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Research Objective: On behalf of the Appalachian Funders Network, with funding from the Robert Wood Johnson Foundation, East Tennessee State University and NORC at the University of Chicago documented the current burden of obesity, diabetes, and chronic disease mortality in central Appalachia. An analysis of county-level data was conducted in order to provide a comprehensive picture of the health condition of the region. Contributing factors, such as physical inactivity and food environment, were also investigated to determine how the built environment impacts obesity. Study Design: Several secondary data sources were utilized, including the County Health Rankings, CDC Diabetes Interactive Atlas, USDA Food Environment Atlas, and mortality data from the CDC National Center for Health Statistics, National Vital Statistics System. Variables analyzed included: adult obesity prevalence, adult diabetes prevalence, food insecurity, access to exercise opportunities, physical inactivity, and premature chronic disease mortality. The mortality analyses focused on four of the leading causes of death: heart disease, stroke, diabetes, and chronic lower respiratory disease, for persons age 25 to 64 from 2009 to 2013. When available, county-level estimates were used to create maps of the region, documenting the disparities compared to the rest of the nation. Population Studied: Health disparities were documented within the counties of central Appalachia, consisting of parts of Kentucky, North Carolina, Ohio, Tennessee, Virginia, and West Virginia. Principal Findings: More than two-thirds (68.6%) of the 234 counties in central Appalachia have an adult obesity prevalence above the national median of 30.9% (defined as BMI over 30). Over 85% of the counties in central Appalachia have a percentage of physically inactive adults higher than the national median of 26.4% (defined as not participating in physical activity or exercise in the past 30 days). When analyzing the combined chronic disease mortality for heart disease, stroke, diabetes and chronic lower respiratory disease, the combined national mortality rate is 93.0 deaths per 100,000 population. Nearly 90% of central Appalachian counties have a higher combined morality rate, and the state mortality rate for the Appalachian region of all six states is higher than the national rate. The disparity is more pronounced in rural communities, as the rural counties of central Appalachia have a higher mortality rate than urban counties within central Appalachia and rural counties across the United States. The combined mortality rate for these four diseases is 74% higher in rural central Appalachia than urban counties nationally. Conclusions: Compared to the rest of the country, people in central Appalachia are more likely to experience and prematurely die from obesity-related chronic disease, including diabetes and heart disease. Residents of rural central Appalachia face even more significant disparities as compared to urban residents within the region and nationally. Implications for Policy or Practice: Obesity and chronic disease in central Appalachia are significant public health concerns that must be addressed in order to improve the health of the region.

In May 2016 Bear Family Records will release its third of three boxed sets documenting the three commercial location recording sessions conducted in east Tennessee during the years 1927-1930. Each of the three sessions was held in a different city by a different record company, and each was unique in terms of the specific musicians and types of music recorded; the three sessions had in common the fact that they were all conducted in east Tennessee and that they ultimately documented a broad range of the musical sounds, styles, and repertoire of Appalachia. More

Att mäta och dokumentera kliniskt vårdarbetet har inte prioriterats inom röntgenverksamheter. Tillgång till jämförelsedata skulle möjliggöra olika former av standardisering för förbättrad vårdkvalitet och patientsäkerhet. Att SPC- diagram (statistisk process styrning diagram)  inte uppmärksammas får effekt på patientsäkerhetsarbetet. Aktuell studie avser att öka kunskapen om vilka mätverktyg som finns att tillgå, vilka svar de kan ge och deras användbarhet. Syftet var jämföra och analysera olika standardiserade mätverktyg som kan användas inom somatisk slutenvård, för att förbättra vårdkvalitet och patientsäkerhet. Om möjligt, med betoning på röntgenverksamheter. En syntetiserande (integrativ) litteraturöversikt, av typen systematisk litteraturstudie, i avsaknad av metaanalys, valdes. Metoden är kvalitativ med induktiv ansats, mixad med kvantitativ metod. Fjorton olika mätverktyg presenteras i denna studie. Mätverktygen Shewhart- (styr-) diagram, flödesscheman och orsak-och-verkan diagram beskrivs mest frekvent. Alla, i studien medtagna mätverktyg, förbättrar noggrannheten vid beslutsprocesser. Shewhart- (styr-) diagram visar på variation (slöseri) över tid och om en process är stabil eller instabil. Flödesscheman och orsak-och-verkan diagram visar var förbättringsinsatser bör fokuseras i första hand.  Mätverktygen Lean, WMS (workflow management system), RFMEA (radiology failure mode and effect analysis) är unika genom sin mångsidighet. Att använda standardiserade mätverktyg ger tillgång till kvalitativ och betydelsefull information som förbättrar vårdens kvalitet, patienternas säkerhet samt förenklar analysen av data. / Measuring and documenting clinical care work has not been prioritized in radiology operations. Access to comparative data would allow for different forms of standardization for improved quality of care and patient safety. That SPC charts (statistical process control charts) are not noticed affects patient safety work. This study aims to increase knowledge about measurement tools available, what answers they can provide and their usefulness. The purpose was to compare and analyze various standardized measuring tools that can be used in somatic in-patients care, to increase the quality of care and patient safety. If possible, with emphasis on radiology operations. A synthesizing (integrative) literature review, of the type systematic literature review, in absence of meta-analysis, was chosen. Method is qualitative inductive approach, mixed with quantitative method. Fourteen different measuring tools are presented in this study. Shewhart (control) charts, flow charts and cause-and-effect charts are most frequently described. All measurement tools, included in the study, improves the accuracy at decision making processes. Shewhart (control) chart shows variation (waste) over time and whether a process is stable or unstable. Flow charts and cause-and-effect charts show where improvement efforts should be focused primarily. The Lean measurement tools, WMS (workflow management system), RFMEA (radiology failure mode and effect analysis) are unique through their versatility. Using standardized measurement tools provides access to qualitative and meaningful information that improves quality of care, patient safety, and simplifies data analysis.

This study examines contemporary Sesotho proverbs with an attempt at establishing whether they perform a significant role in society. The research highlighted the fact that they have a role to play in the 21st century. Although not commonly used as in the traditional setup, contemporary proverbs have their place as a day to day activity. In terms of language development they also add value to language change and providing alternatives in the world of challenges. Through interviews and the questionnaire, the research, indeed, showed that contemporary proverbs' survival is guaranteed. Their survival in this modem world is of great importance in this research. The observation was that some of these contemporary proverbs are the same as traditional proverbs in many aspects which include their origin and structure. Some of the contemporary proverbs use or adopt familiar patterns to express new truths, thus reflecting on new events or aspects of the modern society. The possibility is that those that adopt the structure of the Sesotho traditional proverbs have all the chance of staying in the language. Some of these contemporary proverbs, however, survive on the premise that they are jokes created for fun by youth and other members of the creative section of the society. / African Languages / D. Litt. et Phil. (African Languages)

This study examines contemporary Sesotho proverbs with an attempt at establishing whether they perform a significant role in society. The research highlighted the fact that they have a role to play in the 21st century. Although not commonly used as in the traditional setup, contemporary proverbs have their place as a day to day activity. In terms of language development they also add value to language change and providing alternatives in the world of challenges. Through interviews and the questionnaire, the research, indeed, showed that contemporary proverbs' survival is guaranteed. Their survival in this modem world is of great importance in this research. The observation was that some of these contemporary proverbs are the same as traditional proverbs in many aspects which include their origin and structure. Some of the contemporary proverbs use or adopt familiar patterns to express new truths, thus reflecting on new events or aspects of the modern society. The possibility is that those that adopt the structure of the Sesotho traditional proverbs have all the chance of staying in the language. Some of these contemporary proverbs, however, survive on the premise that they are jokes created for fun by youth and other members of the creative section of the society. / African Languages / D. Litt. et Phil. (African Languages)

Memento Mori, Latin for “remember thy death,” implores us to be mindful that death is both inevitable and inescapable. What of the records created during the process of dying and about death? Based upon wide-ranging archival research into primary documents, this thesis explores the rich sources of both official, public records, and personal, private ones, relating to mortality on the small-town Canadian frontier before 1950. The community of Red Lake, Ontario, which was established on the frontier as the result of the Red Lake gold rush of 1926, is the subject of a case study. Rather than merely cataloguing sources, this thesis illustrates that by adapting aspects from such archival appraisal methodologies as macroappraisal and documentation strategy, one is able to make available to researchers a wider range of sources relevant to the themes of dying and death. Specifically, by employing a documentation strategy methodology to identify and illuminate the records of human activities surrounding the functions of dying and death, archivists can offer to researchers the opportunity to locate relevant records wherever they may physically be. Since this is an Archival Studies thesis, it does not provide an historical analysis of dying and death, but is an archival study of the types of records related to the theme of mortality on the Canadian frontier: how those records were created, their character, and their capture and preservation in a small community. This thesis is organized into three chapters and a conclusion. Chapter One explores some relevant trends in the secondary literature of three fields: archival appraisal and description, small town or local development on the frontier, and dying and death as human activities. Chapter Two sets the context in which the thesis analyzes mortality on the frontier by outlining the relevant history of the Red Lake District of Northwestern Ontario and its pioneers. The focus is especially on the gold-mining boom years from the mid-1920s until shortly after the Second World War. The heart of the thesis, Chapter Three, is a case study of the various records creators, human activities, and resultant records related to mortality. It is organized according to three phases or functional categories surrounding dying, death, and memorialization. The conclusion summarizes the usefulness of the case study, in light of the literature review in Chapter One. It also suggests areas of further research, including aspects not covered herein, of the records of dying and death on the Canadian frontier. The documentation strategy, adapted from the original methods employed by archivists Helen Samuels and Richard Cox, was found to work best when deployed as a research and descriptive tool for exploring and documenting the records of mortality, more so than its original purpose as an acquisition tool. The strategy has wide-ranging usefulness discovering and then describing a “virtual” documentation universe relating to record-generating human functions and activities. / February 2008

Memento Mori, Latin for “remember thy death,” implores us to be mindful that death is both inevitable and inescapable. What of the records created during the process of dying and about death? Based upon wide-ranging archival research into primary documents, this thesis explores the rich sources of both official, public records, and personal, private ones, relating to mortality on the small-town Canadian frontier before 1950. The community of Red Lake, Ontario, which was established on the frontier as the result of the Red Lake gold rush of 1926, is the subject of a case study. Rather than merely cataloguing sources, this thesis illustrates that by adapting aspects from such archival appraisal methodologies as macroappraisal and documentation strategy, one is able to make available to researchers a wider range of sources relevant to the themes of dying and death. Specifically, by employing a documentation strategy methodology to identify and illuminate the records of human activities surrounding the functions of dying and death, archivists can offer to researchers the opportunity to locate relevant records wherever they may physically be. Since this is an Archival Studies thesis, it does not provide an historical analysis of dying and death, but is an archival study of the types of records related to the theme of mortality on the Canadian frontier: how those records were created, their character, and their capture and preservation in a small community. This thesis is organized into three chapters and a conclusion. Chapter One explores some relevant trends in the secondary literature of three fields: archival appraisal and description, small town or local development on the frontier, and dying and death as human activities. Chapter Two sets the context in which the thesis analyzes mortality on the frontier by outlining the relevant history of the Red Lake District of Northwestern Ontario and its pioneers. The focus is especially on the gold-mining boom years from the mid-1920s until shortly after the Second World War. The heart of the thesis, Chapter Three, is a case study of the various records creators, human activities, and resultant records related to mortality. It is organized according to three phases or functional categories surrounding dying, death, and memorialization. The conclusion summarizes the usefulness of the case study, in light of the literature review in Chapter One. It also suggests areas of further research, including aspects not covered herein, of the records of dying and death on the Canadian frontier. The documentation strategy, adapted from the original methods employed by archivists Helen Samuels and Richard Cox, was found to work best when deployed as a research and descriptive tool for exploring and documenting the records of mortality, more so than its original purpose as an acquisition tool. The strategy has wide-ranging usefulness discovering and then describing a “virtual” documentation universe relating to record-generating human functions and activities.

Memento Mori, Latin for “remember thy death,” implores us to be mindful that death is both inevitable and inescapable. What of the records created during the process of dying and about death? Based upon wide-ranging archival research into primary documents, this thesis explores the rich sources of both official, public records, and personal, private ones, relating to mortality on the small-town Canadian frontier before 1950. The community of Red Lake, Ontario, which was established on the frontier as the result of the Red Lake gold rush of 1926, is the subject of a case study. Rather than merely cataloguing sources, this thesis illustrates that by adapting aspects from such archival appraisal methodologies as macroappraisal and documentation strategy, one is able to make available to researchers a wider range of sources relevant to the themes of dying and death. Specifically, by employing a documentation strategy methodology to identify and illuminate the records of human activities surrounding the functions of dying and death, archivists can offer to researchers the opportunity to locate relevant records wherever they may physically be. Since this is an Archival Studies thesis, it does not provide an historical analysis of dying and death, but is an archival study of the types of records related to the theme of mortality on the Canadian frontier: how those records were created, their character, and their capture and preservation in a small community. This thesis is organized into three chapters and a conclusion. Chapter One explores some relevant trends in the secondary literature of three fields: archival appraisal and description, small town or local development on the frontier, and dying and death as human activities. Chapter Two sets the context in which the thesis analyzes mortality on the frontier by outlining the relevant history of the Red Lake District of Northwestern Ontario and its pioneers. The focus is especially on the gold-mining boom years from the mid-1920s until shortly after the Second World War. The heart of the thesis, Chapter Three, is a case study of the various records creators, human activities, and resultant records related to mortality. It is organized according to three phases or functional categories surrounding dying, death, and memorialization. The conclusion summarizes the usefulness of the case study, in light of the literature review in Chapter One. It also suggests areas of further research, including aspects not covered herein, of the records of dying and death on the Canadian frontier. The documentation strategy, adapted from the original methods employed by archivists Helen Samuels and Richard Cox, was found to work best when deployed as a research and descriptive tool for exploring and documenting the records of mortality, more so than its original purpose as an acquisition tool. The strategy has wide-ranging usefulness discovering and then describing a “virtual” documentation universe relating to record-generating human functions and activities.