possible.
Thank you very much for your patience and understanding.
We apologize for any inconvenience this may cause.
Rethinking the way we rank medical schools
The Social Mission of Medical Education: Ranking the Schools
- Fitzhugh Mullan, MD;
- Candice Chen, MD, MPH;
- Stephen Petterson, PhD;
- Gretchen Kolsky, MPH, CHES; and
- Michael Spagnola, BA
+ Author Affiliations
Abstract
Background: The basic purpose of medical schools is to educate physicians to care for the national population. Fulfilling this goal requires an adequate number of primary care physicians, adequate distribution of physicians to underserved areas, and a sufficient number of minority physicians in the workforce.
Objective: To develop a metric called the social mission score to evaluate medical school output in these 3 dimensions.
Design: Secondary analysis of data from the American Medical Association (AMA) Physician Masterfile and of data on race and ethnicity in medical schools from the Association of American Medical Colleges and the Association of American Colleges of Osteopathic Medicine.
Setting: U.S. medical schools.
Participants: 60 043 physicians in active practice who graduated from medical school between 1999 and 2001.
Measurements: The percentage of graduates who practice primary care, work in health professional shortage areas, and are underrepresented minorities, combined into a composite social mission score.
Results: The contribution of medical schools to the social mission of medical education varied substantially. Three historically black colleges had the highest social mission rankings. Public and community-based medical schools had higher social mission scores than private and non–community-based schools. National Institutes of Health funding was inversely associated with social mission scores. Medical schools in the northeastern United States and in more urban areas were less likely to produce primary care physicians and physicians who practice in underserved areas.
Limitations: The AMA Physician Masterfile has limitations, including specialty self-designation by physicians, inconsistencies in reporting work addresses, and delays in information updates. The public good provided by medical schools may include contributions not reflected in the social mission score. The study was not designed to evaluate quality of care provided by medical school graduates.
Conclusion: Medical schools vary substantially in their contribution to the social mission of medical education. School rankings based on the social mission score differ from those that use research funding and subjective assessments of school reputation. These findings suggest that initiatives at the medical school level could increase the proportion of physicians who practice primary care, work in underserved areas, and are underrepresented minorities.
Primary Funding Source: Josiah Macy, Jr. Foundation.
Article and Author Information
-
Grant Support: By the Josiah Macy, Jr. Foundation.
-
Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M09-2257.
For UHM students only
Annals of Internal Medicine
PMID: 20547907 [PubMed - indexed for MEDLINE]
http://micro189.lib3.hawaii.edu/ezproxy/details.php?jId=1220
Friday, July 02, 2010
New App for Health Hotlines
Health Hotlines
The National Library of Medicine® (NLM) Health Hotlines is now available as an app for the iPhone® and iPod Touch®. Health Hotlines is also compatible with the iPad®.
Health Hotlines is a compilation of organizations with toll-free telephone numbers which can assist the public in locating health-related information. It is derived from DIRLINE®, the NLM Directory of Information Resources Online. DIRLINE contains descriptions of almost 9,000 health and biomedical organizations and resources. Some subject areas included in Health Hotlines include AIDS, cancer, diseases and disorders, maternal and child health, aging, substance abuse, disabilities and mental health.
http://www.nlm.nih.gov/pubs/techbull/mj10/mj10_sis_reprint_health_hotlines.html
Health Sciences Library closing early July 6 (8am -8pm)
Monday, June 28, 2010
Top 10 cancers among men
The 10 most commonly diagnosed cancers among men in the United States in 2006* included cancers of the prostate, lung, colon and rectum, and bladder; melanomas of the skin; non-Hodgkin lymphoma; kidney cancer, mouth and throat cancer, leukemias, and pancreatic cancer. Overall, 708,769 men were told they had cancer and 290,064 men died from cancer in the U.S. in 2006.
http://www.cdc.gov/Features/dsMenTop10Cancers/
Library Closed July 3-5, 2010
We apologize for the inconvenience.
Friday, June 25, 2010
Voyager and Online Resources outage Saturday June 26, 2010
We apologize for the inconvenience.
Diagnosis for Alzheimer's in patients with memory problems.
http://www.nytimes.com/2010/06/24/health/research/24scans.html
The findings will be presented at the Alzheimer's Association International Conference on Alzheimer's Disease 2010
July 10-15
Honolulu, Hawaii
http://www.alz.org/icad/overview.asp
Monday, June 21, 2010
NIH Public Access Policy Citation Management Tool
NIH Public Access Policy Citation Management Tool
Beginning July 23, 2010, program directors and principal investigators must use My NCBI’s “My Bibliography” tool to manage their professional bibliographies. They will no longer be able to enter citations manually into eRA Commons.
To ease investigators’ bibliography management, improve data quality, and ensure compliance with the National Institutes of Health (NIH) public access policy, eRA Commons has linked to the National Center for Biotechnology Information’s (NCBI’s) personal online tool, “My NCBI.” Using “My Bibliography,” users can maintain and manage a list of all types of their authored works, such as articles, presentations, and books.
When a new or existing My NCBI account is linked to a Commons account, citations added to My Bibliography will appear automatically in the Commons account. Investigators and their delegates will benefit from My Bibliography’s ability to query the National Library of Medicine’s PubMed and PubMed Central databases, as well as the NIH Manuscript Submission system, and import citation data directly from those sources. Users can access My NCBI from Commons, or they can log in directly to My NCBI using their Commons username and password.
For more information on how investigators should handle the upcoming changes, see notice number NOT-OD-10-103. Read the step-by-step guide for how to set up a “My NCBI” account and access “My Bibliography.”
Friday, June 18, 2010
One in five "Best Doctors" are faculty at JABSOM
medical school UH System Current News Faculty Members (Clinical Faculty and Full-time Faculty) at the John A. Burns School of Medicine, University of Hawai'i at Mānoa. |
Monday, June 14, 2010
iPad/iPhone & Android medical app reviews by health care professionals
App Reviews are listed by most recent, with a quick summary and link to the full review. The Reviews are divided into categories as well on the right. Most of the reviews are of iPhone Medical apps, but Android app reviews are labeled as such in the title.
http://www.imedicalapps.com/
Library closing at 8pm on Thur, June 17
We apologize for the inconvenience.
Monday, June 07, 2010
Influenza Roundtable Online Videos on CDC-TV
Influenza Roundtable Online Videos on CDC-TV
There are many questions people have about seasonal and the 2009 H1N1 flu. CDC has developed several broadcast quality videos that focus on some of the different topics for which the public is seeking information such as warning signs of the flu, preventing its spread and taking antiviral medications.
Four "Influenza Roundtable" videos were filmed, featuring Dr. Joe Bresee, Chief of the Epidemiology and Prevention Branch in CDC's Influenza Division. These videos provide easy to understand answers for the public and provide important public health recommendations and action steps to protect their health and the health of their families.
http://www.cdc.gov/news/2009/11/flu_roundtable/Library closed for King Kamehameha Day Friday, June 11, 2010
Friday, June 04, 2010
Researchers Develop Promising Breast Cancer Vaccine
The experimental vaccine developed by researchers at Cleveland Clinic's Lerner Institute in Ohio was 100 percent effective in preventing breast cancer in a group of mice specially bred to develop the disease. The vaccine, which has been in the works for the past eight years, also stopped the growth of existing tumors.
http://www1.voanews.com/english/news/health/Researchers-Develop-Promising-Breast-Cancer-Vaccine--95576869.html
An autoimmune-mediated strategy for prophylactic breast cancer vaccination.
Jaini R, Kesaraju P, Johnson JM, Altuntas CZ, Jane-Wit D, Tuohy VK.
Nat Med. 2010 May 30. [Epub ahead of print]
PubMed
PMID: 20512124
For UHM users only
Friday, May 28, 2010
Healthwise, Big Isle lags behind rest of state
Big Islanders live shorter lives and face higher cancer, heart disease and suicide rates compared with the rest of Hawaii, according to a recent report on health on Hawaii Island.
Lack of access to doctors and health information, the economy, behavior and being of certain ethnic backgrounds appear to decrease life expectancy and the overall health of Big Isle residents, said Sharon H. Vitousek, an internal medicine specialist and director of the North Hawaii Outcomes Project, which produced the Community Health Profile 2010 report.
North Hawaii Outcomes Project
http://www.nhop.org/
http://www.westhawaiitoday.com/articles/2010/05/26/local/local03.txt
Friday, May 21, 2010
Two new grants from NLM
NLM recently announced two newly-issued grant programs, NLM Information Resource Grants to Reduce Health Disparities and NLM Independent Career Development Award for Biomedical Informatics. Applications for both programs must be submitted through Grants.gov.
The grant program to reduce health disparities solicits applications for projects that will bring useful, usable health information to populations affected by health disparities and the health care providers who care for them. Proposed projects should utilize the capabilities of computer and information technology and health sciences libraries to bring health-related information to consumers and their health care providers. The application deadline is July 14, 2010.
The purpose of the NLM Independent Career Development Award for Biomedical Informatics program is to facilitate the transition of investigators from the mentored to the independent stage of their careers. The award applies to research in clinical informatics, public health informatics or translational informatics. Preference will be given to candidates who received their informatics training at one of NLM’s university-based training programs in biomedical informatics. There are multiple application deadline dates.
Additional information regarding both grant programs is available in this recently published Latitudes article, http://nnlm.gov/psr/newsletter/?p=2883.
Thanks to Alan Carr at UCLA
Monday, May 17, 2010
Testing Link Between Diabetes and Family History
http://www.nytimes.com/2010/05/18/health/research/18patt.html?ref=health
A family history of type 2 diabetes increases risk factors associated with overfeeding
D. Samocha-Bonet, L. V. Campbell, A. Viardot, J. Freund, C. S. Tam, J. R. Greenfield and L. K. Heilbronn
Diabetologia
May 2010 online
For UHM only
Library closing at 8pm on Wed, May 19th
We apologize for the inconvenience.
Friday, May 14, 2010
Misdiagnosis common in food allergies
Many who think they have food allergies actually do not. A new report, commissioned by the federal government, finds the field is rife with poorly done studies, misdiagnoses and tests that can give misleading results.
http://www.nytimes.com/2010/05/12/health/research/12allergies.html?ref=health
JAMA. 2010 May 12;303(18):1848-56.
Diagnosing and managing common food allergies: a systematic review.
Chafen JJ, Newberry SJ, Riedl MA, Bravata DM, Maglione M, Suttorp MJ, Sundaram V, Paige NM, Towfigh A, Hulley BJ, Shekelle PG.
For UHM only cut and paste PMID into PubMed search box
PMID: 20460624
http://micro189.lib3.hawaii.edu/ezproxy/details.php?dbId=2095
Friday, May 07, 2010
H1N1 fact sheet in Asian, Pacific Islander languages
Thanks to the Asian & Pacific Islander American Health Forum, the Get Ready campaign is pleased to provide its fact sheet on H1N1 preparedness in common Asian and Pacific Islander languages.
The health forum translated the Get Ready campaign's popular H1N1 flu preparedness fact sheet (also available in English and Spanish) into 10 languages: Chinese, Chamorro, Chuukese, Japanese, Korean, Marshallese, Samoan, Thai, Tongan and Vietnamese.
http://www.getreadyforflu.org/H1N1api.htmMonday, May 03, 2010
New cardiology fellowship at the University of Hawaii and Queen's Medical Center
Cardiology demand leads to fellowship at UH, Queen's
A shortage of heart doctors on Oahu has led to a three-year accredited cardiology fellowship under the University of Hawaii and The Queen's Medical Center.The goal of the UH Cardiovascular Disease Fellowship program is to recruit, train and retain cardiologists in Hawaii because 80 percent of doctors end up practicing where they trained, according to a news release from Queen's.
http://www.starbulletin.com/news/20100502_Cardiology_demand_leads_to_fellowship_at_UH_Queens.html
Friday, April 30, 2010
Crude Oil Spills and Human Health
The page has links to information on how the US responds to oil spills, state agencies in the Gulf region that respond to spills, occupational hazards for professionals and volunteers assisting with clean-up, seafood safety and more. The links under "Featured Sites" focus on the latest updates about the recent spill and subsequent controlled burning of crude oil in the Gulf of Mexico following the explosion and sinking of the Deepwater Horizon Mobile Offshore Drilling Unit oil platform. The page will continue to expand as needed.
If you want to stay informed on disaster health information and resources, please consider joining the DISASTR-OUTREACH-LIB listserv. About 400 librarians and other informational professionals use this listserv to share ideas and information about disaster health resources, including publications from grey literature sources, webinars, conferences, and training. List members may also post questions, news, announcements, job openings and other content of interest to those involved in disaster information outreach. You can sign up at http://disasterinfo.nlm.nih.gov/dimrc/dimrclistserv.html . The listserv is provided by the National Library of Medicine's Disaster Information Management Research Center. (http://disasterinfo.nlm.nih.gov) For more information, please send me an email at nortone@nlm.nih.gov .
thanks to Elizabeth Norton for this post
Monday, April 26, 2010
Increased efforts needed to reduce smoking and save lives
New CDC Report Says Increased Efforts, High-Impact Strategies Needed to Reduce Smoking and Save Lives
A report by the Centers for Disease Control and Prevention encourages all states to implement coordinated, high-impact strategies to end the stall in the decline of U.S. smoking rates—a move that will prevent millions of smoking-related heart attacks, cancers, strokes, and deaths.http://www.cdc.gov/media/pressrel/2010/r100423.htm
Hawaii Tobacco Quit Line
http://www.quitnowhawaii.org/
American Lung Association of Hawaii:Tobacco
http://www.ala-hawaii.org/tobacco.asp
Friday, April 23, 2010
Films on Demand at Hamilton Library
Films on Demand provides streaming access to educational videos in the humanities, social and natural sciences, business and health.
For example:
The global statistics are alarming: diabetes kills one person every 10 seconds, and a limb amputation is carried out as a result of the disease every 30 seconds. What can 21st-century medicine achieve...
From Series: Medical Challenges of the 21st Century |
One day, microbes will eliminate our dirt and garbage, filter our exhaust systems, and help make self-cleaning clothing possible. This program takes viewers on a global journey-from the U.S. to Icelan... This program takes viewers into the fascinating world of laparoscopic and arthroscopic surgery. Looking over the shoulders of several pioneering doctors, we see how once-major operations are being rep... |
http://micro189.lib3.hawaii.edu/ezproxy/details.php?dbId=56186
Monday, April 19, 2010
CDC Report Shows Success in Fighting E. coli O157:H7
The rate of a severe form of Escherichia coli diarrhea significantly decreased in 2009, reaching the lowest level since 2004, according to a report released Thursday by the Centers for Disease Control and Prevention. The incidence of the disease, called Shiga toxin-producing E. coli (STEC) O157 infection, also met the national 2010 Healthy People target in 2009. Infection with E. coli O157 is of particular concern because in 5 percent to 10 percent of cases the infection causes kidney failure and it can be especially dangerous for children and the elderly.
The data were collected through CDC’s Foodborne Diseases Active Surveillance Network, known as FoodNet, the most complete and up-to-date source of information about trends in foodborne illnesses in the United States. FoodNet conducts active surveillance for nine pathogens commonly transmitted through food, and leads studies designed to help health officials better understand how foodborne diseases are impacting Americans. Annual data are compared with data from the previous three years and with data from the first years of surveillance (1996-1998) to analyze trends and measure progress.
http://www.cdc.gov/media/pressrel/2010/r100415b.htm
Friday, April 16, 2010
Online Drug Information
Online Databases (For UHM use only):
Access Medicine
eMedicine
MDConsult/FirstConsult
Natural Standard (Alternative Meds)
UpToDate (On Campus Access Only)
From NLM:
DailyMed
DailyMed provides high quality information about marketed drugs. This information includes FDA labels (package inserts). This Web site provides health information providers and the public with a standard, comprehensive, up-to-date, look-up and download resource of medication content and labeling as found in medication package inserts. The National Library of Medicine (NLM) provides this as a public service and does not accept advertisements.
Monday, April 12, 2010
Track Medicare Hospital Spending
HHS has launched a new Web site, called CMS Dashboard, that allows consumers to track Medicare hospital spending for the 25 most expensive conditions, Modern Healthcare reports.
The Web site also lets users compares Medicare hospital spending by state. The site's data are based on more than 40 million hospital admissions and will be updated monthly.
http://www.ihealthbeat.org/articles/2010/4/7/new-hhs-web-site-lets-users-track-medicare-hospital-spending.aspx
http://www.cms.gov/Dashboard/10_CMSDashboardBETA.asp#TopOfPage
Friday, April 09, 2010
Health Literacy for Public Health Professionals
Health Literacy for Public Health Professionals
To help public health professionals in their roles as health information providers and health literacy promoters, the Centers for Disease Control and Prevention (CDC) has launched a free "Health Literacy for Public Health Professionals Online Training" program. The purpose of this training is to educate public health professionals about limited health literacy and how to address this issue in a public health context.
The web-based course may be accessed 24/7 by any computer with Internet access. It takes 1.5 to 2 hours to complete. Continuing education credit is available for a variety of health professionals, including physicians, nurses, pharmacists, and health education specialists. To access the training program, visit http://www2a.cdc.gov/TCEOnline/registration/detailpage.asp?res_id=2074.
For a link to CDC's and other HHS agencies' health literacy sites, visit the AHRQ's Health Literacy and Cultural Competency Resource Links at: http://www.ahrq.gov/browse/hlitres.htm.
Monday, April 05, 2010
GE & Science Prize for Neurobiology and Life Scientists
The Eppendorf & Science Prize for Neurobiology acknowledges the increasingly active and important role of neurobiology in advancing our understanding of the functioning of the brain and the nervous system -- a quest that seems destined for dramatic expansion in the coming decades. This international prize, established in 2002, encourages the work of promising young neurobiologists by providing support in the early stages of their careers. It is awarded annually for the most outstanding neurobiological research by a young scientist, as described in a 1,000-word essay based on research performed during the past three years.
The winner of the Eppendorf and Science Prize for Neurobiology is awarded US$25,000 and publication of his or her essay in Science. The essay and those of up to three finalists are also published on Science Online. The award is announced and presented at a ceremony at the annual meeting of the Society for Neuroscience. Eppendorf provides financial support to help enable the grand prize winner to attend the meeting.
How can you help? Download and print this PDF flyer, and help spread the word to young scientists.
http://www.sciencemag.org.eres.library.manoa.hawaii.edu/feature/data/prizes/eppendorf/Dedicated to rewarding brilliance
The GE & Science Prize for Young Life Scientists exists to recognize and reward outstanding Ph.D. graduate students from around the world in their work within the field of molecular biology.
The brainchild of GE Healthcare and Science/AAAS, the prize seeks to foster visionary thought and research by supporting scientists at the onset of their careers. To this end, we hope that you will use this Web site as a forum for the sharing and gathering of experiences and views. We believe that the dynamic interchange of ideas is essential to breakthrough scientific advancement and by tapping into brilliant ideas, we will build better realities.
http://www.gescienceprize.org/
Thursday, April 01, 2010
Library Opens Late on Sat, 4/3 - 12p-5p
Health Sciences Library Saturday, April 3 hours will be 12pm - 5pm.
The Medical Education Building itself will open at its regular time.
We apologize for the inconvenience.
Monday, March 29, 2010
PubMed on Tap
Michelle Price
An increasing number of students and faculty come to campus with an iPhone or iPod touch. Aside from recreational use, these devices can be used to search for medical literature, but picking the right applications for searching can be difficult. A comparison was created to find the best application for searching PubMed from an iPhone or iPod touch. The products tested were PubSearch, PubMed on Tap and PubMed for Handhelds. Although equally accurate, PubMed on Tap was the superior product due to its simple method for limiting by date and its readily accessible e-mail feature.
Journal of Electronic Resources in Medical Libraries 7: 42-51, 2010
Check out other apps on the HSL iPhone apps page:
http://www.hawaii.edu/hslib/subjguides/iPhoneapps.html
Thursday, March 25, 2010
Change in Library Hours 3/30 - 4/4
Mon, 3/29 - 8am-10pm (normal hours)
Tue, 3/30 - 8am-8pm
Wed, 3/31 – 8am-10pm (normal hours)
Thu, 4/1 – 8am-8pm
Fri, 4/2 - Closed for Good Friday holiday
Sat, 4/3 - 12pm - 5pm (The MEB will be open as usual)
Sun, 4/4 - Closed for Easter holiday (The MEB will be open)
We apologize for the inconvenience.
Monday, March 22, 2010
Change in Library Hours 3/22-3/28
Mon, 3/22 - 8am-10pm (normal hours)
Tue, 3/23 - 8am-10pm (normal hours)
Wed, 3/24 – 8am-5pm
Thu, 3/25 – 8am-5pm
Fri, 3/26 - Closed for Prince Kuhio Day
Sat, 3/27 – 9am-5pm
Sun, 3/28 - Closed
We apologize for the inconvenience.
CDC Health Alert GlaxoSmithKline Rotarix (Rotavirus) Vaccine
Monday, March 22, 2010, 15:54 EDT (03:54 PM EDT)
CDCHAN-00311-2010-03-22-ALT-N
The U.S. Food and Drug Administration (FDA) has learned that DNA from porcine circovirus type 1 (PCV1), a virus not known to cause disease in humans, is present in the Rotarix vaccine. All available evidence indicates that there has been no increased risk to patients who have received this vaccine. PCV1 is not known to cause any disease in animals or humans; therefore, it has not been routinely tested for in vaccine development. Rotarix has been extensively studied, before and after approval, and found to have an excellent safety record (i.e., no unusual adverse events). However, FDA is recommending that healthcare practitioners temporarily suspend usage of the Rotarix vaccine for rotavirus immunization in the United States while the agency learns more about the detection of components of the virus found in the vaccine.
http://www2a.cdc.gov/HAN/ArchiveSys/ViewMsgV.asp?AlertNum=00311
Library Closed Friday, 3/26
Friday, March 19, 2010
Limited Library Services 3/22-3/26/10
- Scanning and emailing of articles
- Book transfers (from one library to another)
If you have any questions, call the Library at 692-0810.
Please note that the Library will be closed on Friday, March 26th in observance of Prince Kuhio Day.
Continuing Medical Education
http://www.freecme.com/gindex.php
CE Medicus: Your Center for Professional Continuing Education and Learning
http://www.cemedicus.com
Cleveland Clinic
http://www.clevelandclinicmeded.com/
MedPage Today: CME Spotlights
http://www.medpagetoday.com/CME-Spotlights/
MedscapeCME Today
http://cme.medscape.com/
Online Continuing Medical Education(CME): Annotated List of Online Continuing Medical Education
http://www.cmelist.com/list.htm
Physicians' Travel and Meeting Network: CME Planner
http://www.cmeplanner.com/
PRIME
http://primeinc.org/
University Library, University of Illinois-Chicago: Online CME
http://www.uic.edu/depts/lib/lhs/resources/cme.shtml
Submitted by Gayle Hutchins Tudisco, Health Sciences Library, Eliot Hospital, Manchester, NH;
edited by Lynne M. Fox
Monday, March 15, 2010
MedlinePlus medical dictionary audio pronunciations
The MedlinePlus medical dictionary http://www.nlm.nih.gov/medlineplus/mplusdictionary.html now includes audio pronunciations. Learn how to say words like ptosis http://www.merriam-webster.com/medlineplus/ptosis , Sjogren's http://www.merriam-webster.com/medlineplus/sjogren%27s and fibrillation http://www.merriam-webster.com/medlineplus/fibrillation . Search the medical dictionary on MedlinePlus. Then click on the red speaker icon next to your word to hear the pronunciation.
Friday, March 12, 2010
NLM on Twitter
News Feed Will Link to the Latest on Health IT, Online Resources and Much More
The National Library of Medicine (NLM), a longtime leader in harnessing information technology to improve the public health, announces the creation of a Twitter feed, to spread news, information and important links primarily to members of the news media. The feed may be found on Twitter (http://www.twitter.com) at nlm_newsroom. NLM is a component of the National Institutes of Health.
"We recognize that social media sites are an important and essential way to further enhance the role of NLM in the 21st century," observed NLM Director Dr. Donald A.B. Lindberg. "The public, and journalists in particular, are turning to outlets such as Twitter as gateways to understanding and further exploration."
NLM, the world's largest biomedical library and the developer of electronic information services, delivers trillions of bytes of data to millions of users daily.
Every day 3.5 terabytes of data are downloaded to users. By making research results - from DNA sequences to clinical trials data to published scientific articles and consumer health information - readily available, the Library magnifies the positive impact of the NIH's investment in the creation of new knowledge.
By organizing increasing amounts and types of biomedical and health information, NLM fuels new research discoveries, informs patient care decisions, helps people exert control over their health and health care, and aids disaster preparedness and response.
http://www.nlm.nih.gov/news/twitter_nlm.html
Monday, March 08, 2010
Online Searching Tips, Resources, Library Services for Busy JABSOM Faculty
"Online Searching Tips, Resources, Library Services for Busy JABSOM
Faculty”, by Virginia "Ginny" Tanji, MSLS, MEd Director, Health
Sciences Library.
Intended Audience: School of Medicine faculty,
Community Physicians, students, other health care providers.
Medical Education Building Room 301. For more information, and/or
disability accommodation, please contact: Wendy Shimamoto at:
email: wnomura@hawaii.edu; phone: (808) 692-0923; FAX: (808)692-1252
Sponsored by: Hawai’i Consortium for Continuing Medical Education.
Fifth Annual Cancer Research Information Day
Saturday, March 15 2010
Japanese Cultural Center
The program targets the general public, patients and families,
and anyone interested in learning more about prostate cancer
(one of the 4 top cancers in the nation and Hawaii) and viral
hepatitis and liver cancer (Hawaii has the highest incidence
in the US) related to our high incidence of Hepatitis B and C
in our migrant Pacific Islanders and Asians who come to Hawaii
from countries where the diseases are endemic.
The prostate cancer section will be in the morning. Among the
speakers will be Dr. David Wei, a urological surgeon, Dr. John
Lederer, radiation oncologist, Dr. Celestia Higano, medical
oncologist from the Seattle Cancer Care Alliance and University
of Washington, and Sylvie Aubin, PhD, a clinical psychologist
from Segal Cancer Center at the Jewish General Hospital in Montreal.
A married couple will talk about their journey with prostate cancer.
In the afternoon session on viral hepatitis and liver cancer, Dr.
Naoky Tsai and Dr. Linda Wong will be presenting. We will also have
two liver transplant patients sharing their personal experiences.
Pre-registration by March 5th is high recommended to ensure that
attendees get lunch and refreshments. Mahalo for your help in
disseminating this information.
Contact is:
Sharon Shigemasa, R.N., M.S.
Public Information Officer
University of Hawaii
Cancer Research Center of Hawaii
677 Ala Moana Boulevard, Suite 901
Honolulu, HI 96813
Phone: (808) 586-3011
Fax: (808) 586-3052
Friday, March 05, 2010
OutbreakNet Foodborne Outbreak Online Database
Foodborne Outbreak Online Database
The Foodborne Outbreak Online Database has been designed to allow the public direct access to information on foodborne outbreaks reported to the Centers for Disease Control and Prevention (CDC). Most outbreaks are reported to the National Outbreak Reporting System (NORS) by the state, local, territorial, or tribal health department that conducted the outbreak investigation. Outbreak reporting is voluntary. Multi-state outbreaks are generally reported to NORS by CDC.
http://wwwn.cdc.gov/foodborneoutbreaks/
Wednesday, March 03, 2010
Library closing at 8pm, Thurs, Mar 4th
We are sorry for the inconvenience.
Monday, March 01, 2010
iPhone Medical Apps
Anatomy, Bioterrorism , Calculators , Cardiology , Clinical Tools , Coding and Classification Databases , Drug Information , Eye Care , Lab Tests , Mental Health , Nursing , Pediatrics , Study Guides , Terms and Definitions
http://www.hawaii.edu/hslib/subjguides/iPhoneapps.html
Monday, February 22, 2010
NIH Education and Awareness Campaign materials
Clear Communication: An NIH Health Literacy Initiative

NIH Education and Awareness Campaign materials are available for a variety of public health marketing campaigns, including health literacy, healthy eating, clinical trials, heart disease, asthma, and enhancing children's activity and nutrition, among others.
http://nih.gov/icd/od/ocpl/resources/campaigns/
Thursday, February 18, 2010
MedWatch
An FDA Gateway for finding clinically important safety information and reporting serious problems with human medical products.
http://www.fda.gov/Safety/MedWatch/default.htm
Thursday, February 11, 2010
Library Closed Monday, Feb 15 for Presidents' Day
Monday, February 08, 2010
Revised Pubmed homepage, advanced search, and limits page.
Changes include:
- Advanced search page was streamlined
- a link to Clipboard was added to the homepage
- a new Limits page with additional limits for dates and search field tags
http://www.nlm.nih.gov/pubs/techbull/jf10/jf10_pm_advanced_search.html
Monday, February 01, 2010
NLM grant to digitize "Medical Heritage" works dating back to 17th century
http://www.nlm.nih.gov/news/digitize_grant.html
Monday, January 25, 2010
National Center on Minority Health and Health Disparities Funding Opportunity Announcement
The National Center on Minority Health and Health Disparities (NCMHD), part of NIH, has announced a Funding Opportunity Announcement (FOA) to solicit exploratory and developmental research project grant (R21) applications that propose innovative and transdisciplinary interventions on health disparities, social determinants of health, health behavior and promotion, and disease prevention, that is jointly conducted with faith-based organizations or faith-motivated programs and the research community. The full funding announcement is available at http://grants.nih.gov/grants/guide/rfa-files/RFA-MD-10-004.html.
The total amount of funding that NCMHD expects to award through this FOA is approximately $2.5 million. The anticipated number of awards is up to 8. Letters of intent to apply for funding are due by February 9, 2010, and the application deadline is March 17, 2010. Direct costs are limited to $275,000 over a two-year period, with no more than $200,000 in direct costs allowed in any single year. Applications for this award should describe projects distinct from those supported through the traditional R01 mechanism. For example, long term projects, or projects designed to increase knowledge in a well-established area, will not be considered for this R21 award. Applications submitted under this mechanism should be exploratory and novel, involving studies that break new ground or extend previous discoveries toward new directions or applications. Projects of limited cost or scope that use widely accepted approaches and methods within well established fields are better suited for the R03 small grant mechanism.
Friday, January 22, 2010
Haiti earthquake health information links
A new web page of Haiti earthquake health information links is now available at http://disaster.nlm.nih.gov/dimrc/haitiearthquake.html. This information was compiled by the Disaster Information Management Research Center, Specialized Information Services, US National Library of Medicine. The page includes resources about the Haiti earthquake situation from both government agencies and non-governmental organizations (NGOs). There is also a section of Haitian Creole and French-language materials. Links to background information on earthquakes and subsequent health issues, such as public health assessments, emergency surgical care, and management of dead bodies, are also included.
The page will continue to expand and will add a section on hazards from concrete dust and other airborne particulates from the collapsed buildings and subsequent clean-up activities. Please send comments and any additional suggestions about health information content to tehip@teh.nlm.nih.gov.
Tuesday, January 19, 2010
Sciencedirect down Sat, Jan 23
Monday, January 11, 2010
Guide to Tropical Disease Motion Pictures and Audiovisuals
The Tropical Disease Motion Picture and Audiovisual Collection is comprised of films, videorecordings, and digital videocasts produced from the 1920s through 2009, with the majority shot prior to the 1960s. An estimated 120 titles are in the collection. All are devoted to health concerns and include material on medicine and public health. Materials range from ideological, documentary, educational, and training films to American war propaganda. The intended audience is diverse and includes military personnel, health professionals, and the general public. The collection will be of particular interest to scholars concerned with the social, economic, and political implications of health disparities in a world where epidemics travel with great rapidity across national and regional borders.
*Guide to Tropical Disease Motion Pictures and Audiovisuals
http://www.nlm.nih.gov/hmd/collections/films/tropicalguide/index.html
Wednesday, January 06, 2010
Community Health Fair @ JABSOM, Fri, 1/8, 12pm
12 noon - 3pm
Friday, January 8, 2010
UH School of Medicine
The University of Hawai‘i at Mānoa’s John A. Burns School of Medicine (JABSOM) will sponsor a free community health fair this Friday, January 8, at the medical school’s Kaka‘ako campus from 12 noon until 3 p.m.
Highlights:
- Free blood pressure, BMI, glucose, and other health screenings
- Door prizes & free samples of nutritional items
- Acupuncture, ayurvedic medicine, Native Hawaiian healing, Chinese & herbal medicine, and massage demonstrations and nutrition counseling by Med School faculty
- Keynote speaker, Dr. Terry Shintani, will give a talk at 2pm. He is the author of the popular books "THe Hawaii Diet" and "Eat More, Weigh Less."
- Yoga demonstration at 1pm
- Over 50 vendors, such as Whole Foods, YMCA, American Cancer Society, National Kidney Foundation.
For more information: http://jabsom.hawaii.edu/JABSOM/about/news.php?categoryid=4&articleid=823
Monday, January 04, 2010
MedlinePlus Medical Encyclopedia
In November 2009, the National Library of Medicine released a new version of the A.D.A.M. Medical Encyclopedia on MedlinePlus. The encyclopedia now includes hundreds of new Patient Instruction pages in English and Spanish. These pages cover pre-operative information, discharge instructions, self-care instructions, and questions to ask your doctor. Users can find links to Patient Instructions and related MedlinePlus topics in the right side-bar of many encyclopedia articles.
For more information: http://www.nlm.nih.gov/pubs/techbull/nd09/nd09_mplus_encylclopedia.html
Tuesday, December 15, 2009
Library Closed 12/21/2009 - 1/3/2010
Access to Online Resources
During the interim access to online resources should be available. On Tuesday, Dec. 22, the Voyager online catalog will be down while equipment is being moved but this should not affect e-journals, PubMed, MDConsult, etc.
Access to Study Space
Medical students will have access to the Ancillary Building Study space--normal MEB building hours are to be observed.
Hawaii Medical Library (547-4300) will be open Mon, 12/21-Thurs, 12/24/09, 9am - 4pm.
Checking Out Reserve Books for the Break:
Beginning at 12 noon on Friday, 12/18/09, we will allow the checking out of Reserve Books for the two week break. They will be due on Monday, Jan. 4, by 10 a.m. with no exceptions. If you misplace any library book during the break, you will be charged for a replacement copy. There will be the same three-book limit.
Online Journals Available while Library Catalog Down on 12/22
The online journals and databases WILL BE available on December 22, 2009. Only the Voyager Library Catalog (where you search for books and journals on the library shelves) will be unavailable from approximately 6am to 6pm on 12/22.
We apologize for the inconvenience.
Monday, December 14, 2009
WHO Pandemic (H1N1) 2009
Pandemic (H1N1) 2009
Global Alert and Response
WHO continues to track the evolving infectious disease situation, sound the alarm when needed, share expertise, and mount the kind of response needed to protect populations from the consequences of epidemics, whatever and wherever might be their origin.
http://www.who.int/csr/disease/swineflu/en/
Wednesday, December 09, 2009
ILL (Interlibrary Loan) Down Sat-Sun, 12/12-12/13
Urgent requests may be submitted via email to libill@hawaii.edu during that time.
Monday, December 07, 2009
Reporting on Cancer Research
Journal of the National Cancer Institute
Oxford Journals
http://www.oxfordjournals.org/our_journals/jnci/resource/reporting_on_cancer.html
Library Book Transfers Inactivated Until January
This service was turned off now in order to allow sufficient time for books in transit to reach the destination library in a timely fashion. We wanted to be sure that the requester has enough time to pick up the book before the library closes.
Remember that that you can go directly to any UH library and check out books yourself between now and when the library closes for the break. Be sure to check the library hours before going.
Thursday, December 03, 2009
Library Catalog & Online Journals Down on 12/22
The Library servers and other equipment are being moved from Sinclair Library (where they have been since the 2004 Flood) to the newly constructed server room in Hamilton Library.
We apologize for the inconvenience.
Monday, November 30, 2009
Healthy People 2020
Objectives
http://www.healthypeople.gov/hp2020/Objectives/TopicAreas.aspx
Monday, November 23, 2009
"Expanded Access" in ClinicalTrials.gov
*NLM Technical Bulletin, Nov-Dec 2009, "Expanded Access" in ClinicalTrials.gov
Expanded access is a means by which manufacturers make investigational new drugs available, under certain circumstances, to treat a patient(s) with a serious disease or condition who cannot participate in a controlled clinical trial.Friday, November 20, 2009
UH Voyager Library System Outage
Access to other resources should be available; however there is a chance that those will be down as well.
Thanksgiving Holiday Hours
Wednesday, Nov. 25th the library will close at 5pm through Sunday, Nov. 29th. The Library will reopen on Monday, Nov. 30th
Monday, November 09, 2009
Talking Glossary of Genetic Terms
Talking Glossary of Genetic Terms
http://www.genome.gov/glossary/
The National Human Genome Research Institute (NHGRI) created the Talking Glossary of Genetic Terms to help everyone understand the terms and concepts used in genetic research. In addition to definitions, specialists in the field of genetics share their descriptions of terms, and many terms include images, animation and links to related terms.
Thursday, November 05, 2009
Library Closed on Veterans' Day, 11/11/09
Monday, November 02, 2009
Medical Games for your iPhone/iPod Touch
-thanks to Josephine Tan from UCSF for this information
Monday, October 26, 2009
Figuring out where to publish your paper
JANE-Journal/Author Name Estimator
JANE gives you a way to identify possible journals that have published on a specific topic. In addition to giving you a list of journals publishing on your topic, it will list the Article's Influence (based on Eigen Factor analysis).
Search by just the title or also include the abstract. JANE http://biosemantics.org/jane/ pulls its data from MEDLINE and gives you information on the 50 articles that are most similar to your article. JANE is a new(ish) tool from the Netherlands Bioinformatics Group, and provides
other finding tools like finding similar articles and authors who write on your topic. For more details, you check check out their FAQ page. http://biosemantics.org/jane/faq.php
Wednesday, October 21, 2009
"Find It" Button Down Friday, 9pm - Midnight (Oct 23)
Monday, October 19, 2009
USFDA Pillbox
Pillbox Beta Version Released
The National Library of Medicine (NLM), with support from the U.S. Food and Drug Administration (FDA), has released a beta version of Pillbox, a resource intended to enhance patient safety via an identification and reference system for solid dosage medications. http://pillbox.nlm.nih.gov
Pillbox combines pharmaceutical data from the FDA and NLM with high resolution images, enabling rapid identification of unknown medications. This system is designed for use by emergency physicians, first responders, other health care providers, Poison Control Center staff, and concerned citizens.
Pillbox allows users to identify solid dosage medications based on several physical characteristics: imprint (characters or number printed on a medication), shape, color, size, and scoring. Users are shown thumbnail images of possible matches which are continually updated as additional information is entered. Once a medication has been identified, further information is provided, including brand/generic name, ingredients, and DEA schedule. Links to NLM drug information resources are also offered.
NLM has made a great effort to verify the authenticity of each image. However, the Pillbox images are not part of the Structured Product Label (FDA-approved drug label) and have not been verified by each manufacturer. For this reason, Pillbox is not currently intended for clinical use.
This fall, NLM and the FDA will initiate a pilot program working with manufacturers to have images submitted for inclusion with the FDA-approved drug label. This will increase the number of images in Pillbox and help to create a resource appropriate for clinical use.
Pillbox Beta has two versions: the Adobe Flex version is designed for rapid identification of an unknown medication; the Pillbox screen-reader version has advanced search functionality, including drug name.
Questions about Pillbox should be addressed to David Hale, Biomedical Files Implementation Branch, Division of Specialized Information Services, National Library of Medicine, david.hale@nih.gov
Monday, October 12, 2009
2009 Flu Prevention PSA Contest
Public Service Announcements, YouTube Style
Monday, October 05, 2009
Monday, September 28, 2009
JAMA Sees Drop in Industry Financed Research
http://chronicle.com/section/Home/5September 13, 2009
Medical Journals See a Cost to Fighting Industry-Backed Research
By Paul Basken
The Journal of the American Medical Association saw a 21 percent drop in industry-financed research after it began requiring that data in company-sponsored medical trials be independently verified by university researchers, a study has concluded.
The study, by a team of medical researchers in England and Florida, found that two of JAMA’s competitors saw their proportions of industry-backed research grow after JAMA decided to impose the requirement in 2005 to deter companies from shading descriptions of medical-test results to favor their products.
The findings suggest JAMA could face significant financial pressure to abandon the policy, given the reliance of medical journals on corporate dollars, said one of the study’s authors, Benjamin Djulbegovic, a professor of medicine and oncology at the University of South Florida.
Search The Chronicle website using the Article Title:
Monday, September 21, 2009
*NLM Technical Bulletin, Sep-Oct 2009, Preview of PubMed Redesign Coming
Preview of PubMed® Redesign Coming
The redesign of the PubMed interface was announced in May (see: PubMed® Redesign 2009). Very soon a link on the PubMed homepage will connect to a preview version. The preview version will enable users to try out the new interface and is expected to run for at least two weeks after which PubMed will exist in the redesigned version. No changes to URLs will be necessary.
One aspect of the redesign affects display formats. There will be three of interest to most users: Summary, Abstract, and MEDLINE. The AbstractPlus and Citation formats will be retired as the Abstract format will combine aspects of both, e.g., Related Articles titles and MeSH® vocabulary. Any saved searches or links that were created with the Citation or AbstractPlus formats will eventually default to the new Abstract format.
A number of changes will be made to Advanced Search and My NCBI as a result of the redesign.
Watch for an upcoming article with more information about the redesign.
By Annette M. Nahin
MEDLARS Management Section

Nahin AM. Preview of PubMed® Redesign Coming. NLM Tech Bull. 2009 Sep-Oct;(370):e9.
Thursday, September 17, 2009
ScienceDirect Down - Sat., Sep. 19th
ScienceDirect, the online platform for Elsevier journals, will be down for scheduled maintenance this Saturday, Sept. 19, starting at 2 a.m. until 3 p.m. Hawaii time.
The University of Hawaii at Manoa currently has access to approximately 2,000 journals via ScienceDirect.
Tuesday, September 15, 2009
University of California, San Francisco: Drug Industry Document Archive
Drug Industry Document Archive from University of California, San Francisco
http://dida.library.ucsf.edu/
This archive will be of particular importance to those with an interest in public health, public policy, and the general activities of pharmaceutical companies.
The Drug Industry Document Archive (DIDA), created by the University of California, San Francisco (UCSF), contains over 1500 documents related to pharmaceutical industry clinical trials, publication of study results, pricing, marketing,and relations with physicians. Many of these documents were previously secret and were only made public as a result of lawsuits filed against a number of prominent pharmaceutical companies. First-time visitors may wish to start by clicking on "TheDocuments" link on the homepage. Here they can read about some of the crucial lawsuits that generated the documents featured in this archive.
Tuesday, September 08, 2009
HHI (Healthy Hawaii Initiative) Data Warehouse
Hawaii Health Matters
http://www.hawaiihealthmatters.org/
Hawaii Health Data Warehouse
Monday, August 31, 2009
Library Closed on Labor Day
Wednesday, August 26, 2009
Kakaako Green Days Initiative
The new building hours will be:
M-F: 5 AM - Midnight
Sat: 7 AM - 8 PM
Sun: Noon - 8 PM
Around a year ago the University of Hawaii at Manoa (UHM) Green Days Initiative was introduced to UHM’s community. JABSOM, as member of UHM’s ohana, began its participation in UHM’s Green Days efforts in the Spring 2009, naming our initiative, Kakaako Green Days.
At least 60% of our buildings’ electricity and chilled water consumption costs are related to providing air conditioning for the Medical Education (MEB) and Basic Science (BSB) buildings. To start our initiative, the Facilities team raised the cooling temperatures in the MEB a few degrees (75° to 78°) in the evenings around 5 PM until 6 AM the next day. Further review, resulted in the discovery that the need for the MEB building to remain open dropped significantly around 10 PM Monday through Friday and around 5 to 8 PM on the weekends and holidays.
By aligning the MEB open hours with our faculty, staff and student occupancy needs, JABSOM has an opportunity to save approximately $400,000 on an annual basis. The impact of these savings equates to covering close to two months of JABSOM’s electric bills. Reducing the MEB hours from 24/7 to the new schedule will directly reduce JABSOM’s facilities expenses. Given JABSOM’s most recent State General Fund reductions, these savings will be used to continue to fund faculty who train and teach our JABSOM students and residents.
Monday, August 24, 2009
Hawaii Health Information Corporation
This site provides answers to simple healthcare questions and“commonly asked questions”. Our focus is Hawaii, so where possible we provide links that are specific to Hawaii and Hawaii’s people.
Tuesday, August 18, 2009
Library Closed on Statehood Day
Monday, August 10, 2009
Health RSS Feeds
Health RSS Feeds
RSS (Really Simple Syndication) is a family of Web feed
formats used to publish frequently updated works—such
as blog entries, news headlines, audio and video—in a
standardized format.
APHA Public Health News
http://twitter.com/statuses/user_timeline/6794502.rss
MedlinePlus Health News
http://www.nlm.nih.gov/medlineplus/feeds/news_en.xml
Google Health News
http://news.google.com/news?ned=us&hl=en&topic=m&output=rss
New York Times Health
http://feeds.nytimes.com/nyt/rss/Health
National Institutes of Health News Releases
http://nih.gov/news/feed.xml
White House on the Issues: Health Carehttp://www.whitehouse.gov/issues/health_care/http://www.who.int/about/licensing/rss/en/
World Health Organization
Public Health News from Johns Hopkins University
http://www.jhsph.edu/rss/index.html
Monday, August 03, 2009
What's On My Food?
http://whatsonmyfood.org/index.jsp