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The article presents a case study of a patient with abdominal ileus masquerading as acute coronary syndrome, underscoring the importance of considering extra-cardiac pathophysiology in evaluating cardiac complaints, particularly in the context of abdominal distention, which can exert pressure on neighboring organs within the thoracic cavity, potentially leading to myocardial ischemia and electrocardiographic changes consistent with myocardial infarction.

Objective – This paper presents the results of a study of libraries’ practices for coding open-ended comments collected through LibQUAL+® surveys and suggests practical steps for facilitating this qualitative analysis. Methods – In the fall of 2009, survey invitations were sent to contacts at 641 institutions that had participated in the LibQUAL+® survey from 2003 to 2009. Of those invited, there were 154 respondents, for an overall response rate of 24.0%.Results – Nearly 87% of the respondents indicated that their library had performed a qualitative analysis of the comments from their most recent LibQUAL+® survey. Of these, over 65% used computer software to organize, code, sort, or analyze their comments, while 33.6% hand-coded their comments on paper. Of the 76 respondents who provided information on software, 73.7% used Excel, 18.4% used Atlas.ti, and 7.9% used NVivo. Most institutions (55.8%) had only 1 person coding the comments; 26.9% had 2 coders, and very few had 3 or more. Of those who performed some type of analysis on their comments, nearly all (91.9%) indicated that they developed keywords and topics from reading through the comments (emergent keywords). Another common approach was to code the comments according to the LibQUAL+® dimensions; 55.0% of respondents used this strategy. Nearly all of the institutions (92.7%) reported using their LibQUAL+® comments internally to improve library operations. Libraries also typically incorporated the comments into local university reports (75.5%) and used the comments in outreach communications to the university community (60.9%).Conclusion – Comments obtained from the LibQUAL+® survey can be useful for strategic planning, understanding users, identifying areas for improvement, and prioritizing needs. A key suggestion raised by respondents to this survey was for practitioners to consider sharing the fruits of their labor more widely, including coding taxonomies and strategies, as well as broader discussion of qualitative analysis methods and practices.

The article focuses on the importance and uncertainties surrounding the World Health Organization (WHO) Pandemic Treaty aimed at strengthening global health systems against future pandemics. Topics include the treaty's emphasis on equity and international collaboration; the concerns about national sovereignty raised by some countries; and the mixed political reception in the U.S. regarding its potential ratification.

The legal framework covering government information procurement, production, and dissemination has been in place for over 100 years. Congress is currently developing revisions to the U.S. Code to reform this system. Fundamental principles of public access, embodied in the Federal Depository Library Program, must guide these revisions, and strategic planning must consider the entire life cycle of government information. (Author/JAK)

Serialization technology was introduced to protect the pharmaceutical supply chain from falsified and substandard medicines infiltration. The implementation of serialization systems required a substantial investment by pharmaceutical manufacturers. This study investigated the impact of Serialisation on operational efficiency and productivity in the pharmaceutical industry. A literature review demonstrated limited publications on Serialisation concerning its costs and effects on packing line operational efficiency and productivity. Therefore, a literature review was carried out to assess the relationship between Serialisation, operational efficiency, and productivity. The study revealed that Serialisation had the potential to impact pack line Operational Equipment Effectiveness negatively and line availability, as well as the unit cost of packaged pharmaceuticals and that actual capital costs of Serialisation were greater than the costs originally outlined by policymakers. In addition, the study identified a trend where pharmaceutical sites move away from smaller batch production and toward larger batches to gain greater efficiencies. This is the first study of Serialisation literature from a manufacturing viewpoint. [ABSTRACT FROM AUTHOR]