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Abstracts for the 2006
MLA Annual Meeting Program, Phoenix, AZ
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Program: History of the Health Sciences Section
Between "Madness" and Mental Health: Changing Perceptions and Treatment
Sunny L. Worel, AHIP
Changing Measures of Madness: The Case of Winnie Ruth Judd
One of the most notorious and controversial crimes in the history of Phoenix Arizona was the case of
Winnie Ruth Judd. The crime left Ruth's chums Agnes Ann LeRoi and Hedvig Samuelson shot, dismembered, and
shipped in trunks to Los Angeles in October of 1931. The court initially found Ruth guilty of this crime,
acting alone, and in sound mind. She was sentenced to hang, but was declared insane in time to save her
from the gallows. She spent much of her life at the Arizona State Hospital for the Insane, escaping often,
sometimes even for years. Ruth's true story has merged with folklore in the historical record of Arizona.
Ruth's mental condition was the subject of much debate during her trials, appeals, and escapes over the
forty years she fought to regain her freedom. What evidence is there to substantiate the mental health of
Ruth Judd? What measures were used? Records from the Arizona State Archives, Arizona Historical Society,
Clements Library (University of Michigan), tabloids, and newspapers from around the country weave together
a strange tale of a woman attempting to recapture a normal life. Cultural elements of the Twenties to the
Seventies color the picture of the mental health of Winnie Ruth Judd. Particular situations in her fight
to regain her freedom called for different strategies, blurring much of the evidence for or against Ruth
Judd's sanity.

Lee Vucovich, AHIP
Societal Perceptions of Anorexia Nervosa: From the Saintly to the Scientific
[The objective of this paper is] to trace society's changing perceptions surrounding Anorexia Nervosa
(AN), a serious condition in which a person refuses to maintain body weight, over time. Although Anorexia
Nervosa is currently described a mental illness, "Holy Anorexia", was revered during the Middle Ages.
Today, biomedical and neurobiological studies offer new insights which could transform current perceptions
of Anorexia Nervosa. The media seems fascinated with Anorexia Nervosa. Currently described as a mental
disorder, Anorexia Nervosa has serious physical symptoms and a long term mortality rate of 5-10%. Although
Anorexia Nervosa was first identified in the late 19th Century, fasting to the point of self-starvation
was described in biographies of several Saints from the Middle Ages. A series of case studies drawn from
the psychological and medical literature and popular press will illustrate society's changing perception
of this condition. Contemporary perceptions of the cultural and emotional basis for Anorexia Nervosa will
be included. A review of current medical and psychological literature will provide a summary of
neurobiological and biomedical investigations focusing on serotoninergic dysregulation, neuropeptides,
brain imaging, and the neuroscience of feeding behavior. Such research should guide development of new
pharmacological treatments and new understanding of the etiology of Anorexia Nervosa.

Bradley W. Bishop
Implications for Librarianship Resulting from Deinstitutionalization
Prior to the discovery of mental illnesses' somatic base, involuntary commitment occurred. Stigma
developed because of the separation of mental health's treatment facilities and funding mechanisms during
institutionalization. The deinstitutionalization movement in mental health affects libraries' collection
development and training. How have libraries been instrumental in the dissemination of mental health
information? In addition, what steps can they take to reduce the stigma of mental illness in their own
libraries? This narrative will search for examples of special accommodations in libraries for users with
mental illnesses, who may or may not be homeless. In addition, a telephone survey of both public and
medical libraries' ADA Librarian, will inquire about specific library guidelines on the treatment of users
with mental illnesses, who may or may not be homeless. In addition, the survey will include questions
about the libraries efforts to educate the public about mental health. Prior to the telephone survey, the
researcher will perform a review of each library's catalog in order to determine each library's holdings
on mental health and related issues. If the library's information is found outdated, the telephone survey
will include questions about how this void will affect each library's future collection development.

Joan M. Stoddart, AHIP
The Retreat at York: Providing a Transformation to Humane Treatment of the Mentally Ill in the 19th Century
This poster will examine the role of the Retreat at York; an English asylum which was founded in 1796 by
the York Society of Friends (The Quakers) led by William Tuke. It is credited with revolutionizing the
attitude and treatment for the mentally ill in England from cruelty, patient restraint and filth to one of
dignity, decency and cleanliness The York Retreat can be credited with transforming the treatment of the
mentally by utilized what was called "moral treatment" which acknowledged the connection between a sound
mind and body, reflecting the Quaker belief in the importance of inner discipline and control. It largely
abandoned the practices common to the day such as chaining and beating, purging and bleeding. Instead, the
Retreat at York offered clean and comfortable rooms, activities including daily chores and outdoor
exercise. It provided a homelike atmosphere with surrounding grounds that emphasized orderliness and
serenity and an opportunity to heal. A treatise entitled "A Description of the Retreat, an Institution
near York for Insane Persons" was written in 1813 by Samuel Tuke and is thought to be the first full
length written account of a mental institution.

Clista Clanton.
Schizophrenia: Emerging from the Darkness
While the term schizophrenia is less than 100 years old, written documents have traced accounts of
schizophrenia as far back as ancient Egypt. Over 100,000 new people in the U.S. alone are diagnosed with
schizophrenia each year and it ranks among the top 10 causes of disability in developed countries
worldwide. Sadly, however, this has been one of the most misunderstand of diseases. This poster will look
at societal perceptions of schizophrenia throughout history, key research that has firmly established
schizophrenia as a disease of the brain, and highlight some of the promising new pharmacological
treatments that have made such a tremendous difference in the lives of both patients and their families


Program: History of the Health Sciences Section
Passing the Baton: Transforming Knowledge
Lucretia W. McClure, AHIP
The Sherrington School
"A thought," says A. N. Whitehead, "is a tremendous mode of excitement." A scientist whose ideas created
great excitement was Charles Scott Sherrington, a visionary neurophysiologist who brought fresh insight to
the new era of cellular histology. The nerve cell with its interconnections became his field. But he was
not only a great neurophysiologist and winner of the Nobel Prize in 1932, he is equally well known as a
teacher and mentor. Why did this one man have such am impact on neurophysiology? There are two aspects of
his life and work that make clear why he is remembered today. First was his extraordinary work on spinal
reflexes and the second his teaching of dozens of students during his fifty-one year career. The purpose
of this paper is to explore the life and work of Charles Sherrington to determine who influenced and
mentored him and why he had such influence on the students he mentored, students who followed his teaching
and went on to make significant contributions of their own. In order to trace Sherrington's development, a
search of the biographical literature is necessary. A review of his educational progress will show where
he studied and with whom he was mentored. Following his path to learning will show why he became such an
acknowledged mkentor. A search to identify the students who came to his laboratory will complete the
picture. The list is no less than a roll call of the major players in the field. This is an impressive
example of the transfer of knowledge, resulting in the creation of new knowledge

Helen-Ann Brown, AHIP
From Pap to ThinPrep to HPV Vaccine: Detection and Eradication of Cervical Cancer
[The] [o]bjective [of this paper is] [t]o trace the historical contribution of vaginal smears, the
conventional Pap Smear, Babes'technique and liquid based ThinPrep to correctly detect cervical cancer and
forecast the effectiveness of a new HPV-16 vaccine, Gardasil to contain and one day eradicate cervical
cancer. : This is an historical review through published literature and anecdotes marking the contributions
of George Papanicolaou of Cornell, Aurel A. Babes of Bucharest, ThinPrep, a liquid based cytology from
CYTYC, and the bright promise of Gardasil, an HPV-16 Vaccine.

Jeremy Norman
A Leslie Morton Style Review of Selected Landmarks in MedicalBibliography from Alexandria to the Internet
Using examples from Garrison-Morton, this talk will be a discussion of the history of historical
bibliography and list-making and how it is now being applied, with modifications, on the Internet

: Pamela M. Corley, AHIP
Genetics: From Genes to Genomes
There has been an incredible explosion of information in genetics. This poster will present some of the
major landmarks in the history of genetics. : With images and accompanying text, this poster will
illustrate key milestones in genetics. The presentation will use a dual timeline with scientific genetic
events presented in the context of the significant events in information sciences and medical
librarianship.


Program: History of the Health Sciences Section
Junk into History: Dealing With Archives And Gifts
Lisa A. Mix
Tips for Managing Archival Collections in the Health Sciences, or, What to do When You Can't do it All
This paper is directed toward librarians with limited knowledge of archival methods, who have been
assigned responsibility for historical collections. The author will present some basic steps for handling
archival collections, with emphasis on collections in the health sciences, and on managing with limited
resources Most institutions assign archival functions to the library. However, not all libraries are able
to afford a full-scale archival program or a full time archivist. Particularly in small libraries,
responsibilities for managing archives may be assigned to a librarian with little prior experience in
archives. Often, archival programs must function with limited resources. Archives in the health sciences
present additional challenges, as some historical materials are subject to federal privacy regulations.
Recognizing that many institutions "can't do it all", I will identify the basic essentials for a
successful archives program, and present strategies for managing on limited resources. I will inform the
audience of available resources for assisting archivists in the health sciences and for enhancing archival
programs.

Fay Towell
Enhancing Value and Visibility: The Hospital Library as Manager of Corporate History
The Greenville Hospital Library serves over 7,500 health professionals system-wide. The 12 institutions
composing the hospital system include acute care hospitals, a children's hospital, a psychiatric hospital,
a rehabilitation hospital, and a long term care center. In a recent move to partner with state-wide
universities, the Greenville Hospital System became a medical university in April, 2005. As libraries
transition into the electronic age, we must be creative in order to enhance our value to our organizations.
By volunteering to manage the archives, this library has become involved with collecting, preserving, and
retrieving documents and artifacts that chart the development of Greenville Hospital System for the past 100
years. This involvement serves to increase the visibility of the library to those both within the
organization and outside in the community. Patrons look to us for answers to questions that are other than
medical, therefore diversifying the library's research capabilities. This paper will reference involvement
of other hospital and medical university libraries in the archives as reported in the literature. The
Library has become recognized as a place to seek knowledge about organizational and corporate history as
well medical information, therefore diversifying both patrons and resources. :A record is kept of all
requests that are answered with archive material and reported to the President's Council. Anecdotally,
comments from patrons researching in the archives have been very favorable.

: Richard C. Wood, Margaret Vugrin, AHIP
Opening Pandora's Box: An Exercise in Inventorying Special Collections
Before a possible gift could be accepted approximately 1,600+ items needed to be identified, cataloged and
photographed to create a product from which an independent appraisal could be made. Collections consisted of
medical and pharmaceutical artifacts, books, and journals, from the 17th to the mid 20th Century. The
director was asked to assess the collections and to prepare an inventory. The library director was
assisted by an in-house reference librarian/photographer, a student assistant and on two occasions two
additional librarians (a cataloguer and a former archivist) also joined the team during this eight month
project. All items were numbered, identified and measured; this information was then dropped into PowerPoint.
Multiple digital photographs were taken of all the items. Using PhotoShop, images were enhanced, converted
to jpeg format and then dropped into the appropriate PowerPoint slide. The process of identification and
organization employed various technologies to prepare final appraisal products, entailing many intricate
steps that will be described in this presentation. Organization of all the 1,600+ items (which varied in
size from several centimeters to more than three meters) and their photographs was extremely important.
EndNote was used to create a database of the book and journal items. RESULTS: The end product was an
elegantly-crafted CD containing images of all the items in PowerPoint files as well as bibliographies of
the book and journal items that could then be used for appraisal purposes. CONCLUSION: Our use of fairly
simple and readily-available tools in the creation of the end product demonstrates the applicability of
these techniques to all manner of gifts to a library or other such institution.

Richard Nollan
Gloom Impenetrable: The Letters of William J. Armstrong
In 2005 roughly 100 letters by William James Armstrong were given to the University of Tennessee Health
Sciences Historical Collections. They came to UT folded and carefully packed in a painted tin box. Dr.
Armstrong moved to Mempis after the Civil War to set up a medical practice and to raise a family with his
wife Lula Armstrong. During the two worst Yellow Fever epidemics of 1873 and 1878 Dr. Armstrong volunteered
to stay in Memphis to help those who would not or could not leave. Dr. Armstrong's courage despite his
powerlessness in the face of this disease is the central theme of this presentation. He moved his family
into the country and the letters were preserved by Mrs. Armstrong. The letters contain a firsthand
account of the doctor's observations of his work and his patients, and his speculations on the nature of
the disease. The letters also paint a picture of the day to day life in Memphis, and descriptions of those
he praised for their courage and those who failed.

Dee Jones, AHIP, Marianne Comegys
Transforming 50 Cubic Feet of Papers, 4000 Slides, and 250 Videotapes Into an Archive Celebrating the Life and Work of Dr. John C. McDonald
This poster will describe the process of assembling an archive consisting of the primary source materials of
Dr. John C. McDonald and to further utilize those resources as the basis of a website. McDonald, Chancellor
of the Louisiana State University, Shreveport, is a pioneering transplant surgeon who was instrumental in
the establishment of the national organ sharing network. Manuscripts of research papers, seminal files of
organ transplant organizations, and papers pertinent to McDonald's 30-year tenure at LSU as chairman of
the Surgery Department, Dean, and Chancellor will be assembled, sorted, arranged, and described according to
current standards of archival practice. Slides that accompany his research will be digitized and older
formats of audiovisuals will be transferred to CD-ROM. A website highlighting the various aspects of Dr.
McDonald's career will be developed using images of materials in the archive. An expert in digitization and
website design will be brought in as a consultant. We will collaborate with the a Foundation to secure
private and public sector funding for this project.

Mark Vrabel, AHIP, Christine Maloney
Walking and talking through history: Putting to use the archived materials of a specialty nursing association
This poster highlights the ways the archived materials of a specialty nursing association have been utilized
and promoted, particularly during anniversary celebrations. The Oncology Nursing Society (ONS) is a national
organization of more than 32,000 registered nurses and other healthcare professionals. ONS maintains an
archived collection of project files, photographs, oral history recordings, and other materials of
historical significance. These materials are utilized in various ways, especially during anniversary years
such as ONS's 25th and 30th anniversaries. Anniversary celebrations were limited in duration to that given
year, and the results of all associated activities were documented in official reports completed by the
anniversary project team, of which the librarian was a member. Other archives projects are ongoing, such as
the oral history interviews, national office display case, and assistance to Chapter and SIG histories.
Feedback on the "walk through history" was solicited via a comment box placed at the end of the exhibit. The
exhibit also received outside media coverage; for example, an article was published in Nursing Spectrum. For
activities of this nature, much of the feedback is more informal, such as verbal comments from exhibit
attendees and viewers of displays. In 2000 (ONS 25th anniversary) and 2005 (30th anniversary), some ways in
which archived materials were used included a "walk through history" exhibit at the Annual Congress
highlighting the Society's growth/achievements (it also included significant social and medical
trends/headlines); a supplement to the Society's Oncology Nursing Forum journal documenting the
organization's development (reprinting many photos and documents from the archives); columns in the
Society's ONS News authored by the librarian, as well as excerpts from the oral history interview
transcripts of ONS past presidents (excerpts also were displayed as captions to hanging portraits in the
aforementioned "walk through history" exhibit). Archived materials are put to use outside of anniversary
years as well, via rotating displays in the national office, providing photos and research materials for a
book on the history of oncology nursing, and assisting ONS Chapters and Special Interest Groups (SIGs) with
their own historical needs.

Christopher Ryland, Mary Teloh, Jeremy Nordmoe, Qinghua Kou
Managing and Disseminating Historical Content via an Archival Knowledge Management Database Application
To describe the structure, development, and use of a knowledge management database application designed to
manage internal and external aspects of archival knowledge and content. Special collections staff and
programmers at a large academic health sciences center library developed a database application to manage,
disseminate, and leverage knowledge related to archival and special collections, including internal
process management and external deployment of archival knowledge. This application manages each step of
the archival process, from maintaining data about individuals and organizations to the appraisal,
accessioning, processing and use of archival materials. Adhering to the library's philosophy of modular
application development, which requires easy re-use and targeted integration with existing tools, the
database operates in alignment with the library's special collections digital library to allow dynamic
generation of archival finding aids and metadata records on a near real-time basis. Furthermore, the
incorporation of principles of re-use and interoperability into this and other library-developed tools
helps to strategically position the library to address future knowledge, content and document management
needs.

2006 Program
3/27/06
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