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The NY Times today has an essay on the value of the quiet process going on to "push back the Year I [of Medline]": Medline now indexes articles written through the mid-1950s.
See "Paying Homage to the Wisdom of Voices from Medicine's Past" by Abigail Zuger, M.D. http://tinyurl.com/3dmmb
(NY Times articles are free online, but access requires registration).
An excerpt from the essay: --------------------------------------------------- Over the last three decades, medicine has become firmly tethered to Medline, the National Library of Medicine's vast computerized database of journal articles that is accessible without charge from any computer in the world. For technical reasons, the system for years coded only articles published from 1966 onward. And 1966 effectively became Year 1 of medicine.
If you are a medical student trying to learn about tuberculosis, you will find thousands of up-to-date articles on Medline, but not the article describing the intoxicating triumph of the first effective anti-tuberculous drug; that article was written in 1948.
If you are looking for information on smallpox, you will find nothing at all of a vast literature from the 1920's through the 1940's....
Many doctors do not miss the old stuff at all. "It has less and less practical importance," a journal editor told me recently.
But the people at the national library have a different opinion.
"Not everything that's worth knowing came out in the last 10 years," a spokesman there said last week.
And so slowly over the last decade, with no fanfare, the custodians of Medline have been pushing back the Year 1. Now their database includes articles written through the mid-1950's. The aim, given enough time and money, is to extend the starting date back to the beginning of the 20th century.
Is that money well spent? Perhaps the answer depends on one's definition of "practical importance."
Cutting-edge medicine has clear practical importance. One might say that everything else then fades away. Or one might make the case that those who study the past in medicine are not so much condemned to repeat it as, occasionally, privileged to do so. -----------------------------------------------------------------------
A good essay, and an excellent project by NLM.
Bob Michaelson Northwestern University Library Evanston, Illinois 60208 USA [log in to unmask]
Anders Löwenborg Cardiff-By-The-Sea, CA 92007 USA
Westheimer's Discovery: "A couple of months in the laboratory can frequently save a couple of hours in the library" Runyon's corollary: "A couple of hours on the Internet can frequently save a couple of minutes in the library"
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