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Mary Schindeler - One of the best experts on this subject based on the ideXlab platform.

  • the efficacy of administration of intravenous magnesium sulfate for improved ventricular rate control or rhythm control in patients with non postoperative atrial fibrillation and atrial flutter
    2009
    Co-Authors: Mary Schindeler
    Abstract:

    INTRODUCTION: Standard treatment for atrial tachyarrthmias, such as atrial fibrillation or atrial flutter, involves rate and rhythm control. Previous studies have looked at the electrophysiologic effects of magnesium on impulse formation and propagation, and theorized it could be beneficial in treatment for atrial tachycardias. There recently have been studies about magnesium sulfate and its utility in establishing rate and rhythm control in patients with atrial fibrillation or flutter. METHODS: This systematic review used several databases to find five relevant articles regarding the use of intravenous magnesium sulfate in non-postoperative patients with atrial fibrillation or atrial flutter. The articles’ outcomes were ventricular rate control and return to normal sinus rhythm. Only randomized control trials that were double or single-blinded were used to ensure validity. RESULTS: Both studies that used magnesium sulfate bolus and infusion in conjunction with an antiarrhythmic medication such as a beta blocker, calcium channel blocker, or digoxin, had better ventricular rate control. Only one of the two studies using magnesium sulfate with an antiarrhythmic medications had a better conversion to normal sinus rhythm. Of the three studies that did not use antiarrhythmic medication with magnesium sulfate, the study that used only use a bolus of magnesium sulfate did not have a beneficial effect in rate or rhythm control. The other two studies that did use a bolus and infusion of magnesium sulfate, but no other antiarrhythmics, had better efficacy in returning the patient to a normal sinus rhythm. CONCLUSION: Magnesium sulfate, in conjunction with typical antiarrhythmics, given as a bolus and infusion is found to have greater efficacy in ventricular rate control and return to normal sinus rhythm. Further randomized control trials regarding specific dose of magnesium sulfate and antiarrhythmic medication needs to be pursued. Degree Type Capstone Project Rights Terms of use for work posted in CommonKnowledge. This capstone project is available at CommonKnowledge: http://commons.pacificu.edu/pa/145 Copyright and terms of use If you have downloaded this document directly from the web or from CommonKnowledge, see the “Rights” section on the previous page for the terms of use. If you have received this document through an interLibrary loan/document delivery service, the following terms of use apply: Copyright in this work is held by the author(s). You may download or print any portion of this document for personal use only, or for any use that is allowed by fair use (Title 17, §107 U.S.C.). Except for personal or fair use, you or your Borrowing Library may not reproduce, remix, republish, post, transmit, or distribute this document, or any portion thereof, without the permission of the copyright owner. [Note: If this document is licensed under a Creative Commons license (see “Rights” on the previous page) which allows broader usage rights, your use is governed by the terms of that license.] Inquiries regarding further use of these materials should be addressed to: CommonKnowledge Rights, Pacific University Library, 2043 College Way, Forest Grove, OR 97116, (503) 352-7209. Email inquiries may be directed to:. copyright@pacificu.edu This capstone project is available at CommonKnowledge: http://commons.pacificu.edu/pa/145 NOTICE TO READERS This work is not a peer-reviewed publication. The Master’s Candidate author(s) of this work have made every effort to provide accurate information and to rely on authoritative sources in the completion of this work. However, neither the author(s) nor the faculty advisor(s) warrants the completeness, accuracy or usefulness of the information provided in this work. This work should not be considered authoritative or comprehensive in and of itself and the author(s) and advisor(s) disclaim all responsibility for the results obtained from use of the information contained in this work. Knowledge and practice change constantly, and readers are advised to confirm the information found in this work with other more current and/or comprehensive sources. The student authors attest that this work is completely their original authorship and that no material in this work has been plagiarized, fabricated or incorrectly attributed. The Efficacy of Administration of Intravenous Magnesium Sulfate for Improved Ventricular Rate Control or Rhythm Control in Patients with Non-postoperative Atrial Fibrillation and Atrial Flutter

Susan S Yowell - One of the best experts on this subject based on the ideXlab platform.

  • partnering to promote service continuity in the event of an emergency a successful collaboration between two interLibrary loan departments
    Journal of The Medical Library Association, 2009
    Co-Authors: Melanie J Norton, Daniel T Wilson, Susan S Yowell
    Abstract:

    Much of traditional Library disaster planning focuses on recovery of facilities and collections, while relatively little planning focuses on preparing libraries to continue to offer selected services to their patrons throughout a disaster [1]. This article reports about a service continuity plan developed by two academic health sciences libraries' interLibrary loan (ILL) departments, who have established an effective partnership for continuing selected services when normal functioning is compromised. Corporations have long prepared for disasters by implementing what is referred to as business continuity planning (BCP), and libraries can benefit by taking a lesson from the corporate sector in this area. While corporate BCP is driven by basic cost-benefit principles (e.g., the longer a company is shut down, the less revenue is generated), a service continuity plan among libraries can ensure that core services remain available to patrons during times of emergency or disaster, perhaps when they are needed most. In an academic health sciences Library environment, ILL services can be essential. Whether the patron is a health care professional in a hospital, medical school, or private practice, the need for information can be urgent, especially during a disaster when normal health care staffing routines are disrupted. Yet ILL services are more vulnerable to disruption than some other Library services. Two factors that contribute to this vulnerability are a lack of depth of coverage in many ILL departments and the high level of expertise required to effectively access and transmit information across the various platforms used in ILL procedures. Recently, the National Network of Libraries of Medicine (NN/LM) developed its National Emergency Preparedness & Response Plan to address preparedness and response, specifically service continuity, among its members. The NN/LM plan strongly encouraged its network members to seek out and establish partnerships, or “back-up” relationships, with other members: “Network members are encouraged to partner with a back-up Library and to develop a Memorandum of Understanding (MOU), specifying services that would be provided by the back-up Library to the affected Network member in the event of a disaster” [2]. In the spirit of the NN/LM plan, the Claude Moore Health Sciences Library at the University of Virginia (CMHSL at UVA) and the Health Sciences Library at the University of North Carolina at Chapel Hill (HSL at UNC-CH) have collaborated to establish procedures for continuing each others' essential ILL services in the event of some type of service disruption. For the purposes of this initial phase of a possibly ongoing project, the two libraries have defined “essential ILL services” as requests for materials not owned by the Borrowing Library for its patrons from another Library. The scenario of an influenza pandemic was one of the driving forces behind developing the partnership between the two ILL departments. The prospect of an avian influenza pandemic has been looming for the past several years and is being monitored closely by the Centers for Disease Control and Prevention . Three influenza pandemics occurred in the last century (1918, 1957, and 1968), and public health experts generally agree that another is likely in the near future. Although no one can predict when the next pandemic might happen, some experts believe we are already living on borrowed time [3]. A pandemic is likely to occur during a typical flu season, fall through early spring, and the likely scenario for a pandemic presents some special problems for service continuity. To reduce the spread of the pandemic, public health officials might request that universities, businesses, and other institutions take social distancing measures, such as suspending classes and closing areas that are open to the public, to reduce the spread of disease. Social distancing strategies may cause classes to be suspended for seven to ten weeks and would likely close libraries, which offer space to students, employees, and the public. During this time, health sciences libraries would strive to continue to provide services to their patrons, whether the physical building is open or closed. Localized emergencies—such as wildfires, storms, or flooding—might also cause Library buildings to be closed or staff to be evacuated to other locations. Contingency plans that have been developed in advance can lead to a seamless transition in providing services from off-site.

Ophelia Cheung - One of the best experts on this subject based on the ideXlab platform.

  • key factors for consortial success realizing a shared vision for interLibrary loan in a consortium of canadian libraries
    Interlending & Document Supply, 2009
    Co-Authors: Sue Mcgillivray, Amy Greenberg, Lucina Fraser, Ophelia Cheung
    Abstract:

    Purpose – The purpose of this paper is to identify the factors associated with the successful implementation of a shared interLibrary loan (ILL) system by the Ontario Council of University Libraries (OCUL), a consortium of 20 Ontario universities.Design/methodology/approach – The paper is a descriptive review of the approaches taken in the consortial implementation of OCLC's VDX software. The paper elaborates on the building‐blocks and barriers to success as they were experienced, first by participants in OCUL's centralized implementation activities, and second at the local level by staff at Ryerson University Library, a member institution. Now end users can simultaneously search world‐wide catalogues, submit and track progress of requests, and receive materials rapidly. System functionality includes auto‐mediated interLibrary loans (direct requesting); use of link‐resolver software to transfer citation information from Borrowing Library catalogues to ILL request forms; and ISO peer‐to‐peer messaging.Find...

Kathryn Moore - One of the best experts on this subject based on the ideXlab platform.

  • Services
    2016
    Co-Authors: Madeleine Crowe, Kathryn Moore
    Abstract:

    Tile purpose of this manual is to acquairt desk assistants (whose two major functions are to provide information and to instruct patrons how to use Library materials) with the services, policies, and procedures of the Reference Department and Jackson Library at the University of North Carolina, Greensboro. Information is presented about: the.r responsibilities; reference techniques; performance evaluation; policies and procedures; the departmental goals and objectives; staff and librarian responsibilities; the department's organization chart; the general reference collection and the indexes/abstracts area; online catalog information; CD-ROM use policy; interLibrary loan; telephone procedures; use of the reference clipboard; the reference drawer; computer searches; bibliographies and guides; and Library tours. Sample Library forms accompany mar of these descriptions. Also included are a series of Library informi.cion sheets which summarize general Library information and present information about Borrowing Library material; microforms; special collections/university archives; handicapped access and services; "Visualtek, " the low vision aid; and the serials department and periodicals. (MAW ************************ * **** * ***********%ft**************************** Reproductlons supplied by EDRS are the best that can be made from the original document

Melanie J Norton - One of the best experts on this subject based on the ideXlab platform.

  • partnering to promote service continuity in the event of an emergency a successful collaboration between two interLibrary loan departments
    Journal of The Medical Library Association, 2009
    Co-Authors: Melanie J Norton, Daniel T Wilson, Susan S Yowell
    Abstract:

    Much of traditional Library disaster planning focuses on recovery of facilities and collections, while relatively little planning focuses on preparing libraries to continue to offer selected services to their patrons throughout a disaster [1]. This article reports about a service continuity plan developed by two academic health sciences libraries' interLibrary loan (ILL) departments, who have established an effective partnership for continuing selected services when normal functioning is compromised. Corporations have long prepared for disasters by implementing what is referred to as business continuity planning (BCP), and libraries can benefit by taking a lesson from the corporate sector in this area. While corporate BCP is driven by basic cost-benefit principles (e.g., the longer a company is shut down, the less revenue is generated), a service continuity plan among libraries can ensure that core services remain available to patrons during times of emergency or disaster, perhaps when they are needed most. In an academic health sciences Library environment, ILL services can be essential. Whether the patron is a health care professional in a hospital, medical school, or private practice, the need for information can be urgent, especially during a disaster when normal health care staffing routines are disrupted. Yet ILL services are more vulnerable to disruption than some other Library services. Two factors that contribute to this vulnerability are a lack of depth of coverage in many ILL departments and the high level of expertise required to effectively access and transmit information across the various platforms used in ILL procedures. Recently, the National Network of Libraries of Medicine (NN/LM) developed its National Emergency Preparedness & Response Plan to address preparedness and response, specifically service continuity, among its members. The NN/LM plan strongly encouraged its network members to seek out and establish partnerships, or “back-up” relationships, with other members: “Network members are encouraged to partner with a back-up Library and to develop a Memorandum of Understanding (MOU), specifying services that would be provided by the back-up Library to the affected Network member in the event of a disaster” [2]. In the spirit of the NN/LM plan, the Claude Moore Health Sciences Library at the University of Virginia (CMHSL at UVA) and the Health Sciences Library at the University of North Carolina at Chapel Hill (HSL at UNC-CH) have collaborated to establish procedures for continuing each others' essential ILL services in the event of some type of service disruption. For the purposes of this initial phase of a possibly ongoing project, the two libraries have defined “essential ILL services” as requests for materials not owned by the Borrowing Library for its patrons from another Library. The scenario of an influenza pandemic was one of the driving forces behind developing the partnership between the two ILL departments. The prospect of an avian influenza pandemic has been looming for the past several years and is being monitored closely by the Centers for Disease Control and Prevention . Three influenza pandemics occurred in the last century (1918, 1957, and 1968), and public health experts generally agree that another is likely in the near future. Although no one can predict when the next pandemic might happen, some experts believe we are already living on borrowed time [3]. A pandemic is likely to occur during a typical flu season, fall through early spring, and the likely scenario for a pandemic presents some special problems for service continuity. To reduce the spread of the pandemic, public health officials might request that universities, businesses, and other institutions take social distancing measures, such as suspending classes and closing areas that are open to the public, to reduce the spread of disease. Social distancing strategies may cause classes to be suspended for seven to ten weeks and would likely close libraries, which offer space to students, employees, and the public. During this time, health sciences libraries would strive to continue to provide services to their patrons, whether the physical building is open or closed. Localized emergencies—such as wildfires, storms, or flooding—might also cause Library buildings to be closed or staff to be evacuated to other locations. Contingency plans that have been developed in advance can lead to a seamless transition in providing services from off-site.