1,909 research outputs found

    Ask Me Anything: Promoting Archive Collections On Reddit

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    Social media is an important marketing and outreach tool for many libraries. While Facebook, Twitter, and Instagram are commonly used, Reddit is underutilized despite its popularity and high user engagement. Special collections can use Reddit to reach and engage with their target audiences, no matter how niche. This article explains how to use Reddit and host an event called “Ask Me Anything” (AMA), using as a model a successful AMA hosted by archivists at the Rochester Institute of Technology. It also provides practical tips including how to choose an appropriate “subreddit” (or Reddit community), promote the AMA, and respond to difficult questions

    Diverse Sample Analysis and Sample Preparation Studies Utalizing AP - MALDI-TOF-MS

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    Sample preparation and analysis for atmospheric pressure matrix assisted laser desorption ionization time of flight mass spectrometry (AP- MALDI-TOF-MS) was investigated. By investigating the effects that sample preparation has upon MALDI signal, better analysis can be carried out. The influence of sample deposition was studied by not only observing the signal intensity produced but also by quantitation. Isotope dilution mass spectrometry (IDMS) was used for the quantitation of three different analytes. The results indicated that not only was signal greatly affected by sample deposition but the effect on quantitation error was also statistically significant among the three different sample deposition techniques that were evaluated. Components of sample preparation solution were studied using polyethylene glycol (PEG) and polystryrene (PS) of different weights. This study altered the amounts of matrix, analyte and cationizing agent that were used to make up each sample. Not only did the sample signal intensity greatly vary which had statistical significance but a shifting of the polymer sample peaks was also observed. This confirms that sample preparation is of extreme importance for MALDI analysis. Carpet fibers, glutathione and cell wall extracts from the bacteria Staphylococcus Epidermidis were also studied by AP- MADLI-TOF-MS. These analytes were carefully studied to provide an accurate characterization of each. The diversity of the analytes studied highlights the incredible capabilities that MADLI possesses being able to analyze a range of analytes. Though the samples were diverse each one was able to be completely and comprehensively analyzed using AP-MALDI-TOF-MS

    PENGARUH PHYSICAL EVIDENCE TERHADAP KEPUTUSAN PEMBELIAN KONSUMEN DI CAFE INFINITO CULINERY BANDUNG

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    Penelitian ini bertujuan untuk mengetahui pengaruh physical evidence terhadap keputusan pembelian konsumen di Cafe Infinito Culinery Bandung. Keputusan pembelian konsumen adalah suatu tahapan di mana seorang konsumen membentuk niat untuk membeli produk atau jasa yang paling disukai oleh konsumen (Kotler dan Keller, 2009). Physical evidence adalah desain fasilitas fisik yang berperan besar dalam proses sosialisasi suatu konsep mengenai tujuan perusahaan untuk mengkomunikasikan komunikasi dalam nilai-nilai norma, perilaku, peran, dan pola hubungan antar karyawan dan konsumen (Tjiptono, 2008). Penelitian ini dilakukan pada konsumen Cafe Infinito Culinery dengan jumlah subyek sebanyak 100 responden. Alat pengumpul data yang digunakan berupa kuesioner physical evidence yang terdiri dari fasilitas eksterior (5 item valid), fasilitas interior (10 item valid), fasilitas lainnya (5 item valid) dan keputusan pembelian konsumen (9 item valid). Reliabilitas kuesioner physical evidence adalah 0,945, dan keputusan pembelian konsumen adalah 0,885. Analisis data yang digunakan dalam penelitian ini adalah analisis regresi sederhana menggunakan bantuan SPSS 22.0 for Windows. Hasil penelitian ini menunjukkan bahwa ada pengaruh antara physical evidence terhadap keputusan pembelian konsumen di Cafe Infinito Culinery Bandung. Penilain tertinggi pada variabel physical evidence terdapat pada dimensi fasilitas ekterior. penilaian terendah pada dimensi fasilitas interior. Pada variabel keputusan pembelian konsumen penilaian tertinggi adalah metode pembayaran dan penilaian terendah adalah pemilihan waktu pembelian. Pada hasil analisis regresi sederhana terdapat pengaruh antara physical evidence, yang terdiri dari beberapa dimensi (fasilitas eksterior, fasilita interior, dan fasilitas lainnya), terhadap keputusan pembelian konsumen. ;---This research aims to know the influence of the physical evidence against the consumer's purchasing decision at Cafe Infinito Culinery. Consumer purchasing decisions is a stage in which a consumer is forming an intention to purchase a product or service that is most preferred by consumers (Kotler and Keller, 2009). Physical evidence is the physical facility design plays a major role in the process of socialization of a concept about the purpose of the company to communicate communication in norms, values, roles, behaviors and patterns of relationships between employees and consumers ( Tjiptono, 2008). This research was conducted on consumers of Culinery Infinito Cafe subject as many as 100 respondents. Data collecting instrument that was used in the form of a questionnaire physical evidence consisting of exterior facilities (5 items valid), interiors facilities (10 items is valid), other facilities (valid 5 items) and consumer purchasing decisions (9 items is valid). Reliability the questionnaire physical evidence is 0.945, and consumer purchasing decisions is 0.885. The analysis of the data used in this study is the analysis of simple regression using SPSS 22.0 Help for Windows. The results of this research show that there are influences between the physical evidence against the consumer's purchasing decision at Cafe Infinito Culinery. The highest evaluation on variable physical evidence found in the dimensions is exterior facilities. the lowest scoring on dimensions is interior facilities . On consumer purchasing decisions highest valuation was payment method and the lowest assessment is the selection of the time of purchase. On the results of a simple regression analysis there are influences between the physical evidence, which consists of several dimensions (exterior facilities, interior facilities, and other facilities), against consumer purchasing decisions

    Illness identity as an important component of candidacy: Contrasting experiences of help-seeking and access to care in cancer and heart disease

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    How and when we use health services or healthcare provision has dominated exploration of and debates around healthcare access. Levels of utilisation are assumed as a proxy for access. Yet, focusing on utilisation conceals an important aspect of the access conundrum: the relationships that patients and potential patients have with the healthcare system and the professionals within those systems. Candidacy has been proposed as an antidote to traditional utilisation models. The Candidacy construct offers the ability to include patient-professional aspects alongside utilisation and thus promotes a deeper understanding of access. Originally applied to healthcare access for vulnerable populations, additional socio-demographic factors, including age and ethnicity, have also been shown to influence the Candidacy process. Here we propose a further extension of the Candidacy construct and illustrate the importance of illness identities when accessing healthcare. Drawing on a secondary data analysis of three data sets of qualitative interviews from colorectal cancer and heart failure patients we found that though similar access issues are apparent pre-diagnosis, diagnosis marks a critical juncture in the experience of access. Cancer patients describe a person-centred responsive healthcare system where their patienthood requires only modest assertion. Cancer speaks for itself. In marked contrast heart failure patients, describe struggling within a seemingly impermeable system to understand their illness, its implications and their own legitimacy as patients. Our work highlights the pressing need for healthcare professionals, systems and policies to promote a person centred approach, which is responsive and timely, regardless of illness category. To achieve this, attitudes regarding the importance or priority afforded to different categories of illness need to be tackled as they directly influence ideas of Candidacy and consequently access and experiences of care

    Diagnosis of cervical and thoracic musculoskeletal spinal pain receptive to mechanical movement strategies: a multicenter observational study

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    Background: The McKenzie’s Mechanical Diagnosis and Therapy (MDT), which uses a combination of repeated movements and sustained positions to affect signs and symptoms, is commonly used for the conservative evaluation and management of cervical and thoracic spinal conditions. Objective: Report a consecutive cohort of neck and thoracic pain patients managed using MDT and to record their classifications and physiotherapy management strategies. Methods: Therapists provided demographic data on themselves and the patients, clinical data on the patients, and Neck Disability Index scores at baseline and final visit. Results: Sixteen therapists collected data on 138 patients at baseline, of who 120 (87%) were followed up three to five visits later; these were patients with 131 cervical and seven thoracic problems. The therapists and patients are described. Regarding MDT classifications 83% were recorded as cervical and 100% as thoracic Derangement; there was a Directional Preference for extension in 80% of cervical spine patients, and 100% of thoracic spine patients. In addition, 13% of cervical spine patients were classified as OTHER, for which specific classifications were given. Classifications remained stable between initial and discharge sessions in 94% of patients. Neck Disability Index scores reduced from a mean of 24–12 at discharge (P < 0.001). Conclusions: Routinely collected data can describe both therapists and patients involved, demonstrate the MDT classification clinical utility in terms of prevalence and stability between visits, provide information on the clinical course of this patients’ population, which could help establish treatment efficacy. Randomized controlled trials are needed to test for efficac

    The Wehl family of South Australia and their botanical connections with “Dear Uncle” Baron Ferdinand von Mueller

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    Dr Eduard Wehl and Clara Wehl (née Mueller) and their children hold a unique position in the history of South Australian botany because of their association with Clara’s brother and the children’s uncle, Baron Ferdinand von Mueller, Australia’s most significant botanist of the nineteenth century. Both Wehl parents and six of their twelve surviving children collected botanical specimens for Mueller and about 1200 herbarium specimens have been located with most being held in the National Herbarium of Victoria. The majority of specimens were collected in the vicinity of Mount Gambier and Lake Bonney, South Australia. As well as collecting botanical specimens, two daughters, Marie Magdalene Wehl and Henrietta Jane Wehl, illustrated plants and fungi. About 300 illustrations have survived. Of these, about 240 are of flowering plants and contained in three sketchbooks, two of which are at the National Herbarium of Victoria and one at the State Herbarium of South Australia. Marie made a speciality of illustrating fungi, and 36 illustrations are included in an album in the Natural History Museum, London, and 25 others are held as either loose illustrations or associated with herbarium specimens in the National Herbarium of Victoria. Specimens collected by the Wehls have been used in the typification of at least 23 species names. The family is commemorated in three taxa: Clara Wehl in the marine alga Gigartina wehliae Sond.; Eduard and Clara Wehl jointly in the plant genus Wehlia F.Muell. [= Homalocalyx F.Muell.]; and Marie Wehl in the fungus Agaricus wehlianus F.Muell. ex Cooke [=Pluteus wehlianus (F.Muell. ex Cooke) Sacc.]. In this paper we provide a brief history of the Wehl family in South Australia. We assess the herbarium specimens collected by them, examine their illustrations and determine the connections between them and their current importance for typification. Underlying this, we consider the contribution made by the Wehl family toward the botanical work of Baron Ferdinand von Mueller

    Rethinking the patient: using Burden of Treatment Theory to understand the changing dynamics of illness

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    &lt;b&gt;Background&lt;/b&gt; In this article we outline Burden of Treatment Theory, a new model of the relationship between sick people, their social networks, and healthcare services. Health services face the challenge of growing populations with long-term and life-limiting conditions, they have responded to this by delegating to sick people and their networks routine work aimed at managing symptoms, and at retarding - and sometimes preventing - disease progression. This is the new proactive work of patient-hood for which patients are increasingly accountable: founded on ideas about self-care, self-empowerment, and self-actualization, and on new technologies and treatment modalities which can be shifted from the clinic into the community. These place new demands on sick people, which they may experience as burdens of treatment.&lt;p&gt;&lt;/p&gt; &lt;b&gt;Discussion&lt;/b&gt; As the burdens accumulate some patients are overwhelmed, and the consequences are likely to be poor healthcare outcomes for individual patients, increasing strain on caregivers, and rising demand and costs of healthcare services. In the face of these challenges we need to better understand the resources that patients draw upon as they respond to the demands of both burdens of illness and burdens of treatment, and the ways that resources interact with healthcare utilization.&lt;p&gt;&lt;/p&gt; &lt;b&gt;Summary&lt;/b&gt; Burden of Treatment Theory is oriented to understanding how capacity for action interacts with the work that stems from healthcare. Burden of Treatment Theory is a structural model that focuses on the work that patients and their networks do. It thus helps us understand variations in healthcare utilization and adherence in different healthcare settings and clinical contexts

    A single center observational study on emergency department clinician non-adherence to clinical practice guidelines for treatment of uncomplicated urinary tract infections

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    Background The Emergency Department (ED) is a frequent site of antibiotic use; poor adherence with evidence-based guidelines and broad-spectrum antibiotic overuse is common. Our objective was to determine rates and predictors of inappropriate antimicrobial use in patients with uncomplicated urinary tract infections (UTI) compared to the 2010 International Clinical Practice Guidelines (ICPG). Methods A single center, prospective, observational study of patients with uncomplicated UTI presenting to an urban ED between September 2012 and February 2014 that examined ED physician adherence to ICPG when treating uncomplicated UTIs. Clinician-directed antibiotic treatment was compared to the ICPG using a standardized case definition for non-adherence. Binomial confidence intervals and student’s t-tests were performed to evaluate differences in demographic characteristics and management between patients with pyelonephritis versus cystitis. Regression models were used to analyze the significance of various predictors to non-adherent treatment. Results 103 cases met the inclusion and exclusion criteria, with 63.1 % receiving non-adherent treatment, most commonly use of a fluoroquinolone (FQ) in cases with cystitis (97.6 %). In cases with pyelonephritis, inappropriate antibiotic choice (39.1 %) and no initial IV antibiotic for pyelonephritis (39.1 %) where recommended were the most common characterizations of non-adherence. Overall, cases of cystitis were no more/less likely to receive non-adherent treatment than cases of pyelonephritis (OR 0.9, 95 % confidence interval 0.4–2.2, P = 0.90). In multivariable analysis, patients more likely to receive non-adherent treatment included those without a recent history of a UTI (OR 3.8, 95 % CI 1.3–11.4, P = 0.02) and cystitis cases with back or abdominal pain only (OR 11.4, 95 % CI 2.1–63.0, P = 0.01). Conclusions Patients with cystitis with back or abdominal pain only were most likely to receive non-adherent treatment, potentially suggesting diagnostic inaccuracy. Physician education on evidence-based guidelines regarding the treatment of uncomplicated UTI will decrease broad-spectrum use and drug resistance in uropathogens

    Patient, carer and professional perspectives on barriers and facilitators to quality care in advanced heart failure

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    BACKGROUND: Those with advanced heart failure (HF) experience high levels of morbidity and mortality, similar to common cancers. However, there remains evidence of inequity of access to palliative care services compared to people with cancer. This study examines patient, carer, and professional perspectives on current management of advanced HF and barriers and facilitators to improved care.METHODS: Qualitative study involving semi-structured interviews and focus groups with advanced HF patients (n = 30), carers (n = 20), and professionals (n = 65). Data analysed using Normalisation Process Theory (NPT) as the underpinning conceptual framework.FINDINGS: Uncertainty is ubiquitous in accounts from advanced HF patients and their caregivers. This uncertainty relates to understanding of the implications of their diagnosis, appropriate treatments, and when and how to seek effective help. Health professionals agree this is a major problem but feel they lack knowledge, opportunities, or adequate support to improve the situation. Fragmented care with lack of coordination and poor communication makes life difficult. Poor understanding of the condition extends to the wider circle of carers and means that requests for help may not be perceived as legitimate, and those with advanced HF are not prioritised for social and financial supports. Patient and caregiver accounts of emergency care are uniformly poor. Managing polypharmacy and enduring concomitant side effects is a major burden, and the potential for rationalisation exists. This study has potential limitations because it was undertaken within a single geographical location within the United Kingdom.CONCLUSIONS: Little progress is being made to improve care experiences for those with advanced HF. Even in the terminal stages, patients and caregivers are heavily and unnecessarily burdened by health care services that are poorly coordinated and offer fragmented care. There is evidence that these poor experiences could be improved to a large extent by simple organisational rather than complex clinical mechanisms

    Álbum ilustrado mudo para contribuir al desarrollo de la lectura en voz alta

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    Consideramos el álbum mudo como un recurso importante y necesario para trabajar en el ámbito de la lectura en el aula y a su vez con la ayuda del docente adquirir durante el proceso de enseñanza-aprendizaje la competencia lectora. El objetivo de este trabajo es conocer un poco más sobre el álbum ilustrado mudo a la vez que demostrar la importancia del álbum ilustrado mudo para contribuir al desarrollo de la lectura en voz alta durante la etapa de Educación Infantil
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