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Describes the NISO circulation interchange protocol (NCIP) and some of the design decisions that were made in developing it. When designing a protocol of the scale and scope of NCIP, certain decisions about what technologies to employ need to be made. Often there are multiple competing technologies that can be employed to accomplish the same functionality, and there are both positive and negative reasons for the choice of any particular one. Focuses specifically on the areas on which the protocol would be supported. Gives particular emphasis to the decision to choose XML as the encoding technology for the protocol messages. One of the main design goals for NCIP was to try to strike the appropriate balance between ease of implementation and providing appropriate functionality. This functionality includes that needed to support both application areas that the committee could anticipate would use the protocol in the short term, and new applications that might be developed in the future.

The purpose of this paper is to explore gay male informant experiences of discrimination and stigma in Bangkok from a health promotion community nursing perspective.

Semi-structured in-depth interviews were conducted with 30 informants and included field work observations at eight entertainment venues. Data analysis utilised an inductive thematic approach.

Key themes that emerged from the data were related to communication, particularly the use of smart phone applications; lack of privacy in health services; sexual exploitation by entertainment venues; and concerns about coming out safely to protect self-esteem and mental health.

Development of key mental health promotion messages based on a greater understanding and knowledge of discrimination and stigma may help to reduce negative behaviour and stigmatisation towards Thai gay men in Bangkok.

Purpose – To identify the key success factors in a change process and to demonstrate how adherence to the phases of large-scale change contributed to the successful reform of the Irish cancer services and is critical to the sustainability of this large-scale change.

Design – In-depth retrospective analytical case study drawing from face- to-face semi-structured interviews with key stakeholders and players.

Findings – The Irish health care reform had been continually thwarted by local politics. The Irish government confronted this trend by bringing in an outside expert to head the cancer services reform project who, with government support, managed both clinician and public resistance and, based on the evidence of international best practice, led the reform. Sustainable change was achieved by attention to how large-scale change works. The leadership of the project is an important element in overcoming the path dependency that is dogged in most health care reforms.

Value – This chapter provides evidence that the four key phases of large system change: understanding the need for change, framing the change, undertaking the change and sustaining the change, coupled with key success factors in relation to timing, financial viability, political will and leadership, public support, well-managed process, and technical infrastructure and capacity are critical to the implementation and sustainability of large-scale change.

A reorganisation and investment programme for the UK Region of the Berger Group (Berger Jenson & Nicholson) has now been completed, under the Group chief executive, Mr. T. B. Collins.

Ulla Andin received her MD in 2007 at the Faculty of Medicine at Lund University, in the Department of Geriatric Psychiatry. The title of her dissertation was Vascular Dementia, Classification and Clinical Correlates. She is a specialist in geriatrics and has been working as a senior physician at Skaraborg Hospital Group since 2008. Her focus is on elderly patients with multiple illness. Earlier in her career, she worked as a senior physician at USÖ (Universitetssjukhuset i Örebro), where she focused on patients with dementia. In addition, she has served as a supervisor for young physicians.

Purpose – This chapter frames the topic of organizing for sustainable health care in terms of the environmental trends that have rendered current health care approaches unsustainable, the embeddedness of health care in society's triple bottom line, and the need to build adaptive capability within the complex health care ecosystem.

Design/methodology/approach – We synthesize documented trends and empirical findings regarding the viability of current approaches to health care, and provide a theoretically framed treatment of the adaptation process in the complex health care system that can lead to the emergence of sustainable approaches.

Findings – There is a misfit between current approaches to delivering health care and the requirements and trends in contemporary society. Fundamental transformation is required that entails a broadening of purpose, a future orientation, and a rethinking of how health care adds value and how it is embedded in society.

Originality/value – By reconceptualizing health care reform as intricately related to societal sustainability and the triple bottom line, we open the possibility of transcending a narrow focus on reengineering to create more efficient organizations and work processes that consume fewer resources and deliver greater value. We invite health care practitioners and scholars to rethink all the connections in the health care ecosystem, and the need to build in self-organizing capabilities and adaptive capacity. The cases in this book provide knowledge from systems engaged in fundamental transformation, analyzed through the lenses of theoretical frameworks that help us better understand essential dynamics involved in creating sustainable health care systems.

NISO (The National Information Standards Organization) has recently released the NISO Circulation Interchange Protocol (NISO Z39.83) as a Draft Standard for Trial Use. This protocol defines a repertoire of messages and associated rules of syntax and semantics for use by applications: to perform the functions necessary to lend items; to provide controlled access to electronic resources; and to facilitate co‐operative management of these functions. It is intended to address conditions in which the application or applications that initiate the lending of items or control of access must acquire or transmit information about the user, items, and/or access that is essential to successful conclusion of the function. The article describes the reasons for the development of the standard and provides an overview of the services that it supports.

‘Scotchkote’ 206N fusion bonded epoxy for corrosion protection. Northpoint Loyne Ltd has placed an order with 3M United Kingdom PLC for sufficient ‘Scotchkote’ 206N Fusion Bonded Epoxy to fill its new 3.5 metre deep fluidised bed at its Globe Lane, Dukinfield, Manchester works. Enhancing Northpoint's existing 38,000 square feet capacity for anti‐corrosion coatings, the facility features 30 tonne overhead cranage, a large pre‐heating oven capable of processing pipework and vessels of up to 12 metres in length and 4 metres in diameter, and also offers full blast cleaning facilities.

In April 1994, our University Librarian requested a list of university‐related items that might be included in a CWIS as an early step in the process of establishing a CWIS for our university. I had a list of ten core items from the tide, Libraries at the AARNET Crossroads (Mays et al., 37). I then posted a request to the electronic discussion group CWIS‐L for any other (more extensive) lists that might have been compiled. The replies that I received included lists compiled by Richard Wiggins (fifty‐six items) and Rita Saltz (fifty‐three items). I added more items after spending hours exploring established CWISs and then compiled the results. The final list consisted of ninety‐six items (not including group headings). I posted this list to CWIS‐L on April 30, thanking Richard and Rita for their assistance.