Duke University Medical Center Library Research Articles

Scaling the Library Resources with Zscaler

More and more institutions and universities are implementing security measures to prevent wide-spread cyberattacks. When institutions initiate new security applications, the library is often overlooked. Libraries have complex ecosystems where multiple applications and systems converge with user data and online library resources. These ecosystems have various considerations including multi-factor authentication, proxies, multiple virtual private networks (VPNs), knowledgebases, and vendor inconsistencies. Duke University Health recently launched data security software called Zscaler, which prevented on-campus users from accessing the library e-resources. This presentation describes how Duke University Medical Center Library staff discovered the access issue and tested various workarounds to allow patrons to access library e-resources. The discussion covered how staff continue to work with Duke University Health IT security staff and university administration to find resolutions for the complex integration of security software with the library’s online resources.

ACRL candidates for 2020: A look at who’s running

Lynn Silipigni Connaway is the director of library trends and user research at OCLC Research, a position she has held since 2018. Prior to this, Connaway served as senior research scientist and director of user research (2016-18), senior research scientist (2007-16), and consulting research scientist III (2003-07), all at OCLC Research. She was vice-president of research and library systems at NetLibrary (1999-2003), and director and associate clinical professor of the Library and Information Services Department at the University of Denver (1995-99). She served as assistant professor in the School of Library and Informational Science at the University of Missouri (1993-95), and as head of technical services and cataloging at Mesa State College Library (1984-89).Julie Garrison is dean of university libraries at Western Michigan University, a position she has held since 2016. Prior to this, Garrison served as associate dean, research and instructional services at Grand Valley State University Libraries (2009-16); director of off-campus library services at Central Michigan University (2003-07); and as assistant/associate director of public services at Duke University Medical Center Library (2000-02).

Now on Display: Lessons Learned from Building a Small Exhibits Program

In 2012, the Duke University Medical Center Library and Archives (DUMCL&A) began the process of establishing a small exhibits program. This article examines the challenges of learning how to create exhibits, identifying and selecting materials for display, and documenting policies and procedures with the goal of demonstrating that even small organizations with limited resources, funding, or experience can create compelling, attractive exhibits.

Quality of the Development of Traumatic Brain Injury Clinical Practice Guidelines: A Systematic Review.

Traumatic brain injury (TBI) is a leading cause of death worldwide and is increasing exponentially particularly in low and middle income countries (LMIC). To inform the development of a standard Clinical Practice Guideline (CPG) for the acute management of TBI that can be implemented specifically for limited resource settings, we conducted a systematic review to identify and assess the quality of all currently available CPGs on acute TBI using the AGREE II instrument. In accordance with PRISMA guidelines, from April 2013 to December 2015 we searched MEDLINE, EMBASE, Google Scholar and the Duke University Medical Center Library Guidelines for peer-reviewed published Clinical Practice Guidelines on the acute management of TBI (less than 24 hours), for any level of traumatic brain injury in both high and low income settings. A comprehensive reference and citation analysis was performed. CPGs found were assessed using the AGREE II instrument by five independent reviewers and scores were aggregated and reported in percentage of total possible score. An initial 2742 articles were evaluated with an additional 98 articles from the citation and reference analysis, yielding 273 full texts examined. A total of 24 final CPGs were included, of which 23 were from high income countries (HIC) and 1 from LMIC. Based on the AGREE II instrument, the best score on overall assessment was 100.0 for the CPG from the National Institute for Health and Clinical Excellence (NIHCE, 2007), followed by the New Zealand Guidelines Group (NZ, 2006) and the National Clinical Guideline (SIGN, 2009) both with a score of 96.7. The CPG from a LMIC had lower scores than CPGs from higher income settings. Our study identified and evaluated 24 CPGs with the highest scores in clarity and presentation, scope and purpose, and rigor of development. Most of these CPGs were developed in HICs, with limited applicability or utility for resource limited settings. Stakeholder involvement, Applicability, and Editorial independence remain weak and insufficiently described specifically with piloting, addressing potential costs and implementation barriers, and auditing for quality improvement.

Systematic review of character development and childhood chronic illness.

To review empirical evidence on character development among youth with chronic illnesses. A systematic literature review was conducted using PubMed and PSYCHINFO from inception until November 2013 to find quantitative studies that measured character strengths among youth with chronic illnesses. Inclusion criteria were limited to English language studies examining constructs of character development among adolescents or young adults aged 13-24 years with a childhood-onset chronic medical condition. A librarian at Duke University Medical Center Library assisted with the development of the mesh search term. Two researchers independently reviewed relevant titles (n = 549), then abstracts (n = 45), and finally manuscripts (n = 3). There is a lack of empirical research on character development and childhood-onset chronic medical conditions. Three studies were identified that used different measures of character based on moral themes. One study examined moral reasoning among deaf adolescents using Kohlberg's Moral Judgement Instrument; another, investigated moral values of adolescent cancer survivors with the Values In Action Classification of Strengths. A third study evaluated moral behavior among young adult survivors of burn injury utilizing the Tennessee Self-Concept, 2(nd) edition. The studies observed that youth with chronic conditions reasoned at less advanced stages and had a lower moral self-concept compared to referent populations, but that they did differ on character virtues and strengths when matched with healthy peers for age, sex, and race/ethnicity. Yet, generalizations could not be drawn regarding character development of youth with chronic medical conditions because the studies were too divergent from each other and biased from study design limitations. Future empirical studies should learn from the strengths and weaknesses of the existing literature on character development among youth with chronic medical conditions.

Sweeping It All Away: A Case Study in the Elimination of an On-Site Journal Collection

Libraries are increasingly becoming service points rather than custodians of physical books and journals. At Duke University Medical Center Library & Archives, we came to realize that the space used to house our bound print journals could be used more effectively as student study space. We undertook a comprehensive review of our entire journal collection, both on site and off site. Various criteria, including patterns of usage, overlap, perpetual access, and rarity, were used to determine if we could eliminate or relocate our entire in-house journal collection. By doing this we created a spacious, convenient, and heavily utilized study space for our patrons.

Going Green: One Library's Journey Toward Sustainability

The Duke University Medical Center Library created and implemented a sustainability plan as a way of contributing to the University's institutional goal of becoming carbon neutral by 2024. An internal working group coordinated efforts to implement more environmentally friendly practices, create awareness of the importance of this project, and obtain staff buy-in. As a result, the Library was awarded the University's Green Workplace certification. This article will share not only the process for implementing sustainability initiatives, but will also detail some practices that other libraries can achieve.

When the library is located in prime real estate: a case study on the loss of space from the Duke University Medical Center Library and Archives

The Duke University Medical Center Library and Archives is located in the heart of the Duke Medicine campus, surrounded by Duke Hospital, ambulatory clinics, and numerous research facilities. Its location is considered prime real estate, given its adjacency to patient care, research, and educational activities. In 2005, the Duke University Library Space Planning Committee had recommended creating a learning center in the library that would support a variety of educational activities. However, the health system needed to convert the library's top floor into office space to make way for expansion of the hospital and cancer center. The library had only five months to plan the storage and consolidation of its journal and book collections, while working with the facilities design office and architect on the replacement of key user spaces on the top floor. Library staff worked together to develop plans for storing, weeding, and consolidating the collections and provided input into renovation plans for users spaces on its mezzanine level. The library lost 15,238 square feet (29%) of its net assignable square footage and a total of 16,897 (30%) gross square feet. This included 50% of the total space allotted to collections and over 15% of user spaces. The top-floor space now houses offices for Duke Medicine oncology faculty and staff. By storing a large portion of its collection off-site, the library was able to remove more stacks on the remaining stack level and convert them to user spaces, a long-term goal for the library. Additional space on the mezzanine level had to be converted to replace lost study and conference room spaces. While this project did not match the recommended space plans for the library, it underscored the need for the library to think creatively about the future of its facility and to work toward a more cohesive master plan.

PubMed Instruction for Medical Students: Searching for a Better Way

In 2007, Duke University Medical Center Library instituted an interactive, online PubMed tutorial and quiz for medical students to replace an in-person lecture. This article describes the events leading to this educational paradigm shift and how the tutorial was implemented. Important concerns in the switch to an online approach to PubMed training were student satisfaction and the extent to which searching skills would improve. To determine the effectiveness of the online model, two years of student quizzes and evaluations were examined. Results indicate that students benefit from and appreciate the interactive tutorial.

A Collaborative Collection of Off-Site Foreign Language Health Sciences Journals

Although still recognized as valuable, there is reluctance to assign prime library space to older and less frequently used books and journals. The Health Sciences Library at the University of North Carolina at Chapel Hill and the Duke University Medical Center Library responded by proposing to merge and place their foreign language medical journals into a single off-site facility. The project is seen not as merely a storage program, but will include full cataloging access, collection development opportunities, and improved delivery of materials to students, staff, faculty and researchers around the world.

Dealing with Journal Cuts — When the Sky's Not the Limit

In response to a journal budget cut of more than 30%, the Duke University Medical Center Library devised a multifaceted approach to meet the challenge of sharply reduced funding. The availability of electronic format added considerable complexity to the process and impacted the budget as well. In some cases, e-content offered cost savings, but in many others, it presented even higher costs. Major discussion points include surveying library users, developing a comprehensive database of criteria for a thorough review, engaging faculty in the review process, weighing the pros and cons of electronic access, and implementing a wide-ranging publicity campaign.

The LibQUAL+(™) Challenge

In March 2002, the Duke University Medical Center Library administered the LibQUAL+(™) survey instrument, which measures library users' perceptions of service quality and identifies gaps between desired, perceived, and minimum expectations of service. This case study represents the Library's decisions regarding participants, approaches used to reach them, problems encountered with the survey, and the results of the data for the health care community. We will also explore how including hospital staff in the survey impacted our results.

Queer Physiognomies; Or, How Many Ways Can We Do the History of Sexuality?

An anthropological pamphlet from 1934 features a series of photographs and illustrations that had become common to the genre of "scientific" pictorial display in the early twentieth century: images of naked tribal women, transvestism, bearded women, Siamese twins, female homosexuality, and dwarfism, to name just a few. The pamphlet proclaims its "500 authentic racial-esoteric" images to be "after the originals from scientific explorations, field studies and museum archives" and has as its aim the documenting of "racial peculiarities," "fetishism," "aberrations and perversions," "freaks and other abnormalities," along with "the erotic life of savage and civilized races of mankind" (see figs. 1 and 2). By the time of this pamphlet's appearance, the publication in America of George Gould and Walter Pyle's Anomalies and Curiosities of Medicine (1896) had already made available the country's most famous human aberrations, and the practice of the "freak photograph" had become an established tradition. Photographer Matthew Brady, eminent for his images of Civil War soldiers and their war-torn bodies, ran a studio in New York City's Bowery where he gained another kind of notoriety for his portraits of Tom Thumb, Chang and Eng, the Fiji Cannibals, and other human oddities. Not only thought to be scientifically useful but also in actuality hugely popular, these photographs illustrate what Henry James has called an "American scene"—a world preoccupied with observation, supervision, and the intrigues of a new technology. That fin de siècle rite of being photographed—in family portraits, medical studies, cabinet cards, and cartes de visite—inaugurated what would become, and remains, a resounding interest in the contours of the visible body. Remarkable about these curiosities is the chain of connection they produce among a range of bodies designated odd and peculiar. This chain generates a kind of categorical promiscuity that blurs any readily decipherable intention or purpose that we might expect from a scientific treatise. In the [End Page 71] Click for larger view Figure 1 "A Private Anthropological Cabinet of 500 Authentic Racial-Esoteric Photographs and Illustrations, . . . arranged by . . . Robert Meadows" (1934), plates 360-63. Property of Duke University Medical Center Library, History of Medicine Collections, Durham, N.C. By permission of Duke University Medical Center Library.

Supporting PDAs: the experience of a health sciences library

This paper discusses the Duke University Medical Center Library’s experience in supporting the use of mobile technology. Over the past several years, the library contributed to the formation of a mobile technology infrastructure through surveys, organization of information sharing events, and the development and review of medical center wide proposals and reports.

Planning, Implementing, and Using a Virtual Reference Service

Virtual reference (VR) can be a successful vehicle for libraries if there is a demonstrated need by the user base for such a service and if the library staff believes in, accepts, and plans thoroughly for the concept. This article focuses on the experiences of the Duke University Medical Center Library (DUMCL) in planning, implementing, and using a virtual reference service utilizing LSSI's Virtual Reference Desk (VRD) Software.

Julie V Hansen and Suzanne Porter, The physician's art: representations of art and medicine, Durham, NC, Duke University Medical Center Library and Duke University Museum of Art, 1999, pp. 141, illus., £37.00 (hardback 0-9672946-0-6), £19.95 (paperback 0-9672946-1-4).

Julie V Hansen and Suzanne Porter, The physician's art: representations of art and medicine, Durham, NC, Duke University Medical Center Library and Duke University Museum of Art, 1999, pp. 141, illus., £37.00 (hardback 0-9672946-0-6), £19.95 (paperback 0-9672946-1-4).