Combating Diabetes in Chittenden County: A Healthcare Provider Referral Campaign to Increase Patient Participation in the Vermont Diabetes Prevention Program

As of 2016, diabetes affects more than 29 million people in the United States and is the 7th leading cause of death nationwide. In Vermont, 1/10 people are diagnosed with either diabetes or prediabetes, with 6% of Vermonters affected by prediabetes and 5% of Chittenden Country affected by prediabetes. The public health burden of this chronic disease is immense: diabetes costs Vermont an estimated $543 million each year and is the leading cause of kidney failure, lower limb amputations, and adult-onset blindness. Prediabetes occurs when blood sugar is higher than normal but not at the diagnostic threshold of diabetes. Prediabetes does not definitely progress to type 2 diabetes if interventions are made, including healthier eating and physical activity to promote modest weight loss. The CDC has developed evidence-based curricula for lifestyle intervention in prediabetics with intensive individual counseling and motivational support on effective diet, exercise, and behavior modification. One of these curricula is currently run through the CDC-led National YMCA Diabetes Prevention Program (YDPP). Participation in this program reduces the risk of developing type 2 diabetes by 58% across all ethnic groups and sexes overall and by 71% in individuals over age 60. The Vermont YDPP had 325 participants in 2016, with only 21% (n=70) of those referrals to the program coming from healthcare providers. Healthcare providers have a unique role in the community of being the voices of health promotion. With the correct provider awareness of the YDPP and patient identification, awareness, and education, an increase in the percentage of YDPP-referring healthcare providers can increase the overall YDPP participation in Chittenden county. As of 2016, 60,038 people in Chittenden county have prediabetes, but only 8,026 are diagnosed, and an additional 52,012 people could be diagnosed with prediabetes by their healthcare professional and referred to the YDPP. This campaign intends to serve as a pilot project to create provider and patient awareness of the YDPP, identify patients with prediabetes, and ensure providers screen and refer prediabetic patients to the YDPP. Through exam room posters, panel query management, electronic medical record reprogramming, and targeted patient intervention, this study aims to increase YDPP patient participation via healthcare provider referral and refine the model for adaptation and implementation in other healthcare centers throughout Chittenden County.https://scholarworks.uvm.edu/fmclerk/1301/thumbnail.jp

The Yemen Manuscript Digitization Initiative

The Yemen Manuscript Digitization Initiative (YMDI) is a collaborative project between Princeton University Library and the Freie Universität Berlin. YMDI's mission is the preservation and dissemination of the Arabic manuscripts in the private libraries of Yemen. Working closely with a Yemeni non-profit organization which has endeavored to save Yemeni manuscripts for the past decade, during the grant period, YMDI will digitally preserve three private libraries in the capital city of Sana'a, a total of 236 manuscripts. These digitized sources will then be virtually conjoined to twelve manuscripts in the rare book collections of the Staatsbibliothek zu Berlin and the Princeton University Library, creating a freely accessible repository of Islamic manuscripts whose scope is unparalleled in the world. This infrastructure maintained at Princeton University Library will be the basis of additional rare manuscripts targeted for preservation by YMDI's advisory board in the coming years

Wiedza milcząca: jawne versus utajone: nowe spojrzenie na poznawcze i społeczne funkcjonowanie człowieka

tekst zamieszczony w czasopiśmie "Zagadnienia naukoznawstwa" nr 4 (162), 2004

Отношение архивоведения к цифровой революции: польские вызовы и опыт Запада

Рассматриваются проблемы оцифровки исторических источников и влияние на практику и модели познания историка современных технологий, электронных архивов. Уточняются задачи и роль архивов в новых условиях.The article deals with the problems of digitization of historical sources and the impact on practice and models of knowledge of the historian connected with modern technology, electronic archives. The attention is paid to the tasks and role of archives in the new conditions

Public Awareness of Medical Imaging as a Source of Ionizing Radiation Exposure

Background. Biological effects of exposure to ionizing radiation (IR) are well known. Literature suggests most patients and physicians lack proficient understanding of risks associated with ionizing radiation. Our study goals were to: assess the extent to which productive, informed conversations regarding ionizing radiation are occurring between patients and providers; characterize public awareness of medical imaging procedures as sources of IR exposure; and investigate best practices in patientprovider communications. Methods. We developed and administered a 17-question survey to 303 adults at five locations across Chittenden County, Vermont, over a 6-week period in fall 2016. Descriptive and statistical analyses were conducted using SPSS. Results. The three age groups of respondents had different knowledge levels about ionizing radiation (p Conclusions/Recommendations. 1. A standard oral presentation for pre-imaging patient-provider communication, along with a written handout, be developed; 2. A section of the electronic medical record (also accessible through the patient portal) containing IR exposure be created for patients and physicians to track individuals\u27 information.https://scholarworks.uvm.edu/comphp_gallery/1249/thumbnail.jp

Opracowanie zasobu w opinii archiwistów archiwów państwowych w Polsce w świetle wyników ankiety z 2018 roku

Due to the digital and post-humanist revolution observed over the recent years, the Polish state archives have faced a difficult problem of choosing the right direction in organizing archival records. A temporary break in their typical activity, which has been caused by the transfer of records to the digital version (retroconversion), enables archivists to reflect upon the ultimate way of organizing files. The first suggestions of methodological changes have already been put forward. How do archivists respond to these changes? The following article is based on a survey conducted among state archives’ employees and discusses their opinions on the way records are and should be organized.Polskie archiwa państwowe pod wpływem rewolucji cyfrowej i zwrotu posthumanistycznego stoją na przed trudnym wyborem kierunku działań w zakresie opracowania materiałów archiwalnych. Okresowe odejście od opracowania, spowodowanego procesem przenoszenia ewidencji archiwalnej do wersji cyfrowej (retrokonwersja) sprzyja próbie zastanowienia się, jakie to opracowanie po zakończeniu tej akcji ma być. Pierwsze propozycje metodycznych zmian ujrzały już światło dzienne. Co o kierunku tych zmian myślą archiwiści? Artykuł powstał na podstawie analizy ankiety przeprowadzonej wśród pracowników archiwów państwowych i omawia ich stosunek do opracowania akt

How do school disciplinary approaches and student perceptions of school support relate to youth cannabis use? A cross-sectional analysis of Year 7 (2017-2018) of the COMPASS study

Background: In the school year immediately following cannabis legalization in Canada, the objectives of this thesis were: (1) to examine the disciplinary approaches being used in secondary schools for students who violate school substance use policies, and associations with cannabis use among youth; and (2) to investigate youth perceptions of school support for the prevention and cessation of substance use, if perceptions vary by school disciplinary approaches, and whether they are associated student cannabis use. Methods: School- and student-level survey data from Year 7 (2018/2019) of the COMPASS study were used, including 74,501 grade 9-12 students attending 136 secondary schools. A framework for classifying schools into disciplinary approach styles was established based on school-reported response measures used for student first-offence violations of the school cannabis policies. Multilevel logistic regression models examined associations between school disciplinary approach styles, student perceptions of school support for the prevention/cessation of student substance use, and student cannabis use. Results: Despite all schools reporting always/sometimes using a progressive discipline approach, punitive consequences (suspension, alert police) remain prevalent as first-offence options, with fewer schools indicating supportive responses (counselling; cessation/educational programs). Most schools were classified as using Authoritarian and Authoritative approaches, followed by Neglectful and Permissive/Supportive styles. No disciplinary approach styles were associated with cannabis use. Students attending schools classified as Permissive/Supportive (high supportive; low punitive) had a higher likelihood of perceiving their school as supportive for substance use prevention/cessation than their peers at Authoritarian (high punitive; low supportive) schools. Students who perceived their school as “supportive” were less likely to report current cannabis use than their peers who perceived their school as unsupportive. Conclusions: This study is the first to classify school discipline approach styles using school-level measures. Unlike previous studies using classifications based on student perceptions, results do not support direct associations between school disciplinary styles and student cannabis use. Greater use of supportive approaches (e.g., counselling referrals, educational programs) over punitive consequences may promote student perceptions of school supportiveness for the cessation/prevention of substance use. Further research is needed to explore additional factors promoting student perceptions of school supportiveness, given associations with cannabis use

Navigating transitions out of post-secondary education: a mixed methods study of emerging adult mental health and access to support pre-and post-graduation

Mental health during emerging adulthood (18-29) is cause for concern, as this is the age period with highest rates of mental disorders and dropout from mental health services. While much research has examined transitions into university and campus-based service access, scarce evidence exists on how to support student mental health as they transition out of postsecondary programs, and ensuring continuity of care post-graduation is a necessity. There is a need for developmentally specific mental health support that caters to the growing and changing demands of this life period, as graduates can get lost in this transition. This dissertation aimed to investigate students’ experiences of mental health and access to support as they transitioned out of their university undergraduate degree programs. Three studies were conducted. First, quantitative survey data were collected to assess the mental health, help seeking, and support utilization of final-year undergraduate students who had registered to graduate. Differences in mental health and support access were examined by key social positions which included race and ethnicity, gender and sexuality and current and childhood financial stress. Second, qualitative interviews were conducted among 18 of the surveyed students about one-year post-graduation, to explore their mental health experiences over the transition out of their undergraduate programs. Finally, a partially convergent parallel mixed methods study integrated survey and interview data to understand factors that support and/or impede mental health service access post-graduation. Results show final-year student psychosocial well-being, depression, and anxiety were independently linked to gender, sexuality and current and childhood financial stress. Access to informal and formal supports and services are highlighted by various population subgroups. Experiences during the transition of distress and feelings of doubt, the importance of connections, the COVID-19 pandemic, and mental health service use are discussed. Results underscore that informal supports (e.g., friends, family) are important anticipated and accessed sources of mental health support during the transition. Graduates also further highlighted financial concerns and accessibility issues with free mental health services, post-graduation. This research adds to the literature on the mental health and service access in final-year and recently graduated undergraduate students, which is an understudied demographic and transitionary period

Cooperative Collection Development Requires Access: SALToC—A Low‐Tech, High‐Value Distributed Online Project for Article‐Level Discovery in Foreign‐Language Print‐Only Journals

Foreign‐language journals are an essential component of interdisciplinary area studies collections at research libraries but are, by definition, low‐use materials. Librarians who select them seek to broaden these collections, reduce duplication, and enable shared access to them. The challenge is lack of article‐level discoverability: these are print‐only journals, not covered in online indexing/abstracting services. If users cannot discover these articles, then how can cooperating libraries share them, and distribute responsibility for collecting them, which is essential to coordinated collection development? The SALToC project collaboratively address this issue by creating simple, centrally browsable tables of contents for target journals, through a low‐tech, low‐cost distributed process that benefits users at all participating libraries. For journals not available online nor included in article databases or indexes, this kind of discovery facilitates research by enabling scholars to use previously undiscoverable holdings of other libraries: they can now issue interlibrary loan, document delivery, and/or offsite retrieval requests, with full citations for desired articles. (Many libraries provide article document delivery, if the requester has a citation). Coordinated collection development (via planned reduction of duplication coupled with broader collective coverage) becomes supportable in the research library community only when shared access (and its prerequisite—discovery) is provided. The South Asian Language Journals Table of Contents (SALToC) project represents a proof‐of‐concept demonstration of the value of this approach. This paper shows how simple, grass‐roots distributed efforts can contribute significantly to discoverability of hard to discover resources, thereby making coordinated collection development cost‐effective, popular among users, and sustainable