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Tampa General Hospital (TGH) and the U.S. Air Force have partnered in a program called "Mission Zero" to enhance the trauma capabilities of active duty trauma surgeons while also providing skilled surgical care to the Tampa community. The program, sponsored by the Department of Health and Human Services, integrates military care providers into civilian trauma centers to ensure medical readiness and share expertise in austere and combat settings. Two active duty Air Force trauma surgeons have joined TGH as attending trauma surgeons and will also serve as educators to surgery residents and trauma surgery fellows. This partnership was made possible through the Mission Zero grant and logistical support from the U.S. Air Force 6th Medical Group. The program is not currently open to anesthesiologists, nurses, or medical technicians, but there is hope for expansion in the future. TGH is an ideal institution for this partnership due to its capacity, case volume, and status as a level 1 trauma center. The partnership also offers opportunities for research through its close affiliation with the University of South Florida. This program is part of a broader effort by the Army and Navy to maintain the skills of medical personnel during periods of military conflict. Military-civilian partnerships like this one can increase exposure to acute medical and trauma care environments and provide an attractive location for rotation. [Extracted from the article]

This article discusses the importance of incorporating lessons from Military Medicine into civilian disaster response planning, particularly in the context of hurricanes. The authors highlight the experiences of military physicians in dealing with mass casualty events, public health threats, and working in challenging environments, which can be valuable in preparing for natural disasters. The article emphasizes the various threats to human life during hurricanes, including injuries from powerful winds, storm surge drownings, and deferred medical care due to mobility issues or isolation. It also outlines a specific response plan implemented by the Department of Anesthesiology for the hurricane season, which involved dividing staff into two teams and ensuring uninterrupted perioperative services. The authors share their experience of successfully implementing this plan during Hurricane Idalia, with Team A converging on the hospital before the storm and Team B relieving them once it was safe to travel. The article concludes by acknowledging the contributions of military-experienced physicians and expressing a sense of accomplishment for the seamless response to the hurricane. [Extracted from the article]

This paper investigates influences upon the development of library classification systems in nineteenth-century Britain. Two case studies – Edward Edwards's 'scheme of classification for a town library' of 1859 and the Bibliotheca Lindesiana of the earls of Crawford who made a number of significant contributions to the development of library classification over a fifty-year period – are deployed to explore how classification schemes reflected the habituses of their creators and how they were shaped by their socio-economic, epistemological and geographical contexts. The paper also investigates the discourse of classification, examining authors' claims for the legitimacy, widespread applicability and superiority of their schemes, while revealing how these claims were compromised or modified by practical considerations. The case studies suggest that a modernizing narrative of a transition in the second half of the nineteenth century from an aristocratic, largely rural and amateur paradigm of knowledge formation to a bourgeois, urban and professional model requires significant modification: a more nuanced approach is required, which recognizes the permeability of geographic and social boundaries and the continued relevance of aristocratic libraries as key sites of knowledge formation until the end of the century. [ABSTRACT FROM AUTHOR]

To purchase or authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1467-8306.2007.00560.x Byline: Vladimir Yasenovskiy (*), John Hodgson (*) Keywords: location-allocation; spatial hierarchy; spatial interaction Abstract: We combine concepts and methods from hierarchical spatial systems, spatial interaction modeling, and location-allocation modeling to derive optimal hierarchical facility systems. We consider models of increasing realism in how spatial interaction is dealt with-the first two are from past literature, the third is new. The p-median model assumes that patrons always travel to the closest facility and that distance minimization best serves them. Several researchers have observed, however, that patients in the developing world frequently bypass lower level facilities to attend more distant higher level ones. Previous location-allocation models have incorporated spatial interaction models attributing attendance and benefits to facility size and distance. In this article, we present a new model that incorporates a spatial choice interaction model attributing attendance and benefits to facility size, distance, and neighborhood accessibility. We demonstrate our approach with 150-node, three-level Oppong's problem of locating healthcare facilities in Suhum District, Ghana. This approach reacts intuitively to changes in accessibility patterns and deals realistically with the bypassing problem. Author Affiliation: (*)Department of Earth and Atmospheric Sciences, University of Alberta, Canada Article History: Initial submission, May 2005; revised submissions, March and July 2006; final acceptance, August 2006 Article note: Correspondence: Department of Earth and Atmospheric Sciences, 1-32 Earth Sciences Building, University of Alberta, Edmonton, AB, Canada T6G 2E3, e-mail: vsi@ualberta.ca (Yasenovskiy); Department of Earth and Atmospheric Sciences, 1-26 Earth Sciences Building, University of Alberta, Edmonton, AB, Canada T6G 2E3, e-mail: John.Hodgson@ualberta.ca (Hodgson).

Originally an editorial for "English in Education," this short article summarises key issues in the imposition of a separate test for grammar, punctuation and spelling. It illustrates the poor foundations, lack of clarity and distortion of curriculum which invalidate the test.