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Article ; Online: Burnout among medical and health sciences information professionals who support systematic reviews: an exploratory study.

Demetres, Michelle R / Wright, Drew N / DeRosa, Antonio P

Journal of the Medical Library Association : JMLA

2020 Volume 108, Issue 1, Page(s) 89–97

Abstract: Objective: The aim of this exploratory study was to assess personal, work-related, and client-related burnout among information professionals who support systematic review (SR) work.: Methods: The Copenhagen Burnout Inventory, a validated tool for ... ...

Abstract	Objective: The aim of this exploratory study was to assess personal, work-related, and client-related burnout among information professionals who support systematic review (SR) work. Methods: The Copenhagen Burnout Inventory, a validated tool for assessing burnout, was administered to information professionals who support SR work. A broad range of health sciences or medical librarians and information professionals were targeted via professional email discussion lists and news outlets. Questionnaire responses were captured electronically using Qualtrics Survey Software and quantitatively analyzed. Results: Respondents experienced an average personal burnout score of 48.6, work-related score of 46.4, and client-related score of 32.5 out of 100. Respondents who reported spending >80% of their job duties on SR work had significantly lower personal burnout scores than those who reported spending <10% of their job duties on SR work (average, 31.5 versus 50.9, respectively). Also, respondents who reported using an SR support tool had significantly lower personal burnout scores than those who reported sometimes using a tool (average, 43.7 versus 54.7, respectively). Conclusion: The results suggest that information professionals who dedicate more time to SR work or who consistently use an SR support tool experience less burnout. This study provides groundwork for further investigation with the aim of developing approaches to prevent or combat SR-related burnout among information professionals.
MeSH term(s)	Adult ; Burnout, Professional/psychology ; Cross-Sectional Studies ; Female ; Humans ; Librarians/psychology ; Library Services ; Male ; Middle Aged ; Surveys and Questionnaires ; Systematic Reviews as Topic
Keywords	covid19
Language	English
Publishing date	2020-01-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	2072435-4
ISSN	1558-9439 ; 1536-5050
ISSN (online)	1558-9439
ISSN	1536-5050
DOI	10.5195/jmla.2020.665
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Article ; Online: Burnout among medical and health sciences information professionals who support systematic reviews

Michelle R. Demetres / Drew N. Wright / Antonio P. DeRosa

Journal of the Medical Library Association, Vol 108, Iss

an exploratory study

2020 Volume 1

Abstract: Objective: The aim of this exploratory study was to assess personal, work-related, and client-related burnout among information professionals who support systematic review (SR) work. Methods: The Copenhagen Burnout Inventory, a validated tool for ... ...

Abstract	Objective: The aim of this exploratory study was to assess personal, work-related, and client-related burnout among information professionals who support systematic review (SR) work. Methods: The Copenhagen Burnout Inventory, a validated tool for assessing burnout, was administered to information professionals who support SR work. A broad range of health sciences or medical librarians and information professionals were targeted via professional email discussion lists and news outlets. Questionnaire responses were captured electronically using Qualtrics Survey Software and quantitatively analyzed. Results: Respondents experienced an average personal burnout score of 48.6, work-related score of 46.4, and client-related score of 32.5 out of 100. Respondents who reported spending >80% of their job duties on SR work had significantly lower personal burnout scores than those who reported spending <10% of their job duties on SR work (average, 31.5 versus 50.9, respectively). Also, respondents who reported using an SR support tool had significantly lower personal burnout scores than those who reported sometimes using a tool (average, 43.7 versus 54.7, respectively). Conclusion: The results suggest that information professionals who dedicate more time to SR work or who consistently use an SR support tool experience less burnout. This study provides groundwork for further investigation with the aim of developing approaches to prevent or combat SR-related burnout among information professionals.
Keywords	burnout ; copenhagen burnout inventory ; medical librarians ; information professionals ; systematic reviews ; professional ; systematic reviews as topic ; Bibliography. Library science. Information resources ; Z ; Medicine ; R
Subject code	302 ; 020
Language	English
Publishing date	2020-01-01T00:00:00Z
Publisher	University Library System, University of Pittsburgh
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Crossing the Brooklyn Bridge

Antonio P. DeRosa / Caroline Jedlicka / Keith C. Mages / Judy Carol Stribling

Journal of the Medical Library Association, Vol 109, Iss

a health literacy training partnership before and during COVID-19

2021 Volume 1

Abstract: Background: A request for consumer health information training for public librarians led to the development of a specialized consumer health reference and health literacy training program by professional consumer health librarians from an academic ... ...

Abstract	Background: A request for consumer health information training for public librarians led to the development of a specialized consumer health reference and health literacy training program by professional consumer health librarians from an academic medical center. Professional consumer health librarians created an interactive presentation aimed at improving public librarians’ ability to respond to consumer health questions and provide vetted health resources. Case Presentation: Building on professional expertise, librarians at Weill Cornell Medicine developed a live class demonstration accompanied by a representative subject LibGuide to support public librarians who assist patrons with health questions. Skills involved in effectively communicating with patrons who are seeking consumer health information include conducting reference interviews, matching patrons’ needs with appropriate resources, teaching useful Internet search methods, assessing health information, and understanding health literacy issues. Originally envisioned as two in-person live demonstrations, the team proactively adapted the program to respond to the stay-at-home social-distancing order put in place in response to the coronavirus disease 2019 (COVID-19) pandemic. Conclusions: The team successfully led an in-person live training session followed by an adapted online training experience, the latter designed to complete the curricula while complying with city and state orders.
Keywords	health literacy ; covid-19 ; novel coronavirus ; consumer health ; reference interviews ; patient-centered care ; shared decision-making ; Bibliography. Library science. Information resources ; Z ; Medicine ; R
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	University Library System, University of Pittsburgh
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Crossing the Brooklyn Bridge: a health literacy training partnership before and during COVID-19.

DeRosa, Antonio P / Jedlicka, Caroline / Mages, Keith C / Stribling, Judy Carol

Journal of the Medical Library Association : JMLA

2020 Volume 109, Issue 1, Page(s) 90–96

Abstract	Background: A request for consumer health information training for public librarians led to the development of a specialized consumer health reference and health literacy training program by professional consumer health librarians from an academic medical center. Professional consumer health librarians created an interactive presentation aimed at improving public librarians' ability to respond to consumer health questions and provide vetted health resources. Case presentation: Building on professional expertise, librarians at Weill Cornell Medicine developed a live class demonstration accompanied by a representative subject LibGuide to support public librarians who assist patrons with health questions. Skills involved in effectively communicating with patrons who are seeking consumer health information include conducting reference interviews, matching patrons' needs with appropriate resources, teaching useful Internet search methods, assessing health information, and understanding health literacy issues. Originally envisioned as two in-person live demonstrations, the team proactively adapted the program to respond to the stay-at-home social-distancing order put in place in response to the coronavirus disease 2019 (COVID-19) pandemic. Conclusions: The team successfully led an in-person live training session followed by an adapted online training experience, the latter designed to complete the curricula while complying with city and state orders.
MeSH term(s)	Adult ; COVID-19 ; Computer-Assisted Instruction/methods ; Consumer Health Information/methods ; Consumer Health Information/statistics & numerical data ; Curriculum ; Female ; Health Literacy/methods ; Humans ; Librarians/education ; Male ; Middle Aged ; New York City ; SARS-CoV-2
Language	English
Publishing date	2020-09-29
Publishing country	United States
Document type	Case Reports
ZDB-ID	2072435-4
ISSN	1558-9439 ; 1536-5050
ISSN (online)	1558-9439
ISSN	1536-5050
DOI	10.5195/jmla.2021.1014
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Article ; Online: COVID-19 associated myocarditis: A systematic review.

Haussner, William / DeRosa, Antonio P / Haussner, Danielle / Tran, Jacqueline / Torres-Lavoro, Jane / Kamler, Jonathan / Shah, Kaushal

The American journal of emergency medicine

2021 Volume 51, Page(s) 150–155

Abstract: Background: Most COVID-19 infections result in a viral syndrome characterized by fever, cough, shortness of breath, and myalgias. A small but significant proportion of patients develop severe COVID-19 resulting in respiratory failure. Many of these ... ...

Abstract	Background: Most COVID-19 infections result in a viral syndrome characterized by fever, cough, shortness of breath, and myalgias. A small but significant proportion of patients develop severe COVID-19 resulting in respiratory failure. Many of these patients also develop multi-organ dysfunction as a byproduct of their critical illness. Although heart failure can be a part of this, there also appears to be a subset of patients who have primary cardiac collapse from COVID-19. Objective: Conduct a systematic review of COVID-19-associated myocarditis, including clinical presentation, risk factors, and prognosis. Discussion: Our review demonstrates two distinct etiologies of primary acute heart failure in surprisingly equal incidence in patients with COVID-19: viral myocarditis and Takotsubo cardiomyopathy. COVID myocarditis, Takotsubo cardiomyopathy, and severe COVID-19 can be clinically indistinguishable. All can present with dyspnea and evidence of cardiac injury, although in myocarditis and Takotsubo this is due to primary cardiac dysfunction as compared to respiratory failure in severe COVID-19. Conclusion: COVID-19-associated myocarditis differs from COVID-19 respiratory failure by an early shock state. However, not all heart failure from COVID-19 is from direct viral infection; some patient's develop takotsubo cardiomyopathy. Regardless of etiology, steroids may be a beneficial treatment, similar to other critically ill COVID-19 patients. Evidence of cardiac injury in the form of ECG changes or elevated troponin in patients with COVID-19 should prompt providers to consider concurrent myocarditis.
MeSH term(s)	COVID-19/complications ; Dyspnea ; Heart Failure/virology ; Humans ; Myocarditis/virology ; Respiratory Insufficiency/virology ; Risk Factors ; Takotsubo Cardiomyopathy/virology
Language	English
Publishing date	2021-10-22
Publishing country	United States
Document type	Journal Article ; Systematic Review
ZDB-ID	605890-5
ISSN	1532-8171 ; 0735-6757
ISSN (online)	1532-8171
ISSN	0735-6757
DOI	10.1016/j.ajem.2021.10.001
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Article ; Online: Decision-making support among racial and ethnic minorities diagnosed with breast or prostate cancer: A systematic review of the literature.

DeRosa, Antonio P / Grell, Yendé / Razon, Dominic / Komsany, Alia / Pinheiro, Laura C / Martinez, Juana / Phillips, Erica

Patient education and counseling

2021 Volume 105, Issue 5, Page(s) 1057–1065

Abstract: Objective: To describe the types of decision-making support interventions offered to racial and ethnic minority adults diagnosed with breast or prostate cancer and to draw any associations between these interventions and patient-reported quality of life ...

Abstract	Objective: To describe the types of decision-making support interventions offered to racial and ethnic minority adults diagnosed with breast or prostate cancer and to draw any associations between these interventions and patient-reported quality of life (QoL) outcomes. Methods: We conducted literature searches in five bibliographic databases. Studies were screened through independent review and assessed for quality. Results were analyzed using inductive qualitative methods to determine thematic commonalities and synthesized in narrative form. Results: Searches across five databases yielded 2496 records, which were screened by title/abstract and full-text to identify 10 studies meeting inclusion criteria. The use of decision aids (DAs), trained personnel, delivery models and frameworks, and educational materials were notable decision-making support interventions. Analysis revealed six thematic areas: 1) Personalized reports; 2) Effective communication; 3) Involvement in decision-making; 4) Health literacy; 5) Social support; and 6) Feasibility in clinical setting. Conclusion: Evidence suggests decision-making support interventions are associated with positive outcomes of racial and ethnic minorities with patient-reported factors like improved patient engagement, less decisional regret, higher satisfaction, improved communication, awareness of health literacy and cultural competence. Practice implications: Future decision-making interventions for racial and ethnic minority cancer patients should focus on social determinants of health, social support systems, and clinical outcomes like QoL and survival.
MeSH term(s)	Adult ; Decision Making ; Ethnic and Racial Minorities ; Ethnicity ; Humans ; Male ; Minority Groups ; Patient Participation/methods ; Prostatic Neoplasms/therapy ; Quality of Life
Language	English
Publishing date	2021-09-09
Publishing country	Ireland
Document type	Journal Article ; Review ; Systematic Review
ZDB-ID	605590-4
ISSN	1873-5134 ; 0738-3991
ISSN (online)	1873-5134
ISSN	0738-3991
DOI	10.1016/j.pec.2021.09.012
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Article ; Online: Stereotactic radiosurgery for vestibular schwannomas in neurofibromatosis type 2 patients: a systematic review and meta-analysis.

Tosi, Umberto / Maayan, Omri / An, Anjile / Lavieri, Miguel E Tusa / Guadix, Sergio W / DeRosa, Antonio P / Christos, Paul J / Pannullo, Susan / Stieg, Philip E / Brandmaier, Andrew / Knisely, Jonathan P S / Ramakrishna, Rohan

Journal of neuro-oncology

2022 Volume 156, Issue 2, Page(s) 431–441

Abstract: ... Treatment resulted in a worsening of pre-treatment serviceable hearing (OR = 0.26, p < 0.01), increased ... facial nerve (OR = 1.62, p < 0.01) and trigeminal nerve (OR = 1.42, p = 0.07) impairment. The incidence ...

Abstract	Introduction: Neurofibromatosis type 2 (NF2) is characterized by often bilateral vestibular schwannomas (VS) that result in progressive hearing loss and compression of nearby brainstem structures causing cranial nerve palsies. Treatment of these tumors remains challenging, as both surgical removal and expectant management can result in symptom progression. Stereotactic radiosurgery (SRS) has been investigated for the management of NF2-associated VS; however, the role, promises, and pitfalls of this treatment modality remain unclear. Methods: Ovid MEDLINE, EMBASE, Web of Science, and Cochrane Reviews were searched for studies assessing SRS outcome in NF2-associated VS only. Primary endpoints included tumor control, serviceable hearing, presence of tinnitus, and cranial nerve V and VII symptoms. Results: A total of 16 studies (589 patients harboring 750 tumors) were analyzed. Clinical tumor control was achieved in 88% of cases (95% CI 80-95%); salvage surgery was needed in 8% (95% CI 4-13%) of cases. Treatment resulted in a worsening of pre-treatment serviceable hearing (OR = 0.26, p < 0.01), increased facial nerve (OR = 1.62, p < 0.01) and trigeminal nerve (OR = 1.42, p = 0.07) impairment. The incidence of vestibular symptoms and hydrocephalus were not consistently reported and thus could not be assessed. Conclusions: The treatment of NF2-associated VS continues to pose a challenge, as current SRS regimens result in impaired hearing and worse cranial nerve comorbidities, despite achieving high tumor control. It remains unclear if these findings have to be regarded as treatment complications or, rather, continued disease progression.
MeSH term(s)	Hearing Loss/epidemiology ; Humans ; Neurofibromatosis 2/complications ; Neuroma, Acoustic/etiology ; Neuroma, Acoustic/radiotherapy ; Radiosurgery/adverse effects ; Radiosurgery/methods ; Treatment Outcome
Language	English
Publishing date	2022-01-18
Publishing country	United States
Document type	Journal Article ; Meta-Analysis ; Systematic Review
ZDB-ID	604875-4
ISSN	1573-7373 ; 0167-594X
ISSN (online)	1573-7373
ISSN	0167-594X
DOI	10.1007/s11060-021-03910-8
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Article ; Online: Role of Prophylactic Antibiotics in Transperineal Prostate Biopsy: A Systematic Review and Meta-analysis.

Basourakos, Spyridon P / Alshak, Mark N / Lewicki, Patrick J / Cheng, Emily / Tzeng, Michael / DeRosa, Antonio P / Allaway, Mathew J / Ross, Ashley E / Schaeffer, Edward M / Patel, Hiten D / Hu, Jim C / Gorin, Michael A

European urology open science

2022 Volume 37, Page(s) 53–63

Abstract: Context: Transperineal prostate biopsy is associated with a significantly lower risk of infectious complications than the transrectal approach. In fact, the risk of infectious complications with transperineal prostate biopsy is so low that the utility ... ...

Abstract	Context: Transperineal prostate biopsy is associated with a significantly lower risk of infectious complications than the transrectal approach. In fact, the risk of infectious complications with transperineal prostate biopsy is so low that the utility of administering periprocedural antibiotics with this procedure has come under question. Objective: To perform a systematic review and meta-analysis to assess for differences in the rates of infectious complications (septic, nonseptic, and overall) after performing transperineal prostate biopsy with and without the administration of periprocedural antibiotic prophylaxis. Evidence acquisition: Three electronic databases (PubMed, Embase, and MEDLINE) were searched, and studies were included if they included patients who underwent transperineal prostate biopsy, were published after January 2000, included information on periprocedural antibiotic administration, and reported postbiopsy complications. Preferred Reporting Items for Systematic Reviews and Meta-analyses and Agency for Healthcare Research and Quality guidelines were utilized. Evidence synthesis: A total of 106 unique studies describing 112 cohorts of patients were identified, of which 98 (37 805 men) received antibiotic prophylaxis and 14 (4772 men) did not receive it. All patients were included in the analysis of septic complications. In total, there were 19/37 805 (0.05%) episodes of sepsis in the group of men who received antibiotics, which was similar to the no antibiotic group with 4/4772 (0.08%) episodes ( Conclusions: The likelihood of septic infections after transperineal prostate biopsy is low with and without antibiotic prophylaxis. The omission of periprocedural antibiotics with this procedure stands to benefit patients by avoiding potential drug reactions. Furthermore, this practice is in line with calls throughout the medical community for improved antibiotic stewardship. Patient summary: In a large systematic review and meta-analysis, we evaluated infectious complications after transperineal prostate biopsy with or without the administration of prophylactic antibiotics. We conclude that prophylactic antibiotics do not decrease the rate of postbiopsy sepsis but may have a small benefit in terms of preventing less serious infections.
Language	English
Publishing date	2022-01-29
Publishing country	Netherlands
Document type	Journal Article ; Review
ZDB-ID	3040546-4
ISSN	2666-1683 ; 2058-4881
ISSN (online)	2666-1683
ISSN	2058-4881
DOI	10.1016/j.euros.2022.01.001
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Evaluating the Impact of Mediated Literature Searches at a Comprehensive Cancer Center.

Gibson, Donna S / DeRosa, Antonio P / Hernandez, Marisol / Matsoukas, Konstantina

Medical reference services quarterly

2017 Volume 36, Issue 3, Page(s) 229–239

Abstract: Research informationists at a comprehensive cancer center sought to evaluate the impact and value of mediated literature searches in support of their users' work activities. An assessment tool was identified in the literature and modified by the ... ...

Abstract	Research informationists at a comprehensive cancer center sought to evaluate the impact and value of mediated literature searches in support of their users' work activities. An assessment tool was identified in the literature and modified by the investigators to solicit feedback from library users and identify the major reason(s) why scientists and health care professionals request literature searches, how they use the resulting information, and the impact that the results may or may not have on their research or patient care/decision-making activities. Survey results were qualitatively analyzed, and future avenues of outreach and promotion of mediated literature search services were identified.
Language	English
Publishing date	2017-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	605941-7
ISSN	1540-9597 ; 0276-3869
ISSN (online)	1540-9597
ISSN	0276-3869
DOI	10.1080/02763869.2017.1332146
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Article: Outcomes of stereotactic radiosurgery for large vestibular schwannomas: a systematic review and meta-analysis.

Tosi, Umberto / Lavieri, Miguel E Tusa / An, Anjile / Maayan, Omri / Guadix, Sergio W / DeRosa, Antonio P / Christos, Paul J / Pannullo, Susan / Stieg, Philip E / Brandmaier, Andrew / Knisely, Jonathan P S / Ramakrishna, Rohan

Neuro-oncology practice

2021 Volume 8, Issue 4, Page(s) 405–416

Abstract: Background: Large vestibular schwannomas (VS) pose a treatment challenge for both microsurgery (MS) and stereotactic radiosurgery (SRS). Technical developments have allowed for safer irradiation of large tumors. It remains unclear if SRS can achieve ... ...

Abstract	Background: Large vestibular schwannomas (VS) pose a treatment challenge for both microsurgery (MS) and stereotactic radiosurgery (SRS). Technical developments have allowed for safer irradiation of large tumors. It remains unclear if SRS can achieve appropriate tumor control and acceptable cranial nerve toxicities. In this study, we assess outcomes of irradiation for large VS. Methods: PubMed MEDLINE, EMBASE, Web of Science, and Cochrane were searched for all the studies assessing SRS outcome in large VS. Primary endpoints included clinical and radiographic tumor control, need for salvage surgery, serviceable hearing, cranial nerve V and VII impairment, presence of hydrocephalus requiring shunting, and presence of vertigo/dizziness. Results: Twenty-two studies were identified that met selection criteria for analysis from an initial pool of 1272 reports. They were evaluated according to treatment protocol: 1) single-dose SRS (13 studies, 483 patients), 2) combination of MS and SRS (7 studies, 182 patients), and 3) fractionated SRS (3 studies, 82 patients). Tumor control was achieved in 89%, 94%, and 91% of patients, respectively. Odds ratios (ORs) of post- over pretreatment serviceable hearing were 0.42 ( Conclusions: The management of large VS remains challenging. All treatment modalities resulted in high tumor control rates and worsening of pretreatment hearing. None, however, caused significant facial nerve impairment, suggesting that management strategies incorporating focal irradiation can be successful.
Language	English
Publishing date	2021-02-18
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2768945-1
ISSN	2054-2585 ; 2054-2577
ISSN (online)	2054-2585
ISSN	2054-2577
DOI	10.1093/nop/npab011
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