The published literature indicates that large information system implementations are often expensive failures with costs to human safety largely because of missing or corrupt information. This has generated the overall research question of “What do Key Informants think about Information Quality in Acute Care?” This dissertation research examined information quality using a Grounded Theory analytic method for coding and analyzing semi structured interview responses from ten clinical (nurses, physicians, pharmacist) and ten non-clinical (IT support) interviewees in several public sector health organizations across Canada. The semi structured interview questions focused on five key areas: information quality, acute care setting, information systems, risk (as a function of poor information quality) and patient safety. A key finding from the interview data is that information is missing and unstable within the two key health care information systems: the paper chart, the main repository of narrative unstructured data, and the electronic health record system, of structured data. The interviewees mentioned pressure to information standardization such as fixed patient identity information anchoring patient data in the rest of the patient record. However, there is resistance to standardizing other information because the users, nurses and physicians, resist fettering in order to be able to tell the patient’s story in narrative unstructured data form. A descriptive socio-technical model, the Systems Engineering Initiative for Patient Safety (SEIPS) Model that organizes elements for analysis under the headings of person, task, technology and tools, organization, external environment and patient outcomes, was considered for further discussion in the context of the study. The SEIPS Model analysis also helps to identify gaps in the Model including what missing and uncertain information might mean. Key points from this discussion include how the information system maps to the real world, the patient, and to the user’s perception of the real world. This mapping can never be totally accurate and complete so gaps exist. The discussion of information and information flow lead to enhancements of the SEIPS Model, placing information and information quality in its rightful place as a “glue” for the acute care system. This is an important contribution to knowledge that can lead to future research so there can be a better fit between the real world, information, information systems and people to provide safer care. / Graduate

This thesis is focused on the records in the land register. This topic still has its relevance in the contemporary world and can appear in any person's life. That was one of the factors why the author had chosen this area for analysis. The other was her overall interest in property law and registration. The thesis is divided into two parts. The first is focused on the land register by itself and its role as an important source of information. In the beginning of the first part some typical concepts related to the land register are introduced. The next section is dedicated to the brief history of the property registration which is considered to be useful for the better understanding of the contemporary legal regulations. Those are discussed in the next chapter together with the position of the land register by itself, its purposes, content and structure. The special attention is paid to the objects in question - concretely the properties registered by this institution. The second part of this thesis, the most extensive, focuses on the particular acts of recording into the land register - registration, record, note and respective proceedings. In the first part of the second section, the rights which are objects of the records are mentioned. The most commonly used is the right in property, which is...

The thesis investigates factors that contributed to Australia's record breaking economic expansion. The booming mining sector fueled by Chinese demand for raw material deserves some credit, but it is only part of the story. The thesis examines whether Australia learned from the last recession in the early 1990s and also finds that high average population growth driven by immigration policy has played a role. I attempt to extract lessons from the island nation’s experience for other advanced economies. Finally, Australia had relatively small real GDP growth during the Global Financial Crisis. If the definition of a recession is adapted to include other national accounts and economic indicators, then the country did in fact encounter a recent economic downturn.

abstract: Over the past 40 years, the rate at which women are incarcerated has increased dramatically. Of the 111,000-plus female inmates currently in prison, most will be returned to the community and reenter the labor market. Despite its significance in prisoner reentry and in how ex-offenders remain crime-free, previous research finds that employers are unwilling to hire employees with a criminal record. Moreover, Pager (2003) and Pager, Western, and Bonikowski (2009) found that White job applicants with a prison record were more likely to be interviewed or hired than Black or Hispanic applicants without a record. These troubling findings regarding the effect of race/ethnicity, however, are from research that focuses on men's employment. Given the already low job prospects of ex-prisoners makes it more difficult for women with a prison record to find employment, who also face labor market barriers on account of their race/ethnicity and gender. This dissertation research uses two audit methods with an experimental design to examine the independent and interaction effects of race/ethnicity and incarceration on the likelihood women job applicants will advance through the hiring process. Job applications were submitted online and in-person. The effect of race/ethnicity varied by the method used to apply for jobs. When applying for jobs online, Black women had lower odds of employment than White women. Hispanic women, however, had higher odds of employment than White women when food service jobs were applied for in-person. The effect of a prison record was significant in both experiments; the effect was direct online, but conditioned by ethnicity in-person. Hispanic women with a prison record were less likely than White women with a prison record to advance through the hiring process. The results point to the importance of understanding how women are disadvantaged by incarceration and how mass incarceration contributes to racial/ethnic inequality through its effect in the labor market. Several recommendations follow for future research and policies concerning prisoner reentry and the use of criminal record information by employers. / Dissertation/Thesis / Ph.D. Criminology and Criminal Justice 2014

Neste trabalho investigaram-se os usos que um grupo de atores sociais ligados à música clássica fizeram do disco, do rádio e da história da música como instrumentos de educação e divulgação musicais. A investigação se concentrou no arco temporal compreendido entre os anos de 1922 a 1945. Como preocupação metodológica procurou-se levar em conta a rica semântica do termo \"história da música\", conceito investigado por meio dos periódicos consultados. Privilegiou-se uma orientação interdisciplinar para o tratamento das questões levantadas. Utilizou-se como fontes primárias um conjunto de periódicos brasileiros especializados em música, além de cartas, documentos oficiais, entrevistas, depoimentos e materiais impressos de apoio a programas de rádio. Como fontes bibliográficas destacaram-se obras de história cultural, musicologia e etnomusicologia. Como resultado da investigação, constatou-se a centralidade dos novos meios tecnológicos (disco e rádio) na pauta das discussões dos especialistas musicais. Verificou-se a importância da questão pedagógica e da divulgação em inúmeras iniciativas desses atores sociais, bem como uma produção significativa de trabalhos de história da música com objetivo de \"vulgarização\". O levantamento permitiu identificar também certo caráter autoritário nas ações dos promotores da música de concertos, comportamento caracterizado pela desconfiança e até certo desprezo pelas práticas musicais dos indivíduos visados por tais iniciativas. Perceberam-se também algumas mudanças no horizonte de escrita da história da música, em favor de uma orientação científica e de maior especialização para o pesquisador musical. / This study investigates the uses, made by a group of social actors related to classical music, of the records, radio and music history as instruments of music education and popularization. The investigation is focused on the time period from 1922 to 1945. As a methodological concern, we have taken into account the rich semantics of the expression \"music history\", a concept investigated by means of the periodicals consulted. An interdisciplinary orientation was favored for the treatments of the issues raised. The author used as primary sources an ensemble of Brazilian periodicals specializing in music, besides letters, official documents, interviews, testimonies and printed materials supporting radio programs. Bibliographical sources included particular works of cultural history, musicology and ethnomusicology. As a result of the investigation, the study evidenced the centrality of the new technological media (record and radio) in music specialists\' discussion agenda. It was demonstrated the importance of the pedagogical issue and of the broadcasting in numberless initiatives of those social actors, as well as a significant production of music history works with the purpose of \"vulgarization\". The research allowed us to identify also some authoritarian features in the actions of promoters of concert music, a behavior characterized by the mistrust and even certain contempt for the musical practices of the individuals targeted by such initiatives. It was possible to notice also some changes in the horizon of the writing of music history, in favor of a scientific approach and a greater specialization for music researchers.

Over 4 million avoidable hospital admissions result from medication errors (IMS Insitute for Healthcare Informatics, 2013). Human error accounts for 80% of all medical errors (Palmieri, DeLucia, Peterson, Ott, & Green, 2008). Medication administration is a complex process. It is important to understand the cognitive load (CL) of Registered Nurses (RNs) working in an electronic health record environment to identify the risk factors of medication errors. The purpose of this study is to investigate the factors that influence the CL of RNs during medication administration who are working in an electronic health record environment. Simulated medication administration scenarios with varying degrees of multi-tasking were completed with 30 participants. When RNs multi-task during medication administration their CL increases. Furthermore, RNs who have poor sleep quality cannot process high-level tasks as well as those RNs who report a good sleep quality. Future work can limit EEG lead placement to the frontal channels of the EEG. Furthermore, replication of this study with a larger sample and a broader range of competing tasks is indicated.

Class of 2013 Abstract / Specific Aims: To examine the relationship between hospital readmission rates and responses to a medication adherence questionnaire (Morisky) in patients with congestive heart failure (CHF). Methods: The Morisky questionnaire, assessing medication adherence, was administered to all CHF patients admitted from September 15, 2012 to March 7, 2013. Information collected from the electronic medical record (EMR) for all patients with complete Morisky questionnaires included: age, sex, ethnicity, insurance, height, weight, marital status, tobacco use, alcohol use, number of home medications, all-cause and CHF admission in the previous 365 days from when the questionnaire was administered as well as the following events/disease states: myocardial infarction, hypertension, atrial fibrillation, stroke, diabetes mellitus, peripheral vascular disease, chronic obstructive pulmonary disease, congestive heart disease and chronic kidney disease. Main Results: Of the 120 patients enrolled, 52% scored 1-5 on the Morisky questionnaire indicating some problem with medication adherence while 48% scored 0 (no problems). There was no correlation between the Morisky score and age (95% CI: -3.3-5.7), number of medications (95% CI: -0.26, 2.85), or number of comorbidities (95% CI: -1.02,0.03). The Morisky questionnaire was not predictive of all cause readmissions (95% CI: 0.35, 2.01) p = 0.691). For CHF readmissions the Morisky score was not significant (95% CI: 0.6, 4.11, p=0.358) but the confidence interval suggests a trend. Conclusion: There is no correlation between Morisky scores, age, comorbidities, and medication number. Readmission rates were not predicted by Morisky scores; with more participants a trend may be detected for CHF readmissions.

There has been much concern as to the validity of the Graduate Record Examination in determining the ability of a student to do effective graduate work. Some hold that the Profile score is a necessary index of a person’s ability to do graduate work, while others believe there is no close relationship between the two There is also a feeling that students who have been out of school for many years are at a disadvantage when taking the Graduate Record Examination Profile Tests, and that some departments prepare their students better for the tests. The lack of agreement as stated above led to the following problems: (1) What relationship is there between a student’s grade-point average and this total score on the Graduate Record Examination Profile Tests?; (2) What apparent variations are there between the scores of men and women; the scores of students majoring in the departments of education, history, literature, fine arts, psychology, and science; and the number of years since receiving the A.B. in relation to the scores obtained on Graduate Record Examination Profile Tests?

Technologies new and old in concert with a twenty-first century folk music revival have introduced historical music from Appalachia to a new generation of music fans, within the region, across the nation, and around the world. One unforeseen consequence of this situation is that this new generation is being inundated with a flood of regional stereotypes associated with that older music--stereotypes that are unleashed on the new generation when historical recordings are reissued (or issued for the first time, in the case of some field recordings). In my presentation, I'll discuss several case studies from my own work as a producer of historical music releases in which stereotypes either were subtly embedded in reissued recordings or were overtly associated with the music or the musicians featured on those releases. I'll discuss some of my efforts as producer and liner notes writer to confront stereotypes in such a way as to help a new generation defuse stereotypes while at the same time find meaning, value, and enjoyment in older recordings that are at one level "politically incorrect" or even offensive.

This master’s thesis project began at the Karolinska University Hospital. This thesis discusses how to design an authorization schema focused on ensuring each patient’s data privacy within a hospital information system. It begins with an overview of the current problem, followed by a review of related work. The overall project’s goal is to create and evaluate an authorization schema that can ensure each patient’s data confidentiality. Authorization has currently become a very important aspect in information systems, to the point of being a necessity when implementing a complete system for managing access control in certain complex environments. This requirement lead to the approach that this master thesis takes for effectively reasoning about authorization requests in situations where a great number of parameters could affect the access control assessment. This study is part of the ICT4MPOWER project developed in Sweden by both public and private organizations with the objective of improving health-care aid in Uganda through the use of information and communication technologies.  More concretely, this work defines an authorization schema that can cope with the increasing needs of sophisticated access control methods where a complex environment exists and policies require certain flexibility. / Detta examensarbete projektet startade vid Karolinska Universitetssjukhuset. Denna avhandling diskuterar hur man designar ett tillstånd schema fokuserat på att säkerställa varje patients dataskydd inom ett sjukhus informationssystem. Det börjar med en översikt över det aktuella problemet, följt av en genomgång av arbete. Projektets övergripande mål är att skapa och utvärdera ett tillstånd schema som kan garantera varje patient data sekretess. Bemyndigande har för närvarande blivit en mycket viktig aspekt i informationssystem, till den grad att vara nödvändigt att genomföra komplett system för hantering av åtkomstkontroll i vissa komplexa miljöer. Detta är i själva verket den strategi som detta examensarbete tar för att effektivt resonemang om en ansökan om godkännande i situationer där ett stort antal parametrar kan påverka i åtkomstkontroll bedömningen. Denna studie är en del av ICT4MPOWER projektet utvecklades i Sverige av både offentliga och privata organisationer i syfte att förbättra stödet sjukvård i Uganda med användning av informations-och kommunikationsteknik.<p> Mer konkret definierar detta arbete ett tillstånd schema som kan hantera de ökande behoven av sofistikerade metoder för åtkomstkontroll där en komplex miljö finns och politik kräver en viss flexibilitet.