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“This Used to Be a Book…” 
Next-Generation Online 
References 
OCTOBER 21, 2014 
Jake Zarnegar, Silverchair
PART 1 
PREFACE
“Happy families are all alike; 
every unhappy family is 
unhappy in its own way.” 
- Leo Tolstoy, “Anna Karenina”
Journals: “Happy families are all alike” 
• While journals vary greatly in subject 
matter, they have tended to converge in: 
 Data formats and data interchanges 
 Online availability 
 Online display conventions 
 Use models and workflow tools
Books: “Each unhappy in its own way” 
• Reference books vary in both subject 
matter and use model. 
• First-generation online reference sites 
have used a unified “bookshelf” and 
generic reader/download model. 
 This approach fit the needs of publishers and 
libraries, with users coming third in priority.
Note: This is a shoe 
horn. And a heavy-handed 
metaphor.
“Variety’s the very spice of life, 
that gives it all its flavour.” 
- William Cowper, “The Task”
PART 2 
PREPARATION
Understand the economics 
• Can the book’s primary use model be 
enhanced by new product development? 
• Does the title/brand have a sizable and loyal 
audience? 
• Was the book format a prior concession that 
can now be re-examined? 
• Does the reference content support a 
subscription or repeated-transaction model?
Understand the use model(s) 
• Why is your audience buying and reading 
the title? 
• What is it helping them do that they 
couldn’t do otherwise? 
• How does the content fit into their daily 
workflow?
Separate content from container 
• BITS standard for reference content 
(http://jats.nlm.nih.gov/extensions/bits/) 
• IMPORTANT: Disassemble print structures 
into smallest coherent units 
 You can always reconstruct print structures (such as 
full chapters) if needed
Breakdown example 
• 1 book, or rather 39,281 content 
structures: 
Structure Count 
Chapters 468 
Sections 12,532 
Paragraphs 22,788 
Figures 2,052 
Tables 1,331 
Lists 108 
Blockquotes 2
Enrich your content at granular level 
• You know more about your book content 
than just what is printed on the page 
• Enrich your content with metadata 
(including semantics) at a granular level to 
give “hooks” for automated selection: 
 Target audiences (ex. grade levels, user 
demographics) 
 Entities and significant topics (semantic enrichment) 
 Content sourcing/evidence, authorship, date, etc.
Display Content 
(Paragraph) 
Content Database 
Text: Use of angiotensin-converting 
enzyme inhibitors (enalapril, captopril) 
during pregnancy is associated with fetal 
hypocalvaria, renal defects, anuria, and 
fetal and neonatal death. These agents 
are contraindicated in pregnancy. With 
few exceptions, diuretics (furosemide, 
hydrochlorothiazide) should be avoided 
during pregnancy. Fetal bradycardia, 
growth retardation, and neonatal 
hypoglycemia have been reported in 
patients treated with blockers. 
Text: Use of angiotensin-converting 
enzyme inhibitors (enalapril, captopril) 
during pregnancy is associated with… 
Source: CURRENT Diagnosis & 
Treatment: Obstetrics & Gynecology, 
11e 
Parent: Chapter 26: Hypertension in 
Pregnancy 
Author: David A. Miller, MD 
Subjects: Pregnancy complications, 
pregnancy contraindications, ACE 
inhibitors (drug class), angiotensin-receptor 
blockers (drug class), diuretics, 
enalapril (drug), captopril (drug), 
furosemide (drug), hydrochlorothiazide 
(drug), hypocalvaria (condition)… 
Last Updated: 6/7/2014 
Audiences: MD, PA, NP, PharmD
Reassemble! (Rinse. Repeat.) 
• Quick answers 
• Skills/knowledge assessment 
• Education (guided or self-directed) 
• Mobile 
• Teaching aids 
• Certification
PART 3 
CASE STUDIES
This Used To Be a Book: 
AOTA’s NBCOT Exam Prep
This Used To Be Only a Book: 
Bates’ Guide to Physical 
Examination
This Used To Be Multiple Books: 
AAP Point of Care Solutions
This Used To Be a Lot of Books: 
ClinicalAccess
Display Content 
(Paragraph) 
Content Database 
Text: Use of angiotensin-converting 
enzyme inhibitors (enalapril, captopril) 
during pregnancy is associated with fetal 
hypocalvaria, renal defects, anuria, and 
fetal and neonatal death. These agents 
are contraindicated in pregnancy. With 
few exceptions, diuretics (furosemide, 
hydrochlorothiazide) should be avoided 
during pregnancy. Fetal bradycardia, 
growth retardation, and neonatal 
hypoglycemia have been reported in 
patients treated with blockers. 
Text: Use of angiotensin-converting 
enzyme inhibitors (enalapril, captopril) 
during pregnancy is associated with… 
Source: CURRENT Diagnosis & 
Treatment: Obstetrics & Gynecology, 
11e 
Parent: Chapter 26: Hypertension in 
Pregnancy 
Author: David A. Miller, MD 
Subjects: Pregnancy complications, 
pregnancy contraindications, ACE 
inhibitors (drug class), angiotensin-receptor 
blockers (drug class), diuretics, 
enalapril (drug), captopril (drug), 
furosemide (drug), hydrochlorothiazide 
(drug), hypocalvaria (condition)… 
Last Updated: 6/7/2014 
Audiences: MD, PA, NP, PharmD
CONCLUSION
Thank you! 
Jake Zarnegar, Silverchair 
jakez@silverchair.com 
www.silverchair.com

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This Used to Be a Book … Next-Generation Online References

  • 1. “This Used to Be a Book…” Next-Generation Online References OCTOBER 21, 2014 Jake Zarnegar, Silverchair
  • 3. “Happy families are all alike; every unhappy family is unhappy in its own way.” - Leo Tolstoy, “Anna Karenina”
  • 4.
  • 5. Journals: “Happy families are all alike” • While journals vary greatly in subject matter, they have tended to converge in:  Data formats and data interchanges  Online availability  Online display conventions  Use models and workflow tools
  • 6.
  • 7. Books: “Each unhappy in its own way” • Reference books vary in both subject matter and use model. • First-generation online reference sites have used a unified “bookshelf” and generic reader/download model.  This approach fit the needs of publishers and libraries, with users coming third in priority.
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  • 13. Note: This is a shoe horn. And a heavy-handed metaphor.
  • 14. “Variety’s the very spice of life, that gives it all its flavour.” - William Cowper, “The Task”
  • 15.
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  • 20. Understand the economics • Can the book’s primary use model be enhanced by new product development? • Does the title/brand have a sizable and loyal audience? • Was the book format a prior concession that can now be re-examined? • Does the reference content support a subscription or repeated-transaction model?
  • 21. Understand the use model(s) • Why is your audience buying and reading the title? • What is it helping them do that they couldn’t do otherwise? • How does the content fit into their daily workflow?
  • 22. Separate content from container • BITS standard for reference content (http://jats.nlm.nih.gov/extensions/bits/) • IMPORTANT: Disassemble print structures into smallest coherent units  You can always reconstruct print structures (such as full chapters) if needed
  • 23. Breakdown example • 1 book, or rather 39,281 content structures: Structure Count Chapters 468 Sections 12,532 Paragraphs 22,788 Figures 2,052 Tables 1,331 Lists 108 Blockquotes 2
  • 24. Enrich your content at granular level • You know more about your book content than just what is printed on the page • Enrich your content with metadata (including semantics) at a granular level to give “hooks” for automated selection:  Target audiences (ex. grade levels, user demographics)  Entities and significant topics (semantic enrichment)  Content sourcing/evidence, authorship, date, etc.
  • 25. Display Content (Paragraph) Content Database Text: Use of angiotensin-converting enzyme inhibitors (enalapril, captopril) during pregnancy is associated with fetal hypocalvaria, renal defects, anuria, and fetal and neonatal death. These agents are contraindicated in pregnancy. With few exceptions, diuretics (furosemide, hydrochlorothiazide) should be avoided during pregnancy. Fetal bradycardia, growth retardation, and neonatal hypoglycemia have been reported in patients treated with blockers. Text: Use of angiotensin-converting enzyme inhibitors (enalapril, captopril) during pregnancy is associated with… Source: CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e Parent: Chapter 26: Hypertension in Pregnancy Author: David A. Miller, MD Subjects: Pregnancy complications, pregnancy contraindications, ACE inhibitors (drug class), angiotensin-receptor blockers (drug class), diuretics, enalapril (drug), captopril (drug), furosemide (drug), hydrochlorothiazide (drug), hypocalvaria (condition)… Last Updated: 6/7/2014 Audiences: MD, PA, NP, PharmD
  • 26. Reassemble! (Rinse. Repeat.) • Quick answers • Skills/knowledge assessment • Education (guided or self-directed) • Mobile • Teaching aids • Certification
  • 27. PART 3 CASE STUDIES
  • 28. This Used To Be a Book: AOTA’s NBCOT Exam Prep
  • 29.
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  • 35. This Used To Be Only a Book: Bates’ Guide to Physical Examination
  • 36.
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  • 40.
  • 41. This Used To Be Multiple Books: AAP Point of Care Solutions
  • 42.
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  • 44.
  • 45. This Used To Be a Lot of Books: ClinicalAccess
  • 46.
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  • 50.
  • 51. Display Content (Paragraph) Content Database Text: Use of angiotensin-converting enzyme inhibitors (enalapril, captopril) during pregnancy is associated with fetal hypocalvaria, renal defects, anuria, and fetal and neonatal death. These agents are contraindicated in pregnancy. With few exceptions, diuretics (furosemide, hydrochlorothiazide) should be avoided during pregnancy. Fetal bradycardia, growth retardation, and neonatal hypoglycemia have been reported in patients treated with blockers. Text: Use of angiotensin-converting enzyme inhibitors (enalapril, captopril) during pregnancy is associated with… Source: CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e Parent: Chapter 26: Hypertension in Pregnancy Author: David A. Miller, MD Subjects: Pregnancy complications, pregnancy contraindications, ACE inhibitors (drug class), angiotensin-receptor blockers (drug class), diuretics, enalapril (drug), captopril (drug), furosemide (drug), hydrochlorothiazide (drug), hypocalvaria (condition)… Last Updated: 6/7/2014 Audiences: MD, PA, NP, PharmD
  • 52.
  • 54. Thank you! Jake Zarnegar, Silverchair jakez@silverchair.com www.silverchair.com