Who uses open access research? evidence from the use of US national academies reports

A fundamental principle of open access is that publication technology enables the widest possible audience for research findings. However, the extent to which open research is used outside of academia is often underexplored. Drawing on a dataset covering over a million user comments about their use of US National Academies consensus study reports, Ameet Doshi, Diana Hicks, Matteo Zullo and Omar I. Asensio find widespread use of open research in the public sphere

Reducing library-related stress holistically

I find it surprising how much of our lives we spend holding our breath. Something as fundamentally and biologically necessary as breathing becomes interrupted when faced with a constant deluge of meetings, scheduling, difficult reference questions, more meetings, and, of course, e-mail. Yet in the midst of this daily torrent of information, I sense an immediate relaxation when I do something as simple and normal as breathing. Deep breathing is a holistic act in that it positively affects the whole body, mind and soul. I will share other practical, holistic strategies that I use to help manage stress in my daily role as an academic reference librarian

Use of corticosteroids for adult chronic pain interventions: sympathetic and peripheral nerve blocks, trigger point injections - guidelines from the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, the American Society of Interventional Pain Physicians, the International Pain and Spine Intervention Society, and the North American Spine Society

BackgroundThere is potential for adverse events from corticosteroid injections, including increase in blood glucose, decrease in bone mineral density and suppression of the hypothalamic-pituitary axis. Published studies note that doses lower than those commonly injected provide similar benefit.MethodsDevelopment of the practice guideline was approved by the Board of Directors of American Society of Regional Anesthesia and Pain Medicine with several other societies agreeing to participate. The scope of guidelines was agreed on to include safety of the injection technique (landmark-guided, ultrasound or radiology-aided injections); effect of the addition of the corticosteroid on the efficacy of the injectate (local anesthetic or saline); and adverse events related to the injection. Based on preliminary discussions, it was decided to structure the topics into three separate guidelines as follows: (1) sympathetic, peripheral nerve blocks and trigger point injections; (2) joints; and (3) neuraxial, facet, sacroiliac joints and related topics (vaccine and anticoagulants). Experts were assigned topics to perform a comprehensive review of the literature and to draft statements and recommendations, which were refined and voted for consensus (≥75% agreement) using a modified Delphi process. The United States Preventive Services Task Force grading of evidence and strength of recommendation was followed.ResultsThis guideline deals with the use and safety of corticosteroid injections for sympathetic, peripheral nerve blocks and trigger point injections for adult chronic pain conditions. All the statements and recommendations were approved by all participants after four rounds of discussion. The Practice Guidelines Committees and Board of Directors of the participating societies also approved all the statements and recommendations. The safety of some procedures, including stellate blocks, lower extremity peripheral nerve blocks and some sites of trigger point injections, is improved by imaging guidance. The addition of non-particulate corticosteroid to the local anesthetic is beneficial in cluster headaches but not in other types of headaches. Corticosteroid may provide additional benefit in transverse abdominal plane blocks and ilioinguinal/iliohypogastric nerve blocks in postherniorrhaphy pain but there is no evidence for pudendal nerve blocks. There is minimal benefit for the use of corticosteroids in trigger point injections.ConclusionsIn this practice guideline, we provided recommendations on the use of corticosteroids in sympathetic blocks, peripheral nerve blocks, and trigger point injections to assist clinicians in making informed decisions

PANC Study (Pancreatitis: A National Cohort Study): national cohort study examining the first 30 days from presentation of acute pancreatitis in the UK

Abstract Background Acute pancreatitis is a common, yet complex, emergency surgical presentation. Multiple guidelines exist and management can vary significantly. The aim of this first UK, multicentre, prospective cohort study was to assess the variation in management of acute pancreatitis to guide resource planning and optimize treatment. Methods All patients aged greater than or equal to 18 years presenting with acute pancreatitis, as per the Atlanta criteria, from March to April 2021 were eligible for inclusion and followed up for 30 days. Anonymized data were uploaded to a secure electronic database in line with local governance approvals. Results A total of 113 hospitals contributed data on 2580 patients, with an equal sex distribution and a mean age of 57 years. The aetiology was gallstones in 50.6 per cent, with idiopathic the next most common (22.4 per cent). In addition to the 7.6 per cent with a diagnosis of chronic pancreatitis, 20.1 per cent of patients had a previous episode of acute pancreatitis. One in 20 patients were classed as having severe pancreatitis, as per the Atlanta criteria. The overall mortality rate was 2.3 per cent at 30 days, but rose to one in three in the severe group. Predictors of death included male sex, increased age, and frailty; previous acute pancreatitis and gallstones as aetiologies were protective. Smoking status and body mass index did not affect death. Conclusion Most patients presenting with acute pancreatitis have a mild, self-limiting disease. Rates of patients with idiopathic pancreatitis are high. Recurrent attacks of pancreatitis are common, but are likely to have reduced risk of death on subsequent admissions. </jats:sec

Tapping into the User Experience: Simple Techniques to Learn about User Library Needs

Presented at the Access Services Conference 2010, November 10 - 12, 2010, Georgia Institute of Technology, Georgia Tech Global Learning Center, Atlanta, Georgia.Many libraries do not possess the resources to implement large-scale survey tools such as LibQUAL. However, it is still possible to assess user needs within a budget. During this presentation, Ameet will discuss simple techniques to engage your users and learn about their likes, dislikes and desires regarding library services and resources.Georgia Institute of Technology Library and Information Center; Georgia State University Library; Georgia Gwinnett College Library; Generation Fifth Application

Longitudinal Assessment of “User-Driven” Library Commons Spaces

<b>Objective</b> – To conduct a longitudinal assessment of library spaces at the Georgia Tech Library and to determine the satisfaction of students with the most recent commons renovation. The library has completed three commons area renovations. The Library West Commons (LWC) opened in 2002 with an individual productivity lab, multimedia studio, and presentation rehearsal studio, while the Library East Commons (LEC) and the 2nd floor West Commons (2 West) opened in 2006 and 2009, respectively, with flexible, user-centered environments designed to promote collaborative activities. This analysis focuses on the renovated collaborative spaces, while also investigating and commenting on how renovation impacts usage of other spaces in the library.<br><b>Methods</b> – Usage of all library spaces was measured during one-week periods in Fall 2008 and Spring 2010. Observations were made of each student floor in the library at four times during the day; measures included space utilization by groups, group sizes, and laptop utilization. In addition, a qualitative instrument was administered during Spring 2010 to 103 students using the 2 West Commons space to confirm whether the renovation met their needs. <br><b>Results</b> – Overall, there was a 64.5% increase in group utilization of the library from 2008 to 2010, driven primarily by the 2 West renovation. The greatest concentration of group usage was in the LEC and 2 West, though the number of groups using the LEC declined. Laptop use in the 2 West commons more than doubled (33.6% to 70.5%), and laptop use in the entire library increased from 40.5% to 49.0%. In the qualitative survey, scores ranged between 4.0 and 5.0 on a 5-point scale for items regarding four design themes for the 2 West renovation: power/data, lighting, aesthetics, and the creation of a “defined yet open” space.<br><b>Conclusion</b> – Findings suggest that the 2 West Commons is attracting more students and groups following its renovation, that it is attracting students and groups away from the previously renovated LEC, and that overall usage of the library increased subsequent to the 2 West renovation

Problem-based Learning at Georgia Tech

This podcast introduces listeners to the concept of Problem-Based Learning (PBL) and how this pedagogical technique has been applied at Georgia Tech. The primary focus is the use of PBL in an undergraduate neuroethics course taught during fall 2013