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Improving Accuracy of Vital Signs Capture Using Bedside Computerized Reminders for Nurses — Preliminary Results
Philip J. Kroth
The efficient and reliable capture of vital signs and other bedside data in the non-ICU setting has been a challenging problem for the medical informatics community. The problem is compounded by the complexities associated with storage of this data into an electronic medical record system (EMRS). There are a lack of off-the-shelf solutions that satisfy the basic system requirements of bedside data capture, user authentication, data validation prior to storage, error handling, and convenience. With the current state of technology available, we feel the solution to this problem requires the presence of a PC with custom interface software at the bedside. This allows for the successful interface between available vital signs capture devices, existing EMRSs, and the user. This presentation summarizes the alternatives we found and our proposed solution to this important problem.'
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Provider Stress and Electronic Health Records
Philip J. Kroth
While application of Health Information and Communication Technologies (HICT) has demonstrated significant potential to improve health care and reduced costs, the impact of HICT on health care professionals job satisfaction, productivity, and general wellness is largely unknown. Recent studies suggest that the impact of HICT on clinician stress and burnout may be considerable. Dr. Kroth will present on what is known about clinician stress and burnout that is attributable to the HICT design and outline his currently funded, multi-institutional study to look into this area with scientific rigor.'
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The Process of Evaluating a Cloud-Based ILS
Karen R. McElfresh, Jacob L. Nash, Robyn Gleasner, Victoria B. Rodrigues, and Laura J. Hall
OBJECTIVE: To describe the process our library used to evaluate OCLCs WorldShare Management Services (WMS), a new cloud-based Integrated Library System (ILS), as a potential replacement for our current system. METHODS: After forming an ILS Review Committee consisting of the staff from the library's technical services, circulation, and IT departments, we viewed multiple webinars and demonstrations given by OCLC staff. We also searched the literature for articles and case studies about WMS, and viewed several online presentations given by libraries that have already implemented WMS. We also conducted telephone interviews with librarians from two different libraries that are currently using WMS. RESULTS: WMS offers many advantages over our current system. WMS combines traditional catalog functions with an Electronic Resource Manager (ERM), which will eliminate the need to maintain records in two places. WorldCat Local, the discovery layer of WMS, is much more intuitive to use, which will be a tremendous benefit to our users. Our research into the experiences of other libraries was predominantly positive, and all libraries reported that they were happy with WMS. CONCLUSIONS: OCLC's WorldShare Management Services is truly an integrated system that will allow our library to provide a more modern and seamless search experience to users. In addition, WMS will help us to streamline the processes and workflows for our technical services staff. For these reasons, our library made the decision to purchase WMS, and we anticipate going live in January 2015.'
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The Valmora Industrial Sanatorium: A New Mexico Public Health Story
Jacob L. Nash, Laura J. Hall, Zsofia Szoke, and Gale Hannigan
The Valmora Industrial Sanatorium, located in Watrous, Mora County, New Mexico, was one of many Tuberculosis Sanatoria that sprang up in New Mexico around the turn of the century and represented one of the first Public Health efforts to take root in New Mexico. Valmora offered highly patient focused methods of treatment and integrated health education with leading a healthy lifestyle. Founded in 1909 by Dr. William T. Brown, Valmora was reorganized into a non-profit corporation supported by large businesses back east such as Marshall Fields, Sears & Roebuck, and the Chicago Daily News. This created the opportunity for working people to get effective care for TB that in the past was exclusively available to the wealthy. Valmora evolved over the 20th century from a self-sufficient industrial TB Sanatorium to a community clinic for heart and chest patients, in addition to a base of operations for the medical director., Dr. Carl H. Gellenthien, as he practiced old-fashioned' medicine across the better part of northern New Mexico, from delivering babies to stitching up knife wounds.'
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Traveling Exhibit Practice of Compassion: Celebrating UNM School of Medicine’s Fifty Years of Excellence
Laura J. Hall
This traveling exhibit celebrated the 50th anniversary of the UNM School of Medicine, presenting key milestones in its history and contributions to healthcare in New Mexico. Designed and written by Laura J. Hall, MFA, the exhibit featured eight retractable banners and was displayed at community centers, libraries, healthcare clinics, and hospitals across New Mexico during the anniversary year. August 1, 2014 - June 30, 2015
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A Survey of Medical Schools' Disability Curricula
Ingrid C. Hendrix and Richard M. Kimball
It is a well established problem that people with disabilities (PWD), as with many other groups disadvantaged by social inequities, often receive suboptimal care from health care providers. The root cause of this inequity in care can be traced to a lack of training in dealing with PWD for health care providers. Barriers result from issues of communication, knowledge of resources available, access to clinics/hospitals, difficulty using diagnostic equipment (exam tables, scales, mammography, etc) and attitudes towards PWD. Despite numerous reports outlining this issue and calls to action to address deficiencies in the care of PWD, few medical schools currently address the care of patients with disabilities in their curriculum. This poster provides a survey of disability curricula in medical schools and a summary of their content/approach and effectiveness.
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Partners in Research Literacy: Librarians and Educators
Ingrid C. Hendrix and Sarah Knox Morley
PURPOSE Research literacy requires health sciences students to effectively locate, evaluate, use, and manage evidence-based information. Students in these programs are required to participate in assignments resulting in papers, posters, or publications. Library faculty created a medical school elective in 2006 using the scholarly communication cycle as a framework to teach information/research literacy. After successfully teaching the course for seven years, the librarian instructors adapted the course to provide a continuing education workshop for faculty. The intent of these offerings is to frame the research or information process as broadly as possible in order to delve into the world of information creation and dissemination. METHODS A School of Medicine course elective (Information Survival Skills') was developed and taught by two academic health sciences librarians. The elective, consisting of five session totaling 7.5 contact hours, involves interactive instructional methods to teach specific research literacy skills to 2nd and 3rd year medical students. Course content includes question formulation, database searching, evaluation of resources, and managing information using personal file management software. Evaluation methods comprised a pre/post self-assessment questionnaire to gauge students' knowledge and attitudes about information resources and skill set. In addition, anonymous post-course evaluations were collected by the Office of Undergraduate Medical Education. As a result of faculty feedback from presentations at medical education conferences, the elective was redesigned in 2012 as a faculty development workshop. This continuing education offering was abbreviated (3.5 hours) but contains similar content. RESULTS Since 2006, eighty-four 2nd and 3rd year medical students have completed the elective. In 2012, eighteen health sciences faculty attended 2 workshops. Both the elective and the workshop have consistently received high marks. Based upon qualitative evaluation data, learners in both groups reported high satisfaction with the hands-on format, introduction to and practice with unfamiliar resources, and information management. Final evaluations illustrate students realize the value of the elective in relation to their coursework, clinical and research experiences. Faculty workshop feedback echoed the benefit to themselves as clinicians/researchers and in their role as educators. CONCLUSIONS There is a broad misconception that students are facile in information retrieval and capable of critically evaluating that information. Faculty development opportunities allow educators to become more proficient in their ability to guide students to evidence-based information. Working in partnership with librarians, medical educators can avail themselves of knowledgeable practitioners and teaching partners to incorporate research literacy skills in courses throughout the curricula.'
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The Role of Librarians and Informationists in Disaster Response
Laura Banks, Brian Bunnett, and Richard Carr
The National Library of Medicine (NLM) Disaster Information Management Research Center (DIMRC) website provides a wealth of resources for disaster planning, deployment and reporting. Librarians can play a valuable role in training responders in use of tools such as WISER, CHEMM and REMM.
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Curated Exhibit 100 Years: Celebrating New Mexico's Health
Laura J. Hall
In celebration of New Mexico's centennial year, the 100 Years: Celebrating New Mexico's Health exhibit documented major health advancements and themes from the state's first century of statehood. Curated by Laura J. Hall, MFA, the exhibit was on display from 2012 to 2013 at the UNM Health Sciences Center. It showcased the evolution of public health in New Mexico, from early challenges such as tuberculosis and high infant mortality rates, to modern advances in epidemiology, maternal care, and biomedical research. Accompanied by films, lectures, and weekly stories from the archives, the exhibit highlighted the contributions of health professionals to the state's well-being. October 3, 2012 - August 31, 2013
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Effects of Service Dogs Partnered with People with Mobility Challenges
Terry K. Crowe, Suzanne Perea-Burns, Jessica Salazar Sedillo, Ingrid C. Hendrix, Melissa Winkle, and Jean Deitz
Poster reporting the findings of a study investigating the functional performance and social interaction of individuals paired with service dogs.
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Curated Exhibit: Artistry of Bookplates
Laura J. Hall
The Artistry of Bookplates exhibit, curated by Laura J. Hall, MFA, explored the history and artistic development of bookplates as markers of ownership in books. From early armorial designs to more modern forms influenced by allegorical figures and printing techniques, bookplates have evolved alongside the history of printing. The exhibit featured examples from the Health Sciences Library's general and special collections, as well as reproductions of medical or health-related bookplates. It highlighted the aesthetic and historical significance of bookplates, demonstrating how they reflect both personal ownership and cultural trends. September 7, 2011 - August 30, 2012
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Curated Exhibit: Civil War Medicine
Laura J. Hall
The Civil War Medicine exhibit, curated by Laura J. Hall, MFA, explored the medical practices and challenges faced during the American Civil War. With more than 620,000 deaths, many from disease rather than battlefield injuries, the war presented unprecedented challenges for medical personnel who were often unprepared for the trauma of battle. The exhibit delved into the history of Civil War medicine, including amputations, disease, and the impact of the war on the evolution of American medical practices. The exhibit was on display from October 2011 to August 2012 at the UNM Domenici Center for Health Sciences Education.
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Curated Exhibit Roadside Crosses and Memorials: Photo Essay by Gerald Moore
Laura J. Hall
The Roadside Crosses and Memorials exhibit, curated by Laura J. Hall, MFA, featured a poignant photo essay by New Mexico artist Gerald Moore. The exhibit captured the memorials placed alongside highways and roads in remembrance of those who lost their lives in vehicular accidents. These "descansos," as they are called in New Mexico, represent the places where individuals were last alive, offering a powerful reflection on life, loss, and remembrance. Through photography, Moore documented the varied forms of these memorials, from simple wooden crosses to intricate handmade tributes, capturing both their artistic expression and their deep emotional resonance. April 28, 2011 – July 5, 2012
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Demonstrating an anthropological application of the Economides orthodontic collection: deciduous and permanent tooth size in European and Hispanic Americans
Heather J.H. Edgar, Michael Haueter, Shamsi Daneshvari, Edward Harris, and Philip J. Kroth
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Ancestry Estimation in a Web-based, Searchable Database of Orthodontic Case Files for Patient Care, Education, and Research
Philip J. Kroth, Heather J.H. Edgar, Edward F. Harris, Summers Kalishman, and Shamsi Daneshvari
In 2005, the Maxwell Museum of Anthropology accepted a donation of orthodontic patient records from an orthodontist who has been practicing in the Albuquerque area since the early 1970s. This collection represents a diversity of patients not often encountered in orthodontic training in the United States. A virtual, de-identified, web-based version of a subset of the collection is now being developed. Users can search for cases with particular characteristics of interest (e.g., patient ancestry, extraction patterns, diagnoses, and cephalometric parameters), then review sequential intra-oral and Xray images to observe treatment outcomes. An innovative feature of the database is that it records multiple ancestry estimations, made at multiple points in time by multiple raters, along with a list of ancestry indicators on which the estimations are made (e.g., skin color, hair form and color, facial shape, name, and locality). This poster describes how the database can be used to overcome the limited diversity in the patient populations available to most orthodontics trainees. When this project concludes, the database will contain approximately 400,000 digitized images from 5650 individual cases.'
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A Web-based, Searchable Database of Orthodontic Case Files for Patient Care, Education, and Research
Philip J. Kroth, Heather J.H. Edgar, Edward F. Harris, and Summers Kalishman
In 2005, the Maxwell Museum of Anthropology accepted a donation of 5650 unique orthodontic patient records (treatment records, dental X-rays, dental casts, intra-oral and full facial photographs) from an orthodontists practice in Albuquerque, New Mexico from 1972 through 1999. This collection includes large samples of Hispanic and Native American populations, two groups not often encountered in orthodontic training in the United States or elsewhere. While investigators can use the collection on site at the Museum for approved research, a Web-based, de-identified version of the collection is being developed with input from orthodontics students and faculty from multiple institutions, so the collection can be freely accessed the world over. The database's unique design allows users to search for cases with particular characteristics of interest (e.g., patient ancestry, extraction patterns, diagnoses, and cephalometric parameters) and then review the sequenced intra-oral and X-ray images to observe variations of outcomes from treatments applied to patients with racial and other factors not often encountered in training or practice before.'
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Curated Exhibit: Absolute Poison
Laura J. Hall
The Absolute Poison exhibit, curated by Laura J. Hall, MFA, delved into the fascinating and deadly world of poisons. From the ancient Sumerian goddess Gula, to Shakespeare’s Hamlet, and the infamous cyanide-laced Tylenol case of 1982, poisons have long held a place in our collective imagination. The exhibit explored the history, symbolism, and cultural impact of poisons, featuring materials such as Albrecht Dürer’s Adam and Eve with its skull and crossbones motif symbolizing death. On display from September 2010 to August 2011 at the UNM Domenici Center, the exhibit examined how poisons have shaped narratives of danger and mystery. September 8, 2010 - August 12, 2011
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Integrating Evidence-Based Practice (EBP) knowledge and skills into an undergraduate medical school curriculum
JD Eldredge, T Palley, E Cosgrove, and C Arndell
Medical students at UNM have learned Evidence-Based Practice (EBP) since the 1990s when they experienced an Evidence-Based Medicine Block during their transition to their clinical years. When the block was discontinued in 2002, the same training became integrated throughout the first three years of medical school. This integrated approach produced moderate success mostly because of strong support from curricular leaders and the persistence of a small cadre of faculty members.
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Traveling Exhibit: The Lives They Left Behind: Suitcases from a State Hospital Attic
Laura J. Hall
The Lives They Left Behind: Suitcases from a State Hospital Attic was a traveling exhibit that explored the stories of patients from the Willard Psychiatric Center in New York, whose personal belongings were discovered after the institution closed in 1995. The exhibit highlighted the intersection of mental health, poverty, and systemic failures in care. Through a series of public events including panel discussions on homelessness, health equity, and mental health policy, the exhibit aimed to raise awareness and promote dialogue on mental health issues. Curated locally by Laura J. Hall and funded by the New Mexico Humanities Council, it was held at the Domenici Center for Health Sciences Education, UNM, in February 2 - March 2, 2010.
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Curated Exhibit: Histological Colorations: Explorations into the Human Form
Laura J. Hall
This exhibit showcased mixed-media prints by artist Kathamann, inspired by her experience as a histology technician. The 26 prints, featured in the exhibit, offer colorful and whimsical interpretations of human histological slides, exploring the intricate beauty of the human body at a microscopic level. Curated by Laura J. Hall, MFA, the exhibit was displayed at the Domenici Center for Health Sciences Education. Kathamann’s work reflects both her scientific background and artistic vision, bringing a new perspective to the study of the human form. September 25, 2009 - August 31, 2010
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Curated Exhibit: The Untangling of Diabetes Mellitus: Portraits Through Time
Laura J. Hall
The Untangling of Diabetes Mellitus: Portraits Through Time exhibit, curated by Laura J. Hall, MFA, explored the history and advancements in the treatment of diabetes. With origins dating back to ancient times, the understanding of diabetes has evolved significantly. The exhibit traced the key moments in the discovery and treatment of the disease, highlighting research from UNM's participation in national diabetes studies, including the Diabetes Prevention Program. Special focus was given to the impact of diabetes on minority populations in New Mexico. The exhibit was displayed from October 2009 to August 2010 at the UNM Domenici Center for Health Sciences Education.
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Information Survival Skills: Librarians in Medical Education. Poster presentation at: WGEA 2009 Annual Conf.; 2009 April 18; Santa Fe, NM.
Sarah K. Morley and Ingrid Hendrix
Context: The crisis in scholarly communication and the increased emphasis on evidence-based practice highlight the need for information literate health care professionals. Health sciences librarians play a critical role in raising student awareness of issues related to the evaluation, use, and communication of medical information by healthcare providers. To address this challenge, library faculty members created a medical school elective in 2006 covering these important issues. To date, this course has been taught three semesters. Objectives: Overall course objectives were to: Understand the changing nature of scholarly communication and online publishing; Identify resources and strategies for searching current best evidence; Apply methods for presenting and managing information. Key Message: By using a soup to nuts' approach, 2nd and 3rd year medical students were given the opportunity to become familiar with and understand all facets of the information cycle. The syllabus included sessions on the publication process, the rising cost of medical information leading to alternative publishing models, literature searching, resource management, and presentation. The authors were interested in introducing concepts and strengthening skills that students will use in their future careers as researchers and evidence based practitioners. Conclusion: This course elective provided practical application of evidence-based concepts and skills for students working on research projects or for students in the clerkship phase. Feedback from student participants reiterates the value of providing this type of information and has given us greater insight into optimal placement of topics in the broader school of medicine curriculum.'
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Institutional Repository Access Patterns of Nontraditionally Published Academic Content: What Types of Content are Accessed the Most?
Philip J. Kroth and Holly E. Phillips
TITLE: Institutional Repository Access Patterns of Nontraditionally Published Academic Content: What Types of Content are Accessed the Most? OBJECTIVE: To determine the value of posting nontraditionally published academic content, such as materials supplementary to peer-reviewed publications, poster images, graduate course research papers, and presentation slides to an institutional repository (IR). SETTING: A major, state-run universitys IR that has been operational since 2005 and that is actively supported by the institution's library. METHODS: Using the 'Statistics' functionality of the open-source IR software, DSpace, the monthly access rates were collected and analyzed for the following academic content types: 1) materials supplementary to journal articles published in traditional peer-reviewed journals, 2) slide images from presentations given at national or regional meetings, 3) research papers from a graduate student course in biomedical informatics in a Master of Science in Clinical Research program, and 4) poster images with or without the associated abstracts that were accepted for presentation at national or regional professional meetings. The analysis focused on both the access rates over time as well as comparing overall access rates between content types. RESULTS: The most frequently posted content type was poster images (24 items), followed by slide images (16), papers from the CTSC course (6) and supplementary materials (3). The most accessed content type during the first year after IR posting was supplementary materials to peer reviewed articles, papers from the CTSC informatics course, slide images then poster images. The average first year access rates were similar (from 17.3 to 25.7). After the first year, access rates decreased but did not completely stop. CONCLUSIONS: The average first year access rates were similar across content types, illustrating the utility of using IRs for the posting of nontraditional academic material. This is academic output that would not likely be otherwise captured and made freely available were it not for publication in an IR. Authors should be encouraged to post nontraditional content to IRs because it will likely be accessed for years to come.'
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