Patron-Driven Acquisition Optimization and Workflows at Liberty University Jerry Falwell Library

In the spring of 2010, the Liberty University Jerry Falwell Library began a pilot patron-driven acquisition program with the e-book aggregator ebrary. In the fall of 2012, the program had been active for two years, and the librarians sought to optimize the program in the form of selecting more titles which are used. This paper describes the formula that the librarians used to achieve optimization in the PDA program. Also described is the workflow involved with acquisitions and cataloging before and after the purchases are made

Serious Savings With Short‐Term Loans

The Liberty University Jerry Falwell Library serves a student body of over 100,000 students, most of whom are enrolled in online programs. By necessity the library prioritizes electronic resources, and in recent years, it has begun to invest more heavily into e‐books. In spring 2010 the library adopted a patron‐driven acquisition (PDA) program with ebrary in an effort to better support the needs of the online students. The program was very successful, but as patrons became more comfortable with e‐books and the online student population increased, costs also rose dramatically. In addition, the library had implemented an evidencebased method for additions to the patron‐driven acquisition selection pool in fall 2012. This strategy added to the higher costs involved in running the program. In order to control the expenses in light of limited funds, the library decided to pilot short‐term loans (STLs) in fall 2013. The pilot was very successful and resulted in significant cost avoidance. In fall 2014 the library included STLs as a standard fund in the budget. In the summer of 2014, however, STL prices were raised by some publishers, so the cost‐effectiveness will need to be monitored

Creative Ways to Support Student Scholarship

Encouraging and supporting student scholarship is an area of growing emphasis in higher education (NMC Horizon Report: 2014 Library Edition). In 2014 the Liberty University Jerry Falwell Library Scholarly Communications Librarian and assistant created a plan for raising awareness and participation in using the Digital Commons to capture scholarship campus-wide. In the midst of this campaign, opportunities for innovation arose. Using knowledge of best practices, serendipitous opportunities, and a little courage, this small staff began to reshape the Digital Commons from solely an institutional repository for ETDs and faculty publications to a space for highlighting non-traditional scholarship, student journals and award-winning student work. This development included piloting an experimental in-class journal and initiating collaboration with the Graduate and Undergraduate Research Symposia. Attendees will learn: Value of using networking with faculty to identify prospective roles the Digital Commons could play in supporting student scholarship Innovative strategies for structuring student journals using processes that encourage and facilitate faculty interest “Ready, fire, aim” – the value of calculated risk in preventing unnecessary hurdles to maximizing opportunities Effective methods for serving over 100,000 students and faculty with a minimal staf

An Evaluation of Food Insecurity & Health Behavior among Rural Community Supported Agriculture (CSA) Participants

Introduction. Access to healthy foods is a major barrier for individuals achieving a healthy diet. The literature reveals several investigations into causes of food insecurity, but few focus on Community Supported Agriculture (CSA) programs that attempt to address food insecurity and related health behaviors of participants.https://scholarworks.uvm.edu/comphp_gallery/1199/thumbnail.jp

Naltrexone Implant for Opioid Use Disorder

The continued rise in the availability of illicit opioids and opioid-related deaths in the United States has left physicians, researchers, and lawmakers desperate for solutions to this ongoing epidemic. The research into therapeutic options for the treatment of opioid use disorder (OUD) began with the introduction of methadone in the 1960s. The approval of oral naltrexone initially showed much promise, as the drug was observed to be highly potent in antagonizing the effects of opioids while producing no opioid agonist effects of its own and having a favorable side effect profile. Patients that routinely take their naltrexone reported fewer days of heroin use and had more negative drug tests than those without treatment. Poor outcomes in OUD patients treated with naltrexone have been directly tied to short treatment time. Studies have shown that naltrexone given orally vs. as an implant at the 6-month interval showed a higher non-compliance rate among those who used oral medications at the 6-month mark and a slower return to use rate. There were concerns that naltrexone could possibly worsen negative symptoms seen in opiate use disorder related to blockade of endogenous opioids that are important for pleasurable stimuli. Studies have shown that naltrexone demonstrated no increase in levels of anxiety, depression and anhedonia in participants and another study found that those treated with naltrexone had a significant reduction in mental health-related hospitalizations. The latter study also concluded that there was no increased risk for mental health-related incidents in patients taking naltrexone via a long-acting implant. Although not yet FDA approved in the United States, naltrexone implant has shown promising results in Europe and Australia and may provide a novel treatment option for opioid addiction

Diabetes Is Associated with Cerebrovascular but not Alzheimer\u27s Disease Neuropathology

INTRODUCTION: The relationship of diabetes to specific neuropathologic causes of dementia is incompletely understood. METHODS: We used logistic regression to evaluate the association between diabetes and infarcts, Braak neurofibrillary tangle stage, and neuritic plaque score in 2365 autopsied persons. In a subset of \u3e1300 persons with available cognitive data, we examined the association between diabetes and cognition using Poisson regression. RESULTS: Diabetes increased odds of brain infarcts (odds ratio [OR] = 1.57, P \u3c .0001), specifically lacunes (OR = 1.71, P \u3c .0001), but not Alzheimer\u27s disease neuropathology. Diabetes plus infarcts was associated with lower cognitive scores at end of life than infarcts or diabetes alone, and diabetes plus high level of Alzheimer\u27s neuropathologic changes was associated with lower mini-mental state examination scores than the pathology alone. DISCUSSION: This study supports the conclusions that diabetes increases the risk of cerebrovascular but not Alzheimer\u27s disease pathology, and at least some of diabetes\u27 relationship to cognitive impairment may be modified by neuropathology