An analysis of the effects of a peer mentor program and other factors on HIV patients' retention in care and clinical outcomes at Thomas Street Health Clinic, Houston Texas

Research examining programs designed to retain patients in health care focus on repeated interactions between outreach workers and patients (Bradford et al. 2007; Cheever 2007). The purpose of this study was to determine if patients who are peer-mentored at their intake exam remain in care longer and attend more physicians' visits than those who were not mentored. Using patients' medical records and a previously created mentor database, the study determined how many patients attended their intake visit but subsequently failed to establish regular care. The cohort study examined risk factors for establishing care, determined if patients lacking a peer mentor failed to establish care more than peer mentor assisted patients, and subsequently if peer mentored patients had better health outcomes. The sample consists of 1639 patients who were entered into the Thomas Street Patient Mentor Database between May 2005 and June 2007. The assignment to the mentored group was haphazardly conducted based on mentor availability. The data from the Mentor Database was then analyzed using descriptive statistical software (SPSS version 15; SPSS Inc., Chicago, Illinois, USA). Results indicated that patients who had a mentor at intake were more likely to return for primary care HIV visits at 90 and 180 days. Mentored patients also were more likely to be prescribed ART within 180 days from intake. Other risk factors that impacted remaining in care included gender, previous care status, time from diagnosis to intake visit, and intravenous drug use. Clinical health outcomes did not differ significantly between groups. This supports that mentoring did improve outcomes. Continuing to use peer-mentoring programs for HIV care may help in increasing retention of patients in care and improving patients' health in a cost effective manner. Future research on the effects of peer mentoring on mentors, and effects of concordance of mentor and patient demographics may help to further improve peer-mentoring programs. ^

Sermon, que en alabanza del angelico doctor Sto. Thomas de Aquino [Texto impreso]

Hay un ejemplar encuadernado con: Sermon panegirico del glorioso patriarca San Joseph (NP24-25/F-461).

Don Pedro Thomas Febrer Secretario de Camara del rey y del Acuerdo y Govierno... de Valencia certifico que... la obra del canal de Murcia... experimenta falta de gente..., ha resuelto S.M. que la sala de alcaldes...destinen a las... obras los reos... [Texto impreso]

Texto firmado por Pedro Tomas Febrer

William Blair Townsend letter and receipt books, 1743-1805, bulk 1744-1777

The collection consists of two volumes, which date from 1743 to 1805, spanning his whole career as a merchant. Volume one is a letter book containing Townsend's business correspondence from November 23, 1743 to December 12, 1774. Most of the letters were written to American (many in North Carolina) and British (predominately in London) merchants. His earliest letters document his efforts to establish himself as a trader. Over time his letters turn to illustrate the common problems faced by many merchants: damaged goods, overpriced goods, embargos, and high freight costs. Particularly enlightening are his comments on the challenges of doing business throughout the French and Indian War and the years leading up to the American Revolution. He most frequently corresponded with London merchants Champion & Hayley, Lane & Booth, Lane Son & Fraser, Harrison & Ansley, and Leeds merchant Samuel Elam. In addition he frequently corresponded with Eliakim Palmer, colonial agent and merchant in London, as well as Dr. Walley Chauncy of North Carolina. He dealt in a wide variety of goods including molasses, rum, tar, medicines, pitch, saddles, tallow, hides, skins, pickled beef and pork, and wine. The letters also document Townsend's involvement in the slave trade through his occasional purchases of slaves.

New York Bay and Harbor, and vicinity, 1844 (Image 2 of 6) (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Map of New-York Bay and Harbor and the environs : sheet no. 2, founded upon a trigonometrical survey under the direction of F.R. Hassler, superintendent of the Survey of the Coast of the United States ; triangulation by James Ferguson and Edmund Blunt, assistants ; the hydrography under the direction of Thomas R. Gedney, lieutenant U.S. Navy ; the topography by C. Renard and T.A. Jenkins assists. It was published by Survey of the Coast of the United States in 1844-1845. Scale 1:30,000. This layer is image 2 of 6 total images of the six sheet source map, representing the southeast portion of the map. The image inside the map neatline is georeferenced to the surface of the earth and fit to the Universal Transverse Mercator (UTM) Zone 18N NAD83 projection. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, or other information associated with the principal map. This map shows coastal features such as lighthouses, buoys, beacons, rocks, channels, points, coves, islands, bottom soil types, wharves, and more. Includes also selected land features such as roads, drainage, land cover, forts, selected buildings, towns, and more. Relief shown by hachures. Depths are shown by soundings and shading. Includes text, table of currents and stations, notes, sailing directions, 4 coastal panoramas and 2 views of Sandy Hook Light. This layer is part of a selection of digitally scanned and georeferenced historic maps from The Harvard Map Collection as part of the Imaging the Urban Environment project. Maps selected for this project represent major urban areas and cities of the world, at various time periods. These maps typically portray both natural and manmade features at a large scale. The selection represents a range of regions, originators, ground condition dates, scales, and purposes.

New York Bay and Harbor, and vicinity, 1844 (Image 1 of 6) (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Map of New-York Bay and Harbor and the environs : sheet no. 1, founded upon a trigonometrical survey under the direction of F.R. Hassler, superintendent of the Survey of the Coast of the United States ; triangulation by James Ferguson and Edmund Blunt, assistants ; the hydrography under the direction of Thomas R. Gedney, lieutenant U.S. Navy ; the topography by C. Renard and T.A. Jenkins assists. It was published by Survey of the Coast of the United States in 1844-1845. Scale 1:30,000. This layer is image 1 of 6 total images of the six sheet source map, representing the southwest portion of the map. The image inside the map neatline is georeferenced to the surface of the earth and fit to the Universal Transverse Mercator (UTM) Zone 18N NAD83 projection. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, or other information associated with the principal map. This map shows coastal features such as lighthouses, buoys, beacons, rocks, channels, points, coves, islands, bottom soil types, wharves, and more. Includes also selected land features such as roads, drainage, land cover, forts, selected buildings, towns, and more. Relief shown by hachures. Depths are shown by soundings and shading. Includes text, table of currents and stations, notes, sailing directions, 4 coastal panoramas and 2 views of Sandy Hook Light. This layer is part of a selection of digitally scanned and georeferenced historic maps from The Harvard Map Collection as part of the Imaging the Urban Environment project. Maps selected for this project represent major urban areas and cities of the world, at various time periods. These maps typically portray both natural and manmade features at a large scale. The selection represents a range of regions, originators, ground condition dates, scales, and purposes.

New York Bay and Harbor, and vicinity, 1844 (Image 4 of 6) (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Map of New-York Bay and Harbor and the environs : sheet no. 4, founded upon a trigonometrical survey under the direction of F.R. Hassler, superintendent of the Survey of the Coast of the United States ; triangulation by James Ferguson and Edmund Blunt, assistants ; the hydrography under the direction of Thomas R. Gedney, lieutenant U.S. Navy ; the topography by C. Renard and T.A. Jenkins assists. It was published by Survey of the Coast of the United States in 1844-1845. Scale 1:30,000. This layer is image 4 of 6 total images of the six sheet source map, representing the southwest portion of the map. The image inside the map neatline is georeferenced to the surface of the earth and fit to the Universal Transverse Mercator (UTM) Zone 18N NAD83 projection. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, or other information associated with the principal map. This map shows coastal features such as lighthouses, buoys, beacons, rocks, channels, points, coves, islands, bottom soil types, wharves, and more. Includes also selected land features such as roads, drainage, land cover, forts, selected buildings, towns, and more. Relief shown by hachures. Depths are shown by soundings and shading. Includes text, table of currents and stations, notes, sailing directions, 4 coastal panoramas and 2 views of Sandy Hook Light. This layer is part of a selection of digitally scanned and georeferenced historic maps from The Harvard Map Collection as part of the Imaging the Urban Environment project. Maps selected for this project represent major urban areas and cities of the world, at various time periods. These maps typically portray both natural and manmade features at a large scale. The selection represents a range of regions, originators, ground condition dates, scales, and purposes.

New York Bay and Harbor, and vicinity, 1844 (Image 1 of 6) (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Map of New-York Bay and Harbor and the environs : sheet no. 3, founded upon a trigonometrical survey under the direction of F.R. Hassler, superintendent of the Survey of the Coast of the United States ; triangulation by James Ferguson and Edmund Blunt, assistants ; the hydrography under the direction of Thomas R. Gedney, lieutenant U.S. Navy ; the topography by C. Renard and T.A. Jenkins assists. It was published by Survey of the Coast of the United States in 1844-1845. Scale 1:30,000. This layer is image 3 of 6 total images of the six sheet source map, representing the southwest portion of the map. The image inside the map neatline is georeferenced to the surface of the earth and fit to the Universal Transverse Mercator (UTM) Zone 18N NAD83 projection. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, or other information associated with the principal map. This map shows coastal features such as lighthouses, buoys, beacons, rocks, channels, points, coves, islands, bottom soil types, wharves, and more. Includes also selected land features such as roads, drainage, land cover, forts, selected buildings, towns, and more. Relief shown by hachures. Depths are shown by soundings and shading. Includes text, table of currents and stations, notes, sailing directions, 4 coastal panoramas and 2 views of Sandy Hook Light. This layer is part of a selection of digitally scanned and georeferenced historic maps from The Harvard Map Collection as part of the Imaging the Urban Environment project. Maps selected for this project represent major urban areas and cities of the world, at various time periods. These maps typically portray both natural and manmade features at a large scale. The selection represents a range of regions, originators, ground condition dates, scales, and purposes.

New York Bay and Harbor, and vicinity, 1844 (Image 5 of 6) (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Map of New-York Bay and Harbor and the environs : sheet no. 5, founded upon a trigonometrical survey under the direction of F.R. Hassler, superintendent of the Survey of the Coast of the United States ; triangulation by James Ferguson and Edmund Blunt, assistants ; the hydrography under the direction of Thomas R. Gedney, lieutenant U.S. Navy ; the topography by C. Renard and T.A. Jenkins assists. It was published by Survey of the Coast of the United States in 1844-1845. Scale 1:30,000. This layer is image 5 of 6 total images of the six sheet source map, representing the southwest portion of the map. The image inside the map neatline is georeferenced to the surface of the earth and fit to the Universal Transverse Mercator (UTM) Zone 18N NAD83 projection. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, or other information associated with the principal map. This map shows coastal features such as lighthouses, buoys, beacons, rocks, channels, points, coves, islands, bottom soil types, wharves, and more. Includes also selected land features such as roads, drainage, land cover, forts, selected buildings, towns, and more. Relief shown by hachures. Depths are shown by soundings and shading. Includes text, table of currents and stations, notes, sailing directions, 4 coastal panoramas and 2 views of Sandy Hook Light. This layer is part of a selection of digitally scanned and georeferenced historic maps from The Harvard Map Collection as part of the Imaging the Urban Environment project. Maps selected for this project represent major urban areas and cities of the world, at various time periods. These maps typically portray both natural and manmade features at a large scale. The selection represents a range of regions, originators, ground condition dates, scales, and purposes.

New York Bay and Harbor, and vicinity, 1844 (Image 6 of 6) (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Map of New-York Bay and Harbor and the environs : sheet no. 6, founded upon a trigonometrical survey under the direction of F.R. Hassler, superintendent of the Survey of the Coast of the United States ; triangulation by James Ferguson and Edmund Blunt, assistants ; the hydrography under the direction of Thomas R. Gedney, lieutenant U.S. Navy ; the topography by C. Renard and T.A. Jenkins assists. It was published by Survey of the Coast of the United States in 1844-1845. Scale 1:30,000. This layer is image 6 of 6 total images of the six sheet source map, representing the southwest portion of the map. The image inside the map neatline is georeferenced to the surface of the earth and fit to the Universal Transverse Mercator (UTM) Zone 18N NAD83 projection. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, or other information associated with the principal map. This map shows coastal features such as lighthouses, buoys, beacons, rocks, channels, points, coves, islands, bottom soil types, wharves, and more. Includes also selected land features such as roads, drainage, land cover, forts, selected buildings, towns, and more. Relief shown by hachures. Depths are shown by soundings and shading. Includes text, table of currents and stations, notes, sailing directions, 4 coastal panoramas and 2 views of Sandy Hook Light. This layer is part of a selection of digitally scanned and georeferenced historic maps from The Harvard Map Collection as part of the Imaging the Urban Environment project. Maps selected for this project represent major urban areas and cities of the world, at various time periods. These maps typically portray both natural and manmade features at a large scale. The selection represents a range of regions, originators, ground condition dates, scales, and purposes.

Sarah Campbell

Joshua Reynolds; 4 ft. 2 15/64 in.x 3 ft. 4 in.; oil on canvas

The revised statutes of the state of Pennsylvania, and addition laws to 1844 : reduced to questions and answers, for the use of schools and families /

Mode of access: Internet.

Procès des trois Anglais, Robert-Thomas Wilson, John-Ely Hutchinson, Michel Bruce, et autres, accusés d'avoir facilité l'évation de Lavalette.

Mode of access: Internet.