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1. Charlottesville-Albemarle Media Center: A Proposal for Implementation.

Author

Coleman, J. Gordon

Abstract

Initiated as a graduate school project in educational media administration and later distributed to administrative personnel in the Charlottesville and Albemarle County public school districts, this document presents a 5-year plan for merging the district-level library media centers and related services of these two neighboring Virginia school districts. An analysis and description of the existing media centers and programs for each school system are provided, as is a brief history of similar cooperative endeavors between the two districts. The goals and objectives of the Charlottesville-Albemarle Media Center and proposed merger activities for each of the five years are outlined, covering the production of a union catalog and grade-level lists of educational media, interlibrary lending, cooperative equipment and material acquisitions, the provision of a combined facility, and the establishment of cooperative library/media utilization and instructional design services. Also presented are organizational descriptions of the existing library media centers, a proposed organizational chart for the cooperative media center, job descriptions for proposed center personnel, a check list of proposed center services and policies, a proposed evaluation schema, and merger budget estimates by year. A six-item bibliography is provided. (Author/ESR)

Published
1980

2. Deep vein thrombosis screening and risk factors in a high-risk trauma population.

Author

Michetti CP, Franco E, Coleman J, Bradford A, and Trickey AW

Subjects
Adult, Aged, Female, Humans, Male, Mass Screening statistics & numerical data, Middle Aged, Retrospective Studies, Risk Factors, Venous Thrombosis diagnosis, Venous Thrombosis etiology, Virginia epidemiology, Venous Thrombosis epidemiology, Wounds and Injuries complications
Abstract

Background: Trauma patients requiring acute inpatient rehabilitation are significantly injured, with increased risk for deep vein thrombosis (DVT). We evaluated routine screening for occult DVT in such patients, and analyzed DVT risk factors., Materials and Methods: Data from level I trauma center patients discharged to a single acute rehabilitation center (ARC) from 2007-2011 were retrospectively reviewed. Routine lower extremity duplex was performed on ARC admission. Follow-up data were collected for patients with occult DVT (ARC DVT). DVT predictors were evaluated using logistic regression., Results: Of 622 patients, 534 (86%) had screening duplex; 26 (4.8%) had an ARC DVT. A majority of 442 patients (71%) received enoxaparin prophylaxis in hospital, for a median 64% of hospital days. Of ARC DVT patients, 17 received full anticoagulation and 16 received vena cava filters. Thirty-seven patients had DVT diagnosed in the hospital (hospital DVT) before discharge to ARC. Hospital DVT and ARC DVT groups were comparable except shorter median hospital length of stay and lower head abbreviated injury scale in ARC DVT patients. On multivariate analysis, increased intensive care unit length of stay, age >65 y, a lower percentage of hospital days receiving chemoprophylaxis, and delayed initiation of chemoprophylaxis were significantly predictive of DVT after adjustment for sex, mechanism, injury severity score, and admission systolic blood pressure. Presence of pelvic fractures and ages 50-65 y also posed an increased risk., Conclusions: The incidence of occult DVT on ARC admission is low in trauma patients. Several risk factors for DVT in the trauma ARC population were identified. Nonselective screening of all trauma patients on admission to ARC is not supported by this analysis., (Copyright © 2015 Elsevier Inc. All rights reserved.)

Published
2015
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