Headquarters Fort Devens Commander\u27s Certificate presented to Major Ivorey Cobb, United States Army (Ret); June 27, 1978

A reproduction of the original Commander\u27s Certificate presented to Ivorey Cobb in recognition of highly meritorious service as a member of the New England Army Officer Retiree Council from June 1973 to August 1978.https://scholars.unh.edu/cobb_records/1000/thumbnail.jp

Template for a Healthcare Knowledge Services Center

IntroductionThe purpose of the HKSC model template is twofold:(1.) to transform the hospital library function into a health care knowledge services center; and(2.) to emphasize the importance of knowledge among health care professionals within the organization.The current information explosion provides the Healthcare Knowledge Services Center (HKSC) with opportunities to become a critical player in organizational information and knowledge management. An HKSC can assist an organization maintain its competitive advantage in the marketplace. The HKSC must become an integral player to the organization if they are to succeed in helping their health care organization realize: 1.) exceptional quality control; 2.) high risk management standards; and 3.) optimum patient safety levels. The emergence of evidence-based practice (EBP) has become paramount to all health care organizations. EBP will provide an HKSC with increased opportunities for wider visibility within the organization.PurposeTo define a sustainable model template for the Healthcare Knowledge Services Center that encompasses transitioning a traditional medical library into a vibrant knowledge services center, integral to the health care organization.Timeline5 years out (2010-2015); pilots (2011-12)Rationale for Making Transition 1.) Knowledge management (KM) provides a positive push forward;2.) KM provides the “bridge” between information and best practice (see Knowledge Pyramid , below);3.) KM supports institutional goals:a.) exceptional quality control;b.) high risk management standards; andc.) optimum patient safety levels; 4.) KM offers health care organizations a competitive edge in market; and5.) KM provides hospital librarians with an ideal window of opportunity to become dynamic players in the confluence of several critical current events:a.) the information explosion;b.) the national push for health care reform;c.) the universal adoption of evidence-based practice; andd.) the emerging trend of self-directed practice , where patients take responsibility for their own personal health (e.g., EHRs)

Knowledge Pyramid

Pyramid image depicting where Knowledge Management fits into the realm of Health Care, created as one part of the Template for a Healthcare Knowledge Services Center

Screening for asthma in Cantonese-speaking immigrant children

BACKGROUND: Asthma prevalence among Chinese immigrant children is poorly understood and attempts to screen these children have produced varied outcomes. We sought to learn how to improve screening for asthma in Chinese immigrant children. METHODS: Children (n = 152) were administered the Brief Pediatric Asthma Screen in either Cantonese or English, they then viewed and reacted to a video showing people wheezing and subsequently took a pulmonary function test. RESULTS: The diagnosed asthma prevalence for our study population was 27.0%, with another 5.3% having possible undiagnosed asthma. Very few children had spirometry findings below normal. In multivariate analysis, being native born (p = 0.002) and having a family history of asthma (p = 0.003) were statistically associated with diagnosis of asthma. After viewing the video, 35.6% of respondents indicated that the images differed from their conception of wheezing. Of four translations of the word "wheeze" no single word was chosen by a majority. CONCLUSION: Our findings suggest that asthma diagnoses are higher for Chinese children who were born in the US suggesting that desegregation of data might reveal at risk subpopulations. Care needs to be taken when diagnosing asthma for Cantonese speakers because of the centrality of the word wheeze and the challenges of translation

Making live music count:The UK live music census

In 2017 we conducted the first-ever nationwide live music census, allowing for unprecedented levels of detailed, comparable data on the live music cultures of different localities. Live music censuses have been increasingly used in recent years (e.g. Melbourne, Edinburgh, Bristol) to illustrate the value of music to policymakers. This has coincided with challenging times for urban live music venues, particularly small venues and clubs. We present key census findings here, reflecting on how local contexts both shape the census process and may be informed by it, and on the growth of the idea of “Music Cities” to inform policy

Travelling with golf clubs: the influence of baggage on the trip decision-making process

Sports participation often requires the use of specialist equipment and for many sport tourists this is transported to the destination to aid convenience and enjoyment of participation. Yet, to date there has been little consideration of the influence that travelling with sporting equipment can have on the trip decisions making process. This paper focuses on golf tourism, said to be the largest sector of the sports tourism market and examines the influence that traveling with golf equipment has on aspects of the trip such as travel mode and opportunities for participation. Based on a longitudinal grounded theory study this paper concludes that packing sporting equipment can stimulate negotiations associated with participation. Furthermore the nature of the sporting equipment to be carried can determine the choices made regarding the travel modes used to reach and move around holiday destinations and thus directly influence the trip decision making process

The effectiveness of an intervention in increasing community health clinician provision of preventive care: a study protocol of a non-randomised, multiple-baseline trial

<p>Abstract</p> <p>Background</p> <p>The primary behavioural risks for the most common causes of mortality and morbidity in developed countries are tobacco smoking, poor nutrition, risky alcohol use, and physical inactivity. Evidence, guidelines and policies support routine clinician delivery of care to prevent these risks within primary care settings. Despite the potential afforded by community health services for the delivery of such preventive care, the limited evidence available suggests it is provided at suboptimal levels. This study aims to assess the effectiveness of a multi-strategic practice change intervention in increasing clinician's routine provision of preventive care across a network of community health services.</p> <p>Methods/Design</p> <p>A multiple baseline study will be conducted involving all 56 community health facilities in a single health district in New South Wales, Australia. The facilities will be allocated to one of three administratively-defined groups. A 12 month practice change intervention will be implemented in all facilities in each group to facilitate clinician risk assessment of eligible clients, and clinician provision of brief advice and referral to those identified as being 'at risk'. The intervention will be implemented in a non-random sequence across the three facility groups. Repeated, cross-sectional measurement of clinician provision of preventive care for four individual risks (smoking, poor nutrition, risky alcohol use, and physical inactivity) will occur continuously for all three facility groups for 54 months via telephone interviews. The interviews will be conducted with randomly selected clients who have visited a community health facility in the last two weeks. Data collection will commence 12 months prior to the implementation of the intervention in the first group, and continue for six months following the completion of the intervention in the last group. As a secondary source of data, telephone interviews will be undertaken prior to and following the intervention with randomly selected samples of clinicians from each facility group to assess the reported provision of preventive care, and the acceptability of the practice change intervention and implementation.</p> <p>Discussion</p> <p>The study will provide novel evidence regarding the ability to increase clinician's routine provision of preventive care across a network of community health facilities.</p> <p>Trial registration</p> <p>Australian Clinical Trials Registry <a href="http://www.anzctr.org.au/ACTRN12611001284954.aspx">ACTRN12611001284954</a></p> <p>Universal Trial Number (UTN)</p> <p>U1111-1126-3465</p