Innovation sustainability in challenging health-care contexts : embedding clinically led change in routine practice

The need for organizational innovation as a means of improving health-care quality and containing costs is widely recognized, but while a growing body of research has improved knowledge of implementation, very little has considered the challenges involved in sustaining change – especially organizational change led ‘bottom-up’ by frontline clinicians. This study addresses this lacuna, taking a longitudinal, qualitative case-study approach to understanding the paths to sustainability of four organizational innovations. It highlights the importance of the interaction between organizational context, nature of the innovation and strategies deployed in achieving sustainability. It discusses how positional influence of service leads, complexity of innovation, networks of support, embedding in existing systems, and proactive responses to changing circumstances can interact to sustain change. In the absence of cast-iron evidence of effectiveness, wider notions of value may be successfully invoked to sustain innovation. Sustainability requires continuing effort through time, rather than representing a final state to be achieved. Our study offers new insights into the process of sustainability of organizational change, and elucidates the complement of strategies needed to make bottom-up change last in challenging contexts replete with competing priorities

Studying Migrant Assimilation Through Facebook Interests

Migrants' assimilation is a major challenge for European societies, in part because of the sudden surge of refugees in recent years and in part because of long-term demographic trends. In this paper, we use Facebook's data for advertisers to study the levels of assimilation of Arabic-speaking migrants in Germany, as seen through the interests they express online. Our results indicate a gradient of assimilation along demographic lines, language spoken and country of origin. Given the difficulty to collect timely migration data, in particular for traits related to cultural assimilation, the methods that we develop and the results that we provide open new lines of research that computational social scientists are well-positioned to address.Comment: Accepted as a short paper at Social Informatics 2018 (https://socinfo2018.hse.ru/). Please cite the SocInfo versio

Descriptive Analysis of Assaults in Domestic Violence Incidents Reported to Alaska State Troopers: 2004

This project examined the characteristics of assaults in domestic violence incidents reported to the Alaska State Troopers. Assaults are only one type of criminal offense defined in Alaska statutes as a crime involving domestic violence. This report is not inclusive of all crimes involving domestic violence reported to AST, because it only includes assaults. In addition, this report is not inclusive of assaults in domestic violence incidents that were reported to municipal police departments across Alaska. Only assaults in domestic violence incidents reported to AST are described in this report. The term assault will be used throughout this report to define assault cases that are crimes involving domestic violence incidents; this includes felony and misdemeanor assaults. The sample utilized for this analysis included all assaults in domestic violence incidents reported to AST in 2004. It included information from 1,281 reports on 1,803 assault charges, 1,356 suspects, 1,523 victims, and 1,283 witnesses. This descriptive analysis documents the characteristics of these reports, charges, suspects, victims, witnesses, and legal resolutions.Index of Tables and Figures / Acknowledgements / Executive Summary / Descriptive Analysis of Assaults in Domestic Violence Incidents / Brief Overview of the State of Alaska / Brief Overview of the Alaska State Troopers / Summary of Alaska's Criminal Assault Statutes / Purpose of this Study / Methods / Report Characteristics / Suspect Characteristics / Victim Characteristics / Incident Characteristics / Witness Characteristics / Legal Resolutions / Appendix A -- Data Collection Instruments / Appendix B -- 2004 Alaska's Criminal Assault Statute

Eldred B. Wales Correspondence

Entries include brief biographical information with a typographical error and correspondence with Dr. Wales concerning his announcement to present a copy of his book Overweight and Your PBI in person to the Maine State Library, for the Maine Author Collection

A Century of Conflict...the Official Record

For the past 100 years, the United States has been involved in conflicts across the globe. This exhibit explores this history through United States federal government documents.https://cornerstone.lib.mnsu.edu/lib-services-govdoc-display-history/1008/thumbnail.jp

James B. Vickery Correspondence

Entries include a typed introductory letter to Vickery from the Maine State Library and a letter typed on receipt of a gift of Vickery\u27s book, the celebrated An Illustrated History of the City of Bangor for the Maine Author Collection

Ansel B. Sterling Correspondence

Entry is the fanciful, handwritten biographical sketch of a Maine artist readying his book of poetry Weavings and Meanderings for publication

Rita B. Stadig Correspondence

Entry is a handwritten biographical sketch of Rita Stadig author of Our Maine Heritage, a history of Maine

Philip B. Shaw Correspondence

Entries include brief biographical information and a revealing biographical letter on The Maine Society of Poets, Bridgton, Maine, stationery

Specimens of Gomphotherium in the New Mexico Museum of Natural History and Science and the species-level taxonomy of Gomphotherium

There are four identifiable specimens of Gomphotherium in the collections of the New Mexico Museum of Natural History and Science in Albuquerque, all collected in New Mexico. The most diagnostic specimen, NMMNH P-28972, consists of a nearly complete skull of a young adult female found in the Pojoaque Member of the Tesuque Formation (late Barstovian). NMMNH P-19204 is an incomplete skull and lower jaws of a more mature, presumably female, individual with associated left forelimb elements recovered from the Charnita Formation (Hemphillian). Both of these specimens were collected in the Espanola basin near Espanola. A third, less diagnostic specimen (NMMNH P-3694) consists of an incomplete left lower jaw of a juvenile Gomphotherium collected from the northern Albuquerque Basin, probably above the Zia Formation and also of probable late Barstovian age. A fourth spcimen (NMMNH P-25280) is described by Morgan and Williamson elsewhere in this volume. All North American specimens of Gomphotherium are currently assigned to the species G. productum. However, the two adult specimens in the NMMNH collection are relatively small (M3 length/width <140/<80 mm) and fall within a more restricted definition of G. productum. Larger Gomphotherium collected from the Espanola basin possess molars up to 50% larger than G. productum sensu stricto and may represent a different species. The name G. pojoaquensis is available for this larger taxon from the Pojoaque Member, and G. riograndensis is available for the large Chamita Formation gomphothere