The problem of this study is to investigate how news policy in the Denton Record-Chronicle is defined and maintained and whether the newspaper staffers tend to conform to or conflict with the newspaper's news policy. The study suggests that the more experienced the staffer, the more likely he will conflict with the newspaper's news policy, and the less experienced the staffer, the more likely he will conform to the newspaper's news policy. Social control is in the hand of the newspaper organization. That is, the newspaper tends to control the mechanisms of social control. However, unless the newspaper recognizes the needs of the staffers' participation in its editorial decision, conflict may continue to be an important factor in the newsroom work-setting.

O trabalho tem como foco a discussão de pressupostos teóricos e técnicos da informatização de arquivos sob a perspectiva da utilização de sistemas de bancos de dados e dos preceitos e métodos propostos pela Arquivologia. A partir de referências e experiências extraídas das áreas de Tecnologia da Informação e Gestão da Informação se pretende também analisar e avaliar conceitualmente como os bancos de dados aplicados em sistemas de gestão organizacionais informatizados incorporam o arquivo, suas qualidades e características em sua estruturação e concepção. Outro enfoque almejado pelo estudo é o levantamento de questões sobre o papel do banco de dados enquanto sistema conceitual, dentro da realidade e do arcabouço conceitual arquivístico. / The main focus of this work is on the debate of theoretical and technical notions of archives electronic management under the perspective of the use of database systems and archival concepts and methods. Using Information Technology and Information Management experiences and references the dissertation also attempt to do a conceptual analysis and evaluation on how databases in organizational electronic management systems deals with archives and records in its usage, conception and structure. Another intended approach is to point questions concerning the role of databases as conceptual systems inside archival practice and theory.

In this paper, let be a sequence of k-record values from a population with common distribution function F. We will characterize the continuous (or discrete) distribution function F by the conditional expectation functions. We also study the necessary and sufficient conditions such that the conditional expectations of k-record values hold for some distribution function F. A corresponding characterization based on weak k-record values and some related characterizations are also investigated.

Electronic medical records, in addition contributing to a hospital¡¦s overall electronic development and moving towards a paperless environment, also allow hospitals to share electronic medical information. To solve the problem of different medical information systems that hamper information sharing, the Executive Yuan Heath Department Commission has requested the assistance of the Taiwan Association for Medical Information to establish a standard Electronic Medical Record Template, in hopes that there is a national unified Electronic Medical Record Template that also uses the international medical information standard, so that all hospital¡¦s information is accessible, allowing for easy sharing of electronic medical records. The administration department also supports in recommending and creating related steps of incentive, to encourage professional electronic medical record researchers making up a standard internet medical information exchange mechanism, with a goal of achieving national medical information exchange. Though the Executive Yuan Heath Department Commission had a nice scheme, but the standard Electronic Medical Record Template established by Taiwan Association for Medical Information is nothing more than a Form Structure Diagram what is far from the software architecture discipline. This research aims to re-define the electronic medical record system, adopting a software architecture modeling approach. Through Structure Element Diagram, Structure Element Service Diagram, Structure Behavior Coalescence Diagram, and Sequence Diagram as four gold rules, we are able to build up any electronic medical record system architecture. Besides providing medical information personnel a more definite electronic medical record system, this research aids hospitals quickly attain an effective electronic medical record system.

The preamble of the thesis introduces the basic legislative definition of record management in a period from 1st January 2005 to 30th June 2009, i.e. the limited period of entry into force Act No. 499/2004 Coll., on Archives and Record Management and the changes in some Acts before the entry into force and its update by Act No. 190/2009 Coll. In the next part of the thesis is described performance of particular steps followed continually in record management which means the way of the official record from its delivery or establishment until the permanent storage in archival records or its physical liquidation and focusing on the agent of State Regional Archives Třeboň, which is in South Bohemian district. The third part of thesis provides a few examples in records of agencies which help to show how through the practice are influenced the solutions in some parts of record management. The final part evaluates the suitability of legal regulation in record management in fixed term and other development in legislative definition of records management in the Czech Republic.

O trabalho tem como foco a discussão de pressupostos teóricos e técnicos da informatização de arquivos sob a perspectiva da utilização de sistemas de bancos de dados e dos preceitos e métodos propostos pela Arquivologia. A partir de referências e experiências extraídas das áreas de Tecnologia da Informação e Gestão da Informação se pretende também analisar e avaliar conceitualmente como os bancos de dados aplicados em sistemas de gestão organizacionais informatizados incorporam o arquivo, suas qualidades e características em sua estruturação e concepção. Outro enfoque almejado pelo estudo é o levantamento de questões sobre o papel do banco de dados enquanto sistema conceitual, dentro da realidade e do arcabouço conceitual arquivístico. / The main focus of this work is on the debate of theoretical and technical notions of archives electronic management under the perspective of the use of database systems and archival concepts and methods. Using Information Technology and Information Management experiences and references the dissertation also attempt to do a conceptual analysis and evaluation on how databases in organizational electronic management systems deals with archives and records in its usage, conception and structure. Another intended approach is to point questions concerning the role of databases as conceptual systems inside archival practice and theory.

Full service family physicians in British Columbia (BC) are claiming financial incentives in return for providing enhanced care for patients with chronic diseases. These same physicians are also being actively encouraged to adopt electronic medical record systems (EMRs) with an expectation that their adoption will, among other things, aid in improved chronic disease management (CDM). Indeed, both incentives and clinical information systems have been demonstrated in the literature to be crucial components in effective CDM programs. However, within BC little evidence is available that demonstrates whether EMR adoption is in fact associated with improved provision of CDM services. Furthermore, it is not well understood how the CDM incentive program affects a family practice’s adoption of CDM-related EMR functionality. Through a mixed methods study the relationship between EMR adoption and CDM incentives in a small family practice is explored. Additionally, an audit and feedback intervention is used to test the hypothesis that both incentive use and EMR adoption can simultaneously be improved. Results of the study suggest that the presence of an EMR may not guarantee improvements in delivery of incentivized CDM services; that the incentive program has limits in its ability to promote adoption of CDM-related EMR features; and, that a program of audit and feedback may promote improvements in aspects of EMR adoption and incentive utilization. / Graduate / 0723 / 0769

The purposes of this study were to determine the characteristics of the subscribers to the local community newspaper, to determine what the subscribers read most and what they read the least in the local publication, and to determine the role of the small newspaper within the metropolitan area.

As the digitisation of healthcare progresses, there are still problems in terms of usability. With the goal of exploring solutions to these, an email inspired design for an electronic health record system was implemented using modern web technologies. The implementation was then evaluated in a series of usability tests conducted with five orthopaedic surgeons. Participants were asked to perform small tasks on a mocked data set, and the sessions were concluded with debriefing interviews. The focus was on the areas that are new in this design. The results suggest that the general design works, and no critical flaws were identified at this stage. Most of the issues that were found are likely to be solved with more training and experience, but there is still room for improvement. Participants had positive reactions overall, and plenty of feedback was collected regarding areas of improvement and feature suggestions. Due to the limitations of the test, the findings mostly relate to the intuitiveness of the design. To draw stronger conclusions regarding the viability of the design in a real environment, further testing with more data, realistic test tasks and more prerequisite training is necessary. / Digitiseringen inom sjukvården ökar, men det finns fortfarande problem när det kommer till användbarheten av de digitala system som finns på marknaden. Med målet att utforska lösningar på dessa problem implementerades i detta arbete en e-post-inspirerad gränssnittsdesign för ett digitalt journalsystem med hjälp av moderna webb-teknologier. Implementationen utvärderades genom användartester där fem ortopediska kirurger deltog. Deltagarna ombads använda gränssnittet för att utföra små testuppgifter med påhittad patientdata, och sessionerna avslutades med intervjufrågor. Fokuset var på de delar som är nya i den här designen jämfört med redan existerande system. Resultatet visar att det generella upplägget fungerar, och inga kritiska brister upptäcktes i detta stadie. De flesta av problemen som uppdagades kan troligen lösas genom att användarna ges möjlighet till mer träning och får mer erfarenhet, men det finns fortfarande förbättringutrymme. Deltagarna hade positiva reaktioner i allmänhet, och många förslag kring förbättringsområden och önskemål kring utökad funktionalitet samlades upp. På grund av användartestets begränsningar belyser resultaten i detta test mest vilka delar av gränssnittet som är intuitiva eller ej, medan det som är mer intressant för den här typen av dagligen använda system egentligen är huruvida de är effektiva att använda i det dagliga arbetet. För att kunna dra säkrare slutsatser kring om den här designen skulle fungera i riktiga arbetssituationer behövs mer testning med större mängder patientdata, mer realistiska testuppgifter och mer tid för deltagarna att lära sig systemet i förväg.

Electronic health records (EHRs) have been in use since the 1960s. U.S. rural hospital leaders and administrators face significant pressure to implement health information technology because of the American Recovery and Reinvestment Act of 2009. However, some leaders and managers of small rural hospital lack strategies to develop and implement EHRs. The focus of this descriptive phenomenological study was to explore lived experiences of hospital leaders and administrators who have used successful strategies to implement EHRs in small rural hospitals. Diffusion of innovation theory shaped the theoretical framework of this study. Data were collected through telephone interviews conducted with participants who successfully deployed EHRs at 10 hospitals in the Appalachian regions of Maryland, Virginia, and West Virginia. Data analysis occurred using a modified Husserlian approach in search of common themes from interview transcripts. The main themes were strategies to address standards and incentives, implementation, and challenges. The exploration of these strategies provides insight that small rural hospital leaders and administrators could consider for implementing EHRs. The study findings might enable small rural hospital leaders and administrators to contribute to positive social change by engaging communities in using EHRs; these findings may also expand information sharing among individuals and organizations and build social relationships with an expectation of future benefits. Results from this study are designed to inform other small rural hospital leaders and administrators to conduct further research on successful strategies for implementation of EHRs.