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Patient Extratherapeutic Interpersonal Problems and Response to Psychotherapy for Depression

Chen, Cory K; Nehrig, Nicole; Chou, Leetyng Jennifer; McGowan, Richard; Guyton, Angel F; Mustafiz, Fayel; Bailey, Robert W
OBJECTIVES/UNASSIGNED:This paper aimed to synthesize empirical findings of patient extratherapeutic interpersonal variables associated with individual psychotherapy treatment outcomes in adult outpatients with depression. METHODS/UNASSIGNED:A systematic search strategy was used to identify relevant studies. Thematic analysis was used to identify recurring themes in the findings. RESULTS/UNASSIGNED:Forty studies met search criteria. Three themes of patient extratherapeutic interpersonal variables were identified: capacity to engage with others, capacity to navigate relationships, and capacity to achieve intimacy, progressing from basic to advanced levels of interpersonal interaction. Interpersonal variables such as interpersonal distress and style, attachment orientation, and quality of object relations were particularly useful in predicting treatment outcomes, whereas access to social support and marital status provided mixed results, likely because they do not account for relationship quality. CONCLUSIONS/UNASSIGNED:Recognizing variables associated with treatment response can help clinicians identify patients at risk for nonresponse and guide efforts for adapting existing therapies and developing new ones.
PMID: 31813229
ISSN: 0002-9564
CID: 4238632

Automated Segmentation of Tissues Using CT and MRI: A Systematic Review

Lenchik, Leon; Heacock, Laura; Weaver, Ashley A; Boutin, Robert D; Cook, Tessa S; Itri, Jason; Filippi, Christopher G; Gullapalli, Rao P; Lee, James; Zagurovskaya, Marianna; Retson, Tara; Godwin, Kendra; Nicholson, Joey; Narayana, Ponnada A
RATIONALE AND OBJECTIVES/OBJECTIVE:The automated segmentation of organs and tissues throughout the body using computed tomography and magnetic resonance imaging has been rapidly increasing. Research into many medical conditions has benefited greatly from these approaches by allowing the development of more rapid and reproducible quantitative imaging markers. These markers have been used to help diagnose disease, determine prognosis, select patients for therapy, and follow responses to therapy. Because some of these tools are now transitioning from research environments to clinical practice, it is important for radiologists to become familiar with various methods used for automated segmentation. MATERIALS AND METHODS/METHODS:The Radiology Research Alliance of the Association of University Radiologists convened an Automated Segmentation Task Force to conduct a systematic review of the peer-reviewed literature on this topic. RESULTS:The systematic review presented here includes 408 studies and discusses various approaches to automated segmentation using computed tomography and magnetic resonance imaging for neurologic, thoracic, abdominal, musculoskeletal, and breast imaging applications. CONCLUSION/CONCLUSIONS:These insights should help prepare radiologists to better evaluate automated segmentation tools and apply them not only to research, but eventually to clinical practice.
PMID: 31405724
ISSN: 1878-4046
CID: 4043202

A Systematic Review of the Psychological Benefits of Gender-Affirming Surgery

Wernick, Jeremy A; Busa, Samantha; Matouk, Kareen; Nicholson, Joey; Janssen, Aron
For individuals with gender dysphoria, gender-affirming surgeries (GAS) are one means of reducing the significant distress associated with primary and secondary sex characteristics misaligned with their gender identity. This article uses a systematic review to examine the existing literature on the psychological benefits of GAS. Findings from this review indicate that GAS can lead to multiple, significant improvements in psychological functioning. Methodological differences in the literature demonstrate the need for additional research to draw more definitive conclusions about the psychological benefits of GAS.
PMID: 31582022
ISSN: 1558-318x
CID: 4116432

Myocardial Injury after Non-Cardiac Surgery: A Systematic Review and Meta-analysis

Smilowitz, Nathaniel R; Redel-Traub, Gabriel; Hausvater, Anais; Armanious, Andrew; Nicholson, Joseph; Puelacher, Christian; Berger, Jeffrey S
Myocardial injury after non-cardiac surgery (MINS) is a common post-operative complication associated with adverse cardiovascular outcomes. The purpose of this systematic review was to determine the incidence, clinical features, pathogenesis, management, and outcomes of MINS. We searched PubMed, Embase, Central and Web of Science databases for studies reporting the incidence, clinical features, and prognosis of MINS. Data analysis was performed with a mixed-methods approach, with quantitative analysis of meta-analytic methods for incidence, management, and outcomes, and a qualitative synthesis of the literature to determine associated pre-operative factors and MINS pathogenesis. A total of 195 studies met study inclusion criteria. Among 169 studies reporting outcomes of 530,867 surgeries, the pooled incidence of MINS was 17.9% (95% CI 16.2%-19.6%). Patients with MINS were older, more frequently men, and more likely to have cardiovascular risk factors and known coronary artery disease. Post-operative mortality was higher among patients with MINS than those without MINS, both in-hospital (8.1%, 95% CI 4.4%-12.7% versus 0.4%, 95% CI 0.2%-0.7%; relative risk 8.3, 95% CI 4.2 - 16.6, p<0.001) and at 1-year after surgery (20.6%, 95% CI 15.9%-25.7% versus 5.1%, 95% CI 3.2%-7.4%; relative risk 4.1, 95% CI 3.0 - 5.6, p<0.001). Few studies reported mechanisms of MINS or the medical treatment provided. In conclusion, MINS occurs frequently in clinical practice, is most common in patients with cardiovascular disease and its risk factors, and is associated with increased short- and long-term mortality. Additional investigation is needed to define strategies to prevent MINS and treat patients with this diagnosis.
PMID: 30985328
ISSN: 1538-4683
CID: 3810342

[S.l.] : YouTube, 2019

OER Series, Part III: Creative Commons Licenses

[Magro, Juliana]
(Website)
CID: 4270962

[S.l.] : YouTube, 2019

OER Series, Part IV: Open Images, video, and other media

[Magro, Juliana]
(Website)
CID: 4270972

[S.l.] : YouTube, 2019

OER Series, Part I: Introducing Open Touro

[Magro, Juliana]
(Website)
CID: 4270952

[S.l.] : YouTube, 2019

OER Series, Part II: Exploring Open Textbooks

[Magro, Juliana]
(Website)
CID: 4270942

Evidence for Healing Diabetic Foot Ulcers With Biologic Skin Substitutes: A Systematic Review and Meta-Analysis

Gordon, Alex J; Alfonso, Allyson R; Nicholson, Joey; Chiu, Ernest S
BACKGROUND:Development of diabetic foot ulcers is a common complication of diabetes. Standard-of-care (SOC) therapy alone is often not sufficient to heal these wounds, resulting in application of adjuvant wound therapies including biologic skin substitutes. Although a variety of products exist, it has been difficult to formulate conclusions on their clinical efficacy. We therefore performed a systematic review and meta-analysis on the efficacy of healing diabetic foot ulcers with biologic skin substitutes. METHODS:A systematic review was conducted in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Four electronic databases (PubMed/MEDLINE, EMBASE [Ovid], Cochrane CENTRAL [Ovid], and Web of Science) were searched from inception through February 27, 2019. Searches included keywords and subject headings pertaining to 3 main concepts: biologic skin substitutes, wound healing, and diabetic foot ulcers. Cochrane randomized controlled trial filters were used to narrow results. Data were extracted from 54 included articles, and risk-of-bias assessments were conducted by 2 independent reviewers. The primary objective was to calculate a pooled risk ratio for the proportion of wounds completely closed by 12 weeks. Secondary objectives included a pooled risk ratio for the proportion of wounds completely closed by 6 weeks and mean time to healing. RESULTS:Twenty-five studies were identified that assessed the proportion of complete wound closure by 12 weeks. We found that wounds treated with biologic dressings were 1.67 times more likely to heal by 12 weeks than those treated with SOC dressings (P < 0.00001). Five studies assessed the proportion of complete wound closure by 6 weeks. Wounds treated with biologic dressings were 2.81 times more likely to heal by 6 weeks than those treated with SOC dressings (P = 0.0001). Descriptively, 29 of 31 studies that assessed time to healing favored biologic dressings over SOC dressings. CONCLUSIONS:This systematic review provides supporting evidence that biologic skin substitutes are more effective than SOC dressings at healing diabetic foot ulcers by 12 weeks. Future studies must address the relative benefits of different skin substitutes as well as the long-term implications of these products and their financial considerations.
PMID: 31513064
ISSN: 1536-3708
CID: 4101302

Genomic Classifiers for Treatment Selection in Newly Diagnosed Prostate Cancer

Fine, Noam David; LaPolla, Fred; Epstein, Matthew; Loeb, Stacy; Dani, Hasan
OBJECTIVE:To systematically review the literature on genomic tests for prostate cancer (PCa) and evaluate the current state of the evidence on their use in patients with newly diagnosed PCa. METHODS:We conducted a systematic review by searching PubMed, Embase, Cochrane Central, and conference abstracts from the American Urological Association published between 2010 and 2018. Studies evaluating Prolaris, Oncotype Dx, and Decipher assays were assessed for inclusion by two authors. Studies were excluded if the results were derived from surgical specimens rather than biopsy specimens. Meta-analysis was not performed owing to significant variations in methodologies, definitions and outcome measures. RESULTS:A total of 729 articles were retrieved in our initial search. After removing duplicates (270) and excluding articles deemed not relevant (432), 21 full-text articles were deemed suitable for inclusion in our analysis. The full-text articles comprised 8 studies on Prolaris, 8 studies on Oncotype Dx, and 5 studies on Decipher. For each genomic test we extracted data regarding the risk of adverse pathology, biochemical recurrence, metastasis, and prostate cancer mortality. CONCLUSION/CONCLUSIONS:The results of genomic tests that use biomarkers derived from prostate biopsy can be used in conjunction with clinicopathologic variables to improve our ability to risk stratify patients with newly diagnosed prostate cancer. Additional data are needed on the impact of using these tests on long-term patient outcomes and their cost-effectiveness. This article is protected by copyright. All rights reserved.
PMID: 31055874
ISSN: 1464-410x
CID: 4115662

[S.l.] : YouTube, 2019

Introduction to Web Annotation with Hypothesis

[Magro, Juliana]
(Website)
CID: 4270932

Entrustable professional activity 7: opportunities to collaborate on evidence-based medicine teaching and assessment of medical students

Nicholson, Joey; Spak, Judy M; Kovar-Gough, Iris; Lorbeer, Elizabeth R; Adams, Nancy E
BACKGROUND:This study was conducted to examine gaps and opportunities for involvement of librarians in medical education and patient care as well as improve the teaching and assessment of Entrustable Professional Activity 7 (EPA 7) -- the ability to form clinical questions and retrieve evidence to advance patient care. METHODS:The Association of Academic Health Sciences Libraries (AAHSL) Competency-Based Medical Education Task Force surveyed all AAHSL member libraries in October 2016 on health sciences librarian awareness and involvement in teaching and assessing EPA 7. RESULTS:The survey response rate was 54% (88/164 member libraries). While 90% (n = 76) of respondents were regularly engaged in teaching or assessing aspects of EPA 7 only 34 (39%) were involved explicitly in a Core EPA 7 project, 44% (15/34) of these projects were librarian initiated. CONCLUSIONS:Involvement in teaching and assessment of EPA 7 is an untapped opportunity for librarians to collaborate in medical education and patient care. Although librarians are already deeply involved in teaching and assessment of EPA 7 related knowledge, skills, and behaviors, further librarian collaboration can help bolster the planning or updating of existing curricula and assessments of this entrustable professional activity.
PMID: 31481060
ISSN: 1472-6920
CID: 4069052

Efficacy of liposomal bupivacaine in shoulder surgery: a systematic review and meta-analysis

Kolade, Oluwadamilola; Patel, Karan; Ihejirika, Rivka; Press, Daniel; Friedlander, Scott; Roberts, Timothy; Rokito, Andrew S; Virk, Mandeep S
HYPOTHESIS/OBJECTIVE:The aim of this meta-analysis was to compare the safety, efficacy, and opioid-sparing effect of liposomal bupivacaine (LB) vs. nonliposomal local anesthetic agents (NLAs) for postoperative analgesia after shoulder surgery. METHODS:A systematic literature review of randomized controlled clinical studies comparing the efficacy of LB with NLAs in shoulder surgery was conducted. Seven level I and II studies were included in the meta-analysis, and shoulder surgical procedures included arthroscopic rotator cuff repair and shoulder arthroplasty. Bias was assessed using The Cochrane Collaboration's tool. The primary outcome measures were visual analog scale pain scores and opioid consumption 24 and 48 hours after shoulder surgery. Subgroup analysis was performed for the method of LB administration (interscalene nerve block vs. local infiltration). RESULTS:A total of 7 studies (535 patients) were included in the final meta-analysis comparing LB (n = 260) with NLAs (n = 275). No significant difference was found between the LB and NLA groups in terms of visual analog scale pain scores at 24 hours (95% confidence interval, -1.02 to 0.84; P = .86) and 48 hours (95% confidence interval, -0.53 to 0.71; P = .78). Both groups had comparable opioid consumption at both 24 hours (P = .43) and 48 hours (P = .78) postoperatively and with respect to length of stay (P = .87) and adverse events (P = .97). Subgroup analysis demonstrated comparable efficacy irrespective of the method of administration of LB. CONCLUSION/CONCLUSIONS:LB is comparable to NLAs with respect to pain relief, the opioid-sparing effect, and adverse effects in the first 48 hours after arthroscopic rotator cuff repair and total shoulder arthroplasty.
PMID: 31324503
ISSN: 1532-6500
CID: 4050002

Incidence of Guillain-Barré Syndrome (GBS) in Latin America and the Caribbean before and during the 2015-2016 Zika virus epidemic: A systematic review and meta-analysis

Capasso, Ariadna; Ompad, Danielle C; Vieira, Dorice L; Wilder-Smith, Annelies; Tozan, Yesim
BACKGROUND:A severe neurological disorder, Guillain-Barré syndrome (GBS) is the leading cause of acute flaccid paralysis. Enhanced surveillance of GBS in Latin America and the Caribbean (LAC) following the 2015-2016 Zika virus (ZIKV) epidemic presents an opportunity to estimate, for the first time, the regional incidence of GBS. METHODS AND FINDINGS/RESULTS:For this systematic review and meta-analysis, we searched nine scientific databases and grey literature from January 1, 1980 to October 1, 2018. Sources with primary data on incident GBS cases in LAC within a well-defined population and timeframe, published in English, Spanish, Portuguese, or French, were included. We calculated the annual GBS incidence rates (IRs) and 95% confidence intervals (CIs) for each source based on published data. Following an assessment of heterogeneity, we used random-effects meta-analysis to calculate the pooled annual IR of GBS. The study is registered with PROSPERO, number CRD42018086659. Of the 6586 initial citation hits, 31 were eligible for inclusion. Background annual GBS IRs in Latin America ranged from 0.40 in Brazil to 2.12/100,000 in Chile. The pooled annual IR in the Caribbean was 1.64 (95% CI 1.29-2.12, I2<0.01, p = 0.44). During the ZIKV epidemic, GBS IRs ranged from 0.62 in Mexico to 9.35/100,000 in Martinique. GBS increased 2.6 (95% CI 2.3-2.9) times during ZIKV and 1.9 (95% CI 1.1-3.4) times during chikungunya outbreaks over background rates. A limitation of this review is that the studies included employed different methodologies to find and ascertain cases of GBS, which could contribute to IR heterogeneity. In addition, it is important to consider that data on GBS are lacking for many countries in the region. CONCLUSIONS:Background IRs of GBS appear to peak during arboviral disease outbreaks. The current review contributes to an understanding of the epidemiology of GBS in the LAC region, which can inform healthcare system planning and preparedness, particularly during arboviral epidemics. TRIAL REGISTRATION/BACKGROUND:Registered with PROSPERO: CRD42018086659.
PMID: 31449532
ISSN: 1935-2735
CID: 4054212

Infection Prevention in the Neurointensive Care Unit: A Systematic Review

Lord, Aaron Sylvan; Nicholson, Joseph; Lewis, Ariane
Hospital-acquired infections are common in neurointensive care units. We sought to review interventions which may reduce infection rates in neurocritically ill populations. We conducted a systematic review of studies targeting adult patients in neuro-intensive care units (neuro-ICUs) with an intervention designed to prevent ICU-acquired infections. Our outcome of interest was change in the prevalence or rates of infection between active and control arms of these studies. We excluded studies based on the following criteria: no English full-text version available; pediatric population; non-neurosciences ICU population; pre- or intraoperative methods to prevent infection; lack of discrete data for infection rates/prevalence; studies that were purely observational in nature and did not test an intervention; and studies performed in resource limited settings. We initially retrieved 3716 results by searching the following databases: PubMed/MEDLINE, EMBASE via Ovid, and Cochrane CENTRAL via Ovid. No date or language limits were used in the search. Computerized deduplication was conducted using EndNote followed by a confirmatory manual review resulting in 3414 citations. An additional 19 manuscripts were identified through review of references. The screening process followed a standard protocol, using two screeners at the title/abstract level to determine relevance and at the full-text level to determine eligibility for inclusion. The 3427 titles/abstracts were independently screened by two board-certified neurointensivists to determine relevance for full-text review, and 3248 were rejected. The remaining 179 abstracts were reviewed in full text using predetermined inclusion/exclusion criteria. Ultimately, 75 articles met our inclusion criteria and were utilized in the final analysis. The reviewed literature highlights the need for collaborative, multi-disciplinary, and multi-pronged approaches to reduce infections. Rates of VRI, SSI, VAP, CAUTI, and CLABSI can approach zero with persistence and a team-based approach.
PMID: 29998427
ISSN: 1556-0961
CID: 3192632

The extent of brachial plexus injury: an important factor in spinal accessory nerve to suprascapular nerve transfer outcomes

Rezzadeh, Kevin; Donnelly, Megan; Vieira, Dorice; Daar, David; Shah, Ajul; Hacquebord, Jacques
Objective: The purpose of this study was to assess the association between extent of brachial plexus injury and shoulder abduction/external rotation outcomes after spinal accessory nerve (SAN) to suprascapular nerve (SSN) transfer. Methods: A systematic review of the literature was conducted according to PRISMA guidelines. Inclusion criteria were studies reporting outcomes on patients undergoing SAN to SSN nerve transfer. Patients were excluded for the following reasons: age under 18, nerve transfer for reanimation of the shoulder other than SAN to SSN, and less than 12 months of follow-up postoperatively. Pooled analysis was performed, and primary outcomes were Medical Research Council (MRC) score and range of motion (ROM) for shoulder abduction and external rotation. Univariate logistic regression analysis was used to assess the association between extent of brachial plexus injury and shoulder abduction/external rotation outcomes after SAN to SSN transfer. A multivariate logistic regression analysis model including age, injury to surgery interval, and extent of injury as factors was also created. Results: Univariate logistic regression analysis showed greater extent of injury to be a predictor of poorer shoulder abduction outcomes (OR: 0.502; 95% CI: 0.260-0.971, p = 0.040). Multivariate logistic regression analysis confirmed this association (OR: 0.55; 95% CI: 0.236-0.877, p = 0.019). Extent of injury was not significantly associated with external rotation outcomes on univariate analysis (OR: 0.435; 95% CI: 0.095-1.995, p = 0.284) or multivariate analysis (OR: 0.445; 95% CI: 0.097-2.046, p = 0.298). Age and injury to surgery interval were not significantly associated with postoperative outcomes. Conclusions: More extensive brachial plexus injuries are associated with inferior outcomes after SAN to SSN transfer. A potential explanation for this finding includes lost contribution of muscles from the shoulder girdle that receive innervation from outside of the upper brachial plexus. The relationship between extent of injury and postoperative outcomes is important to recognize when determining and discussing operative intervention with patients.
PMID: 31307250
ISSN: 1360-046x
CID: 3977692

A model for initiating research data management services at academic libraries [Case Report]

Read, Kevin B; Koos, Jessica; Miller, Rebekah S; Miller, Cathryn F; Phillips, Gesina A; Scheinfeld, Laurel; Surkis, Alisa
Background/UNASSIGNED:Librarians developed a pilot program to provide training, resources, strategies, and support for medical libraries seeking to establish research data management (RDM) services. Participants were required to complete eight educational modules to provide the necessary background in RDM. Each participating institution was then required to use two of the following three elements: (1) a template and strategies for data interviews, (2) the Teaching Toolkit to teach an introductory RDM class, or (3) strategies for hosting a data class series. Case Presentation/UNASSIGNED:Six libraries participated in the pilot, with between two and eight librarians participating from each institution. Librarians from each institution completed the online training modules. Each institution conducted between six and fifteen data interviews, which helped build connections with researchers, and taught between one and five introductory RDM classes. All classes received very positive evaluations from attendees. Two libraries conducted a data series, with one bringing in instructors from outside the library. Conclusion/UNASSIGNED:The pilot program proved successful in helping participating librarians learn about and engage with their research communities, jump-start their teaching of RDM, and develop institutional partnerships around RDM services. The practical, hands-on approach of this pilot proved to be successful in helping libraries with different environments establish RDM services. The success of this pilot provides a proven path forward for libraries that are developing data services at their own institutions.
PMCID:6579580
PMID: 31258450
ISSN: 1558-9439
CID: 3967812

Quality Appraisal of Child Oral Health-Related Quality of Life Measures: A Scoping Review

Yang, C; Crystal, Y O; Ruff, R R; Veitz-Keenan, A; McGowan, R C; Niederman, R
BACKGROUND/UNASSIGNED:Children's oral health-related quality of life (COHQoL) measures are well known and widely used. However, rigorous systematic reviews of these measures and analyses of their quality are in absence. OBJECTIVES/UNASSIGNED:To systematically review and quantitatively assess the quality of COHQoL measures through a scoping review. DATA SOURCES/UNASSIGNED:Systematic literature search of PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), EMBASE (Excerpta Medica database), HaPI (Health and Psychosocial Instruments), and DOSS (Dentistry and Oral Sciences Source). STUDY ELIGIBILITY/UNASSIGNED:The measure's focus was COHQoL; the child age ranged from 5 to 14 years; the publication was either a research article or a systematic review and related to caries; and it was written in English or had an English abstract. Two authors independently selected the studies. Disagreements were reconciled by group discussions with a third author. APPRAISAL/UNASSIGNED:The International Society for Quality of Life Research minimum standards for patient-reported outcome measures were used for quality appraisal. SYNTHESIS/UNASSIGNED:Descriptive analysis. RESULTS/UNASSIGNED:We identified 18 measures. Their quality scores ranged from 9.5 to 15.0 on a scale of 16. The quality appeared to bear no relationship to the citation and use of these measures. However, elements of these measures might be more useful than others, depending on the age-specific use and primary quality concerns. LIMITATIONS/UNASSIGNED:Some of the information on the minimum standards of the 18 measures cannot be found in the existing literature. Measures published without English abstract were not searched. CONCLUSIONS/UNASSIGNED:The quality of these measures is suboptimal. Researchers and practitioners in this field should exercise caution when choosing and using these measures. Efforts at improving the quality of the COHQoL measures, such as refining existing ones or developing new measures, are warranted. KNOWLEDGE TRANSFER STATEMENT/UNASSIGNED:Researchers, clinician scientists, and clinicians can use the results of this study when deciding which oral health-related quality of life measure they wish to use in children.
PMID: 31238010
ISSN: 2380-0852
CID: 3962742

A systematic review on incidental findings in cone-beam computed tomography (CBCT) Scans

Dief, Sandy; Veitz-Keenan, Analia; Amintavakoli, Niloufar; McGowan, Richard
OBJECTIVES/UNASSIGNED:Cone-beam computed tomography's use (CBCT) in dentistry is increasing. Incidental findings (IFs: discoveries unrelated to the original purpose of the scan), are frequently found as a result of a large field of view. The aim of the systematic review is to analyze present literature on IFs using CBCT. METHODS AND MATERIALS/UNASSIGNED:The authors searched online databases of studies and assessed the prevalence of IFs among patients undergoing head and neck CBCT scans. STROBE criteria was used to evaluate the quality of the studies. RESULTS/UNASSIGNED:The original search retrieved 509 abstracts of which only 10 articles met the inclusion criteria. The sample size varied between 90 - 1000 participants. The frequency of IFs of the selected articles were 24.6 - 94.3 %. The most common non-threatening IFs were found in the airway, such as mucous retention cyst (55.1%) and sinusitis (41.7%). Other non-threatening IFs were soft tissue calcifications such as calcified stylohyloid ligament (26.7%), calcified pineal gland (19.2%), and tonsillolith (14.3%). Threatening IFs were rare findings (1.4%). Three articles reported incidental carotid artery calcifications with a prevalence of 5.7 - 11.6 %. Pathological findings were not common between the articles, but still relevant (2.6%). The studies had a risk of bias varying from moderate to low. CONCLUSIONS/UNASSIGNED:There is a high frequency of IFs, yet not all of them require immediate medical attention. The low prevalence of threatening IFs emphasizes that CBCT should not be considered a substitution for conventional radiographs, but when used, the scans should be evaluated by a maxillofacial radiologist.
PMID: 31216179
ISSN: 0250-832x
CID: 3938762

[New York] : CUNY Academic Works, 2019

YWCA of Brooklyn Collection

[Calco, S; Corbridge, S; Magro, Juliana; Roberts, A]
(Website)
CID: 4270982

Implementation of clean cookstove interventions and its effects on blood pressure in low-income and middle-income countries: systematic review

Onakomaiya, Deborah; Gyamfi, Joyce; Iwelunmor, Juliet; Opeyemi, Jumoke; Oluwasanmi, Mofetoluwa; Obiezu-Umeh, Chisom; Dalton, Milena; Nwaozuru, Ucheoma; Ojo, Temitope; Vieira, Dorice; Ogedegbe, Gbenga; Olopade, Christopher
OBJECTIVE:A review of the implementation outcomes of clean cookstove use, and its effects on blood pressure (BP) in low-income and middle-income countries (LMICs). DESIGN/METHODS:Systematic review of studies that reported the effect of clean cookstove use on BP among women, and implementation science outcomes in LMICs. DATA SOURCES/METHODS:We searched PubMed, Embase, INSPEC, Scielo, Cochrane Library, Global Health and Web of Science PLUS. We conducted searches in November 2017 with a repeat in May 2018. We did not restrict article publication date. ELIGIBILITY CRITERIA FOR SELECTING STUDIES/UNASSIGNED:We included only studies conducted in LMICs, published in English, regardless of publication year and studies that examined the use of improved or clean cookstove intervention on BP. Two authors independently screened journal article titles, abstracts and full-text articles to identify those that included the following search terms: high BP, hypertension and or household air pollution, LMICs, cookstove and implementation outcomes. RESULTS:Of the 461 non-duplicate articles identified, three randomised controlled trials (RCTs) (in Nigeria, Guatemala and Ghana) and two studies of pre-post design (in Bolivia and Nicaragua) met eligibility criteria. These articles evaluated the effect of cookstove use on BP in women. Two of the three RCTs reported a mean reduction in diastolic BP of -2.8 mm Hg (-5.0, -0.6; p=0.01) for the Nigerian study; -3.0 mm Hg; (-5.7, -0.4; p=0.02) for the Guatemalan study; while the study conducted in Ghana reported a non-significant change in BP. The pre-post studies reported a significant reduction in mean systolic BP of -5.5 mm Hg; (p=0.01) for the Bolivian study, and -5.9 mm Hg (-11.3, -0.4; p=0.05) for the Nicaraguan study. Implementation science outcomes were reported in all five studies (three reported feasibility, one reported adoption and one reported feasibility and adoption of cookstove interventions). CONCLUSION/CONCLUSIONS:Although this review demonstrated that there is limited evidence on the implementation of clean cookstove use in LMICs, the effects of clean cookstove on BP were significant for both systolic and diastolic BP among women. Future studies should consider standardised reporting of implementation outcomes.
PMID: 31092656
ISSN: 2044-6055
CID: 3903342

Mental health and self-efficacy to manage chronic health conditions among nyc public housing residents [Meeting Abstract]

Creighton, S L; Diuguid-Gerber, J; Lawrence, K; Rufin, M; LaPolla, F W; Gillespie, C; Manyindo, N; Dannefer, R; Seidl, L; Thorpe, L
Background: Self-efficacy to manage chronic conditions affects patients' health-related behaviors and interactions with the healthcare system and therefore influences health outcomes. Few studies have explored the complex relationships between mental health, self-efficacy, and management of chronic disease. A greater understanding of these interactions could inform successful community programming for marginalized populations such as public housing residents. Harlem Health Advocacy Partners is a community health worker (CHW) program designed to close health and social outcomes gaps in residents living in New York City Housing Authority (NYCHA). This study uses survey data collected for this initiative to explore the relationship between mental health and self-efficacy to manage chronic conditions among NYCHA residents with asthma, diabetes, and/or hypertension, and assess whether key variables such as connectedness to health care, social isolation and general health influence this relationship.
Method(s): Five NYCHA housing developments were selected for the CHW intervention with five matched developments for comparison. Four-hundred adult residents with a chronic disease were recruited. Baseline intake interviews were conducted in person. Self-efficacy for managing chronic disease was measured with a 6-question scale. Depression was assessed using PHQ9 scores, a screen for the presence and severity of depression. Difficulty with mental health was assessed with questions on how difficult mental health problems made it to do work, take care of things at home, or get along with others. Bivariate analyses were conducted to assess the relationship between mental health and self-efficacy. A hierarchical linear regression model was run with mental health and other relevant variables (selected based on availability in the dataset and theoretical significance) as independent variables and self-efficacy as the outcome variable.
Result(s): Self-rated general health predicted the greatest amount of variance in self-efficacy (15.7%, p < 0.001). Mental health also contributed significantly; difficulty with mental health contributed 4.0% (p< 0.001) and depressive symptoms contributed 1.1% (p=0.03) to the variance in self-efficacy. Other variables, including demographics, type of insurance, connectedness to a primary care provider, and social isolation, were not associated with self-efficacy. Overall, the full model explained 22.5% of the variance in self-efficacy to manage chronic conditions.
Conclusion(s): NYCHA residents with mental health difficulty or depression represent a uniquely marginalized subpopulation of public housing residents, and were found to have lower self-efficacy than other residents, which may mean decreased ability to self-manage chronic medical conditions. Future research should explore relationships among mental health, self-management, and health care outcomes with the goal of augmenting targeted CHW interventions
EMBASE:629004313
ISSN: 1525-1497
CID: 4052602

Employee Sleep and Workplace Health Promotion: A Systematic Review

Robbins, Rebecca; Jackson, Chandra L; Underwood, Phoenix; Vieira, Dorice; Jean-Louis, Giradin; Buxton, Orfeu M
OBJECTIVE/UNASSIGNED:Workplace-based employee health promotion programs often target weight loss or physical activity, yet there is growing attention to sleep as it affects employee health and performance. The goal of this review is to systematically examine workplace-based employee health interventions that measure sleep duration as an outcome. DATA SOURCE/UNASSIGNED:We conducted systematic searches in PubMed, Web of Knowledge, EMBASE, Scopus, and PsycINFO (n = 6177 records). STUDY INCLUSION AND EXCLUSION CRITERIA/UNASSIGNED:To be included in this systematic review, studies must include (1) individuals aged >18 years, (2) a worker health-related intervention, (3) an employee population, and (4) sleep duration as a primary or secondary outcome. RESULTS/UNASSIGNED:Twenty studies met criteria. Mean health promotion program duration was 2.0 months (standard deviation [SD] = 1.3), and mean follow-up was 5.6 months (SD = 6.5). The mean sample size of 395 employees (SD = 700.8) had a mean age of 41.5 years (SD = 5.2). Measures of sleep duration included self-report from a general questionnaire (n = 12, 66.6%), self-report based on Pittsburgh Sleep Quality Index (n = 4, 22.2%), and self-report and actigraphy combined (n = 5, 27.7%). Studies most commonly included sleep hygiene (35.0%), yoga (25.0%), physical activity (10.0%), and cognitive-behavioral therapy for insomnia (10.0%) interventions. Across the interventions, 9 different behavior change techniques (BCTs) were utilized; the majority of interventions used 3 or fewer BCTs, while 1 intervention utilized 4 BCTs. Study quality, on average, was 68.9% (SD = 11.1). Half of the studies found workplace-based health promotion program exposure was associated with a desired increase in mean nightly sleep duration (n = 10, 50.0%). CONCLUSIONS/UNASSIGNED:Our study findings suggest health promotion programs may be helpful for increasing employee sleep duration and subsequent daytime performance.
PMID: 30957509
ISSN: 2168-6602
CID: 3809052

A two-tiered curriculum to improve data management practices for researchers

Read, Kevin B; Larson, Catherine; Gillespie, Colleen; Oh, So Young; Surkis, Alisa
BACKGROUND:Better research data management (RDM) provides the means to analyze data in new ways, effectively build on another researcher's results, and reproduce the results of an experiment. Librarians are recognized by many as a potential resource for assisting researchers in this area, however this potential has not been fully realized in the biomedical research community. While librarians possess the broad skill set needed to support RDM, they often lack specific knowledge and time to develop an appropriate curriculum for their research community. The goal of this project was to develop and pilot educational modules for librarians to learn RDM and a curriculum for them to subsequently use to train their own research communities. MATERIALS AND METHODS/METHODS:We created online modules for librarians that address RDM best practices, resources and regulations, as well as the culture and practice of biomedical research. Data was collected from librarians through questions embedded in the online modules on their self-reported changes in understanding of and comfort level with RDM using a retrospective pre-post design. We also developed a Teaching Toolkit which consists of slides, a script, and an evaluation form for librarians to use to teach an introductory RDM class to researchers at their own institutions. Researchers' satisfaction with the class and intent to use the material they had learned was collected. Actual changes in RDM practices by researchers who attended was assessed with a follow-up survey administered seven months after the class. RESULTS AND DISCUSSION/CONCLUSIONS:The online curriculum increased librarians' self-reported understanding of and comfort level with RDM. The Teaching Toolkit, when employed by librarians to teach researchers in person, resulted in improved RDM practices. This two-tiered curriculum provides concise training and a ready-made curriculum that allows working librarians to quickly gain an understanding of RDM, and translate this knowledge to researchers through training at their own institutions.
PMID: 31042776
ISSN: 1932-6203
CID: 3854772

Diabetes mellitus and alzheimer's disease and related dementia care in older adults: A systematic literature review [Meeting Abstract]

Girmay, B; Chodosh, J; Ferris, R; Arcila-Mesa, M; Simkin, D; Oliver, A; Rutagarama, P; Anzisi, L; Curran, A; Blaum, C S
Background: Forty percent of Americans are expected to develop type 2 diabetes mellitus (DM) within their lifetime, and up to one third of older adults with DM face co-occurring cognitive impair-ment and/or Alzheimer's disease and Related Dementia (ADRD). These co-morbidities create significant challenges in management for both patient and care partner, which is further compounded by a lack of consensus regarding optimal care. We conducted a systematic liter-ature review to better characterize the evidence guiding care for older patients with DM-ADRD.
Method(s): We used the PRISMA method to guide this system-atic review. A specialized librarian searched PubMed (Medline) using relevant search terms related to the management of DM and ADRD. This process yielded 2,158 DM studies and 1,401 ADRD studies. We included studies that were applicable to adults over 60 years old, published within the past 5 years, conducted within a primary care setting and written in English. Our review returned 267 DM and 104 ADRD focused results, of which 50 DM and 40 ADRD studies were included after abstract and full text review requiring two expert votes. Additionally, through expert opinion, we identified an additional 40 DM and 60 ADRD studies for inclusion.
Result(s): Based on this evidence, we identified methods for screening, diagnosis and management of patients with DM and ADRD as well as general principles related to care partner support, geriat-ric care, geriatric syndromes and goals for blood pressure and lipid management.
Conclusion(s): A review of the literature suggested the importance of individualizing care while monitoring and managing care partner stress, geriatric conditions, cognitive changes, complication risks, and glycemic, blood pressure, and cholesterol targets in order to achieve high quality care. The next steps are to use this information to generate decisional guidance for providers of older adults with DM-ADRD
EMBASE:627352100
ISSN: 1532-5415
CID: 3831662

Responding to a new generation of proprietary study resources in medical education

O'Hanlon, Robin; Laynor, Gregory
Traditionally, health sciences libraries have supported patrons who are preparing for medical licensure examinations by collecting and making accessible board exam preparation resources, such as question banks and study guides. However, when online board exam preparation resources are not available for licensing, providing equitable access to all library users can be a challenge. In recent years, a new generation of online study resources has emerged. Sites such as SketchyMedical and Picmonic use visual learning mnemonics, while resources such as Quizlet leverage crowd-sourcing to generate study content. While some of the content from these resources is made freely available, these resources are often limited to paid individual subscribers. This new generation of study resources, thus, presents a conundrum for health sciences librarians. On the one hand, these innovative resources offer new insights into how students learn and study, reflecting pedagogical trends in self-directed learning. On the other hand, the proprietary individual subscription-based model of these resources can widen the achievement gap between students who can afford to pay subscription costs and those who cannot. This commentary provides an overview of some of the most popular medical board examination preparation resources that have emerged in recent years. The authors suggest that health sciences librarians collaborate with medical students and educators to better understand and evaluate these resources.
PMCID:6466489
PMID: 31019395
ISSN: 1558-9439
CID: 5266112

[S.l.] : YouTube, 2019

Textbook Heroes: Dr. Carrie DiMatteo

[Magro, Juliana]
(Website)
CID: 4270922

Imaging Quantification of Glenoid Bone Loss in Patients With Glenohumeral Instability: A Systematic Review

Walter, William R; Samim, Mohammad; LaPolla, Fred Willie Zametkin; Gyftopoulos, Soterios
OBJECTIVE:The purpose of this study is to determine the most accurate imaging techniques to measure glenoid bone loss in anterior glenohumeral instability through a systematic review of existing literature. MATERIALS AND METHODS/METHODS:We performed a comprehensive literature search of five databases for original research measuring glenoid bone loss at radiography, CT, or MRI, using prospective or retrospective cohort, case-control, or cadaveric study designs up to January 2018. The Quality Assessment of Diagnostic Accuracy Studies-2 tool aided qualitative assessment of the methods. Data extraction included results, index test interobserver agreement, and accuracy analysis. RESULTS:Twenty-seven studies (evaluating 1425 shoulders) met inclusion criteria after full-text review by two independent readers. Glenoid bone loss was assessed, comparing several index tests to nonimaging (n = 18 studies) and imaging (n = 11) reference standards. Compared with arthroscopic or cadaveric measurements, 2D CT was accurate in six of seven studies (86%), 3D CT was accurate in eight of 10 studies (80%), 2D MRI was accurate in five of seven studies (71%), 3D MRI was accurate in four of four studies (100%), and radiographs were accurate in zero of four studies (0%). Best-fit circle methods (glenoid width or Pico surface area) were the most common and both were accurate (86-90% and 75-100%, respectively) using CT and MRI. Studies had good external validity (78%). Most risk for bias arose from patient selection and reference standards. Only two studies reported sensitivity and specificity, both comparing CT to arthroscopy using different bone loss thresholds (20% and 25%). CONCLUSION/CONCLUSIONS:CT and MRI (2D or 3D) accurately measure glenoid bone loss in anterior shoulder instability, but radiographs do not. Best-fit circle measurement techniques are reliable and accurate. Current literature about glenoid bone loss is heterogeneous, and future studies should focus on diagnosis of clinically relevant glenoid bone loss.
PMID: 30835517
ISSN: 1546-3141
CID: 3722932

Librarians' reported systematic review completion time ranges between 2 and 219 total hours with most variance due to information processing and instruction

Williamson, Peace Ossom
Objective - To investigate how long it takes for medical librarians to complete steps toward completion of a systematic review and to determine if the time differs based on factors including years of experience as a medical librarian and experience completing systematic reviews. Design - Survey research as a questionnaire disseminated via email distribution lists. Setting - At institutions that are members of the Association of Academic Health Sciences Libraries (AAHSL) and librarians at Association of American Medical Colleges (AAMC) or American Osteopathic Association (AOA) member institutions. Subjects - Librarians of member institutions who have worked on systematic reviews. Methods - On December 11, 2015, AAHSL library directors and librarian members of AAMC and AOA were sent the survey and the recommendation to forward the survey to librarians on staff who have worked on systematic reviews. Reminders were sent on December 17, 2015, and the survey closed for participation on January 7, 2016. Participants who had worked on a systematic review within the past five years were asked to indicate experience by the number of systematic reviews completed, years of experience as a medical librarian, and how much time was spent, in hours, on the following: initial consultations/meetings; developing and testing the initial search strategy; translating the strategy for other databases; documenting the process; delivering the search results; writing their part of the manuscript; other tasks they could identify; and any instruction (i.e., training they provided to team members necessary for completion of the systematic review). Participants also further broke down the amount of their time searching, by percentage of time, in various resources, including literature indexes/databases, included studies' references, trial registers, grey literature, and hand searching. Participants were also given space to add additional comments. The researchers reported summary statistics for phase one and, for phase two, excluded outliers and performed exploratory factor analysis, beginning with principal components analysis (PCA), followed by a varimax rotation, to determine if there was a relationship between the time on tasks and experience. Main Results - Of the 185 completed responses, 105 were analyzed for phase one because 80 responses were excluded due to missing data or no recent experience with a systematic review. The average respondent had between 1 and 6 years of experience: 1-3 years in librarianship (49.5%) and 4-6 years (23.8%). The time reported for completion of all tasks ranged from 2 to 219 hours with a mean of 30.7 hours. Most of the variance (61.6%) was caused by "information processing" and "interpersonal instruction/training" components. Search strategy development and testing had the highest average time at 8.4 hours. Within that category, databases accounted for 78.7% of time searching, followed by other searching methods. For remaining systematic review tasks, their averages were as follows: translating research (5.4 hours), delivering results (4.3 hours), conducting preliminary consultations (3.9 hours), instruction (3.8 hours), documentation (3.0 hours), additional tasks that were written-in by respondents (2.2 hours), and writing the manuscript (1.8 hours). The most common written-in tasks were development of inclusion/exclusion criteria, critical appraisal, and deduplication. Other write-ins included retrieving full-text articles, developing protocols, and selecting a journal for publishing the systematic review. For the second phase of analysis, 12 responses were excluded as extreme outliers, and the remaining 93 responses were analyzed to detect a relationship between experience and time on task. Prior systematic review experience correlated with shorter times performing instruction, consultation, and translation of searches. However, librarian years of experience affected the percentage of time on task, where greater years of experience led to more time spent consulting and instructing than the percentage for librarians with fewer years of experience. Librarians with greater than 7 years of experience skewed trends toward shorter time on task, and, with their data excluded, years of experience showed weak positive correlation with instruction and consultation. Conclusion - Because the average librarian participating on systematic review teams has had few prior experiences and because the times can vary widely based on assigned roles, duties, years of experience, and complexity of research question, it is not advised to establish expectations for librarians' time on task. This may be why library administrators have disparate expectations of librarians' involvement in systematic reviews and find it difficult to allocate and anticipate staff time on systematic review projects. While it may not be possible to set specific overarching guidelines for librarians' expected time on systematic review tasks, librarian supervisors and library directors planning for their staff to offer systematic review services should work to develop extensive understanding of the steps for conducting and assessing systematic reviews in order to better estimate time commitments.
SCOPUS:85063225562
ISSN: 1715-720x
CID: 5028222

Exploring PubMed as a reliable resource for scholarly communications services

Ossom Williamson, Peace; Minter, Christian I J
Objective/UNASSIGNED:PubMed's provision of MEDLINE and other National Library of Medicine (NLM) resources has made it one of the most widely accessible biomedical resources globally. The growth of PubMed Central (PMC) and public access mandates have affected PubMed's composition. The authors tested recent claims that content in PMC is of low quality and affects PubMed's reliability, while exploring PubMed's role in the current scholarly communications landscape. Methods/UNASSIGNED:The percentage of MEDLINE-indexed records was assessed in PubMed and various subsets of records from PMC. Data were retrieved via the National Center for Biotechnology Information (NCBI) interface, and follow-up interviews with a PMC external reviewer and staff at NLM were conducted. Results/UNASSIGNED:Almost all PubMed content (91%) is indexed in MEDLINE; however, since the launch of PMC, the percentage of PubMed records indexed in MEDLINE has slowly decreased. This trend is the result of an increase in PMC content from journals that are not indexed in MEDLINE and not a result of author manuscripts submitted to PMC in compliance with public access policies. Author manuscripts in PMC continue to be published in MEDLINE-indexed journals at a high rate (85%). The interviewees clarified the difference between the sources, with MEDLINE serving as a highly selective index of journals in biomedical literature and PMC serving as an open archive of quality biomedical and life sciences literature and a repository of funded research. Conclusion/UNASSIGNED:The differing scopes of PMC and MEDLINE will likely continue to affect their overlap; however, quality control exists in the maintenance and facilitation of both resources, and funding from major grantors is a major component of quality assurance in PMC.
PMCID:6300231
PMID: 30598645
ISSN: 1558-9439
CID: 5028042

A systematic review on incidental findings in cone beam computed tomography (CBOT) scans [Review]

Dief, Sandy; Veitz-Keenan, Analia; Amintavakoli, Niloufar; McGowan, Richard
ISI:000487315700002
ISSN: 0250-832x
CID: 4125192

Stages of change

Chapter by: Krebs, Paul; Norcross, John C; Nicholson, Joseph M; Prochaska, James O
in: Psychotherapy relationships that work: Evidence-based therapist responsiveness by Norcross, John C [Ed]; Wampold, Bruce E [Ed]
[S.l. : s.n.], 2019
pp. ?-
ISBN: 9780190843960
CID: 4868272

Using social network analysis to examine alcohol use among adults: A systematic review

Knox, Justin; Schneider, John; Greene, Emily; Nicholson, Joey; Hasin, Deborah; Sandfort, Theo
BACKGROUND:Alcohol use and abuse constitute a major public health problem and identifying their determinants is a priority. Social network analysis can indicate how characteristics of social networks are related to individual health behaviors. A growing number of studies have used social network analysis to examine how social network characteristics influence adult alcohol consumption, but this literature has never been systematically reviewed and summarized. The current paper systematically reviews empirical studies that used social network analysis to assess the influence of social network characteristics on drinking behaviors in adults. METHODS:A literature search of PubMed/MEDLINE, EMBASE, PsycINFO and Web of Science databases and a review of the reference lists of retrieved articles was conducted in March 2019. Two reviewers independently screened 5,510 non-duplicate records, and further screened the full text of 150 articles to determine their eligibility for inclusion. Seventeen articles were judged eligible and included. RESULTS:Most studies were conducted among young adults (mean age<30), in university settings or follow up visits with adolescent networks moving into adulthood. The objectives and methods of the included studies were heterogeneous. All included studies reported a statistically significant association between a social network characteristic and an alcohol consumption-related outcome. Social network members drinking behaviors were associated with participants' drinking behaviors in multiple ways. DISCUSSION/CONCLUSIONS:In young adults, among whom the majority of identified studies were conducted, with whom they socialize and how they socialize appears to be associated with alcohol consumption; this was observed across methodologies and settings. We still know very little about the relationship of social networks to drinking in older age groups, and in populations most impacted by alcohol. As social networks appear to play a role in the consumption of alcohol in young adulthood, interventions that utilize social networks to help reduce harmful alcohol consumption should be considered.
PMID: 31437257
ISSN: 1932-6203
CID: 4046982

Feasibility of integrated, multilevel care for cardiovascular diseases (CVD) and HIV in low- and middle-income countries (LMICs): A scoping review

Ojo, Temitope; Lester, Lynette; Iwelunmor, Juliet; Gyamfi, Joyce; Obiezu-Umeh, Chisom; Onakomaiya, Deborah; Aifah, Angela; Nagendra, Shreya; Opeyemi, Jumoke; Oluwasanmi, Mofetoluwa; Dalton, Milena; Nwaozuru, Ucheoma; Vieira, Dorice; Ogedegbe, Gbenga; Boden-Albala, Bernadette
BACKGROUND:Integrated cardiovascular disease (CVD) and HIV (CVD-HIV) care interventions are being adopted to tackle the growing burden of noncommunicable diseases (NCDs) in low-and middle-income countries (LMICs) but there is a paucity of studies on the feasibility of these interventions in LMICs. This scoping review aims to present evidence of the feasibility of integrated CVD-HIV care in LMICs, and the alignment of feasibility reporting in LMICs with the existing implementation science methodology. METHODS:A systematic search of published articles including systematic and narrative reviews that reported on integrated CVD-HIV care was conducted, using multiple search engines including PubMed/Medline, Global Health, and Web of Science. We examined the articles for evidence of feasibility reporting. Adopting the definition of Proctor and colleagues (2011), feasibility was defined as the extent to which an intervention was plausible in a given agency or setting. Evidence from the articles was synthesized by level of integration, the chronic care continuum, and stages of intervention development. RESULTS:Twenty studies, reported in 18 articles and 3 conferences abstracts, reported on feasibility of integrated CVD-HIV care interventions. These studies were conducted in Sub-Saharan Africa, Southeast Asia and South America. Four of these studies were conducted as feasibility studies. Eighty percent of the studies reported feasibility, using descriptive sentences that included words synonymous with feasibility terminologies in existing definition recommended by Proctor and colleagues. There was also an overlap in the use of descriptive phrases for feasibility amongst the selected studies. CONCLUSIONS:Integrating CVD and HIV care is feasible in LMICs, although methodology for reporting feasibility is inconsistent. Assessing feasibility based on settings and integration goals will provide a unique perspective of the implementation landscape in LMICs. There is a need for consistency in measures in order to accurately assess the feasibility of integrated CVD-HIV care in LMICs.
PMID: 30794591
ISSN: 1932-6203
CID: 3688072

Sleep tracking: A systematic review of the research using commercially available technology

Robbins, Rebecca; Seixas, Azizi; Masters, Lillian Walton; Chanko, Nicholas; Diaby, Fatou; Vieira, Dorice; Jean-Louis, Girardin
Purpose of review/UNASSIGNED:To systematically review the available research studies that characterize the benefits, uncertainty, or weaknesses of commercially-available sleep tracking technology. Recent findings/UNASSIGNED:Sleep is a vital component of health and well-being. Research shows that tracking sleep using commercially available sleep tracking technology (e.g., wearable or smartphone-based) is increasingly popular in the general population. Methods/UNASSIGNED:Systematic literature searches were conducted using PubMed/Medline, Embase (Ovid) the Cochrane Library, PsycINFO (Ovid), CINAHL, and Web of Science Plus (which included results from Biosis Citation Index, INSPEC, and Food, Science & Technology Abstracts) (n=842). Study Inclusion and Exclusion Criteria/UNASSIGNED:Three independent reviewers reviewed eligible articles that administered a commercially-available sleep tracker to participants and reported on sleep parameters as captured by the tracker, including either sleep duration or quality. Eligible articles had to include sleep data from users for >=4 nights.
PMCID:7597680
PMID: 33134038
ISSN: 2198-6401
CID: 4663962

Finding Your Voice: Developing a Content Strategy for Social Media That Works!

Chapter by: Yacobucci, Karen; Maher, Stephen
in: Social Media for Communication and Instruction in Academic Libraries by
[S.l.] : IGI Global, 2019
pp. ?-?
ISBN:
CID: 3949742

The Effects of Home Particulate Air Filtration on Blood Pressure: A Systematic Review [Meeting Abstract]

Walzer, Dalia; Gordon, Terry; Thorpe, Lorna; Thurston, George; Xia, Yuhe; Zhong, Hua; Roberts, Timothy R.; Hochman, Judith S.; Newman, Jonathan D.
ISI:000529998004029
ISSN: 0009-7322
CID: 4508102

Lost in the City: An Exploration of Edward P. Jones's Short Fiction

Rambsy, Kenton; Ossom-Williamson, Peace
[Urbana IL : Publishing Without Walls], 2019
ISBN: 9781946011046
CID: 5028132

Libraries & Gardens: Growing Together [Book Review]

Laynor, Gregory
ISI:000484400700010
ISSN: 0010-0870
CID: 5266152

The Effect of Active Physical Training Interventions on Reactive Postural Responses in Older Adults: A Systematic Review

Moore, Brian M; Adams, Joseph T; Willcox, Sallie; Nicholson, Joseph
BACKGROUND:A variety of physical interventions have been used to improve reactive balance in older adults. PURPOSE/OBJECTIVE:To summarize the effectiveness of active treatment approaches to improve reactive postural responses in community-dwelling older adults. DESIGN/METHODS:Systematic Review, guided by PRISMA guidelines. STUDY SELECTION/METHODS:A literature search included databases of PubMed, OVID, CINAHL, Clinicaltrials.gov, OTseeker, and PEDro up to December 2017. RCTs that evaluated quantitative measures of reactive postural responses in healthy adults following participation in an active physical training program were included. DATA SYNTHESIS/RESULTS:Of 4,481 studies initially identified, 11 RCTs covering 313 participants were selected for analysis. Study designs were heterogeneous, preventing a quantitative analysis. Nine of the eleven studies reported improvements in reactive postural responses. CONCLUSIONS:Several clinically-feasible training methods have the potential to improve reactive postural responses in older adults; however, conclusions surrounding efficacy of treatment methods are limited due to numerous methodological issues and heterogeneity in outcomes and intervention procedures.
PMID: 29989462
ISSN: 1543-267x
CID: 3192522

Serie: Medicamenten en mondzorg. Systematisch literatuuronderzoek naar effect van medicatie op de speekselklieren = [Medicaments and oral healthcare. Systematic review of the -literature assessing the effect of drugs on the salivary glands]

Wolff, A; Joshi, RK; Ekstrom, J; Aframian, D; Pedersen, AML; Proctor, G; Narayana, N; Villa, A; Sia, YW; Aliko, A; McGowan, R; Kerr, R; Jensen, SB; Vissink, A; Dawes, C
Evidence-based reviews of drugs causing medication-induced salivary gland dysfunction, such as xerostomia (sensation of oral dryness) and subjective sialorrhea are lacking. To compile a list of medicaments that influence salivary gland function, electronic databases were searched for relevant articles published up to June 2013. A total of 269 papers out of 3,867 records located satisfied the inclusion criteria (relevance, quality of methodology, strength of evidence). A total of 56 active substances with a higher level of evidence and 50 active substances with a moderate level of evidence of causing salivary gland dysfunction are described in this article. While xerostomia was a commonly reported outcome, the objective effect on salivary secretion was rarely measured. Xerostomia was, moreover, mostly reported as a negative side effect instead of the intended effect of that drug. A comprehensive list of medications having documented effects on salivary gland function or symptoms was compiled, which may assist practitioners in assessing patients who complain of dry mouth while taking medications
PMID: 30457580
ISSN: 0028-2200
CID: 3493862

Stages of change and psychotherapy outcomes: A review and meta-analysis

Krebs, Paul; Norcross, John C; Nicholson, Joseph M; Prochaska, James O
The transtheoretical model and the stages of change are often used to adapt treatment to the individual client. The aims of this study were to review the stages of change and popular measures of change readiness in psychotherapy and to conduct a meta-analysis of the relation between readiness measures and psychotherapy outcomes. We report data from 76 studies, encompassing 25,917 patients. Moderate-sized effects (d = 0.41) were found for the association among multiple disorders, including substance and alcohol use, eating disorders, and mood disorders. Outcomes were a function of the pretreatment stage of change; that is, the farther a patient along the stages, the better the treatment outcomes. This review added 37 studies to the data reported in 2010, further strengthening the link between readiness and therapy outcomes. The article concludes with limitations of the research, diversity considerations, and therapeutic practices for stage matching in psychotherapy specifically and behavioral health more generally.
PMID: 30335193
ISSN: 1097-4679
CID: 3370052

[Niagra Falls NY : 15th Annual Open Education Conference], 2018

Table 7: Providing a Powerful Choice: Lessons from a Young OER Initiative

Magro, Juliana Terciotti; Tabaei, Sara
(Website)
CID: 4271032

The relative citation ratio: what is it and why should medical librarians care?

Surkis, Alisa; Spore, Stuart
Bibliometrics is becoming increasingly prominent in the world of medical libraries. The number of presentations related to research impact at the Medical Library Association (MLA) annual meeting has been increasing in past years. Medical centers have been using institutional dashboards to track clinical performance for over a decade, and more recently, these institutional dashboards have included measures of academic performance. This commentary reviews current practices and considers the role for a newer metric, the relative citation ratio.
PMID: 30271298
ISSN: 1558-9439
CID: 3319192

Incidence of guillain-barre syndrome in latin America and the Caribbean following the 2015-2016 zika epidemic [Meeting Abstract]

Capasso, A; Vieira, D L; Tozan, Y
Guillain-Barre syndrome (GBS), a severe autoimmune disorder, is the most common cause of acute flaccid paralysis. Between 20%-30% of patients require mechanical ventilation. Mortality rates range from 3%-7% and are higher in low-resource settings. The median global incidence of GBS is estimated at 1.1/100,000 (range 0.8-1.9). However, this is based on studies from Europe and North America. Many countries reported increases in GBS cases following the 2015-2016 Zika epidemic. Recent data from Latin America and the Caribbean (LAC) present an opportunity to assess the GBS incidence in the region for the first time. We conducted a systematic review of the incidence of GBS and searched 9 scientific databases from 1980-2017 using pre-defined search-terms. We included publications reporting primary GBS incident cases within well-defined populations. A detailed protocol is available at PROSPERO (CRD42018086659). Of 6568 identified publications, we screened 4093 titles/abstracts after removing duplicates; of 118 full-text articles reviewed, 24 met inclusion criteria. The majority (62.5%, n=15) was published after 2015. While 3 were multi-country studies; 7 were from Caribbean, including Puerto Rico; 7 from Brazil; 5 from other South American countries; and 2 from Central America and Mexico. Six analyzed the incidence of GBS in children and 2 in adults only. Sources of data included national surveillance systems (GBS disease became notifiable in 2016), hospitalization records, and the Polio Eradication Surveillance System. Background rates of GBS varied from 0.3 per 100,000 persons in Natal, Brazil to 2.65 in El Salvador and 1.31 in Honduras. GBS incidence rates increased 2 to 9.8 times from baseline during the Zika epidemic. Trends were inconclusive for chikungunya and dengue. This is the first review summarizing the GBS incidence in LAC. Central American countries appear to have higher background incidence rates of GBS than the Southern Cone and the Caribbean. GBS incidence seems to increase during arboviral epidemics, particularly Zika. GBS poses an additional burden to healthcare systems, particularly in low-resource settings.
EMBASE:627541842
ISSN: 0002-9637
CID: 3915582

The "Data Visualization Clinic": a library-led critique workshop for data visualization

LaPolla, Fred Willie Zametkin; Rubin, Denis
Background/UNASSIGNED:The authors' main university library and affiliated academic medical center library sought to increase library programming around data visualization, a new service area for both libraries. Additionally, our institution is home to many researchers with a strong interest in data visualization but who are generally working in isolation of one another. Case Presentation/UNASSIGNED:This case study describes an innovative workshop, the "Data Visualization Clinic," where members of our library's community bring in data visualization projects such as figures in papers, projects hosted online, and handouts and receive constructive feedback from a group of peers. The authors detail the process of hosting a clinic and the feedback that we received from participants. Conclusions/UNASSIGNED:The "Data Visualization Clinic" offers a viable workshop to leverage expertise of library users and build the library's reputation as a hub of data visualization services without heavy investment in infrastructure like special monitors or coding skills. That said, it faces the challenge of relying on the participation of the broader community, which is often pressed for time. The event can also serve as an opportunity for researchers who have an interest in data visualization to meet and network.
PMCID:6148617
PMID: 30271289
ISSN: 1558-9439
CID: 3699312

[New York : Touro Scholar], 2018

Advocating for OER Without Financial Support: Is

Magro, Juliana Terciotti
(Website)
CID: 4271022

Comparative use of Tuskegee Syphilis Study Film vs. Text Triggers to Teach Bioethics: The Spheres of Ethics Teaching Using Film (SOETUF) College Study

Katz, Ralph V; Katz, Amos E; Warren, Rueben C; Williams, Monica T; Aqel, Hala; Ilin, Danil; McGowan, Richard
ORIGINAL:0012853
ISSN: 2049-5471
CID: 3247052

Consumption of Sugars, Sugary Foods, and Sugary Beverages in Relation to Cancer Risk: A Systematic Review of Longitudinal Studies

Makarem, Nour; Bandera, Elisa V; Nicholson, Joseph M; Parekh, Niyati
High sugar intake may increase cancer risk by promoting insulin-glucose dysregulation, oxidative stress, inflammation, and body adiposity, but epidemiologic evidence is unclear. Associations between dietary sugars and lifestyle-related cancer risk from longitudinal studies were evaluated. We systematically searched PubMed, Embase, and CINAHL and identified 37 prospective cohort studies (1990-2017) reporting multivariable adjusted risk estimates for dietary sugars in relation to cancer. Of 15 and 14 studies on total sugar and sucrose respectively, 11 reported a null association in relation to cancer. Of 14 studies on fructose, 8 reported null associations, and 2 reported protective and 4 reported detrimental associations. In two of five studies on added sugars, a 60-95% increased cancer risk was observed with higher intakes. In 8 of 15 studies, a 23% to 200% higher cancer risk was observed with higher sugary beverage consumption. In conclusion, most studies were indicative of a null association, but suggestive detrimental associations were reported for added sugars and sugary beverages. Expected final online publication date for the Annual Review of Nutrition Volume 38 is August 21, 2018. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.
PMID: 29801420
ISSN: 1545-4312
CID: 3136592

Communication Skills Training for Surgical Residents: Learning to Relate to the Needs of Older Adults

Roberts, Linda; Cornell, Charles; Bostrom, Mathias; Goldsmith, Sandra; Ologhobo, Titilayo; Roberts, Timothy; Robbins, Laura
BACKGROUND:It is vital for physicians and surgeons to communicate successfully with older adults, who will constitute one-fifth of the US population by 2030. Older adults often perceive themselves as stigmatized and powerless in healthcare settings. Effective communication leads to better patient compliance and satisfaction, which is now a component of Medicare hospital reimbursement and physician and surgeon compensation from hospitals and networks. OBJECTIVE:To increase orthopaedic surgery resident understanding of the unique needs of older adults in order to maintain effective and sensitive communication with this vulnerable population. DESIGN/METHODS:A two-part training program (ongoing for 8 years) comprised of: 1) small-group interactive didactic sessions on aging issues; and 2) workshop demonstrations given by the residents to a group of older adults, followed by a Question & Answer session. Residents were assessed using a 22-item pre-post questionnaire covering medical knowledge of aging, attitudes toward older adults, and personal anxiety about aging. Older adult participants were surveyed for perceptions of residents' sensitivity toward them. SETTING/METHODS:Hospital for Special Surgery in New York City, a specialized urban academic center, with a 5-year Orthopedic Surgery Residency program. PARTICIPANTS/METHODS:70 PGY3 residents, for whom the program is a requirement, and 711 older adult participants recruited from a community convenience sample. RESULTS:Older adult participants: Of 711 participants, 672 (95%) responded; 96% strongly agreed/agreed that the residents had demonstrated sensitivity toward them. Residents: Of 70 residents, 35 (50%) were assessed. Mean knowledge scores increased significantly (p ≤ 0.001); five of nine attitude items (p ≤ 0.05) and one of four anxiety items improved significantly (p ≤ 0.001). CONCLUSIONS:Significant change was seen in residents' attitudes and anxiety levels toward older adults, attributes that are usually deep seated and hard to change. Residents moved along the Accreditation Council for Graduate Medical Education Milestones continuum for three core competencies.
PMID: 29609892
ISSN: 1878-7452
CID: 3039192

Treatment of Adhesive Capsulitis of the Shoulder: A Critical Analysis Review

Yip, Michael; Francis, Anna-Marie; Roberts, Timothy; Rokito, Andrew; Zuckerman, Joseph D; Virk, Mandeep S
PMID: 29916942
ISSN: 2329-9185
CID: 3158122

Improving interaction in online liaison services through skype

Chapter by: Williamson, Peace Ossom
in: Nursing Education, Administration, and Informatics: Breakthroughs in Research and Practice by
[S.l.] : IGI Global, 2018
pp. 90-110
ISBN: 9781522554905
CID: 5028152

Adherence to positive airway pressure treatment among minority populations in the US: A scoping review

Wallace, Douglas M; Williams, Natasha J; Sawyer, Amy M; Jean-Louis, Girardin; Aloia, Mark S; Vieira, Dorice L; Wohlgemuth, William K
Minority individuals in the United States (US) have an increased prevalence of obstructive sleep apnea (OSA) compared to their white/Caucasian counterparts. In general, adherence to positive airway pressure (PAP) therapy is poor and some studies suggest that PAP use among minority individuals is inferior to that of whites. However, there has not been a review of the evidence that addresses racial-ethnic disparities for PAP adherence in the treatment of OSA, and no review has systematically examined the contributing factors to poor adherence among minority individuals compared to whites. We searched the literature for studies published between January 1990 to July 2016 that included objective PAP use comparisons between adult US minority individuals and whites. Twenty-two studies met the inclusion criteria. All studies compared the PAP adherence of blacks to whites. Seven studies compared the PAP adherence of additional minority groups to that of whites. Sixteen of the 22 studies (73%) showed worse PAP adherence in blacks compared to whites. Four studies found equivalent PAP use in US Hispanics compared to whites. Little is known about the PAP adherence of other US minority groups. We present a framework and research agenda for understanding PAP use barriers among US minority individuals.
PMID: 28625480
ISSN: 1532-2955
CID: 2604132

Inconsistency in Automated Reports of Scientific Productivity and Impact in Academic Plastic Surgery

Plana, Natalie M; Massie, Jonathan P; Bekisz, Jonathan M; Fryml, Elise M; Spore, Stuart; Diaz-Siso, J Rodrigo; Flores, Roberto L
BACKGROUND:Currently, no consensus metric for measuring academic productivity within plastic surgery exists. The h-index is widely used, as it captures both the quantity and quality of an individual's contribution. However, discrepancies in online reporting make accurate h-index calculation challenging. This study highlights inconsistencies within plastic surgery by assessing differences in reporting of the h-index and other measures of academic productivity across online scientific databases. METHODS:Plastic surgery faculty at institutions with Accreditation Council for Graduate Medical Education-accredited residency programs were identified and searched across four databases: Web of Science, Scopus, Google Scholar, and the National Library of Medicine (PubMed). The total number of publications, citations, and h-index were recorded for each author and analyzed using a Mann-Whitney test. RESULTS:Seven hundred twenty-two faculty members were included in this study. Reporting of publications was highest in Google Scholar and lowest in Web of Science. Because of incomplete information (PubMed) and underuse (Google Scholar), h-index could be assessed only between Web of Science and Scopus, where the average discrepancy in citations and h-index was 722 and 7.0 per author, respectively. Discrepancies were more significant among faculty members holding a Ph.D. degree, higher academic rank, or belonging to the male gender. CONCLUSIONS:Inconsistencies between online scientific databases profoundly affect plastic surgeons. Given the importance placed on metrics such as the h-index, it is imperative that the plastic surgery community push for solutions that ensure more reliable, transparent, and cohesive reporting of academic productivity.
PMID: 29485578
ISSN: 1529-4242
CID: 2965502

NYU Langone health's First Pop-Up Libraries Support Women Who Pump

Yacobucci, Karen L; Larson, Catherine
ORIGINAL:0012560
ISSN: 1090-7033
CID: 3041952

Health centre staff are satisfied with librarian-mediated search services, especially when librarians follow up

Williamson, Peace Ossom
Objective - To determine the effects of the professional designation and communication method on clinical, educational, and research activities and related users' reported satisfaction with and perceived quality of a librarian-mediated literature searching service. Design - Online survey. Setting - A large teaching hospital in Ontario, Canada. Subjects - 237 health sciences centre staff who were requesting librarian-mediated literature searching over a one-year period. Methods - From February 1, 2014 to January 31, 2015, one-third of the health centre staff members requesting searching services, representing a systematic sample of the user group, were invited to participate in the survey. The survey centred on questioning participants on a critical incident, which, according to the critical incident technique, is an actual event upon which recollections are made, rather than hypothetical situations. In the case of this study, the critical incident was the service they received upon requesting literature searching by a librarian who was blinded concerning the originator of the request. With a 71% response rate, the researchers received 137 responses to the survey by health sciences staff. Participants were asked how many literature searches they had requested in the previous year, the reason they requested the service, how they submitted the request, and whether the librarian followed up for further clarification of their need. They also reported on the relevance of the results and their method of delivery, along with their perceptions of the overall quality of the service. Main Results - The results came from 137 completed surveys, for a 71% response rate. Physicians, nurses, and allied health professionals comprised 85% of the responses, at 35%, 27%, and 23% respectively. Scientists, researchers, research coordinators, and other staff made up the remainder of responses. Responses indicated frequent search requests, with the average number of searches being five, and 68% of respondents reported searching for the information themselves before contacting the library for assistance. Most searches were for research/publishing (34%) and teaching/training (20%). Requests were submitted via email (44%), online form (32%), in person (17.5%), and phone (6.5%), and most respondents rated themselves extremely satisfied (54%) or very satisfied (42%). Most respondents (72%) reported that the librarian followed up for further clarification of the request, and staff who received follow-up rated themselves extremely satisfied at a significantly higher rate than those who did not (p=0.002). Respondents whose request was submitted verbally (i.e., by phone or in person), in comparison with those whose request was submitted by email or online form, rated themselves extremely satisfied at a significantly higher rate (p=0.004) and rated the quality of results as excellent at a significantly higher rate (p=0.005). Conclusion - The need for comprehensive and expert searching when publishing or completing research and the availability of easy to use point-of-care resources may be why librarian-mediated literature searching was used for research and publishing at a rate much higher than for patient care. In addition, the fact that the institution was also engaged in efforts toward evidence-based standardization of care and electronic health records during that year may have also affected results. While satisfaction with the service was higher for those communicating verbally with a librarian, it is unclear whether this was caused by other factors or differences between staff members who engage in phone or in-person communication and those who submit forms and online requests. Because following up was correlated with higher satisfaction, adjustments in service encouraging librarians to follow up are recommended. Following up in person and via phone may help further.
SCOPUS:85044045937
ISSN: 1715-720x
CID: 5028212

Meta-Synthesis on Migraine Management

Minen, Mia T; Anglin, Carlita; Boubour, Alexandra; Squires, Allison; Herrmann, Linda
BACKGROUND: Migraine is one of the top 10 most disabling conditions among adults worldwide. Most migraine research is quantitative and indicates concerns about medication adherence, stigma, and more. Qualitative studies might reveal an improved understanding of migraine patients' perspectives regarding migraine treatment. OBJECTIVE: The aim of this study was to synthesize the qualitative research on migraine patients' perspectives regarding migraine treatment to (a) identify common patterns across various types of migraine treatment studies and (b) inform future research. METHODS: A systematic search for qualitative studies in the HA (HA) literature was conducted in Medline (PubMed), PsycINFO, EMBASE, CINAHL, Web of Science, Joanna Briggs Institute EBP Database, and The Cochrane Library. Search terms (subject headings and keywords) were HA, HA disorders, migraine, qualitative studies, and qualitative research. Qualitative studies were systematically identified by using published qualitative search filters recommended by The InterTASC Information Specialists' Sub-Group (ISSG). The search was limited to English only, peer reviewed publications, and studies published between 1996 and 2016. For screening, additional inclusion criteria were (1) adult migraine patients; (2) must mention treatment in the title or study design of the abstract. Ten studies met the inclusion criteria. The Critical Appraisal Skills Program tool was applied to appraise study quality. Thematic analysis produced the codes and themes. Two authors read articles separately and individually created codes. Code lists were synthesized and themes emerged iteratively from the process. RESULTS: Study sample sizes ranged from 10 to 33 participants, with our findings representing 161 participants. Data were collected either using interviews or focus groups. The more common methodologies were grounded theory and phenomenology. Few (3) studies described the number of headache (HA) days for inclusion in the study. Eight out of 10 used International Classification of Headache Disorders (ICHD) criteria. Our synthesis produced five major themes. The first theme was "Migraine patients' difficulties with health care utilization," and it included issues surrounding the cost of migraine treatment (seeing providers and prescription medications). The second theme was "Migraine patients' perceived relationships with their providers," which included the role and relationship with the provider, as well as trust in the provider and the providers' knowledge in managing HAs. The third theme was "Thoughts about the various migraine treatments." It was based on patients' comments indicating an aversion to prescription medications, the use of non-pharmacological interventions for treatment, behavioral modification as a form of treatment, and the need for additional treatment options. The fourth and fifth themes were "Understanding diagnosis/triggers" and "Societal implications," respectively. The latter theme included feelings of not being taken seriously and issues surrounding quality of life. DISCUSSION: The metasynthesis revealed several key commonalities regarding patients' perspectives on migraine treatment and identified new areas for research using a qualitative approach. Researchers conducting qualitative research with patients experiencing migraines might consider using and reporting more of the inclusion and exclusion criteria commonly used in migraine research, for example, reporting whether the ICHD criteria were used and the number of HA days for patients to be in a study. Future studies might be done to determine how the role of allied health care providers, for example, pharmacists, physical therapists, and psychologists, might be expanded to help with migraine treatment and ultimately to improve patient outcomes.
PMID: 29159874
ISSN: 1526-4610
CID: 2797782

A new hat for librarians: providing REDCap support to establish the library as a central data hub

Read, Kevin; LaPolla, Fred Willie Zametkin
Background/UNASSIGNED:REDCap, an electronic data capture tool, supports good research data management, but many researchers lack familiarity with the tool. While a REDCap administrator provided technical support and a clinical data management support unit provided study design support, a service gap existed. Case Presentation/UNASSIGNED:Librarians with REDCap expertise sought to increase and improve usage through outreach, workshops, and consultations. In collaboration with a REDCap administrator and the director of the clinical data management support unit, the role of the library was established in providing REDCap training and consultations. REDCap trainings were offered to the medical center during the library's quarterly data series, which served as a springboard for offering tailored REDCap support to researchers and research groups. Conclusions/UNASSIGNED:Providing REDCap support has proved to be an effective way to associate the library with data-related activities in an academic medical center and identify new opportunities for offering data services in the library. By offering REDCap services, the library established strong partnerships with the Information Technology Department, Clinical Data Support Department, and Compliance Office by filling in training gaps, while simultaneously referring users back to these departments when additional expertise was required. These new partnerships continue to grow and serve to position the library as a central data hub in the institution.
PMCID:5764577
PMID: 29339942
ISSN: 1558-9439
CID: 2949142

Medications inducing dry mouth and sialorrhea: A guide released by the World Workshop on Oral Medicine VI

Wolff, A; Joshi, RK; Ekstrom, J; Aframian, D; Pedersen, AM; Proctor, G; Narayana, N; Villa, A; Sia, YW; Aliko, A; McGowan, R; Kerr, AR; Jesen, SB; Vissink, A; Dawes, C
ORIGINAL:0012502
ISSN: 0792-9935
CID: 2966182

Description of Student Expectations on the Use of Film Vs. Text to Teach Bioethics: The Spheres of Ethics Teaching Using Film (SOETUF) College Study

Katz, Ralph V; Katz, Amos E; Warren, Rueben C; Aqel, Hala; Ilin, Danil; McGowan, Richard
ORIGINAL:0013093
ISSN: 2049-5471
CID: 3441232

Mediciners effekt pa salivkortlarna

Wolff, Andy; Joshi, Revan Kumar; Ekstrom Jorgen; Aframian, Doron; Pedersen, Anne Marie Lynge; Proctor, Gordon; Narayaan, Nagamani; Villa, Alessandro; Sia, Ying Wai; Aliko, Ardita; McGowan, Richard; Kerr, Ross; Jensen, Siri Beier; Vissink, Arjan; Dawes, Colin
ORIGINAL:0013096
ISSN: 0039-6982
CID: 3493872

Accommodating requests to continue organ support in the setting of brain death or suspected brain death: A review of the literature [Meeting Abstract]

Lewis, A; Varelas, P; Nicholson, J; Greer, D; Shemie, S D; Sung, G Y
Introduction Brain death is accepted as medically and legally equivalent to cardiopulmonary death throughout much of the world. However, families sometimes make "requests for accommodation" based on refusal to accept an established brain death declaration or desire to avert an examination for determination of brain death. We sought to evaluate the medical literature to identify the demographics and management of these requests. Methods We performed a comprehensive literature review of Cochrane, Embase and Medline for documents published between 1/1/92 and 7/15/17 that addressed requests for accommodation. Results We identified 19 documents for inclusion. In addition to the large number of requests (~1,000) described in two surveys of practitioners in the USA, we found 28 distinct requests for accommodation for persons of all ages (range: infancy to 87-years-old), nine of whom were children. Nearly every (25/28) request was made in the past 15 years. With the exception of one case from the United Kingdom, every request for accommodation was made in the USA. Requests for accommodation were made for a variety of reasons including belief that neurologic recovery could occur, desire to await arrival of additional family members prior to discontinuation of support, lack of conceptual acceptance of death with a beating heart and religious beliefs. Management of requests varied from continuation of support until cardiopulmonary arrest, withdrawal of organ support with a family's authorization, withdrawal of organ support against a family's wishes, transfer to another hospital or country or discharge home for continuation of organ support. In some cases, healthcare teams acted independently, but in others, they relied on recommendations from an ethics team or instructions from a court. Conclusions Requests for accommodation are increasing. This trend is particularly evident in the USA. Although the rationales for requests vary, uniform management guidelines are needed
EMBASE:631893618
ISSN: 1556-0961
CID: 4472882

Determining brain death after therapeutic hypothermia: A review of the literature [Meeting Abstract]

Lewis, A; Souter, M; Nicholson, J; Greer, D; Shemie, S D; Sung, G Y
Introduction Hypothermia can blunt brainstem reflexes and impair the elimination of sedatives and analgesics. As a result, it can be challenging to perform a brain death (BD) evaluation after treatment with therapeutic hypothermia. We sought to review the literature to determine when it is appropriate to do a BD evaluation after therapeutic hypothermia. Methods We reviewed Cochrane, Embase and Medline for documents published between 1/1/92 and 7/15/17 that addressed BD determination after use of therapeutic hypothermia. Results We identified 24 documents, all of which were published between 2008 and 2017. Two case studies on patients treated with therapeutic hypothermia who had findings consistent with BD, but subsequently demonstrated return of some brainstem activity, have garnered much attention in the literature: 1) A 10-month-old boy was cooled to 32-33degreeC and sedated for 24 hours then declared BD 10 hours after being rewarmed and 6 hours after discontinuation of sedation, but subsequently began breathing again; 2) A 55-year-old man was cooled to 33degreeC and sedated for 36 hours, then was declared BD 22 hours after being rewarmed and 28 hours after being taken off sedation, but later was found to breathe spontaneously and have corneal and cough reflexes. While the literature consistently questions when it is appropriate to conduct a BD evaluation after hypothermia, there is no answer based on high level evidence. Because it can be challenging to determine when a condition is irreversible after hypothermia, it has been noted that it can be helpful to augment a clinical evaluation for BD determination with ancillary testing to assess for cerebral blood flow. Conclusions There is a need for clear guidelines and expert consensus on timing of the clinical exam for BD determination and both the role for, and modality of, ancillary testing after therapeutic hypothermia
EMBASE:631893535
ISSN: 1556-0961
CID: 4472892

Perioperative Myocardial Injury After Non-Cardiac Surgery: A Systematic Review and Meta-Analysis [Meeting Abstract]

Redel-Traub, Gabriel; Hausvater, Anais; Armanious, Andrew; Nicholson, Joseph; Berger, Jeffrey; Smilowitz, Nathaniel
ISI:000528619401261
ISSN: 0009-7322
CID: 5285682

Utility of General and Specific Word Embeddings for Classifying Translational Stages of Research

Major, Vincent; Surkis, Alisa; Aphinyanaphongs, Yindalon
Conventional text classification models make a bag-of-words assumption reducing text into word occurrence counts per document. Recent algorithms such as word2vec are capable of learning semantic meaning and similarity between words in an entirely unsupervised manner using a contextual window and doing so much faster than previous methods. Each word is projected into vector space such that similar meaning words such as "strong" and "powerful" are projected into the same general Euclidean space. Open questions about these embeddings include their utility across classification tasks and the optimal properties and source of documents to construct broadly functional embeddings. In this work, we demonstrate the usefulness of pre-trained embeddings for classification in our task and demonstrate that custom word embeddings, built in the domain and for the tasks, can improve performance over word embeddings learnt on more general data including news articles or Wikipedia.
PMCID:6371342
PMID: 30815185
ISSN: 1942-597x
CID: 3698512

Girls Don't Do Woodworking

Chapter by: Larson, Catherine
in: We can do IT : women in library information technology by Brandon, Jenny; Ladenson, Sharon; Sattler, Kelly (Eds)
Sacramento CA : Library Juice Press, 2018
pp. 193-199
ISBN: 9781634000536
CID: 3237052

The Practice of Solidarity: Forming a Collaborative Coding Interest Group at AUC Robert W. Woodruff Library

Chapter by: Hogan, Joshua; de la Cruz, Justin
in: APPLYING LIBRARY VALUES TO EMERGING TECHNOLOGY: DECISION-MAKING IN THE AGE OF OPEN ACCESS, MAKER SPACES, AND THE EVER-CHANGING LIBRARY by
pp. 329-340
ISBN: 978-0-8389-8939-5
CID: 5298222