Critical Information Literacy and the Technology of Control: The Case of Armenia

As direct providers of information literacy, librarians can help patrons analyze the social and economic forces involved in the creation and use of information. This chapter will discuss why critical information literacy and critical pedagogy are especially important in the Armenian context, with its unique historical, cultural, and geopolitical concerns. The authors will document how the Armenian government has used cutting-edge Internet controls to block online content or misdirect users. We will also examine how Armenians perceive the independence of their available media and explore current efforts by telecom, publishing, and governmental concerns to restrict Internet freedom. The authors suggest ways for users to regain control over restricted media and argue that an open online culture cannot exist without local self-determination and a basic human right to produce and share information

Pirates and Librarians: Big Media, Technology, and the Role of Liberal Education

The widespread appearance of computers in libraries during the early 1990s elicited a debate among those who welcomed new technologies and those who perceived such changes as a threat to the traditional role of academic libraries and the values of liberal education. At the same time, increasing consolidation of major media channels—including sources of scholarly communication—has allowed a small number of corporations to control distribution and access to the materials libraries offer, through tools such as licensing fees, copyright restrictions, and digital rights management. In response to these barriers, librarians and educators have embraced open access publishing and Creative Commons licensing as viable alternatives. Some go further in their struggle to separate content from its proprietors, through channels such as torrent sites that undermine conventional notions of ownership. This paper will argue that restricting information and denying access to resources without addressing the systemic failure of affordable access weakens critical thinking and threatens the mission of liberal education. By pursuing new models for scholarly communication and resource sharing, libraries can both reassert control over their collections and help support the mission of libera

Use and Awareness of Library Services among Faculty at Two Armenian Universities

This study surveyed instructional faculty at two Armenian universities to determine use and awareness of academic library services or resources including reference, interlibrary loan, subscription databases, subject liaisons, and more. A minority of respondents reported making frequent use of the services investigated, with usage varying according to such factors as academic rank, length of employment, and full- or part-time status. Many participants also had suggestions for services not available at their libraries. These results help illuminate user preferences among faculty at these universities and could help librarians at similar institutions identify underutilized resources to promote or new services to offer

Policies for control and prevention of infections related to healthcare assistance in Brazil: a conceptual analysis

Abstract This article is a theoretical-reflexive study that aims to discuss the development and changes in the quality of healthcare assistance to the patient over the years in Brazil, in light of the policies of control and prevention of Healthcare-associated Infection (HAI). Aspects of HAI and the process of change in health policy in Brazil, as well as the quality of assistance associated with its control, are approached in relation to policies of patient safety. There are various new theoretical and practical proposals created in Brazil. In spite of the difficulty of measuring patient safety, directed to the prevention and control of HAI, we emphasize that to only create policies and establish norms, guidelines, and indicators is not sufficient. If no structural support or conditions exist for interventions in the practices of healthcare professionals, aiming at results in acceptable levels, the control of HAI will not be achieved

Collection Development at Two Armenian University Libraries: A Conversation with Librarians and Faculty

In the summer of 2016 two Hunter College librarians, working with a colleague in the Republic of Armenia, conducted an IRB-approved focus group at the American University of Armenia in Yerevan, Armenia. This group drew participants from the libraries and other academic departments of the American University of Armenia as well as Yerevan State University, a large public institution. The discussion attempted to ascertain whether these libraries have devised effective strategies to acquire materials and build collections in the face of the challenges they face (budgetary, linguistic, and sometimes political) and whether faculty at these institutions feel their library’s collection meets their teaching and research needs. Together with results from an online survey, the responses gathered help illuminate the challenges that scholars and librarians face in the unique context of the South Caucasus, as Armenia and other countries in the region continue to develop post-Soviet models of higher education and transition to more democratic forms of government

A methodology for setting practice criteria in healthcare

Practice criteria are an important part of health care and have taken a new prominence in the trend to address quality-of-care issues. Once an organisation makes a commitment to addressing its quality-of- care, it must define 'quality' in operational terms. Practice criteria do just that. The organisation ensures consistent, high-quality services through the correct application of practice criteria. This paper outlines a methodology that has been used in at least three countries to date. Early indications are that it is useful for helping an organisation begin its quality improvement 'journey'.Yeshttps://us.sagepub.com/en-us/nam/manuscript-submission-guideline

A systematic review of instruments that assess the implementation of hospital quality management systems.

PURPOSE: Health-care providers invest substantial resources to establish and implement hospital quality management systems. Nevertheless, few tools are available to assess implementation efforts and their effect on quality and safety outcomes. This review aims to (i) identify instruments to assess the implementation of hospital quality management systems, (ii) describe their measurement properties and (iii) assess the effects of quality management on quality improvement and quality of care outcomes. DATA SOURCES: We performed a systematic literature search from 1990 to 2011 in PubMed, CINAHL, EMBASE, Cochrane Library and Web of Science. In addition, we used snowball strategies, screened the reference lists of eligible papers, reviewed grey literature and contacted experts in the field. STUDY SELECTION: and data extraction Two reviewers screened eligible papers based on pre-defined inclusion and exclusion criteria and all authors extracted data. Eligible papers are described in terms of general characteristics (settings, type and level of respondents, mode of data collection), methodological properties (sampling strategy, item derivation, conceptualization of quality management, assessment of reliability and validity, scoring) and application/implementation (accounting for context, organizational adaptations, sensitivity to change, deployment and effect size). RESULTS: Eighteen papers were deemed eligible for inclusion. While some common domains emerged in measurement conceptualization, substantial differences in scope persist. The instruments' measurement properties were insufficiently described and only few instruments assessed links between the implementation of quality management systems (QMS) and improvement strategies or outcomes. CONCLUSIONS: There is currently no well-established measure to assess the implementation and effectiveness of quality management systems. Future research should address this gap

Plasma and Fecal Metabolite Profiles in Autism Spectrum Disorder

Background: Autism Spectrum Disorder (ASD) is a neurodevelopmental condition with hallmark behavioral manifestations including impaired social communication and restricted repetitive behavior. In addition, many affected individuals display metabolic imbalances, immune dysregulation, gastrointestinal (GI) dysfunction, and altered gut microbiome compositions. Methods: We sought to better understand non-behavioral features of ASD by determining molecular signatures in peripheral tissues through mass spectrometry methods (LC/MS and DMS-MS) with broad panels of identified metabolites. Herein, we present the global metabolome of 231 plasma and 97 fecal samples from a large cohort of children with ASD and typically developing (TD) controls. Results: Differences in amino acid, lipid, and xenobiotic metabolism discriminate ASD and TD samples. Our results implicate oxidative stress and mitochondrial dysfunction, hormone level elevations, lipid profile changes, and altered levels of phenolic microbial metabolites. We also reveal correlations between specific metabolite profiles and clinical behavior scores. Furthermore, a summary of metabolites modestly associated with GI dysfunction in ASD are provided, and a pilot study of metabolites that can be transferred via fecal microbial transplant into mice were identified. Conclusions: These findings support a connection between metabolism, GI physiology, and complex behavioral traits, and may advance discovery and development of molecular biomarkers for ASD

The structure of quality systems is important to the process and outcome, an empirical study of 386 hospital departments in Sweden

<p>Abstract</p> <p>Background</p> <p>Clinicians, nurses, and managers in hospitals are continuously confronted by new technologies and methods that require changes to working practice. Quality systems can help to manage change while maintaining a high quality of care. A new model of quality systems inspired by the works of Donabedian has three factors: structure (resources and administration), process (culture and professional co-operation), and outcome (competence development and goal achievement). The objectives of this study were to analyse whether structure, process, and outcome can be used to describe quality systems, to analyse whether these components are related, and to discuss implications.</p> <p>Methods</p> <p>A questionnaire was developed and sent to a random sample of 600 hospital departments in Sweden. The adjusted response rate was 75%. The data were analysed with confirmatory factor analysis and structural equation modeling in LISREL. This is to our knowledge the first large quantitative study that applies Donabedian's model to quality systems.</p> <p>Results</p> <p>The model with relationships between structure, process, and outcome was found to be a reasonable representation of quality systems at hospital departments (p = 0.095, indicating no significant differences between the model and the data set). Structure correlated strongly with process (0.72) and outcome (0.60). Given structure, process also correlated with outcome (0.20).</p> <p>Conclusion</p> <p>The model could be used to describe and evaluate single quality systems or to compare different quality systems. It could also be an aid to implement a systematic and evidence-based system for working with quality improvements in hospital departments.</p