How to Cut a Third of Your Journal Subscriptions (and Keep Faculty Happy)

When faced with a 0% budget increase for fiscal year 2010, librarians at Gettysburg College designed a comprehensive review of journal subscriptions. Library staff began by gathering data about format(s), price, publisher, and more. Then subject librarians consulted with academic departments and asked faculty to review titles for relevance to current research and curriculum. 100% of departments cooperated with the review with a mixture of enthusiasm and concern; in the end, most offered to cancel about a third of their journal titles. By trimming multiple format subscriptions, relying on aggregator databases for full text content, cancelling titles that no longer support the curriculum, and cancelling a small number of high-cost subscriptions in favor of document delivery, the library met – and exceeded – its savings target. More importantly, by involving the faculty in every stage of the review process and sharing all available information, the library received absolutely no complaints about cancellations. This poster presentation will include a flow chart of the entire review process, sample review spreadsheets used by faculty in academic departments, and graphs showing cancellations by department. This journal review model is transferable to other academic libraries

Apple-Polishers, Ass-Kissers and Suck-Ups: Towards a Sociology of Ingratiation

In this paper we use one form of communicative action, “brownnosing”, as a social lens for understanding power relations in both formal, organizational contexts and interpersonal relationships. We investigate this phenomenon by assessing processes of ingratiation at school and work settings. We do so using data collected from over one hundred student respondents to ascertain the meanings, uses, and outcomes of brownnosing. The study finds that members of the “millennial generation” develop skills in both the act of brownnosing and the detection of this form of communication as they participate in a variety of contexts, including family, school, work, and interpersonal relationships. Utilizing power-dependence models for analysis, our data suggest that brownnosing, as an organizational resource, commonly reflects the structural arrangements of both school and the workplace. We draw upon organizational and exchange theories in the interpretation of the data

A Tool in the Kit: Uses of Bullshitting among Millennial Workers

This study explores the nature, use, and social organization of one form of communicative action that is common in everyday life -- bullshitting. We use this form of communication to assess the ways in which dimensions of community, power and status are created in interaction. Abiding by the canons of ethnographic content analysis, we gathered data from over one hundred student respondents to ascertain the behaviors, utterances, and stories that people define as bullshitting. The study finds that members of the millennial generation hone skills both in the telling and detection of this form of communication as they participate in a variety of contexts, including school, work, and interpersonal relationships. Special attention is given to the ways in which bullshitting is used as a cultural resource for agentive action. Dramaturgical and organizational theories are drawn upon in theorizing the data

Survival of indigenous and non-Indigenous Queenslanders after a diagnosis of lung cancer: a matched cohort study

Objective: To compare survival of Indigenous and non-Indigenous lung cancer patients and to investigate any corresponding differences in stage, treatment and comorbidities.Design and setting: Cohort study of 158 Indigenous and 152 non-Indigenous patients (frequency-matched on age, sex and rurality) diagnosed with lung cancer between 1996 and 2002 and treated in Queensland public hospitals.Main outcome measures: Survival after diagnosis of lung cancer; effects of stage at diagnosis, treatment, comorbidities and histological subtype on lung cancer-specific survival.Results: Survival of Indigenous lung cancer patients was significantly lower than that of non-Indigenous patients (median survival, 4.3 v 10.3 months; hazard ratio, 1.48; 95% CI, 1.14–1.92). Of 158 Indigenous patients, 72 (46%) received active treatment with chemotherapy, radiotherapy or surgery compared with 109 (72%) of the 152 non-Indigenous patients, and this treatment disparity remained after adjusting for histological subtype, stage at diagnosis, and comorbidities (adjusted risk ratio, 0.65; 95% CI, 0.53–0.73). The treatment disparity explained most of the survival deficit: the hazard ratio reduced to 1.10 (95% CI, 0.83–1.44) after inclusion of treatment variables in the proportional hazards survival model. The remaining survival deficit was explained by the higher prevalence of comorbidities among Indigenous cancer patients, mainly diabetes.Conclusion: Survival after a diagnosis of lung cancer is worse for Indigenous patients than for non-Indigenous patients, and differences in treatment between the two groups are mainly responsible

Mother-child histocompatibility and risk of rheumatoid arthritis and systemic lupus erythematosus among mothers.

The study objective was to test the hypothesis that having histocompatible children increases the risk of rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE), possibly by contributing to the persistence of fetal cells acquired during pregnancy. We conducted a case control study using data from the UC San Francisco Mother Child Immunogenetic Study and studies at the Inova Translational Medicine Institute. We imputed human leukocyte antigen (HLA) alleles and minor histocompatibility antigens (mHags). We created a variable of exposure to histocompatible children. We estimated an average sequence similarity matching (SSM) score for each mother based on discordant mother-child alleles as a measure of histocompatibility. We used logistic regression models to estimate odds ratios (ORs) and 95% confidence intervals. A total of 138 RA, 117 SLE, and 913 control mothers were analyzed. Increased risk of RA was associated with having any child compatible at HLA-B (OR 1.9; 1.2-3.1), DPB1 (OR 1.8; 1.2-2.6) or DQB1 (OR 1.8; 1.2-2.7). Compatibility at mHag ZAPHIR was associated with reduced risk of SLE among mothers carrying the HLA-restriction allele B*07:02 (n = 262; OR 0.4; 0.2-0.8). Our findings support the hypothesis that mother-child histocompatibility is associated with risk of RA and SLE

A parallel-group, randomised controlled trial of a multimedia, self-directed, coping skills training intervention for patients with cancer and their partners: design and rationale

Introduction:Coping skills training interventions have been found to be efficacious in helping both patients and their partners manage the physical and emotional challenges they face following a cancer diagnosis. However, many of these interventions are costly and not sustainable. To overcome these issues, a self-directed format is increasingly used. The efficacy of self-directed interventions for patients has been supported; however, no study has reported on the outcomes for their partners. This study will test the efficacy of Coping-Together&mdash;a multimedia, self-directed, coping skills training intervention for patients with cancer and their partners.Methods and analysis:The proposed three-group, parallel, randomised controlled trial will recruit patients diagnosed in the past 4 months with breast, prostate, colorectal cancer or melanoma through their treating clinician. Patients and their partners will be randomised to (1) a minimal ethical care (MEC) condition&mdash;selected Cancer Council New South Wales booklets and a brochure for the Cancer Council Helpline, (2) Coping-Together generic&mdash;MEC materials, the six Coping-Together booklets and DVD, the Cancer Council Queensland relaxation audio CD and login to the Coping-Together website or (3) Coping-Together tailored&mdash;MEC materials, the Coping-Together DVD, the login to the website and only those Coping-Together booklet sections that pertain to their direct concerns. Anxiety (primary outcome), distress, depression, dyadic adjustment, quality of life, illness or caregiving appraisal, self-efficacy and dyadic and individual coping will be assessed before receiving the study material (ie, baseline) and again at 3, 6 and 12 months postbaseline. Intention-to-treat and per protocol analysis will be conducted.Ethics and dissemination:This study has been approved by the relevant local area health and University ethics committees. Study findings will be disseminated not only through peer-reviewed publications and conference presentations but also through educational outreach visits, publication of lay research summaries in consumer newsletters and publications targeting clinicians.</div

A Comparison of Error Rates Between Intravenous Push Methods: A Prospective, Multisite, Observational Study

Objectives Current literature estimates the error rate associated with the preparation and administration of all intravenous (IV) medications to be 9.4% to 97.7% worldwide. This study aims to compare the number of observed medication preparation and administration errors between the only commercially available ready-to-administer product (Simplist) and IV push traditional practice, including a cartridge-based syringe system (Carpuject) and vials and syringes. Methods A prospective, multisite, observational study was conducted in 3 health systems in various states within the United States between December 2015 and March 2016 to observe IV push medication preparation and administration. Researchers observed a ready-to-administer product and IV push traditional practice using a validated observational method and a modified data collection sheet. All observations were reconciled to the original medication order to determine if any errors occurred. Results Researchers collected 329 observations (ready to administer = 102; traditional practice = 227) and observed 260 errors (ready to administer = 25; traditional practice = 235). The overall observed error rate for ready-to-administer products was 2.5%, and the observed error rate for IV push traditional practice was 10.4%. Conclusions The ready-to-administer group demonstrated a statistically significant lower observed error rate, suggesting that use of this product is associated with fewer observed preparation and administration errors in the clinical setting. Future studies should be completed to determine the potential for patient harm associated with these errors and improve clinical practice because it relates to the safe administration of IV push medications