A library management information system in a multi-campus environment

The Office of Library Services in the Central Administration of the State University of New York (SUNY) has, since 1975, been developing a library management information system based on the analysis of library and other bibliographic and academic data which are available in machine readable form. Although primarily designed for the SUNY libraries, the processes are applicable in other academic libraries because of the general availability of the data used in the system. The task has changed over the years as new ideas and opportunities were realized, as new appreciations of the obtained results were attained, and as the technical environment has evolved. Nonetheless, the fundamental structure of the system design has not changed since the first ideas in 1974. This is an interim report. Progress has been agonizingly slow for two reasons. First, the difficulty of obtaining support and resources has been a real hindrance; the work has been squeezed into overcrowded schedules and ever-straitening budgets. Second, many of the machine-readable data which one confidently felt would be available in the late 1970s or very early 1980s are still not available. Some years, at least, will pass before the work can be completed as we see it now. Who knows what new ideas and opportunities will emerge as new results become available? Nonetheless, enough has been achieved to justify this report.published or submitted for publicatio

Psychosocial Impact of Living with a Stuttering Disorder: Knowing Is Not Enough

Stuttering requires a multidimensional perspective given that, in recent years, researchers have shown the impact of the disorder to reach far beyond the surface components with demonstrated psychosocial and anxiety effects for the individual living with a stutter. This article explores the impact a stuttering disorder has on the individual (child, adolescent, and adult) and on their family members (siblings, parents, and partners). These experiences include behavioral and social difficulties, self-awareness, reactions to stuttering, communication difficulties in daily situations, and overall quality of life. The influence of stuttering on the most intimate relationships of the person who stutters is presented. An overview of stuttering across the life span is discussed in terms of stuttering in children and adolescents, and the significant levels of adverse impact as a result of living with a stutter are described. In addition, the impact that the stuttering disorder has on the parents and siblings of children who stutter is also detailed through significant findings pertaining to lack of attachment and trust between the young people and their parents. The responsibilities and demands on parents and siblings in the family context are highlighted. Focus is also placed on the experience of living with a person who stutters from the perspective of their life partner. Perceived quality of life is explored with unexpected differences recounted between the quality of life experienced by the adult who stutters and their partner’s perceptions of this disorder. Finally, the potential for a novel Acceptance and Commitment Therapy for individuals who stutter is presented

Getting ready to learn: The correspondence between contingency awareness and level of Piagetian sensorimotor development

My purpose in this descriptive study was to view infants\u27 readiness to learn and their performance on a simple discrete task from the perspective of Piaget\u27s theory of infant intelligence. Such a readiness to learn has been described by Watson (1966, 1971, 1972) as contingency awareness. This study attempted to investigate the relationship between assessed Piagetian sensorimotor level and performance on a contingency awareness task. Performance measures included efficiency rate and latency to first hit on a second test session. Infant performance was viewed within the framework of sensorimotor development. From the literature there is evidence of a relationship between performance on contingency awareness tasks and what Piaget has termed causality, but no study has addressed the question across the stages of sensorimotor development as was attempted in this research. Most of the contingency awareness studies have looked at performance of children at one chronological age. For example, Ramey and Finkelstein (1978) found that infants as young as 4 ½ months were able to give a panel pressing response to control the presentation of colored lights. In addition to the question of performance in relationship to sensorimotor stages in this study, the question as to whether such responses can be obtained with even younger infants was also examined

Fundholding: learning from the past and looking to the future

The document attached has been archived with permission from the editor of the Medical Journal of Australia (26 April 2007). An external link to the publisher’s copy is included.Australian trials of healthcare initiatives that included fundholding models have not produced convincing quantitative evidence of health gains, but there is qualitative evidence of improved patient well-being and significant changes in service mix, which may produce longer-term health gains. Fundholding is most likely to improve patient outcomes when implemented within a broader healthcare initiative that has the potential to be more effective if financed outside existing funding structures. The most appropriate fundholder organisation depends on the nature of the initiative and the type of stakeholder engagement required, but technical and organisational skills will always be needed for balancing financial viability and additional patient services. Stakeholders’ willingness to engage in fundholding depends on the anticipated budget impact, how they will use the savings generated, and whether workforce needs will be fulfilled. Before including fundholding in healthcare initiatives, there must be realistic prospective analyses and community debate. Monitoring and evaluation frameworks must also be in place to provide ongoing evidence of quality of care, health and well-being outcomes and financial implications for fund contributors.Justin J Beilby and Brita Pekarsk

Supporting families: Outcomes of placement in voluntary out-of-home care for children and young people with disabilities and their families

AbstractParents caring for children and young people with disabilities typically have extensive additional demands on their time and resources. This added pressure can significantly impact well-being and mental health. In extreme circumstances, parents may seek an out-of-home placement for their child. Previous research has looked into factors that influence decisions for families to place their child into out-of-home care but little is known about outcomes for these young people and their families. The Supporting Families study aimed to explore the impact of a voluntary out-of-home placement on young people with disabilities, and consequences for their families. Fourteen parents/carers, twenty six case managers, six accommodation services' managers, and four young people with disabilities participated in face-to-face and telephone interviews and focus groups. Participants reported a range of outcomes for young people in care. Positive outcomes included increased levels of respect for themselves and others, an improvement in independent living skills, and reductions in challenging behaviours. Negative outcomes centred on their experiences of grief, loss and rejection, as well as behavioural problems. Positive and negative outcomes were also found for families. For many parents/carers there was a reduction in perceived stress and caring load, as well as improved mental health and wellbeing for them and the child's siblings. However, parents/carers often experienced ongoing feelings of guilt, grief and loss. The study adds to knowledge about outcomes of being in voluntary out-of-home care for this small but vulnerable group of young people in care and their families

Preventive activities during consultations in general practice : influences on performance

Copyright © 2005 Royal Australian College of General Practitioners Copyright to Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher, The Royal Australian College of General Practitioners.BACKGROUND: The relationship between the performance of opportunistic preventive activities in general practice consultations and characteristics of patients, general practitioners, consultations and preventive opportunities is poorly understood. METHODS: We recorded the performance of 11 preventive care activities by 10 GPs in one practice and examined the associations of performance of the preventive activities and the characteristics of the patients, GPs, consultations and preventive opportunities. RESULTS: Every patient, GP, consultation and preventive opportunity characteristic studied was independently significantly associated with the performance of at least two of the preventive activities. DISCUSSION: These findings suggest ways of designing more effective reminders, particularly for patients least likely to receive prevention counselling.Oliver Frank, John Litt and Justin Beilb

Talking to patients about death and dying

Copyright © 2004 Royal Australian College of General Practitioners Copyright to Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher, The Royal Australian College of General Practitioners.INTRODUCTION: Talking about death and dying, either with patients terminally ill or well, presents challenges for the general practitioner. There are few Australian educational resources and little Australian research into this area. METHODS: We undertook two focus groups, an interview process, and a final consultation with palliative care experts and GPs. RESULTS: General practitioners felt they needed support and education in talking about death and dying. This is separate from discussions about 'Advanced Health Care Directives'. General practitioners were open to learning new ways to help patients and families approach dying, but require support and education around initiating discussions, asking the right questions and accessing services. Participating GPs emphasised the importance of utilising palliative care supports and resources to provide ongoing spiritual and physical care. Many were particularly concerned with access to support for dying patients for both indigenous patients and those from other cultures. Advance Health Care Directives were regarded by participating GPs to be tools to facilitate a discussion around death and dying, rather than their primary purpose. DISCUSSION: We developed a booklet to provide practical, useful guidelines for GPs in their daily practice.Teresa A. Burgess, Mary Brooksbank and Justin Beilb