No Room at the Inn: How We Dealt with Reallocation of Library Spaces

As part of his vision for a more student-oriented campus, in Fall 2017, our new provost began projects to reallocate some of the square footage in the library for classrooms, student services such as the writing center, and a café. To make way for this reallocation, the project also included the closure of the curriculum library housed in another building. These projects coupled with a relatively short time frame created an interesting set of challenges for the library administration and staff, including rethinking collections and work spaces for the library. As leaders in this effort, the presenters will discuss how we faced these challenges and freed the space to implement these projects

Getting on the Same Page: The Importance of IR Documentation

In this panel presentation, the speakers will discuss the importance of documenting workflow and processes when establishing and expanding an IR. The three panelists; one an IR Manager, one a Cataloger, and one a Systems Librarian, will each explore how lack of turnover documentation impacted their work on the IR and each librarian will highlight how they are working to implement a comprehensive and collaborative living document. This documentation will include important IR information including items such as controlled vocabulary choices, metadata harvesting, policies, and more. The panel will open the floor to questions and comments so others will have the opportunity to share and learn

Getting on the Same Page: The Importance of IR Documentation

In this panel presentation, the speakers will discuss the importance of documenting workflow and processes when establishing and expanding an IR. The three panelists; one an IR Manager, one a Cataloger, and one a Systems Librarian, will each explore how lack of turnover documentation impacted their work on the IR and each librarian will highlight how they are working to implement a comprehensive and collaborative living document. This documentation will include important IR information including items such as controlled vocabulary choices, metadata harvesting, policies, and more. The panel will open the floor to questions and comments so others will have the opportunity to share and learn

Management of endophthalmitis while preserving the uninvolved crystalline lens

The purpose of this work is to report on the management of endophthalmitis in phakic eyes in which the crystalline lens was preserved. The current study is a noncomparative consecutive case series of patients who developed culture-proven endophthalmitis and were treated between January 1995 and June 2009. The study included only phakic patients whose infection was managed without removal of the crystalline lens. Using a computerized search of Microbiology Department records, patients were identified with phakic lens status and clinically diagnosed endophthalmitis. A total of 12 phakic eyes from 11 patients met the study criteria. The etiology of infection was endogenous (n = 6), postoperative (n = 5), and post-traumatic (n = 1). Pars plana vitrectomy and injection of intravitreal antimicrobials was performed in seven eyes (58%), and vitreous tap and injection of antimicrobials was performed in five eyes (42%). All eyes showed progression of lens opacification after treatment. Overall, nine (75%) achieved visual acuity outcomes ≥20/80, including five of seven (71%) eyes treated with vitrectomy and four of five eyes (80%) treated with injection of antibiotics alone. One of seven eyes (14%) treated with vitrectomy had a poor visual outcome (defined as <20/400) compared with one of five (20%) eyes treated with intravitreal antimicrobials alone. During follow-up, all 12 eyes had progression of lens opacification and five of 12 (42%) eyes underwent cataract surgery with posterior chamber intraocular lens placement. In phakic patients, successful treatment of endophthalmitis can be achieved while preserving the uninvolved crystalline lens. Future cataract surgery with posterior chamber intraocular lens placement can be accomplished in many of these patients

Coordinating OER Efforts Across a Mid-Sized College Campus

In 2018, the University of North Alabama (UNA) began to formalize its efforts to promote the use, creation, and adaptation of sustainable open educational resources (OER) on campus. UNA’s strategic plan for 2019-2024, Roaring with Excellence, aspires to have some form of OER integrated into at least half of all academic programs at the university. Following the lead of the Alabama Commission on Higher Education (ACHE), which had begun promoting OER statewide, the university was eager to assess the knowledge and use of OER on campus and to provide training and education to faculty to encourage the enhanced understanding and adoption of OER. A three-person informal working group formed on the university’s campus at the behest of the university president and provost. The make-up of the group included a scholarly communications librarian, a cataloging librarian serving as interim university librarian, and the director of the university’s Educational Technology Services (ETS). This paper details how the working group began to create a sustainable culture of OER on the university’s campus

Retinal Detachment Repair in a Patient With Active Zika Virus Infection

A patient had successful retinal detachment repair during the active phase of serologically confirmed Zika virus infection. To the best of our knowledge, this is the first case documenting a necessary vitreoretinal surgery in a patient with active Zika disease. As more traveling and domestic patients become infected, data on surgical management during active Zika viremia may prove useful. </jats:p

Endophthalmitis After Clear Corneal Cataract Surgery: Outcomes Over Two Decades

To report the clinical features, causative organisms, and visual acuity (VA) outcomes associated with acute-onset endophthalmitis after clear corneal cataract surgery over the past 2 decades. Retrospective case series. Clinical and microbiology records were reviewed for 63 eyes of 63 patients who presented to a tertiary referral center between 2006 and 2015 with culture-positive endophthalmitis occurring within 6 weeks of clear corneal cataract surgery. The mean time between surgery and diagnosis of endophthalmitis was 8 days (median 6 days). The initial treatment included intravitreal vancomycin and ceftazidime in 59 of 63 (94%) eyes and intravitreal vancomycin and amikacin in 4 of 63 (6%) eyes. Intravitreal dexamethasone was used in 50 of 63 (79%) eyes. A vitreous tap and injection with antibiotics was performed as the initial treatment in 57 of 63 (90%) eyes and pars plana vitrectomy in 6 of 63 (10%) eyes. Coagulase-negative Staphylococcus was isolated in 39 of 63 (62%) eyes, Staphylococcus aureus in 7 of 63 (11%) eyes, and Streptococcus species in 7 of 63 (11%) eyes. A VA of ≥20/40 was achieved in 24 of 63 (38%) eyes. None of the gram-positive isolates were vancomycin resistant. Twenty-four of 49 isolates (49%) were sensitive to cephalothin, cefazolin, and cefuroxime. Sensitivity to fluoroquinolones included 22 of 52 (42%) to levofloxacin, 20 of 54 (37%) to ciprofloxacin, 16 of 47 (34%) to moxifloxacin, and 3 of 13 (23%) to gatifloxacin. Causative organisms and visual outcomes are similar to those reported in the prior decade. In the current study, a number of isolates were resistant to cephalosporins and fluoroquinolones