Two Years in the Making: Library Resources for Transgender Topics

Inspired by Reid Boehm’s presentation “Beyond Pronouns: Caring for Transgender Medical Research Data to Benefit All People,” at the Research Data Access and Preservation Summit (RDAP) in March 2018, four librarians from the University of Minnesota (UMN) set out to create a LibGuide to support research on transgender topics as a response to Boehm’s identification of insufficient traditional mechanisms for describing, securing, and accessing data on transgender people and topics. This commentary describes the process used to craft the LibGuide, Library Resources for Transgender Topics, including assembling a team of interested library staff, defining the scope of the project, interacting with stakeholders and community partners, establishing a workflow, and designing an ongoing process to incorporate user feedback

Guidelines for Tangible Preservation and Binding of PDF Scores

Guidelines for libraries that must consider printing and binding of PDF scores for physical access as part of circulating collections. These guidelines can be shared with the composer/publisher community so that they can be more aware of needs around physical access to PDF scores. Prepared by the MLA Electronic Scores Working Group - Tangible Preservation and Binding Subgroup

Volume 43, Number 2, June 2023 OLAC Newsletter

Digitized June 2023 issue of the OLAC Newsletter

Effect of exercise interventions in the early phase to improve physical function after hip fracture – a systematic review and meta-analysis

Background: The efficacy of exercise interventions in the early recovery phase, i.e. started within the first three months after hip fracture, has been poorly studied compared to prolonged exercise interventions. Objective: To examine the effect of exercise interventions to improve physical function in the early phase after hip fracture. Data sources: Seven databases including MEDLINE via Ovid, The Cochrane Library, Embase, Cinahl, Pedro, AMED and Web of Science were comprehensively searched till December 2019. Eligibility criteria: Randomised controlled trials (RCTs) of exercise interventions initiated within the first three months after hip fracture to improve physical function, were eligible for inclusion. Primary outcome was physical function assessed using walking ability, walking speed, balance, muscle strength, mobility, and endurance. Data extraction and data synthesis: We conducted subgroup analyses specifically to investigate outcomes of these individual measurements. A meta-analysis was conducted to examine the overall effect of early exercise interventions. A meta-regression was conducted to examine the impact of study characteristic on exercise interventions. We used the PEDro score to determine quality of the included studies. Results: Nine studies (669 patients) were included. Despite high statistical heterogeneity, there was high to moderate quality evidence that exercise provided benefit in improving physical function (standardised mean difference (SMD) 1.07; 95% CI: 0.44 to 1.70; p 0.05). Meta-regression demonstrated no statistically significant association between study characteristics and exercise interventions (p > 0.05). Conclusion: Exercise in the early phase of hip fracture rehabilitation can improve physical function. It remains unclear what type of exercise is superior in the early phase after hip fracture. Limitations: This conclusion should be interpreted with caution given the high statistical heterogeneity reported and non-significant subgroup analyses of specific physical function measures, which were underpowered. Protocol Registration (PROSPERO): CRD42018091135

Recovery and prediction of physical function 1 year following hip fracture

Objectives: To investigate the recovery of physical function, health related quality of life (HRQoL), and pain for people following hip fracture for the initial 12 months, and to examine whether postoperative outcome measures of physical function, HRQoL, and pain can predict physical function at 3 and 12 months. Design: A prospective single-center observational study, as part of the HIPFRAC trial. Settings: One hospital with two associated municipalities in Norway. Subjects: 207 participants with hip fracture included in the study (140 participants transferred to a short-term nursing home placement and 67 transferred directly home at discharge from hospital). Method: Outcome measures were Short Physical Performance Battery (SPPB), Timed Up & Go (TUG), Stair climbing test (SC), Numeric Rating Scale (NRS) for pain at rest and in activity, and EQ-5D-5L index and health score. Data were analysed by repeated measures of variance and multivariate regression analyses. Results: There were statistically significant improvements in physical function (SPPB total score and TUG), NRS-pain in activity, and HRQoL (EQ-5D-5L) from hospital discharge to 3-month follow-up for the whole cohort and the two groups (p < 0.001). However, the largest improvements occurred within the first 3 months. Further statistically significant improvements occurred between 3 and 12 months (p < 0.05). The strongest predictors of physical function at 3 and 12 months post-fracture were physical function (SPPB) at hospital discharge and pre-fracture requirement of a walking aid. Conclusion: The recovery of physical function, HRQoL, and pain in participants after hip fracture indicates gradual improvements during the initial 12-month follow-up, with the largest improvements within the first 3 months

Effect of an additional health professional-led exercise programme on clinical health outcomes after hip fracture

Purpose: To examine the effect of an additional two-week health professional-led functional exercise programme compared to usual care for patients after hip fracture during a short-term nursing home stay directly after hospital discharge. Method: One hundred and forty participants, 65 years or older with hip fracture, admitted to a short-term nursing home stay were randomised to an intervention group or control group. Participants in the intervention group (n= 78) received the experimental programme consisted of functional exercises, performed by health care professionals up to four times a day, seven days a week, in addition to usual care during a two-week short-term nursing home stay. Participants in the control group (n= 62) received usual care alone. Primary outcome was Short Physical Performance Battery (SPPB). Secondary outcomes were Timed Up & Go (TUG), New Mobility Score (NMS), UCLA activity scale, Fall efficacy scale international (FES-I), The EuroQol five dimensionfive-level questionnaire (EQ-5D-5L), and numeric rating scale (NRS) for pain. Outcome measures were assessed after two weeks in a short-term nursing home stay and three months after hip fracture surgery. The activity monitor ActivPal registered activity during the two-week short-term nursing home stay.Results: No statistically significant differences between groups was found in any outcomes after two weeks or three months (p>0.05). There were statistically significant within-group improvements in primary outcome SPPB and in most secondary outcomes at all time points in both groups (p > 0.05). Conclusions: A two-week health professional-led functional exercise programme in addition to usual care demonstrated no difference in clinical outcomes compared to usual care alone up to three months after hip fracture. The patients with hip fracture are fragile and vulnerable in this early phase, and usual physiotherapy may be sufficient to improve their physical function. Trial registration: ClinicalTrials.gov NCT02780076

Volume 42, Number 4, December 2022 OLAC Newsletter

Digitized December 2022 issue of the OLAC Newsletter

Volume 43, Number 1, March 2023 OLAC Newsletter

Digitized March 2023 issue of the OLAC Newsletter

Improving Representation and Access Through Ethical Description (MLA 2023 session)

In pursuit of living the values of equity, diversity, and inclusion, and attempting to minimize harm to underrepresented populations, many individuals and institutions have been investigating ways to incorporate or practice ethical description in their metadata and discovery systems. This session will provide examples in both a general and performing arts context, and allow for discussion and synthesis. To begin the session, panelists will share examples of ways they are practicing or planning ethical description, such as retrospective description of demographics, bilingual description (including original scripts), and finding local solutions for problematic subject headings. Following these snapshot presentations, attendees will discuss in small groups ways they are incorporating or can incorporate ethical description in day-to-day practice. Some topics to guide small group discussions could include balancing creating access with ethical description practice, past or ongoing projects at attendees’ institutions, and how discovery systems impact (or even limit) our ability to create ethical description at present. At the end of the session, speakers will facilitate time for attendees to share out and synthesize discussion points from the small groups