Monday, April 28, 2025

AW Library Services Newsletter - April 2025



Ascension Wisconsin Librarians support your health care decisions with evidence-based research and full text resources.

Contact us for research, articles, training, or online access.
Just ask!

The easiest way to find AW Library Services is to Google "Ascension Wisconsin Library.


Catch up on the latest news from Ascension Wisconsin Library Services:


Q: Do we have access to the current INS Guidelines?

Pharmacy & Prescriber PodCasts from NatMed (formerly Natural Medicines)

From NatMed - Natural Medicines: Beware of Natural Cancer Cure-Alls


How to Get Past the Login Screen for Clinical Key



Questions, comments, or search requests,
contact Your Ascension Wisconsin Librarians:

Michele Matucheski & Kellee Selden

Use the Request Form if you need research or articles.


Our AW Library website is available 24/7.

Saturday, April 26, 2025

From NatMed - Natural Medicines: Beware of Natural Cancer Cure-Alls

cancer cells

Beware of Natural Cancer Cure-Alls 

A recent Netflix series called Apple Cider Vinegar is generating buzz about integrative therapies used for cancer – many of which are touted as “miracle” treatments online. Our NatMed article discusses the lack of evidence for coffee enemas, which are featured in the series. We also review laetrile therapy, promoted as a cancer cure-all and administered in clinics in Mexico, as well as the evidence on hydrazine sulfate. We advise patients to be very cautious of any “miracle” cancer remedies, as some may be harmful or interfere with proven therapies.


See Also:

NatMed (formerly known as Natural Medicines)

Search Tips & Tutorials for NatMed (formerly known as Natural Medicines)

Friday, April 25, 2025

Pharmacy & Prescriber PodCasts from NatMed (formerly Natural Medicines)

NatMed and TRC Healthcare offer several podcasts that may be of interest to our Ascension associates:

Please note that Ascension Wisconsin does not subscribe to all resources mentioned in these podcasts, and you may not be able to get CME credit for that reason.    Enjoy them anyway.


Medication Talk

Listen to this month’s podcast episode, Cardiovascular Impact of Diabetes Meds, as our expert panel discusses which diabetes medications have cardiovascular (CV) benefits. They will review the evidence and discuss the pros and cons of SGLT2 inhibitors (dapagliflozin, empagliflozin, etc) and GLP-1 agonists (dulaglutide, semaglutide, etc) in patients with or at risk for CV disease. 


New! Rumor vs Truth

Listen to or watch this month’s episode, Expired Medications, as two of our TRC Healthcare editors, Steven Small, PharmD, BCPS, BCPPS, BCCCP, CNSC, and Don Weinberger, PharmD, PMSP, separate fact from fiction about expired medications. They’ll also share research and insights into some interesting claims. 


New! Clinical Capsules

Listen to our latest episode, To Vitamin D or Not to Vitamin D?, as TRC Healthcare editor, Rachel Cole, PharmD, explores the latest guidelines on Vitamin D supplementation. 


See Also:

NatMed (formerly known as Natural Medicines)

Search Tips & Tutorials for NatMed (formerly known as Natural Medicines)

Thursday, April 24, 2025

Natural Medicines is now known as NatMed - And it's getting an Upgrade - Sign up for the webinar for the free live demo April 30

 


Did you know that Natural Medicines recently changed it's name to NatMed?  

And soon they'll be upgrading to a new platform.      

Sign up for the free live demo April 30 for an ...  

     >  If you are not able to attend live, sign up anyway, and they'll send a link to the recording that you can watch whenever is convenient for you.  


Exclusive First Look at the New NatMed Pro

NatMed Pro is getting a major upgrade, and we’re giving you an exclusive first look! Join us on Wednesday, April 30, 2025 at 2pm EST for a free 45-min live demo of the all-new NatMed Pro—the largest natural medicines database trusted by the National Institutes of Health (NIH) and thousands of healthcare professionals worldwide. In this live demo, you’ll get an inside look at the redesigned interface, new features, and performance enhancements that deliver a faster, more intuitive experience.  

What We’ll Cover:  

    • Get a first look at the all-new NatMed Pro design, optimized for speed, usability, and mobile access.  
    • Explore updated clinical tools, such as the enhanced Interaction Checker and expanded Commercial Product Database with over 300K entries and product label images.  
    • See how upgraded search and filtering capabilities will make it easier than ever to find the information you’re looking for.  
    • Live Q&A to get answers to your questions about the new platform.

Who Should Attend:  

    • Pharmacy Directors / VPs
    • Director / VP of Clinical Services
    • Director of Health & Wellness / Integrative Health
    • Pharmacy Managers / Owners
    • Pharmacists
    • Physicians and Nurse Practitioners 
    • Dietitians and Integrative Medicine Teams
    • Library Services & Educators

Register Now

*This webinar does not offer CE credits for attending.


See Also:

NatMed (formerly known as Natural Medicines)

Search Tips & Tutorials for NatMed (formerly known as Natural Medicines)

Tuesday, April 22, 2025

How to Get Past the Login Screen for Clinical Key


If you are on campus at one of our Ascension Wisconsin work sites, you should be able to seamlessly log in to Clinical Key* from the AW Library home page, as the IPs should kick in for authentication.


However, some people are running into this login screen while on campus.  

The Temporary Fix:

If you have a personal login for Clinical Key, you can use that to log in.

Otherwise, just click on the CK logo [highlighted in yellow] in the upper left corner to bypass the login screen.

We are aware that this is an ongoing issue and are working with the vendors to solve it.  

We should NOT be seeing this login screen if IPs and/or Open Athens single sign-on are also working in the background.


Clinical Key is an online library of medical information, with clinical overviews, 500+ ejournals, 1100+ ebooks, patient education, drug info, and more ...

Thursday, April 17, 2025

Q: Do we have access to the current INS Guidelines?



Question: Where do I find the latest edition of The Infusion Nursing Standards of Practice?

Answer: YES!    The INS Standards come out about every 5 years.  The latest ed. was published in January of 2024 as a supplement to The Journal of Infusion Nursing. 

Here is the official citation and current title:

Nickel, B. , Gorski, L. , Kleidon, T. , Kyes, A. , DeVries, M. , Keogh, S. , Meyer, B. , Sarver, M. , Crickman, R. , Ong, J. , Clare, S. & Hagle, M. (2024). Infusion Therapy Standards of Practice, 9th Edition. Journal of Infusion Nursing, 47 (1S), S1-S285. doi: 10.1097/NAN.0000000000000532.


There are multiple ways to get to the INS Standards at Ascension Wisconsin:

1) Infusion Nursing Standards of Practice (c2024) - Direct Link

 

2) They are also linked on the AW Library homepage for easy access:

> On the AW Library home page, keep your eye on the center column, and scroll down until you see the box for "Top 10 eBooks."
> You may have to wait for the carousel to scroll through the 10 titles featured there. 
> Otherwise, you can click on the 3 dots underneath the carousel to "speed" through it to get to the one you want.

 

3) You can find more infusion nursing resources here:

Nursing Specialties: Infusion Nursing




* Questions about access, contact your Ascension Wisconsin Librarians

 Michele Matucheski        Kellee Selden

Wednesday, April 16, 2025

The Fluoride Debate: The Nuance You May Be Looking For - from Your Local Epidemiologist



This question comes up every so often in my medical library research practice, and it's in the news again with Health Secretary Robert Kennedy, Jrs recent proclamantion to stop public water fluoridation.    I appreciate Katelyn Jetelina, aka Your Local Epidemiologist (YLE) writing about "the real deal" best evidence with fluoridated water and public health.   


Fluoride has sprung into the national spotlight in the past few weeks, and many people
have great questions. Here’s the nuance to equip yourself for evidence-based discussions. 
 
Fluoride is important for our teeth

Fluoride is a naturally occurring mineral found in water, soil, air, and some foods.
Our bodies need minerals for many things, including strengthening our bones and teeth. 
Just like our bones need enough calcium, our teeth benefit from getting enough fluoride. 
Specifically, fluoride strengthens enamel—the thin, hard layer that covers our teeth—which
helps prevent bacteria from causing cavities. Preventing cavities is good for many things,
including cardiovascular health.

The value of fluoride isn’t controversial—it’s good for our teeth. This is why toothpaste contains
 
fluoride, and dentists apply it directly to teeth, too. The question being debated is whether we
should add it to our public water supplies.

Read more ... 

Friday, April 4, 2025

Art in Medicine - April 2025: Apothecary Supplies

 

A figure made up of the components of the apothecary trade.
Engraving 1695

The April 2025 Art In Medicine topic is about Apothecary Supplies.

Lucinda Bennett, the Medical Librarian at Ascension St Agnes Hospital in Baltimore, MD,  publishes a regular series on Art in Medicine and The Health Humanities.    

It's only 1-2 pages with gorgeous images, so it won't take you long to read

... and just might enrich your life.


Apothecary Supplies 

Before the modern pharmacy became the ubiquitous corner store and hospital institution it is today, there were the apothecaries. Specializing in the manufacturing of all manner of medicines, these tradesfolk were part of the medical landscape in both Europe and North America for several hundred years before the science of pharmaceuticals replaced them. This month we review their history and the unique tools they utilized, some of which are still recognizable today. 

“The word 'apothecary' is derived from apotheca, meaning a place where wine, spices and herbs were stored. During the thirteenth century it came into use in this country to describe a person who kept a stock of these commodities, which he sold from his shop or street stall.” (Worshipful Society of Apothecaries) 

The work of the apothecary was to mix and sell a variety of concoctions to all manner of customers as well as treat customers when needed. Symbols of the shop that can still be found today include the mortar and pestle of Rite Aid, a device used to pummel ingredients in the shop and then weighed for sale on scales - another common icon of the pharmacy nowadays. 

“Apothecaries were a branch of the tripartite medical system of apothecary-surgeon-physician which arose in Europe in the early-modern period. Well established as a profession by the seventeenth century, the apothecaries were chemists, mixing and selling their own medicines. They sold drugs from a fixed shopfront, catering to other medical practitioners, such as surgeons, but also to lay customers walking in from the street. Their daily tasks- as distinct from those of a barber-surgeon or physician whose primary duties during this era involved related diagnosis and treatment- were thus defined by a focus on retail (sales to the public without performing other clinical roles).” (Who were the Apothecaries?) 

In the American colonies, the means by which citizens could access an apothecary was far more spotty than in the mother country of England, simply due to the lack of equally expansive cities, training opportunities and (by 17th & 18th century standards) proper hospitals to engage with. However, after independence, the need to formalize the career and where the specialist would practice their trade became a necessity. “As the nation’s first hospital, Pennsylvania Hospital (PAH) was also the first to have an associated Apothecary shop for patients, which curbed the need for apothecaries to act as both doctor and pharmacist, as was required in more rural areas of the colonies and later the new states. As the hospital expanded and the realm of American pharmacy evolved, so too did the role of the apothecary.” (Penn Med) 

The apothecary of Pennsylvania Hospital is well documented with ledgers of herbs and sale bills as well as photographs of how the ingredients were kept, an image of the typical shop would have looked to patients of the past. Beyond the aforementioned mortar and pestle, apothecary jars became the best known tool of the trade with an industry that grew up around their design and manufacture. So widespread were these jars that individual artistic styles can be traced to specific locations and artists around Europe and in the United States. 



Apothecary Bottle, COCHLEAR
Glass & paint European 18th century


“Common glass apothecary containers for crude drugs, ointments and liquids were among the many functional products made by skilled glassblowers, who might also create windows, drinking vessels, beads, and laboratory apparatus. Glass drug jars were not considered to have great monetary value and were fragile; consequently, such jars for holding oils, tinctures, and syrups once prevalent in German apothecaries of the 18th and 19th centuries are now very rare. 

Glass drug jars can be divided into three distinct groups. The first is composed of round or square-shaped jars with clear glass; these free-blown or mold-blown vessels are decorated with Baroque and Rococo motifs including shields, birds, festoons, ribbons, and crowns. The second includes jars such as the set of urn-shaped white or milk glass (milchglas in German) vessels meant to imitate more expensive porcelain ceramics. The third, of particular importance includes six 17th century wide- mouth blown vessels made from heavy green glass and probably used to store bulk products.” (Smithsonian) Today such jars are collectables that can be found in private collections and in museums dedicated to both the arts and medical history. So how were these all important tools fashioned? Glass making is no easy feat, no matter how common the use of the vessel turns out to be. On the Smithsonian’s dedicated page for the history of the apothecary jar, the process of crafting these containers is given in full and fascinating detail, with special attention to the decorative elements. “The ornamentation applied to the glass containers is of two types; baked enamel and cold-painted application. The more permanent of the two, enamel, uses pigments composed of finely ground glass that are fired to fuse the colored glass to the vessel. The simpler form of decoration is cold painting. Motifs are applied to the glass with paint and are not fired in a kiln. Once the paint dries, a thin layer of varnish is applied to prevent the paint from flaking and being scratched.” (Smithsonian) While the apothecary has been replaced with the pharmacist (chemist in some cases) the influence of the predecessors to the procession is clear. Even now when you walk into a CVS or Walgreens some stores will hang photos of the past, a glimpse into medical practices long since gone, and the shelves are more often than not lined with such artistic tools. 


References:

Smithsonian - Glass Apothecary Containers
Penn Med - The Evolution of the Apothecary
The Worshipful Society of Apothecaries
Who were the Apothecaries?


Reprinted with the generous permission of Ms. Bennett.