Next Steps in Discovery Implementation: User‐Centered Discovery System Redesign

This paper will discuss a discovery system redesign project at the University of Houston Libraries, and in particular the Discovery Redesign Team’s collaborative, user‐centered approach. Throughout the redesign process, the team collected information about the needs and expectations of internal and external users regarding the Library’s discovery system. The team worked with two internal working groups to gather and evaluate the collected information. The results of this evaluation were used to make user‐centered design decisions. The Discovery Redesign Team worked with the Discovery Advisory Group, made up of library employees from various departments, to seek feedback and suggestions throughout the redesign process. Working collaboratively with this Group informed design decisions made by the team while also generating buy‐in for the discovery redesign. The team worked with the Discovery Usability Group to collect information from end‐users to inform the Team’s design decisions. The Committee held focus groups with the Library Information Desk staff to learn how the discovery system was serving users, and where it was falling short; they conducted usability tests with students to find out where users were experiencing breakdowns while completing common tasks. The methodologies and findings of the team’s various activities will be discussed. Changes to system interfaces affect both internal and external users. The University of Houston’s discovery system redesign is an example of a successful, user‐centered, collaborative design project

Tabs and Tabulations: Results of a Transaction Log Analysis of a Tabbed-Search Interface

The following study analyzes user search behavior using a tabbedsearch interface. For this study, a transaction log was used to collect information about user searches and included tab used; search terms; date, time, and location of search (on campus or off campus); as well as a unique ID to identify the user session and another ID to identify each transaction. This article explains the process for examining 4,300 search queries conducted on the library homepage during an academic semester and presents findings from the analysis. The article also details enhancements that were made to the tabbed-search interface as a result of the transaction log analysis. Additionally, the article discusses the merits of using a transaction log as a method of ongoing assessment of a library Web site’s search interface

Searching for keV Sterile Neutrino Dark Matter with X-ray Microcalorimeter Sounding Rockets

High-resolution X-ray spectrometers onboard suborbital sounding rockets can search for dark matter candidates that produce X-ray lines, such as decaying keV-scale sterile neutrinos. Even with exposure times and effective areas far smaller than XMM-Newton and Chandra observations, high-resolution, wide field-of-view observations with sounding rockets have competitive sensitivity to decaying sterile neutrinos. We analyze a subset of the 2011 observation by the X-ray Quantum Calorimeter instrument centered on Galactic coordinates l = 165, b = -5 with an effective exposure of 106 seconds, obtaining a limit on the sterile neutrino mixing angle of sin^2(2 theta) < 7.2e-10 at 95% CL for a 7 keV neutrino. Better sensitivity at the level of sin^2(2 theta) ~ 2.1e-11 at 95\% CL for a 7 keV neutrino is achievable with future 300-second observations of the galactic center by the Micro-X instrument, providing a definitive test of the sterile neutrino interpretation of the reported 3.56 keV excess from galaxy clusters.Comment: 13 pages, 13 figures, submitted to Ap

BMQ

BMQ: Boston Medical Quarterly was published from 1950-1966 by the Boston University School of Medicine and the Massachusetts Memorial Hospitals. Pages 49-52, v17n2, provided courtesy of Howard Gotlieb Archival Research Center

Telehealth and Mobile Health Applied To IntegratedBehavioral Care: OpportunitiesFor Progress In New Hampshire

This paper is an accompanying document to a webinar delivered on May 16, 2017, for the New Hampshire Citizens Health Initiative (Initiative). As integrated behavioral health efforts in New Hampshire gain traction, clinicians, administrators, payers, and policy makers are looking for additional efficiencies in delivering high quality healthcare. Telehealth and mobile health (mHealth) have the opportunity to help achieve this while delivering a robust, empowered patient experience. The promise of video-based technology was first made in 1964 as Bell Telephone shared its Picturephone® with the world. This was the first device with audio and video delivered in an integrated technology platform. Fast-forward to today with Skype, FaceTime, and webinar tools being ubiquitous in our personal and business lives, but often slow to be adopted in the delivery of medicine. Combining technology-savvy consumers with New Hampshire’s high rate of electronic health record (EHR) technology adoption, a fairly robust telecommunications infrastructure, and a predominately rural setting, there is strong foundation for telehealth and mHealth expansion in New Hampshire’s integrated health continuum

“Don’t Label Them as Addicts!” Student Pharmacists’ Views on the Stigma Associated with Opioid use Disorder

Background: Student pharmacists represent an important potential population for targeted educational interventions focused on skill and confidence development in order to improve interactions with opioid users and to decrease stigma. The objective of this study was to understand student pharmacists’ perceptions of opioid users. Methods: Focus groups were conducted with student pharmacists across Tennessee over two months in 2020. Concepts from the Transtheoretical Mode, Social Cognitive Theory, stigma, and results from a survey sent to student pharmacists were used to develop the open-ended questions. Thematic analysis was conducted to inductively identify main themes. The recruitment of student pharmacists continued until thematic saturation was obtained. Results: Three focus groups were conducted with a total of 16 student pharmacists in second, third, and fourth professional years. Thematic analysis revealed two themes: Don’t label them as addicts, Student Insight into OUD-Associated Stigma and five sub-themes: developing a judgment-free environment; unconscious bias; a possible connection between physical appearance and addiction; socio-cultural factors, addiction, and isolation; and motivators to decrease stigma. This study not only presents the pharmacy students experiences and their significance, but also reports their recommendations for addressing the stigma associated with OUD in the pharmacy curriculum. Conclusions: These findings highlight the need to normalize appropriate language when describing patients with OUD and avoid negative labels such as “addict.” The findings also indicate where the roots of stigma lie and provide some of the tools to fight stigma on different fronts. Future research should explore and address potential implicit biases throughout pharmacy curriculum

Complications from Surgeries Related to Ovarian Cancer Screening

The aim of this study was to evaluate complications of surgical intervention for participants in the Kentucky Ovarian Cancer Screening Program and compare results to those of the Prostate, Lung, Colorectal and Ovarian Cancer Screening trial. A retrospective database review included 657 patients who underwent surgery for a positive screen in the Kentucky Ovarian Cancer Screening Program from 1988–2014. Data were abstracted from operative reports, discharge summaries, and office notes for 406 patients. Another 142 patients with incomplete records were interviewed by phone. Complete information was available for 548 patients. Complications were graded using the Clavien–Dindo (C–D) Classification of Surgical Complications and considered minor if assigned Grade I (any deviation from normal course, minor medications) or Grade II (other pharmacological treatment, blood transfusion). C–D Grade III complications (those requiring surgical, endoscopic, or radiologic intervention) and C–D Grade IV complications (those which are life threatening) were considered “major”. Statistical analysis was performed using SAS 9.4 software. Complications were documented in 54/548 (10%) subjects. For women with malignancy, 17/90 (19%) had complications compared to 37/458 (8%) with benign pathology (p \u3c 0.003). For non-cancer surgery, obesity was associated with increased complications (p = 0.0028). Fifty patients had minor complications classified as C–D Grade II or less. Three of 4 patients with Grade IV complications had malignancy (p \u3c 0.0004). In the Prostate, Lung, Colorectal and Ovarian Cancer Screening trial, 212 women had surgery for ovarian malignancy, and 95 had at least one complication (45%). Of the 1080 women with non-cancer surgery, 163 had at least one complication (15%). Compared to the Prostate, Lung, Colorectal and Ovarian Cancer Screening trial, the Kentucky Ovarian Cancer Screening Program had significantly fewer complications from both cancer and non-cancer surgery (p \u3c 0.0001 and p = 0.002, respectively). Complications resulting from surgery performed as a result of the Kentucky Ovarian Cancer Screening Program were infrequent and significantly fewer than reported in the Prostate, Lung, Colorectal and Ovarian Cancer Screening trial. Complications were mostly minor (93%) and were more common in cancer versus non-cancer surgery

Kepler Monitoring of an L Dwarf I. The Photometric Period and White Light Flares

We report on the results of fifteen months of monitoring the nearby field L1 dwarf WISEP J190648.47+401106.8 (W1906+40) with the Kepler mission. Supporting observations with the Karl G. Jansky Very Large Array and Gemini North telescope reveal that the L dwarf is magnetically active, with quiescent radio and variable Hα emission. A preliminary trigonometric parallax shows that W1906+40 is at a distance of 16.35+0.36 −0.34 pc, and all observations are consistent with W1906+40 being an old disk star just above the hydrogen-burning limit. The star shows photometric variability with a period of 8.9 hours and an amplitude of 1.5%, with a consistent phase throughout the year. We infer a radius of 0.92 ± 0.07RJ and sin i > 0.57 from the observed period, luminosity (10−3.67±0.03L⊙), effective temperature (2300 ± 75K) , and v sin i (11.2 ± 2.2 km s−1 ). The light curve may be modeled with a single large, high latitude dark spot. Unlike many L-type brown dwarfs, there is no evidence of other variations at the & 2% level, either non-periodic or transient periodic, that mask the underlying rotation period. We suggest that the long-lived surface features may be due to starspots, but the possibility of cloud variations cannot be ruled out without further multi-wavelength observations. During the Gemini spectroscopy, we observed the most powerful flare ever seen on an L dwarf, with an estimated energy of ∼ 1.6 × 1032 ergs in white light emission. Using the Kepler data, we identify similar flares and estimate that white light flares with optical/ultraviolet energies of 1031 ergs or more occur on W1906+40 as often as 1-2 times per month.Astronom