Implementation of a pharmacogenomics consult service to support the INGENIOUS trial

Hospital systems increasingly utilize pharmacogenomic testing to inform clinical prescribing. Successful implementation efforts have been modeled at many academic centers. In contrast, this report provides insights into the formation of a pharmacogenomics consultation service at a safety-net hospital, which predominantly serves low-income, uninsured, and vulnerable populations. The report describes the INdiana GENomics Implementation: an Opportunity for the UnderServed (INGENIOUS) trial and addresses concerns of adjudication, credentialing, and funding

A Pilot Study of Small Business's Perception of Vendor Services: are these associated with small business IT educational requirements

Despite the extensive use of microcomputers in the small business environment, little research has been applied to the training needs of those small businesses. This study examines the computer related training needs of 131 small businesses and the factors which appear to impinge upon those needs. In particular the paper examines whether satisfaction with vendor provided services (both pre and post sales) are associated specific educational requirements in small business. The results suggest that there a need for the development of a university/college IT training program directed specifically towards small business. These programs should avoid the more technical aspects of IT and concentrate on areas which involve the analysis and use of software in the small business. The results further show that a number of vendor provided services appear to be associated with the rating of importance of potential curricular inclusions in IT training programs

Contrasting Daily and Seasonal Activity and Movement of Sympatric Elk and Cattle

Elk (Cervus elaphus L.) and cattle (Bos taurus L.) co-occur on rangelands throughout western North America. Literature regarding range relations between elk and cattle, however, is contradictory, describing interspecific competition in some cases and complementary or facilitative relations in others. A better understanding of how sympatric elk and cattle behave at fine spatiotemporal scales is needed to properly allocate resources for these species. We used intensively sampled Global Positioning System (GPS) tracking data (1-sec intervals) to classify elk and cattle behavior and investigate their activity and movement strategies in the Blue Mountains of northeastern Oregon, United States, during summer and fall 2007. An ensemble classification approach was used to identify stationary, foraging, and walking behavior classes within the GPS datasets of mature beef and captive elk cows grazing in forested pastures during two randomized experiments, one in summer and the other fall. During summer, elk traveled farther per day, had larger walking budgets, exhibited more and longer walking bouts, and had higher walking velocities than beef cows. Cattle tended to emphasize intensive foraging over extensive movement and thus displayed larger foraging budgets and longer foraging bouts than elk. Site-by-species interactions, however, were detected for some foraging responses. During fall, when forage quality was limiting, elk exhibited a more foraging-centric mobility strategy while cattle emphasized an energy conservation strategy. These differing movement and energetic strategies tended to support the concept that elk and cattle occupy differing behavioral niches. Extensive foraging by elk and intensive foraging by cattle during summer correspond well with behaviors expected for elk searching out forbs in graminoid-dominated habitats and cattle foraging intensively on graminoids. Behaviors exhibited in the fall were consistent with elk continuing to exercise more selectivity among the available forage than cattle. These differing strategies, consequently, would moderate the potential for direct interspecific competition during summer and fall. © Published by Elsevier Inc. on behalf of The Society for Range Management.The Rangeland Ecology & Management archives are made available by the Society for Range Management and the University of Arizona Libraries. Contact [email protected] for further information