Restoring Trust Relationships within Collaborative Digital Preservation Federations

4th International Conference on Open RepositoriesThis presentation was part of the session : Conference PresentationsDate: 2009-05-19 01:00 PM – 02:30 PMThe authors extend their process for creating and establishing trust relationships to include steps for restoring trust relationships after catastrophic events. Part of this model will include best practices for business continuity relationships and will integrate trust models from Holland and Lockett (1998) and Ring and Van de Ven (1994) and how they can be applied to a process for trust restoration after periods of disaster or critical data loss. These models provide key frameworks for understanding how trust can be utilized for collaborative start points as well as for collaborative recovery points from physical natural disaster or critical data loss

Exploring occupational and career implications of human capital specificity: a fine arts case study

It has been suggested that at the heart of a degree in fine arts is a curriculum that gives students the freedom to experiment, develop their problem-solving skills, creative faculties, and the ability to conceptualize. With this in mind it stands to reason that an individual with a fine arts education should be succeeding in a knowledge-based economy that values creativity for economic growth. However, contemporary data in Australia shows that individuals holding tertiary degrees in fine arts rate the lowest in terms of employment gained relative to other degree holders and have a negative monetary rate of return. While the aforementioned statistics are important, ex post data does not tell the full story. Life is unpredictable. Along the protracted road to graduation all manner of uncertainty awaits us. Treating an investment in education as a choice made under uncertainty, particularly in light of the differences between specific and general human capital, provides a more complete and comprehensive picture of the ex ante gains from undertaking a fine arts degree. This research maps the professional lifecycle of fine arts graduates living in and around the Melbourne, Australia region in order to examine the trade-off between higher productivity and flexibility in the labor market

ERAS Protocol for Lower Extremity Orthopedic Procedures

The demand for total knee arthroplasty (TKA) and total hip arthroplasty (THA) will continue to rise as life expectancy increases. Coupling increased age with the increased prevalence of both obesity and osteoarthritis, the need for total joint arthroplasties is likely to increase (Oseka & Pecka, 2018). The frequency of arthroplasty procedures and the associated recovery period lead to heavy economic demands felt by most healthcare systems (Stowers et al., 2016). To address this burden, enhanced recovery after surgery (ERAS) protocols have been implemented at institutions and are designed to improve patient outcomes while simultaneously limiting cost and reducing readmission rates after surgery (Kaye et al., 2019a). Objectives of this quality improvement project were to research prevailing evidence-based literature on ERAS protocols, develop a facility specific protocol, and introduce the customized THA and TKA ERAS protocol to members of the perioperative team. Results of the post-implementation knowledge assessment demonstrated nurse anesthetists had a strong understanding of ERAS. Participants also indicated that the customized ERAS protocol would be implemented into practice. Obtaining surgeon and other perioperative staff buy-in to the protocol may further enhance patient safety and perioperative experience and reduce economic burden through decreased length of stay and postoperative complications

Influential Article Review - Learning from Takeovers: How Businesses Benefit

This paper examines business acquisition. We present insights from a highly influential paper. Here are the highlights from this paper: Acquisition experience is commonly viewed as an important determinant of subsequent acquisition success. Yet, empirical evidence suggests that acquisition experience may not be positively associated with acquisition performance and could even hurt performance. In this article, we highlight specific practices that facilitate and impede learning from acquisitions and draw implications for managers. In particular, we suggest that managers (1) expand time between acquisitions, (2) implement strong governance mechanisms and top management team diversity, (3) use similar-context experience, (4) avoid herding behavior in acquisitions, and (5) minimize blind reliance on financial advisors to effectively transfer prior acquisition experience into acquisition success. For our overseas readers, we then present the insights from this paper in Spanish, French, Portuguese, and German

Restriction Spectrum Imaging Differentiates True Tumor Progression From Immune-Mediated Pseudoprogression: Case Report of a Patient With Glioblastoma.

Immunotherapy is increasingly used in the treatment of glioblastoma (GBM), with immune checkpoint therapy gaining in popularity given favorable outcomes achieved for other tumors. However, immune-mediated (IM)-pseudoprogression is common, remains poorly characterized, and renders conventional imaging of little utility when evaluating for treatment response. We present the case of a 64-year-old man with GBM who developed pathologically proven IM-pseudoprogression after initiation of a checkpoint inhibitor, and who subsequently developed true tumor progression at a distant location. Based on both qualitative and quantitative analysis, we demonstrate that an advanced diffusion-weighted imaging (DWI) technique called restriction spectrum imaging (RSI) can differentiate IM-pseudoprogression from true progression even when conventional imaging, including standard DWI/apparent diffusion coefficient (ADC), is not informative. These data complement existing literature supporting the ability of RSI to estimate tumor cellularity, which may help to resolve complex diagnostic challenges such as the identification of IM-pseudoprogression

Modeling Megacity Medical System Response to a CBRNE Event

The collaborative effectiveness of the public health system (PHS) and the Army Medical Department (AMEDD) is limited in the case of a 10-kiloton (kt) nuclear event on a megacity due to an overall lack of knowledge and understanding among agencies. This study details an exhaustive analysis of the current medical response system using New York City as a case study. Through the problem definition phase of the Systems Decision Process (SDP), this report identifies operational gaps existing at different levels within the system. Identified operational gaps existed at the local, state, and federal levels in the areas of resources, communication, and planning within the following agencies: Sloan Kettering Memorial Hospital, the Office of Emergency Management (OEM), the Federal Emergency Management Agency (FEMA), Health and Human Services (HHS), and the United States Department of Veteran Affairs (VA). Evaluation of the operational gaps illustrated the areas which were most vulnerable. The current analysis suggests that the system in place requires adjustments of the identified gaps so that maximum efficiency can be achieved

Sustainability Models for Digital Preservation Federations

The Library of Congress&rsquo;s National Digital Information Infrastructure and Preservation Program (NDIIPP &ndash; www.digitalpreservation.gov) has brought together a variety of partners over the last few years (2004-2007) to take an in-depth look at various digital preservation technologies and the organizational strategies to implement digital preservation programs (LeFurgy, 2005). This national program has been a success and the Library of Congress plans to extend it through 2010 to develop these partnerships and solidify the sustainability of the preservation initiatives that have emerged. Like many such national programs, NDIIPP is both a benefactor and catalyst of applied and theoretical work on digital preservation being conducted in the United States. This paper will present the sustainability models that have emerged at the international, national, state/regional, and local levels and contrast those with models that have emerged out of the work of the NDIIPP partnership known as the MetaArchiveCooperative (www.metaarchive.org). This overview will address governance issues for federated digital preservation programs that span across unilateral institutional governance.</p

Depression Is transiently increased in patients undergoing two-stage revision arthroplasty

Background: The implications of two-stage revision on mental health are poorly understood. The purpose of this study is to determine (1) whether patients undergoing two-stage revision total hip and knee arthroplasty for prosthetic joint infection were more likely to get Patient-Reported Outcomes Measurement Information System (PROMIS) Depression scores consistent with major depressive disorder (MDD) than those undergoing aseptic revision and (2) whether these symptoms resolved after the procedure. Methods: Records of all 366 patients that underwent revision total hip or knee arthroplasty from January 1, 2015, - June 20, 2019, were reviewed. Forty-two patients were excluded for missing PROMIS Depression scores or incomplete treatment. Preoperative (\u3c3 months), early postoperative (2-8 weeks), and final postoperative (6-18 months) Depression scores were collected. Patients crossing the PROMIS Depression threshold equivalent to a Patient Health Questionnaire-9 score ≥10, indicative of MDD, were evaluated. Results: More two-stage revision patients developed Depression scores indicative of MDD perioperatively than the aseptic cohort (20.0% vs 6.5%, Conclusions: Twenty percent of two-stage revision arthroplasty patients, compared to \u3c7% of aseptic revision patients, developed PROMIS Depression scores consistent with MDD during treatment. At final follow-up, a clinically significant improvement in Depression scores from baseline was evident in both cohorts