Crossing the Chasm: from Cutting Edge to Practical Application

Presentation to the Capital District Library Council, Albany New York. Audience was public, school, academic, and special librarians. Topics covered: * Trends & buzzwords - Based on LITA's recent Top Tech Trends * Blogging - What is it? Who's using it? See examples of cool library blogs! * RSS - What is it? Why do we care? See examples of how to use it * Wikis - What the heck is a wiki? Why should you care (again)? See examples of how to use wikis * Information Overload - How can I keep up?! Wiki for presentation is available at http://crossingchasm.pbwiki.com/ ; this includes links to all sites shown in presentation.

Simulation study of joint transition and Weibull survival model with shared parameters

This study investigates a theoretical model where a longitudinal process, that is a stationary Markov-Chain, and a Weibull survival process share a bivariate random effect. Furthermore, a Quality-of-Life adjusted survival is calculated as the weighted sum of survival time. Theoretical values of population mean adjusted survival of the described model are computed numerically. The parameters of the bivariate random effect do significantly affect theoretical values of population mean. Maximum-Likelihood and Bayesian methods are applied on simulated data to estimate the model parameters. Based on the parameter estimates, predicated population mean adjusted survival can then be calculated numerically and compared with the theoretical values. Bayesian method and Maximum-Likelihood method provide parameter estimations and population mean prediction with comparable accuracy; however Bayesian method suffers from poor convergence due to autocorrelation and inter-variable correlation. ^

Understanding and Characterizing Shared Decision-Making and Behavioral Intent in Medical Uncertainty

Applying Theoretical Constructs to Address Medical Uncertainty Situations involving medical reasoning usually include some level of medical uncertainty. Despite the identification of shared decision-making (SDM) as an effective technique, it has been observed that the likelihood of physicians and patients engaging in shared decision making is lower in those situations where it is most needed; specifically in circumstances of medical uncertainty. Having identified shared decision making as an effective, yet often a neglected approach to resolving a lack of information exchange in situations involving medical uncertainty, the next step is to determine the way(s) in which SDM can be integrated and the supplemental processes that may facilitate its integration. SDM involves unique types of communication and relationships between patients and physicians. Therefore, it is necessary to further understand and incorporate human behavioral elements - in particular, behavioral intent - in order to successfully identify and realize the potential benefits of SDM. This paper discusses the background and potential interaction between the theories of shared decision-making, medical uncertainty, and behavioral intent. Identifying Shared Decision-Making Elements in Medical Encounters Dealing with Uncertainty A recent summary of the state of medical knowledge in the U.S. reported that nearly half (47%) of all treatments were of unknown effectiveness, and an additional 7% involved an uncertain tradeoff between benefits and harms. Shared decision-making (SDM) was identified as an effective technique for managing uncertainty when two or more parties were involved. In order to understand which of the elements of SDM are used most frequently and effectively, it is necessary to identify these key elements, and understand how these elements related to each other and the SDM process. The elements identified through the course of the present research were selected from basic principles of the SDM model and the “Data, Information, Knowledge, Wisdom” (DIKW) Hierarchy. The goal of this ethnographic research was to identify which common elements of shared decision-making patients are most often observed applying in the medical encounter. The results of the present study facilitated the understanding of which elements patients were more likely to exhibit during a primary care medical encounter, as well as determining variables of interest leading to more successful shared decision-making practices between patients and their physicians. Understanding Behavioral Intent to Participate in Shared Decision-Making in Medically Uncertain Situations Objective: This article describes the process undertaken to identify and validate behavioral and normative beliefs and behavioral intent of men between the ages of 45-70 with regard to participating in shared decision-making in medically uncertain situations. This article also discusses the preliminary results of the aforementioned processes and explores potential future uses of this information which may facilitate greater understanding, efficiency and effectiveness of doctor-patient consultations.Design: Qualitative Study using deductive content analysisSetting: Individual semi-structure patient interviews were conducted until data saturation was reached. Researchers read the transcripts and developed a list of codes.Subjects: 25 subjects drawn from the Philadelphia community.Measurements: Qualitative indicators were developed to measure respondents’ experiences and beliefs related to behavioral intent to participate in shared decision-making during medical uncertainty. Subjects were also asked to complete the Krantz Health Opinion Survey as a method of triangulation.Results: Several factors were repeatedly described by respondents as being essential to participate in shared decision-making in medical uncertainty. These factors included past experience with medical uncertainty, an individual’s personality, and the relationship between the patient and his physician.Conclusions: The findings of this study led to the development of a category framework that helped understand an individual’s needs and motivational factors in their intent to participate in shared decision-making. The three main categories include 1) an individual’s representation of medically uncertainty, 2) how the individual copes with medical uncertainty, and 3) the individual’s behavioral intent to seek information and participate in shared decision-making during times of medically uncertain situations.

Fauna composition of benthos communities in bottom sediments from the edge and the central part of the shelf in the California upwelling zone

Two shelf communities from the central part off the California Peninsula are described. The community of Amphiodia urtica - Nephtys ferruginea develops in the central part of the shelf within the depth range 95-105 m. The community of Nephtys ferruginea - Amphiura acrystata develops on the shelf edge at depth 110 m. Biomasses of both communities are very low (about 10 g/m**2). Species richness of the shelf community is high; more than 60 species occur in samples (43-51 species per a community). Various echinoderms and some other groups are abundant on the Californian shelf; these groups are absent in shelf areas of Peruvian and Benguela upwellings. Species structures of the communities were analyzed; the communities were shown to consist of coexisting, but not interacting guilds; this indicates that the communities are undersaturated with individuals. At the same time values of ABC-indices indicate that the communities are stable. We suggest that in this case adaptation to unfavorable but stable environment is observed (selection of species-stressolarents). An explanation seems to lie in the penetrating type of the upwelling in the Californian upwelling zone. Low biomass values seem to result from mass development of necto-benthic carnivorous crustaceans-galateids Pleuroncodes planiceps.

Linda Hutcheon, Irony's Edge. The Theory and Politics of Irony. Londres/Nueva York, Routledge, 1994, VII, 248 páginas

Fil: Fernández, Claudia Nélida. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

Linda Hutcheon, Irony's Edge. The Theory and Politics of Irony. Londres/Nueva York, Routledge, 1994, VII, 248 páginas

Fil: Fernández, Claudia Nélida. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

Age determination of sediment cores from the Shelf Edge off Mauritania, Northwest Africa

The impact of late glacial changes on the sedimentary record was investigated in two long vibracores, collected from the shelf edge off Mauritania, northwest Africa. Lithology and radiocarbon dates indicate that the sedimentary sequences were mainly controlled by sea-level changes on the shelf. The upper Pleistocene sequence is characterized by deposition in coastal environments, while the Holocene sequence represents deposition in shelf environments. During low sea level, much sediment was supplied to the present outer shelf, and the data imply an average accumulation rate of up to 43.0 cm/1000 yrs during the late Pleistocene, which is substantially higher than the Holocene rate. Shelf sediments were continuously reworked and redistributed on a regional scale during falling and rising sea level. The presence of reworked material results in radiocarbon ages which are too old. The mollusc. Venus striatula, which presently is found north of, but not along, the Mauritanian coast, occurs in the upper Pleistocene sequence, suggesting cooler water conditions in the shelf during late glacial times. This species probably migrated to the south during late glacial times, following the southward extension of the cold Canary Current. Radiocarbon dates of the shells broadly coincide with a lowstand of sea level over this part of the continental shelf.

Oxygen isotope composition of planktonic foraminifer Globigerinoides ruber in sediment core GeoB1413 from the eastern edge of the South Atlantic central gyre

Die Paläozeanographie versucht die Klimageschichte des Quartärs zu rekonstruieren und die Zusammenhänge zwischen Klimaänderungen und ozeanischer Zirkulation besser zu verstehen. Ein wichtiges Hilfsmittel stellen die planktischen Foraminiferen dar. Die Analyse planktischer Foraminiferengemeinschaften hat gezeigt, daß die Verbreitung dieser Protozoa durch die Umweltbedingungen in den Oberflächenwasserströmen bestimmt wird (BoLTOVSKOY, 1969; CIFELLI& BENIER, 1976; OTIENS, 1991). Durch ihre Ablagerung und Erhaltung am Meeresboden speichern sie diese Informationen und bilden einen Indikator für Wassermassen und Oberflächenwassertemperaturschichtung. Zeitliche und räumliche Veränderungen der Faunenvergesellschaftungen und der Verhältnisse stabiler Sauerstoff- und Kohlenstoffisotope einzelner Foraminiferenarten haben damit einen maßgeblichen Beitrag zur Kenntnis der spätquartären Temperatur- und Zirkulationsänderungen der Oberflächenströme geliefert (SHACKLETON & OPDYKE, 1973; BE et al., 1976; RUDDIMAN & McooYRE, 1976; VINCENT & BERGER, 1981; CLIMAP, 1981; RA VELO et al., 1990). Mit Hilfe der planktischen Foraminiferen soll diese Arbeit einen Beitrag zur Rekonstruktion der spätquartären Ozeanographie des Südatlantiks liefern. Die Oberflächenströme des Südatlantiks sind das Bindeglied im Wärmeaustausch zwischen niederen und hohen Breiten. Durch den Südäquatorialstrom (SEC) werden warme Wassermassen, die sich aufgrund der hohen Sonneneinstrahlung im tropischen Atlantik gebildet haben, in den Nordatlantik transportiert. Die Wärme wird im Nordatlantik unter Bildung des Nordatlantischen-Tiefenwassers (NADW) an die Atmosphäre abgegeben. Durch dieses Ereignis wird maßgeblich das nordeuropäische Klima beeinflußt (BROECKER & DENTON, 1989). Die Intensität des SEC wird durch den saisonal variierenden SE-, NE-Passat gesteuert, der hauptsächlich durch die Präzession der geneigten Erdachse bzw. durch die Insolation auf der Nordhalbkugel kontrolliert wird (Mc OOYRE et aI., 1989; MOLFINO & Mc INTYRE, 1990). Der SEC fließt entlang des Äquators von Ost nach West und kalte, nährstotfreiche, tiefere Wassermassen (Südatlantisches-Zentralwasser (SACW)) steigen vor allem im Osten auf und erzeugen das hochproduktive äquatoriale Auftriebsgebiet. Im Osten ist der Temperaturgradient in der Wassersäule steiler, und die Thermoklinentiefe nimmt von Ost nach West zu. Die Lage der Thermokline ist damit ein wesentlicher Faktor, der den Wärmehaushalt im Atlantik mitbestimmt. So wird z. B. im äquatorialen Auftriebsgebiet und im Auftriebsgebiet des küstennahen Benguela-Stroms, wo die Thermoklinentiefe durch aufsteigende kalte Wassermassen gering ist, eine Wärmezunahme von 100 W/qm im Wärmehaushalt erreicht (PETERSON & STRAMMA, 1991). Zur spätquartären Rekonstruktion des Wärmeflusses und der Oberflächenzirkulation im Südostatlantik ist es daher wichtig, auch die zeitlichen und räumlichen Veränderungen tieferer Wasserschichten (bis 300 m) zu erfassen.