Summary points
The TARCiS (Terminology, Application, and Reporting of Citation Searching) statement provides guidance in which contexts citation searching is likely to be beneficial for systematic reviewers
TARCiS comprises 10 specific recommendations on when and how to conduct citation searching and how to report it in the context of systematic literature searches, and also frames four research priorities
The statement will contribute to a unified terminology, systematic application, and transparent reporting of citation searching and support those who are conducting or assessing citation searching methods
Conclusion: Social media facilitates interpersonal communication, information exchange and knowledge sharing, and infographics may draw people into healthy lifestyle and fitness information items relevant to them.
A scoping review to determine how health service librarians instruct practicing clinicians and health sciences faculty in support of their continuing education.
as people aged, they searched for significantly less health wellness information (P<.001) and more health guidance (P<.001), and health management information (P=.003).
This cross-sectional study compared plain language summaries (PLSs) from medical and non-medical organizations regarding conclusiveness, readability and textual characteristics.
Our overall assessment is that MTI is a potentially useful tool for researchers wishing to classify texts from a variety of sources into disease areas.
ChatGPT provides different answers to similar questions based on the prompts, and patients may not have expertise in prompting ChattPT to elicit a best answer. (Prompting large language models has been shown to be a skill that can improve). Of greater concern, ChatGPT fails to provide sources or references for its answers. At present ChatGPT cannot be relied upon to address patient questions; in the future, ChatGPT will improve. Today, AI requires physician expertise to interpret AI answers for patients.
When screening full-text literature using highly reliable prompts, GPT-4's performance was more robust, reaching “human-like” levels. Although our findings indicate that, currently, substantial caution should be exercised if LLMs are being used to conduct systematic reviews, they also offer preliminary evidence that, for certain review tasks delivered under specific conditions, LLMs can rival human performance.
Emily Drabinski , Queering the Catalog: Queer Theory and the Politics of Correction, The Library Quarterly: Information, Community, Policy, Vol. 83, No. 2 (April 2013), pp. 94-111
'This blog post details our experience organising a series of Randomised Coffee Trials within the Yorkshire (YOHHLNet) and Northern Health Libraries Networks.' Participants are health library staff.
NHS Knowledge and Library Services Community of Practice joins the Green Libraries Campaign to support the campaign's growth and evolution as for new green intiatives and activities in 2024 onwards. News release. We have a sustainability action on this year's delivery plan - will this help?
In this editorial, Anthea Sutton and Veronica Parisi reflect on ChatGPT, how it may contribute to systematic searching, and provide their overview of some recent training they attended on ChatGPT, AI and systematic literature reviews.
Today a perceived lasting legacy of the Covid-19 pandemic is that more information literacy instruction is happening online than pre-pandemic, including ongoing adoption of synchronous modes of instruction in course-based and co-curricular contexts, and sustained integration of asynchronous learning resources either in standalone formats or as fundamental elements in what is described as a growing adoption of a more modular, scalable approach to information literacy instruction. At the same time, the role of in-person information literacy instruction has by no means been forgotten, with all OCUL libraries offering a majority of instruction this way by Fall 2022, when pandemic restrictions eased up. However, an ongoing legacy of the Covid-19 pandemic has been lasting changes in how librarians teach, and the nature of collaborative partnerships at work in shaping this information literacy instruction, to increasingly draw from a broader range of modalities to offer students a more flexible learning environment.
Interview and survey findings highlighted several strengths, weaknesses, opportunities and threats to support future development of online knowledge sharing platforms.
Discussion
Online knowledge sharing supports six ‘pillars’ of successful research and innovation partnerships. This requires distributed forms of leadership and linking of different knowledge sharing strategies, and careful combination of platforms with communities of practice.
Conclusion
Online knowledge sharing provides pragmatic and timely strategies for health professionals in the UK to apply research evidence to their practice. Our study provides generalisable, practical insights in how to develop and implement a knowledge sharing platform.
Notably, from their initial exposure, students associated e-books primarily with a source of new information, rather than as a time-saving tool. Although e-books were perceived as easy to use, this aspect did not strongly influence students' attitudes and intentions to use them as much as their perceived usefulness did. The study reveals that students, particularly in social sciences, have long viewed e-books as a vital technology for exploratory knowledge acquisition. While they perceive e-books as easy to use, this perception likely stems from their habitual use for managing learning activities, rather than from recognizing any added value of the technology itself.
Results: Thematic analysis revealed three themes: tablets are convenient to access online information and older adults reported technical, security concerns, emotional and cognitive challenges regarding use of smart tablets. Older adults also requested one-on-one support, assistance, and topic specific learning for future training sessions.
Conclusions: Future studies should focus on providing detailed, clear instructions at an acceptable pace for older adults.
Four main themes related to how youth search online emerged: mind-set shapes the search process; external factors shape the search process; key attributes of helpful information; and cues affecting trustworthiness of online information. Findings can inform the development of youth-friendly online mental health information that is perceived as helpful and trustworthy by youth. Ensuring youth have access to quality online mental health information, accessible to how they search for it, is critical to the mental health and development of youth.
Results
We included 79 studies and identified themes, including question realism, answer reliability, answer utility, clinical specialism, systems, usability, and evaluation methods. Clinicians’ questions used to train and evaluate QA systems were restricted to certain sources, types and complexity levels. No system communicated confidence levels in the answers or sources. Many studies suffered from high risks of bias and applicability concerns. Only 8 studies completely satisfied any criterion for clinical utility, and only 7 reported user evaluations. Most systems were built with limited input from clinicians.
Discussion
While machine learning methods have led to increased accuracy, most studies imperfectly reflected real-world healthcare information needs. Key research priorities include developing more realistic healthcare QA datasets and considering the reliability of answer sources, rather than merely focusing on accuracy.
The concept of new libraries has been conquering many Polish towns and cities for some time - the idea of a place that is more than a lending library. The new small cultural centers are meant to create new spaces, following the idea of a "third place." This idea can be complemented by the interior, as exemplified by the library in Kraśnik.
"If someone has the energy to act and the desire to share it with other locals then a modern library will provide the space to do so. Why will it do so? Because it has such a space and it is adaptable, easy and quick to transform. I call it a 15-minute space, referring to a 15-minute city. This is the kind of space that characterizes a contemporary library, especially one inspired by the idea of the third place, and processes and activities can be initiated by both librarians and library users."
A small town library has won a prestigious international design award after undergoing a major transformation.
Originally inspired while drinking coffee in a Wrocław café by the sociological ‘third place’ concept – the social surroundings that are separate from the two usual social environments of home and the workplace - Kłoda divided the space into three main zones intended to match the visitors’ personalities.
Evidence-based practice is vital to nursing, and health and social care, but research suggests it is less widespread than it should be. One reason may be that front-line practitioners do not always have the support, time and knowledge to search for and review evidence.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Positioned as a review, our study elucidates the applications of ChatGPT in medical libraries and discusses relevant considerations. The integration of ChatGPT into medical library services holds promise for enhancing information retrieval and user experience, benefiting library users and the broader medical community.
In this article, Christine Urquhart discusses some different research designs, and different research methods that may help students and practitioners find useful answers to questions about professional practice beyond the standard survey. Researchers could consider research designs such as quasi-experimental techniques, controlled before-after studies, and interrupted time series. The basic principles of such methods are outlined and some examples cited. Other research techniques outlined include those that research subjects might find more interesting to do, such as conjoint analysis and vignettes
Online knowledge sharing provides pragmatic and timely strategies for health professionals in the UK to apply research evidence to their practice. Our study provides generalisable, practical insights in how to develop and implement a knowledge sharing platform.
Från Digiteket 18 januari 2024: "Digiteket är en plattform för digital fortbildning och inspiration vars främsta syfte är att öka kompetensen hos bibliotekspersonal gällande digital kompetens, medie- och informationskunnighet (MIK) och läs- och litteraturfrämjande."
While web analytical tools (e.g. Google Analytics) used by such websites can provide descriptive measures of users, there is a disconnection between this data and the current understanding of health information-seeking behaviour. In this work, we leverage a theoretical model to interpret the Google Analytics data. Drawn on the visualisation of user behaviours based on this model, our research shows that better website design can be informed, and the evaluation of health websites can be performed on the basis of different user profiles.
The purpose of this commentary is to provide useful guidance on conducting rigorous searches of the literature that inform the design and execution of research. Guidance for less formal literature reviews can be adapted from best practices utilized within the formalized field of evidence synthesis. Additionally, researchers can draw on guidance from PRESS (Peer Review of Electronic Search Strategies) to engage in self-evaluation of their search strategies. Finally, developing an awareness of common pitfalls when designing literature searches can provide researchers with confidence that their research is designed to fill clearly articulated gaps in knowledge.
To educate our campus’s health sciences audience and wider community on these topics, we have developed a range of instruction about visual health misinformation. We describe our strategies and provide suggestions for implementing visual misinformation programming for a variety of audiences.
This column will discuss how to navigate searchRxiv to find, reuse, and cite published search strategies, as well as the process of depositing search strategies.
In this article, Christine Urquhart discusses some different research designs, and different research methods that may help students and practitioners find useful answers to questions about professional practice beyond the standard survey. Researchers could consider research designs such as quasi-experimental techniques, controlled before-after studies, and interrupted time series. The basic principles of such methods are outlined and some examples cited. Other research techniques outlined include those that research subjects might find more interesting to do, such as conjoint analysis and vignettes.
The library includes 13 research topics, with assessment as the most prevalent. It also notes recognized experts, including van der Vleuten, ten Cate, and Norman. The key medical education research topics identified and included in the library align with what others have identified as trends in the literature. Selected topics, including workplace-based learning, equity, diversity, and inclusion, physician wellbeing and burnout, and social accountability, are emerging. Once transformed into an open educational resource, clinician-educators and medical education researchers can use and contribute to the functional library.
The literature analysis reveals diverse applications of ChatGPT in medical libraries, including aiding users in finding relevant medical information, answering queries, providing recommendations and facilitating access to resources. Potential challenges and ethical considerations associated with ChatGPT in this context are also highlighted.
Short, pithy, and practical article about the uses, and pitfalls, of AI. It includes some helpful suggestions about how to start using it, and some of the issues to look out for.
An assistant librarian was seconded for two days a week to support the Patient Experience Team. This item shows how she worked to update policies. The LKS is now being recommended across the Trust to support this work.
One for the Evidence wiki?
In summary, despite errors and miss rates with the current platform, systematic literature search using AI appears very promising, eliminating hours of human labor while improving search quality. As AI technology continuously evolves, efforts to refine and improve AI-based literature search platforms should be continued.
Results: The 100 systematic review articles contained 453 database searches. Only 22 (4.9%) database searches reported all six PRISMA-S items. Forty-seven (10.4%) database searches could be reproduced within 10% of the number of results from the original search; 6 searches differed by more than 1000% between the originally reported number of results and the reproduction. Only one systematic review article provided the necessary search details to be fully reproducible.
This blogpost looks at a Knowledge Specialist as a point of contact for three Research Units within this Trust. Any use or ideas for working with R&I, or promoting LKS services to them?
Conclusion: The results of this study show heightened complexity in ChatGPT-generated SCI texts, surpassing optimal health communication readability. ChatGPT currently cannot substitute comprehensive medical consultations. Enhancing text quality could be attainable through dependence on credible sources, the establishment of a scientific board, and collaboration with expert teams. Addressing these concerns could improve text accessibility, empowering patients and facilitating informed decision-making in SCI.
We developed a highly accurate, simple, transportable, scalable method to identify publications in PubMed and Scopus authored by anesthesiology faculty. Manual checking and faculty feedback are required because not all names can be disambiguated, and some references are missed. This process can greatly reduce the burden of curating a list of faculty publications. The methodology applies to other academic departments that track faculty publications.
In November, we held our inaugural gathering, welcoming 20 colleagues from various NHS trusts. Included as a reminder / inspiration in case anyone from our team is going to this, or will consider going.
Inspired by BBC Radio 4’s Desert Island Discs the Libraries at Lancashire Teaching Hospitals ran an initiative called Castaway Books. It's worth looking at their experience - engagement started well, but tailed off later. Keep this as evidence in case we want to trial something similar?
The genesis of the problems faced by the library, which is named after the legendary freedom fighter and scholar Lala Hardayal ( 1884- 1939) – which has a unique collection of more than 170000 books in Hindi, English, Urdu, Arabic, Persian and Sanskrit. ..one of the few Libraries in the world with a collection of at least 8000 rare books ((https://amritmahotsav.nic.in/district-reopsitory-detail.htm?2771)) – has its roots in the bickering among people who are supposed to manage the institution. What one learns that the intransigence shown by someone owning allegiance to Hindutva Supremacist viewpoint has precipitated this unforeseen situation (https://www.telegraphindia.com/opinion/should-i-have-made-your-wife-cm-instead-of-rabri-lalu-yadavs-jab-at-nityanand-rai/cid/1980987)
May be as you read these lines, wiser sense might have prevailed there and the library might be slowly limping back to normalcy.
Evaluation using two widely accepted tools shows that most websites related to COVID-19 are reliable and useful for physicians, researchers and the public.
People had longer attention span for video-based patient info than for text, spent longer (so less efficient) but felt better informed afterwards. I know we don't do patient info at the moment but I thought this was worth putting on one side (i.e. wiki) for future reference.
This study adds to our understanding of key topics in social science research on COVID-19. The automated literature analysis presented is particularly useful for librarians and information specialists keen to explore the role and contributions of social science topics in the context of pandemics. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Evidence surveillance was guided by practical considerations of efficiency and sustainability. A single PubMed search covering all guideline topics, limited to systematic reviews and randomised trials, is run monthly. The search retrieves about 400 records a month of which a sixth are triaged to the guideline panels for further consideration. Evaluations with Epistemonikos and the Cochrane Stroke Trials Register demonstrated the robustness of adopting this more restrictive approach. Collaborating with the guideline team in designing, implementing and evaluating the surveillance is essential for optimising the approach.
The findings can inform future research and practice on both individual and societal levels:
During times of uncertainty, mental health practitioners should actively educate their clients about the potential consequences of excessive health information-seeking. This can include behavioural interventions, such as controlled/limited exposure to news and social media at specific times of day and/or breaks from information overload.
Moreover, the study also supports the need to promote social media literacy skills to help young people and adults critically evaluate the information they encounter and discern credible sources vs. misinformation.
Practitioners can also encourage individuals to nurture their social support networks, as well as their self-care routines. Positive interactions can limit and counterbalance the negative impact of excessive information-seeking.
'As KNOWvember comes into view once more, here at Pennine Care we have been reflecting on our activities for 2022.' Looks at a range of knowledge management activities including offering alerts based on evidence searches, using the KM tool, and established Teams channels to facilitate communities of practice.
Josiah Richardson is a Senior Library Assistant at an NHS trust, whilst also doing the Level 3 Library, Information and Archive Services Assistant CILIP NVQ. In this case study, Josiah discusses how AI has simplified and sped up reporting and increased his knowledge of Excel.
This document builds on previous NHS Digital guidance on digital inclusion for health and social care.
Use it to design and implement inclusive digital approaches and technologies, which are complementary to non-digital services and support.
This paper explores the potential of language models such as ChatGPT to transform library cataloging. Through experiments with ChatGPT, the author demonstrates its ability to generate accurate MARC records using RDA and other standards such as the Dublin Core Metadata Element Set. These results demonstrate the potential of ChatGPT as a tool for streamlining the record creation process and improving efficiency in library settings. The use of AI-generated records, however, also raises important questions related to intellectual property rights and bias. The paper reviews recent studies on AI in libraries and concludes that further research and development of this innovative technology is necessary to ensure its responsible implementation in the field of library cataloging.
This article provides a brief overview of the capabilities of ChatGPT for medical writing and its implications for academic integrity. It provides a list of AI generative tools, common use of AI generative tools for medical writing, and provides a list of AI generative text detection tools. It also provides recommendations for policymakers, information professionals, and medical faculty for the constructive use of AI generative tools and related technology. It also highlights the role of health sciences librarians and educators in protecting students from generating text through ChatGPT in their academic work.
Conclusion
Grammarly is unexpectedly most effective in detecting plagiarism in AI-generated articles compared to the other tools. This could be due to different softwares using diverse data sources. This highlights the potential for lower-cost plagiarism detection tools to be utilized by researchers.
This article provides a brief overview of the capabilities of ChatGPT for medical writing and its implications for academic integrity. It provides a list of AI generative tools, common use of AI generative tools for medical writing, and provides a list of AI generative text detection tools. It also provides recommendations for policymakers, information professionals, and medical faculty for the constructive use of AI generative tools and related technology. It also highlights the role of health sciences librarians and educators in protecting students from generating text through ChatGPT in their academic work.
Nasjonalbiblioteket kjem under lupa i ei ny bok av mediehistorikar og professor Henrik G. Bastiansen ved Høgskulen i Volda.
"- I nästan 20 år har Nasjonalbiblioteket i Norge arbetat mot målet att digitalisera allt som har publicerats i Norge. Frågan är vad detta innebär - vad de gör när de digitaliserar sina källor."
Bastiansen saknar en offentlig debatt om hur Nasjonalbiblioteket uppfyller detta uppdrag och betydelsen av deras arbete, bortom deras älskade image som "bäst i klassen".
- De är naturligtvis mycket begåvade, i den absoluta internationella toppen. Men det har länge saknats ett externt perspektiv på deras arbete. Som institution är de särskilt angelägna om att bygga upp ett positivt rykte om hur bra de är och hur demokratiskt viktig digitaliseringen är - och det är rätt, men det är också det enda vi hör om deras arbete. För att sammanfatta: De manipulerar vårt kulturarv på ett teknologiskt sätt utan att någon ifrågasätter det", säger forskaren.
Become part of our Locals community: https://greenwald.locals.com/ You can read more about Larry's encyclosphere here: https://larrysanger.org/2023/07/the-encyclosphere-is-greater-than-wikipedia/ Foll
This article describes the collaborative approach between the Lead Nurse for Continual Professional Development and the Deputy Manager of the Library and Knowledge Services to develop and run the sessions.
Conclusion
Collaboration between clinical staff and library and knowledge teams can be useful in encouraging healthcare professionals’ engagement with the evidence base in order to consider changes to practice.
"Our approach to AI should first and foremost be positive, optimistic and professional, guided by our ethics and commitment to empowering our users. We can and must take a lead in defining a benign and beneficial future role for AI in the lives of the communities we serve."
"Do AI applications like ChatGPT help me? Definitely, but only if I ask it carefully structured questions so it can give helpful structure. answers." Short article shows how a public libraries assistant used GPT to create a children's guide to chess.
Dear Editor, The collection and analysis of data from open sources have undergone a revolution in the past decades. While it used to be challenging to obtain sufficient information on a particular subject in the past, nowadays, the real challenge lies in sorting through the overwhelming amount of available information.
Interesting perspective on AI fabrication & inaccuracies- The artificial intelligence (AI) system, Chat Generative Pre-trained Transformer (ChatGPT), is considered a promising, even revolutionary tool and its widespread use in health care education, research, and practice is predicted to be inevitable1. Like so many others I was keen to test the capabilities of ChatGPT as an aid to scientific writing. An opportunity arose with a study I was planning on an existing dataset (structural MRI brain changes associated with antipsychotic treatment).
This post summarises UHMBT's Health Literacy training, including the sessions offered, and how they adapted these to engage different groups. Can we learn anything from this, for example, are there any groups here that we could contact to offer the sessions? Do we consider any of the adaptations?
In our case study, all DE articles were identified after screening 7.7% of the sample, allowing for substantial time savings. ASReview likely has the potential to substantially reduce screening time in systematic reviews of health economic articles.
Contains over 20 million catalog records for books, serials, manuscripts, maps, music, recordings, images, and electronic resources in the Library of Congress collections.
This article shows the economic benefits in terms of time savings of evidence searches done by librarians. It also mentions the benefits of synthesised searches. It gives average times of 6 hours for a comprehensive evidence search and 13 for a synthesised search. The second is more in line with what we've found locally than times given in the national lit search document, so that's reassuring.
This study seeks to understand the information needs of school nurses by conducting a needs assessment survey within the state of Illinois. A survey was disseminated through three statewide professional listservs to determine the types of care-related questions school nurses ask as part of their regular duties and which resources they use to answer those questions. School nurses’ information needs vary widely, and they rely on numerous sources to answer clinical questions. They are responsible for the well-being of hundreds to thousands of children. While they are comfortable searching for information, they are motivated to further develop research skills.
We focused the April 2023 column on the outdatedness and limitations of the widely used PICO question for development of a purpose statement. Now, we examine using PICO to search for the best evidence.
Medical libraries in Sweden are digitised to a large extent, technically advanced and developing rapidly. This paper investigates technological trends among Swedish medical libraries in the near and distant future and their application within different areas of library activities. The authors also present a roadmap to increase technological developments within medical libraries in Sweden. Current technological trends include digital collaboration tools, mobile technologies and visualisation. Artificial intelligence, big data and smart technologies are upcoming trends. Technologies are applied within all areas of library activities, but preconditions for academic and hospital libraries differ. To remain a relevant provider of information services, libraries must be able to monitor, test and adopt new technologies.
Based on our co-publication, ‘Guidance to best practices for systematic reviews’, this invited review focusses on well-documented deficiencies of systematic reviews and briefly explains some of the reasoning behind current standards. These deficiencies are categorized by six principles of good scholarship. The visual abstract highlights these and serves as a timeline for the major tasks in developing a review. We refer interested readers to our Guidance article for details and references to source documents. This article also has a graphic abstract.
On 1 August, Dutch publishing giant Elsevier released a ChatGPT-like artificial-intelligence (AI) interface for some users of its Scopus database, and British firm Digital Science announced a closed trial of an AI large language model (LLM) assistant for its Dimensions database. Meanwhile, US firm Clarivate says it’s working on bringing LLMs to its Web of Science database.
La leçon d'écriture de Claude Lévi-Strauss La scène se déroule au début du mois d’août 1938. Claude Lévi-Strauss étudie depuis près de deux mois les Indiens Nambikwara de passage, durant la saison nomade, à un poste télégraphique brésilien nommé Utiariti, non loin de la frontière bolivienne. Une épidémie d’infection ophtalmique s’est déclarée chez les…
most people don’t understand how it works or what it can do, so they are either not happy with its results or not using it in a way that can draw out its best capabilities.
The Core Clinical Journals (CCJ) list, produced by the U.S. National Library of Medicine (NLM), has been used by clinicians and librarians for half a century for two main purposes: narrowing a literature search to clinically useful journals and identifying high priority titles for library collections. After documentation of low usage of the existing CCJ, a review was undertaken to assess current validity, followed by an update to current clinical needs.
Trusted patient education materials are the backbone of an effective consumer health library. However, members of the LGBTQ+ community may not see themselves or their families reflected in many resources due to the gendered and non-inclusive language they are written in. This article outlines some suggestions for concrete actions that patient librarians can take to ensure that their materials are not excluding LGBTQ+ patients.
Describes how the Royal Society of Occupational Therapists has moved to digital-only. Could be useful to see what resources MPFT OTs can access through the library, as well as seeing how they reached that decision. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
For organizations implementing health literacy initiatives, using ‘change champions’ appears to be a promising strategy. This systematic review aimed to identify the empirical and conceptual research that exists about health literacy champions. Open access article.
We examined how feelings shape people’s organizing and deleting practices, focusing on four affective aspects: anxiety, self-efficacy, belonging, and loss of control. We hypothesized that these affective aspects would predict the extent to which people utilize organizing and deleting practices. Access via CILIP subscription
Main findings showcase that libraries as secure and trusted places can play a key role in developing and promoting health literacy to different groups; new job titles emerge for librarians (consumer health librarian, health information services librarians, health literacy librarian); whereas collaboration is a key element for developing and offering health literacy training programs to diverse group of users as well as the public. Access via CILIP.
Results
Participants spent the most time viewing the content of the posts, particularly post images. Findings revealed that users' viewing patterns differed when different health topics were presented, but not according to the type of information provider. However, the study showed that users check the Facebook page's banner to verify the health information provider's identity.
The authors reviewed individual applications and conducted trials before selecting three, namely Microsoft Forms, Excel, and Power BI, to work together effectively to input, analyze, and report library statistics. The final data tracking system integrates within Teams for easy sharing within the institution without additional funding.
AI did not write this article. A year from now, this claim may seem less believable. But rather than living in fear of AI and the potentially harrowing landscapes it suggests, librarians can stay ahead of the curve by implementing the tools discussed in this article. As with any other substantive technology, these tools are still in their infant stages, so there’s no need to hard commit to any one option. Libraries at the intersection of nascent AI technology and community service will certainly find something helpful to deploy in the quest to create a more efficient and innovative environment for patrons.