• 1801: Patient-Specific Markers Associated with the Risk of Alcohol Withdrawal in the Trauma Population

      Li, Irene; Forni, Allison; Carpenter, Dawn; Menard, Alexander; Rossetti, Victoria; Emhoff, Timothy A.; Lilly, Craig M. (2019-01-01)
      Learning Objectives: Alcohol withdrawal syndrome (AWS) and delirium tremens (DTs) have been reported as a complication following traumatic injury, at rates of 0.88% and 0.10%, respectively. AWS among trauma patients is associated with an increased length of hospital stay, mechanical ventilation, and aspiration pneumonia. There is minimal literature about the optimal screening tool to predict and stratify trauma patients at risk for AWS. Additionally, there has been increased interest in the use of phenobarbital as a management strategy for AWS. The purpose of this systematic review were to evaluate screening tools to identify trauma patients who are most likely to develop AWS, and assess phenobarbital dosing strategies for prophylaxis of AWS. Methods: A literature search was performed in PubMed/MEDLINE. The initial search yielded 1072 articles from which non-English and duplicate articles were removed. The remaining 974 articles underwent blinded review with an interprofessional team. Twenty articles were included in the final analysis. These studies were assessed for level of evidence using the Grading of Recommendations Assessment, Development and Evaluation tool (GRADE). Results: Twenty articles were included in the final analysis with eleven reviewing tools and nine reviewing phenobarbital dosing strategies. CAGE and brief MAST were the most commonly used questionnaires for adults with blunt or penetrating trauma. Other factors associated with the development of AWS and DTs include male gender, age, and blood alcohol level. Laboratory biomarkers such as elevated AST and MCV are associated with alcohol use among trauma victims. While phenobarbital has been evaluated for management of AWS and DTs, none of the studies utilized phenobarbital in the prevention of AWS or DTs. Conclusions: Further investigation into the predictive ability of a screening tool that combines a short questionnaire, laboratory values, and patient demographics to predict and stratify the risk of AWS and DTs in the adult trauma population is warranted. Additional research is needed to identify pharmacologic strategies for prophylaxis of AWS and DTs.
    • A Meeting of the Minds: Enhancing Collaboration with the Department of Psychiatry through the Institutional Repository

      Palmer, Lisa A.; Levin, Len L. (2011-05-13)
      This presentation will provide an overview of an ongoing collaboration between the Lamar Soutter Library and the Department of Psychiatry at the University of Massachusetts Medical School (UMMS) to promote faculty research. The Library has a long-standing liaison relationship with the Department of Psychiatry to share information about library collections and services, and to support the department’s teaching, clinical, and research needs. In 2009 the Library formally established a Research and Scholarly Communication Services department, with one librarian overseeing the university’s institutional repository, eScholarship@UMMS. eScholarship@UMMS is a digital archive offering worldwide access to the research and scholarly output of the University of Massachusetts Medical School community. Its goal is to bring together all of the University's research under one umbrella, in full text whenever possible, in order to preserve, promote, and provide access to that research. Important features include usage statistics, optimized indexing in Google and Google Scholar, the opportunity to create a personal researcher page, electronic journal publishing software, RSS feeds and email alerts, and ongoing Library support and administration. The Library leveraged the existing liaison relationship with the Department of Psychiatry to advocate for the use of eScholarship@UMMS as a tool to maximize the readership and impact of faculty scholarship. The Department has proven to be an enthusiastic collaborator. eScholarship@UMMS has been enhanced with new research materials, faculty researcher pages, and the publication of an electronic journal. This project serves as a model for library collaboration with faculty departments to support and preserve faculty research output. Presented at the Association for College and Research Libraries New England Chapter Annual Conference, "Creative Collaborations," on May 13, 2011, in Worcester, Mass.
    • A Review of "Drupal in Libraries"

      Vander Hart, Robert J. (2013-09-10)
      This is a review of the book, "Drupal in Libraries" by Kenneth J. Varnum. Published by ALA TechSource, 2012.
    • A Review of "Library Analytics and Metrics"

      Vander Hart, Robert J. (2016-04-06)
      This is a review of the book, Library Analytics and Metrics, edited by Ben Showers. Published by Facet Publishing, 2015.
    • A Review of "Social Media for Creative Libraries"

      Vander Hart, Robert J. (2015-11-05)
      This is a review of the book, Social Media for Creative Libraries, by Phil Bradley. Published by Facet Publishing, 2015.
    • A Review of "The Transformed Library: E-Books, Expertise, and Evolution"

      Vander Hart, Robert J. (2014-09-25)
      This is a review of the book, The Transformed Library: E-Books, Expertise, and Evolution, by Jeannette Woodward. Published by American Library Association, 2013.
    • A systematic review and meta-analysis on herpes zoster and the risk of cardiac and cerebrovascular events

      Erskine, Nathaniel; Tran, Hoang; Levin, Len L.; Ulbricht, Christine M.; Fingeroth, Joyce D.; Kiefe, Catarina I.; Goldberg, Robert J.; Singh, Sonal (2017-07-27)
      BACKGROUND: Patients who develop herpes zoster or herpes zoster ophthalmicus may be at risk for cerebrovascular and cardiac complications. We systematically reviewed the published literature to determine the association between herpes zoster and its subtypes with the occurrence of cerebrovascular and cardiac events. METHODS/RESULTS: Systematic searches of PubMed (MEDLINE), SCOPUS (Embase) and Google Scholar were performed in December 2016. Eligible studies were cohort, case-control, and self-controlled case-series examining the association between herpes zoster or subtypes of herpes zoster with the occurrence of cerebrovascular and cardiac events including stroke, transient ischemic attack, coronary heart disease, and myocardial infarction. Data on the occurrence of the examined events were abstracted. Odds ratios and their accompanying confidence intervals were estimated using random and fixed effects models with statistical heterogeneity estimated with the I2 statistic. Twelve studies examining 7.9 million patients up to 28 years after the onset of herpes zoster met our pre-defined eligibility criteria. Random and fixed effects meta-analyses showed that herpes zoster, type unspecified, and herpes zoster ophthalmicus were associated with a significantly increased risk of cerebrovascular events, without any evidence of statistical heterogeneity. Our meta-analysis also found a significantly increased risk of cardiac events associated with herpes zoster, type unspecified. CONCLUSIONS: Our results are consistent with the accumulating body of evidence that herpes zoster and herpes zoster ophthalmicus are significantly associated with cerebrovascular and cardiovascular events.
    • A Systematic Review of Development Programs Designed to Address Leadership in Academic Health Center Faculty

      Moore Simas, Tiffany A.; Cain, Joanna; Milner, Robert J.; Meacham, Martha E.; Bannon, Annika L.; Levin, Len L.; Amir, Nili S.; Leung, Katherine; Ockene, Judith K.; Thorndyke, Luanne A. (2019-01-01)
      INTRODUCTION: To describe Academic Health Center (AHC) faculty leadership development program characteristics and categorize leadership topics into thematic areas suggesting competency domains to guide programmatic curricular development. METHODS: A systematic literature review was conducted (PubMed/MEDLINE, Scopus, Cumulative Index of Nursing and Allied Health Literature [CINAHL], and Journal Storage [JSTOR databases]). Eligible studies described programs with leadership development intent for faculty in AHCs. Information was extracted using a structured data form and process. RESULTS: Six hundred ninety citations were screened; 25 publications describing 22 unique programs were eligible. The majority (73%) were institutionally based; mean class size was 18.5 (SD +/- 10.2, range 4.5-48); and mean in-person time commitment was 110 hours (SD +/- 101.2, range 16-416), commonly occurring in regular intervals over months to years (n = 10, 45%). Six programs provided per participant costs (mean $7,400, range $1000-$21,000). Didactic teaching was the primary instructional method (99.5%); a majority (68%) included project work. Fourteen thematic content areas were derived from 264 abstracted topics. The majority or near majority incorporated content regarding leadership skills, organizational strategy and alignment, management, self-assessment, and finance/budget. DISCUSSION: Institutions and faculty invest significantly in leadership development programs, addressing perceived needs and with perceived benefit for both. The prevalence of common curricular content indicates that AHCs deem important faculty development in leadership, business, and self-assessment skills.
    • A Systematic Review of Integrated Care Interventions Addressing Perinatal Depression Care in Ambulatory Obstetric Care Settings

      Moore Simas, Tiffany A.; Flynn, Michael; Kroll-Desrosiers, Aimee R.; Carvalho, Stephanie M.; Levin, Len L.; Biebel, Kathleen; Byatt, Nancy (2018-03-16)
      This systematic review searched 4 databases (PubMed/MEDLINE, Scopus, CINAHL, and PsychINFO) and identified 21 articles eligible to evaluate the extent to which interventions that integrate depression care into outpatient obstetric practice are feasible, effective, acceptable, and sustainable. Despite limitations among the available studies including marked heterogeneity, there is evidence supporting feasibility, effectiveness, and acceptability. In general, this is an emerging field with promise that requires additional research. Critical to its real-world success will be consideration for practice workflow and logistics, and sustainability through novel reimbursement mechanisms.
    • A. Robert Schell Papers: A Finding Aid

      Tricco, Emily; Sjostedt, Kristine M. (University of Massachusetts Medical School, 2016-11-01)
      The A. Robert Schell Papers chronicle A. Robert Schell’s time as a student in the first class of the University of Massachusetts Medical School.
    • Academic Library Information-Seeking Ecosystem

      Vander Hart, Robert J.; Crescenzi, Anita (2011-04-01)
      The transition from print to electronic resources has brought significant changes to academic librarianship. To facilitate access to electronic resources, libraries created website portals through which users can access subscription resources hosted on a vendor website. Increasingly, libraries strive to provide access to resources at the place and time of need without necessarily requiring users to go through the library website. Libraries continue to deploy technologies such as new authentication methods, new proxy features, and OpenURL resolvers to take users from a citation directly to the full-text. One unintended consequence, however, is that patrons may not realize that they are using library resources. The increasing migration of our users to Google, coupled with the escalating library trend toward outsourcing content and services, present challenging questions for the future of academic library web presences. At a time of major University budget cuts, can we afford to have library users “Google it” and get access to content without knowing it is a library resource? The trend of licensing services or tools like OpenURL resolvers or LibGuides will likely continue in academic libraries, and a key challenge is creating a cohesive user experience while sending users to vendor websites to access resources or services. Sometimes 3rd party services can be customized to share the look of the library website, but customization options are often limited. In addition, usage data provided by vendors may be limited and/or web analytics tools may not be able to be included, thereby reducing our ability to understand the users and usage of key services. The Challenge: Creating an excellent user experience while providing access to library resources at the place and time of need (by users’ preferred method) with so much of the library information seeking ecosystem out of locus of control of librarians. Presented at the IA Summit 2011 in Denver, CO, on April 1, 2011.
    • Activities of Regional Consortia in Planning e-Science Continuing Education Programs for Librarians in New England

      Kafel, Donna (2012-11-15)
      In 2009, the libraries of the five University of Massachusetts campuses initiated a series of professional development programs to help New England science, health sciences, and engineering subject librarians build the knowledge and skills that are needed to support e-Science pursuits at their institutions. These programs have expanded to include the following annual events: an e-Science symposium, a Professional Development Day, and a Science Boot Camp. Alongside these conferences, the Lamar Soutter Library at the University of Massachusetts Medical School initiated a collaborative e-Science Portal for New England Librarians, partnered on a grant to develop frameworks for a data management curriculum, and established the Journal of eScience Librarianship. This chapter describes e-Science, its impact on libraries, and examines the e-science continuing education programs and research sponsored by a consortium of New England science, health sciences, and engineering librarians.
    • Affordable Course Materials: Electronic Textbooks and Open Educational Resources

      Vander Hart, Robert J. (2018-03-09)
      This is a review of the book, Affordable Course Materials: Electronic Textbooks and Open Educational Resources. Diaz, Chris, ed. Chicago: American Library Association, 2017, 144 pp., $65.00, ISBN: 978-0-8389-1580-6
    • Age, Multiple Chronic Conditions, and COVID-19: A literature review

      Tisminetzky, Mayra; Delude, Christopher; Hebert, Tara; Carr, Catherine W.; Goldberg, Robert J.; Gurwitz, Jerry H. (2020-12-24)
      BACKGROUND: Various patient demographic and clinical characteristics have been associated with poor outcomes for individuals with coronavirus disease 2019 (COVID-19). To describe the importance of age and chronic conditions in predicting COVID-19 related outcomes. METHODS: Search strategies were conducted in PubMed/MEDLINE. Daily alerts were created. RESULTS: A total of 28 studies met our inclusion criteria. Studies varied broadly in sample size (n=21 to more than 17,000,000). Participants mean age ranged from 48 years to 80 years and the proportion of male participants ranged from 44%-82%. The most prevalent underlying conditions in patients with COVID-19 were hypertension (range: 15% - 69%), diabetes (8% - 40%), cardiovascular disease (4% - 61%), chronic pulmonary disease (1% - 33%), and chronic kidney disease (range 1% - 48%). These conditions were each associated with an increased in-hospital case fatality rate ranging from 1% to 56%. Overall, older adults have a substantially higher case fatality rate (CFR) as compared with younger individuals affected by COVID-19 (42% for those < 65 vs 65% > 65 years ). Only one study examined the association of chronic conditions and the risk of dying across different age groups; their findings suggested similar trends of increased risk in those < 65 and those > 65 years as compared to those without these conditions. CONCLUSIONS: There has been a traditional, single condition approach to consideration of how chronic conditions and advancing age relate to COVID-19 outcomes. A more complete picture of the impact of burden of multimorbidity and advancing patient age is needed.
    • All Health is Local: Go Local Massachusetts Helps Consumers Locate Health Care Services Close to Home

      Gore, Sally A (2006-10-01)
      Go Local Massachusetts (GLM) is a Web-based resource designed to help the residents of Massachusetts identify health services, health care providers, and health-related programs available in their local area. Go Local is an extension of MedlinePlus, the National Library of Medicine's Web site for consumer health information. The goals of GLM are to (1) identify local health care service resources, (2) link the resources to subjects within the MedlinePlus database, and (3) increase collaboration between entities in Massachusetts with health information technology, making these services available to all residents of the state. This article describes the process of developing GLM, including establishing state-wide partnerships, building the database, and promoting the resource to librarians, health care providers, and the general public.
    • Altmetrics and Institutional Repositories: A Health Sciences Library Experiment

      Palmer, Lisa A. (2013-05-05)
      A brief overview of UMass Medical School's recent application of altmetrics in one collection in the medical school's institutional repository, eScholarship@UMMS.
    • American Women Physicians in 2000: A History in Progress

      More, Ellen S.; Greer, Marilyn (2000-01-01)
      This article surveys major trends in the history of women physicians in American medicine during the 20th century, noting especially factors that have elicited renewed and increasingly public attention during the past two decades. These include the challenges of achieving greater professional visibility while also balancing family and career, of sustaining women physicians' legacy of commitment to women's health and primary care medicine without reinforcing the traditional stereotype that these are the specialties "best suited" to women doctors, and of addressing the need for more ethnic and racial diversity in the medical profession. Other recent developments include the leveling off of the number of women entering medical school and the increasing tendency of both men and women physicians to practice as employees.
    • An assessment of the autism neuroimaging literature for the prospects of re-executability

      Hodge, Steven M.; Haselgrove, Christian; Honor, Leah B.; Kennedy, David N.; Frazier, Jean A. (2021-03-04)
      Background: The degree of reproducibility of the neuroimaging literature in psychiatric application areas has been called into question and the issues that relate to this reproducibility are extremely complex. Some of these complexities have to do with the underlying biology of the disorders that we study and others arise due to the technology we apply to the analysis of the data we collect. Ultimately, the observations we make get communicated to the rest of the community through publications in the scientific literature. Methods: We sought to perform a ‘re-executability survey’ to evaluate the recent neuroimaging literature with an eye toward seeing if the technical aspects of our publication practices are helping or hindering the overall quest for a more reproducible understanding of brain development and aging. The topic areas examined include availability of the data, the precision of the imaging method description and the reporting of the statistical analytic approach, and the availability of the complete results. We applied the survey to 50 publications in the autism neuroimaging literature that were published between September 16, 2017 to October 1, 2018. Results: The results of the survey indicate that for the literature examined, data that is not already part of a public repository is rarely available, software tools are usually named but versions and operating system are not, it is expected that reasonably skilled analysts could approximately perform the analyses described, and the complete results of the studies are rarely available. Conclusions: We have identified that there is ample room for improvement in research publication practices. We hope exposing these issues in the retrospective literature can provide guidance and motivation for improving this aspect of our reporting practices in the future.