Suchergebnisse

Alan Wood describes a proposal for a National Institute for Food and Agriculture to enable the United States to maintain competitiveness in this field. Having invited NABC member institutions to submit information regarding recent agricultural research beyond food and fiber with significant societal impacts, Wood described outstanding contributions to society under the headings Energy, Food Safety/Diet, New Products, Animal, Health, Environment and Plant Biology. Seventeen Nobel Prizes have been awarded to scientists involved in aspects of agricultural research, most of whom are not known to the public at large. The value and significance of US agricultural production and research must be more effectively communicated to the public and to legislators in order to improve understanding of the national and global importance of US agriculture, its breadth of impact and an appreciation of its many contributions to society beyond food and fiber, including human health and biobased products.

BHIVA guidelines recommend that all ARV‐naïve and stable on‐treatment patients are monitored at least 6 monthly [1]. Studies have shown that loss to follow up (LFU) not only worsens outcomes [2] but has increased potential for onward transmission. Case notes of 1275 HIV patients registered under our care up to January 2011 were examined for attendance within the previous 6 months. 788 (61%) patients had not been seen within the previous 6 months. Reasons for non attendance were identified. These are outlined below:







Patient group
Number




Deceased
61


Transferred care to another HIV clinic
455


Moved out of the UK
54


Lost to follow up ‐ no means to contact
130


Lost to follow up ‐ eligible for recall
88




76% of the 130 LFU whose demographics were further examined were of Black African ethnicity, 54% female, 51% of single marital status and 48% of patients had been taking ARVs at the time of LFU. Interestingly, 53% of patients were lost to follow up within 1 year of diagnosis. The LFU patients (88) that had a local GP and a registered current address were sent recall letters. A small number of patients reengaged with care as a result of this action, some having not attended for over 5 years. Partner notification led to a number of new diagnoses in these cases. Failure to respond led to subsequent letters inviting them to clinic and finally a letter to their GP informing them of non attendance. In September 2011, a new recall system using Lillie Electronic Patient Records (EPR) was introduced to promptly recognise if a patient had not attended for care as planned. Prior to this, recall was a manual process carried out by the Health Advising Team. We conclude that within our cohort we had a particularly mobile group of patients; 455 (36%) transferring care to another clinic within the UK, 54 (4%) moving out of UK. 76% of the LFU group being of Black African ethnicity highlights the ongoing problem of retention of care in this group. Further exploration is needed to identify additional issues besides housing and immigration that lead to LFU. Furthermore, the disportionate number of patients (53%) disengaging with services within 1 year of diagnosis should encourage HIV services to provide additional support within this time period to reduce LFU. This study highlights the need for robust recall systems within clinics to identify those individuals not engaging with services or not attending for routine monitoring. These may be easier to implement with the increasing use of EPR. An audit of the recall system is planned in September 2012 to re‐examine loss to follow up rates after its implementation.

This service record is an account of military actions during the American Civil War by veteran H. O. Wood (1839- ), dated from 1904. ; 1 leaf ; 2 pdf pages. ; All descriptive lists and service records in this United Confederate (Civil War) Veterans manuscript collection believed to be based out of Robert E. Lee Camp #158 of the United Confederate Veterans (Fort Worth, Tex.). United Confederate Veterans. R.E. Lee Camp No. 158 (Fort Worth, Tex.) ; The Southwest Collection Manuscript Record can be accessed at the following URL: http://www.lib.utexas.edu/taro/ttusw/00119/tsw-00119.html

Abstract Purpose The purpose of this paper is to target on individual perceptions of BIM practice in terms of BIM benefits, critical success factors (CSFs) and challenges in Chongqing which represented the less BIM-developed metropolitan cities in China. Design/methodology/approach Adopting a questionnaire-survey approach followed by statistical analysis, the study further divided the survey population from Chongqing into subgroups according to their employer types and organization sizes. A further subgroup analysis adopting statistical approach was conducted to investigate the effects of employer type and organization size on individual perceptions. Findings Subgroup analysis revealed that governmental employees held more conservative and neutral perceptions toward several items in BIM benefit, CSFs and challenges. It was inferred that smaller organizations with fewer than 100 full-time employees perceived more benefits of BIM in recruiting and retaining employees, and considered more critical of involving companies with BIM knowledge in their projects. Originality/value This study contributed to the body of knowledge in managerial BIM in terms that: it extended the research of individual perceptions toward BIM implementation by focusing on less BIM-mature regions; it contributed to previous studies of influencing factors to BIM practice-based perceptions by introducing factors related to organization type and sizes; and it would lead to future research in establishing BIM climate and culture which address perceptions and behaviors in BIM adoption at both individual and organizational levels. Keywords