Peña, Sebastian; Ramirez, Jorge; Becerra, Carlos; Carabantes, Jorge; Arteaga, Oscar
Developing countries currently face internal and external migration of their health workforce and interventions are needed to attract and retain health professionals in rural areas. Evidence of multidimensional interventions, however, is scarce. This study explores a long-standing strategy to attract and retain doctors to rural areas in Chile: the Rural Practitioner Programme. The main objective is to describe the programme, characterize its multidimensional set of incentives and appraise preliminary programme outcomes.Retrospective national data were employed to examine recruitment, retention and incentives provided to extend the length of stay and motivate non-clinical work. The programme has successfully recruited a large number of applicants, with acceptance rates close to 100%. Retention rates are nearly 100% (drop-outs are exceptional), but only 58% of participants stay for the maximum period. Areas with greater work difficulty are attracting the best-ranked applicants, but incentives to engage in community projects, management responsibilities, continuous medical education and research have achieved mixed results. Rural doctors are satisfied with their experience and 70% plan to practise as specialists in a referral hospital.The programme has successfully matched the interests of physicians in specialization with the country's need for rural doctors. However, a gap might be forming between the demand for certain specialties and what the programme can offer. There is a need to conciliate both parties, which will require a more refined strategy than before. This should be grounded in robust knowledge based on programme outcomes and evidence of the interests and motivations of health professionals. PMID:20461139
Full Text Available Objective: To assess the quality of care provided by private practitioners in rural areas of Wardha district. Methodology: The study was carried out in three primary health centres of Wardha district. 20% of the 44 registered private practitioners were selected randomly for the study. The data was collected using checklist through direct observation for the infrastructure. Assessment of quality of services delivered, 10 consecutive patients were observed and also the medical practitioner was interviewed. Supplies and logistics were assessed through observation. Results: All the facilities were sheltered from weather conditions and 90% had adequate waiting space. But, drinking water and adequate IEC material was available in only 20% facilities. Complete history taking and relevant physical examination was done in only 20% cases. Only 20% practitioners recorded blood pressure and 30% recorded temperature in cases with fever. Provisional diagnosis was not written in any of the case and only 20% explained prescription to the patients. Conclusion: There is considerable scope to improve the quality of services of private practitioners. To achieve this quality assurance programs may be initiated along with the training of private medical practitioners.
Roots, Alison; MacDonald, Marjorie
Background The formalized nurse practitioner (NP) role in British Columbia is relatively new with most roles implemented in primary care. The majority of primary care is delivered by physicians using the fee-for-service model. There is a shortage of general practitioners associated with the difficulties of recruitment and retention, particularly in rural and remote locations. The uptake of the primary care NP role has been slow due to challenges in understanding the extent of its contribution...
Nelson, Scott C; Hooker, Roderick S
One role of physician assistants (PAs) and nurse practitioners (NPs) is to meet the growing demand for access to rural health care. Critical Access Hospitals, those with less than 25 beds, are usually located in rural communities, often providing continuity of care that clinics cannot deliver. Because little is known about staffing in these small hospital emergency departments, an exploratory study was undertaken using a mixed-methods approach. In Washington State, 18 of the 39 Critical Access Hospitals staff their emergency departments with PAs and NPs. Utilization data were collected through structured interviews by phone or in person on site. Most PAs and NPs lived within the community and staffing tended to be either 24 hours in-house or short notice if they lived or worked nearby. Emergency department visits ranged from 200 to 25,000 per year. All sites were designated level V or IV trauma centers and often managed cardiac events, significant injuries and, in some larger settings, obstetrics. In most instances, PAs were the sole providers in the emergency departments, albeit with physician backup and emergency medical technician support if a surge of emergency cases arose. Two-thirds of the PAs had graduated within the last 5 years. Most preferred the autonomy of the emergency department role and all expressed job satisfaction. Geographically, the more remote a Washington State Critical Access Hospital is, the more likely it will be staffed by PAs/NPs. The diverse utilization of semiautonomous PAs and NPs and their rise in rural hospital employment is a new workforce observation that requires broader investigation. PMID:27183500
Hunting, Robert P.; Mousley, Judith A.; Perry, Bob
The project Mathematical Thinking of Preschool Children in Rural and Regional Australia: Research and Practice aimed to investigate views of preschool practitioners about young children's mathematical thinking and development. Structured individual interviews were conducted with 64 preschool practitioners from rural areas of three Australian states. The questions focused on five broad themes: children's mathematics learning, support for mathematics teaching, technology and computers, attitudes and feelings, and assessment and record keeping. We review results from the interview data for each of these themes, discuss their importance, and outline recommendations related to teacher education as well as resource development and research.
Full Text Available Background: Studying drug use pattern among medical practitioners is of vital importance in the present scenario where irrational drug use and development of drug resistance is becoming rampant. Objective: To assess, the pattern of prescribing practices among the general practitioners in a defined rural and urban area of Tamil Nadu. Materials and Methods: A community based descriptive study was conducted to collect 600 prescriptions from the catchment areas of rural and urban health training centers of a medical college using prescribing indicators as per the WHO "How to investigate drug use in health facilities" tool. Results: This prescription study revealed that multivitamins (19.5%, antibiotics (19.3%, drugs for gastro-intestinal tract (GIT (18%, analgesic non-steroidal anti-inflammatory drugs/ (NSAID′s (15.1%, and antihistaminic (12.5% were prescribed frequently. Among the antibiotics, amoxicillin (49.2% was the most commonly prescribed followed by gentamicin (31.7%. Percentage of prescriptions with an antibiotic was 55% and nearly 62% of the practitioners prescribed drugs by their generic names. As a practice of poly-pharmacy, it was observed that the average number of drugs prescribed in urban and rural area was nearly 5 and 4, respectively. Nearly 80% of the urban and rural practitioners were prescribing at least one injection. Study of the quality of prescriptions revealed that there was poor legibility, high usage of abbreviations, inadequate details of the drugs, and absence of signature by practitioners in the prescriptions. Conclusion: This study clearly highlights the practice of poly-pharmacy, low usage of generic drugs, injudicious usage of antibiotics and injections and low usage of drugs prescribed from essential drugs list.
The main objective of this paper is to develop a general framework for rural development in which marketing will play a major role. This framework could make the "learning by doing" process more efficient and effective. Specific goals of this paper are to provide the reader with: (1) a better overall understanding of the rural development and marketing development process, (2) an analysis of approaches used by rural development projects in their effort to improve rural marketing, and (3) a sy...
Parker, J H; Moore, R. M. A.; Wilson, R. S. E.
We describe a pilot study of a community IgE service which serves a large rural area and is centred on the biochemistry laboratory and allergy clinic of a district general hospital. The service has proved useful because in many cases it has made attendance at an outpatient department unnecessary. The results appear to be reliable and have provided the general practitioners with additional knowledge of their patients. Other benefits included the investigation of larger numbers of patients, the...
Wardle, Jon L; Sibbritt, Davi W; Adams, Jon
Background Chiropractic and osteopathy form a significant part of the healthcare setting in rural and regional Australia, with national registration of practitioners, public subsidies for services and high utilisation by the Australian public. However, despite their significant role in rural and regional Australia, there has been little exploration of the interface between chiropractic and osteopathy and conventional primary health care practitioners in this area. The study aim was to examine...
Caroline Lydia Hart
Full Text Available Since 2007 the Legal Profession Act 2007 (Qld has offered legal practitioners a wider choice of business structure other than sole practitioner or partnership, to include incorporated legal practice ('ILP' or multidisciplinary partnership. In particular the use of ILPs offers legal practitioners a range of benefits in terms of operating a law firm consistent with business management practices. The status of ILP however comes at a cost of putting in place 'appropriate management systems'. This paper refers to the legislation and the literature on the range of business structures, before giving an insight into the actual choice of business structures used by Queensland regional, rural and remote legal practitioners. What is the awareness of the new business structures? And are there factors inhibiting RRR legal practitioners from their use? This paper draws on over 30 interviews with sole practitioners, partners and legal practitioner directors about their choice of business structure.
Overton, John; Murray, Warwick E.
Globalization and industrial restructuring transform rural places in complex and often contradictory ways. These involve both quantitative changes, increasing the size and scope of operation to achieve economies of scale, and qualitative shifts, sometimes leading to a shift up the quality/price scale, towards finer spatial resolution and…
María T. Muñoz Q; Verónica P. Iglesias Á; Boris A. Lucero M.
Objective: to evaluate the presence of organophosphate metabolites (OP) in the urine of rural schoolchildren and estimate its association with their cognitive performance. Methodology: a cross-sectional exploratory study in which a total of 25 children were assessed. Cognitive functioning was measured using the WISC-III intelligence test. Additionally, the concentration of OP metabolites in their urine was tested. Results: 56% of the children had concentration levels above the detection limit...
Day, Susan E; Alford, Katrina; Dunt, David; Peacock, Stuart; Gurrin, Lyle; Voaklander, Don
Background Recent increases in the bulk-billing rate have been taken as an indication that the Federal government's Strengthening Medicare initiative, and particularly the bulk-billing incentives, are 'working'. Given the enduring geographic differences in the supply of general practitioners (GPs) it is timely to reconsider the impact that this increase in the provision of 'free care' will have on access to Medicare-funded GP services in rural and urban areas of Australia. Utilisation has bee...
Cook, Shane E; Palmer, Louis C; Shuler, Franklin D
Primary care physicians occupy a vital position to impact many devastating conditions, especially those dependent upon early diagnosis, such as skin cancer. Skin cancer is the most common cancer in the United States and despite improvements in skin cancer therapy, patients with a delay in diagnosis and advanced disease continue to have a grave prognosis. Due to a variety of barriers, advanced stages of skin cancer are more prominent in rural populations. In order to improve early diagnosis four things are paramount: increased patient participation in prevention methods, establishment of screening guidelines, increased diagnostic accuracy of malignant lesions, and easier access to dermatologists. Recent expansion in smartphone mobile application technology offers simple ways for rural practitioners to address these problems. More than 100,000 health related applications are currently available, with over 200 covering dermatology. This review will evaluate the newest and most useful of those applications offered to enhance the prevention and early diagnosis of skin cancer, particularly in the rural population. PMID:26521532
María T. Muñoz Q
Full Text Available Objective: to evaluate the presence of organophosphate metabolites (OP in the urine of rural schoolchildren and estimate its association with their cognitive performance. Methodology: a cross-sectional exploratory study in which a total of 25 children were assessed. Cognitive functioning was measured using the WISC-III intelligence test. Additionally, the concentration of OP metabolites in their urine was tested. Results: 56% of the children had concentration levels above the detection limit for dimethylphosphate (DMP and dimethyltiophosphate (DMTP. Moreover, 92% of them had the metabolite diethylphosphate (DEP values on this limit. Regarding the WISC-III, the intelligence quotient (IQ values below the average (IQ ˃ 90 correspond to: Total IQ = 60% performance IQ = 64%, verbal IQ = 52%, perceptual organization IQ = 60%, processing speed IQ = 95%, and freedom from distractibility IQ = 64%. An inverse association was found between the processing speed factor and DMTP (rs = -0.44, p = 0.014. Conclusions: results indicate that the rural schoolchildren whose urine was measured with OP metabolite biomarkers had been exposed to OP pesticides. A relationship was observed between the presence of OP metabolites and the cognitive performance factor of the WISC-III test. We believe it is appropriate to evaluate the effects of the presence of OP metabolites on cognitive functioning in a larger sample, while considering other exposure variables.
Germán, Lobos; Grunert, Klaus G; Bustamante, Miguel;
of well-being, i.e. happiness in older adults, both women and men, living in rural areas in the Maule Region, Chile. A subjective happiness scale was applied across female (N = 241) and male (N = 144) older adults (age range 60–90). Statistical analysis included comparison of means for independent...... samples and multiple comparison tests. Ordered logit models were computed to examine the determinants of happiness. We find that satisfaction related to food, perception of health and functionality are significantly linked to individual happiness within both gender groups. An influential predictor of...... female’s happiness is the frequency of having dinner with companion. An increased quantity of goods at home implied more happiness. A positive coefficient for age and a negative coefficient for age-squared seem to support the idea of an inverted U-shaped relationship between age and happiness in the...
Heaton, Lisa J; Smith, Timothy A; Raybould, Ted P
Individuals' utilization of dental services depends upon an array of factors, including access to care, financial restrictions, attitudes toward dental care, and dental fear. These factors, in turn, may vary across geographic locations and demographic groups. The goals of this study were to assess the use of dental services in both rural and urban areas of Kentucky and to examine challenges facing practitioners in rural areas. Individuals sampled from a rural population and patients in rural and urban dental clinics completed questionnaires about use of dental services, self-rated dental health, and dental fear. While these variables were strongly interrelated, differences emerged across locations. Patients in the urban area reported having more dental insurance but not better dental health. Patients in more rural areas reported seeking more emergency dental treatment but not more dental fear. While these factors are important considerations across locations, dental practitioners in rural areas in particular should be aware of barriers to dental care facing individuals in these areas. They have unique opportunities to provide education to their patients regarding the importance of dental care and the role of oral health in overall physical health. PMID:15466058
Ingham, Gerard; Fry, Jennifer; O’Meara, Peter; Tourle, Vianne
Background In medical education, a learner-centred approach is recommended. There is also a trend towards workplace-based learning outside of the hospital setting. In Australia, this has resulted in an increased need for General Practitioner (GP) supervisors who are receptive to using adult learning principles in their teaching. Little is known about what motivates Australian GP supervisors and how they currently teach. Methods A qualitative study involving semi-structured interviews with 20 ...
Tuberculosis is prevailing in both urban and rural areas of Pakistan. Knowledge, attitude and practice (KAP) of private practitioners (PPs) regarding tuberculosis management have been reported only in urban areas of Pakistan. This survey was conducted for the first time in a rural area of Sindh, Pakistan. This survey was conducted in January 2007 at Thatta, a rural district of Sindh, Pakistan. Study subjects were twenty-two allopathic qualified (MBBS) doctors of district Thatta, who were practicing in private setups for at least last one year. Before TB-DOTS training PPs had filled the KAP questionnaire regarding tuberculosis (TB) diagnosis and management through DOTS. Survey data was analysed through SPSS version 11.05 software. On average, five TB suspects per month were seen by each PP. Only 14% of PPs advised sputum microscopy solely for pulmonary TB diagnosis, while 86% of PPs used different combination of tests (chest x-ray/sputum microscopy/ESR/tuberculin test) for TB diagnosis. Over 40% PPs did not prescribe TB treatment regimen according to TB-DOTS category. Majority PPs (85%) did not follow the treatment through sputum microscopy and instead relied on clinical improvement and x-ray clearance. Nearly 60% of TB patients at PPs clinic did not show compliance to the TB treatment and none of PPs were following the retrieval of default cases. A gross lack of PPs knowledge and right practice regarding TB diagnosis and management through DOTS was identified and needed to be addressed through providing DOTS training. (author)
Full Text Available Abstract: We studied the relationship between happiness and individual socio-demographic context and health and dietary variables by interviewing 389 elderly individuals (age 60-90 years living in rural areas in the Maule Region of Central Chile. The Lyubomirsky & Lepper (1999 subjective happiness scale was used. Ordinal logistic regression models were estimated. The discrete dependent variable was level of happiness. The following variables were significantly associated with happiness: (1 individual socio-demographic variables like age and satisfaction with the economic situation; (2 health variables like independence in activities of daily living, common activities, and self-rated health; and (3 dietary variables such as life satisfaction related to food and the frequency with which the elders shared dinner with others. The study results suggest more efficient efforts at healthy eating for the elderly in rural areas.
Lobos, German; Lapo, Maria Del Carmen; Schnettler, Berta
We studied the relationship between happiness and individual socio-demographic context and health and dietary variables by interviewing 389 elderly individuals (age 60-90 years) living in rural areas in the Maule Region of Central Chile. The Lyubomirsky & Lepper (1999) subjective happiness scale was used. Ordinal logistic regression models were estimated. The discrete dependent variable was level of happiness. The following variables were significantly associated with happiness: (1) individual socio-demographic variables like age and satisfaction with the economic situation; (2) health variables like independence in activities of daily living, common activities, and self-rated health; and (3) dietary variables such as life satisfaction related to food and the frequency with which the elders shared dinner with others. The study results suggest more efficient efforts at healthy eating for the elderly in rural areas. PMID:27192023
German Lobos; Maria del Carmen Lapo; Berta Schnettler
Abstract: We studied the relationship between happiness and individual socio-demographic context and health and dietary variables by interviewing 389 elderly individuals (age 60-90 years) living in rural areas in the Maule Region of Central Chile. The Lyubomirsky & Lepper (1999) subjective happiness scale was used. Ordinal logistic regression models were estimated. The discrete dependent variable was level of happiness. The following variables were significantly associated with happiness: (1)...
Abhaya Kamalakanthan; Sukhan Jackson
Australian estimates of the doctor-to-population ratios for the cities, regional and remote areas seem to exceed the 0.71:1,000 benchmark ratio of the Commonwealth Department of Health and Ageing. However, statistics are misleading because they do not account for the time and distance involved to see a doctor in the less densely populated rural and remote areas. This is a qualitative study of the problem of retention and recruitment of rural doctors. In 2006-08, 13 in-depth structured intervi...
Full Text Available Background: The aim of this study was to evaluate knowledge, attitude and practices of practitioners in the medicine department of tertiary care teaching rural hospital with respect to antihypertensives and find out the disparity between the recommended and actual practices for pharmacological management. Methods: It was survey type of study, carried out using feedback questionnaire related to use of antihypertensives. Total 25 consultants were included in the study. Results: It was found that in mild hypertension single drug and two drugs in combination were preferred by 15 and 10 practitioners respectively. In moderate hypertension single drug, two drugs in combination, and greater than two drugs were preferred by 3, 13, and 7 practitioners respectively. In severe hypertension two drugs in combination and greater than two drugs were preferred by 16 and 9 practitioners respectively; none preferred single drug. Angiotensin converting enzyme inhibitors /angiotensin receptor blockers, beta blockers, Calcium channel blockers, diuretics were preferred as first line drug by 7, 4, 8, and 16 practitioners respectively. Most commonly preferred combination was Losartan and amlodipine by 16 practitioners. In pregnancy nifedipine was preferred as the first line drug while in elderly diuretics were preferred. In hypertensive patients with age less than 40 years all practitioners preferred ACEIs/ARBs. In diabetics ACEIs/ARBs was preferred by all practitioners. Each practitioner claimed to follow Joint National Committee (JNC 7 criteria. Cost of drug was an important consideration in all their prescribing patterns. Conclusion: The knowledge, attitudes and practices followed by the practitioners of Dhiraj hospital were satisfactory and guidelines oriented. [Int J Res Med Sci 2015; 3(3.000: 715-717
Full Text Available Introduction: Over the last decade, the role of clinical librarians in assisting general practitioners to provide better health care has been proved. Rapid progress in telecommunication technology has emerged this question. Could clinical librarians be able to assist general practitioners working in rural and remote areas through Information and communication technologies? This project sought to evaluate whether clinical librarians are able to provide accurate and updated information to physicians. Method: Twenty general practitioners working in non rural working in remote areas of Kerman were requested to ask clinical librarians 5 questions through a phone line each over the period of two months whenever they felt they need to have more information on a matter related to their practice. Then all questions and answers were evaluated by expert medical specialists and pharmacists who were academic staff of Kerman University of Medical Sciences . Clinical librarians’ role was also evaluated by an electronic questionnaire sent to general practitioners. Results: Over 80 percents of the answers were evaluated as perfect and 10 percent as good. Only 10 percent of the answers were scored as wrong. Conclusion: Clinical librarians are able to provide reliable information to remote and rural physicians, The fact which has been also verified by the specialists. However, clinical librarians need to improve their English language and their knowledge about online search strategies and basic medication. Telecommunication infrastructure and suitable internet speed for online search by librarians are very important.
This official document is statement of the President of the Chilean Nuclear Energy Commission, Dr. Eduardo Bobadilla, about the nuclear policy of the Chilean State, Thanks to the international policy adopted by presidents Aylwin (1990-1994) and his successor Frei Ruiz Tagle (1994-), a nuclear development plan, protected by the Chilean entrance to the nuclear weapons non proliferation treaty and Tlatelolco Denuclearization treaty, has started. Chile will be able to develop without interference, an autonomous nuclear electrical system and other pacific uses of nuclear energy. Chile also supports a new international treaty to ban nuclear weapon tests. PMID:9041734
Full Text Available Background: For the shortage of high-quality general practitioners (GPs in China's rural areas, Chinese government has taken steps to encourage rural specialists to participate in transition training for future GPs. Specialists’ initial participation motivations and their perceived deterrents during training may play important roles for their learning engagement in the transition training. This study aimed at revealing the relationships among the variables of initial participation motivations, perceived deterrents in training, and learning engagement. Methods: A questionnaire survey was used in this study. A total of 156 rural specialists who participated in transition training for future GPs filled out the questionnaire, which consisted of the measurements of initial participation motivations, perceived deterrents, and learning engagement in training. The data about specialists’ demographic variables were collected at the same time. Results: The variance of initial escape/stimulations motivation significantly predicted the variance of learning engagement through the full mediating role of perceived deterrents in training. In addition, initial educational preparation motivations predicted the variance of learning engagement directly. Conclusions: Specialists’ initial participation motivations and perceived deterrents in training played important roles for learning engagement in the transition training.
Brian J. Gareau
This paper explores the importance of incorporating the socioecological realities of alternative networks into analyses of rural development. Cultural theory is examined, which provides a base upon which rural development can identify difference in worldviews based on difference in sociological conditions and environmental phenomena. Actor-oriented theory problematizes the ideal types of cultural theory, providing a means of give-and-take between actorsâ€™ worldviews of different networks. Ac...
S. Olate; JP Alister; Soto, M.; R Alveal; J. Fuentes; D. Thomas
Introducción: A pesar de la creciente tecnología odontológica y el progresivo aumento de la cantidad de odontólogos, el precario estándar de salud oral de la población rural se ha mantenido a lo largo del tiempo. El objetivo de esta investigación es describir y cuantificar las exodoncias de piezas dentarias permanentes en población rural. Metodología: Se realizó un estudio de tipo descriptivo seleccionando el 100% de los sujetos atendidos en el Consultorio Chol-Chol, (IX Región) de 11 a 30 añ...
杨秀木; 齐玉龙; 申正付; 韩布新; 孟贝
目的：理论建构和实证研究农村全科医生胜任力素质模型。方法通过文献研究、岗位分析、访谈和专家小组讨论，编制农村全科医生胜任力素质问卷，对中部六省1400名农村全科医生进行问卷调查。采用主成分法进行探索性因素分析提取公因素，并进行结构方程模型验证。采用回归方程分析胜任力特质对工作绩效的影响。结果问卷的Cronbach'sα系数为0.975，农村全科医生胜任力模型包含9项胜任特征，分别为基本公共卫生服务能力、临床基本能力、系统分析能力、信息管理能力、沟通与合作能力、职业道德能力、非医学专业知识、个人特质、心理适应性，对总方差的累积解释率为76.855%。模型拟合指数分别为：x2/df为1.88，GFI=0.94，NFI=0.96，NNFI=0.98，PNFI=0.91，RMSEA=0.068，CFI=0.97，IFI=0.97，RFI=0.96，模型拟合较理想。回归分析表明，胜任力素质特征对工作绩效有显著影响。结论构建的农村全科医生胜任力模型可以为乡村医生转岗培训、农村订单定向医学生培养、农村全科医生绩效管理等提供参考依据。%Objective To perform theory construction and empirical study of the competency model of rural general practitioners. Methods Through literature study, job analysis, interviews, and expert team discussion, the questionnaire of rural general practitioners competency was constructed. A total of 1458 rural general practitioners were surveyed by the questionnaire in 6 central provinces. The common factors were constructed using the principal component method of exploratory factor analysis and confirmatory factor analysis. The influence of the competency characteristics on the working performance was analyzed using regression equation analysis. Results The Cronbach 's alpha coefficient of the questionnaire was 0.974. The model consisted of 9 dimensions and 59 items. The 9 competency dimensions included
Carter Leal, L.M.
In Chile, agriculture remains a key economic factor for rural development. Accordingly, the Chilean government, through the Agricultural Development Institute (INDAP), provides financial support for fostering entrepreneurship among small farmers to enable them to become more competitive in global ma
Silva, Nelson; Vargas, Cristian A.
Chilean Patagonia is one of the largest estuarine systems in the world. It is characterized by a complex geography of approximately 3300 islands, a total surface area of 240,000 km2, and 84,000 km of coast line, including islands, peninsulas, channels, fjords, and sounds. The Chilean Patagonia Interior Sea is filled with a mixture of sea, estuarine, and fresh waters, and is characterized by a two layer vertical general circulation. Dissolved oxygen (DO) conditions in these fjords were analyzed based on historic salinity, dissolved oxygen and nutrient data from 1200 oceanographic stations. Horizontal advection of adjacent well oxygenated Subantarctic Waters (5-6 mL L-1) was the mayor source of DO in the deep layers of the Interior Sea. Incoming DO was consumed by the respiration of autochthonous and allochthonous particulate organic matter, as ocean water flows towards the continental fjord heads, reaching near-hypoxic (2-3 mL L-1) or hypoxic levels (2 mL L-1) and four hypoxic (<2 mL L-1), but only at their heads. None were found to be anoxic (0 mL L-1). We found these DO conditions to be permanent features of the Chilean Patagonia Interior Sea.
申正付; 黎丹丹; 齐玉龙; 杨秀木; 孟贝; 贺庆功
目的：：构建并开发农村全科医生胜任力素质测评指标体系。方法：运用关键事件访谈法,在安徽省蚌埠地区、滁州地区对30名全科医生、10名市/县卫生与计划生育委员会卫生行政管理者、10名乡镇卫生院院长进行结构式访谈。访谈内容运用NVivo8.0质性分析软件进行分析。选择30名专家进行2轮德尔菲法专家咨询。对安徽、河南、山西、湖南、湖北和江西中部6省1458名农村全科医生进行问卷调查。结果：根据质性分析提取题目的内涵以及专家的意见归纳为9个胜任力素质维度：个人特质、职业道德能力、心理适应性、基本公共卫生服务能力、临床基本能力、信息管理能力、系统分析能力、沟通与合作能力和非医学专业知识。德尔菲法专家咨询：专家的积极程度100%,权威程度Cr=0.89。探索性因素分析结果,取样适切性量数=0.976,P=0.000,提取9个公因子,累计解释方差75.128%,总问卷及各维度问卷的克朗巴哈系数为0.857~0.975；验证性因素分析结果,各项拟合指标分别为卡方自由度比=2.649,渐进残差均方和平方根=0.065,良适性适配指标=0.94,增值适配指数=0.98,非规准适配指数=0.98,比较适配指数0.98；农村全科医生绩效考核优秀者胜任力素质各维度评分均明显高于合格者(P<0.01)。结论：构建的农村全科医生胜任力测评体系可以作为测评农村全科医生胜任能力的依据。%Objective:To develop the competency evaluation index system of the rural general practitioners. Methods:Thirty general practitioners from Bengbu and Chuzhou,10 administrators from the health and Family Planning Commission in city/county and 10 presidents from township hospitals were interviewed using the critical incident interview method,the results of which were analyzed by NVivo8. 0. software. Thirty experts were consulted with Delphy expert consultation for two rounds. The 1
Carlos A Celis-Morales
Full Text Available BACKGROUND: Effects of urbanisation on diabetes risk appear to be greater in indigenous populations worldwide than in populations of European origin, but the reasons are unclear. This cross-sectional study aimed to determine whether the effects of environment (Rural vs. Urban, adiposity, fitness and lifestyle variables on insulin resistance differed between individuals of indigenous Mapuche origin compared to those of European origin in Chile. METHODOLOGY/PRINCIPAL FINDINGS: 123 Rural Mapuche, 124 Urban Mapuche, 91 Rural European and 134 Urban European Chilean adults had blood taken for determination of HOMA-estimated insulin resistance (HOMA(IR and underwent assessment of physical activity/sedentary behaviour (using accelerometry, cardiorespiratory fitness, dietary intake and body composition. General linear models were used to determine interactions with ethnicity for key variables. There was a significant "ethnicity x environment" interaction for HOMA(IR (Mean±SD; Rural Mapuche: 1.65±2.03, Urban Mapuche: 4.90±3.05, Rural European: 0.82±0.61, Urban European: 1.55±1.34, p((interaction = 0.0003, such that the effect of urbanisation on HOMA(IR was greater in Mapuches than Europeans. In addition, there were significant interactions (all p<0.004 with ethnicity for effects of adiposity, sedentary time and physical activity on HOMA(IR, with greater effects seen in Mapuches compared to Europeans, an observation that persisted after adjustment for potential confounders. CONCLUSIONS/SIGNIFICANCE: Urbanisation, adiposity, physical activity and sedentary behaviour influence insulin resistance to a greater extent in Chilean Mapuches than Chileans of European descent. These findings have implications for the design and implementation of lifestyle strategies to reduce metabolic risk in different ethnic groups, and for understanding of the mechanisms underpinning human insulin resistance.
Pantoja, Silvio; Luis Iriarte, José; Daneri, Giovanni
Chilean Patagonia is one of the most extended fjord regions in the world that covers nearly 240,000 km 2 with an extremely complex coastline and topography in one of the least densely populated areas of the country (1-8 inhabitants every 10 km 2). In recent years, the area has been undergoing somewhat intense pressure since several commercial projects in hydroelectricity, tourism, and commercial salmon and mytilid cultures have been developed, or are in progress. Concomitantly, several large research programs have been devised to study the physical, chemical, and biological environment of Patagonia, such as the CIMAR FIORDO, and recently COPAS Sur-Austral based at Universidad de Concepcion, that attempts to close the bridge between oceanographic knowledge and its use by society. In this introductory article we summarize the collection of papers comprising this Special Issue of Continental Shelf Research. These papers deal with aspects of regional oceanography and geology, inorganic and organic geochemistry, ecology of pelagic and benthic organisms, and past changes in productivity.
Carter Leal, L.M.
In Chile, agriculture remains a key economic factor for rural development. Accordingly, the Chilean government, through the Agricultural Development Institute (INDAP), provides financial support for fostering entrepreneurship among small farmers to enable them to become more competitive in global markets. Despite this support, a declining number of farmers and an aging population are observed in rural areas. Most rural development programs focus on increasing competitiveness, whereas the stay...
Guzman Cruzat, Jose Antonio
This study aims to explain the strategies that have been carried out by three Chilean universities in order to advance the quality of their teaching. The studied institutions are the Universidad de los Andes, the Universidad de Talca and the Universidad Catolica de Chile. In each of these three cases the analysis included, both the policies…
Nagarajan, P.; Jiji, G. Wiselin
This paper is intended as a gender issue to the rural finance practitioners. It highlights the questions that need to be asked and addressed to the gender mainstream. It will also be useful to gender experts to wish to increase their understanding on specific gender issues in rural finance through mobile services. It focuses on rural microfinance…
Rehman, Naqeeb Ur
The purpose of this paper is to investigate the innovation activities of Chilean firms’ by using micro level data. Previous studies showed research gap related to micro level analysis of the Chilean SMEs. For the first time, multiple proxies have been used as dependent variables (product/process innovations and patent application/spending), which is neglected by the past studies. A micro level data has been obtained from the World Bank, Enterprise Survey on 696 Chilean SMEs. Bivariate probit...
M Mora-Carreño; Briones, R.; JS Galecio; Parra, D.; Rosenfeld, C.; SCHMEISSER, A.; B Menarim
Chilean Rodeo is the most popular equestrian discipline in Chile and it is estimated that musculoskeletal diseases of the equine participants are the leading cause of illness and poor performance, however no related reports have been published. The aim of this study was to identify and characterize the main diseases associated with lameness in Chilean Rodeo horses. A retrospective study was performed considering the clinical attention records of horses participating in Chilean Rodeo which pre...
Full Text Available The article reports an exploratory research on the uses given in Chile to the Anglicism bullying. In order to do so, its evolution is reviewed from the early studies in the Nordic countries, to the treatment of the topic in the Chilean context. The focus of this work is based on socioconstructionism and in turn promotes the consideration of the characteristics of the socio-cultural and historical context of knowledge production with a postcolonial intention. To review the constructions on the subject, we selected Chilean videos at the YouTube virtual platform, using as methodology discourse analysis and dense description. In results can be observed two meanings of bullying: (i to refer to any kind of aggression and (ii as a homologous of abuse among schoolchildren. In response, it is realized the discrepancy with the proposed definitions from general academia and those used in the local environment in investigations, interventions, public policy and mass media in Chile.
Claudia Mellado; Claudia Lagos
On the basis of survey responses of 570 journalists from 114 newspapers, radio, newswires, television, and internet news organizations, this paper describes the role conceptions, epistemological underpinning, and ethical values of the Chilean news media workers, comparing the differences that exist among media types and between the capital and the rest of the country. The findings show territorial cultures of journalism, with differences between the capital and provincial regions, mostly clas...
This report provides a comprehensive survey, in depth assessment of the activities overview of ENDESA, Chilean Electricity Company, highlighting economical information and including historical and technical aspects. Economics is its focal point, but other relevant data are shown, like technical data on hydroelectric and thermoelectric power plants. Main activities developed by ENDESA are described, such in Chile as in the foreign. Data on power generation, transmission and transport are also presented and an economical balance of each colligated company are done and analysed
Full Text Available A BVAR Forecasting Model for the Chilean Economy Doan, Litterman, and Sims have described a method for estimaling Bayesian vector autoregressive (BVAR forecasting models. The method has been successfully applied to the U.S. macroeconomic dataset, which is relatively long and stable. Despite the brevity and volatily of the post-1976 Chilean macroeconomic dataset, this paper shows that a straightforward application of the DLS method to this datasef, with simple modification to allow for delays in the release of data, also appears to satisfy at least one criterion of relative forecasting accuracy suggested by Doan, Litterman, and Sims. However, the forecast errors of the Chilean BVARs are stil large in absolute term. Also, the model's coefficients change sharply in periods marked by policy shifts, such as the floating of the peso in 1982.
Høst, Jeppe Engset
paradigm” (OECD 2006) and its implications for ethnological scholars and practitioners of today. In the “new rural paradigm”, bottom-up processes, “place-bound” cultural and historical values are highlighted as essential to local development. This of course empowers the ethnologists, but also put us in a...
Full Text Available This study explored a range of sociodemographic factors associated with disability among international immigrants in Chile, and compared them to the Chilean-born. Secondary data analysis of the Chilean population-based survey CASEN-2006 was conducted (268,873 participants. Main health outcomes: any disability and six different types of disability: visual, hearing, learning, physical, psychiatric and speaking (binary outcomes. Sociodemographic variables: Demographic factors (age, sex, marital status, urban/rural, ethnicity, socioeconomic status (SES: income, education, employment status, and an integrated indicator combining the SES measures through cluster analysis for the immigrant population, material factors (overcrowding, sanitation, housing quality and migration related (country of origin and length of stay. Immigrants reported a significantly lower prevalence of any disability (3.55%, visual (1.00% and physical disability (0.38%. Factors associated with any disability among immigrants were age, low SES or over 20 years duration of residence in Chile; while a range of sociodemographic factors were associated with disability in the Chilean-born. Conditional regression models by age group varied between populations, but SES remained significantly associated with disability across immigrants and the Chilean-born. However, there are no similar patterns of factors associated to different types of disability between the populations under study. Factors associated with disability varied between populations under study, but SES showed a consistent association with any disability in immigrants and the Chilean-born. Types of disability showed different patterns of factors associated to them between populations, which suggest the great complexity of underlying mechanisms related to disability in Chile.
Many papers describe the Chilean voucher system as the "textbook" voucher case. But this is mistaken and has prevented research to undertake the key question of how the particular design of the Chilean voucher system determines the results obtained in Chile. This also prevents discussion of how a voucher system with a different design could lead…
I have been delivering the flexible family work approaches outlined in this supplement at Aquarius for the past 8 years. Aquarius is an English Midlands-based addictions charity working with people who have problems with alcohol, drugs, or gambling and supporting their family members/concerned others. I have been a practitioner participating in…
Hamuy, M.; Pignata, G.; Maza, J.;
The CHilean Automatic Supernova sEarch (CHASE) project began in 2007 with the goal to discover young, nearby southern supernovae in order to (1) better understand the physics of exploding stars and their progenitors, and (2) refine the methods to derive extragalactic distances. During the first...... four years of operation, CHASE has produced more than 130 supernovae, being the most successful project of its type in the southern hemisphere. Here we describe the project and present illustrative examples of CHASE discoveries of particular relevance....
Mariotti, María S; Toledo, Carla; Hevia, Karen; Gomez, J Pablo; Fromberg, Arvid; Granby, Kit; Rosowski, Jaime; Castillo, Oscar; Pedreschi, Franco
Chilean consumer preferences include foods that may contain considerable amounts of furan, a potential human carcinogen. However, there is no information regarding dietary exposure to furan in Chile. Thus, the objective of this work was to determine the Chilean exposure to dietary furan. To accomplish this objective, the furan concentration of 14 types of commercial foods processed at high temperature were analysed based on a modified headspace-GC/MS (HS-GC/MS) method in which the limits of detection for different food matrices ranged from 0.01 to 0.6 ng g(-1). In addition, a risk assessment was made with exposure estimates based on dietary data from national studies on different age groups (9-month-old babies, school children, adults and elderly people). Of the food items surveyed "American"-type coffee (espresso coffee plus hot water) obtained from automatic coffee machine (936 ng g(-1)) and low moisture starchy products like crisps and "soda"-type crackers showed the highest furan concentrations (259 and 91 ng g(-1), respectively). Furthermore, furan was also found in samples of breakfast cereals (approximately 20 ng g(-1)), jarred fruit baby foods (8.5 ng g(-1)) and orange juice (7.0 ng g(-1)). School children (aged 9-13 years) represented the highest intake of furan (about 500 ng kg(-1)(bw) day(-1)), with margins of exposure of 2479 and 2411, respectively, which points to a possible public health risk. PMID:23875686
There is an inherent dilemma that some research indicates ways and means of doing design practice, in particular how practitioners bring what this paper identifies as informal resources into play, that are seldom reflected in how and what design students are taught or learn. The question is posed...... draw up an alternative understanding of collaborative design practice as participatory inquiry. The paper suggests that participatory inquiry, as it more fully takes into account the learning driven and relational nature of design practice, could help inform alternative design educational strategies....
The objective of this paper is to evaluate the concept of the simplicity in a tax system. The analysis approaches the different scopes in which the tax simplicity is observed. For this purpose, the main aspects of the Chilean tax system are analyzed, by using indicators that try to define the concept in a quantitative frame. The analysis of the Chilean case is used to infer some implications that could also be valid in other Latin American tax systems.
Amador Paola; Obregón Ana M; Cataldo Rodrigo; Domínguez-Vásquez Patricia; Smalley Susan V; González Andrea; Ho-Urriola Judith A; Santos José L; Weisstaub Gerardo; Hodgson M Isabel
Abstract Background Inadequate eating behavior and physical inactivity contribute to the current epidemic of childhood obesity. The aim of this study was to assess the association between eating behavior scores and childhood obesity in Chilean children. Design and methods We recruited 126 obese, 44 overweight and 124 normal-weight Chilean children (6-12 years-old; both genders) according to the International Obesity Task Force (IOTF) criteria. Eating behavior scores were calculated using the ...
Savin, Daniel; Garry, Mark T.; Zuccaro, Paula; Novins, Douglas
Of all of the medical specialties, child and adolescent psychiatry has the most severe shortage of practitioners. This shortage is even more pronounced in economically disadvantaged and rural areas. The American Indian population is younger, more economically disadvantaged, and more rural than the general U.S. population (United States Census…
Hessler, Gudrun; Unzicker, Kai
This paper examines interaction processes and knowledge exchange between social scientists and practitioners. We conducted semi-structured interviews with practitioners working in specified fields of practice who have been involved in sociological research projects - as subjects of investigation or as experts. These research projects focused on social integration and disintegration in different sectors of German society. The interviewed practitioners were working in sectors under scrutiny by ...
Ashin, E R
Dental school libraries offer resources of value to dental practitioners, but do not always consider practitioners to be primary clientele. A survey was conducted among the sixty U.S. dental school libraries to examine policies and attitudes toward service to practitioners. Although library use by dentists is estimated to be low, most libraries are willing to serve them as long as it does not reduce the libraries' ability to assist students and faculty. Of the respondents, 57% replied that th...
Geno, Charles Edward
Family practice physicians have contributed significantly to the care of maternity patients nationwide, but since the 1970s the number of family practice physicians delivering babies has decreased at a steady pace. In rural areas especially, family physicians are often the sole providers of care. Without these rural doctors providing maternal care, the risk of poor maternal/infant outcome increases. In the 1990s, it was found that residents of family medicine who are taught obstetrics all or in part by other family practice doctors are more likely to provide this kind of care when they finish residency. With this information, the Residency Review Committee that oversees national residency guidelines added the requirement that in all family practice residencies at least one practitioner must provide maternity care in an ongoing basis. To meet this challenge the country's medical training institutions quickly had to find new ways to teach and provide coverage for family practitioners involved in newborn delivery. Ochsner has developed credentialling for staff family practitioners to provide this care. Staff family practitioners are involved in the prenatal care of pregnant patients and have the opportunity to supervise their residents during labor and delivery. With the assistance of the obstetrical staff the Family Practice Residents' experience has greatly increased, reaching nearly 70 deliveries in 1998 alone with projections of over 100 for 1999. PMID:21845122
International binding documents state that Member States should provide an effectively independent Regulatory Body. There are no recommendations on how independent a Regulatory Body must be. As a result, many different regulatory structures are found worldwide. Economical development status of Member States can be easily correlated to their regulatory organizations; nuclear power programs are also decisory. Along the last fifty years, regulatory activities in Chile have gone through several changes: before 1974 radioactive facilities were controlled by the Ministry of Health. A Supreme Decree issued on June 1974, approved the 'Regulations on Licensing (of radioactive facilities)', conferring this faculty to the Chilean Nuclear Energy Commission. The CNEC had, de facto, the same faculties regarding nuclear facilities. The Nuclear Safety Law, published in 1984 stated that the Chilean Nuclear Energy Commission (CNEC) was the competent authority regarding nuclear facilities, while Regional Health Services belonging to the Ministry of Health, were competent over all radioactive facilities. In 1987 the Law No. 18.730 amended the Nuclear Safety Law, transferring the competence over 1st category radioactive facilities and associated matters to the CNEC. In 2004 the Ministry of Health went under a great reorganization: the Law No. 19.937 defined new competent authorities, providing an effective independence of the regulatory functions. In 2001, the Board of Directors of the CNEC delegated the faculty of granting authorizations to the Head of the Nuclear and Radiological Safety Department. In 2005, the Board also delegated the faculties of proposing regulations and standards and prosecuting regulation violators on the person of the Head of the Nuclear and Radiological Safety Department. Both, the Ministry of Health and the CNEC, have given decisory steps towards fulfilling the principle of regulatory independence: the first one by separating functions at the level of
Gundersrud, Synne Høie
This analysis explores the extent to which gender equality exists within the Chilean military institutions. A clear political and legal space has been created for equality to grow in Chile, and many advances in Chilean politics demonstrate progress in terms of expanding the gender equality agenda in Chilean society. However, my analysis indicates that traditional and discriminatory ideas of gender, dominating the culture of the Chilean Armed Forces, are limiting the social process of integrat...
Bauer, Carl J.
Chile's free-market Water Code turned 20 years old in October 2001. This anniversary was an important milestone for both Chilean and international debates about water policy because Chile has become the world's leading example of the free-market approach to water law and water resources management, the textbook case of treating water rights not merely as private property but also as a fully marketable commodity. The predominant view outside of Chile is that Chilean water markets and the Chilean model of water management have been a success, and this perception has encouraged other countries to follow Chile's lead in water law reform. Much of the debate about Chilean water markets, however, has been based more on theoretical or political beliefs than on empirical study. This paper reverses that emphasis by reviewing the evolution of empirical research about these markets since 1990, when Chile returned to democratic government after 16 years of military rule. During the period since 1990, understanding of how Chilean water markets have worked in practice has gradually improved. There have been two major trends in this research: first, a gradual shift from exaggerated claims of the markets' success toward more balanced assessments of mixed results and, second, a heavy emphasis on the economics of water rights trading with very little attention given to the Water Code's impacts on social equity, river basin management, environmental protection, or resolution of water conflicts. The analysis in this study is qualitative and interdisciplinary, combining law, economics, and institutions.
Full Text Available Understanding ecosystem processes is vital for developing dynamic adaptive management of human-dominated landscapes. We focus on conservation and management of the central Chilean silvopastoral savanna habitat called “espinal”, which often occurs near matorral, a shrub habitat. Although matorral, espinal and native sclerophyllous forest are linked successionally, they are not jointly managed and conserved. Management goals in “espinal” include increasing woody cover, particularly of the dominant tree Acacia caven, improving herbaceous forage quality, and increasing soil fertility. We asked whether adjacent matorral areas contribute to espinal ecosystem processes related to the three main espinal management goals. We examined input and outcome ecosystem processes related to these goals in matorral and espinal with and without shrub understory. We found that matorral had the largest sets of inputs to ecosystem processes, and espinal with shrub understory had the largest sets of outcomes. Moreover, we found that these outcomes were broadly in the directions preferred by management goals. This supports our prediction that matorral acts as an ecosystem process bank for espinal. We recommend that management plans for landscape resilience consider espinal and matorral as a single landscape cover class that should be maintained as a dynamic mosaic. Joint management of espinal and matorral could create new management and policy opportunities.
This thesis discusses the nuclear radiation that people who work with radioactive material is exposed to and its control by the Chilean Nuclear Energy Commission. A full analysis of the System is presented with information about the Commission and the Department of Nuclear and Radiological Safety which runs the System. Ana analysis of the System is presented in order to obtain requirements. Management flow diagrams, the processes involved and current problems experienced by the users are described. A design logic is modeled producing Data Flow Diagrams (DFD). based on this physical design, or, Model of Physical Data, is prepared including tables, attributes, types of data, primary and foreign keys. A description is presented of how the System is implemented, the tools that are used and how the testing phase is carried out. The Dosimetry System meets the criteria for a Software Engineering project, where the basic cycle was used as a working methodology. The System developed supports the dosimetric control of people exposed to radioactive material. (author)
Objective:Discuss the training path on the all -around doctor mental health service ability of teaching practice .Methods:On the base of general practitioners self -rating symptom scale (SCL-90 scale), chronic psychological guidance , psychological, mental health problems , clinical features , treatment and prevention and control principle of training .Results:Chronic psychological guidance , psychological , mental health problems , clinical characteristics , treatment and control principle of the project , the teacher evaluation and student evaluation results were 67.5%, 70.2%, self-rating symptom scale (SCL-90 scale) student self -assessment results for 25. 9%.Conclusion:(1)The all-around doctor mental health services and improve their ability;(2) The weak psychological measurement knowledge , strengthening medical psychology , psychological measurement knowledge training .%目的：探讨对基层全科医生心理卫生服务能力的教学实践培训路径。方法：对基层全科医生进行症状自评量表（ SCL～90量表）、慢性病心理指导、常见心理、精神卫生问题临床特征、处理及防控原则的培训。结果：慢性病心理指导、常见心理、精神卫生问题临床特征、处理及防控原则项目，老师考核和学员自评结果分别为67．5％、70．2％，症状自评量表（ SCL～90量表）学员自评结果为25．9％。结论：（1）基层全科医生心理卫生服务能力有所提高；（2）心理测量知识薄弱，应加强医学心理学、心理测量知识培训。
... nurses, or APNs) have a master's degree in nursing (MS or MSN) and board certification in their ... Nurse Practitioners (NAPNAP) and through local hospitals or nursing schools. In addition, many doctors share office space ...
Umstattd Meyer, M Renée; Moore, Justin B; Abildso, Christiaan; Edwards, Michael B; Gamble, Abigail; Baskin, Monica L
Rural residents are less physically active than their urban counterparts and disproportionately affected by chronic diseases and conditions associated with insufficient activity. While the ecological model has been successful in promoting and translating active living research in urban settings, relatively little research has been conducted in rural settings. The resulting research gap prohibits a comprehensive understanding and application of solutions for active living in rural America. Therefore, the purpose of this article was to assess the evidence base for an ecological model of active living for rural populations and outline key scientific gaps that inhibit the development and application of solutions. Specifically, we reexamined the 4 domains conceptualized by the model and suggest that there is a dearth of research specific to rural communities across all areas of the framework. Considering the limited rural-specific efforts, we propose areas that need addressing to mobilize rural active living researchers and practitioners into action. PMID:26327514
Sapiain, Raul; Ovalle, Ricardo; Torres, Ariel; Brockmeyer, Ricarda; Schmidt, Reinhold [Centro de Energias Renovables/Universidad de Tarapaca, Arica, (Chile); Meer, Andreas V. [Solar Institute, Juelich (Germany)
Basic rural electrification programmes are already carried out in the rural areas of northern Chile by local communities and local governments using photovoltaic systems. Solar Home Systems, 12 VDC are installed for individual households while systems for schools, public lighting etc. are realized with bigger systems, 220 VAC. Within a cooperation with the Solar Institute of the Fachhochschule Juelich, Germany, the Renewable Energy Center of the University of Tarapaca designed, installed and evaluated the first solar/wind hybrid installation for basic electrification in northern Chile, realized in Colpitas, a typical small village in the chilean altiplano. The following paper presents results and experiences of this first pilot installation. [Espanol] Ya se estan llevando a cabo programas de electrificacion rural basica en las areas rurales del Norte de Chile por las comunidades y los gobiernos locales, usando sistemas fotovoltaicos. Se instalan Sistemas Domesticos Solares de 12VDC para casas-habitacion individuales, mientras que los sistemas para escuelas, alumbrado publico, etc., se ejecutan con sistemas mas grandes de 220VAC. Con la coperacion del Instituto Solar de la Fachhochschule en Julich, Alemania, el Centro de Energia Renovable de la Universidad de Tarapaca, diseno, instalo y evaluo, la primera instalacion hibrida solar/viento para electrificacion basica en el Norte de Chile, realizado en Colpitas, un pueblo tipico pequeno del altiplano chileno. El siguiete articulo presenta los resultados y experiencias de esta primera instalacion piloto.
This article reviews the Chilean civil nuclear liability regime. The Nuclear Security Act (Law 18.302), enacted in 1984, and the Vienna Convention on Civil Liability for Nuclear Damage, ratified ed by Chile in 1989, are the fundamental laws of the current regime. Although Chile has no nuclear power plants, it is still important to analyze how the Chilean legislation would protect citizens from nuclear damages. This paper does not consider the policy reasons for and against the promotion of atomic energy. Rather, it critically examines the current status of the Chilean nuclear regime. Undoubtedly, if in the future Chile chooses to include nuclear sources in its energy mix, it will not be enough to introduce some isolated legal amendments, but it will be necessary to build a new Chilean Energy Regime which includes nuclear energy. In that scenario, though, it will be useful to know and understand how the current nuclear liability regime works. From this point of view, the reforms this article proposes to the current nuclear liability regime might be helpful to academics and policy makers alike
Full Text Available Abstract Background Inadequate eating behavior and physical inactivity contribute to the current epidemic of childhood obesity. The aim of this study was to assess the association between eating behavior scores and childhood obesity in Chilean children. Design and methods We recruited 126 obese, 44 overweight and 124 normal-weight Chilean children (6-12 years-old; both genders according to the International Obesity Task Force (IOTF criteria. Eating behavior scores were calculated using the Child Eating Behavior Questionnaire (CEBQ. Factorial analysis in the culturally-adapted questionnaire for Chilean population was used to confirm the original eight-factor structure of CEBQ. The Cronbach's alpha statistic (>0.7 in most subscales was used to assess internal consistency. Non-parametric methods were used to assess case-control associations. Results Eating behavior scores were strongly associated with childhood obesity in Chilean children. Childhood obesity was directly associated with high scores in the subscales "enjoyment of food" (P Conclusion Our study shows a strong and graded association between specific eating behavior scores and childhood obesity in Chile.
Lomstein, Bente Aagaard; Jørgensen, Bo Barker; Schubert, Carsten J.;
The spatial distribution of total hydrolysable amino acids (THAA) and amino acid enantiomers (D- and L-forms) was investigated in sediments underlying two contrasting Chilean upwelling regions,: at ~23°S off Antofagasta and at ~36°S off Concepcion. The contribution of amino acids to total organic...
Strappini, A.C.; Frankena, K.; Metz, J.H.M.; Kemp, B.
Records of cattle slaughtered at two Chilean slaughterhouses (SLH1 and SLH2) were used to determine prevalence and risk factors for carcasses with bruises. Bruise prevalence amounted to 12.3% but differed between slaughterhouses (20.8% for SLH1 and 8.6% for SLH2 respectively). Bruise severity grade
Full Text Available strategic reaction by the military regime to the defeat of General Augusto Pinochet in the 1988 Plebiscite since the system was formally established during the period between the plebiscite and the first postauthoritarian elections in 1989. This theory, however, offers a mistaken account of the history and evolution of the binominal election system whose origins are considerably more complex than the conventional wisdom suggests. This article explores the internal political processes and the ideology that led the military government to adopt the binominal system. It argues that the election system was the capstone of the authoritarian institutional framework designed by the military government to protect the 1980 Constitution from efforts by the Concertación to reform it. Contrary to popular belief, the binominal system was proposed long before the 1988 Plebiscite by Arturo Marín Vicuña, then secretary of a government commission studying a new electoral law. This article maintains that, more than any other factor, the binominal system reflects and responds to an interpretation of Chilean political history between 1960 and 1973 that was widely shared among the Pinochet government's legal advisorsSe ha asumido que el presente sistema electoral chileno -el "binominal mayoritario"- fue una reacción ante la derrota del General Augusto Pinochet en el plebiscito de 1988, ya que fue lanzado en el intermedio después del plebiscito, pero antes que el régimen militar abandonara el poder. No obstante, esta hipótesis se equivoca en la historia de la evolución del sistema binominal que es más complejo. Este artículo explora la historia de los procesos políticos dentro del régimen militar y la ideología que llevó al sistema binominal. Argumenta que el sistema binominal fue la piedra arquitectónica de la institucionalidad autoritaria del régimen militar que protegía su Constitución de 1980 contra los esfuerzos de la Concertación para
Kaffenberger, Carol J.
Despite the repeated call to increase the number of practitioner research manuscripts being published in counseling publications, practitioner research accounts for less than five percent of all manuscripts published. This article describes the challenges faced by practitioners seeking to publish their research, defines practitioner research, and…
Full Text Available Chilean Rodeo is the most popular equestrian discipline in Chile and it is estimated that musculoskeletal diseases of the equine participants are the leading cause of illness and poor performance, however no related reports have been published. The aim of this study was to identify and characterize the main diseases associated with lameness in Chilean Rodeo horses. A retrospective study was performed considering the clinical attention records of horses participating in Chilean Rodeo which presented lameness. Information was collected regarding 114 cases, including identification (name, age and gender and the clinical characteristics of each episode. The average age of the horses was 8 ± 3.4 years. Among the subjects, 98.3% of the episodes corresponded to spontaneous lameness, with 2/4 being the most frequent degree of lameness. Unilateral episodes corresponded to 72.8% (83/114 of the cases, affecting primarily the front limbs (51/83. The most frequent diagnoses were: suspensory ligament desmitis (14%, tarsal osteoarthritis (13.2%, navicular syndrome (8.8%, laminitis (7.9%, deep digital flexor tendonitis (7% and metacarpophalangeal osteoarthritis (6.1%. The high frequency of grade 2 lameness suggests that the majority of veterinary attentions seem to be mostly at obvious conditions. Joint, foot and soft tissue conditions seem to be the main cause of lameness in equines participating in Chilean Rodeo. These results suggest that education regarding the importance of early diagnosis and greater hoof care are primary measures that may favor the prevention of lameness in Chilean Rodeo horses.
Robotham, Antony John
qualities and the DFQ framework.Design Research needs to provide deeper insight in to the soft aspects of quality and DFQ, e.g. understanding the quality mind-set and how it is developed, understanding the perception of quality and its relationships to the product characteristics, and what mix of skills and...... and train future design practitioners to master this critical dimension of product development?The purpose of this paper is to consider the current status of Design for Quality, explore the skills designers require to be effective practitioners of Design for Quality, and to identify some of the...... challenges the design research community needs to face.The paper argues that Design for Quality provides a robust framework, which can be used by the industrial, research, and educational communities as a platform for improving the skills and capability of the practitioners of Design for Quality...
Hickey, Wesley D.; Gill, Peggy B.; Amonett, Cathy
A new international partnership in southern Belize that provided ongoing mentoring, teacher development, and resource allocation in two rural schools was examined through interviews with key individuals. This research was implemented through a scholar-practitioner approach, which embraces the concept of researcher as change agent. The results…
... Programs Overview State Rural Health Associations Rural Medical Education Rural Health Fellows Rural Health Fellows Program Application Volunteer Options NRHA Social Media Rural Health Students Education Liason Program National Rural Task Force NRHA Internships Government Affairs Save Rural ...
Morgenroth, Eberhard Friedrich; van Loosdrecht, M. C. M.; Wanner, O.
Even though mathematical biofilm models are extensively used in biofilm research, there has been very little application of these models in the engineering practice so far. However, practitioners would be interested in models that can be used as tools to control plant operation under dynamic...... conditions or to help them handle complex interactions between particle removal, carbon oxidation, nitrification, denitrification and biological phosphorus removal. But even though there is a whole range of biofilm models available, it is difficult for the practitioner to select the appropriate modeling...
Morgenroth, Eberhard Friedrich; van Loosdrecht, M. C. M.; Wanner, O.
Even though mathematical biofilm models are extensively used in biofilm research, there has been very little application of these models in the engineering practice so far. However, practitioners would be interested in models that can be used as tools to control plant operation under dynamic...... conditions or to help them handle complex interactions between particle removal, carbon oxidation, nitrification, denitrification and biological phosphorus removal. But even though there is a whole range of biofilm models available, it is difficult for the practitioner to select the appropriate modeling...
Edwards, Lynn M.; Sullivan, Amanda L.
Delivering psychological services in rural communities presents a number of unique challenges for practitioners relative to their peers in urban and suburban communities. In this article, the authors describe the current context of rural schools and examine the ethical and legal issues school psychologists may face when practicing in rural…
Webster, J. Matthew; Dickson, Megan F.; Saman, Daniel M.; Mateyoke-Scrivner, Allison; Oser, Carrie B.; Leukefeld, Carl
Differences between violent and nonviolent probationers were examined in the growing, yet understudied, rural probation population. Violent rural probationers had higher rates of substance use, criminal activity, and mental health symptoms than did nonviolent rural probationers. Implications for practitioners are discussed. (Contains 3 tables.)
Prout, Sarah; Lin, Ivan; Nattabi, Barbara; Green, Charmaine
Health indicators for rural populations in Australia continue to lag behind those of urban populations and particularly for Indigenous populations who make up a large proportion of people living in rural and remote Australia. Preparation of health practitioners who are adequately prepared to face the "messy swamps" of rural health…
SIMION MINODORA OTILIA
Full Text Available The ESP teacher has to face certain challenges in his profession: One of the biggest challenges of the ESP teacher is the fact that he/she lacks the necessary knowledge of the subject to teach Business English, for instance, some researchers believing that such courses should be taught by subject teachers. The task of teaching ESP by ESL teachers is not an easy one. Dudley- Evans and St. John pointed out its complexity, identifying five key roles of the ESP practitioner: teacher, course designer and materials provider, collaborator, researcher and evaluator and this is probably the biggest challenge of the profession. The ESP practitioner has also to be aware of the fact that using a foreign language for workplace or study purposes requires not only linguistic proficiency and knowledge but also knowledge of work –related and disciplinary concepts.Last but not least, another challenge for the ESP practitioner is the use of technology in class, a valuable tool for helping with traditional forms of teaching and for creating new forms of communicating.Thus, the ESP practitioner has many things in common with the teacher of general English: he has to be familiar with linguistic development and teaching theories ,he has to be aware of contemporary ideas related to his position and role and he has to become familiar with the new technologies which can be used to improve his methodology.However,his role is more complex than that of a General English teacher.
Healthcare is leaking away from the hospital and clinic into everyday life, disrupting work and play. It is no longer confined to a strictly medical sphere. Overwhelmed medical practitioners care for the expanding ranks of chronic dependents. One solution has to been to expand healthcare activiti...
Jorge Enrique Restrepo L.; Claudio Soto G.
This paper documents the main empirical regularities of the Chilean economy over the past twenty years, characterizing it in two dimensions. First, it describes the economy’s structure in terms of the sectors’ relative sizes in the long term and the importance of the various components of aggregate demand. Second, it documents the main features of business cycles in Chile. The volatility and persistence of several variables across the cycles is described, together with the correlations within...
Maite Rodríguez Salineros; Enrique Vergara Leyton
This paper analyzes the impact of advertising among Chilean youngsters of different socioeconomic background. We aim to identify the relationship that this group establishes with advertising and, in particular, the way they incorporate it in their socialization strategies. We do not address what advertising does to youngsters, but instead what youngsters do with advertising in their practices of appropriation and reception of it. The research design included focus groups of male and ...
Vergara-Leyton, Enrique; Rodríguez-Salineros, Maite
This work analyzes the impact of advertising among Chilean youngsters of different socioeconomic background. We aim to identify the relationship that this group establishes with advertising and, in particular, the way they incorporate it in their socialization strategies. We do not address what advertising does to youngsters, but instead what youngsters do with advertising in their practices of appropriation and reception of it. The research design included focus groups of male and female you...
Gunawardena GSA; Siriwardana C; Paranavitane S; Ismail M; Fernando S.
General Practitioners (GPs) provide first contact care of children and pregnant mothers in the community. This study ascertained the prescribing pattern of anthelmintics to children and pregnant women by a sample of GPs from the district of Colombo. Two hundred medical practitioners engaged in full-time General Practice (100 urban and 100 rural), were selected randomly. A pre-tested interviewer-administered questionnaire was used to collect data. A total of 183 GPs aged between 26 and 72 year...
... Rural Health > Topics & States > Topics View more Rural Aging The nation's population is aging, and with that change comes increased healthcare needs. ... Disease Control and Prevention report, The State of Aging and Health in America 2013 , the population 65 ...
Wharton, R; Lewith, G.
The attitudes to complementary medicine of a random sample of general practitioners in Avon were assessed. A questionnaire was sent to 200 general practitioners, of whom 145 responded. The treatments studied were acupuncture, homoeopathy, herbal medicine, spinal manipulation, faith healing, and hypnosis. Of the 145 general practitioners, 55 (38%) had received some training in complementary medicine and 22 (15%) wished to arrange training. Overall, general practitioners knew little about the t...
Holmes, William H
This textbook on statistics is written for students in medicine, epidemiology, and public health. It builds on the important role evidence-based medicine now plays in the clinical practice of physicians, physician assistants and allied health practitioners. By bringing research design and statistics to the fore, this book can integrate these skills into the curricula of professional programs. Students, particularly practitioners-in-training, will learn statistical skills that are required of today’s clinicians. Practice problems at the end of each chapter and downloadable data sets provided by the authors ensure readers get practical experience that they can then apply to their own work. Topics covered include: Functions of Statistics in Clinical Research Common Study Designs Describing Distributions of Categorical and Quantitative Variables Confidence Intervals and Hypothesis Testing Documenting Relationships in Categorical and Quantitative Data Assessing Screening and Diagnostic Tests Comparing Mean...
Pressman, Roger S
This indispensable guide to software engineering exploration enables practitioners to navigate the ins and outs of this rapidly changing field. Pressman's fully revised and updated Fourth Edition provides in-depth coverage of every important management and technical topic in software engineering. Moreover, readers will find the inclusion of the hottest developments in the field such as: formal methods and cleanroom software engineering, business process reengineering, and software reengineering.
Bakker, A. B.; Schaufeli, W.B.; Sixma, H.J.; Bosveld, W.
This study used a representative sample of 507 general practitioners (GPs) to test the hypothesis that burnout is contagious. Following a two-dimensional conceptualization of burnout, it is assumed that burnout is comprised of emotional exhaustion and negative attitudes (i.e., depersonalization and reduced personal accomplishment). We hypothesized that perceived burnout complaints among colleagues and susceptibility to emotional contagion would make an independent contribution to explaining v...
Jennett, P A; Parboosingh, I J; Maes, W R; Lockyer, J M; Lawson, D
This paper reports on a one-year experience with an information networking system (MIS) between 47 rural practitioners and an academic center. Physicians were invited to phone in non-emergency clinical questions specific to daily practice needs to a telephone answering service located in the medical school library. Two-hundred-forty questions triggered by patient visits, colleagues, local rounds, allied health or local professionals, and on-site administrative meetings were forwarded to the MIS. All inquiries were classified according to the International Classification of Disease-9th Revision-Clinical Modification, and categorized into three areas of practice: diagnostic/investigative, general treatment, and pharmacology (therapeutics). The paper outlines how specific practice questions are being screened and adopted for decisions relating to four current activities which assist the ongoing maintenance of competence: 1) CME program planning, 2) residency/undergraduate curriculum development, 3) individualized CME for specific practitioners and sites, and 4) future CME research. The physician inquiries represent true needs in rural medical practice and as such should be given high priority in programs and assessments addressing the maintenance of competence. PMID:10124693
Leyva, Diana; Nolivos, Virginia
Research Findings: This study examined the relation between Chilean parents' narrative participatory styles (i.e., the way in which parents scaffold children's participation in conversations) and children's self-regulation skills. A total of 210 low-income Chilean parent-child dyads participated in the study. Dyads were videotaped talking about a…
Full Text Available Abstract There have been few formal studies on stress in veterinary surgeons and, in the rare studies available, stress is not examined jointly through the levels of job strain and job engagement, the sources of stress in the issue of work environment and the work-home interference. The authors' goal in this study was to analyse job engagement, job strain, burnout, work-home interference and job stress factors among 216 Belgian veterinary surgeons. Rural practice was compared to small animal and mixed activity. The mean job strain and job engagement level in veterinary surgeons was not higher than what we found in other working populations. However, 15.6% of the group were found to be suffering from high burnout. Rural practitioners had a lower level of job engagement than small animal veterinary surgeons. These small animal practitioners had a lower level of job strain than the mixed practitioners. The level of burnout did not differ significantly across the three types of activity. In comparison to other Belgian and Dutch workers, veterinary surgeons perceived more negative work-home interference. Bovine and mixed practitioners were the most concerned with this problem. The two most important sources of stress reported by bovine practitioners were relations to farmers and working time management (including emergencies and availability.
Full Text Available Jacqueline Fong,1,2 Thomas Buckley,2 Andrew Cashin3 1St George Hospital, Kogarah, 2Sydney Nursing School, University of Sydney, Camperdown, NSW, Australia; 3School of Health and Human Sciences, Southern Cross University, Lismore, NSW, Australia Background: Internationally, the delivery of care provided by nurses and midwives has undergone a significant change due to a variety of interrelated factors, including economic circumstances, a diminishing number of medical providers, the unavailability of adequate health care services in underserved and rural areas, and growing specialization among the professions. One solution to the challenges of care delivery has been the introduction of nurse practitioners (NPs and the authorization of NPs to prescribe medicines. Aim: The aim of this paper was to review the current international literature related to NP prescribing and compare the findings to the Australian context. The review focuses on literature from the United States, Canada, Europe, Australia, and New Zealand. Methods: Databases were searched from January 2000 to January 2015. The following keywords: “nurse practitioner”, “advanced nurse”, “advanced practice nurse”, “prescri*”, “Australia”, “United States America”, “UK”, “New Zealand”, “Canada”, “Europe”, “drug prescri*”, “prescri* authority”, and “prescri* legislation” were used. Findings: NPs tend to prescribe in differing contexts of practice to provide care in underserved populations and require good systems literacy to practice across complex systems. The key themes identified internationally related to NP prescribing relate to barriers to prescribing, confidence in prescribing, and the unique role of NPs in prescribing medicines, eg, the high prevalence of prescribing pain medicines in several countries, including Australia. Conclusion: Across all countries reviewed, there appears a need for further research into the organizational and
The most important event in Chilean public health in the XXth Century was the creation of the National Health Service (NHS), in 1952. Systematic public policies for the promotion of health, disease prevention, medical care, and rehabilitation were implemented, while a number of more specific programs were introduced, such as those on infant malnutrition, complementary infant feeding, medical control of pregnant women and healthy infants, infant and adult vaccination, and essential sanitation services. In 1981, a parallel private health care system was introduced in the form of medical care financial institutions, which today cover 15% of the population, as contrasted with the public system, which covers about 80%. From 1952 to 2014, public health care policies made possible a remarkable improvement in Chile's health indexes: downward trends in infant mortality rate (from 117.8 to 7.2 x 1,000 live births), maternal mortality (from 276 to 18.5 x 100,000), undernourished children schooling, and years of primary school education, were significantly improved as well. Nevertheless, compared with OECD countries, Chile has a relatively low public investment in health (45.7% of total national investment), a deficit in the number of physicians (1.7 x 1,000 inhabitants) and nurses (4.8 x 1,000), in the number of hospital beds (2.1 x 1,000), and in the availability of generic drugs in the market (30%). Chile and the USA are the two OECD countries with the lowest public investment in health. A generalized dissatisfaction with the current Chilean health care model and the need of the vast majority of the population for timely access to acceptable quality medical care are powerful arguments which point to the need for a universal public health care system. The significant increase in public expenditure on health care which such a system would demand requires a sustainable growth of the Chilean economy. PMID:26230561
This article reflects on six key themes that emerged from a teacher development conference whose theme was "Developing Teachers for Rural Education". The six themes are the concept "rural" in the South African context; the notion of "rural education"; beyond access, towards success; the practitioner-academic dichotomy; partnership in teacher…
This paper analyzes changes in the product mix by Chilean manufacturing plants in the period 1996-2003. Three-quarters of the surviving plants changed the set of products produced and more than three-quarters of the exporting plants changed the mix of products they exported during the sample period. Plants that changed their product mix contributed 85% of the aggregate growth in real sales of surviving plants between 1996 and 2003. Finally and in contrast to the US evidence, there is a negati...
Guillermo Schmeda-Hirschmann; Cristina Quispe; Maria del Pilar C. Soriano; Cristina Theoduloz; Felipe Jiménez-Aspée; Maria Jorgelina Pérez; Ana Soledad Cuello; Maria Inés Isla
In South America, the mesocarp flour of Prosopis species plays a prominent role as a food resource in arid areas. The aim of this work was the characterization of the phenolic antioxidants occurring in the pod mesocarp flour of Chilean Prosopis. Samples were collected in the Copiapo, Huasco and Elqui valleys from the north of Chile. The samples of P. chilensis flour exhibited a total phenolic content ranging between 0.82–2.57 g gallic acid equivalents/100 g fresh flour weight. The highest ant...
Natural and artificial gamma radiation, 1 m above the soil, is being investigated in 4 Chilean Antartic Stations. The measurements are performed with different types of TLD detectors. Preliminary results in the Tte. Marsh Station are reported and discussed. An average exposition of 3,5 μR/h was found during a 108 days period. This exposition corresponds to an annual dose of about 40 mrad, 8% of the annual dose limit for individual of the public. The presence of low energy artificial radioisotopes was not found. (Author)
Sánchez Delgado, Marcelo
Rejuvenation was a chapter of critical importance for the worldwide development of endocrinology in the 1920s. This work explores the acceptance of these techniques in Chile. Starting in the late 19th century, the Chilean Medical Journal (Revista Médica de Chile) incorporated references to experiments with endocrine gland preparations that were being conducted in Europe at the time. An appropriation of the experiments by the Austrian Eugen Steinach began in 1920, with prominent figures such as the Italian professor Juan Noe Crevani and the young Chilean student Ottmar Wilhelm. Between 1922 and 1924, Wilhelm developed a series of experiments on dogs, bulls, pigs, rats and Welfare Board patients through the so-called Steinach operation, which consisted of the sectioning of the efferent channel in one of the testicles. Professor Noe's scientific patronage policy and Wilhelm's strategy of succession in the field led the latter to hold a chair in the new School of Medicine of Universidad de Concepci6n at the age of 25. From this position, the. figure of Wilhelm was fundamental for the development of a line of endocrinological research that was able to position Universidad de Concepci6n as a scientific development centre, which was strengthened by the arrival of another disciple of Steinach in Chile, the Latvian professor Alejandro Lipschütz. PMID:27363250
The family practitioner's role has traditionally been to maintain health with periodic examinations and to restore health in times of illness and injuries. Today. family practitioners are expected to play a more proactive role by assessing unexpressed patient needs. This new approach focuses on global knowledge of the patient, including lifestyle and workplace history. When assessing sexually transmitted diseases (STDs) in particular, it is important for the family practitioner to recognize t...
BACKGROUND: Occupational physicians and general practitioners often appear to differ in their attitudes to the provision of health screening, health promotion and vaccination in the workplace. AIM: This study aimed to explore the attitudes of occupational physicians and general practitioners to particular aspects of workplace health services. METHOD: Anonymous piloted postal questionnaires were sent to 400 UK general practitioners and 300 occupational physicians. RESULTS: Questionnaires were ...
Campbell, Donald M.; Paixao, Maria Teresa; Reid, Daniel
The title `spotter' practitioner has come to refer particularly to influenza surveillance. Worldwide, a variety of surveillance schemes have been developed, influenced by local health care systems. In the United Kingdom general practitioners can contribute to the Royal College of General Practitioners' weekly returns service or to national or regional schemes. Scotland has had a national system since 1971, supplemented by weekly laboratory returns and local employment and school absenteeism r...
Before 1971, when Idaho became the 1st state to authorize expanded scope of functions for registered nurses, nearly all states made it illegal for any nurse to perform diagnosis or prescribe treatment, creating an ambiguity as more and more nurses were equipped by education and technology to perform new tasks. Today 30 states have liberalized the scope of nursing functions, making it possible for nurses and nurse-midwives to assume, among other tasks, family planning functions. A table gives the status of legislation and regulations governing nurse practitioners and nurse-midwives in each state. The area of greatest controversy is the prescription of oral contraceptives. In some states it is allowed under doctor's supervision or in rural areas or in areas where clear need exists for a nurse to dispense such medication. Usually this dispensing is limited to a single course of treatment. Nurse-midwives are rapidly being accepted as extensions of scarce medical facilities. Generally nurse-midwives are authorized to provide prenatal and postpartum care, to handle normal deliveries, and do family planning work including fitting diaphragms and inserting and removing IUDs. An innovation is the family planning nurse practitioner. Several courses for such practitioners have been set up across the U.S. Graduates may, with medical direction, perform bimanual pelvic examinations and breast examinations, take blood pressure, prescribe contraception, fit diaphragms, insert IUDs, examine vaginal secretions microscopically, and refer patients with problems to physicians. In a California program both registered and nonregistered nurses are being trained as women's health specialists who may make routine examinations in both pregnant and nonpregnant women and give family planning advice. Non-RN family planning specialists being trained include licensed vocational nurses, baccalaureate degree holders in nonnursing fields, and qualified persons with less formal education. The 24-week
... this facility type. Rural Referral Center (RRC) Rural tertiary hospitals that receive referrals from surrounding rural acute ... rural beneficiaries. Where can I get data and statistics regarding the Medicare program in rural America? MedPAC ...
Galina Nielsen, Helena; Sofie Davidsen, Annette; Dalsted, Rikke;
-established supervision group was studied closely for six months by observing the group sessions, and by interviewing GPs and their supervisors, individually and collectively. The interviews were recorded digitally and transcribed verbatim. The data were analysed using systematic text condensation. RESULTS: The GPs found...... to the communication with local community psychiatry centres. Furthermore, the GPs experienced that supervision had a positive 'spill-over effect' on everyday consultations, and that the supervision group became a forum for coping with other difficulties in their professional life as well. Trust and continuity were......AIM: Group supervision is a sparsely researched method for professional development in general practice. The aim of this study was to explore general practitioners' (GPs') experiences of the benefits of group supervision for improving the treatment of mental disorders. METHODS: One long...
Mfinanga Godfrey S
Full Text Available Abstract Background Many factors have been mentioned as contributing to under-diagnosis and under-reporting of zoonotic diseases particularly in the sub-Sahara African region. These include poor disease surveillance coverage, poor diagnostic capacity, the geographical distribution of those most affected and lack of clear strategies to address the plight of zoonotic diseases. The current study investigates the knowledge of medical practitioners of zoonotic diseases as a potential contributing factor to their under-diagnosis and hence under-reporting. Methods The study was designed as a cross-sectional survey. Semi-structured open-ended questionnaire was administered to medical practitioners to establish the knowledge of anthrax, rabies, brucellosis, trypanosomiasis, echinococcosis and bovine tuberculosis in selected health facilities within urban and rural settings in Tanzania between April and May 2005. Frequency data were analyzed using likelihood ratio chi-square in Minitab version 14 to compare practitioners' knowledge of transmission, clinical features and diagnosis of the zoonoses in the two settings. For each analysis, likelihood ratio chi-square p-value of less than 0.05 was considered to be significant. Fisher's exact test was used where expected results were less than five. Results Medical practitioners in rural health facilities had poor knowledge of transmission of sleeping sickness and clinical features of anthrax and rabies in humans compared to their urban counterparts. In both areas the practitioners had poor knowledge of how echinococcosis is transmitted to humans, clinical features of echinococcosis in humans, and diagnosis of bovine tuberculosis in humans. Conclusion Knowledge of medical practitioners of zoonotic diseases could be a contributing factor to their under-diagnosis and under-reporting in Tanzania. Refresher courses on zoonotic diseases should be conducted particularly to practitioners in rural areas. More emphasis
Foreign banks are beginning to invest in China's rural financial system, helping to meet a strong need for capital As Chinese commercial banks retreat from the rural market, foreign banks appear ready to jump into a sector with a strong thirst for capital. In July, Rabobank Group, the International Finance Corp. and the United
Van Dormael, M
The word ¿general practice¿ denotes different contents of work as we look at different contexts. General practitioners may provide first line care, function as secondary care providers at hospital level, take responsibility for the management of health care systems. These different roles can be seen as results from historical processes of division of work in the field of health care, which gave general practice its present shapes. During the first half of the 20th century, western general practitioners were gradually excluded from hospitals as well as from public health activities. When they started to react in order to increase their legitimacy they strived--with variable success--to gain recognition as curative first line care providers, as this had become the only place in the health care system they could claim for. They gradually defined their specificity in terms of polyvalence enabling them to deal with unselected problems, and in terms of global view allowing for adequate priority setting. In developing countries, the organisation of medical care was and remains influenced by western models. As in western countries, emphasis has been put on specialisation and hospital technology. General practice was not exported to developing countries: general practitioners appear rather as cheap substitutes for specialists. The most typical workplace for general practitioners in developing countries remains the rural hospital. But their role model refers to the hospital based specialist: they tend to focus on patient care for hospital users rather than on dynamising health care delivery to the whole community in the district. In urban areas, the recent expansion of (mostly private) first line medical care is also not specific to general practice and tends to be in favour of specialists. What is the common denominator to these different roles, if any? A possible answer lies in the primary health care approach. It allows to define the specificity of general practitioners
Catalogs various internal constraints under which many public relations practitioners work, including constraints on (1) access to management; (2) information collection; (3) dissemination of timely, accurate information; and (4) the public relations mission. Reports that most practitioners see organizational constraints as more of a problem for…
Sportsman, Susan; Hawley, Linda J.; Pollock, Susan; Varnell, Gayle
An expert panel identified 20 business concepts important for a family nurse practitioner curriculum. A focus group of practitioners verified the concepts and clarified relevant information to be taught. The business concepts center on management and operations of a clinical practice. (SK)
Preparing teachers to be reflective practitioners is the goal embraced by most teacher education programs. Reflective practitioners infuse personal beliefs and values into a professional identity, resulting in the development of a deliberate code of conduct. They challenge assumptions and expectations that may limit their potential for tolerance…
... implementing section 1921 were issued on January 28, 2010 (75 FR 4656). The NPDB began collecting and... Practitioner Data Bank; Proposed Rule #0;#0;Federal Register / Vol. 77, No. 31 / Wednesday, February 15, 2012... National Practitioner Data Bank AGENCY: Health Resources and Services Administration (HRSA), HHS....
Jugenheimer, Donald W.
A questionnaire survey of 300 advertising practitioners was used to determine the degree of job and career satisfaction among advertising practitioners. The subjects were separated according to whether they worked for advertising agencies, advertisers, or advertising media; 100 subjects in each area were selected from the prestigious directories…
The intention of this article is to firmly build a case for the fit of a "new scholarship" known as scholar-practitioner as a leadership perspective grounded by the philosophical and theoretical tenets of critical pragmatism. Using post-formal thought as an approach to establish the fit of scholar-practitioner as a reform initiative and leadership…
Wong, Cecilia H.M., E-mail: firstname.lastname@example.org; Ho, Wing-chung, E-mail: email@example.com
The effectiveness of social impact assessment (SIA) hinges largely on the capabilities and ethics of the practitioners, yet few studies have dedicated to discuss the expectations for these professionals. Recognising this knowledge gap, we employed the systemic review approach to construct a framework of roles of SIA practitioners from literature. Our conceptual framework encompasses eleven roles, namely project manager of SIA, practitioner of SIA methodologies, social researcher, social strategy developer, social impact management consultant, community developer, visionary, public involvement specialist, coordinator, SIA researcher, and educator. Although these roles have been stratified into three overarching categories, the project, community and SIA development, they are indeed interrelated and should be examined together. The significance of this study is threefold. First, it pioneers the study of the roles of SIA practitioners in a focused and systematic manner. Second, it informs practitioners of the expectations of them thereby fostering professionalism. Third, it prepares the public for SIAs by elucidating the functions and values of the assessment. - Highlights: • We adopt systematic review to construct a framework of roles of social impact assessment (SIA) practitioners from literature. • We use three overarching categorises to stratify the eleven roles we proposed. • This work is a novel attempt to study the work as a SIA practitioner and build a foundation for further exploration. • The framework informs practitioners of the expectations on them thus reinforcing professionalism. • The framework also prepares the public for SIAs by elucidating the functions and values of the assessment.
Moyo, Mpatisi; Goodyear-Smith, Felicity A.; Weller, Jennifer; Robb, Gillian; Shulruf, Boaz
Personal and professional values of healthcare practitioners influence their clinical decisions. Understanding these values for individuals and across healthcare professions can help improve patient-centred decision-making by individual practitioners and interprofessional teams, respectively. We aimed to identify these values and integrate them…
The effectiveness of social impact assessment (SIA) hinges largely on the capabilities and ethics of the practitioners, yet few studies have dedicated to discuss the expectations for these professionals. Recognising this knowledge gap, we employed the systemic review approach to construct a framework of roles of SIA practitioners from literature. Our conceptual framework encompasses eleven roles, namely project manager of SIA, practitioner of SIA methodologies, social researcher, social strategy developer, social impact management consultant, community developer, visionary, public involvement specialist, coordinator, SIA researcher, and educator. Although these roles have been stratified into three overarching categories, the project, community and SIA development, they are indeed interrelated and should be examined together. The significance of this study is threefold. First, it pioneers the study of the roles of SIA practitioners in a focused and systematic manner. Second, it informs practitioners of the expectations of them thereby fostering professionalism. Third, it prepares the public for SIAs by elucidating the functions and values of the assessment. - Highlights: • We adopt systematic review to construct a framework of roles of social impact assessment (SIA) practitioners from literature. • We use three overarching categorises to stratify the eleven roles we proposed. • This work is a novel attempt to study the work as a SIA practitioner and build a foundation for further exploration. • The framework informs practitioners of the expectations on them thus reinforcing professionalism. • The framework also prepares the public for SIAs by elucidating the functions and values of the assessment
Cox, Rebecca D.
Practitioner-researchers are well-positioned to apply qualitative methods to the study of significant problems of educational practice. However, while learning the skills of qualitative inquiry, practitioners may be compelled by forces outside of qualitative research classrooms to think quantitatively. In this article, the author considers two…
Full Text Available The article describes the positive effect in an intervention programbased on number comprehension in early math skill levels that Chileanpreschoolers present in the relational and numerical skill areas evaluated with the Test of Early Mathematics Assessment Utrecht (TEMT-U, the Spanish version of the Utrecht Early Numeracy Test. The study reveals that there are significant differences in the early math skills levels among those groups subjected to thistype of program and those that in the same period of time were only influenced by the content and activities of the traditional curriculum sequence in the Chilean school population. There are positive effects in the program regardless of the educational level that children attend. There are also relational or skillsPiagetian that show higher achievement levels. The results prove that there are no differences in mathematical literacy levels between boys and girls, contrary to what is observed in later years.
Full Text Available In South America, the mesocarp flour of Prosopis species plays a prominent role as a food resource in arid areas. The aim of this work was the characterization of the phenolic antioxidants occurring in the pod mesocarp flour of Chilean Prosopis. Samples were collected in the Copiapo, Huasco and Elqui valleys from the north of Chile. The samples of P. chilensis flour exhibited a total phenolic content ranging between 0.82–2.57 g gallic acid equivalents/100 g fresh flour weight. The highest antioxidant activity, measured by the DPPH assay, was observed for samples from the Huasco valley. HPLC-MS/MS analysis allowed the tentative identification of eight anthocyanins and 13 phenolic compounds including flavonol glycosides, C-glycosyl flavones and ellagic acid derivatives. The antioxidant activity and the phenolic composition in the flour suggest that this ancient South American resource may have potential as a functional food.
Schmeda-Hirschmann, Guillermo; Quispe, Cristina; Soriano, Maria Del Pilar C; Theoduloz, Cristina; Jiménez-Aspée, Felipe; Pérez, Maria Jorgelina; Cuello, Ana Soledad; Isla, Maria Inés
In South America, the mesocarp flour of Prosopis species plays a prominent role as a food resource in arid areas. The aim of this work was the characterization of the phenolic antioxidants occurring in the pod mesocarp flour of Chilean Prosopis. Samples were collected in the Copiapo, Huasco and Elqui valleys from the north of Chile. The samples of P. chilensis flour exhibited a total phenolic content ranging between 0.82-2.57 g gallic acid equivalents/100 g fresh flour weight. The highest antioxidant activity, measured by the DPPH assay, was observed for samples from the Huasco valley. HPLC-MS/MS analysis allowed the tentative identification of eight anthocyanins and 13 phenolic compounds including flavonol glycosides, C-glycosyl flavones and ellagic acid derivatives. The antioxidant activity and the phenolic composition in the flour suggest that this ancient South American resource may have potential as a functional food. PMID:25898415
Correa, Margarita C.G.; Eric Lombaert; Thibaut Malausa; Didier Crochard; Andrés Alvear; Tania Zaviezo; Ferran Palero
The present study aimed to characterize the distribution of mealybug species along Chilean agro-ecosystems and to determine the relative impact of host plant, management strategy, geography and micro-environment on shaping the distribution and genetic structure of the obscure mealybug Pseudococcus viburni. An extensive survey was completed using DNA barcoding methods to identify Chilean mealybugs to the species level. Moreover, a fine-scale study of Ps. viburni genetic diversity and populatio...
Marcelo Cano-Cappellacci; Fernanda Aleitte Leyton; Joshua Durán Carreño
ABSTRACT OBJECTIVE To validate a Spanish version of the Test of Gross Motor Development (TGMD-2) for the Chilean population. METHODS Descriptive, transversal, non-experimental validity and reliability study. Four translators, three experts and 92 Chilean children, from five to 10 years, students from a primary school in Santiago, Chile, have participated. The Committee of Experts has carried out translation, back-translation and revision processes to determine the translinguistic equivalence ...
Iván Mauricio Obando Camino
This is a historical, institutional study about the congressional committee system of the Chilean legislature from 1834 through 1924. This study uses a longitudinal perspective to focus on committee origins, functions, processes, and authority. It shows that the Chilean legislature developed a committee system early by taking stock of previous, short-lived congressional experiences and trial-and-error. Congressional committees dealt with bill drafting, housekeeping matters, and bureaucratic o...
Cianelli, Rosina; Ferrer, Lilian; MCELMURRY, BEVERLY J.
Socio-cultural factors and HIV-related misinformation contribute to the increasing number of Chilean women living with HIV. In spite of this, and to date, few culturally specific prevention activities have been developed for this population. The goal of the present study was to elicit the perspectives of low-income Chilean women regarding HIV and relevant socio-cultural factors, as a forerunner to the development of a culturally appropriate intervention. As part of a mixed-methods study, fift...
ABSTRACT The aim of this study is to determine the geographic origin and level of evidence (LE) of articles published in Chilean dental journals during 2012. The target population for the bibliometric study was articles published in exclusively-scientific Chilean dental journals. These variables were analyzed: journal, area, language, country, region, design, scenario, and LE. A total of 120 articles were published in four journals: International Journal of Odontostomatology (IJOS=59), Revis...
The right in Chile has been crucial to the democratic politics of the country ever since the development of the party system. In the period covered by this thesis (1939- 1964) the Chilean right faced the combined challenge of reformist governments and the emergence of mass political parties on the left. This thesis describes the Chilean right as being composed by political parties, entrepreneurial associations and a leading newspaper, El Mercurio. which represented an...
Alejandro, S.; Valdés, Héctor; Manero, Marie-Hélène; Zaror, Claudio A.
In wastewater treatment facilities, air quality is not only affected by conventional unpleasant odour compounds; toxic volatile organic compounds (VOCs) are also found. In this study, the adsorptive capacity of Chilean natural zeolite toward VOC removal was evaluated. Moreover, the influence of zeolite chemical surface properties on VOC elimination was also investigated. Three modified zeolite samples were prepared from a natural Chilean zeolite (53% clinoptilolite, 40% mordenite and 7% quart...
Lyu, Fei; Huang, Rui-Ji; Liu, Lin; Zhou, Xuxia; Ding, Yu-Ting
The main objective of this study was to assess the influence of slaughter methods on the quality of Chilean jack mackerel (Trachurus murphyi) during refrigerated storage on board. Fishes were slaughtered by asphyxia in air (AA), asphyxia in ice water (AI) or stunning fish heads (SH), and the rigor mortis, pH, total volatile basic nitrogen (TVB-N), trimethylamine (TMA), 2-thiobarbituric acid reactive substances (TBARS) and sensory properties for the fishes were analyzed. On day 0, Chilean jack...
Amundsen, Vilde Steiro
This thesis is the result of a fieldwork conducted in Fish Inc., a Chilean branch of a Norwegian-owned company dealing with equipment for fish farming. The Chilean aquaculture industry has since the sanitary and financial crisis of 2007 experienced a constant unpredictability, with extreme fluctuation between incredible upswings and crashing downturns. The instability and uncertainty of the industry has generated the necessity of creating a sense of continuity for employees in dealing with th...
Full Text Available The Chilean sclerophyllous matorral is a Mediterranean semiarid ecosystem affected by erosion, with low soil fertility and limited by nitrogen. However, limitation of resources is even more severe for desert soils such as from the Atacama Desert, one of the most extreme arid deserts on Earth. Topsoil organic matter, nitrogen and moisture content were significantly higher in the semiarid soil compared to the desert soil. Although the most significant loss of biologically preferred nitrogen from terrestrial ecosystems occurs via denitrification, virtually nothing is known on the activity and composition of denitrifier communities thriving in arid soils. In this study, we explored denitrifier communities from two soils with profoundly distinct edaphic factors. While denitrification activity in the desert soil was below detection limit, the semiarid soil sustained denitrification activity. To elucidate the genetic potential of the soils to sustain denitrification processes we performed community analysis of denitrifiers based on nitrite reductase (nirK and nirS genes as functional marker genes for this physiological group. Presence of nirK-type denitrifiers in both soils was demonstrated but failure to amplify nirS from the desert soil suggests very low abundance of nirS-type denitrifiers shedding light on the lack of denitrification activity. Phylogenetic analysis showed a very low diversity of nirK with only three distinct genotypes in the desert soil which conditions presumably exert a high selection pressure. While nirK diversity was also limited to only few, albeit distinct genotypes, the semiarid matorral soil showed a surprisingly broad genetic variability of the nirS gene. The Chilean matorral is a shrub land plant community which form vegetational patches stabilizing the soil and increasing its nitrogen and carbon content. These islands of fertility may sustain the development and activity of the overall microbial community and of
Gina Ferrer Poveda
Full Text Available Objective: the aim of this research was to determine the prevalence of Helicobacter pylori infection on Chilean pregnant women and its relationship with the appearance and severity of hyperemesis and dyspepsia. Methods: quantitative study of prevalence in a transversal cut with variable analysis. The sample was taken from 274 Chilean pregnant women from the Bío Bío province through vein puncture between June and December, 2005. Pregnant women were informed of this study, interviewed and signed an informed consent. The samples were processed using ImmunoComb II Helicobacter pylori IgG kit. Statistical analysis was performed by means of the Statistical Package for Social Sciences (SPSS Program. Results: out of the total number of pregnant women, 68.6% showed infection by Helicobacter pylori. 79.6% of the total sample had symptoms of dyspepsia, and 72.5% of this group presented Helicobacter pylori infection. 12.4% showed pregnancy hyperemesis; among them, 79.4% were infected with Helicobacter pylori. 73.4% of the pregnant women that showed gastric discomfort during the first three months had Helicobacter pylori infection. 53.7% of them continued with gastric discomfort after the first three months; of those, 95.8% were infected. Helicobacter pylori infection was present only in 1.5% of pregnant women without gastric discomfort. Conclusion: both, gastric discomfort of pregnant women and the continuity of severe symptoms of dyspepsia and hyperemesis after the first three months of gestation are significantly correlated with Helicobacter pylori infection.
Singh A.J; Kaur A.
Research question: What are the management practices of a rural community towards trivial injuries sustained by them. Objectives: To study 1. action taken by individuals in the management of trivial injuries, 2.factors related with trivial injuries. Design: Cross sectional study. Setting: Rural area of Haryana. Participants: individuals attending the outpatient department of Community Health Centres, Primary Health Centres, sub-centres, local registered medical practitioners (RMPs). Study var...
Chowdhury, Shyamal; Negassa, Asfaw; Torero, Maximo
"This paper examines how market institutions can affect links between urban and rural areas with specific emphasis on goods market integration in the national context.Traditionally, development researchers and practitioners have focused either on rural market development or on urban market development without considering the interdependencies and synergies between the two. However, more than ever before, emerging local and global patterns such as the modern food value-chain led by supermarket...
Dagrada, H; Verbanck, P; Kornreich, C
This paper aims to review current knowledge on risk factors leading to burn-out of general practitioners, who are particularly concerned by burn-out, as 50% of them are being more or less affected. This article is based on bibliographic research covering literature between 1975 and 2010, using PUB MED software, medical books and articles. 44 articles were selected as dealing well with the aspects of the burn-out reviewed here. It seems established that stress precedes burnout symptoms. Theories investigating relationships between stress and work are presented. Exogenic stress (load and organization of work, emotional interaction with the patient, constraints, lack of recognition, conflicts between private and professional life) interacts with endogenous stress (idealism, (too much) acute feeling of responsibility, mood disorder, difficulty in collaborating, character, personality). Burn-out symptoms would appear preferentially when these two stresses coexist. Despite the wealth of publications, there is still a lack of knowledge of the causes of burn-out, requiring therefore increased research efforts, in order to improve the implementation of preventive measures, beneficial to the doctors as well as to their patients. PMID:22034773
Lauder, William; Reel, Sally; Farmer, Jane; Griggs, Harvey
The notion of social capital focuses attention on social connectedness within communities and the ways that this connectedness may affect health and well-being. There are many competing definitions of social capital but most suggest that it involves trust, social networks and reciprocity within communities, not necessarily geographically defined. The usefulness of social capital and related theories that help in understanding the function of nurses in rural communities are explored in this paper. Nurses and health service planners are becoming increasingly aware of the potential contribution of community nurses in rural and/or remote areas, as evidenced in the development of nurse practitioners. Through their interrelational role and status in rural communities, nurses are often 'immersed' or 'embedded' in the social networks that make up the fabric of rural life and may therefore be important contributors to social capital. For a concept such as social capital to be useful in nursing research, it must have distinct attributes, delineated boundaries, and well-described preconditions and outcomes in multiple contexts. PMID:16494669
Gongora, Jaime; Rawlence, Nicolas J; Mobegi, Victor A; Jianlin, Han; Alcalde, Jose A; Matus, Jose T; Hanotte, Olivier; Moran, Chris; Austin, Jeremy J; Ulm, Sean; Anderson, Atholl J; Larson, Greger; Cooper, Alan
European chickens were introduced into the American continents by the Spanish after their arrival in the 15th century. However, there is ongoing debate as to the presence of pre-Columbian chickens among Amerindians in South America, particularly in relation to Chilean breeds such as the Araucana and Passion Fowl. To understand the origin of these populations, we have generated partial mitochondrial DNA control region sequences from 41 native Chilean specimens and compared them with a previously generated database of approximately 1,000 domestic chicken sequences from across the world as well as published Chilean and Polynesian ancient DNA sequences. The modern Chilean sequences cluster closely with haplotypes predominantly distributed among European, Indian subcontinental, and Southeast Asian chickens, consistent with a European genetic origin. A published, apparently pre-Columbian, Chilean specimen and six pre-European Polynesian specimens also cluster with the same European/Indian subcontinental/Southeast Asian sequences, providing no support for a Polynesian introduction of chickens to South America. In contrast, sequences from two archaeological sites on Easter Island group with an uncommon haplogroup from Indonesia, Japan, and the Philippines [corrected] and may represent a genetic signature of an early Polynesian dispersal. Modeling of the potential marine carbon contribution to the Chilean archaeological specimen casts further doubt on claims for pre-Columbian chickens, and definitive proof will require further analyses of ancient DNA sequences and radiocarbon and stable isotope data from archaeological excavations within both Chile and Polynesia. PMID:18663216
Based on a comprehensive survey and subsequent fieldwork, this chapter introduces the socio-economic characteristics and common livelihood strategies of rural households in Quang Nam, Central Vietnam. It demonstrates the basic premise of self-reliance in rural society and the decreasing economic ...... limitations of informal organization and community adaptive capacities, and finally, it discusses the issues of vulnerability and adaptation to climatic and environmental change from a household perspective.......Based on a comprehensive survey and subsequent fieldwork, this chapter introduces the socio-economic characteristics and common livelihood strategies of rural households in Quang Nam, Central Vietnam. It demonstrates the basic premise of self-reliance in rural society and the decreasing economic...
As the Chinese economy soars ahead in the wake of the international financial crisis, more attention is being given to the country’s indus-trial, financial, investment and trade figures. But the Central Rural Work
Hickner, J M
There is a shortage of general practitioners in rural Australia. Several recent State and federal government reports have highlighted the difficulties of rural practice. One of the reasons commonly cited for the shortage of country doctors is the lack of appropriate training in Australia's medical schools and the Family Medicine Programme. This survey of the heads of departments of community medicine/general practice of Australia's 10 medical schools and of the State directors of the Family Medicine Programme documents the present efforts to train doctors for rural general practice. A 100% response was achieved. The responses indicate much interest and effort from the Family Medicine Programme in developing rural training schemes. Though the community medicine/general practice departments demonstrate considerable interest and innovation, they are hampered by lack of resources and negative attitudes of some specialist colleagues. Overall, the main impediments are: lack of "affirmative action" admissions policies to recruit rural students; insufficient curricular time for teaching the principles of general practice; students' lack of confidence in the procedural aspects of rural practice; lack of appropriate training posts in anaesthetics; lack of appropriate general practice training posts at regional hospitals; and lack of financial resources. Some suggestions are given to improve training for rural practice in Australia. PMID:1986187
To avoid certain errors in practice, Charles Brenner offered an holistic substitute for the Freudian structural model of the mind. He used the term compromise formation ambiguously to refer to both actions and states, so as to render unnecessary what he considered artificial, judgmental attitudes embodied in images of psychic structures. He believed that a theory of conflicting structures transforms the phenomenological drama of the patient's actual life-world into an artificial drama of contending intrapsychic parties that may reflect the analyst's values. According to Brenner, the meaning of life, with its desires, fears, and regrets, is structured forever in the first articulation of the family drama, and that is all the structure a practitioner should have in mind. In principle, the ambiguity of the term compromise formation allows for observed continuities in human life, and might have inspired an ambitious theoretician to exploit that option for an account of character, but that aspect of theory moves in a direction opposite to Brenner's practical mission. For the same practical reason Brenner refused to acknowledge gradations of mental operation, such as differences in maturity, or style or level of thinking, so the theory cannot say how change can take place, analytic or otherwise. These lacunae in theory were unblinkingly (if implicitly) accepted in pursuit of Brenner's goal, which was not to polish up theory but to cleanse the analyst's mind of concepts that subtly interfere with the essential nondirectiveness of treatment. His theoretical minimalism and exclusive concern with practical consequences can be recognized as a peculiarly North American attitude to psychoanalysis. PMID:21832122
Heck, Daniel J.; Tarr, James E.; Hollebrands, Karen F.; Walker, Erica N.; Berry, Robert Q., III; Baltzley, Patricia C.; Rasmussen, Chris L.; King, Karen D.
The NCTM Research Committee developed this article to address a distinctly important activity that links research and practice: writing research-based articles for practitioner journals. Six guiding principles are described. (Contains 6 figures.)
Avenier, M. J.; Gialdini, L.
This paper aims to contribute to developing the methodological apparatus for S-as-P research. It presents and illustrates a methodological framework offering guidelines for conceiving research projects aimed to capture practitioners experience on research questions based on practical concerns. Research in this framework relies on deep interactions between researchers and practitioners. If highly interactive research methods cannot be legitimated in positivism because they impede researchers' ...
Spencer, J A; Edwards, C
OBJECTIVES--To ascertain general practitioners' attitudes to an extended role for community pharmacists. DESIGN--Postal questionnaire to a 1 in 6 sample of general practitioners in the Northern, West Midlands, and Oxford regions (total sample size 1087). MAIN OUTCOME MEASURES--Attitudes towards specific extended roles, pharmacist prescribing of particular drugs, the role of the pharmacist, and the relationship between the professions. RESULTS--744 questionnaires were returned in a usable form...
Sodipo, Ibukunoluwa; Birdsall, Joanne
Orthodontic emergencies occasionally arise and although they can cause discomfort to the patient, they can usually be stabilized by a general dentist and then followed up by the orthodontist. CPD/Clinical Relevance: Patients undergoing orthodontic treatment may initially present to their general dental practitioner with an orthodontic emergency as opposed to their orthodontist. It is therefore important that general dental practitioners are aware of common orthodontic emergencies and their management. PMID:27529914
. Kelly. The Chilean teachers are visiting Magdalena while they are on their Southern Hemisphere summer vacation, and Magdalena's schools are in session. Two Magdalena teachers, Joleen Welborn and Sandra Montoya, will visit San Pedro in June, while they are on summer vacation and the Chilean schools will be in session. Dr. Eduardo Hardy, the AUI/NRAO representative in Chile, will accompany the Chilean teachers on their visit, which has been coordinated by Harrison. "ALMA is a groundbreaking example of the type of international cooperation that marks the future of astronomy. We are especially pleased to sponsor a program that brings together two communities that both enjoy proximity to world-class astronomical research facilities," said Dr. Fred K.Y. Lo, NRAO Director. "While separated by many miles, San Pedro de Atacama and Magdalena have much in common. Both are small communities in high desert environments, and both are next to telescopes where the world's astronomers will be making many exciting discoveries in the coming decades. Bringing these two communities together will advance education and international understanding," Harrison said. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.
Fesenmaier, Julie; Contractor, Noshir
Groupware was used to survey rural development practitioners and policymakers about professional relationships, skills, and expertise. The software created an inventory of the social and knowledge capital of this community of interest but was not enough to sustain ongoing, active participation. (Contains 42 references.) (SK)
Henderson, Paul, Ed.; Francis, David, Ed.
This book contains 10 case studies of rural community development in England, Wales, Scotland, Ireland, and Catalonia, as seen from the perspective of community-work practitioners. Development projects encompassed such activities as promotion of tourism, establishment of community centers, vocational training for school dropouts, adult community…
The National Standardization Institute's (INN) Metrology unit prepared a study in 1996 to evaluate the impact of metrological activity in Chile. This study was based on a survey of the supply and demand of metrological services and on studies of the behavior of the production system and technological services in Chile during the period 1990-1996. With the information obtained in this study the economic impact resulting from the lack of a national metrology system could be evaluated. This impact was estimated to be a 5% loss in gross national product equal to 125-500 million dollars because of direct product rejection in the mining, fisheries, agricultural and manufacturing sectors. Chemical measurements are responsible for 50% of these losses. In response to this need and coordinated by the INN, a metrological network of reference laboratories began to operate in 1997 for the principal physical magnitudes (mass, temperature, longitude and force) and a CORFO-FDI project began in 2001 that includes the chemical magnitudes. The Chilean Nuclear Energy Commission, aware of the problem's importance and the amount of economic damage that the country may suffer, as a result of these deficiencies, has formed a Chemical Metrology Unit to provide technical support. It aims to raise the standards of local analytical laboratories by providing international recognition to the export sector. Nuclear analytical techniques are used as reference methods. This work describes the laboratories that are included in this Chemical Metrology Unit and the historical contribution to the development of local analytical chemistry. The national and international projects are described together with the publications they have generated. The quality assurance program applied to the laboratories is described as well, which has led to the accreditation of the analytical chemical assays. The procedures used for validation and calculation of uncertain nuclear methodologies are described together with
Villa, A E; Guerrero, S; Icaza, G; Villalobos, J; Anabalón, M
The purpose of this case-control study was to determine the association between very-mild-to-moderate enamel fluorosis and exposure during early childhood to fluoridated water, mainly through ingestion of powdered milk. Analysis was performed on 136 residents of the optimally fluoridated community of San Felipe in the Chilean Fifth Region, who were categorised into one of three groups according to their age when water fluoridation was introduced in 1986: Group I was born after 1986; Group II was 16-24 months old in 1986; and Group III was >24 months of age. The case and control subjects were selected on the basis of a clinical examination given in July 1996. Dean's scoring system was used to determine fluorosis status. Risk factor exposure was ascertained by a questionnaire used in interviews with mothers of participating children. Logistic regression analysis, after adjustment for confounding variables, revealed that very-mild-to-moderate enamel fluorosis of permanent central maxillary incisors (CMI) was strongly associated both with the age of the subjects when water fluoridation began and with breast-feeding duration for children belonging to Group I. Subjects in Group I were 20.44 times more likely (95% CI: 5.00-93.48) to develop CMI fluorosis than children who were older than 24 months (Group III) when fluoridation began. Subjects who were between 16 and 24 months old when water fluoridation began were 4.15 times more likely (95% CI: 1.05-16.43) to have CMI fluorosis than children older than 24 months. An inverse association was found with breastfeeding duration (OR=0.86, 95% CI: 0.75-0.98) among Group I subjects but not in Groups II and III. Results obtained suggest that the current fluoride concentration in drinking water may be contributing to fluorosis. Further studies will be necessary to determine the relative competing risks of dental fluorosis and dental caries in Chilean children in order to establish the most appropriate water fluoridation level in
Identidades en movimiento: familias chilenas en la fruticultura del Alto Valle de Río Negro, Argentina Identities in movement: chilean families in the fruit production of the Alto Valle de Río Negro, Argentina
Full Text Available Este artículo, basado en el trabajo de campo realizado en áreas rurales del Alto Valle de Río Negro, Argentina, desde el año 1999, tiene como propósito presentar las relaciones en las cuales se insertan hombres y mujeres chilenas que residen y trabajan en "chacras" destinadas a la producción frutícola. Las diferentes actividades en las chacras se organizan según el sexo y la edad, definiéndose una segmentación del mercado de trabajo en la que se ven involucrados los diferentes miembros de la familia. Como desarrollaré, ser trabajadores chilenos en la fruticultura del Alto Valle de Río Negro reproduce una identidad étnica y nacional en el seno de la cotidianeidad familiar y laboral.This article, based on field work conducted in rural areas of the Alto Valle de Río Negro, Argentina, from 1999 on, analyzes the relations in which Chilean men and women who reside and work in small farms destined to fruit production are inserted. The different activities in the small farms are organized according to sex and age, circumscribing a segment of the labor market in which different members of the family are involved. As I will demonstrate, to be a Chilean worker in the fruit growing region of the Alto Valle is to reproduce an ethnic and national identity through work routines mediated by family relations.
Poética musical mapuche: factor de dislocación de la música chilena contemporánea: El caso de "Cantos ceremoniales", de Eduardo Cáceres The Mapuche Musical Poiesis as a Means of Dislocation of Chilean Contemporary Music: The Case ofthe "Cantos ceremoniales" by Eduardo Cáceres
Rafael Díaz S
Full Text Available Esta comunicación es una reflexión sobre cómo los procedimientos composicionales mapuches se constituyen en un factor de dislocación y de relectura del paratexto musical contemporáneo. El objeto de estudio es la obra compuesta por Eduardo Cáceres, Cantos ceremoniales para aprendiz de machi (2004, obra sobre textos en lengua mapuche escritos por el poeta chileno-mapuche Elicura Chihuailaf. Esta obra se constituye, para este estudio, en un soporte de (resignificaciones de la cultura musical mapuche, trasplantada al contexto de la música académica. La hipótesis de trabajo es que las maneras de representar al otro, por medio de estrategias composicionales transculturales, han terminado por modificar las fronteras y la posición de la música chilena contemporánea, generando alteridad en su propio núcleo canónico de su otrora paradigma centroeuropeo.The present paper deals with the inñuence ofthe Mapuche technique ofmusic composition upon the contemporary style ofacademic Chilean composers, considering how such factors as mass media and rural urban displacement affect and dislócate the aesthetics of Chilean contemporary music. For this purpose the work Cantos ceremoniales para aprendiz de machi isanalyzed. This workwas writtenin 2004 by the Chilean composer Eduardo Cáceres and it is based on Mapuche poetry written by the Chilean- Mapuche poet Elicura Chihuailaf. This work is conceived as a framework for the change of meanings that the rich and varied Mapuche musical expressions underwent when transplanted to the context ofacademic contemporary music. The central hypothesis has to do with how the (post modern ways ofrepresenting the Other, by means of transcultural strategies ofmusic composition, have modiñed the location and borders of Chilean contemporary music, generating inner changes in its European canonic nucleus.
Axford, Annabel; Carter, Drew
Health promotion does not have a code of ethics, although attempts have been made to assist practitioners in their understanding and application of ethical concepts. This article describes and analyses one such attempt, sustained from 2006 to 2014 in rural South Australia. The attempt comprised capacity-building activities that were informed by principles of organisational change management, especially the principle of creating champions. The article also presents a framework (largely comprising ethical questions) that may help practitioners as a prompt and guide to ethical reflection. The framework was developed to be as accessible as possible in light of the diverse educational backgrounds found in rural settings. Finally, the article highlights some philosophical dimensions to the framework and defends its role, proposing that ethical reflection is integral to good practice and never simply the province of theorists. The article does all this with a view to stimulating discussion on how to increase the frequency and quality of ethical reflection undertaken by health promotion practitioners. PMID:26686061
Full Text Available The measurement of waist circumference (WC is considered to be an important means to control overweight and obesity in children and adolescents. The objectives of the study were to (a compare the WC measurements of Chilean students with the international CDC-2012 standard and other international standards, and (b propose a specific measurement value for the WC of Chilean students based on age and sex. A total of 3892 students (6 to 18 years old were assessed. Weight, height, body mass index (BMI, and WC were measured. WC was compared with the CDC-2012 international standard. Percentiles were constructed based on the LMS method. Chilean males had a greater WC during infancy. Subsequently, in late adolescence, males showed values lower than those of the international standards. Chilean females demonstrated values similar to the standards until the age of 12. Subsequently, females showed lower values. The 85th and 95th percentiles were adopted as cutoff points for evaluating overweight and obesity based on age and sex. The WC of Chilean students differs from the CDC-2012 curves. The regional norms proposed are a means to identify children and adolescents with a high risk of suffering from overweight and obesity disorders.
Gómez-Carballa, Alberto; Moreno, Fabián; Álvarez-Iglesias, Vanesa; Martinón-Torres, Federico; García-Magariños, Manuel; Pantoja-Astudillo, Jaime A; Aguirre-Morales, Eugenia; Bustos, Patricio; Salas, Antonio
The territory of Chile is particularly long and narrow, which combined with its mountainous terrain, makes it a unique scenario for human genetic studies. We obtained 995 control region mitochondrial DNA (mtDNA) sequences from Chileans representing populations living at different latitudes of the country from the North to the southernmost region. The majority of the mtDNA profiles are of Native American origin (∼88%). The remaining haplotypes are mostly of recent European origin (∼11%), and only a minor proportion is of recent African ancestry (∼1%). While these proportions are relatively uniform across the country, more structured patterns of diversity emerge when examining the variation from a phylogeographic perspective. For instance, haplogroup A2 reaches ∼9% in the North, and its frequency decreases gradually to ∼1% in the southernmost populations, while the frequency of haplogroup D (sub-haplogroups D1 and D4) follows the opposite pattern: 36% in the southernmost region, gradually decreasing to 21% in the North. Furthermore, there are remarkable signatures of founder effects in specific sub-clades of Native American (e.g. haplogroups D1j and D4p) and European (e.g. haplogroups T2b3 and K1a4a1a+195) ancestry. We conclude that the magnitude of the latitudinal differences observed in the patterns of mtDNA variation might be relevant in forensic casework. PMID:26517175
Full Text Available This paper presents the results of a study about peer intimidation and victimization with 1167 school students from 6th, 7th, and 8th grade from the Valparaiso Region of Valparaíso, Chile. The instrument used was the Insebull Battery (Avilés & Elices, 2007. Results show that approximately 9% of students have been victim of peer victimization many times or almost every day during the school year. Psychological victimization was more frequent thanphysical aggression, particularly through virtual communication such as cell-phone messages and e-mails. Participants tend to be groups of male students. Although male students participate more in physical aggression, they also receive more physical and psychological aggression. The most frequent places were inside the classroom and the school yard, when the teacher is not present. Most students inform not knowing, or vaguely knowing, thereasons underlying these aggressions, and do not do anything to deal with them. These results coincide with international studies and allow a better understanding of the characteristics of peer victimization in specific educational contexts within the Chilean school system.
Knowledge of the natural level of radioactivity is important to assess the influence of gamma radiation exposure in building materials. The main sources of external radiation exposure in buildings are members of the uranium and thorium decay chains and 40K occurring naturally in building materials, which emit gamma rays.The specific activity of building materials has been reported for many countries. However, for Chilean building materials no such data are available. A study of 40K speciactivity on building materials was carried out with gamma spectrometric system based on high-purity germanium detector. The 40K activity was measured directly by its own gamma-ray line at 1460.8 keV. Samples of gypsum, cement, brick and cement and gravel mixture, widely used in Chile, were used on this work. The samples were corrected by moisture content and the geometrical conditions has been normalized to avoid volumetric corrections. All preliminary results are below the world average of 500 Bq/kg for building materials reported by UNSCEAR
Moyo, Mpatisi; Goodyear-Smith, Felicity A; Weller, Jennifer; Robb, Gillian; Shulruf, Boaz
Personal and professional values of healthcare practitioners influence their clinical decisions. Understanding these values for individuals and across healthcare professions can help improve patient-centred decision-making by individual practitioners and interprofessional teams, respectively. We aimed to identify these values and integrate them into a single framework using Schwartz's values model. We searched Medline, Embase, PsycINFO, CINAHL and ERIC databases for articles on personal and professional values of healthcare practitioners and students. We extracted values from included papers and synthesized them into a single framework using Schwartz's values model. We summarised the framework within the context of healthcare practice. We identified 128 values from 50 included articles from doctors, nurses and allied health professionals. A new framework for the identified values established the following broad healthcare practitioner values, corresponding to Schwartz values (in parentheses): authority (power); capability (achievement); pleasure (hedonism); intellectual stimulation (stimulation); critical-thinking (self-direction); equality (universalism); altruism (benevolence); morality (tradition); professionalism (conformity); safety (security) and spirituality (spirituality). The most prominent values identified were altruism, equality and capability. This review identified a comprehensive set of personal and professional values of healthcare practitioners. We integrated these into a single framework derived from Schwartz's values model. This framework can be used to assess personal and professional values of healthcare practitioners across professional groups, and can help improve practitioners' awareness of their values so they can negotiate more patient-centred decisions. A common values framework across professional groups can support shared education strategies on values and help improve interprofessional teamwork and decision-making. PMID:26215664
... 45 Public Welfare 1 2010-10-01 2010-10-01 false The National Practitioner Data Bank. 60.1 Section... PRACTITIONER DATA BANK FOR ADVERSE INFORMATION ON PHYSICIANS AND OTHER HEALTH CARE PRACTITIONERS General Provisions § 60.1 The National Practitioner Data Bank. The Health Care Quality Improvement Act of 1986,...
Casaletto, Jennifer J; Wadman, Michael C; Ankel, Felix K; Bourne, Christina L; Ghaemmaghami, Chris A
The Institute of Medicine's 2006 report titled "Hospital-Based Emergency Care: At the Breaking Point" called national attention to the lack of specialty-trained emergency care practitioners, particularly in rural America. One suggested strategy for narrowing the gap between the prevalence of residency-trained, board-certified emergency physicians practicing in rural and urban emergency departments is the development of rural clinical experiences for emergency medicine residents during the course of their training. This article addresses promotion of a rural emergency medicine rotation to hospital leadership and resident recruits, examines funding sources, discusses medical liability and disability insurance options, provides suggestions for meeting faculty and planned educational activity residency review committee requirements, and offers guidance about site selection to direct emergency medicine academic leaders considering or planning a new rural emergency medicine rotation. PMID:23083967
Full Text Available The Chilean water model has been described as a textbook example of a free-market water system. This article contributes to the critiques of this model by showing the effect of its implementation in the Atacameño community of Chiu-Chiu, located in the Atacama Desert in the south-central Andes. In this community, the privatization of water rights ignored local water management practices that had produced a high-altitude wetland (known as a vega. This led to the inhabitants’ dispossession of crucial water rights and to wetland degradation. This process belies statements that the Chilean model relies on an unregulated market and instead highlights the state’s role in marginalizing local irrigation practices by reducing the water consumption of the indigenous population while keeping the copper mining industry (the main source of Chilean income and related growing urban populations supplied with water.
Full Text Available This paper deals with trade policy and the principal trends in Chilean exports after the return to democracy in 1990. During this period, both exports and imports expanded significantly in Chile. As far as exports are concerned, this boom is mainly due to an effective trade policy of additive regionalism, booming copper prices, export diversification and the economic dynamism of China, the principal beneficiary of Chilean exports. On the negative side, the country is still too dependant on copper and a few other primary products. In addition, nowadays, in relative terms Chile is exporting more copper minerals and less refined copper than it used to do in the 1990s, while Chilean exports remained highly concentrated in a few companies only, many of which belong to foreign nationals.
Umeh, Chukwuemeka Anthony; Onyi, Stella Chioma; Ahaneku, Hycienth Peterson
Mobile “doctors” are traditional herbal medical practitioners who move from one rural community in Nigeria to another diagnosing disease using a digital thermometer and stethoscope before selling their herbal drugs to the patients. Are their diagnosis correct or just a deception? This reports looks at three cases of mobile doctors ‘ diagnosis of patients in rural southern Nigeria.
COMPARISON OF THE KNOWLEDGE, ATTITUDE AND PRACTICES OF ESSENTIAL MEDICINES AMONG MEDICAL PRACTITIONERS OF A MEDICAL COLLEGE VERSUS PRIVATE MEDICAL GENERAL PRACTITIONERS OF AN URBAN PLACE OF SOUTH INDIA
Vidyarthi SurendraK, Nayak RoopaP, Gupta Sandeep K, Dandekar Rahul H
Background: India is the third largest producer and exporter of medicinestomost of the countries. The World Medicine Situation Report 2011 states that 65% persons in India do not have access to essential medicines. While, huge unethical prescribing ofdrugs for monetary gains has been a second major cause of rural indebtedness. Aims and Objectives:The primary objective of the study was to compare the Knowledge, Attitude and Practices of Essential Medicines among Medical Practitioners of a Medi...
Full Text Available The development of innovations for clinical practice warrants active engagement of clinicians in the research process. This requires attention to factors that serve as incentive to participate. The explanation for the success of factors that encourage practitioners to participate in research can be found in sources of satisfaction and dissatisfaction with clinical practice. It is also important to consider intrinsic incentives such as common and troublesome clinical presentations that are related to workload or unsatisfactory clinical encounters. This review will consider each of these factors and suggest ways in which clinicians, especially general practitioners, may be invited to assist on research projects.
Full Text Available This paper examines the perceptions of practitioners of the new directions taken by NZICA with respect to its academic and professional programme requirements to obtain CA Institute membership. The “future viability of any professional body is dependent on continuously attracting new members, ideally the best and the brightest new tertiary graduates”, and this is “undoubtedly the case for New Zealand’s professional accounting body, the New Zealand Institute of Chartered Accountants (NZICA” (Malthus & Fowler 2009, p. 26. In this study, the concurrent triangulation approach to mixed methods described by Creswell (2009 was used to collect data. This approach enabled the results of the two quantitative and qualitative databases to be integrated and compared. It was found that accounting practitioners felt the changes made by NZICA may devalue the brand, while the reduction in liberal papers would result in a narrower degree. Overall, accounting practitioners agreed that three to four years of tertiary accounting education was adequate, a broader four-year course would result in a better-rounded graduates. The reduction in the length of the tertiary programme caused concern that future graduates would be less mature. Accounting practitioners also felt that the changes would harm the credibility of NZICA internationally. However, some accounting practitioners did welcome the fact that the NZICA membership requirements will be more aligned with Institute of Chartered Accountants Australia. Accounting practitioners felt that the new technical modules would offer more flexibility. They believed that the four technical modules should repeat the material taught at university, as long as a balance was maintained between technical and practical skills. They also believed that the changes would result in an increased onus on the employer. Additionally, accounting practitioners agreed that on-the-job training should not replace a tertiary
Pantoja, Silvio; Gutiérrez, Marcelo; Tapia, Fabián; Abarzúa, Leslie; Daneri, Giovanni; Reid, Brian; Díez, Beatriz
The Southern Ice Field in Chilean Patagonia is the largest (13,000 km2) temperate ice mass in the Southern hemisphere, yearly transporting ca. 40 km3 of freshwater to fjords. This volume of fresh and cold water likely affects adjacent marine ecosystems by changing circulation, productivity, food web dynamics, and the abundance and distribution of planktonic and benthic organisms. We hypothesize that freshwater-driven availability of inorganic nutrient and transport of organic and inorganic suspended matter, as well as microbes, become a controlling factor for productivity in the fjord associated with the Baker river and Jorge Montt glacier. Both appear to be sources of silicic acid, but not of nitrate and particulate organic carbon, especially during summer, when surface PAR and glacier thawing are maximal. In contrast to Baker River, the Jorge Montt glacier is also a source of dissolved organic carbon towards a proglacial fjord and the Baker Channel, indicating that a thorough chemical description of sources (tidewater glacier and glacial river) is needed. Nitrate in fiord waters reaches ca. 15 μM at 25 m depth with no evidence of mixing up during summer. Stable isotope composition of particulate organic nitrogen reaches values as low as 3 per mil in low-salinity waters near both glacier and river. Nitrogen fixation could be depleting δ15N in organic matter, as suggested by the detection at surface waters of nif H genes belonging to diazotrophs near the Montt glacier. As diazotrophs have also been detected in other cold marine waters (e.g. Baltic Sea, Arctic Ocean) as well as glaciers and polar terrestrial waters, there is certainly a potential for both marine and freshwater microbes to contribute and have a significant impact on the Patagonian N and C budgets. Assessing the impact of freshwater on C and N fluxes and the microbial community structure in Patagonian waters will allow understanding future scenarios of rapid glacier melting. This research was funded
Groenier Klaas H
Full Text Available Abstract Background Patients with severe mental illness (SMI experience distress and disabilities in several aspects of life, and they have a higher risk of somatic co-morbidity. Both patients and their family members need the support of an easily accessible primary care system. The willingness of general practitioners and the impeding factors for them to participate in providing care for patients with severe mental illness in the acute and the chronic or residual phase were explored. Methods A questionnaire survey of a sample of Dutch general practitioners spread over the Netherlands was carried out. This comprised 20 questions on the GP's 'Opinion and Task Perspective', 19 questions on 'Treatment and Experiences', and 27 questions on 'Characteristics of the General Practitioner and the Practice Organisation'. Results 186 general practitioners distributed over urban areas (49%, urbanised rural areas (38% and rural areas (15% of the Netherlands participated. The findings were as follows: GPs currently considered themselves as the first contact in the acute psychotic phase. In the chronic or residual phase GPs saw their core task as to diagnose and treat somatic co-morbidity. A majority would be willing to monitor the general health of these patients as well. It appeared that GP trainers and GPs with a smaller practice setting made follow-up appointments and were willing to monitor the self-care of patients with SMI more often than GPs with larger practices. GPs also saw their role as giving support and information to the patient's family. However, they felt a need for recognition of their competencies when working with mental health care specialists. Conclusion GPs were willing to participate in providing care for patients with SMI. They considered themselves responsible for psychotic emergency cases, for monitoring physical health in the chronic phase, and for supporting the relatives of psychotic patients.
Mazumdar, Soumya; Konings, Paul; Butler, Danielle; McRae, Ian Stewart
Background Good quality spatial data on Family Physicians or General Practitioners (GPs) are key to accurately measuring geographic access to primary health care. The validity of computed associations between health outcomes and measures of GP access such as GP density is contingent on geographical data quality. This is especially true in rural and remote areas, where GPs are often small in number and geographically dispersed. However, there has been limited effort in assessing the quality of...
Ravikumar S. Kulkarni; Arun, P. Dupare; Rai, Raj; Kanth, V. Shashi; Sargaiyan, Vinod; Kandasamy, S.
Context: In India, oral cancer accounts for one-third of all cancers. Early detection and immediate intervention can lead to marked reduction in the morbidity and mortality. In India, Ayurveda and homeopathy practitioners are distributed widely in rural and urban areas and are easily accessible. Until date, no assessment on their oral cancer knowledge and practice has been done. Aims: The present study was undertaken to evaluate the knowledge, awareness, and practice concerning oral cancer. S...
Full Text Available Essential elements of the process of rural renovation programme are: stimulating activity of local communities, cooperation for development, while preserving social identity, cultural heritage and natural environment. Implementing a rural revival programme in Poland: Sectoral Operational Programme “The Restructuring and Modernisation of the Food Sector and the Development of Rural Areas in 2004-2006” (action 2.3 “Rural renovation and protection and preservation of cultural heritage” evokes criticism. A wide discussion is carried amongst researchers, politicians, social activists, and local government practitioners. The main question remains: “is rural renovation process in Poland conducted in accordance with the rules in European countries or it is only a new formula of rural modernisation with the use of European funds?” The authors are joining the discussion and in the second part of the article they are presenting the assumption of sociological research. The aim of the analysis is to grasp the essence of revitalization of rural areas located in Łódzkie voivodeship, and analyse the question of specificity of rural Revival Programmes. What is the scope and manner of use of local capital? If so, are the results obtained from implementing a rural revival programme in 2004-2006 within the scope of sustainable development? What activities are predominant in the process of project implementation? Is it rural modernisation, revitalization of the rural areas, barrier removal and change in Infrastructure, or creation of social capital and subjectivity of the local community? Has the process of rural renovation in Łódzkie voivodeship got the so called “social face” and if so, to what extent? The major assumption is that rural renovation programme in Łódzkie voivodeship relates more to revitalization material aspects than “spirituality”.
Sweeney, Thomas J.
Written with the practitioner in mind, this overview of the theory and practice of Alfred Adler's Individual Psychology explains the dimensions and uses of natural and logical consequences--the twin bases of Adlerian/Individual Psychology. The text takes a practical approach to the topic, and covers a variety of settings (school, home, community,…
Elks, Martin A.; Kirkhart, Karen E.
Conducted qualitative study of 17 social workers to develop understanding of how practitioners evaluate themselves in their day-to-day practice. Found acknowledged difficulty in really knowing one's effectiveness; perceived incompatibility between valuation and practice; and presence of implicit model of self-evaluation comprising five components…
Thomsen, Steven R.; Gustafson, Robert L.
Presents results of focus interviews with 25 "practitioners turned professors" regarding their transition from industry to academia. Finds a general consensus that all advertising and public relations programs should implement a formal mentoring process to include teacher training and inservice, greater explanation of and assistance with promotion…
Rose, Patricia B.; Miller, Debra A.
Finds little or no difference in the interest of small market advertising and public relations practitioners in professional courses. Lends support to the idea of a common curriculum (an Integrated Marketing Communications program) to fulfill the educational needs of both groups. (SR)
Rys, Gregory P.
Primary care is in a state of crisis due to the lack of clinicians and increasing numbers of insured patients. Encouraging more students to go directly through school for their doctor of nursing practice degree and nurse practitioner (NP) certifications is one proposal to alleviate this crisis. However, this approach would deliver graduates with…
Freeling, P.; Burton, R. H.
The ways in which `medical audit' can be used in the continuing education of general practitioners are examined, and certain rules for the conduct of such education in small groups of peers are put forward. However, it proved impossible to evaluate the outcome of the educational exercise because those taking part refused to audit twice any single aspect of their daily work.
... implementing section 1921 were issued on January 28, 2010 (75 FR 4656). The NPDB began collecting and... dates. II. Summary of the Proposed Rule The proposed regulation published on February 15, 2012 (77 FR... HUMAN SERVICES 45 CFR Parts 60 and 61 RIN 0906-AA87 National Practitioner Data Bank AGENCY:...
...) 443-2300. SUPPLEMENTARY INFORMATION: I. Background In FR Doc. No. 2013-07521 of April 5, 2013 (78 FR... requirements. IV. Correction of Errors In FR Doc. No. 2013-07521 published April 5, 2013 (78 FR 20473), make... HUMAN SERVICES 45 CFR Parts 60 and 61 RIN 0906-AA87 National Practitioner Data Bank AGENCY:...
Quan, Hong; Yang, Shihua; Chen, Honglin
This paper is a summary which explores the effectiveness and evaluation of my development as a reflective practitioner. It focuses on development with two useful theories about learning and teaching. They are about deep learning & surface learning and levels of teaching. Actually, when I put these theories to practice reflectively, the result…
According to a 1981 survey, advertising practitioners place more importance on the accreditation of college advertising programs when it comes to evaluating a graduate of such a program than do the educators who must earn the accreditation. Only directors of advertising education programs in the communication-journalism area that are currently…
... substance prescriptions, the practitioner must determine that the third-party auditor or certification... chapter. (e) If the third-party auditor or certification organization has found that an electronic... responsibility to dispense controlled substances only for a legitimate medical purpose while acting in the...
This podcast discusses bullying as a public health problem, and provides information and resources for public health practitioners. Created: 1/19/2012 by National Center for Injury Prevention and Control (NCIPC). Date Released: 1/19/2012.
Full Text Available Resumen: El diario chileno El Mercurio incluye algunas veces en sus artículos la mención «ver infografía» para invitar a los lectores a completar la lectura con la observación de un cuadro anexo. Este cuadro, sin embargo, no siempre incluye un elemento icónico: como lo demostramos aquí, este diario utiliza una definición extremadamente amplia del concepto de infografía. Además de presentar aquí las características de todos los infográficos publicados en enero y febrero de 2009, mostramos también que los casos en que aparece la mención «ver infografía» no son predecibles a partir de estos cuadros y que éstos no se distinguen, por sus características, del resto de los publicados.Abstract:The chilean newspaper El Mercurio sometimes include in their articles the words «see infographics» inviting readers to complete the reading with the observation of an annexed table. This table, however, does not always include an iconic: as we demonstrated here, this newspaper uses an extremely broad definition of the concept of infographics. Apart from presenting here the characteristics of all infographics published in January and February 2009, we also show that cases in which the words «see infographics» are not predictable from these graphics and they are not distinguished by their characteristics from the rest of them.
K. P. Mashige
Full Text Available This paper presents findings of a survey of optometric practices and practitioners in the KwaZulu-Natal (KZN province. Questions on demographics of practitioners, equipment, clinical practice andbusiness profile were included in the questionnaire. Also, issues that have the potential to impact on optometric practices were contained in the questionnaire and these include medical aid, advertising, continuous professional development (CPD and emigration. Of the 117 completed questionnaires, 55% were from females and 45% were from male practitioners. The respondents included 55% Indians, 27% Whites, 17% Blacks and 1% Coloureds. The majority of practices were located in urban areas (90% and rural areas (10%, and were mostly independent (67% and franchises (33%. Only a minority of the practices had major diagnostic equipment such as visual field analysers (33% and corneal topographers (7%. A significant proportion of the practitioners reported not routinely performing non-contact tonometry (45% and slit lamp examination (41% respectively. The majority (95% rated patient’s needs as a very important factor in their decision to prescribe an optical device. A significant proportion (38% of the practices had annual patient bases of above 33 000, with 35% having an average of 51-100 new patients per month. A few (5% practices reported gross monthly turnovers of above R400 000, and 27% reported turnovers of less than R60 000. Many (89% derived 41% and above of their total revenue from spectacle lens sales and 11% derived 41% and above from contact lens sales. The majority (92% of practices were contracted to over 60% of the medical aid schemes. Many (68% reported that they were not negatively affected by medical aid fraud committed by their colleagues, however, a significant proportion (32% reported the converse. More than half (54% of the practitioners reported that they used the print media
Bart M. Demaerschalk
Full Text Available Objective. The objective was to define and evaluate a role for the Vascular Neurology-Nurse Practitioner (VN-NP in the delivery of telemedicine consultations in partnership with a vascular neurologist. Methods. Prospective stroke alert patients at participating hospitals underwent a two-way audio video telemedicine consultation with a VN-NP at a remotely located stroke center in partnership with a vascular neurologist. Demographic information, National Institutes of Health Stroke Scale (NIHSS scores, diagnoses, CT contraindications to thrombolysis, thrombolysis eligibility, and time interval data were collected. The inter-rater agreement between VN-NP and vascular neurologist assessments was calculated. Results. Ten patients were evaluated. Four were determined to have ischemic stroke, one had a transient ischemic attack, two had intracerebral hemorrhages, and three were stroke mimics. Overall, three patients received thrombolysis. The inter-rater agreement between VN-NP and vascular neurologist assessments were excellent, ranging from 0.9 to 1.0. The duration of VN-NP consultation was 53.2±9.0 minutes, which included the vascular neurologist supervisory evaluation time of 12.0±9.6 minutes. Conclusion. This study illustrated that a stroke center VN-NP, in partnership with a vascular neurologist, could deliver timely telemedicine consultations, accurate diagnoses, and correct treatments in acute stroke patients who presented to remotely located rural emergency departments within a hub and spoke network. VN-NPs may fulfill the role of a telestroke provider.
Borghi Gabriella; Bernocchi Palmira; Scalvini Simonetta; Zanaboni Paolo; Tridico Caterina; Masella Cristina
Abstract Background Nowadays, new organisational strategies should be indentified to improve primary care and its link with secondary care in terms of efficacy and timeliness of interventions thus preventing unnecessary hospital accesses and costs saving for the health system. The purpose of this study is to assess the effects of the use of teleconsultation by general practitioners in rural areas. Methods General practitioners were provided with a teleconsultation service from 2006 to 2008 to...
Arias, R.A.; Catrileo, A.; Larraín, R.; Vera, R.; Velásquez, A.; Toneatti, M.; France, J.; Dijkstra, J.; Kebreab, E.
A mechanistic model (COWPOLL) was used to estimate enteric methane (CH4) emissions from beef production systems in Chile. The results expressed as a proportion of gross energy intake (GEI) were compared with enteric fermentation data reported in the last Chilean greenhouse gases inventory, which uti
Glas, Katharina; Cardenas-Claros, Monica S.
Chilean youth are currently demanding access to better-quality education for all: greater democracy and curricula that respect the country's indigenous cultural roots form part of their petitions. This article puts forward a twofold pedagogical proposal for English Language Teaching intended to foster intrinsic motivation and democratic…
Granillo, M. Teresa; Grogan-Kaylor, Andrew; Delva, Jorge; Castillo, Marcela
The purpose of this study was to explore the prevalence and correlates of eating disorders among a community-based sample of female Chilean adolescents. Data were collected through structured interviews with 420 female adolescents residing in Santiago, Chile. Approximately 4% of the sample reported ever being diagnosed with an eating disorder.…
Cavieres, Eduardo A.
In this article I analyze the class- and cultural-based exclusion produced by the Chilean neoliberal educational reform, carried out during the period from 1990 to 2010. This educational reform follows the same neoliberal model applied to the economy of the country. Although some indicators improved in relation to coverage and public spending in…
Meckes, Lorena; Bascope, Martin
This study examines the allocation of novice primary teachers in Chilean schools, looking at their characteristics and at the attributes of the schools at which they are hired after having completed their initial teacher training. The study reveals that in Chile, more qualified novice teachers are more prone to get jobs in socio-economically…
Muñoz-Chereau, B.; Thomas, S. M.
This article reports an original investigation into school performance measures and the multilevel nature of pupil achievement data in the Chilean school system using a sample of 177,461 students, nested within 7146 classrooms, 2283 secondary schools and 313 municipalities. The data-set comprised Year 10 students' 2006 SIMCE test's results in two…
Strasser, Katherine; Lissi, Maria Rosa
The study examines the home literacy experiences, emergent literacy skills, and instructional experiences of a sample of Chilean kindergarten children (n = 126) and kindergarten families (n = 188) nested in 12 kindergarten classrooms from different socioeconomic status groups and types of schools. Descriptive information is given showing the level…
Fischer, M.A.; Velde, van der G.; Roubos, E.W.
Doto uva Marcus, 1955 is a nudibranch species recorded from the Brazilian and Chilean coast. In spite of its wide distribution, D. uva has been described only superficially, mainly as to the pattern of its coloration, external morphology, radular teeth and reproductive system. Here we substantially
International policy institutions claim that Chile's remarkable economic performance testifies to the merits of a neo-liberal development model. This book argues, however, that 'the Chilean miracle' did not result from the adoption ofneoliberalismitself, but from the persis
Full Text Available Electrophoretic variation of proteins encoded by 14 loci was analyzed in eight (five continental and three insular populations of the Chilean leptodactylid frog Batrachyla leptopus. The overall proportion of polymorphic loci was estimated to be 18.7% and the average number of alleles per locus, 1.2, while observed and expected heterozygosities were 1.7 and 5.1%, respectively. The estimated coefficient of genetic identity was 0.940; the corresponding figure for genetic distance was 0.063. F-statistics analysis showed a total inbreeding coefficient (Fit of 0.855 and high levels of genetic subdivision (Fst = 0.596 as well as of inbreeding within populations (Fis = 0.640. However, there was only a moderate level of genetic differentiation (Fst = 0.181 between the insular group of populations and the continental group.A variação eletroforética de proteínas codificadas por 14 loci foi analisada em oito populações (5 continentais e 3 insulares da rã leptodactilídea chilena Batrachyla leptopus. A proporção geral de loci polimórficos foi estimada como sendo de 18,7% e o número médio de alelos por loco, 1,2, enquanto que as heterozigosidades observada e esperada foram 1,7 e 5,1%, respectivamente. O coeficiente esperado de identidade genética foi 0,940; o número correspondente para a distância genética foi 0,063. A análise estatística F mostrou um coeficiente de endogamia total (Fit de 0,855 e altos níveis de subdivisão genética (Fst = 0,596, assim como de endogamia dentro das populações (Fis = 0,640. Contudo, houve apenas um nível moderado de diferenciação genética (Fst = 0,181 entre o grupo insular de populações e o grupo continental.
Lomstein, Bente Aa.; Jørgensen, Bo B.; Schubert, Carsten J.; Niggemann, Jutta
The spatial distribution of total hydrolysable amino acids (THAA) and amino acid enantiomers ( D- and L-forms) was investigated in sediments underlying two contrasting Chilean upwelling regions: at ˜23 °S off Antofagasta and at ˜36 °S off Concepción. The contribution of amino acids to total organic carbon (%T AAC: 7-14%) and total nitrogen (%T AAN: 23-38%) in surface sediments decreased with increasing water depth (from 126 to 1350 m) indicating that organic matter becomes increasingly decomposed in surface sediments at greater water depth. Changes in the ratio between the protein amino acid aspartate and its non-protein degradation product β-alanine confirmed this observation. Furthermore, estimates of THAA mineralization showed that sedimentary amino acid reactivity decreased with both increasing water depth as well as progressive degradation status of the organic matter that was incorporated into the sediment. Reactivity of organic matter in the sediment was also assessed using the Degradation Index (DI) developed by [Dauwe, B., Middelburg, J.J., 1998. Amino acids and hexosamines as indicators of organic matter degradation state in North Sea sediments. Limnol. Oceanogr.43, pp. 782-798.]. Off Concepción, DI was successfully applied to examine the degradation status of sedimentary organic matter at different water depths. However, unexpected results were obtained at the Antofagasta stations as DI increased with sediment depth, suggesting more degraded organic matter at the surface than deeper in the cores. The contribution of peptidoglycan amino acids to THAA was estimated from the concentrations of D-aspartate, D-glutamic acid, D-serine, and D-alanine. Peptidoglycan amino acids accounted for >18% of THAA in all investigated samples. In surface sediments peptidoglycan amino acids accounted for a progressively larger fraction of THAA at increasing water depths (up to >26%). Further, the contribution of peptidoglycan amino acids to THAA increased with
Adrian P Mundt
Full Text Available OBJECTIVE: High rates of mental disorders have been reported for prison populations worldwide, particularly in low- and middle-income countries (LMICs. The present study aimed to establish prevalence rates of mental disorders in Chilean prisoners. METHOD: A nationwide random sample of 1008 prisoners was assessed in 7 penal institutions throughout Chile. Twelve-month prevalence rates were established using the Composite International Diagnostic Interview (CIDI and compared to the prevalence rates previously published for the general population. RESULTS: Prevalence rates were 12.2% (95% CI, 10.2-14.1 for any substance use disorder, 8.3% (6.6-10.0 for anxiety disorders, 8.1% (6.5-9.8 for affective disorders, 5.7% (4.4-7.1 for intermittent explosive disorders, 2.2% (1.4-3.2 for ADHD of the adult, and 0.8% (0.3-1.3 for non-affective psychoses. Significantly higher prevalence rates among prisoners as compared to the general population in Chile were seen for major depression (6.1% vs. 3.7% males, Z=2.58, p<0.05 and illicit drug use (3.3% vs. 0.6% males with drug abuse, Z=2.04, p<0.05; 2.6% vs. 0.1% females with drug abuse, Z=5.36, p<0.001; 3.4% vs. 1.1% males with drug dependence, Z=3.70; p<0.001. Dysthymia (6.5% vs. 15.6%, Z=-2.39, p<0.05, simple (3.3% vs. 11.5%, Z=-3.13, p<0.001 and social phobias (3.9% vs. 9.7%, Z=2.38, p<0.05 were significantly less frequent in the female prison population than in the general population. One-year prevalence rates of alcohol abuse (2.3% vs. 3.9%; Z=-2.04; p<0.05 and dependence (2.7% vs. 8.2%; Z=-5.24; p<0.001 were less prevalent in the male prison population than in the general population. CONCLUSIONS: Service provision for prison populations in Chile should acknowledge high rates of depression and illicit drug use. Overall prevalence rates are lower than reported in other LMICs. Previous research in prison populations in LMICs might have overestimated prevalence rates of mental disorders.
Huygens, D.; Boeckx, P.; Van Cleemput, O.; Oyarzún, C.; Godoy, R.
Extreme sensitivity of soil organic carbon (SOC) to climate and land use change warrants further research in different terrestrial ecosystems. The aim of this study was to investigate the link between aggregate and SOC dynamics in a chronosequence of three different land uses of a south Chilean Andisol: a second growth Nothofagus obliqua forest (SGFOR), a grassland (GRASS) and a Pinus radiata plantation (PINUS). Total carbon content of the 0-10cm soil layer was higher for GRASS (6.7 kg C m-2) than for PINUS (4.3 kg C m-2, while TC content of SGFOR (5.8 kg C m-2) was not significantly different from either one. High extractable oxalate and pyrophosphate Al concentrations (varying from 20.3-24.4 g kg-1, and 3.9-11.1 g kg-1, respectively) were found in all sites. In this study, SOC and aggregate dynamics were studied using size and density fractionation experiments of the SOC, δ13C and total carbon analysis of the different SOC fractions, and C mineralization experiments. The results showed that electrostatic sorption between and among amorphous Al components and clay minerals is mainly responsible for the formation of metal-humus-clay complexes and the stabilization of soil aggregates. The process of ligand exchange between SOC and Al would be of minor importance resulting in the absence of aggregate hierarchy in this soil type. Whole soil C mineralization rate constants were highest for SGFOR and PINUS, followed by GRASS (respectively 0.495, 0.266 and 0.196 g CO2-Cm-2d-1 for the top soil layer). In contrast, incubation experiments of isolated macro organic matter fractions gave opposite results, showing that the recalcitrance of the SOC decreased in another order: PINUS>SGFOR>GRASS. We deduced that electrostatic sorption processes and physical protection of SOC in soil aggregates were the main processes determining SOC stabilization. As a result, high aggregate carbon concentrations, varying from 148 till 48 g kg-1, were encountered for all land use sites. Al
Full Text Available Extreme sensitivity of soil organic carbon (SOC to climate and land use change warrants further research in different terrestrial ecosystems. The aim of this study was to investigate the link between aggregate and SOC dynamics in a chronosequence of three different land uses of a south Chilean Andisol: a second growth Nothofagus obliqua forest (SGFOR, a grassland (GRASS and a Pinus radiata plantation (PINUS. Total carbon content of the 0-10cm soil layer was higher for GRASS (6.7 kg C m-2 than for PINUS (4.3 kg C m-2, while TC content of SGFOR (5.8 kg C m-2 was not significantly different from either one. High extractable oxalate and pyrophosphate Al concentrations (varying from 20.3-24.4 g kg-1, and 3.9-11.1 g kg-1, respectively were found in all sites. In this study, SOC and aggregate dynamics were studied using size and density fractionation experiments of the SOC, δ13C and total carbon analysis of the different SOC fractions, and C mineralization experiments. The results showed that electrostatic sorption between and among amorphous Al components and clay minerals is mainly responsible for the formation of metal-humus-clay complexes and the stabilization of soil aggregates. The process of ligand exchange between SOC and Al would be of minor importance resulting in the absence of aggregate hierarchy in this soil type. Whole soil C mineralization rate constants were highest for SGFOR and PINUS, followed by GRASS (respectively 0.495, 0.266 and 0.196 g CO2-Cm-2d-1 for the top soil layer. In contrast, incubation experiments of isolated macro organic matter fractions gave opposite results, showing that the recalcitrance of the SOC decreased in another order: PINUS>SGFOR>GRASS. We deduced that electrostatic sorption processes and physical protection of SOC in soil aggregates were the main processes determining SOC stabilization. As a result, high aggregate carbon concentrations, varying from 148 till 48 g kg-1, were encountered for all land use
Anderson, A.L.; Gilliss, C L; Yoder, L
Barriers exist that prevent nurse practitioners from using their primary health care knowledge and skills. We present the incidence of and specific barriers experienced by nurse practitioner respondents in California, the state with the largest number of nurse practitioners in the nation. A January 1995 survey was sent to all nurse practitioners certified in California to elicit their experiences regarding legal or social barriers in their practice, with space for an open-ended response. Of a...
Thomson, A N; Craig, B J; Barham, P. M.
BACKGROUND. Pharmaceutical representatives are a vital component of the marketing of pharmaceutical products and an important source of prescribing information for general practitioners. AIM. A study was undertaken to explore the attitudes of New Zealand general practitioners to pharmaceutical representatives. METHOD. A questionnaire survey of 100 general practitioners was undertaken to which 67 general practitioners responded. RESULTS. The provision of practical prescribing advice by represe...
Wouda, L H
There are two spheres of professional liability of veterinary practitioners, in which claims can be made on these practitioners in their quality of insured. These are their liability for services and their liability for products. In both fields the issue is one of the care with which veterinary drugs and vaccines are used in an animal or group of animals respectively. As data on the subject are virtually absent in the literature, experience will have to provide the basis. In jurisdiction in the Netherlands, recourse is frequently had to Section 1401 of the Civil Code where services are concerned. Liability for products is marked by a line adopted by the Council of Ministers of the European Economic Community. It can be concluded that improvement of uniformity in the field in question may be achieved by lengthy discussion. In assessing claims for damages, however, each case will have to be judged on its own merits. PMID:7466764
Full Text Available Monica Flowers, Maria OlenickCollege of Nursing and Health Sciences, Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL, USAAbstract: Foreign-educated physicians (FEPs, also known as "international medical graduates", represent a rich source of potential primary-care providers. Despite their high level of medical knowledge and skills as well as ethnic and cultural diversity suited to meet the demands of patients, FEPs face many barriers in their attempt to continue to practice medicine in the USA. The program of study at Florida International University's Nicole Wertheim College of Nursing and Health Sciences provides FEPs the opportunity to have an impact on health care and continue to practice medicine in the USA by becoming nurse practitioners.Keywords: foreign-educated physician, FEP, international medical graduate, IMG, nurse practitioner, NP
DiCenso, Alba; Auffrey, Lucille; Bryant-Lukosius, Denise; Donald, Faith; Martin-Misener, Ruth; Matthews, Sue; Opsteen, Joanne
Canada, like many countries, is in the midst of primary health care reform. A key priority is to improve access to primary health care, especially in remote communities and areas with physician shortages. As a result, there is an increased emphasis on the integration of primary health care nurse practitioners. As of March 2006, legislation exists in all provinces and two territories in Canada that allows nurse practitioners (NPs) to implement their expanded nursing role. In this paper, we will briefly review the historical development of the NP role in Canada and situate it in the international context; describe the NP role, supply of NPs in the country, and the settings in which they work; propose an NP practice model framework; summarize facilitators and barriers to NP role implementation in primary health care delivery; and outline strategies to address the barriers. PMID:18041990
Tyler, Jo A.
Human resource development (HRD) practitioners are adding storytelling to their box of tactical and strategic tools. This qualitative research study investigates how HRD practitioners in for-profit settings apply storytelling as a means of advancing organizational goals. The primary focus of practitioners is on instrumental application of stories…
... Medicare Part B coverage of his or her services, a nurse practitioner must be a registered professional... established standards for nurse practitioners. (ii) Possess a master's degree in nursing or a Doctor of... the nurse practitioner's services; (3) Although incidental, are an integral part of the...
Shook, LaVerne; Roth, Gene
Purpose: This paper seeks to provide perspectives of HR practitioners based on their experiences with mergers, acquisitions, and/or downsizings. Design/methodology/approach: This qualitative study utilized interviews with 13 HR practitioners. Data were analyzed using a constant comparative method. Findings: HR practitioners were not involved in…
... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Veterinary practitioners and animal... FROM PREPARATION PURSUANT TO AN UNSUSPENDED AND UNREVOKED LICENSE § 107.1 Veterinary practitioners and...)(1) Products prepared by a veterinary practitioner (veterinarian) solely for administration...
Wisely, I C
Proposals for fundholding were greeted with scepticism by many general practitioners, and in Scotland the BMA persuaded the government to allow a scheme to test the arrangements as a demonstration project operating "shadow" practice funds. This allowed the six selected practices to set up administrative and computer systems without the worry of dealing with real money. The shadow fundholding scheme has since been extended to small practices and to a trial of fundholding for all services excep...
The knowledge of practitioners on justification of the individual medical exposure was assessed during education and training programmes. A survey containing questions on this issue was used. The results show that the Good Practice Guide should be disseminated and studied by radiation protection training programmes and such kind of training must be extended to prescribers because they have to be involved in the justification process. (authors)
David C. Love; Fry, Jillian P.; Laura Genello; Hill, Elizabeth S.; J Adam Frederick; Ximin Li; Ken Semmens
Aquaponics, a combination of fish farming and soilless plant farming, is growing in popularity and gaining attention as an important and potentially more sustainable method of food production. The aim of this study was to document and analyze the production methods, experiences, motivations, and demographics of aquaponics practitioners in the United States (US) and internationally. The survey was distributed online using a chain sampling method that relied on referrals from initial respondent...
For patients suffering from allergic rhinitis (AR), general practitioners (GPs) are often their first source of medical advice. It is one of the top-ten reasons for a visit to the primary care clinics and AR was estimated to be 10-40% of the total patient visits in about 50% of the primary care clinics. The standard of management for AR among GPs is thus a key outcome assessment of AR management and implementation of international guidelines in general healthcare practice.
US Department of Agriculture, 2016
Many people have definitions for the term rural, but seldom are these rural definitions in agreement. For some, rural is a subjective state of mind. For others, rural is an objective quantitative measure. In this brief report the United States Department of Agriculture presents the following information along with helpful links for the reader: (1)…
Zumbado, Jennifer Rochlis
The NASA/SP-2015-3709, Human Systems Integration (HSI) Practitioner's Guide, also known as the "HSIPG," provides a tool for implementing HSI activities within the NASA systems engineering framework. The HSIPG is written to aid the HSI practitioner engaged in a program or project (P/P), and serves as a knowledge base to allow the practitioner to step into an HSI lead or team member role for NASA missions. Additionally, this HSIPG is written to address the role of HSI in the P/P management and systems engineering communities and aid their understanding of the value added by incorporating good HSI practices into their programs and projects. Through helping to build a community of knowledgeable HSI practitioners, this document also hopes to build advocacy across the Agency for establishing strong, consistent HSI policies and practices. Human Systems Integration (HSI) has been successfully adopted (and adapted) by several federal agencies-most notably the U.S. Department of Defense (DoD) and the Nuclear Regulatory Commission (NRC)-as a methodology for reducing system life cycle costs (LCCs). These cost savings manifest themselves due to reductions in required numbers of personnel, the practice of human-centered design, decreased reliance on specialized skills for operations, shortened training time, efficient logistics and maintenance, and fewer safety-related risks and mishaps due to unintended human/system interactions. The HSI process for NASA establishes how cost savings and mission success can be realized through systems engineering. Every program or project has unique attributes. This HSIPG is not intended to provide one-size-fits-all recommendations for HSI implementation. Rather, HSI processes should be tailored to the size, scope, and goals of individual situations. The instructions and processes identified here are best used as a starting point for implementing human-centered system concepts and designs across programs and projects of varying types, including
Correa, Margarita C.G.; Lombaert, Eric; Malausa, Thibaut; Crochard, Didier; Alvear, Andrés; Zaviezo, Tania; Palero, Ferran
The present study aimed to characterize the distribution of mealybug species along Chilean agro-ecosystems and to determine the relative impact of host plant, management strategy, geography and micro-environment on shaping the distribution and genetic structure of the obscure mealybug Pseudococcus viburni. An extensive survey was completed using DNA barcoding methods to identify Chilean mealybugs to the species level. Moreover, a fine-scale study of Ps. viburni genetic diversity and populatio...
Overfishing is not an exclusive topic of big fishing industry. Overfishing by small-scale fishers is also happening. The Territorial Use of Rights – TURFs was implemented in Chile to protect the Chilean abalone from overfishing. Through the implementation of the TURFs Chilean abalone are no longer threatened by overfishing. The challenge to protect the resource thus seems to be solved. However, while some problems are solved others persist or new ones arise. The thesis explores the discourses...
Baltica Cabieses; Pickett, Kate E.; Helena Tunstall
This study explored a range of sociodemographic factors associated with disability among international immigrants in Chile, and compared them to the Chilean-born. Secondary data analysis of the Chilean population-based survey CASEN-2006 was conducted (268,873 participants). Main health outcomes: any disability and six different types of disability: visual, hearing, learning, physical, psychiatric and speaking (binary outcomes). Sociodemographic variables: Demographic factors (age, sex, marita...
This article illuminates why Nicolás Palacios's 1904 monograph, Raza chilena: Libro escrito por un Chileno i para los Chilenos [Chilean Race: A Book Written by a Chilean for Chileans], is central to the creation of a myth of Chilean racial homogeneity at the turn of the twentieth century. Placing Palacios in the context of Latin American eugenic discourse, it demonstrates how he selected a specific racial origin story in order to accommodate his belief in racial hierarchy while also depicting race mixing in a positive light. Specifically, the article highlights how the myth of Chilean racial homogeneity elided the difference between the term "mestizo," which was applied to people of mixed racial heritage, and "white." I contend that Palacios sought to differentiate Chileans from other Latin Americans by emphasizing their racial distinctiveness. The article therefore highlights that Latin American eugenics was concerned with the creation of national narratives that historicized particular racial mixtures in order to reify and affirm national differences. As such, it connects to literature regarding the history of eugenics, race, nation, and the creation of whiteness. PMID:25733067
Harvey, Rebecca; Malloy, Kelly Michele
Hemorrhagic emergencies in otolaryngology can present significant challenges to the early practitioner. The development of procedural skills, clinical decision making, effective communication strategies, and leadership remain critical to ensuring positive patient outcomes. Procedural task trainers and simulation-based complex scenarios provide safe and effective learning environments for young practitioners to build confidence and develop such skills. This article reviews the principles of managing epistaxis and postoperative neck hematoma geared toward early learners by providing a road map for educators to use in simulation-based curriculums. PMID:27267031
Purpose: The aim of this study was to evaluate the experiences of diagnostic and therapeutic radiographers as they mentored trainee assistant practitioners undertaking an educational programme. The evaluation study describes the challenges and benefits the radiographers experienced as mentors as well as giving their insights into the introduction of assistant practitioners in their departments. Method: The mentors' opinions were sought by a questionnaire which formed part of the evaluation of the respective diagnostic imaging and therapeutic educational programmes run by two colleges. Results: The response rate was 54% (22/41). Mentors described personal and professional benefits for themselves from undertaking this role. Although mentoring had provided a number of challenges including an increase in workload, the experience had also enhanced their teaching and mentoring skills and contributed to their Continuing Professional Development (CPD). Whilst the role was more time consuming than initially expected this had not impacted generally on their ability to undertake CPD or deliver patient care. In relation to the wider impact of the programmes some negative impact was reported on the speed of service delivery but not on the quality of practice. Mentors felt that the programmes had a positive effect on teamworking and had been beneficial for patient care. Some difficulties were noted in balancing the mentoring of trainee assistant practitioners and radiography undergraduates. Conclusion: The mentors strongly endorsed the educational programmes and their roles and responsibilities in their delivery. Protected time to carry out mentoring duties and establishing good communication with the colleges providing the theoretical teaching were identified as means of further improving the mentoring process.
Rafael Manjarrez-Montes de Oca
Full Text Available Introduction: Taekwondo (TKD is a combat sport, which has also been proposed as a fitness program, with a strong anaerobic component. Creatine (Cr supplementation is used to improve both anaerobic exercise performance and body composition. Therefore, Cr supplementation could be beneficial in TKD. Aims: To determine the effect of Cr supplementation (50 mg/kg body wt on body composition, anaerobic power and blood chemistry in young male TKD practitioners. Methods: Ten male TKD practitioners (age [20 ± 2 yr], height [1.69 ± 0.06 m], and mass [67 ± 9.8 kg] participated in a placebo-controlled, double blind, crossover study. Body composition (DEXA, anaerobic power (Wingate Test, blood lactate and blood chemistry were measured before and after supplementation. Differences between data before and after supplementation were calculated for each treatment (Cr and Placebo and were compared using the Wilcoxon signed-rank test. Results: Fat mass (kg decreased after placebo (Mdn [IqR] = -0.75 [-1.44 to 0.03] and increased following Cr intake (0.17 [-0.77 to 1.13] kg (Z = 2.191, p < 0.028, r = 0.49. Serum triglyceride concentration (mg/mL increased after Cr (45.00 [-7.50 to 75.00] and decrease with placebo (-7.00 [-10.75 to 12.00] (Z = 2.090, p < 0.037, r = 0.47. No changes were found in others parameters. Conclusion: Cr supplementation may increase fat mass and serum triglycerides concentration in young male TKD practitioners without improvement in anaerobic power. Cr supplementation appears to be safe, but athletes should be careful when they want to loss fat.
Full Text Available Abstract Background While attraction of doctors to rural settings is increasing in Mali, there is concern for their retention. An orientation course for young practicing rural doctors was set up in 2003 by a professional association and a NGO. The underlying assumption was that rurally relevant training would strengthen doctors' competences and self-confidence, improve job satisfaction, and consequently contribute to retention. Methods Programme evaluation distinguished trainees' opinions, competences and behaviour. Data were collected through participant observation, group discussions, satisfaction questionnaires, a monitoring tool of learning progress, and follow up visits. Retention was assessed for all 65 trainees between 2003 and 2007. Results and discussion The programme consisted of four classroom modules – clinical skills, community health, practice management and communication skills – and a practicum supervised by an experienced rural doctor. Out of the 65 trained doctors between 2003 and 2007, 55 were still engaged in rural practice end of 2007, suggesting high retention for the Malian context. Participants viewed the training as crucial to face technical and social problems related to rural practice. Discussing professional experience with senior rural doctors contributed to socialisation to novel professional roles. Mechanisms underlying training effects on retention include increased self confidence, self esteem as rural doctor, and sense of belonging to a professional group sharing a common professional identity. Retention can however not be attributed solely to the training intervention, as rural doctors benefit from other incentives and support mechanisms (follow up visits, continuing training, mentoring... affecting job satisfaction. Conclusion Training increasing self confidence and self esteem of rural practitioners may contribute to retention of skilled professionals in rural areas. While reorientations of curricula in
Gladys Camacho Cépeda
Full Text Available On April 20, 2009, the Transparency Act entered into force in Chile, ensuring citizens the access to public information. Although the balance of this system is positive, it is important to analyse the heart of conflicts which arise when needing to reconcile legal interests and rights guarded by Chilean law, such as the protection of privacy and personal data. The paper analyses the status of the protection of personal data in the Chilean legal system. Firstly, it argues that the right to protection of personal data transcends the classical division between public and private scope, because in both fields it needs to be guarded. Secondly, the abstract seeks to contribute to the debate for the construction of performance standards for public organizations to enable reconciling transparency with the protection of personal data.
Martinez, Suzanna M; Castillo, Marcela; Lozoff, Betsy; Gahagan, Sheila
Informed by the reserve capacity model, we examined pathways between socioeconomic status (SES) and internalizing symptoms (IS) in 1119 Chilean 10-year-olds. Mediators included parental disciplinary style and reserve capacity resources (RCR), namely home environment, parent-child engagement, and self-esteem, and conduct problems. Using structural equation modeling, the model was stratified by gender. For boys, the SES-IS relationship was mediated by the home environment and parental disciplinary style. For girls, the SES-IS relationship was mediated by the home environment, parent-child engagement, self-esteem, and conduct problems. Findings suggest different RCR may protect against IS in a sample of Chilean children. PMID:27123471
Nagel, Jerod L; Kaye, Keith S; LaPlante, Kerry L; Pogue, Jason M
Antibiotic misuse is a serious patient safety concern and a national public health priority. Years of indiscriminant antibiotic use has promoted selection for antibiotic resistant bacteria and Clostridium difficile This crisis has led to clinicians being faced with managing untreatable infections, often in the most vulnerable patient populations. This review summarizes the goals of antimicrobial stewardship programs, the essential members needed to initiate a program, various antimicrobial stewardship strategies, the role of the infection control practitioner in stewardship, barriers to its implementation and maintenance, approaches to measure the impact of a program, and the steps needed to initiate a program. PMID:27515147
Although virtualization is a widely accepted technology, there are few books dedicated to virtualization and security. Filling this need, Securing Cloud and Mobility: A Practitioner's Guide explains how to secure the multifaceted layers of private and public cloud deployments as well as mobility infrastructures. With comprehensive coverage that includes network, server, and endpoint security, it provides a strategic view of the security implications of virtualization and cloud computing. The book begins by deconstructing the terminology of cloud computing. It explains how to establish a secure
Stephen Morris; Matt Sutton; Hugh Gravelle; Bob Elliott; Arne Hole; Ada Ma; Bonnie Sibbald; Diane Skatun
We analyse the determinants of annual net income and wages (annual net income/hours) of general practitioners (GPs) using a unique, anonymised, non-disclosive dataset derived from tax returns for 21,657 GPs in England for the financial year 2002/3. The average GP had a gross income of £189,300, incurred expenses of £115,600, and earned an annual net income of £73,700. The mean wage was £35 per hour. Net income and wages depended on gender, experience, list size, partnership size, whether or n...
Systems Concepts in Action: A Practitioner's Toolkit explores the application of systems ideas to investigate, evaluate, and intervene in complex and messy situations. The text serves as a field guide, with each chapter representing a method for describing and analyzing; learning about; or changing and managing a challenge or set of problems.The book is the first to cover in detail such a wide range of methods from so many different parts of the systems field. The book's Introduction gives an overview of systems thinking, its origins, and its major subfields. In addition, the introductory text
Ronnie Scott Holuby
Full Text Available Introduction: The availability of rural healthcare is a growing concern in the United States as fewer healthcare providers choose to work in rural areas. Accessing quality continuing education (CE for rural healthcare practitioners (HCPs remains a challenge and may pose a barrier to quality care. Methods: To maximize attendance at a live, in-person, free CE program focusing on geriatric medication and issues specifically targeted to HCPs in rural areas, two methods were implemented sequentially. The first method used formal advertising implemented by a professional marketing service to promote CE events. The second method enlisted local healthcare organizations and physician groups to promote the CE event to their employees. Cost per attendee was calculated for comparison. Results: Professional marketing services recruited 31 HCPs (March 2011 and resulted in a per-participant recruitment cost of US$428.62. Local healthcare organizations and physician groups’ marketing recruited 48 HCPs (July–August 2011 and resulted in a per-participant recruitment cost of US$55.19. Discussion: Providing free CE coordinated through local healthcare organizations and physician groups was the most cost-effective method of recruiting rural HCPs for CE. Formal advertising added cost without increasing the number of participants per event. Although this is the first study of the cost-effectiveness of recruitment methods targeting HCPs in rural areas, results are consistent with research on cost-effectiveness of outreach to rural lay community members.
Korsgaard, Steffen; Müller, Sabine; Tanvig, Hanne Wittorff
Purpose: This article investigates how rural entrepreneurship engages with place and space. It explores the concept of “rural” in rural enterprise, and illustrates the importance of distinguishing between types of rural entrepreneurship. Design/methodology/approach: The constructs of “place......” and “space” from human geography are applied to develop a nuanced understanding of rural entrepreneurship as a spatial phenomenon. Space consists of processes of movement and mobility, while places consist of localized material, social and economic relations. Findings: Two ideal types are developed, namely...... (i) entrepreneurship in the rural and (ii) rural entrepreneurship. The former represents entrepreneurial activities that have limited embeddedness and enact a profit-oriented and mobile logic of space. The latter represents entrepreneurial activities that leverage local resources to re-connect place...
Diego MONTALTI et al
Monomorphic birds cannot be sexed visually and discriminant functions on the basis of external morphological variations are frequently used. Our objective was to evaluate the reliability of sex classification functions created from structural measurements of Chilean flamingos Phoenicopterus chilensis museum skins for the gender assignment of live birds. Five measurements were used to develop four discriminant functions: culmen, bill height and width, tarsus length and middle toe claw. The fun...
Miranda, Marcelo; Bustamante, M Leonor; Mena, Francisco; Lees, Andrew
Manganism has captured the imagination of neurologists for more than a century because of its similarities to Parkinson disease and its indirect but seminal role in the "l-dopa miracle." We present unpublished footage of the original case series reported in Neurology® in 1967 by Mena and Cotzias depicting the typical neurologic signs of manganism in 4 Chilean miners and their response to high doses of l-dopa. PMID:26668239
Kang Sim, D. E.; S. Gahagan; Martinez, S.; Blanco, E.; Lozoff, B.; Cappiello, M; Castillo, M
Objective. This study examined how family environmental characteristics served as mediators in the relationship between socioeconomic conditions and infant growth in a cohort of Chilean infants. Methods. We studied 999 infants, born between 1991 and 1996, from a longitudinal cohort which began as an iron deficiency anemia preventive trial. SES (Graffar Index), the Life Experiences Survey, and the Home Observation for Measurement of the Environment (HOME) were assessed in infancy. Using path a...
Reyes-Farias, Marjorie; Vasquez, Karla; Ovalle-Marin, Angelica; Fuentes, Francisco; Parra, Claudia; Quitral, Vilma; Jimenez, Paula; Garcia-Diaz, Diego F.
Obesity is characterized by an increase in the infiltration of monocytes into the adipose tissue, causing an inflammatory condition associated with, for example, the development of insulin resistance. Thus, anti-inflammatory-based treatments could emerge as a novel and interesting approach. It has been reported that Chilean native fruits maqui (Aristotelia chilensis) and calafate (Berberis microphylla) present high contents of polyphenols, which are known for their antioxidant and anti-inflam...
Peter M. M. Cummings; University of Notre Dame, Indiana
Objective indicators suggest that economic and political conditions improved in Chile between the country’s democratization in 1990 and 2011. Average incomes increased, poverty rates decreased, and the number of positive reviews of Chilean democratic institutions rose. Despite this progress, massive student-led protest waves in 2006 and 2011 demonstrated high levels of subjective discontent in Chile. This paper proposes a three-part explanation for the paradoxical emergence and escalation of ...
Cummings, Peter M. M.
"Objective indicators suggest that economic and political conditions improved in Chile between the country's democratization in 1990 and 2011. Average incomes increased, poverty rates decreased, and the number of positive reviews of Chilean democratic institutions rose. Despite this progress, massive student-led protest waves in 2006 and 2011 demonstrated high levels of subjective discontent in Chile. This paper proposes a three-part explanation for the paradoxical emergence and escalation of...
Cummings, Peter M. M.
Objective indicators suggest that economic and political conditions improved in Chile between the countryâ€™s democratization in 1990 and 2011. Average incomes increased, poverty rates decreased, and the number of positive reviews of Chilean democratic institutions rose. Despite this progress, massive student-led protest waves in 2006 and 2011 demonstrated high levels of subjective discontent in Chile. This paper proposes a three-part explanation for the paradoxical emergence and escalation o...
Torres-Florez, Juan P; Hucke-Gaete, Rodrigo; Rosenbaum, Howard; Christian C Figueroa
It is generally assumed that species with low population sizes have lower genetic diversities than larger populations and vice versa. However, this would not be the case for long-lived species with long generation times, and which populations have declined due to anthropogenic effects, such as the blue whale (Balaenoptera musculus). This species was intensively decimated globally to near extinction during the 20th century. Along the Chilean coast, it is estimated that at least 4288 blue whale...
The objective of the present thesis is to achieve a better understanding of CSR in a cross country context. It bases itself on a qualitative case study of the Chilean salmon industry with emphasis on the Norwegian companies that operate herein. The main theoretical framework is taken from organization theory, and bases itself on the rational and the normative institutional organization perspectives. The main goal is to identify the explanatory factors for the CSR measures in this industry. A ...
Villegas, Natalia; Santisteban, Daniel; Cianelli, Rosina; Ferrer, Lilian; Ambrosia, Todd; Peragallo, Nilda; Lara, Loreto
Purpose The incidence of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) is high among young Chilean women, and there are no STI or HIV prevention interventions available to them that incorporate technology. The purpose of this study was to investigate the preliminary efficacy of an Internet-based STI and HIV prevention intervention (I-STIPI) for Chilean young women on measures of STI- and HIV-related information, motivation, behavioral skills, and preventive behaviors. Design This is a pretest-posttest study. Forty young Chilean women between 18 and 24 years of age participated in an investigation of the I-STIPI’s preliminary efficacy on STI and HIV prevention-related outcomes between baseline and a postintervention assessment. The intervention consisted of four online modules. Data collection was conducted in Santiago, Chile. Paired-samples t test analysis was used to determine whether there were significant differences in each of the outcome variables. Findings After receiving I-STIPI, women reported a significant increase in levels of STI- and HIV-related knowledge, attitudes toward the use of condoms and perceived self-efficacy, and a reduction of risky sexual behaviors with uncommitted partners. Conclusions The I-STIPI showed promise as an Internet-based intervention that can reduce barriers to accessing preventive interventions and increase STI and HIV preventive behaviors in young Chilean women. Clinical Relevance The study provided important information about the ability of an Internet-based intervention to reduce young women’s risk factors and to provide positive preliminary efficacy on STI- and HIV-related outcomes. Internet-based interventions can eliminate many barriers to receiving prevention interventions and may prove to be cost effective. PMID:25410132
Parro, Francisco; Reyes, Loreto
This paper analyzes recent labor market developments in the Chilean economy. The evidence shows a booming labor market with strong job creation since 2010. Most of the jobs created during the past three years are quality jobs—that is, jobs with a written contract and whose employers have made the corresponding payments toward pensions, healthcare, and unemployment insurance. We show that a combination of economic growth and specific policies seems to be the driving force behind the strong cre...
C. OyarzÃƒÂºn; Godoy, R.; O. Van Cleemput; P. Boeckx; Huygens, D.
International audience The extreme vulnerability of soil organic carbon to climate and land use change emphasizes the need for further research in different terrestrial ecosystems. We have studied the aggregate stability and carbon dynamics in a chronosequence of three different land uses in a south Chilean Andisols: a second growth Nothofagus obliqua forest (SGFOR), a grassland (GRASS) and a Pinus radiata plantation (PINUS). The aim of this study was to investigate the role of Al as soil ...
Patricio De los Ríos-Escalante
Chilean inland-water ecosystems are characterized by their low species-level biodiversity. This study analyses available data on surface area, maximum depth, conductivity, chlorophyll-α concentration, and zooplankton crustacean species number in lakes and ponds between 23° and 51°S. The study uses multiple regression analysis to identify the potential factors affecting the species number. The partial correlation analysis indicated a direct significant correlation between chlorophyll-α concent...
Irene Depetris Chauvin
Full Text Available The article examines the high school students’ protest against the neoliberal conception of education during the first period of President Michelle Bachelet government. Specifically, I analyze how the new generation of young Chileans critically uses and produces pop culture — photoblogs, posters, and stencils — in order to express disagreement with the mercantilist approach to education and the very concept of neoliberal freedom and equality.
Arias, RA; Catrileo, A; Larraín, R; Vera, R; Velásquez, A.; Toneatti, M; France, J; Dijkstra, J.; Kebreab, E.
Copyright © 2014 Cambridge University Press. A mechanistic model (COWPOLL) was used to estimate enteric methane (CH4) emissions from beef production systems in Chile. The results expressed as a proportion of gross energy intake (GEI) were compared with enteric fermentation data reported in the last Chilean greenhouse gases inventory, which utilized an earlier the Intergovernmental Panel on Climate Change Tier 2 approach. The simulation analysis was based on information from feedstuffs, dry ma...