Key influencing factors of information systems quality and success in Jamaican organizations

Despite major strides in information technology, the Information Systems (IS) community generally continues to suffer fromthe delivery of low quality and failed systems. The situation in the English-speaking Caribbean and in Jamaica in particular,is even more stark because interventions such as software process improvement (SPI) processes are neither well known norused. There is therefore a glaring need to understand the fundamentals of quality determinants in this domain to be able toprovide useful insights for improvement. A recent study has indicated that Jamaican developers are unaware of SPIapproaches and consequently the potential impact and role of process and people on IS quality. We have also included theperception of quality as a probable determinant of the success of even high quality IS. In this research in progress, we havedeveloped and proposed a research model and propositions to explore the impact of process, people and perception on ISquality and success. We hope to use it in Caribbean studies to provide much needed insights

Gastrointestinal decontamination in the acutely poisoned patient

ObjectiveTo define the role of gastrointestinal (GI) decontamination of the poisoned patient.Data sourcesA computer-based PubMed/MEDLINE search of the literature on GI decontamination in the poisoned patient with cross referencing of sources.Study selection and data extractionClinical, animal and in vitro studies were reviewed for clinical relevance to GI decontamination of the poisoned patient.Data synthesisThe literature suggests that previously, widely used, aggressive approaches including the use of ipecac syrup, gastric lavage, and cathartics are now rarely recommended. Whole bowel irrigation is still often recommended for slow-release drugs, metals, and patients who "pack" or "stuff" foreign bodies filled with drugs of abuse, but with little quality data to support it. Activated charcoal (AC), single or multiple doses, was also a previous mainstay of GI decontamination, but the utility of AC is now recognized to be limited and more time dependent than previously practiced. These recommendations have resulted in several treatment guidelines that are mostly based on retrospective analysis, animal studies or small case series, and rarely based on randomized clinical trials.ConclusionsThe current literature supports limited use of GI decontamination of the poisoned patient

Mechanism of delta pH maintenance in active and inactive cells of an obligately acidophilic bacterium.

The acidophilic bacterium PW2 possessed a delta pH of ca. 1.9 and a delta psi of 0 mV, corresponding to a proton motive force (delta p) of--114 mV. Protonophore-treated cells possessed little delta p but a delta pH of ca. 1.5, as measured by salicylic acid distribution or pH measurement of cell lysates. Starving PW2 cells continued to possess a delta pH of ca. 1.7, but exhibited converse changes in delta psi and delta p, with the former rising to +80 to +100 mV and the latter dropping essentially to 0; progressive loss of respiration, cellular ATP, and culture viability accompanied these changes. Thus, the protonophore-treated or starving PW2 cells attained an H+ electrochemical equilibrium. Net H+ influx resulting from declining respiration probably accounted for the increased delta psi in these cells; indeed, when respiration was progressively inhibited in active cells, there was increasing transient H+ influx and a proportional increase in delta psi. This transient H+ influx was sufficient to lethally acidify the cytoplasm, but for a buffering capacity of 85 nmol of H+/mg of protein per pH unit. Thus, the linkage of the transient H+ influx with the rise in the delta psi and the cytoplasmic buffering capacity play central roles in acidophilism, and it is conceivable that the same impermeant cellular macromolecule(s) accounts for both. If so, the delta psi would be a Donnan potential that in active cells is offset by energy-dependent H+ extrusion