Electronic Mailing Lists Research Articles

Checking Out Our Workspaces: An Analysis of Negative Work Environment and Burnout Utilizing the Negative Acts Questionnaire and the Copenhagen Burnout Inventory for Academic Librarians

Objective – This study explored the prevalence of and relationship between bullying and burnout among academic librarians. The authors sought to examine three main factors contributing to negative workplace environment caused by bullying and incivility: (1) the employment characteristics of respondents (i.e., tenured, non-tenure track, and others), (2) librarianship as a second (or third) career, and (3) generational differences. Methods – The researchers administered a survey via professional electronic mailing lists in early spring 2023. Librarians over the age of 18 who hold a Masters of Library Science (MLS) or equivalent degree and were employed in an academic library at the time of taking the survey were eligible to participate. The Negative Acts Questionnaire-Revised (NAQ-R) was used to measure workplace bullying, and the Copenhagen Burnout Inventory (CBI) was used to measure workplace burnout. Survey results were analyzed using RStudio. Results – The responses (n = 267) showed the average bullying score was relatively low (M = 1.57, SD = 0.52), and the average burnout score was middling (M = 45.68, SD = 17.87). The correlation between the two scores was mild (r = 0.5, < 0.001). ANOVAs found no significant difference between NAQ-R scores due to employment type (tenured, non-tenure track, and others; F(6, 260) = 0.711, p = 0.641), duration of employment (F(5, 261) = 0.482, p = 0.79), career number (F(4, 262) = 0.585, p = 0.674), or generational identity (F(5, 261) = 0.0969, p = 0.627). ANOVAs found no significant difference between CBI scores due to employment type (F(6, 260) = 1.566, p = 0.157), duration of employment (F(5, 261) = 1.911, p = 0.0929), career number (F(4, 262) = 1.398, p = 0.235), or generational identity (F(5, 261) = 1.511, p = 0.187). Conclusion – Low to moderate levels of both bullying and burnout were found among academic librarians, but the correlation between the two phenomena was mild. No significant difference was found between employment characteristics, career progression (second or third career), or generational identity and the degree of bullying or burnout experienced. This lack of difference was contrary to researcher predictions and opens the door for further research and understanding of both bullying and burnout among academic librarians.

Current practices in the nutrition management of people with amyotrophic lateral sclerosis (ALS): a survey of U.S. ALS care teams

Objective To assess current practices of U.S. professionals providing outpatient ALS nutrition care. Methods A cross-sectional survey assessing nutrition care practices was distributed in February/March 2023 through electronic mailing lists of relevant professional organizations. Results Of the 87 professionals completing the survey, 85.1% were registered dietitians and 50.6% had five or fewer years of experience in ALS care. Many (44.2%) professionals reported receiving no training on the nutrition care of people with ALS (PALS), and 40.2% reported having no other ALS dietitians in their close network. Methods utilized to estimate calorie and protein requirements in PALS varied widely. Although 95.4% of respondents reported that their clinic’s dietitian participates in feeding tube discussions, many practitioners may be waiting until ALS symptoms negatively impact PALS’ breathing, eating, swallowing, or weight to begin discussing feeding tubes. Additionally, few professionals reported institutional practices conducive for refeeding syndrome prevention or monitoring. Conclusions Many professionals providing outpatient nutrition care to PALS possess limited experience, received insufficient training, and are not connected to other ALS dietitians. Specific nutrition care practices, including nutrient need estimation, vary widely among health professionals. Practices surrounding feeding tube discussions and refeeding syndrome may be suboptimal at many institutions. These findings highlight the need for initiatives that educate and connect practitioners providing nutrition care to PALS.

Healthcare practitioners’ experiences and perspectives of music in perinatal care in Ireland: An exploratory survey

IntroductionEvidence shows that music can promote the wellbeing of women and infants in the perinatal period. Ireland's National Maternity Strategy (2016–2026) suggests a holistic approach to woman's healthcare needs and music interventions are ideally placed as a non-pharmacological and cost-effective intervention to improve the quality of care offered to women and infants. This cross-sectional survey aimed to explore the healthcare practitioners’ personal and professional experiences of using music therapeutically and its impact and barriers in practice. The survey also investigated practitioners’ knowledge and attitudes towards the use of music as a therapeutic tool in perinatal care. MethodsA novel online survey was developed and distributed through healthcare practitioners’ electronic mailing lists, social media, Perinatal Mental Health staff App, and posters at the regional maternity hospital during 26th June and 26th October 2020. Survey items included demographics, personal and professional use of music, and perspectives on music intervention in perinatal care. ResultsForty-six healthcare practitioners from across 11 professions were recruited and 42 were included in this study. 98 % of perinatal practitioners used music intentionally to support their wellbeing and 75 % referred to using music in their work. While 90 % found music beneficial in their practice, 15 % reported some negative effect. Around two-thirds of the respondents were familiar with the evidence on music and perinatal wellbeing and 95 % thought there was not enough guidance. 40 % considered music therapy an evidence-based practice and 81 % saw a role for music therapy in standard maternity service in Ireland. The qualitative feedback on how music was used personally and professionally, its’ reported benefits, negative effects, and barriers are discussed. DiscussionThis study offers insights into how healthcare practitioners viewed and applied music in perinatal practice. The findings indicate high interest and positive experiences in using music as a therapeutic tool in perinatal care which highlights the need for more evidence and guidance.

Health Fatalism Does Not Predict Body Mass Index but Is Associated with Diet Quality in Healthy Adults: A Cross-Sectional Study

Objective Obesity as assessed by body mass index (BMI) is associated with increased risk of chronic disease. Health fatalism, defined as the belief that health outcomes are outside of one’s control, is also associated with chronic disease risk. The purpose of this cross-sectional study was to understand the relationship between health fatalism and BMI in healthy adults. Secondary outcomes assessed the relationships between health fatalism and diet quality and health fatalism and physical activity. Method Healthy individuals aged 18 to 65 years were recruited via ResearchMatch, electronic mailing lists, and social media. Participants completed online questionnaires on demographic characteristics, diet quality, physical activity, and degree of health fatalism. Regression models were used to assess the primary and secondary outcomes. For the primary outcome, the model of health fatalism (predictor) and BMI (outcome) was also adjusted for diet quality, physical activity, and demographic characteristics. Results Participants (n = 496) were 38.7 ± 14.3 years old and primarily female (76%) and White (81%), with a BMI of 25.1 ± 5.2 kg/m2. Most participants had a college or post-college education (74%), stated that they always had sufficient income to live comfortably (90%), and were moderately to highly active (91%). There was no relationship between health fatalism and BMI (p > 0.05) or health fatalism and physical activity (p > 0.05); however, there was a significant relationship between health fatalism and diet quality (beta coefficient: −0.046; 95% confidence interval, −0.086 to −0.0058; p = 0.025), such that a higher degree of fatalism predicted a slight decrease in diet quality. Conclusions Although health fatalism did not predict BMI in this population, fatalistic beliefs were associated with poorer diet quality.

Childbearing, Infertility, and Career Trajectories Among Women in Medicine

Although women are increasingly represented within medicine, gender disparities persist in time to promotion, achievement of academic rank, and appointment to leadership positions, with no narrowing of this gap over time. Career-specific fertility and family building challenges among women physicians may contribute to ongoing disparities and academic attrition. To evaluate delayed childbearing and infertility among women in medicine and investigate the extent to which women physicians may alter career trajectories to accommodate family building and parenthood. This survey study was conducted among women physicians, with surveys distributed through medical society electronic mailing lists (listserves) and social media from March to August 2022. Baseline demographic information and fertility knowledge were assessed. Descriptive data on delayed childbearing, infertility, use of assisted reproductive technology, and career alterations to accommodate parenthood were collected. Factors associated with timing of pregnancy and family building regret were assessed using Likert-type scales. Group differences in fertility knowledge, delayed childbearing, infertility, and family building regret were evaluated using χ2 analyses. A total of 1056 cisgender women (mean [SD] age, 38.3 [7.7] years) were surveyed across level of training (714 attending physicians [67.6%] and 283 residents or fellows [26.8%]), specialty (408 surgical [38.6%] and 638 nonsurgical [60.4%] specialties), and practice setting (323 academic [45.2%], 263 private [24.9%], and 222 community [21.0%] settings). Among respondents, 1036 individuals [98.1%] resided in the US. Overall, 910 respondents (86.2%) were married or partnered and 690 respondents (65.3%) had children. While 824 physicians (78.0%) correctly identified the age of precipitous fertility decline, 798 individuals (75.6%) reported delaying family building and 389 individuals (36.8%) had experienced infertility. Concerning measures taken to accommodate childbearing or parenthood, 199 women (28.8%) said they had taken extended leave, 171 women (24.8%) said they had chosen a different specialty, 325 women (47.1%) said they had reduced their work hours, 171women (24.8%) said they had changed their practice setting, and 326 women (47.2%) said they had passed up opportunities for career advancement among those with children. Additionally, 30 women with children (4.3%) had left medicine entirely. In this survey study, women physicians reported that career-related pressures influenced the timing of childbearing and led to marked alterations to career trajectories to accommodate family building and parenthood. These findings suggest that fertility and family building concerns among women in medicine may contribute to ongoing gender disparities and attrition and represent a potentially critical area for policy reform and future change.

Health Sciences Librarianship's Status as a Profession Is Unclear, According to Its Members

A Review of: Koenig, R. A., Rodriguez, V. A., & Sima, A. P. (2021). Attitudinal attributes of professionalism in health sciences librarians. Journal of Library Administration, 61(1), 1–20. https://doi.org/10.1080/01930826.2020.1845544 Objective – To determine health sciences librarians' attitudes toward professionalism and to examine relationships between professionalism attributes and participant characteristics as defined by the Richard H. Hall Professionalism Inventory. Design – Cross-sectional online survey using the Richard H. Hall Professionalism Inventory. Setting – Electronic mailing lists of the Medical Library Association (MLA), the Association of Academic Health Sciences Libraries (AAHSL), the Association of College and Research Libraries (ACRL) Health Sciences Interest Group, and the Canadian Health Libraries Association (CHLA). Subjects – There were 430 participants. Methods – The online survey, created in REDCap, was distributed electronically across multiple mailing lists during June and July of 2019. Quantitative analysis included descriptive statistics and ANOVA conducted in R with reliability determined by Cronbach's alpha. Main Results – Professionalism scores for health sciences librarians were lowest in public service and self-regulation, and highest in professional organization as referent, autonomy, and sense of calling. Individuals with a degree in health sciences scored lower on a sense of calling than individuals with Library and Information Science (LIS) degrees. Faculty benefits such as tenure decreased sense of calling. There were statistically significant differences according to role (e.g., archives, administration). Subject specialty librarians had lower scores in most attributes. Conclusion – Health sciences librarianship does not clearly meet the criteria of a profession. Its heterogeneity of specializations and receptiveness to diverse backgrounds and perspectives are possible threats to its ability to create a cohesive identity. Further, duties that can be considered non-library work appear to correlate with lower professionalism scores, even when they are associated with faculty status.

FATAL GASTRIC DILATATION AND VOLVULUS IN THREE CAPTIVE JUVENILE LINNAEUS'S TWO-TOED SLOTHS (CHOLOEPUS DIDACTYLUS).

Linnaeus's two-toed sloth (Choloepus didactylus) is one of two extant neotropical species of the family Megalonychidae. Despite their being commonly kept under managed care, the digestive physiology of sloths remains poorly understood. Gastrointestinal disease has been reported as a primary or contributing cause of morbidity and mortality in captive two-toed and three-toed (Bradypus spp.) sloths. Gastric dilatation due to gas accumulation ("bloat") has been reported in sloths; however, a literature search failed to yield any published mention of gastric volvulus in any sloth species. Following an inquiry sent to the electronic mailing lists of the American Association of Zoo Veterinarians, the European Association of Zoo and Wildlife Veterinarians, and the LatinVets community, three cases of fatal gastric dilatation and volvulus (GDV) were identified in one male and two female Linnaeus's two-toed sloths from institutions in the United States, Canada, and Germany. All cases occurred in juvenile sloths <1 yr of age. Two animals were primarily hand reared, whereas one was reared primarily by its dam. Two animals were found dead with no overt premonitory signs, whereas one animal died following a 3-wk course of waxing and waning clinical signs consistent with gastric gas accumulation. In all cases, GDV was diagnosed on postmortem examination. Similar to other species, the condition is likely subsequent to a combination of host- and husbandry-related contributing factors. Further research into sloth husbandry is required in order to take an evidence-based approach to their management.

Changes in the Library Landscape Regarding Visible Minority Librarians in Canada

Objective – As a follow-up to the first 2013 survey, the Visible Minority Librarians of Canada (ViMLoC) network conducted its second comprehensive survey in 2021. The 2021 survey gathered detailed information about the demography, education, and employment of visible minority librarians (VMLs) working in Canadian institutions. Data from the 2021 survey and the analysis presented in this paper help us better understand the current library landscape, presented alongside findings from the 2013 survey. The research results will be helpful for professional associations and library administrators to develop initiatives to support VMLs. Methods – Researchers created online survey questionnaires using Qualtrics XM in English and translated them into French. We distributed the survey invitation through relevant library association electronic mail lists and posted on ViMLoC’s website, social networking platforms, and through their electronic mail list. The survey asked if the participant was a visible minority librarian. If the response was “No,” the survey closed. Respondents indicating "Yes" were asked 36 personal and professional questions of three types: multiple-choice, yes/no, and open-ended questions. Results – One hundred and sixty-two VMLs completed the 2021 survey. Chinese remained the largest ethnic identity, but their proportion in the survey decreased from 36% in 2013 to 24% in 2021. 65% were aged between 26 and 45 years old. More than half received their library degree during the 2010s. 89% completed their library degree in Canada, a 5% increase from 2013. The majority of librarians had graduated from University of Toronto (25%), followed closely by University of British Columbia (23%), and Western University (22%). Only 3% received their library degree from a library school outside North America. 34% of librarians earned a second master’s degree and 5% had a PhD. 60% of librarians had less than 11 years of experience. Nearly half worked in academic libraries. Most were located in Ontario and British Columbia. 69% of librarians were in non-management positions with 5% being senior administrators. 25% reported a salary above $100,000. In terms of job categories, the largest group worked in Reference/Information Services (45%), followed by Instruction Services (32%), and as Liaison Librarians (31%). Those working in Acquisitions/Collection Development saw the biggest jump from 1% in 2013 to 28% in 2021. 58% of librarians sought mentoring support, of whom 54% participated in formal mentorship programs, and 48% had a visible minority mentor. Conclusion – 35% more VMLs responded to the 2021 survey compared to the 2013 survey. Changes occurred in ethnic identity, generation, where VMLs earned a Master of Library and Information Science (MLIS) or equivalent degree, library type, geographic location, and job responsibilities. The 2021 survey also explored other aspects of the VMLs not covered in the 2013 survey, such as librarian experience, salary, management positions, and mentorship experience. The findings suggested that the professional associations and library administrators would need collaborative efforts to support VMLs.

The Causes and Consequences of Low Morale Amongst Public Librarians

A Review of:Kendrick, K. D. (2020). The public librarian low-morale experience: A qualitative study. Partnership: The Canadian Journal of Library and Information Practice and Research, 15(2), 1-32. http://doi.org/10.21083/partnership.v15i2.5932 Objective – To understand if, how, and within what parameters, librarians working in public libraries experience low morale. Design – Semi-structured interview, phenomenology Setting – Public libraries in Canada and the United States Subjects – Participants (N = 20) were credentialed librarians who worked or had worked in a public library, and who experienced low morale due to their work. Methods – Invitations were distributed to 10 electronic mailing lists. Purposive sampling was used to select the participants -- they represented librarians with a range of experience, working within a variety of specialties. The researcher received informed consent and the participants completed a short survey in order to collect demographic data before taking part in semi-structured interviews. The interviews were transcribed and coded, after which data were analyzed and thematic clusters identified. Main results – Various types of abuse, either performed by library users (ex. physical and verbal abuse), or by colleagues/managers/administrators (ex. emotional abuse, system abuse, and negligence) were revealed to cause low morale in public librarians. Data show that the participants' responses to the abuse influenced their affective, cognitive, and physiological well-being, as well as professional expectations and trajectories. This study identified three low morale impact factors and seven enabling systems that were unique to public librarians when compared to academic librarians. The unique impact factors are: personal safety, resilience narratives, and social contexts. The enabling systems are: organizational structure, library workplace culture, on-demand relocation, policies, training, equity, diversity, and inclusion (EDI), and politics. Conclusion – This study builds on the literature and provides additional evidence on the prevalence of low morale in LIS workplaces. The data show that there are similarities in the causes and consequences of low morale in the workplace amongst public librarians and their academic counterparts. Understaffing, mission creep, and working with underserved and marginalized communities all play a part in the morale of public librarians. Low morale negatively affects public librarians’ mental and physical health, as well as their professional outlook and trajectory. The author makes a case for comprehensive leadership training for public library management, as well as the presence of people with different expertise (such as social workers and first responders) in public libraries. Additionally, the author suggests the need for further research on topics that came up in this study.

A Mismatched Group of Items That I Would Not Find Particularly Interesting: Challenges and Opportunities with Digital Exhibits and Collections Labels

Objective – The authors sought to identify link language that is user-friendly and sufficiently disambiguates between a digital collection and digital exhibit platform for users from a R1 institution, or a university with high research activity and doctoral programs as classified in the Carnegie Classification of Institutions of Higher Education. Methods – The authors distributed two online surveys using a modified open card sort and reverse-category test via university electronic mailing lists to undergraduate and graduate students to learn what language they would use to identify groups of items and to test their understanding of link labels that point to digitized cultural heritage items. Results – Our study uncovered that the link terms utilized by cultural heritage institutions are not uniformly understood by our users. Terms that are frequently used interchangeably (i.e., Digital Collections, Digital Project, and Digital Exhibit) can be too generic to be meaningful for different user groups. Conclusion – Because the link terms utilized by cultural heritage institutions were not uniformly understood by our users, the most user-friendly way to link to these resources is to use the term we—librarians, curators, and archivists—think is most accurate as the link text based on our professional knowledge and provide a brief description of what each site contains in order to provide necessary context.

National Email Communication Platforms May Indicate or Contribute to Gender Disparities: Preliminary Analysis of an Academic Medicine Listserv.

Background: Gender disparities are well documented in the academic medicine literature and have been shown to impact representation, rank, and leadership opportunities for women. Social media platforms, including electronic mailing lists (listservs), may contribute to disparities by differentially highlighting or promoting individuals' work in academic and public health settings. Because of this, they provide a record by which to assess the presence of gender disparities; therefore, they become tools to identify gender differences in the frequency or pattern of representation. This study examines the representation of women in academic medicine electronic communications by analyzing weekly email listserv announcements of the American Association of Medical Colleges (AAMC). Materials and Methods: A mixed methods approach was used to analyze listserv communications during two time periods, 2012-2014 and 2018-2019. Each email contained multiple announcements. Individual achievement messages were selected, categorized by gender, and coded with one of three action categories: departures, appointments, and other mentions. Additionally, each notice was coded by professional setting (media, professional organizations, medical school/research, health care systems, public health, and government). Results: We analyzed a total of 5701 announcements in the AAMC communication listserv. Men represented 73.2% (N = 4171) and women 26.8% (N = 1530) of the total announcements. During 2012-2014, 24.0% of announcements were about women, while in the 2018-2019 sample, 35.7% of announcements were about women (p < 0.001). Overall, women were underrepresented in departure-focused messages compared to messages with an appointment or other focus in the sample. The prevalence of women in announcements from the 2012-2014 and 2018-2019 samples also varied based on setting. Conclusions: Findings support the presence of gender disparities in these sets of listserv communications. While social media overall is not considered to be a source of complete information, this study analyzed the same listserv communication by the same organization over the entire period, thereby providing a window into the frequency and type of representation of women's professional activity in academic medicine.

The Effects of Counterproductive Workplace Behaviors on Academic LIS Professionals’ Health and Well-Being

Objective – This study seeks to investigate the degree of counterproductive workplace behaviors (CWB) experienced by library and information science (LIS) professionals and how these behaviors contribute to physical, mental, and chronic health outcomes. While health outcomes may be present independent of CWB, this study seeks to explore the relationship between the two to provide context to the growing incidence of burnout among academic LIS professionals. Methods – This quantitative study analyzed 327 responses to a survey about colleague behavior and health sent to LIS professionals through library community electronic mailing lists. The survey contained demographic questions, questions about CWB, questions about health experiences, and questions about the perceived relationship between work and health. Counterproductive workplace behaviors were rated on a seven-point Likert scale. A behavior score was calculated by adding the Likert values of the 12 behavior questions. This score was used when comparisons about CWB were compared by demographics and health responses. Statistical analysis of survey results was performed using RStudio. Results – The mean total behavior score was 39. 107 respondents’ total behavior scores fell in the low range, 202 in the moderate range, and 18 in the high range. There was no significant relationship found between demographic factors and behavior score. A negative relationship was observed between duration of employment in an academic library and presence of mental health issues (F(5, 310) = 10.114, p = 5.5e-09). A similar relationship was observed between duration of employment in the respondents’ current library and presence of mental health issues (F(5, 311) = 9.748, p = 1.15e-08). Level of CWB experienced was found to have a relationship with the perceived ability to maintain good mental (F(2, 324) = 36.34, p = 5.75e-15), physical (F(2, 324) = 23.82, p = 2.24e-10), and chronic health (F(2, 323) = 13.04, p = 3.57e-06). Generally speaking, lower levels of CWB were associated with fewer challenges maintaining health. Conclusion – Low to moderate levels of CWB are common in academic libraries. These behavior levels are associated with an increase in health challenges. LIS professionals perceive work as being a factor that contributes to having trouble maintaining good mental and physical health and toward successfully managing chronic health conditions. Further study is needed to determine the degree to which experiencing CWB in the workplace affects health. Further study is also needed to determine if certain behaviors impact health outcomes more than others.

Clinicians' Perspectives of Treatment for Lateralization Errors: A Quantitative and Qualitative Study.

This mixed-methods study aimed to obtain information regarding speech-language pathologists' (SLPs) perspectives about treatment of lateralization errors (LEs), challenges to implementing evidence-based LE treatment practice, and the sources SLPs' use to find evidence to treat LEs. This information can assist our understanding of ways to facilitate the uptake of evidence-based practice into the everyday treatment of clients with this disorder. A convergent parallel mixed-methods design was used to collect data from SLPs (N = 214) using 24 questions from an online survey distributed through electronic mailing lists and Speech and Hearing State Associations. Quantitative data were analyzed using frequencies and averages; themes and subthemes of qualitative data were analyzed using a content analysis approach with no a priori codes. Quantitative and qualitative results were compared and integrated. Participants believed that LEs required individualized treatment before the age of 5 years, were largely caused by structural and neuromuscular factors, and required an understanding of orofacial and dental structure and function. Challenges to implementing LE treatment included a lack of skills and knowledge specific to LEs, competing demands on clinicians' time and resources, and a research-practice gap. Sources of evidence frequently used to obtain information about LE treatment were colleagues, trainings, workshops, and American Speech-Language-Hearing Association journals. Clinicians believe that LE treatment is challenging and requires skill training. Future research in LEs will need to consider the real-world decisions clinicians must make when treating this disorder as well as clinicians' everyday constraints and challenges.

Nailfold capillaroscopy: a survey of current UK practice and 'next steps' to increase uptake among rheumatologists.

To identify barriers to the use of nailfold capillaroscopy as a diagnostic tool for patients presenting with Raynaud's phenomenon in UK rheumatology centres and to obtain rheumatologists' views on a proposed internet-based standardized system for clinical reporting of nailfold capillaroscopy images. An online survey was developed using expert opinion from clinicians, scientists and health service researchers. The survey was piloted and sent to UK-based rheumatologists using established electronic mailing lists between October 2020 and March 2021. Survey data were analysed using descriptive statistics. A total of 104 rheumatologists representing rheumatology centres across the UK responded to the survey. Wide variations in terms of workloads and practices were described. Thirty-four (33%) respondents reported using nailfold capillaroscopy only at their own centre, 33 (32%) referred to other centres, 9 (9%) did both and 28 (27%) did not use capillaroscopy at all. Of the 43 respondents using capillaroscopy on site, 25 (58%) used either a dermatoscope or universal serial bus microscope and 9 (21%) used videocapillaroscopy. Among the 61 respondents not undertaking capillaroscopy on site, barriers included lack of equipment (85%), lack of experience in acquiring images (69%) and lack of expertise in interpreting images (67%). Sixty-six respondents (63%) expressed interest in an internet-based, standardized automated system for reporting images. Most UK rheumatologists currently do not perform nailfold capillaroscopy on site. An internet-based nailfold capillaroscopy system for use with low-cost microscopes as well as with videocapillaroscopy could help increase uptake of capillaroscopy and thereby facilitate early diagnosis of SSc across the UK.

P117 Nailfold capillaroscopy: a survey of current UK practice and ‘next steps’ to facilitate generalised uptake

Background/AimsNailfold capillaroscopy has a key role in the assessment of patients with Raynaud’s phenomenon (RP) providing a window of opportunity for the early diagnosis of systemic sclerosis (SSc). Anecdotal evidence indicates that this opportunity is not being fully realised across UK rheumatology centres. Reasons for apparent discrepancies in use of capillaroscopy may relate to a lack of expertise, confidence or equipment. Exploratory work has demonstrated the potential for an internet-based standardised system for clinical reporting of nailfold capillaroscopy images to mitigate current inequities in care provision. The overall aim of this study was to understand current practices in the diagnosis of SSc in UK rheumatology centres with specific reference to identifying barriers to the use of nailfold capillaroscopy. A secondary aim was to understand rheumatologists’ views on a standardised system to facilitate the timely diagnosis of SSc.MethodsAn online survey comprising closed and free-text questions was developed using expert (n = 7) opinion from clinicians, scientists and health service researchers. The survey was piloted (n = 5) and sent to UK-based rheumatologists using established electronic mailing lists between 2nd October 2020 and 8th March 2021. Respondents were asked to describe workloads and practices typically seen before the COVID-19 pandemic. Data were analysed using descriptive statistics and thematic analysis.ResultsSurvey responses were received from 104 rheumatologists representing centres across the UK. Wide variation in terms of workloads and practices were described (See Table 1). Only 41% (n = 43) of respondents reported using nailfold capillaroscopy provided at their centres. Key barriers were access to equipment and a lack of expertise in terms of acquiring and analysing images. Respondents indicated that a centralised internet-based system for storing images and sharing diagnoses would provide access to expertise and the possibility of timely diagnoses. P117 Table 1:Use of nailfold capillaroscopy (NFC) across UK centresNumber (n = 104)%Do you use nailfold capillaroscopy at your site?No6159Yes4341Total104100In what context are nailfold capillaroscopy images taken?At the general clinic appointment2251At a separate hospital appointment1637Other12Either general clinic or separate hospital appointment25Missing/unclear25Is there a dedicated room where imaging is done?No2354Yes1842Unclear/missing25What type of equipment do you use for NFC?Video microscope921Stereomicroscope12USB microscope1228Dermatoscope1330Ophthalmoscope12Stereomicroscope & dermatoscope12Don't know614Who usually does NFC imaging in your centre?I do it myself2047Another consultant or SpR921Nurse/AHP37Technician/medical physics614Medical photography49Clinical scientist12Who usually interprets the NFC imaging in your centre?I do it myself2558Another consultant or SpR819Nurse/AHP25Technician/medical physics512other12Clinical scientist12Technician & consultant/SpR12From how many RP patients do you obtain NFC images?0381 to 5386 to 1092311 to 2061521 to 30410more than 30923Not sure513How many of those patients imaged were diagnosed with SSc?04101 to 516416 to 1082111 to 203821 to 3025more than 3025Not sure410How are results of NFC reported to the patients?Face-to-face at imaging session1126Face-to-face at clinic appointment1433Letter / as part of treatment plan1330No specific nailfold capillaroscopy reporting25Other25Letter / face-to-face12Do you (also) refer patients to other centres for NFC?No6260Yes4240How many patients per year do you refer to other centres?1 to 526636 to 10112711 to 201221 to 3025more than 3012*participants asked to base answers on the situation in 2019 before the COVID-19 pandemicConclusionSubstantial variation in approaches to the diagnosis of SSc across the UK was identified. Potential benefits of a standardised system were described by respondents including the improved diagnosis and management of SSc, realising potential patient benefits and reducing current health inequalities. Survey findings provide evidence to help develop future studies to develop and evaluate the proposed new system.Disclosure M. Eden: None. S. Wilkinson: None. A. Murray: None. P. Gurunath Bharathi: None. C. Taylor: None. K. Payne: None. A.L. Herrick: None.

Impact of the COVID-19 Pandemic on Obstetricians/Gynecologists.

ObjectiveTo assess the impact of the coronavirus disease 2019 (COVID-19) pandemic on obstetricians/gynecologists (OB/GYNs).Participants and MethodsA 49-item survey was distributed to OB/GYNs through the websites and electronic mailing lists of professional OB/GYN organizations. The survey was open from June 22, 2020, through November 22, 2020. Of the 122 initiated surveys, 89 were completed (73.0% completion rate); 72 respondents answered at least one open-ended question and were included for qualitative analysis.ResultsRespondents reported policy changes, limited personal protective equipment availability, patient compliance with safety protocols and personal protective equipment use, staff shortages, and concerns about COVID-19 exposure as primary stressors related to the pandemic. Respondents felt that the pandemic had a negative professional impact on their relationships with patients and colleagues. Workplace and pandemic stressors resulted in feelings of anxiety and frustration; physical effects were also reported. Some respondents indicated that they were considering early retirement or leaving the profession as a result of the pandemic, which suggests that OB/GYNs may be at increased risk for burnout.ConclusionThe COVID-19 pandemic will have important long-term effects on OB/GYN well-being and workforce retention. Proactive support for OB/GYNs is needed to combat burnout and counteract workforce attrition. Implementing peer support programs that promote healthy emotional processing following adverse events may mitigate these feelings and reduce OB/GYN burnout.

The first propaganda war through computer networks: STEM academia and the breakup of Yugoslavia

The history of computer networks is relatively well described in Western literature but some parts of the world have been neglected. This paper explores the first ways in which computer networks were used in Yugoslavia, since these are different from the modes used in the West or Russia, because the dissolution of the country – mixed with its transition from communism to democracy and the wars for independence – created an environment which allowed computer networks to be used in unprecedented ways. The paper uses a mix of historical method, computational methods for collecting and analysing USENET data, semi-structured interview, archival research, and qualitative online observation. The main findings show that access to Western technology and participation in academic networks enabled Yugoslavian STEM academia and hackers to use computer networks for the first computer networks’ propaganda war. Slovenians, Croatians, and Serbians created electronic mailing lists through which they tried to manipulate international actors and to bond the diaspora for a common cause, and they additionally fought in USENET discussion groups by implementing trolling techniques.

Academic Libraries Report Minimal Standardization and Oversight of LibGuide Content

A Review of: Logan, J., &amp; Spence, M. (2021). Content strategy in LibGuides: An exploratory study. The Journal of Academic Librarianship, 47(1), Article 102282. https://doi.org/10.1016/j.acalib.2020.102282 Abstract Objective – To determine what strategies academic libraries use to govern creation and maintenance of their LibGuides. Design – Online survey questionnaire. Setting – A selection of academic libraries that use Springshare’s LibGuide system, mainly in the United States and Canada. Subjects – Academic libraries with administrator level access to LibGuides at 120 large and small, private and public schools. Methods – Researchers made their online questionnaire available on a Springshare lounge and recruited participants through electronic mailing lists. Respondents were self-selected participants. The survey consisted of 35 questions, including several about their institution’s size and type, the number of LibGuides available through their library, and how their guides are created and reviewed. There was space available for comments. The survey stated that the researchers’ goal is to complete an “environmental scan of content strategies” in LibGuides at academic institutions. Main Results – Of the 120 responding institutions, 88% are located in either the United States or Canada and 53% reported that they do have content guidelines for LibGuide authors. Content guidelines might include parameters for topics, target audiences, or purpose. Parameters for structural elements, including page design, content reuse policies, naming conventions, and navigation, were most commonly represented at those institutions that reported having guidelines. Seventy-seven percent of respondents reported that their LibGuides do not go through a formal review process prior to publication. Regarding LibGuide maintenance, 58% reported that LibGuides are reviewed as needed, while 27% indicated a more systematic approach. In most cases, the LibGuide reviewer is the author, though sometimes a LibGuide administrator may take on a review role. The most common considerations for LibGuide review are currency, accuracy, usage, and consistency. Of the responding institutions, 74% reported that they do not conduct any user testing of their guides. Two of the biggest barriers to introducing and maintaining LibGuide guidelines identified in the survey were lack of time and a sense of librarian ownership over content and workflow. The strong culture of academic freedom may make some librarians resistant to following institutional guidelines. Survey respondents noted that, where content guidelines are present, they tend to address “low hanging fruit” issues, such as page design and naming conventions, rather than more complex issues around tone and messaging. Conclusion – Content creators tend to have many competing priorities, so a workflow and guideline system might help librarians spend less time on their guides. Despite a large amount of research on LibGuide best practices regarding content strategy, few institutions seem to be taking systematic steps to implement them. Further research examining the experiences of LibGuide authors and administrators and on the effectiveness of content strategy practices is necessary.

Libraries Assist Disaster Survivors with Information Needs and Refuge but Need to Amplify Their Role and What They Offer

A Review of: Braquet, D. M. (2010). Library experiences of Hurricane Katrina and New Orleans flood survivors. LIBRES: Library and Information Science Research Electronic Journal, 20(1), 1. https://www.libres-ejournal.info/528/ Abstract Objective – Describe the experiences and library usage of patrons displaced by Hurricane Katrina and the New Orleans Flood. Design – A qualitative study with interview components and a questionnaire with open and closed-end questions Setting – New Orleans, Louisiana and surrounding area Subjects – 314 questionnaire respondents and 30 interview (24 face-to-face and 6 phone) participants with 5 individuals completing both Methods – The study consisted of an online questionnaire with open and closed-end questions occurring concurrently with semi-structured interviews conducted over the phone and in person. Individuals were recruited via convenience sample by flyers at public locales in the New Orleans area and electronic mailing lists, forums, blogs, and news sites that catered to the New Orleans community. Main Results – Disaster survivors use libraries for Internet access, information and technology assistance, mental relief, physical refuge, and also view them as symbols of both loss and hope. Library resources (including the physical spaces) allowed survivors to regain a sense of control by helping patrons access local information and experience pre-disaster pastimes, such as leisure reading. Conclusion – The study provides rich description of how libraries can support people displaced by disaster, however just over half of participants did not consider the library a part of their disaster experience. Future research should examine how libraries and library workers can amplify their impact during disasters and disaster recovery, as well as partner with disaster planning and response professionals.

Moral Distress Among Consumer Health Information Professionals: An Exploratory Study

Objectives – In recent years, moral distress has become a topic of interest among health professionals. Moral distress is most commonly described in the nursing literature, and refers to a situation wherein an individual knows the correct action to take, but is constrained from doing so. While moral distress differs from the classic ethical dilemma, in recent years practitioners and theorists have advocated for a broadening of the definition of moral distress. To date, no study has examined another group of individuals who frequently interact with patients and who may be constrained by the confines of their role - Consumer Health Information Professionals (CHIPS). The objective of this study was to determine if CHIPS experience moral distress and/or ethical dilemmas, and to determine what, if any, coping strategies these individuals have developed. Methods – This study employed a mixed methods approach. Quantitative data were gathered via an online survey which was distributed to relevant consumer health information professional electronic mail lists. The survey contained demographic questions and a series of questions related to potential discomfort within the context of work as a consumer health information professional. Qualitative data were also gathered through phone interviews with CHIPS. Interview questions included the participant’s definition of moral distress, professional experiences with moral distress, and any coping strategies to manage said distress. Results – The authors received 213 survey responses. To test whether any of our demographic variables help to explain survey response, we used STATA to calculate Pearson correlation coefficients. Individuals who were more likely to experience discomfort in their occupation as CHIPS included individuals with less experience and individuals who identified as Black and Latinx. Interview data indicated that participants most commonly experienced ethical dilemmas related to censorship, providing prognosis information, and feeling constrained by institutional policies. Few interview participants described scenarios that reflected moral distress. Conclusions – CHIPS do not appear to experience moral distress, at least according to its most narrow definition. CHIPS do consistently experience distinct ethical dilemmas, and the most durable patterns of this phenomenon appear to be related to experience level and racial identity. In recent years, researchers have raised calls to broaden the definition of moral distress from its narrow focus on constraint to include uncertainty, and CHIPs do experience moral uncertainty in their work. Further study is needed to determine how to best address the impacts of discomfort caused by ethical dilemmas among these groups.