Ecosystem Interactions Class Discussion Presentation in Blue Green Lined Styl...
Wadford sarpy hpd literature searching resources for clinical affiliates and resident onbaording_2022
1. NSU – Martin
and Gail Press
HPD Library
and Literature
Searching
Resources for
Clinical
Affiliates
Julie Sarpy
jsarpy@nova.edu
December 8, 2021
2. Julie
Sarpy,
PhD,
MSLS,
MA
Reference and Instruction Librarian
Liaison to the College of Allopathic Medicine
Liaison to the College of Osteopathic
Medicine
jsarpy@nova.edu
Hours: M-F 7:30-4pm
hpdref@nova.edu - All librarians
(954) 262-3121 (Direct line)
(954) 262 – 3106 (Library main)
3. Table of Contents
Clinical Affiliate Library Home page
Finding Full Text/New England Journal of
Medicine/NEJM Resources
Literature Searching (Cinahl, Cochrane, PubMed
Access Medicine App
Clinical Key App
Up-To-Date App
5 Minute Clinical Consult
Images/Multimedia
Grand Rounds
Contacting KPCOM/GME Clinical Affiliate Coordinator
6. The first tab will allow you to search through a
catalog of the print and electronic resources
that the Library subscribes.
You can perform a search of the Library
catalog using the search widget on the
homepage. To see if we have a copy of
Harrison’s Principles of Internal Medicine,
for example
Search the
Library
Catalog
www.nova.edu/hpdlibrary
7. Finding the Full Text
Full Text Finder is where you would go if you know the name of
of the journal you are interested in accessing or if you are
interested in finding out if we have full text electronic access to
particular journal.
eJournals
Full Text
finder
10. Because we license the content from
the publisher, we get to take advantage
of the other features on the site such as
the Videos, Interactive Medical Cases
and Audio Summaries etc.
Sign up for the
Resident e-
bulletin
14. Osteopathic
Medicine
Landing Page
Start your search here
-Article Databases
To find/identify search terms
-Read background information
about the topic
-Look for keywords in abstracts
Database Chart:
Cinahl, Cochrane and PubMed
15. Keyword Search Terms:
Precision Medicine
Personalized Medicine
Individualized Medicine
Individualized Therapeutics
Genomic Testing
COVID -19
Coronavirus
SARS-CoV-2
Pandemics
Pneumonia, Viral
Betacorona
2019-ncov
SearchTerms
17. Choose Databases:
Ebsco allows you to
search multiple
databases
So I can run my
search over selecting
all or individually
resources
Create an Account:
Create a My
EBSCOhost account
to keep track of
searches
Cochrane
Collection
Plus
Search
21. [Sample Search] Find the full text of this article:
“Precision Medicine and Covid-19.”
22. You should get a list of possible
matches.
To see whether NSU has access
to the full text, you must click
on the article title to open the
whole record for the citation
25. Sometimes you will see other full text links, like this one from Elsevier.
These links are provided by the Publisher and may not work.
In that case, use
26. Full Text Finder - will let you know
if we subscribe to that journal
electronically in ANY of our
databases.
.
27. After each database name, you need to
take note the date range!
This will determine which of these
databases will have the specific article you
need.
28.
29. Sometimes, ClinicalKey requires you to create a personal account to access
certain content but this time, I was able to just click on the PDF and it
automatically downloaded the PDF
30.
31. Interlibrary Loan
Request
Repeating this search in Pubmed pretending that
the article was NOT available electronically using
the Find It button or through the publisher.
38. Mobile Apps
HPD Point of Care and Mobile
databases are available through the
Find Mobile Apps tab on the
Osteopathic Medicine Libguide or by
logging into them from the HPD
Library database page.
42. UpToDate is a clinical
point-of-care database.
To register for access
current NSU students,
faculty & staff and clinical
affiliates must enter
through one of the
UpToDate link(s) on the
HPD Library website and
register/create a personal
account for UpToDate.
**IMPORTANT: In order to maintain remote access to the app,
UpToDate wants you to verify that you are still affiliated with NSU
every 90 days. You can do this re-authentication simply by accessing
UpToDate via one of the UpToDate link(s) on the HPD Library website,
then signing into your personal UpToDate account.
Up-To-Date App
43. Dear Julie Sarpy,
This friendly reminder is to notify you that your remote access to UpToDate® will lapse on
07/30/2022 unless you take action. In order to maintain uninterrupted access to UpToDate
Anywhere, you must verify your continued affiliation with Nova Southeastern University once
every 90 days.
Verifying your affiliation is fast and easy: Simply log in to
http://www.uptodate.com/login from the Nova Southeastern University network with your
UpToDate user name and password.
User name: jsarpy@nova.edu
Your password is confidential; if you forgot your password, click here.
To learn more about this process, including other ways you can verify your affiliation, click
here.
If you have any questions about your UpToDate account, please email us at
customerservice@uptodate.com.
48. Sherrica Taylor, PhD
Assistant Professor of Medical Education
Director of Faculty Development
954-262-1140
staylor2@nova.edu
Schedule an appointment: https://calendy.com/staylor2-
1
49. To Register
for NSU
HPD Library
Access
College of Medicine Residents:
Crystal Guerrieri, Administrative Coordinator II GME
cguerri1@nova.edu
954-262-1549
50. The best way to contact me is via email.
Thank you for your time.
If you have questions, please
feel free to contact me.
Hello Everyone, My name is Julie Sarpy and I am the Library Liaison for NSU GME and Residents. I will be going over the library resources available to you as clinical affiliates.
As HPD has so many programs that we designate a librarian for each specific one. I am your point person for library resources: books, databases, and journals for your program. My email is jsarpy@nova.edu. My office hours are 7:30-4 pm M-F. If I am not there you can email hpdref@nova.edu and the first available librarian will respond to your requests.
These are the topics that I will be covering today: Clinical Affiliate Library Home page
Finding Full Text/New England Journal of Medicine, NEJM Residency Resources, Searching the literature databases via PubMed, Cochrane and Cinahl. Databases are Collections of journal articles and abstracts and as NSU clinical affiliates you have access to the bibliographic resources to which we subscribe. The Access Medicine App, Clinical Key App, Up-To-Date App, 5 Minute Clinical Consult, Grand Rounds Contact and how to contact the KPCOM/GME Clinical Affiliate Coordinator for library access..
I know, The POC resources are instrumental to you and your patient practice where clinical decisions are being made . However, being affiliated with NSU offers you access to these tools, as well as a plethora of other resources including ebooks, full text- journals, direct access to pubmed and so much more.
Some of these tools might be refreshers for you based upon my session in June and perhaps new to others. But you can always use this information, as we constantly make updates our resources and furthermore you may have to update your library credentials to by contacting the GME Coordinator if you access expires.
I want to let you know where you can find a copy of this presentation, so you don’t have to worry about writing down everything or remembering everything. The HPD Library Homepage is www.nova.edu/hpdlibrary. So, that is where you need to start first.
Then Click on the icon for Osteopathic Medicine.
This is the landing page for Osteopathic Medicine. From there you will click on tab marked clinical affiliates to access your resources, including your Residency Library Access webform, which you will need to complete, but I will discuss more about later.
I know all of you know how to search a Library catalog, but I wanted to point out that a majority of our collection is electronic. There are collections of eBooks in several difference databases, however you should be able to find out if we have a book, in print or electronic regardless of the database it is located in using the Library Catalog. You can perform a search of the Library catalog using the search widget on the homepage by title.
This second tab is our Full Text Finder. This will conduct a search across all of our databases to see if we have electronic access to the full text of a particular journal, for any period of time.
**Full Text Finder is pretty good about locating titles using the acronym. If you get no results and you are using an acronym, redo the search by spelling out the abbreviated words.
Here is the result from our Full Text finder. It is a list of all of the databases that we subscribe to where we have the full text for the New England Journal of Medicine for any period of time.
Full Text Delay means that database will not allow access to the full text of that journal for this most recent period of time.
Finally please note that one of the options says “Massachusetts Medical Society” this is the Publisher’s Site. This means that in addition to getting access to the full text via some of our other databases we also purchase it directly from the Publisher. This allows access to additional features of the journals website.
Now, I will click on the hyperlink that says “Massachusetts Medical Society”
Before you access any of the electronic resources we subscribe to (pay for) you will need to authenticate. Because these are paid databases, they basically want to know who is paying for your access, so that is what the authentication does. It identifies that you have access via the NSU subscription. As Clinical Affiliates you log into the third box.
Now we are on the homepage for the New England Journal of Medicine. Just to reiterate, because we license the content from the publisher, we get to take advantage of the other features on the site. You can narrow down the site by clicking on “Specialties and Topics” or By clicking on {Articles & Multimedia} in the bar across the top of the screen, You will see links to “Videos and Images in Clinical Medicine” , Interactive Medical Cases, Quick Take Videos and Audio Interviews & Summaries etc. Also, when you create a my NEJM account, you can sign up for the Resident e-bulletin- a weekly e-mail summarizes the latest articles with clinical pearls from each and morning reports, so that is bonus material which can be invaluable. Not mention receiving article alerts with links to full text. More information can be found on the libguide on the Clinical Affiliate/ Residency tab under residency resources which I will show you now, if you would like to sign up for the NEJM Resident 360 Resource
The NEJM Resident 360 is a new resource offered by the New England Journal of Medicine Massachusetts Medical Society to help physicians-in-training to confidently better care for their patients. NEJM Resident 360 offers clinical content targeted specifically to residents’ needs, guidance in career decisions, and a way to connect with peers. It is a website a website and discussion platform that supports medical residents with the essential information they need to successfully navigate residency and beyond. I also included their twitter handle, if new are interested in following them for the latest updates.
I am briefly going to go through the steps on how to access Resident 360 to that you can set up your account. You can access it directly from the Clinical Affiliates/ Residents tab on the Osteopathic Medicine program guide under the drop down menu residency resources. click NSU’s NEJM Resident 360 link.
And once you do, you will be into the Residency 360 toolbox, where you can tools that will help you navigate residency and beyond, such as the career center, resident lounge, discussion boards and learning lab. However, you will only be able to access the Rotation Prep which provides interactive teaching and learning tools covering 14 rotation areas by creating account.
After logging into NSU’s NEJM Resident 360 link and authenciating with your credentials. Then click create an account create an account in the top right corner of your screen. You will have to set up a profile and once you confirm your account. You will be good to go and be able to access the full experience of Resident 360. Resident 360 is independent of the resident e-Bulletin which offers you two teaching topics right to your in-box weekly. I would suggest that sign-up for both to get the most out of this resource. The Instructions are on the libguide, but if you have any questions, email me.
Now I am going to briefly show you how to search the literature via the bibliographic databases to retrieve relevant articles. Literature searching is the task of finding relevant information on a topic from the available research literature. Literature searches range from short fact-finding missions to comprehensive and lengthy funded systematic reviews. Or, you may want to establish through a literature review that no one has already done the research you are conducting. If so, a comprehensive search is essential to be sure that this is true.
Whatever the scale, the aim of literature searches is to gain knowledge and aid decision-making. They are embedded in the scientific discovery process. Literature searching is a vital component of what is called "evidence-based practice", where decisions are based on the best available evidence. Let’s say our topic is Precision medicine and Covid. So we are going to focus our literature search for full-text article on precision medicine and Covid-19.
Returning to the landing page for the Osteopathic Medicine Program guide, you will see There is also a Database Chart which is a quick ready reference for databases for articles or topics or tests and instruments. If you hover over the top of the top of each link, you will see a brief description of each resource : scope and coverage. Oh and by the way these links are hyperlinked, so you can access the databases there.
I am going to begin my search in Cinahl, Cochrane and Pubmed Databases: Cinahl is the Cumulative Index to the Nursing and Allied Health Literature, Cochrane provides Evidence-based full text articles and protocols and Medline (PubMed). PubMed (MEDLINE) is the National Library of Medicine database for medical research. You can choose which interface that you want to use to search Medline visa Ebsco or direct site. Each of these interfaces will be searching the same information. Here you can see a list of the possible search terms that you can use as keywords in your search. As you may need to revise or rerun your search to retrieve the most accurate results and articles that you need. On the Evidence Based Medicine tab you will find step-by-step tutorials and functionality comparisons.
Best practice is to use one word or concept for each search box. If you must use a phrase, put quotation marks around the it. So that it tell the database to search for all those terms proximate to one another and not anywhere in the article. For example “climate change” as a keyword and not climate in one place and change somewhere else. Other tips for searching include: Using synonyms for your concepts including both more specific and/or more general terminology can be useful. For example the other keywords that I had listed on the previous slides,
Use Boolean operators when allowedAND – use to combine concepts (when both must be present)OR – use for synonyms (when either term could be present)Using filters or limits to refine your search as needed and be sure to Look at the indexing terms of search results that are good
matches. With this preliminary search I only retrieved 16 results, so I probably would want to rerun my search using broader terms
So, the great thing about CINAHL via Ebsco And Cochrane Collection Plus is that is that these are Ebsco resources and Ebsco allows for simultaneous searching across multiple databases at once which, a time saver so that you do not have to run your searches individually, one by one.
Cochrane Collection Plus combines the most comprehensive databases from the Cochrane Library including Cochrane Database of Systematic Reviews, Cochrane Clinical Answers, Cochrane Central Register of Controlled Trials and Cochrane Methodology Register . All evidence- based medicine resources. Note that not all articles will not match your search exactly. You will have to weed those out articles one by one, making sure that you do not miss one that you could use. Remember the literature review log helps you keep track of your searches. You also can create a free my-ebscohost account to create folders which enables you to manage previous searches and receive alerts for new related articles once they have been cataloged.
So when I tried my search over with the choose database feature, I retrieved 20 results. So that is too few, so I would want to rerun my search with alternate search terms and without the quotation marks to see entirety of what literature might be out there. This of course will vary depending on the topic or research, if it is a niche subject or topic, I might have to broaden out or extrapolate out or reconstruct my search depending. The Lack of search success seems to go wrong in two opposite directions --- many results but not focused on the topic or not many at all. So modifying my search, now I retrieved 79 results. This is a manageable number and now you can go through the list and see which one might be the most appropriate for your research or your patient.
Note that not all articles will not match your search exactly. You will have to weed those out articles one by one, making sure that you do not miss one that you could use. Remember the literature review log helps you keep track of your searches. You also can create a free my-ebscohost account to create folders which enables you to manage previous searches and receive alerts for new related articles once they have been cataloged.
There often are articles that you would like but the pdf where the pdf is not linked, for example search result number 2. The findit button is our link resolver which allows you to search our library catalog for full-text journal articles. You will have varying levels of success with the find it button. Sometimes it will directly link to article, or you will have to browse to the article in which you have to search for the appropriate year, volume and issue to locate it. Or if it still unavailable you will have to request it through interlibrary loan.
The Pubmed database contains more than 19 million citations/Abstracts for biomedical articles from MEDLINE and life science journals. Citations may include links to full-text articles from PubMed Central or publisher web sites.,
The 3rd tab is used to search PubMed. When you click on PubMed you will see 3 options:
~Advanced Search – which will bring you to the PubMed search builder screen
~Journals (which you can use to look up full journal titles/acronyms) and allows you to limit your search to Journals referenced in the NCBI Databases
~MeSH – will allow you to search the controlled vocabulary thesaurus for Medical Subject Headings (MeSH)
Now I am going to enter my topic/article title into the search bar to perform a Sample Search in PubMed
So if we return to our topic of Precision Medicine and Covid-19. Remember we are still looking for articles, so we are going to insert these terms into the search bar and click search.
You should see a list of possible matches. PubMed will put the one that it thinks matches most closely in a box at the top of the results screen. To get to the full text options click on the article title to open the whole record to see the FindIt button. Let me briefly discuss filters before I discuss my search results.
Many databases will have filters allowing you to limit your results to review research articles. Often you will be able to restrict or filter your search results to the content most relevant to you. You see article type and publication date, but if you click on additional filters, you can see more options including: age, species, language, sex , journal and age. These help you customize your search results those fields that are germanane to your topic or research. Most databases have filters, if not you can always add the word “review” to the search bar
This will limit your search to review articles as you see by the reduced number of results now just 165. How ever you do not have to do this in PubMed or Cochrane Collection or Cinahl or any of our subscription databases. So now if we return to our search and click on the first result Stroke in patients with COVID-19
So I am going to click on the first result . Remember the top result is the best match, so that is why I am choosing it and when I click on the article title it opens and then **Sometimes you will see other full text links. These are provided by the Publisher and may not work. You will experience varying degrees of success. If you are on campus and the site has picked up our IP address and detected we have a subscription, sometimes you will get lucky and if an article is open access you might be able to access the full text. Generally, I try the links if all else fails. The FindIt button is what you are looking for. That is our Link Resolver. It will connect you with the full text if we have access in any of our subscription databases.
Click on the FindIt @ NSU button.
This will open up this “middle-man” page. You will see a brief citation up at the top and a number of links under. You may see other links with direct links to the article. Sometimes they work, sometimes they do not. Here will see a list of databases that we subscribe to that has the full text for that journal for ANY time period. Novacat will search to see if we subscribe to or have that journal in print. The last option is Illad or Interlibrary Loan, this is the service you would use to request the full text of an item we do not have electronically. I will show you process in a few slides.
However, now I am going to click on the Check Science Direct for full text of this article.
From your citation, the year you need is 2021 and that year is within this resource’s range.
You will be prompted to authenticate again and then once you do you will be into the resource. You can try to find the article from PubMed citation by navigating the archives list to locate the Year, Volume, Issue and Page, but I sometimes find it easier (especially when the article is ePub ahead of print) to search the database for the title.
Sometimes, ClinicalKey requires you to create a personal account to access certain content. This time, I was able to just click on the PDF icon and it automatically downloaded the PDF. Now if we were to repeat this same search in pubmed pretending that the article was NOT available electronically in the library catalog using the Find It button or through the publisher. I would enter my terms or title into the PubMed search bar.
Again, I would select the first citation. The one closest to our search terminology.
I am doing this to demonstrate how you would request an article through Interlibrary Loan, for those items that not available through the library catalog. So, I have repeated our search and Note the find it button. We will click on it but pretend that Interlibrary Loan is our only option , as if the item were not available through our journal collections or catalog
If the article was not available electronically, you can request it through interlibrary loan.
Simply login to interlibrary loan with your credentials. Again, using the third text box with your credentials
You will notice that it automatically populates the form with the information the ILL office will need to locate the item. However, the most important questions is the first question which is What is your campus affiliation. Residents are considered “Clinical Faculty” as far as the Library is concerned.
When the article comes in you will not be sent the PDF in an email. You will be emailed a link to log back into this Illiad system. You will log into your account and need to click on the {Electronically Received Articles} option in the VIEW section of the left hand column
You would be able to click on the transaction and retrieve your article.
Now I am going to highlight our point of care apps that you can use in clinical setting to aid you in your patient care decision-making processes.
Under the Find Mobile Apps tab you can see a list of HPD Apps. These POC resources are important for residents or clinicians who need to know more about how to use evidence-based clinical tools in their practice that can answer a question succinctly and for educators who want to promote the effective use of these resources
If you scroll down, you will see list with the instructions on how to download the apps. You can check them out at your leisure. I am going to over briefly Clinical Key, Access Medicine, UpToDate and our newest resource Five Minute Clinical Consult.
Access Medicine is in depth biomedical resources that include : Medical textbooks – Including the latest editions of , Quick Reference Tools, Practice Guidelines, Quick Medical Dx & Tx which is a collection of concise evidence-based outlines of conditions and disorders most often encountered in medical practice – perfect for high-yield review or for quick reference in the clinical setting. Diagnostic Tests, from Pocket Guide to Diagnostic Tests, Clinical Calculators and . Diagnosaurus® is a valuable quick reference tool that contains over 1,000 differential diagnoses. Diagnosaurus is searchable by symptom, disease, and organ system. And everything is available on the mobile app through the Access Medicine app.
Clinical Key is an authoritative evidence-based and continuously updated clinical information resource for healthcare professionals. Designed for use at the point-of-care, it provides instant, user-friendly access to the latest information on evaluation, diagnosis, clinical management, prognosis, and prevention. With Clinical Key – you have access to thousands of books and journals – you can also search by topic. First Consult (reference summary from Cochrane Collaboration) and Procedures Consult (procedures reference tool) are part of Clinical Key. However to access to features, as well as the App, you must register for and login to a personal account.
You will need WiFi to access everything that Clinical Key has to offer: including the Drug Monographs from Clinical Pharmacology and pdf-files for e-books. If you get a session time out message while searching ClinicalKey, please close or refresh your browser or switch browsers and try your search again.
You have access to the mobile version of Up-to-date through the HPD Library – many institutions are not able to provide that. They are strict on making sure only authorized users are using it, so you’ll have to verify your affiliation once a month by going to the UpToDate web version on the HPD Library website. _ Up to date provides the quickest access to clinically relevant answers. Other uptodate features that you may be less with familiar are : Drug-to-Drug, Drug-to-Herb and Herb-to-Herb Interaction, Easy limits filters in search box, Direct export graphics into PowerPoint, and its Practice-Changing Updates
You might get a reminder from UpToDate that looks something like this. Don’t follow these directions.
Instead, go to www.nova.edu/hpdlibrary, then the Osteopathic Medicine guide, then this big’ hard to miss link. You might need to log in to your personal UpToDate account, too, depending on the last time you cleared your cache & cookies in your browser. Up-to-date is restrictive in who can have access to the app. You have to be currently affiliated with the university, not an alum or have recently graduated or employed by Nova. So every 90 days just access up-do-date thru library homepage and your account will stay active.
We are happy now offer 5 Minute Consult, a clinically supported app that is updated in real time. 5MinuteConsult is an essential resource for medical system diagnosis, treatment and management information on the most frequently observed diseases and conditions. With over 2000 diseases, 200+ algorithms and charts, procedural videos and an easy to navigate a-z drug database, 5 minute consult is an essential resource for clinicians. It also offers: EHR Integration – Easy integration with electronic records.
Patient Handouts – More than 3,250 handouts, in English and Spanish
CME/CE Credits –
Customer Service –
Again the instruction for the app download can be found on the Allopathic program guide on the Mobile/iPad tab where you can find all the instructions for downloading the apps.
And If you need a quick reference guide to all of our resources, back on the Osteopathic Medicine libguide, the Residency Resources page provides with an more depth slide presentation of what I have discussed today, as well as the instructions for the mobile app, quick links to the point of care databases and clinical faculty interlibrary privileges. The useful tools to help you throughout your program. More importantly, it is there where you will find the webform that you need to complete to send to Ms. Crystal Guerrieri to gain access to the library databases.
Finding procedural videos sometimes can be difficult, but at HPD Library we have resources to make that easier for you.. If you click on Images and Multimedia from the database chart, you will find hyperlinks to video library databases:
Excluding Access Medicine, Clinical Key and UptoDate which I have already mentioned have an array of animation/image , patient interview videos, and procedural videos
We subscribe to:
Audio Digest- which publishes clinical lectures, presented by experts at the nation's preeminent teaching institutions that will help provide better care for patients.
Bates-videos which demonstrate head-to-toe and systems-based physical examination techniques on different types of patients.
Case Files- offers content in an interactive format. Updated regularly, this comprehensive case collection helps you apply basic science and clinical medicine concepts in the context of realistic patient cases.
NEJM- offers Clinical medicine videos for medical training, practice and education
DocCom- Includes over 400 videos with key principles, evidence-based recommendations, and a behavior skills checklists
Redbook Online-resource specializing in pediatric infectious diseases and immunizations-offers 2,700 infectious disease images for use in diagnosis and presentations, including clinical manifestations, disease vectors, and etiology.
Visual Dx- visual diagnostic clinical decision support system. It is designed to enhance diagnostic accuracy, aid therapeutic decisions, and improve patient safety.
And includes- medical image library, skin of color atlas, differential diagnosis builder, patient handouts and LearnDerm which is a self-study dermatology education resource
Many of you might be interested in attending faculty development and Grand Rounds sessions. While the library does host events and workshops on a particular database or tool or process, these deal with reference, instruction or support in relationship to the library. They can be as varied as hosting a Hackathon or a workshop on Endnote or a guest lecture on Lead in the Water Supply. We offer virtual and in person library events throughout the year. However, if you are looking for Professional Development events on a routine basis, I would suggest you contact Dr. Sherrica Taylor she is the Director of Faculty Development for KPCOM can assist you with registering for any of these events. You can see her contact information right here.
You need to complete that web form and send it back to Crystal. She will verify your affiliation and notify the library. We will send you an email once your library account is created with your login password. Once you have an account, you can fully access the library resources. If you need to contact Crystal directly with this completed webform. She must have each of you personally send a completed form to her as it is necessary to verify that you are currently affiliated with NSU for subscription database licensing agreements. You also will have to repeat this process annually per KPCOM Credentialling. So, your access will expire and you will be required to re-verify your affiliation with NSU, so that you can continue your access to our subscription resources.
If you have questions, you can email me. Directly through the libguide or
Again here is my contact information, I am Julie Sarpy and thank you for your time. Questions?