Database Maintenance from the Central Catalog to Your Local System

As we start to anticipate next year\u27s ILS Migration, one thing is certain: Clean data will make the migration easier--at the local and consortium levels. This presentation will provide ideas and resources to help institutions start or accelerate database and system maintenance in preparation for migration. Erin Kilkenny will discuss OhioLINK\u27s database maintenance projects in the Central Catalog and highlight resources available via Ostaff. Leigh Duncan will share ideas for streamlining codes and data within your Sierra system

An updated systematic review of stroke clinical practice guidelines to inform aphasia management

Background: Aphasia is a common consequence of stroke, and people who live with this condition experience poor outcomes. Adherence to clinical practice guidelines can promote high-quality service delivery and optimize patient outcomes. However, there are currently no high-quality guidelines specific to post-stroke aphasia management. Aims: To identify and evaluate recommendations from high-quality stroke guidelines that can inform aphasia management. Summary of review: We conducted an updated systematic review in accordance with PRISMA guidelines to identify high-quality clinical guidelines published between January 2015 and October 2022. Primary searches were performed using electronic databases: PubMed, EMBASE, CINAHL, and Web of Science. Gray literature searches were conducted using Google Scholar, guideline databases, and stroke websites. Clinical practice guidelines were evaluated using the Appraisal of Guidelines and Research and Evaluation (AGREE II) tool. Recommendations were extracted from high-quality guidelines (scored \u3e 66.7% on Domain 3: “Rigor of Development”), classified as aphasia-specific or aphasia-related, and categorized into clinical practice areas. Evidence ratings and source citations were assessed, and similar recommendations were grouped. Twenty-three stroke clinical practice guidelines were identified and 9 (39%) met our criteria for rigor of development. From these guidelines, 82 recommendations for aphasia management were extracted: 31 were aphasia-specific, 51 aphasia-related, 67 evidence-based, and 15 consensus-based. Conclusion: More than half of stroke clinical practice guidelines identified did not meet our criteria for rigorous development. We identified 9 high-quality guidelines and 82 recommendations to inform aphasia management. Most recommendations were aphasia-related; aphasia-specific recommendation gaps were identified in three clinical practice areas: “accessing community supports,” “return to work, leisure, driving,” and “interprofessional practice.

Comprehensive quality assessment for aphasia rehabilitation after stroke: Protocol for a multicentre, mixed-methods study

INTRODUCTION: People with aphasia following stroke experience disproportionally poor outcomes, yet there is no comprehensive approach to measuring the quality of aphasia services. The Meaningful Evaluation of Aphasia SeRvicES (MEASuRES) minimum dataset was developed in partnership with people with lived experience of aphasia, clinicians and researchers to address this gap. It comprises sociodemographic characteristics, quality indicators, treatment descriptors and outcome measurement instruments. We present a protocol to pilot the MEASuRES minimum dataset in clinical practice, describe the factors that hinder or support implementation and determine meaningful thresholds of clinical change for core outcome measurement instruments. METHODS AND ANALYSIS: This research aims to deliver a comprehensive quality assessment toolkit for poststroke aphasia services in four studies. A multicentre pilot study (study 1) will test the administration of the MEASuRES minimum dataset within five Australian health services. An embedded mixed-methods process evaluation (study 2) will evaluate the performance of the minimum dataset and explore its clinical applicability. A consensus study (study 3) will establish consumer-informed thresholds of meaningful change on core aphasia outcome constructs, which will then be used to establish minimal important change values for corresponding core outcome measurement instruments (study 4). ETHICS AND DISSEMINATION: Studies 1 and 2 have been registered with the Australian and New Zealand Clinical Trial Registry (ACTRN12623001313628). Ethics approval has been obtained from the Royal Brisbane and Women\u27s Hospital (HREC/2023/MNHB/95293) and The University of Queensland (2022/HE001946 and 2023/HE001175). Study findings will be disseminated through peer-reviewed publications, conference presentations and engagement with relevant stakeholders including healthcare providers, policy-makers, stroke and rehabilitation audit and clinical quality registry custodians, consumer support organisations, and individuals with aphasia and their families

Q&A (LIVE): “About” is What It’s About! The State of Subject Access

Q&A session for \u27About\u27 is What It’s About! The State of Subject Access. Moderator: Erin Kilkenn

Database Maintenance from the Central Catalog to Your Local System

As we start to anticipate next year\u27s ILS Migration, one thing is certain: Clean data will make the migration easier--at the local and consortium levels. This presentation will provide ideas and resources to help institutions start or accelerate database and system maintenance in preparation for migration. Erin Kilkenny will discuss OhioLINK\u27s database maintenance projects in the Central Catalog and highlight resources available via Ostaff. Leigh Duncan will share ideas for streamlining codes and data within your Sierra system

Tongue suspension suture for obstructive sleep apnea patients

Obstructive sleep apnea (OSA) is a sleep disorder that causes frequent pauses of breathing during an individual’s sleep cycle due to an obstruction of the airway. OSA is a prevalent condition affecting every 1 in 5 adults in the United States over the age of 30.1 Current treatment options include surgical treatments such as tongue suspension, where sutures are inserted into the base of the tongue and then adjusted and tethered to the mandible with the aid of bone screws. This allows the tongue to be suspended to open the airway. Although this method has proven to be an effective and permanent fix for OSA, there are some potential areas of improvement that can be made to the current method regarding the elasticity, migration, adjustability, and removal of the suture. To address these areas, our design project focuses on the design and manufacture of an elastic, self-adjusting silicone tongue suspension suture. Our final design selection of a “Notch Method” aids in eliminating migration of the suture and eliminates the need to attach the suture to the mandible. We created our low cost silicone suture in bulk using a mechanical roller, a heated press, and a vinyl cutter. Biocompatibility testing shows that the suture does not cause complications. Tensile testing showed that the suture had desired elasticity and ductility, while displacement testing confirmed that the suture would be comfortable during everyday movements. Inserting the suture through a pig tongue also confirmed what suture dimensions could feasibly be implanted and then tightened into position within the tongue. With these results, along with future mechanical testing and the presentation of our new proposal design to an E.N.T. surgeon for feedback, our new OSA treatment will be one step closer to being a product on the medical market

OhioLINK’s OCLC MARC Record Quality Tracking Project

OhioLINK catalogs Springer and Wiley ebooks on behalf of its members using enhanced OCLC provided records. Since OCLC’s transition to the WorldShare platform for record delivery, OhioLINK noticed a severe reduction in quality of OCLC provided Springer records. To understand the full extent of the issue, OhioLINK, after discussing the issue with OCLC and Springer, tracked OCLC WorldShare Springer and Wiley records to determine if records are upgraded to national standards and redelivered in a timely manner. This presentation will outline the findings of the project and summarize how the flow of metadata through the publishing process has an effect on cataloging. This presentation will also review workflow updates made by OhioLINK, OCLC, and Springer after working together for several years to ensure better metadata and record quality for the community

Q&A (LIVE): OhioLINK’s OCLC MARC Record Quality Tracking Project

Live Q&A sessio for OhioLINK’s OCLC MARC Record Quality Tracking Project. Moderator: David Procházk

A phase II multicentered, single-blind, randomized, controlled trial of the stroke self-management program

Background and Purpose&mdash;The benefits of chronic disease self-management programs for stroke survivors are uncertain because individuals with severe impairments have been excluded from previous research. We undertook a phase II randomized controlled trial to determine whether a self-management program designed for survivors (SSMP; 8 weeks) was safe and feasible compared to standard care (control) or a generic self-management program (generic; 6 weeks).Methods&mdash;Stroke survivors were recruited from 7 South Australian hospitals via a letter or indirectly (eg, newspapers). Eligible participants were randomized at a 1:1:1 ratio of 50 per group. Primary outcomes were recruitment, participation, and participant safety. Secondary outcomes were positive and active engagement in life using the Health Education Impact Questionnaire and characteristics of quality of life and mood at 6 months from program completion.Results&mdash;Of 315 people screened, 149 were eligible and 143 were randomized (48 SSMP, 47 generic, 48 control); mean age was 69 years (SD, 11) and 59% were female. Demographic features were similar between groups and 41% had severe cognitive impairment; 57% accessed the interventions, with 52% SSMP and 38% generic completing &gt;50% of sessions (P=0.18). Thirty-two participants reported adverse events (7 control, 12 generic, 13 SSMP; P=0.3; 34% severe); however, none was attributable to the interventions. Potential benefits for improved mood were found.Conclusions&mdash;SSMP was safe and feasible. Benefits of the stroke-specific program over the generic program included greater participation and completion rates. An efficacy trial is warranted given the forecast growth in the stroke population and improved survival trends.<br /