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Browsing by Author "Herron, Jennifer"
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Item Augmented Reality in Medical Education and Training(Taylor & Francis, 2016) Herron, Jennifer; Ruth Lilly Medical LibraryAugmented reality, while not necessarily a new technology, is becoming more well-known and gaining some momentum in medical education through Google Glass and Microsoft’s HoloLens. Not only can augmented reality aid in student education, but it also can impact patient care through its ability to enhance medical training. Medical libraries can partake in this new endeavor by being aware of applications in augmented reality that can benefit students and educators.Item Limited Data to Support Improved Outcomes after Community Paramedicine Intervention: A Systematic Review(Elsevier, 2019) Pang, Peter S.; Litzau, Megan; Liao, Mark; Herron, Jennifer; Weinstein, Elizabeth; Weaver, Christopher; O'Donnell, Dan; Miramonti, Charles; Emergency Medicine, School of MedicineBackground Community paramedicine (CP) leverages trained emergency medical services personnel outside of emergency response as an innovative model of health care delivery. Often used to bridge local gaps in healthcare delivery, the CP model has existed for decades. Recently, the number of programs has increased. However, the level of robust data to support this model is less well known. Objective To describe the evidence supporting community paramedicine practice. Data sources OVID, PubMed, SCOPUS, EMBASE, Google Scholar-WorldCat, OpenGrey. Study appraisal and synthesis methods Three people independently reviewed each abstract and subsequently eligible manuscript using prespecified criteria. A narrative synthesis of the findings from the included studies, structured around the type of intervention, target population characteristics, type of outcome and intervention content is presented. Results A total of 1098 titles/abstracts were identified. Of these 21 manuscripts met our eligibility criteria for full manuscript review. After full manuscript review, only 6 ultimately met all eligibility criteria. Given the heterogeneity of study design and outcomes, we report a description of each study. Overall, this review suggests CP is effective at reducing acute care utilization. Limitations The small number of available manuscripts, combined with the lack of robust study designs (only one randomized controlled trial) limits our findings. Conclusions Initial studies suggest benefits of the CP model; however, notable evidence gaps remain.Item Mobile Wellness Resources(Taylor & Francis, 2016) Herron, Jennifer; Ruth Lilly Medical Library, IU School of MedicineStress in medical students is not unheard of, nor is it unexpected. Medical students have rigorous schedules and must pass a series of examinations, placing enormous pressure on them to succeed. As medical students move into their careers, this same stress can follow them and impact not only their health but also that of their patients. This stress can lead to depression and anxiety and eventually can cause burnout. Libraries are already well aware of the stress students feel, especially around exam time. Therapy dogs visiting the libraries are a common sight, and more libraries are beginning to offer some form of art therapy for students. Medical libraries can further support students’ wellness needs by promoting mobile wellness resources.Item Systematic review and meta-analysis: Efficacy of patented probiotic, VSL#3, in irritable bowel syndrome(Wiley, 2018-12) Connell, Mary; Shin, Andrea; James-Stevenson, Toyia; Xu, Huiping; Imperiale, Thomas F.; Herron, Jennifer; Medicine, School of MedicineBackground: VSL#3 is a patented probiotic for which several clinical trials suggest benefits on motor function, bloating and symptoms of irritable bowel syndrome (IBS). Objectives: To quantify effects of VSL#3 on abdominal pain, stool consistency, overall response, abdominal bloating, and quality of life (QOL) in IBS through meta-analysis. Methods: MEDLINE (OvidSP and PubMed), EMBASE, Web of Science, and Scopus were searched up to May 2017. Using a fixed effects model, we pooled data from intention-to-treat analyses of randomized trials (RCTs) comparing VSL#3 to placebo in IBS. Data were reported as relative risk (RR), overall mean difference (MD) or standardized MD (SMD) with 95% confidence intervals (CI). Quality of evidence was rated using the GRADE approach. Key Results: Among 236 citations, five RCTs (243 patients) were included. No significant differences were observed for abdominal pain (SMD = −0.03; 95% CI −0.29–0.22), bloating (SMD = −0.15; 95% CI −0.40–0.11), proportion of bowel movements with normal consistency (overall MD = 0; 95% CI −0.09–0.08), or IBS-QOL (SMD = 0.08; 95% CI −0.22–0.39). VSL#3 was associated with a nearly statistically significant increase in overall response (RR=1.39; 95% CI 0.99–1.98). Conclusions & Inferences: In this systematic review and meta-analysis, there was a trend towards improvement in overall response with VSL#3, but no clear evidence effectiveness for IBS. However, the number and sample sizes of the trials are small and the overall quality of evidence for three of the five outcomes was low. Larger trials evaluating validated endpoints in well-defined IBS patients are warranted.