Manual for Reducing Educational Unit Costs in Latin American Countries.

Science.gov (United States)

Centro Multinacional de Investigacion Educativa, San Jose (Costa Rica).

Designed for educational administrators, this manual provides suggestions for reducing educational unit costs in Latin America without reducing the quality of the education. Chapter one defines unit cost concepts and compares the costs of the Latin American countries. Chapter two deals with the different policies which could affect the principal…

Interest Convergence or Divergence? A Critical Race Analysis of Asian Americans, Meritocracy, and Critical Mass in the Affirmative Action Debate

Science.gov (United States)

Park, Julie J.; Liu, Amy

2014-01-01

We use the Critical Race Theory frameworks of interest convergence and divergence to critique the anti-affirmative action movement's co-option of Asian Americans. Past discussions of affirmative action and Asian Americans mainly concentrate on how Asian Americans are affected by affirmative action, whether positively or negatively. We demonstrate…

Disparities in Birth Weight and Gestational Age by Ethnic Ancestry in South American countries

Science.gov (United States)

Wehby, George L.; Gili, Juan A.; Pawluk, Mariela; Castilla, Eduardo E.; López-Camelo, Jorge S.

2015-01-01

Objective We examine disparities in birth weight and gestational age by ethnic ancestry in 2000–2011 in eight South American countries. Methods The sample included 60480 singleton live-births. Regression models were estimated to evaluate differences in birth outcomes by ethnic ancestry controlling for time trends. Results Significant disparities were found in seven countries. In four countries – Brazil, Ecuador, Uruguay, and Venezuela – we found significant disparities in both low birth weight and preterm birth. Disparities in preterm birth alone were observed in Argentina, Bolivia, and Colombia. Several differences in continuous birth weight, gestational age, and fetal growth rate were also observed. There were no systematic patterns of disparities between the evaluated ethnic ancestry groups across the study countries, in that no racial/ethnic group consistently had the best or worst outcomes in all countries. Conclusions Racial/ethnic disparities in infant health are common in several South American countries. Differences across countries suggest that racial/ethnic disparities are driven by social and economic mechanisms. Researchers and policymakers should acknowledge these disparities and develop research and policy programs to effectively target them. PMID:25542227

[Migrations in Latin American countries. Characteristics of the pediatric population].

Science.gov (United States)

Vásquez-De Kartzow, Rodrigo; Castillo-Durán, Carlos; Lera M, Lydia

2015-01-01

Migration is a growing phenomenon among Latin American countries (LAC) as well as others; however, scarce information is available studying its impact on paediatric groups and its association with socioeconomic variables. To study the association among socioeconomic variables and the immigration rate of paediatric population in LAC. Official rates of migration of LAC were obtained from: International Organization for Migration, Pan American Health Organization, and United Nations Development Programme. Demographic and socioeconomic information was also obtained for: gross domestic product (GDP), human development index (HDI), Gini coefficient of inequality (GC), alphabetization rate for adults (AA), net migration rate (NMR), and immigration of childrenChile and Argentina. No association among NMR and GDP, HDI, GC, AA was found. A correlation of IM15 was found with: GC (r=0.668, P=.01), with GDP (r=-0.720; P=.01), AA (r=-0.755; P=.01) and with HDI (r=-0.799; P=.01). Rate of IM15 was lower in LA countries with advanced/medium development (GDP>median) vs those with low development (Fisher, P<.0001). There is a direct inverse association between GDP per capita, HDI, AA and GC and the proportion of each country IN15. We did not observe an association between NMR and HDI, AA, and GC. The health impact of these migrations should be analysed. Copyright © 2015. Publicado por Elsevier España, S.L.U.

Latin-American writing initiatives in engineering from Spanish-speaking countries

Directory of Open Access Journals (Sweden)

Elizabeth Narváez-Cardona

2016-09-01

Full Text Available http://dx.doi.org/10.5007/2175-8026.2016v69n3p223 This article analyzes Latin-American publications from Spanish Speaking countries to map programs pursued in the Region and then provide a context to envision further research agendas for Latin-American Writing Studies in engineering. The analysis of 22 publications suggests that initiatives and studies in engineering are recent (as of 2009. The sample reveals an emphasis on pedagogically-oriented publications focused on engineering as one field. The trends suggest that the Latin-American writing advocates in engineering might benefit by incorporating theoretical frameworks for a exploring and understanding different roles of writing across time and curriculum in student learning and by engineering subfields and, b exploring theoretical approaches to understand genres beyond individual texts (i.e., genre repertoires and genre systems.

CONTEMPORARY CHALLENGES IN LATIN AMERICAN ADMINISTRATIVE JUSTICE

OpenAIRE

R. Perlingeiro

2016-01-01

This study consists of a critical comparative analysis of the administrative justice systems in eighteen Latin-American signatory countries of the American Convention on Human Rights (Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, El Salvador, Ecuador, Guatemala, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, the Dominican Republic, Uruguay, and Venezuela). According to this article, the excessive litigation in Latin-American courts that has seriously hampered the effectivenes...

The Challenge of Providing Renal Replacement Therapy in Developing Countries: The Latin American Perspective.

Science.gov (United States)

Obrador, Gregorio T; Rubilar, Ximena; Agazzi, Evandro; Estefan, Janette

2016-03-01

The costs of health care place developing countries under enormous economic pressure. Latin America is a region characterized by wide ethnic and per capita gross domestic product variations among different countries. Chronic kidney failure prevalence and incidence, as well as provision of renal replacement therapy (RRT), have increased in all Latin American countries over the last 20 years. From an ethical point of view, life-sustaining therapies such as RRT should be available to all patients with chronic kidney disease who might benefit. However, even among Latin American countries with similar per capita incomes and health care expenditures, only some have been able to achieve universal access to RRT. This indicates that it is not just a problem of wealth or distribution of scarce health care resources, but one of social justice. Strategies to increase the availability of RRT and renal palliative-supportive care, as well as implementation of interventions to prevent chronic kidney disease development and progression, are needed in Latin America and other developing countries. Copyright © 2016 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

American National Standards and the DOE - A cooperative effort to promote nuclear criticality safety

International Nuclear Information System (INIS)

Rothleder, B.M.

1996-01-01

The U.S. Department of Energy's (DOE's) new criticality safety order, DOE Order 420.1 (open-quotes Facility Safety,close quotes October 13, 1995), Sec. 4.3 (open-quotes Nuclear Criticality Safetyclose quotes), invokes, as an integral part, 12 appropriate American National Standards Institute/American Nuclear Society (ANSI/ANS) Series-8 standards for nuclear criticality safety, but with modifications. (The order that 420.1/4.3 replaced also invoked some ANSI/ANS Series-8 standards.) These modifications include DOE operation-specific exceptions to the standards and elaborations on some of the wording in the standards

Power law for the duration of recession and prosperity in Latin American countries

Science.gov (United States)

Redelico, Francisco O.; Proto, Araceli N.; Ausloos, Marcel

2008-11-01

Ormerod and Mounfield [P. Ormerod, C. Mounfield, Power law distribution of duration and magnitude of recessions in capitalist economies: Breakdown of scaling, Physica A 293 (2001) 573] and Ausloos et al. [M. Ausloos, J. Mikiewicz, M. Sanglier, The durations of recession and prosperity: Does their distribution follow a power or an exponential law? Physica A 339 (2004) 548] have independently analyzed the duration of recessions for developed countries through the evolution of the GDP in different time windows. It was found that there is a power law governing the duration distribution. We have analyzed data collected from 19 Latin American countries in order to observe whether such results are valid or not for developing countries. The case of prosperity years is also discussed. We observe that the power law of recession time intervals, see Ref. [1], is valid for Latin American countries as well. Thus an interesting point is discovered: the same scaling time is found in the case of recessions for the three data sets (ca. 1 year), and this could represent a universal feature. Other time scale parameters differ significantly from each other.

ART integration in oral health care systems in Latin American countries as perceived by directors of oral health

Directory of Open Access Journals (Sweden)

Oswaldo Ruiz

2009-01-01

Full Text Available The aim of this study was to carry out a situation analysis of: a prevalence of ART training courses; b integration of ART into the oral healthcare systems and; c strengths and weaknesses of ART integration, in Latin American countries. MATERIALS AND METHODS: A structured questionnaire, consisting of 18 questions, was emailed to directors of national or regional oral health departments of all Latin American countries and the USA. For two countries that had not responded after 4 weeks, the questionnaire was sent to the Dean of each local Dental School. The questions were related to ART training courses, integration of ART in the dental curriculum and the oral healthcare system, barriers to ART implementation in the public health system and recommendations for ART implementation in the services. Factor analysis was used to construct one factor in the barrier-related question. Means and percentages were calculated. RESULTS: The response rate, covering 55% of all Latin American countries, was 76%. An ART training course had been given in all Latin American countries that responded, with more than 2 having been conducted in 64.7% of the respondent countries. ART was implemented in public oral health services in 94.7 % of the countries, according to the respondents. In 15.8% of the countries, ART was applied throughout the country and in 68.4%, in some areas or regions of a country. ART had been used for more, or less, than three years in 42.1% and 47.4% of the countries, respectively. Evaluation and monitoring activities to determine the effectiveness of ART restorations and ART sealants had been carried out in 42.1% of the countries, while evaluation training courses had taken place in only 3 countries (15.8%. Respondents perceived the "increase in the number of treated patients" as the major benefit of ART implementation in public oral health services. The major perceived barrier factors to ART implementation were "operator opinion" and "high

Current situation with the centralized storage facilities for non-power radioactive wastes in Latin American countries

International Nuclear Information System (INIS)

Benitez, Juan C.; Salgado, Mercedes; Idoyaga Navarro, Maria L.; Escobar, Carolina; Mallaupoma, Mario; Sbriz, Luciano; Moreno, Sandra; Gozalez, Olga; Gomez, Patricia; Mora, Patricia; Miranda, Alberto; Aguilar, Lola; Zarate, Norma; Rodriguez, Carmen

2008-01-01

Full text: Several Latin American (LA) countries have been firmly committed to the peaceful applications of ionizing radiations in medicine, industry, agriculture and research in order to achieve socioeconomic development in diverse sectors. Consequently the use of radioactive materials and radiation sources as well as the production of radioisotopes and labeled compounds may always produce radioactive wastes which require adequate management and, in the end, disposal. However, there are countries in the Latin American region whose radioactive waste volumes do not easily justify a national repository. Moreover, such facilities are extremely expensive to develop. It is unlikely that such an option will become available in the foreseeable future for most of these countries, which do not have nuclear industries. Storage has long been incorporated as a step in the management of radioactive wastes. In the recent years, there have been developments that have led some countries to consider whether the roles of storage might be expanded to provide longer-term care of long-live radioactive wastes The aim of this paper is to discuss the current situation with the storage facilities/conditions for the radioactive wastes and disused sealed radioactive sources in Latin-American countries. In some cases a brief description of the existing facilities for certain countries are provided. In other cases, when no centralized facility exists, general information on the radioactive inventories and disused sealed sources is given. (author)

American National Standard ANSI/ANS-8.15-1983: Nuclear criticality control of special actinide elements

International Nuclear Information System (INIS)

Brewer, R.W.; Pruvost, N.L.; Rombough, C.T.

1996-01-01

The American National Standard, 'Nuclear Criticality Safety in Operations with Fissionable Materials Outside Reactors' ANSI/ANS-8.1- 1983 provides guidance for the nuclides [sup 233]U, [sup 235]U, and [sup 239]Pu These three nuclides are of primary interest in out-of-reactor criticality safety since they are the most commonly encountered in the vast majority of operations. However, some operations can involve nuclides other than 'U, 'U, and 'Pu in sufficient quantities that their effect on criticality safety could be of concern. The American National Standard, 'Nuclear Criticality Control of Special Actinide Elements' ANSI/ANS-8.'15-1983 (Ref 2), provides guidance for fifteen such nuclides

Energy profiles of selected Latin American and Caribbean countries. Report series No. 2

Energy Technology Data Exchange (ETDEWEB)

Wu, K.

1994-07-01

Countries in this report include Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, Mexico, Peru, Trinidad and Tobago, and Venezuela. These ten countries are the most important oil and gas producers in the Latin American and the Caribbean region. In the following sections, the primary energy supply (oil, gas, coal, hydroelectricity, and nuclear power whenever they are applicable), primary energy consumption, downstream oil sector development, gas utilization are discussed for each of the ten countries. The report also presents our latest forecasts of petroleum product consumption in each country toward 2000, which form the basis of the outlook for regional energy production and consumption outlined in Report No 1. Since the bulk of primary energy supply and demand is hydrocarbons for many countries, brief descriptions of the important hydrocarbons policy issues are provided at the end of the each country sections.

Differences on Primary Care Labor Perceptions in Medical Students from 11 Latin American Countries

Science.gov (United States)

Mayta-Tristán, Percy; Montenegro-Idrogo, Juan José; Mejia, Christian R.; Abudinén A., Gabriel; Azucas-Peralta, Rita; Barrezueta-Fernandez, Jorge; Cerna-Urrutia, Luis; DaSilva-DeAbreu, Adrián; Mondragón-Cardona, Alvaro; Moya, Geovanna; Valverde-Solano, Christian D.; Theodorus-Villar, Rhanniel; Vizárraga-León, Maribel

2016-01-01

Background The shortage in Latin-American Primary Care (PC) workforce may be due to negative perceptions about it. These perceptions might be probably influenced by particular features of health systems and academic environments, thus varying between countries. Methods Observational, analytic and cross-sectional multicountry study that evaluated 9,561 first and fifth-year medical students from 63 medical schools of 11 Latin American countries through a survey. Perceptions on PC work was evaluated through a previously validated scale. Tertiles of the scores were created in order to compare the different countries. Crude and adjusted prevalence ratios were calculated using simple and multiple Poisson regression with robust variance. Results Approximately 53% of subjects were female; mean age was 20.4±2.9 years; 35.5% were fifth-year students. Statistically significant differences were found between the study subjects’ country, using Peru as reference. Students from Chile, Colombia, Mexico and Paraguay perceived PC work more positively, while those from Ecuador showed a less favorable position. No differences were found among perceptions of Bolivian, Salvadoran, Honduran and Venezuelan students when compared to their Peruvian peers. Conclusions Perceptions of PC among medical students from Latin America vary according to country. Considering such differences can be of major importance for potential local specific interventions. PMID:27414643

Latin American Consensus for Pediatric Cardiopulmonary Resuscitation 2017: Latin American Pediatric Critical Care Society Pediatric Cardiopulmonary Resuscitation Committee.

Science.gov (United States)

López-Herce, Jesús; Almonte, Enma; Alvarado, Manuel; Bogado, Norma Beatriz; Cyunel, Mariana; Escalante, Raffo; Finardi, Christiane; Guzmán, Gustavo; Jaramillo-Bustamante, Juan C; Madrid, Claudia C; Matamoros, Martha; Moya, Luis Augusto; Obando, Grania; Reboredo, Gaspar; López, Lissette R; Scheu, Christian; Valenzuela, Alejandro; Yerovi, Rocío; Yock-Corrales, Adriana

2018-03-01

To develop a Latin American Consensus about Pediatric Cardiopulmonary Resuscitation. To clarify, reinforce, and adapt some specific recommendations for pediatric patients and to stimulate the implementation of these recommendations in clinical practice. Expert consensus recommendations with Delphi methodology. Latin American countries. Experts in pediatric cardiopulmonary resuscitation from 19 Latin American countries. Delphi methodology for expert consensus. The goal was to reach consensus with all the participating experts for every recommendation. An agreement of at least 80% of the participating experts had to exist in order to deliver a recommendation. Two Delphi voting rounds were sent out electronically. The experts were asked to score between 1 and 9 their level of agreement for each recommendation. The score was then classified into three groups: strong agreement (score 7-9), moderate agreement (score 4-6), and disagreement (score 1-3). Nineteen experts from 19 countries participated in both voting rounds and in the whole process of drafting the recommendations. Sixteen recommendations about organization of cardiopulmonary resuscitation, prevention, basic resuscitation, advanced resuscitation, and postresuscitation measures were approved. Ten of them had a consensus of 100%. Four of them were agreed by all the participants except one (94.7% consensus). One recommendation was agreed by all except two experts (89.4%), and finally, one was agreed by all except three experts (84.2%). All the recommendations reached a level of agreement. This consensus adapts 16 international recommendations to Latin America in order to improve the practice of cardiopulmonary resuscitation in children. Studies should be conducted to analyze the effectiveness of the implementation of these recommendations.

Country risk premium: theoretical determinants and empirical evidence for latin american countries

Directory of Open Access Journals (Sweden)

Selmo Aronovich

1999-12-01

Full Text Available This paper investigates the behavior of the country risk premium for Argentina, Brazil and Mexico, from June 1997 to September 1998. It shows that the level of country risk premium is determined by different factors: the US dollar bond market structure; restrictions on the acquisition of emerging market bonds imposed by developed nations regulators; the credit risk measured by the notion of implied risk-neutral probability default; the different ways agents react to country risk due to asymmetric and imperfect information. The empirical investigation shows: the worse the country credit rating, the greater is the impact on international borrowing cost, which implies that negative expectations have greater impact on lower rated Latin American nations' bonds; country risk yield spreads overreacted to changes in the US dollar interest rates in the sample period.Este artigo investiga o comportamento do conceito de prêmio de risco-país para Argentina, Brasil e México, de junho de 1997 até setembro de 1998. Mostra-se que tal prêmio é determinado pelos seguintes fatores: a estrutura do mercado de títulos de dívida em dólares norte-americanos; as restrições à aquisição de títulos de dívida impostas por agentes reguladores de países desenvolvidos; o risco de crédito mensurado pelo conceito de probabilidade de inadimplência risco-nêutra implícita; o modo como os agentes reagem à informação assimétrica ou imperfeita. A evidência empírica revela que: quanto pior a classificação de risco de crédito, maior é o impacto esperado sobre as condições de captação externa, implicando que expectativas desfavoráveis afetam de forma mais acentuada países com baixa classificação de crédito; o valor do spread representativo do risco-país mostrou-se superelástico à variação da taxa de juros de longo prazo do Tesouro norte-americano no período da amostra.

Latin american sociology's contribution to sociological imagination: analysis, criticism, and social commitment

Directory of Open Access Journals (Sweden)

José Vicente Tavares-dos-Santos

2006-01-01

Full Text Available This paper tackles the role played by sociology in the analysis of the transformation processes in the Latin American societies, in following the construction process of both State and Nation, and in questioning the social issues in Latin America. Six periods of sociology in Latin America and in the Caribbean Islands are analyzed: (i sociology's intellectual inheritance; (ii the authoritative-teaching sociology; (iii the "scientific sociology" period and the configuration of the "critical sociology"; (iv the institutional crisis, consolidation of the "critical sociology", and the diversification of sociology; (v the sociology of authoritarianism, of democracy, and of exclusion; and (vi the institutional consolidation and the worldization of sociology in Latin America (from the year 2000 on. It can be said that the distinctive features of the sociological knowledge in the continent have been: internationalism, hybridism, critical approach to the processes and conflicts in the Latin American societies, and social commitment on the part of the sociologist.

Running Joke: Criticism of Italian American Culture through Comedy in The Sopranos

Directory of Open Access Journals (Sweden)

Fred Gardaphe

2016-06-01

Full Text Available Often read as tragic realism, The Sopranos has rarely been seen in the light of the comedy created in every episode.   While a number of television critics and commentators have compared the series to the tragedies of Shakespeare (Bushby, Macintyre, Varble, none have focused on the comic elements, which, as I will show, are descendants of Italian Commedia dell Arte and Shakespearean comedies.  The best way of seeing this is to focus on the character Paulie Walnuts, whom I see as an Italian American version of the zanni of the Commedia or the fool/clown of Shakespeare.  In this article, I present David Chase’s serial narrative as a comedy that serves not only to create laughter but also to criticize U.S. and especially Italian American culture through the character Paulie Walnuts.  Before I launch into this reading I want to present a few words on just how we might read the seriality of Chase’s narrative.  Through Paulie Walnuts, the writers of the show are able insert a running joke throughout the entire series that enables them to poke fun at traditional notions of Italian immigrant culture, and at the same time, show that those notions also serve as viable criticisms of U.S. capitalist culture.  Paulie, who is certainly more reactionary than revolutionary, reflects the many Italian Americans who assimilated quickly into American culture, in spite of holding on to traditions and superstitions of Italian folk culture.

Teaching about Asian Pacific Americans: Effectiveness Activities, Strategies, and Assignments for Classrooms and Communities. Critical Perspectives on Asian Pacific Americans #15

Science.gov (United States)

Chen, Edith Wen-Chu, Ed.; Omatsu, Glenn, Ed.

2006-01-01

The legitimization of Asian American Studies as an academic discipline has led to the publication of new research, policy reports, and creative writing. Despite the plethora of new scholarship, many significant findings and critical ideas have failed to effectively reach college and high school students or the general American public. "Teaching…

THE U.S. NATIONAL INTEREST REDEFINITION AND THE FUTURE OF ITS LEADERSHIP IN CRITICAL REGIONS. STRONG AND SUSTAINABLE AMERICAN LEADERSHIP?

Directory of Open Access Journals (Sweden)

Iñigo ARBIOL OÑATE

2016-06-01

Full Text Available In the last half of the 20th century, the United States provided a strong centripetal leadership that brought the country to form an economy that remains the bedrock of the global financial system. America’s military superiority remains unrivaled. While far from perfect, the U.S. has the oldest democratic constitutional regime, as well as strong institutions and rule of law to accompany it, as Americans continue to enjoy an unmatched quality of life. In general the U.S. enjoys still a privileged position in the world today. For the last one hundred years, American foreign policy has rested on a commitment to use its power. Nevertheless, many criticize that over the last two decades, the U.S. has scaled down its presence, ambitions and promises in the world. Is the U.S. abnegating its leadership? Are U.S. national interests changing and refocusing towards home affairs? Or will the 21st century, due to fragile alternative powers (EU, China, Russia, … be again an American century?

Neonatal and pediatric extracorporeal membrane oxygenation in developing Latin American countries

OpenAIRE

Kattan, Javier; González, Álvaro; Castillo, Andrés; Caneo, Luiz Fernando

2017-01-01

Objective: To review the principles of neonatal‐pediatric extracorporeal membrane oxygenation therapy, prognosis, and its establishment in limited resource‐limited countries in Latino America. Sources: The PubMed database was explored from 1985 up to the present, selecting from highly‐indexed and leading Latin American journals, and Extracorporeal Life Support Organization reports. Summary of the findings: Extracorporeal membrane oxygenation provides “time” for pulmonary and cardiac res...

Democracy, Support for Democracy and Corruption. A Longitudinal Study of Latin American Countries

Directory of Open Access Journals (Sweden)

Davide Grassi

2017-05-01

Full Text Available Although often unable to satisfactorily solve the problem, democracy (especially enduring democracy is commonly believed to reduce corruption. Yet, both Transparency International and the World Bank continue to attach a high risk of corruption to Latin American countries: corruption and impunity remain prevalent in the area, despite consolidating democratic regimes and recent anticorruption reforms. Using level of democracy and its endurance, as well as information on the perceptions of democratic performance and corruption obtained from the Latinobarometro, we analyzed a panel data covering the period 2005-2010 in 14 Latin American countries. Our main results show that levels of democracy and citizens' assessment of government fairness have a positive impact on corruption. However, satisfaction towards democracy has the opposite effect: when citizens believed democratic governments and public administrations to be efficient, they also perceived that gains against corruption had significantly decreased.

Social determinants of health, universal health coverage, and sustainable development: case studies from Latin American countries.

Science.gov (United States)

de Andrade, Luiz Odorico Monteiro; Pellegrini Filho, Alberto; Solar, Orielle; Rígoli, Félix; de Salazar, Lígia Malagon; Serrate, Pastor Castell-Florit; Ribeiro, Kelen Gomes; Koller, Theadora Swift; Cruz, Fernanda Natasha Bravo; Atun, Rifat

2015-04-04

Many intrinsically related determinants of health and disease exist, including social and economic status, education, employment, housing, and physical and environmental exposures. These factors interact to cumulatively affect health and disease burden of individuals and populations, and to establish health inequities and disparities across and within countries. Biomedical models of health care decrease adverse consequences of disease, but are not enough to effectively improve individual and population health and advance health equity. Social determinants of health are especially important in Latin American countries, which are characterised by adverse colonial legacies, tremendous social injustice, huge socioeconomic disparities, and wide health inequities. Poverty and inequality worsened substantially in the 1980s, 1990s, and early 2000s in these countries. Many Latin American countries have introduced public policies that integrate health, social, and economic actions, and have sought to develop health systems that incorporate multisectoral interventions when introducing universal health coverage to improve health and its upstream determinants. We present case studies from four Latin American countries to show the design and implementation of health programmes underpinned by intersectoral action and social participation that have reached national scale to effectively address social determinants of health, improve health outcomes, and reduce health inequities. Investment in managerial and political capacity, strong political and managerial commitment, and state programmes, not just time-limited government actions, have been crucial in underpinning the success of these policies. Copyright © 2015 Elsevier Ltd. All rights reserved.

Master Simon Rodriguez: A critical thinker of latin american education

Directory of Open Access Journals (Sweden)

Uriel Antonio Hurtado Arias

2016-04-01

Full Text Available Lost educational proposals critical Latin American seems a quixotic action in the context of current political realities - economic neoliberal, where the call to the ephemeral and trivial market appears to be from Adorno and Horkheimer: the new “siren” or following the old thesis of Marx, “the new opium of the people”. This text intends to approach the thought of one of the initiators of the movement of popular education or education critic in Latin America; In fact, the teacher Simon Rodriguez (1769 - 1854

American National Standard administrative practices for nuclear criticality safety, ANSI/ANS-8.19

International Nuclear Information System (INIS)

Smith, D.R.; Carson, R.W.

1991-01-01

American National Standard Administrative Practices for Nuclear Criticality Safety, ANSI/ANS-8.19, provides guidance for the administration of an effective program to control the risk of nuclear criticality in operations with fissile material outside reactors. The several sections of the standard address the responsibilities of management, supervisory personnel, and the criticality safety staff, as well as requirements and suggestions for the content of operating procedures, process evaluations, material control procedures, and emergency procedures

IAEA Helps Remove Highly Radioactive Material from Five South American Countries

International Nuclear Information System (INIS)

2018-01-01

The International Atomic Energy Agency (IAEA) has helped remove 27 disused highly radioactive sources from five South American countries in a significant step forward for nuclear safety and security in the region. It was the largest such project ever facilitated by the IAEA. The material, mainly used for medical purposes such as treating cancer and sterilizing instruments, was transported to Germany and the United States for recycling. Canada, where some of the sources were manufactured, funded the project upon requests for IAEA support from Bolivia, Ecuador, Paraguay, Peru and Uruguay. The sealed Cobalt-60 and Caesium-137 sources pose safety and security risks when no longer in use, according to Raja Adnan, Director of the IAEA’s Division of Nuclear Security. “The removal of this large number of radioactive sources has significantly reduced those risks in the five countries,” Adnan said. In recent years, the IAEA has assisted Bosnia and Herzegovina, Cameroon, Costa Rica, Honduras, Lebanon, Morocco, Tunisia and Uzbekistan in the removal of disused sources. The South American operation was the largest the IAEA has so far coordinated in terms of both the number of highly radioactive sources and countries involved. While nuclear safety and security are national responsibilities, the IAEA helps Member States upon request to meet these responsibilities through training, technical advice, peer reviews and other advisory services. Such efforts may include support for Member States in implementing the safe and cost-effective recovery, conditioning, storage, disposal or transportation of disused sealed radioactive sources (DSRS).

Critical care of tropical disease in low income countries: Report from the Task Force on Tropical Diseases by the World Federation of Societies of Intensive and Critical Care Medicine.

Science.gov (United States)

Baker, Tim; Khalid, Karima; Acicbe, Ozlem; McGloughlin, Steve; Amin, Pravin

2017-12-01

Tropical disease results in a great burden of critical illness. The same life-saving and supportive therapies to maintain vital organ functions that comprise critical care are required by these patients as for all other diseases. In low income countries, the little available data points towards high mortality rates and big challenges in the provision of critical care. Improving critical care in low income countries requires a focus on hospital design, training, triage, monitoring & treatment modifications, the basic principles of critical care, hygiene and the involvement of multi-disciplinary teams. As a large proportion of critical illness from tropical disease is in low income countries, the impact and reductions in mortality rates of improved critical care in such settings could be substantial. Copyright © 2017. Published by Elsevier Inc.

Validity of the effort/reward imbalance questionnaire in health professionals from six Latin-American countries.

Science.gov (United States)

Juárez-García, Arturo; Vera-Calzaretta, Aldo; Blanco-Gomez, Gisela; Gómez-Ortíz, Viviola; Hernández-Mendoza, Elena; Jacinto-Ubillus, José; Choi, Bongkyoo

2015-06-01

This study tests the validity and the invariance of ERI questionnaire (ERIQ) data from health professionals in six different Latin-American countries. One thousand two hundred ninety-two (1292) participants who worked in hospitals in Argentina, Chile, Colombia, Mexico, Peru and Venezuela completed the ERI and GHQ questionnaires. Partial correlations were carried out as well as reliability statistics and confirmatory factor analyses to examine factor structure and invariance of ERIQ in each subsample. Overall confirmatory factor analyses confirmed the theoretical structure of the ERIQ. The effort and overcommitment scales were invariant (equivalent) across the six countries, but the reward scale was only partially invariant. Several associations between ERIQ and mental health remain significant after controlling for sociodemographic variables. Although the validity of the ERIQ' scales were generally satisfactory in most Latin-American samples, future research should examine in depth the equivalence of reward scale across Latin-American cultures. © 2015 Wiley Periodicals, Inc.

The New Criticism and the Crisis of American Liberalism: The Poetics of the Cold War.

Science.gov (United States)

Walhout, Mark

1987-01-01

Contends that arguments against New Criticism should place the movement in historical context. Suggests that historians of American criticism rethink the institutionalization of New Criticism as the work of both liberal intellectuals and pragmatic neoconservatives for whom both traditional liberalism and right-wing ideology were part of the…

Developing Renewable Energy: Comparative Scenarios and Public Policy Perspectives from some Latin American Countries

Directory of Open Access Journals (Sweden)

Claudia Cecilia Lardizabal

2014-07-01

Full Text Available The energy matrix of Latin American and the Caribbean countries has one of the largest renewable energy components when compared to other regions of the world. Nonetheless, by 2009 nearly three-quarters of its structure corresponded to fossil fuels, with most of the countries being net importers of these fuels. This situation marks the region´s dependence on the effects of changes in energy commodities. Therefore, the opportunity lies in higher use of renewable energy sources that contribute to the country´s energy security and represent significant environmental benefits. The purpose of this paper is to provide a comparative analysis of current energy scenarios of six Latin American countries (Mexico, Honduras, Nicaragua, Brazil, Ecuador and Chile in order to evaluate the policies, programs and strategies implemented in the search for greater participation of renewable energy. Considering the importance of the water-energy nexus that could serve to promote renewables under conditions of water scarcity, a qualitative data comparison was accomplished, considering energy consumption, CO2 emissions, GDP and water withdrawals per country. The authors conclude that, despite technological and financial constraints, all the involved countries are moving towards the substitution of a fossil fuel based matrix to a renewable one. This process could be seen as a result of clear policies and strategies that have been set, which include (but are not limited to price regulations setting, preferential prices to electricity generated through renewable energy technologies and incentives formulated to encourage the production of biofuels.

Total and Added Sugar Intake: Assessment in Eight Latin American Countries

Directory of Open Access Journals (Sweden)

Mauro Fisberg

2018-03-01

Full Text Available Non-communicable diseases are growing at an alarming rate in Latin America. We assessed total and added sugar intake in Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela, to verify the adequacy of the World Health Organization’s recommendations, considering gender, socioeconomic level (SEL and age. A total of 9218 non-institutionalized individuals living in urban areas (age range 15–65 years were assessed in the Latin American Study of Nutrition and Health (ELANS, a multicenter household population-based cross-sectional survey. Socio-demographic data were collected. Total and added sugar intakes were measured using two non-consecutive 24-h dietary recalls. The prevalence of excessive sugar intake was estimated. A large proportion of individuals showed high consumption of total and added sugar intake, which reflected in the high prevalence of excessive sugar intake. With minimal differences across countries, in general, women, individuals with high SEL, and younger people had higher percentages of total energy intake from total and added sugar intake, and of contribution of carbohydrates from total and added sugars. Thus, there is high consumption of total and added sugar intake in the Latin American countries with some peculiarities considering socio-demographic variables, which should be considered in each country’s health intervention proposals.

Developing Renewable Energy: Comparative Scenarios and Public Policy Perspectives from some Latin American Countries

OpenAIRE

Claudia Cecilia Lardizabal; Ismene Rosales; Janaina Camile Pasqual; Gricelda Herrera; Sandra Mejia; Mariel Álvarez Cancino

2014-01-01

The energy matrix of Latin American and the Caribbean countries has one of the largest renewable energy components when compared to other regions of the world. Nonetheless, by 2009 nearly three-quarters of its structure corresponded to fossil fuels, with most of the countries being net importers of these fuels. This situation marks the region´s dependence on the effects of changes in energy commodities. Therefore, the opportunity lies in higher use of renewable energy sources that contribute ...

Analyses of Some Studies on Knowledge, Attitudes and Practices of Family Planning in Several Latin American Countries.

Science.gov (United States)

International Planned Parenthood Federation, New York, NY.

Research dealing with population and family planning in specific Latin American countries is summarized in this collection of demographic studies. Countries for which information is provided include Argentina, Barbados, Bolivia, Brazil, Chile, Colombia, Costa Rica, Guatemala, Haiti, Honduras, Jamaica, Mexico, Nicaragua, and Peru. Each country…

Shared Decision Making in ICUs: An American College of Critical Care Medicine and American Thoracic Society Policy Statement.

Science.gov (United States)

Kon, Alexander A; Davidson, Judy E; Morrison, Wynne; Danis, Marion; White, Douglas B

2016-01-01

Shared decision making is endorsed by critical care organizations; however, there remains confusion about what shared decision making is, when it should be used, and approaches to promote partnerships in treatment decisions. The purpose of this statement is to define shared decision making, recommend when shared decision making should be used, identify the range of ethically acceptable decision-making models, and present important communication skills. The American College of Critical Care Medicine and American Thoracic Society Ethics Committees reviewed empirical research and normative analyses published in peer-reviewed journals to generate recommendations. Recommendations approved by consensus of the full Ethics Committees of American College of Critical Care Medicine and American Thoracic Society were included in the statement. Six recommendations were endorsed: 1) DEFINITION: Shared decision making is a collaborative process that allows patients, or their surrogates, and clinicians to make healthcare decisions together, taking into account the best scientific evidence available, as well as the patient's values, goals, and preferences. 2) Clinicians should engage in a shared decision making process to define overall goals of care (including decisions regarding limiting or withdrawing life-prolonging interventions) and when making major treatment decisions that may be affected by personal values, goals, and preferences. 3) Clinicians should use as their "default" approach a shared decision making process that includes three main elements: information exchange, deliberation, and making a treatment decision. 4) A wide range of decision-making approaches are ethically supportable, including patient- or surrogate-directed and clinician-directed models. Clinicians should tailor the decision-making process based on the preferences of the patient or surrogate. 5) Clinicians should be trained in communication skills. 6) Research is needed to evaluate decision

CONTEMPORARY CHALLENGES IN LATIN AMERICAN ADMINISTRATIVE JUSTICE

Directory of Open Access Journals (Sweden)

R. Perlingeiro

2016-01-01

Full Text Available This study consists of a critical comparative analysis of the administrative justice systems in eighteen Latin-American signatory countries of the American Convention on Human Rights (Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, El Salvador, Ecuador, Guatemala, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, the Dominican Republic, Uruguay, and Venezuela. According to this article, the excessive litigation in Latin-American courts that has seriously hampered the effectiveness of the administrative justice systems may be explained as follows: as former Iberian colonies, the aforementioned countries have a Continental European legal culture originating in civil law but nevertheless have improperly integrated certain aspects of the unified judicial system (generalized courts typical of administrative law in common-law countries. This situation, according to the author, could be rectified through strengthening the public administrative authorities with respect to their dispute-resolution and purely executive functions by endowing them with prerogatives to act independently and impartially, oriented by the principle of legality understood in the sense of supremacy of fundamental rights, in light of the doctrine of diffuse conventionality control adopted by the InterAmerican Court of Human Rights.

Critical consciousness, racial and gender discrimination, and HIV disease markers in African American women with HIV.

Science.gov (United States)

Kelso, Gwendolyn A; Cohen, Mardge H; Weber, Kathleen M; Dale, Sannisha K; Cruise, Ruth C; Brody, Leslie R

2014-07-01

Critical consciousness, the awareness of social oppression, is important to investigate as a buffer against HIV disease progression in HIV-infected African American women in the context of experiences with discrimination. Critical consciousness comprises several dimensions, including social group identification, discontent with distribution of social power, rejection of social system legitimacy, and a collective action orientation. The current study investigated self-reported critical consciousness as a moderator of perceived gender and racial discrimination on HIV viral load and CD4+ cell count in 67 African American HIV-infected women. Higher critical consciousness was found to be related to higher likelihood of having CD4+ counts over 350 and lower likelihood of detectable viral load when perceived racial discrimination was high, as revealed by multiple logistic regressions that controlled for highly active antiretroviral therapy (HAART) adherence. Multiple linear regressions showed that at higher levels of perceived gender and racial discrimination, women endorsing high critical consciousness had a larger positive difference between nadir CD4+ (lowest pre-HAART) and current CD4+ count than women endorsing low critical consciousness. These findings suggest that raising awareness of social oppression to promote joining with others to enact social change may be an important intervention strategy to improve HIV outcomes in African American HIV-infected women who report experiencing high levels of gender and racial discrimination.

Energy intake and food sources of eight Latin American countries: results from the Latin American Study of Nutrition and Health (ELANS).

Science.gov (United States)

Kovalskys, Irina; Fisberg, Mauro; Gómez, Georgina; Pareja, Rossina G; Yépez García, Martha C; Cortés Sanabria, Lilia Y; Herrera-Cuenca, Marianella; Rigotti, Attilio; Guajardo, Viviana; Zalcman Zimberg, Ioná; Nogueira Previdelli, Agatha; Moreno, Luis A; Koletzko, Berthold

2018-05-31

Few previous studies in Latin America (LA) have provided data on dietary intake composition with a standardized methodology. The present study aimed to characterize energy intake (EI) and to describe the main food sources of energy in representative samples of the urban population from eight LA countries from the Latin American Study in Nutrition and Health (ELANS). Cross-sectional study. Usual dietary intake was assessed with two non-consecutive 24 h dietary recalls. Urban areas from eight countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, Venezuela), September 2014 to July 2015. Adolescents and adults aged 15-65 years. Final sample comprised 9218 individuals, of whom 6648 (72·1 %) were considered plausible reporters. Overall, mean EI was 8196 kJ/d (1959 kcal/d), with a balanced distribution of macronutrients (54 % carbohydrate, 30 % fat, 16 % protein). Main food sources of energy were grains, pasta and bread (28 %), followed by meat and eggs (19 %), oils and fats (10 %), non-alcoholic homemade beverages (6 %) and ready-to-drink beverages (6 %). More than 25 % of EI was provided from food sources rich in sugar and fat, like sugary drinks, pastries, chips and candies. Meanwhile, only 18 % of EI was from food sources rich in fibre and micronutrients, such as whole grains, roots, fruits, vegetables, beans, fish and nuts. No critical differences were observed by gender or age. Public health efforts oriented to diminish consumption of refined carbohydrates, meats, oils and sugar and to increase nutrient dense-foods are a priority in the region to drive to a healthier diet.

New views on American colonization: critical tests from South America

Directory of Open Access Journals (Sweden)

O'Rourke, Dennis

2007-01-01

Full Text Available The traditional view of colonization of the Americas as a migration across Beringia and subsequent dispersal southward following the last glacial maximum is being increasingly questioned. In North America, archaeological links to Siberia are tenuous and genetic data are more consistent with an earlier entry of people into the Americas, from Central rather than Northeast Siberia. An entry of populations into the Americas prior to the last glacial maximum forces a reconsideration not only of timing, but also geographic points of entry and speed of dispersal, based on ecological theory. A number of emerging alternative hypotheses on the colonization of the Americas predict early entry and dispersal of people into South America - earlier than, or coeval with, initial dispersal in North America. The study of genetic, morphological, and archaeological variation across South America is critical to testing these new, alternative hypotheses of Native American origins. I will review the evidence for emerging, alternative views of American Colonization, and suggest ways in which data from South American populations and prehistory will be crucial in testing them.

Maternal Education Gradients in Infant Health in Four South American Countries.

Science.gov (United States)

Wehby, George L; López-Camelo, Jorge S

2017-11-01

Objective We investigate gradients (i.e. differences) in infant health outcomes by maternal education in Argentina, Brazil, Chile, and Venezuela and explore channels related to father's education, household labor outcomes, and maternal health, fertility, and use of prenatal services and technology. Methods We employ secondary interview and birth record data similarly collected across a network of birth hospitals from the early 1980s through 2011 within the Latin American Collaborative Study of Congenital Anomalies (ECLAMC). Focusing on children without birth defects, we estimate gradients in several infant health outcomes including birth weight, gestational age, and hospital discharge status by maternal education using ordinary least squares regression models adjusting for several demographic factors. To explore channels, we add as covariates father's education, parental occupational activity, maternal health and fertility history, and use of prenatal services and technology and evaluate changes in the coefficient of maternal education. We use the same models for each country sample. Results We find important differences in gradients across countries. We find evidence for educational gradients in preterm birth in three countries but weaker evidence for gradients in fetal growth. The extent to which observed household and maternal factors explain these gradients based on changes in the regression coefficient of maternal education when controlling for these factors as covariates also varies between countries. In contrast, we generally find evidence across all countries that higher maternal education is associated with increased use of prenatal care services and technology. Conclusions Our findings suggest that differences in infant health by maternal education and their underlying mechanisms vary and are not necessarily generalizable across countries. However, the positive association between maternal education and use of prenatal services and technology is more

Health impact assessment in Latin American countries: Current practice and prospects

International Nuclear Information System (INIS)

Pereira, Carlos A.R.; Périssé, André R.S.; Knoblauch, Astrid M.; Utzinger, Jürg; Hacon, Sandra de Souza

2017-01-01

Background: With the objective to avoid and mitigate potential adverse health impacts of projects, programmes and policies, health impact assessment (HIA) offers an opportunity for disease prevention and health promotion. Although HIA has gained importance over the past two decades, it is unclear whether and to what extent HIA practice has been established and institutionalised in Latin America. To address this issue, the current practice and prospects of HIA in Latin America was assessed in the peer-reviewed literature and existing guidelines. Methodology: The peer-reviewed literature was systematically searched using five electronic databases until February 2016. Studies were included on a set of pre-defined criteria. The search was carried out in English, French, Portuguese and Spanish. Additionally, a search for HIA guidelines used in Latin American countries and territories was performed by means of a Google search and on websites of government departments and institutions that may promote HIA. Results: The search yielded 167 hits in the peer-reviewed literature of which 17 articles met inclusion criteria. Only four peer-reviewed articles described prospective HIAs and four featured a discussion of the HIA approach. The remaining nine articles presented health impact evaluations. Most studies were published only recently, after 2012 (88%). Seven HIA guideline documents were identified, two of which were country-specific (i.e. Brazil and Mexico) and the remaining five addressed HIA at the regional level. Conclusions: This study confirmed the paucity of literature pertaining to HIA implementation, as well as HIA guidelines in Latin America. Mexico, Brazil and Cuba have the longest track record in scientific literature and guidelines on HIA. In order to better understand current barriers and limitations to practice and institutionalisation of HIA in Latin American countries, a broad discussion among policy makers, academic institutions and HIA practitioners is

Spanish recruitment programmes for Latin Americans in countries of origin: a flexible management framework

Directory of Open Access Journals (Sweden)

Ana Mª López-Sala

2014-09-01

Full Text Available In the past decade, countries whose markets needed seasonal labour have sought new ways of importing foreign workers through channelling and recruitment programmes in countries of origin. This article seeks to demonstrate that, in the case of Spain, the effective development of this process has only been possible because of a flexible and dynamic system in which bilateral agreements have played a major role, among them those signed with some Latin American countries. Flexible management of these programmes has been implemented via legislation, via the institutions and actors involved, and via the immigrants themselves, who have managed (or been forced to adapt to the changes of a labour market conditioned by the globalisation of labour and capital.

Critics horizons of school management: Latin American perspective

Directory of Open Access Journals (Sweden)

Beatriz RAMÍREZ ARISTIZÁBAL

2018-01-01

Full Text Available Modernity has defined a way to be school as a stage in which the State devises certain ways of behaviour, citizen education and institution conception specific for a determined social order. Consequently, the direction of the school becomes a key strategy of the hegemonic project. This article aims to outline some signs that demonstrate an alternative school management in order to contribute to the school of thought on Latin-American perspectives in education. It aims to offer other keys on the perception of the Colombian reality on school management from a critical position that allows the creation of scenarios full of learning possibilities in the inside and outside of the school.

A Rhetorical Criticism-Women's Studies Course: Exploring Texts and Contexts in the American Woman's Suffrage Movement.

Science.gov (United States)

Elmes-Crahall, Jane

An undergraduate course in rhetorical criticism at Wilkes University incorporated a major component on the rhetoric of the American Woman's Suffrage Movement. Considerable time was devoted to critiquing "traditional" approaches to rhetorical criticism from a feminist perspective and to questioning the appropriateness of various…

Transferring disease management and health promotion programs to other countries: critical success factors.

Science.gov (United States)

Azarmina, Pejman; Prestwich, Graham; Rosenquist, Joel; Singh, Debbie

2008-12-01

Governments and health service providers around the world are under pressure to improve health outcomes while containing rising healthcare costs. In response to such challenges, many regions have implemented services that have been successful in other countries-but 'importing' initiatives has many challenges. This article summarizes factors found to be critical to the success of adapting a US disease management and health promotion programme for use in Italy and the UK. Using three illustrative case studies, it describes how in each region the programme needed to adapt (i) the form and content of the disease management service, (ii) the involvement and integration with local clinicians and services and (iii) the evaluation of programme outcomes. We argue that it is important to implement evidence-based practice by learning lessons from other countries and service initiatives, but that it is equally important to take into consideration the '3Ps' that are critical for successful service implementation: payers, practitioners and patients.

Modelling a critical infrastructure-driven spatial database for proactive disaster management: A developing country context

Directory of Open Access Journals (Sweden)

David O. Baloye

2016-04-01

Full Text Available The understanding and institutionalisation of the seamless link between urban critical infrastructure and disaster management has greatly helped the developed world to establish effective disaster management processes. However, this link is conspicuously missing in developing countries, where disaster management has been more reactive than proactive. The consequence of this is typified in poor response time and uncoordinated ways in which disasters and emergency situations are handled. As is the case with many Nigerian cities, the challenges of urban development in the city of Abeokuta have limited the effectiveness of disaster and emergency first responders and managers. Using geospatial techniques, the study attempted to design and deploy a spatial database running a web-based information system to track the characteristics and distribution of critical infrastructure for effective use during disaster and emergencies, with the purpose of proactively improving disaster and emergency management processes in Abeokuta. Keywords: Disaster Management; Emergency; Critical Infrastructure; Geospatial Database; Developing Countries; Nigeria

Residential segregation and overweight/obesity among African-American adults: A critical review

Directory of Open Access Journals (Sweden)

Irma eCorral

2015-07-01

Full Text Available The relationship between residential segregation and overweight/obesity among African-American adults remains unclear. Elucidating that relationship is relevant to efforts to prevent and to reduce racial disparities in obesity. This article provides a critical review of the 11 empirical studies of segregation and overweight/obesity among African-American adults. Results revealed that most studies did not use a valid measure of segregation, many did not use a valid measure of overweight/obesity, and many did not control for neighborhood poverty. Only four (36% of the studies used valid measures of both segregation and overweight/obesity and also controlled for area-poverty. Those four studies suggest that segregation contributes to overweight and obesity among African-American adults, but that conclusion cannot be drawn with any certainty in light of the considerable methodological problems in this area of research. Suggestions for improving research on this topic are provided.

Imagining the Impossible: Revolutionary Critical Pedagogy Against the 21st Century American Imperium

Directory of Open Access Journals (Sweden)

Valerie Scatamburlo-D’Annibale

2006-10-01

Full Text Available This article examines some of the major Marxist-humanist themes that animate the revolutionary critical pedagogy delineated by Peter McLaren in recent years. Among these themes are radical universalism, an interrogation of the capitalization and commodification of human labor, and the interrelatedness of American imperialism and neoliberal globalized capitalism. It argues that McLaren’s scholarship provides progressive educationalists with an alternative to those “post-alized” and liberal humanist versions of critical pedagogy that have virtually abandoned all forms of class analysis. It contends that revolutionary critical pedagogy offers a much-needed narrative capable of challenging the most recent manifestations of empire, wars of aggression, and exploitative capitalist relations.

Contextualizing Asian American Education through Critical Race Theory: An Example of U.S. Pilipino College Student Experiences

Science.gov (United States)

Buenavista, Tracy Lachica; Jayakumar, Uma M.; Misa-Escalante, Kimberly

2009-01-01

In this article, the authors offer a CRT (critical race theory) perspective of the prevailing representation of Asian Americans in higher education research and acknowledge the importance of recent studies that have begun to challenge notions of a monolithic Asian American educational experience through an examination of differences among Asian…

Characterization and Clinical Impact of Bloodstream Infection Caused by Carbapenemase-Producing Enterobacteriaceae in Seven Latin American Countries.

Science.gov (United States)

Villegas, Maria Virginia; Pallares, Christian J; Escandón-Vargas, Kevin; Hernández-Gómez, Cristhian; Correa, Adriana; Álvarez, Carlos; Rosso, Fernando; Matta, Lorena; Luna, Carlos; Zurita, Jeannete; Mejía-Villatoro, Carlos; Rodríguez-Noriega, Eduardo; Seas, Carlos; Cortesía, Manuel; Guzmán-Suárez, Alfonso; Guzmán-Blanco, Manuel

2016-01-01

Infections caused by carbapenem-resistant Enterobacteriaceae are a public health problem associated with higher mortality rates, longer hospitalization and increased healthcare costs. We carried out a study to describe the characteristics of patients with carbapenemase-producing Enterobacteriaceae (CPE) and non-CPE bloodstream infection (BSI) from Latin American hospitals and to determine the clinical impact in terms of mortality and antibiotic therapy. Between July 2013 and November 2014, we conducted a multicenter observational study in 11 hospitals from 7 Latin American countries (Argentina, Colombia, Ecuador, Guatemala, Mexico, Peru, Venezuela). Patients with BSI caused by Enterobacteriaceae were included and classified either as CPE or non-CPE based on detection of blaKPC, blaVIM, blaIMP, blaNDM and blaOXA-48 by polymerase chain reaction. Enrolled subjects were followed until discharge or death. Demographic, microbiological and clinical characteristics were collected from medical records. Both descriptive and inferential statistics were used to analyze the information. A total of 255 patients with Enterobacteriaceae BSI were included; CPE were identified in 53 of them. In vitro non-susceptibility to all screened antibiotics was higher in the patients with CPE BSI, remaining colistin, tigecycline and amikacin as the most active drugs. Combination therapy was significantly more frequent in the CPE BSI group (p mortality was 37% (94/255). Overall and attributable mortality were significantly higher in patients with CPE BSI (p mortality. After multivariate adjustment, CPE BSI (adjusted odds ratio [aOR] 4; 95% confidence interval [CI] 1.7-9.5; p = 0.002) and critical illness (aOR 6.5; 95% CI 3.1-13.7; p mortality. This study provides valuable data on the clinical characteristics and mortality risk factors in patients with CPE BSI. We determined that CPE infection is an independent mortality predictor and thus Latin American hospitals should perform campaigns on

Systematic documentation of new vaccine introduction in selected countries of the Latin American Region.

Science.gov (United States)

de Oliveira, Lúcia H; Toscano, Cristiana M; Sanwogou, N Jennifer; Ruiz-Matus, Cuauhtémoc; Tambini, Gina; Roses-Periago, Mirta; Andrus, Jon K

2013-07-02

Countries in Latin America were among the first developing countries to introduce new vaccines, particularly rotavirus (RV) and pneumococcal conjugate vaccines (PCVs), into their national immunization schedules. Experiences and lessons learned from these countries are valuable to donors, immunization partners, and policy makers in other countries wishing to make informed decisions on vaccine introduction. In order to enhance knowledge and promote understanding of the process of new vaccine introduction in the Latin American Region, with particular focus on RV and PCV, we conducted a systematic qualitative assessment. We evaluated the decision-making process, documented the structure in place, and reviewed key factors pertaining to new vaccine introduction. These include country morbidity and mortality data available prior to vaccine introduction, funding sources and mechanisms for vaccine introduction, challenges of implementation, and assessment of vaccine impact. From March 2010 to April 2011, we evaluated a subset of countries that had introduced RV and/or PCV in the past five years through interviews with key informants at the country level and through a systematic review of published data, gray literature, official technical documents, and country-specific health indicators. Countries evaluated were Bolivia, Brazil, Nicaragua, Peru, and Venezuela. In all countries, the potential of new vaccines to reduce mortality, as established by Millennium Development Goal 4, was an important consideration leading to vaccine introduction. Several factors-the availability of funds, the existence of sufficient evidence for vaccine introduction, and the feasibility of sustainable financing-were identified as crucial components of the decision-making process in the countries evaluated. The decision making process regarding new vaccine introduction in the countries evaluated does not follow a systematic approach. Nonetheless, existing evidence on efficacy, potential impact, and

Critical Race Theory and Research on Asian Americans and Pacific Islanders in Higher Education

Science.gov (United States)

Teranishi, Robert T.; Behringer, Laurie B.; Grey, Emily A.; Parker, Tara L.

2009-01-01

In this article, the authors offer critical race theory (CRT) as an alternative theoretical perspective that permits the examination and transcendence of conceptual blockages, while simultaneously offering alternative perspectives on higher education policy and practice and the Asian American and Pacific Islander (AAPI) student population. The…

Tv food advertising geared to children in Latin-American countries and Hispanics in the USA: a review.

Science.gov (United States)

Bacardí-Gascón, Montserrat; Jiménez-Cruz, Arturo

2015-05-01

Obesity is a pandemic disease in Latin America. The purpose of this review was to analyze the studies exploring food advertising in TV conducted in Latin-American countries and in the USA geared to Hispanics. An electronic literature search was conducted in the MEDLINE/PubMed, EMBASE, SCIELO, and CINAHL, databases and open access internet, of food advertising directed to children in TV in Latin American countries and Hispanics living in the USA, published from 1985 to January, 2015 RESULTS: Twenty three studies were found, six were conducted in Chile, five in Mexico, four in Brazil, three among Hispanics in the USA, and one in each of the following countries: Argentina, Peru, Colombia, Honduras and Venezuela. A high exposure of TV food advertised is geared toward children and their family. This exposure has been shown to be associated with the preference and purchase of those foods by adults and children with a high BMI, overweight and obesity. An alarming high exposure of the TV food advertised directed toward children was reported, which warrants effective regulations, supervision and accountability. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

Critical Review on Labor Factors and Country Competitiveness: Comparison between Indonesia and Jordan

Directory of Open Access Journals (Sweden)

Sari Wahyuni

2015-05-01

Full Text Available The purpose of this study is to critically compare labor factors and country competitiveness of Jordan and Indonesia that affecting its country attractiveness in the textile industry. This study is a mix between qualitative quantitative approaches. The data were collected from the published materials of Better Work data, BAPPENAS, and in depth – interview with certified social compliance auditors, factory managers, and some workers to earn more information on textile industry in Indonesia and Jordan. The result of this study indicated that there are several labor factors that could boost up the Indonesian’s performance in Textile industry, i.e. working hours, occupational safety and health, compensation and benefits, and also discrimination.

The role of critical ethnic awareness and social support in the discrimination-depression relationship among Asian Americans: path analysis.

Science.gov (United States)

Kim, Isok

2014-01-01

This study used a path analytic technique to examine associations among critical ethnic awareness, racial discrimination, social support, and depressive symptoms. Using a convenience sample from online survey of Asian American adults (N = 405), the study tested 2 main hypotheses: First, based on the empowerment theory, critical ethnic awareness would be positively associated with racial discrimination experience; and second, based on the social support deterioration model, social support would partially mediate the relationship between racial discrimination and depressive symptoms. The result of the path analysis model showed that the proposed path model was a good fit based on global fit indices, χ²(2) = 4.70, p = .10; root mean square error of approximation = 0.06; comparative fit index = 0.97; Tucker-Lewis index = 0.92; and standardized root mean square residual = 0.03. The examinations of study hypotheses demonstrated that critical ethnic awareness was directly associated (b = .11, p Asian Americans. This study highlights the usefulness of the critical ethnic awareness concept as a way to better understand how Asian Americans might perceive and recognize racial discrimination experiences in relation to its mental health consequences.

Evaluation of diagnostic radiology services in five Latin American countries: Results for mammography

International Nuclear Information System (INIS)

Brandan, M.E.; Caspani, C.E.M.; Mora, R. de la; Miranda, A.A.; Plazas, M.-C.; Borras, C.

2001-01-01

Under the auspices of PAHO/WHO, a multicentric investigation is carried out in five Latin American countries. Its aim is to correlate quality indicators of radiology services with the accuracy of the radiological interpretation as determined by a panel of experts. We present preliminary results from mammographic imaging facilities, which indicate that the failure to comply with the international standards of quality control produces images of unacceptable quality, as measured either by using a phantom or by an independent evaluation of the clinical images. (author)

Intercultural Effectiveness Training in three Western immigrant countries : A cross-cultural evaluation of critical incidents

NARCIS (Netherlands)

Herfst, Selma L.; van Oudenhoven, Jan Pieter; Timmerman, Marieke E.

The purpose of the present study is the evaluation of material for a new intercultural training instrument. More specifically, we examine the validity of 21 critical incidents used in the training. The training programme is targeted at natives in Western immigrant countries dealing - mostly

NCIS: a nuclear criticality information system

International Nuclear Information System (INIS)

Koponen, B.L.; Hampel, V.E.

1984-01-01

The NCIS is one of the developments carried out to meet the requirements in the field of criticality safety information. Its primary goal is to enhance nuclear criticality safety by dissemination of data, standards, and training material. This paper presents the ''NCIS'' progess since 1950: computer-searching, database management, nuclear critical experiments bibliography. American Nuclear Society transactions criticality safety publications compilation, edition of a personnel directory representing over 140 organizations located in 16 countries and showing a wide range of specialists involved in the field of nuclear criticality safety. The NCIS uses the information management and communication resources of TIS (Technology Information System): automated access procedures; creation of program-dependent information systems; communications. The NCIS is still in a growing, formative stage; it has concentrated first on collecting and organizing the nuclear criticality literature; nuclear critical data, calculational tools, standards, and training materials will follow. Finally the planned and contemplated resources are dealt with: expansion of bibliographic compilations; news database; fundamental criticality safety reference; criticality benchmarck database; user community; training resources; related resources; criticality accident database; dynamic databook; dynamic textbook; expert knowledge system; and, extraction of intelligence

"More Complicated than a Numbers Game": A Critical Race Theory Examination of Asian Americans and Campus Racial Climate

Science.gov (United States)

Poon, Oi Yan Anita

2010-01-01

In the Grutter and Gratz Supreme Court decision, proponents of affirmative action claimed that a critical mass of minority students could effectively counter racial marginalization often experienced by students of color due to their racial status. On some campuses, Asian Americans as a pan-ethnic population enjoy a critical mass in undergraduate…

‘Historical narratives and historical desires: re-evaluating American art criticism of the mid-nineteenth century’: Karen Georgi, Critical Shift: Rereading Jarves, Cook, Stillman, and the Narratives of Nineteenth-Century American Art, The Pennsylvania State University Press, 2013

OpenAIRE

Emily Gephart

2014-01-01

Striving to distinguish their authority as and demonstrate their professionalism, art critics James Jackson Jarves, Clarence Cook, and William James Stillman wrote exhibition reviews, essays, and increasingly self-conscious histories of American art and artists in the mid-nineteenth century. Whereas their writing has often been employed to establish a model of opposed pre- and post-war periodization in American art, Karen Georgi challenges this view, re-evaluating the rhetorical structures t...

Cultural and gender convergence in adolescent drunkenness: evidence from 23 European and North American countries.

Science.gov (United States)

Kuntsche, Emmanuel; Kuntsche, Sandra; Knibbe, Ronald; Simons-Morton, Bruce; Farhat, Tilda; Hublet, Anne; Bendtsen, Pernille; Godeau, Emmanuelle; Demetrovics, Zsolt

2011-02-01

To investigate time-trend changes in the frequency of drunkenness among European and North American adolescents. Cross-sectional surveys in the 1997/1998 and 2005/2006 Health Behaviour in School-Aged Children Study (HBSC). High schools in 23 countries. A sample of 77 586 adolescents aged 15 years was analyzed by means of hierarchical linear modeling. The frequency of drunkenness. We observed a significant increase of about 40% in the mean frequency of drunkenness in all 7 participating Eastern European countries. This increase was evident among both genders, but most consistently among girls. Meanwhile, it declined in 13 of 16 Western countries, about 25% on average. Declines in Western countries were particularly notable among boys and in North America, Scandinavia, the United Kingdom, and Ireland. Despite this gender convergence, with few exceptions (Greenland, Norway, United Kingdom) boys continued to have a higher frequency of drunkenness in 2005/2006 than girls. The confirmed cultural convergence implies that adoption and implementation of evidence-based measures to mitigate the frequency of adolescent drunkenness such as tax increases and restricting alcohol access and advertisement should get the same priority in Eastern European countries as in Western countries. Policy measures that might facilitate decreases in drunkenness such as server training and the promotion of alcohol-free leisure-time activities should be reinforced in Western countries. The gender convergence implies that prevention policy should be less exclusively focused on male adolescents.

Has the First Global Financial Crisis Changed the Entrepreneurial Values in Digitalized Marketing-based Societies? The Case of GEM Latin American Countries

Directory of Open Access Journals (Sweden)

José Manuel Saiz Álvarez

2017-07-01

Full Text Available As the world economy is globalized, crises are rapidly spread due to the massive use of ICTs (Information and Communication Technologies, also affecting the entrepreneurial values involved in business creation processes. In this sense, digital marketing has a key role to play, as it can serve as a tool based on technology applied to foster nascent entrepreneurship. Using data for GEM Latin American countries, and applying clustering analysis based on the K-means method, the objective of this work is to test if the actual First Global Financial Crisis (FGFC has altered the entrepreneurial values in Latin American firms. The main result of this work is that the traits of entrepreneurial activity in GEM Latin American countries have progressively shifted from quantity to quality, so digital marketing is having an increasing importance.

Differences between self-employed and employed mothers in balancing family and work responsibilities: Evidence from Latin American countries

OpenAIRE

Juan Carlos, Campaña; J. Ignacio, Giménez-Nadal; Jose Alberto, Molina

2017-01-01

In this paper, we analyze how self-employed and employed mothers in several Latin American countries allocate their time throughout the day in order to balance their family and work responsibilities. Using data from time-use surveys for Mexico (2009), Peru (2010), Panama (2011), Ecuador (2012) and Colombia (2012), we find that self-employed mothers devote less time to paid work and more time to unpaid work and child care, compared to employed mothers, in the five countries. Our results are co...

An energy atlas of five Central American countries. Un atlas energetico de cinco paises Centroamericanos

Energy Technology Data Exchange (ETDEWEB)

Trocki, L.; Newman, C.K.; Gurule, F.; Aragon, P.C.; Peck, C.

1988-08-01

In a series of maps and figures, this atlas summarizes what is known about the energy resources and how these resources and oil imports supply the energy needs of five Central American countries: Guatemala, El Salvador, Honduras, Costa Rica, and Panama. The main exploited energy resources are firewood, hydroelectric energy, bagasse from sugar cane residues, and geothermal energy. Limited oil exploration in the region has uncovered modest oil resources only in Guatemala. Peat and small coal deposits are also known to exist but are not presently being exploited. After the description of energy resources, this atlas describes energy supply and demand patterns in each country. It concludes with a description of socioeconomic data that strongly affect energy demand. 4 refs.

Analysis of the features of the entrepreneurship and leadership in the Asian and Latin American countries

Directory of Open Access Journals (Sweden)

Hugo Martín Moreno Zacarías

2012-06-01

Full Text Available The development of the necessary skills to transform entrepreneurial activities into business largely depends on the so-called "Triple Helix development ¨. This is the relationship University-Industry-Government. This relationship leads to the transformation of business ideas, into real companies, through education, economic and financial support and the support given to businesses experiences. This article reviews the concepts and definitions of various authors regarding the importance of entrepreneurial activities and the leadership approach to carry out such business. The article takes the examples of activities undertaken in this regard in different countries of Asia and Latin America, including Mexico, Brazil, Argentina, and Chile in Latin America and Japan, Malaysia and the Philippines in Asia. These countries are included in international systems of measurement of entrepreneurship worldwide. According to the information available, such ratings are declining in Asia whilst increasing in Latin America. It is important to note however that in both groups of countries there is a different entrepreneurial development. In the countries of Asia, the entrepreneurs seek to achieve business innovation while Latin American countries, the entrepreneurs are moved by the economic necessity to seek other options to complete their consumption needs. In a general basis, the triple helix could be observed in the entrepreneurial activity in most Asian countries.

Effect sizes and cut-off points: a meta-analytical review of burnout in latin American countries.

Science.gov (United States)

García-Arroyo, Jose; Osca Segovia, Amparo

2018-05-02

Burnout is a highly prevalent globalized health issue that causes significant physical and psychological health problems. In Latin America research on this topic has increased in recent years, however there are no studies comparing results across countries, nor normative reference cut-offs. The present meta-analysis examines the intensity of burnout (emotional exhaustion, cynicism and personal accomplishment) in 58 adult nonclinical samples from 8 countries (Argentina, Brazil, Chile, Colombia, Ecuador, Mexico, Peru and Venezuela). We found low intensity of burnout but there are significant differences between countries in emotional exhaustion explained by occupation and language. Social and human service professionals (police officers, social workers, public administration staff) are more exhausted than health professionals (physicians, nurses) or teachers. The samples with Portuguese language score higher in emotional exhaustion than Spanish, supporting the theory of cultural relativism. Demographics (sex, age) and study variables (sample size, instrument), were not found significant to predict burnout. The effect size and confidence intervals found are proposed as a useful baseline for research and medical diagnosis of burnout in Latin American countries.

Neonatal and pediatric extracorporeal membrane oxygenation in developing Latin American countries.

Science.gov (United States)

Kattan, Javier; González, Álvaro; Castillo, Andrés; Caneo, Luiz Fernando

To review the principles of neonatal-pediatric extracorporeal membrane oxygenation therapy, prognosis, and its establishment in limited resource-limited countries in Latino America. The PubMed database was explored from 1985 up to the present, selecting from highly-indexed and leading Latin American journals, and Extracorporeal Life Support Organization reports. Extracorporeal membrane oxygenation provides "time" for pulmonary and cardiac rest and for recovery. It is used in the neonatal-pediatric field as a rescue therapy for more than 1300 patients with respiratory failure and around 1000 patients with cardiac diseases per year. The best results in short- and long-term survival are among patients with isolated respiratory diseases, currently established as a standard therapy in referral centers for high-risk patients. The first neonatal/pediatric extracorporeal membrane oxygenation Program in Latin America was established in Chile in 2003, which was also the first program in Latin America to affiliate with the Extracorporeal Life Support Organization. New extracorporeal membrane oxygenation programs have been developed in recent years in referral centers in Argentina, Colombia, Brazil, Mexico, Perú, Costa Rica, and Chile, which are currently funding the Latin American Extracorporeal Life Support Organization chapter. The best results in short- and long-term survival are in patients with isolated respiratory diseases. Today extracorporeal membrane oxygenation therapy is a standard therapy in some Latin American referral centers. It is hoped that these new extracorporeal membrane oxygenation centers will have a positive impact on the survival of newborns and children with respiratory or cardiac failure, and that they will be available for an increasing number of patients from this region in the near future. Copyright © 2016 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

Neonatal and pediatric extracorporeal membrane oxygenation in developing Latin American countries

Directory of Open Access Journals (Sweden)

Javier Kattan

Full Text Available Abstract Objective: To review the principles of neonatal-pediatric extracorporeal membrane oxygenation therapy, prognosis, and its establishment in limited resource-limited countries in Latino America. Sources: The PubMed database was explored from 1985 up to the present, selecting from highly-indexed and leading Latin American journals, and Extracorporeal Life Support Organization reports. Summary of the findings: Extracorporeal membrane oxygenation provides “time” for pulmonary and cardiac rest and for recovery. It is used in the neonatal-pediatric field as a rescue therapy for more than 1300 patients with respiratory failure and around 1000 patients with cardiac diseases per year. The best results in short- and long-term survival are among patients with isolated respiratory diseases, currently established as a standard therapy in referral centers for high-risk patients. The first neonatal/pediatric extracorporeal membrane oxygenation Program in Latin America was established in Chile in 2003, which was also the first program in Latin America to affiliate with the Extracorporeal Life Support Organization. New extracorporeal membrane oxygenation programs have been developed in recent years in referral centers in Argentina, Colombia, Brazil, Mexico, Perú, Costa Rica, and Chile, which are currently funding the Latin American Extracorporeal Life Support Organization chapter. Conclusions: The best results in short- and long-term survival are in patients with isolated respiratory diseases. Today extracorporeal membrane oxygenation therapy is a standard therapy in some Latin American referral centers. It is hoped that these new extracorporeal membrane oxygenation centers will have a positive impact on the survival of newborns and children with respiratory or cardiac failure, and that they will be available for an increasing number of patients from this region in the near future.

Breast cancer age at diagnosis patterns in four Latin American Populations: A comparison with North American countries.

Science.gov (United States)

Franco-Marina, Francisco; López-Carrillo, Lizbeth; Keating, Nancy L; Arreola-Ornelas, Hector; Marie Knaul, Felicia

2015-12-01

younger age at presentation of BC incident cases seen in the analyzed LAC registries, and possibly in many Latin American countries, is not only attributable to their relatively young population age structure but also to the low incidence rates in older women. As more recently born cohorts, with greater exposure to risk factors for postmenopausal BC, reach older age, incidence rates will be more similar to the rates seen in the USA and Canadian registries. There is a need for additional research to identify determinants of the higher BC rate among younger women in these countries. Copyright © 2015 Elsevier Ltd. All rights reserved.

Use of antibacterial fixed-dose combinations in the private sector in eight Latin American Countries between 1999 and 2009

NARCIS (Netherlands)

Wirtz, Veronika J.; Mol, Peter G. M.; Verdijk, Jonneke; Stichele, Robert H. Vander; Taxis, Katja

OBJECTIVE: To assesses the safety and rationale of antibacterial fixed-dose combinations in the private sector in Latin America and determine the extent of their use. METHODS: Analysis of FDCs was based on retail sales data for eight Latin American countries (Argentina, Brazil, Chile, Colombia,

Development and implementation of the regulatory control of sources in Latin American Model Project countries

International Nuclear Information System (INIS)

Ferruz Cruz, P.

2001-01-01

After a general assessment of the situation regarding radiation safety and the radiation protection infrastructure in Latin American countries, several of them were invited to participate in a Model Project oriented, in some cases, towards establishing a mechanism for national regulatory control of radiation sources, and in others, towards upgrading their national control programme. All these activities aimed at reaching an effective and sustainable radiation protection infrastructure based on international basic safety standards. The paper presents a general overview of the current situation with regard to radiation protection within the Model Project countries in Latin America after almost five years of activities. It includes: the implementation of regulatory issues; the control of occupational, medical and public exposures; emergency response and waste safety issues. The paper also presents some lessons learned during implementation concerning the numerous activities involved in this interregional project. (author)

Reforming the IMF to Increase FDI Led Economic Growth: The Case of Latin American and Caribbean Countries

Directory of Open Access Journals (Sweden)

Ashraf Mahate

2018-01-01

Full Text Available There is a strong body of literature that finds a direct connection between inward foreign direct investment and economic growth in the host country. At the same time, economic growth in the host country attracts additional Foreign Direct Investment (FDI. This bidirectional relationship can be supported by the IMF through its lending program to countries to assist in dealing with short-term shocks as well as managing more long-term structural issues. In fact, the IMF programs in theory should provide an indicator to potential investors that the country is committed to making a change and opening its economy, which are typical requirements under IMF conditions. IMF intervention should lead to a positive impact on inward FDI. This study examines the impact of IMF-support programs on inward FDI for a sample of Latin American and Caribbean Countries. The results from this study reveal that being on an IMF borrowing program has a negative impact on inward FDI in the second and third year. We argue that being on an IMF borrowing program does not provide inward FDI with the seal of approval that it requires in making an investment.

Evaluation of mammography equipment performance, dose and image quality in five Latin American countries

Science.gov (United States)

Brandan, M.-E.; Ruiz-Trejo, C.; Caspani, C. E. M.; Fleitas, I.; de-la-Mora, R.; Miranda, A. A.; Plazas, M.-C.; Betancourt, C.-M.; Borras, C.

2001-10-01

Under the auspices of PAHO/WHO, a multicentric investigation is carried out in five Latin American countries. Its aim is to correlate quality indicators of radiology services with the accuracy of the radiological interpretation as determined by a panel of radiology experts. We present preliminary results from mammographic imaging facilities. Evaluation of the equipment performance and dose measurements in 21 mammographic units show that, on the average, 75% of the units comply with recommendations issued by various organizations. An independent evaluation of the quality of the clinical images show strong variations among the different radiological services.

Evaluation of mammography equipment performance, dose and image quality in five Latin American countries

International Nuclear Information System (INIS)

Brandan, M.-E.; Ruiz-Trejo, C.; Caspani, C. E. M.; Fleitas, I.; Mora, R. de la; Miranda, A. A.; Plazas, M.-C.; Betancourt, C.-M.; Borras, C.

2001-01-01

Under the auspices of PAHO/WHO, a multicentric investigation is carried out in five Latin American countries. Its aim is to correlate quality indicators of radiology services with the accuracy of the radiological interpretation as determined by a panel of radiology experts. We present preliminary results from mammographic imaging facilities. Evaluation of the equipment performance and dose measurements in 21 mammographic units show that, on the average, 75% of the units comply with recommendations issued by various organizations. An independent evaluation of the quality of the clinical images show strong variations among the different radiological services

Differences in economic development in rural regions of advanced countries: an overview and critical analysis of theories

NARCIS (Netherlands)

Terluin, I.J.

2003-01-01

This article provides an overview and critical analysis of theories on economic development in rural regions in advanced countries. For this purpose, we have consulted literature in regional economics and the multidisciplinary field of rural studies. In order to analyse to which extent these

A survey on critical care resources and practices in low- and middle-income countries.

Science.gov (United States)

Vukoja, Marija; Riviello, Elisabeth; Gavrilovic, Srdjan; Adhikari, Neill K J; Kashyap, Rahul; Bhagwanjee, Satish; Gajic, Ognjen; Kilickaya, Oguz

2014-09-01

Timely and appropriate care is the key to achieving good outcomes in acutely ill patients, but the effectiveness of critical care may be limited in resource-limited settings. This study sought to understand how to implement best practices in intensive care units (ICU) in low- and middle-income countries (LMIC) and to develop a point-of-care training and decision-support tool. An internationally representative group of clinicians performed a 22-item capacity-and-needs assessment survey in a convenience sample of 13 ICU in Eastern Europe (4), Asia (4), Latin America (3), and Africa (2), between April and July 2012. Two ICU were from low-income, 2 from low-middle-income, and 9 from upper-middle-income countries. Clinician respondents were asked about bed capacity, patient characteristics, human resources, available medications and equipment, access to education, and processes of care. Thirteen clinicians from each of 13 hospitals (1 per ICU) responded. Surveyed hospitals had median of 560 (interquartile range [IQR]: 232, 1,200) beds. ICU had a median of 9 (IQR: 7, 12) beds and treated 40 (IQR: 20, 67) patients per month. Many ICU had ≥ 1 staff member with some formal critical care training (n = 9, 69%) or who completed Fundamental Critical Care Support (n = 7, 54%) or Advanced Cardiac Life Support (n = 9, 69%) courses. Only 2 ICU (15%) used any kind of checklists for acute resuscitation. Ten (77%) ICU listed lack of trained staff as the most important barrier to improving the care and outcomes of critically ill patients. In a convenience sample of 13 ICU from LMIC, specialty-trained staff and standardized processes of care such as checklists are frequently lacking. ICU needs-assessment evaluations should be expanded in LMIC as a global priority, with the goal of creating and evaluating context-appropriate checklists for ICU best practices. Copyright © 2014 World Heart Federation (Geneva). Published by Elsevier B.V. All rights reserved.

Characterization and Clinical Impact of Bloodstream Infection Caused by Carbapenemase-Producing Enterobacteriaceae in Seven Latin American Countries.

Directory of Open Access Journals (Sweden)

Maria Virginia Villegas

Full Text Available Infections caused by carbapenem-resistant Enterobacteriaceae are a public health problem associated with higher mortality rates, longer hospitalization and increased healthcare costs. We carried out a study to describe the characteristics of patients with carbapenemase-producing Enterobacteriaceae (CPE and non-CPE bloodstream infection (BSI from Latin American hospitals and to determine the clinical impact in terms of mortality and antibiotic therapy.Between July 2013 and November 2014, we conducted a multicenter observational study in 11 hospitals from 7 Latin American countries (Argentina, Colombia, Ecuador, Guatemala, Mexico, Peru, Venezuela. Patients with BSI caused by Enterobacteriaceae were included and classified either as CPE or non-CPE based on detection of blaKPC, blaVIM, blaIMP, blaNDM and blaOXA-48 by polymerase chain reaction. Enrolled subjects were followed until discharge or death. Demographic, microbiological and clinical characteristics were collected from medical records. Both descriptive and inferential statistics were used to analyze the information.A total of 255 patients with Enterobacteriaceae BSI were included; CPE were identified in 53 of them. In vitro non-susceptibility to all screened antibiotics was higher in the patients with CPE BSI, remaining colistin, tigecycline and amikacin as the most active drugs. Combination therapy was significantly more frequent in the CPE BSI group (p < 0.001. The most common regimen was carbapenem + colistin or polymyxin B. The overall mortality was 37% (94/255. Overall and attributable mortality were significantly higher in patients with CPE BSI (p < 0.001; however, we found that patients with CPE BSI who received combination therapy and those who received monotherapy had similar mortality. After multivariate adjustment, CPE BSI (adjusted odds ratio [aOR] 4; 95% confidence interval [CI] 1.7-9.5; p = 0.002 and critical illness (aOR 6.5; 95% CI 3.1-13.7; p < 0.001 were independently

Characterization and Clinical Impact of Bloodstream Infection Caused by Carbapenemase-Producing Enterobacteriaceae in Seven Latin American Countries

Science.gov (United States)

Villegas, Maria Virginia; Pallares, Christian J.; Hernández-Gómez, Cristhian; Correa, Adriana; Álvarez, Carlos; Rosso, Fernando; Matta, Lorena; Luna, Carlos; Zurita, Jeannete; Mejía-Villatoro, Carlos; Rodríguez-Noriega, Eduardo; Seas, Carlos; Cortesía, Manuel; Guzmán-Suárez, Alfonso; Guzmán-Blanco, Manuel

2016-01-01

Introduction Infections caused by carbapenem-resistant Enterobacteriaceae are a public health problem associated with higher mortality rates, longer hospitalization and increased healthcare costs. We carried out a study to describe the characteristics of patients with carbapenemase-producing Enterobacteriaceae (CPE) and non-CPE bloodstream infection (BSI) from Latin American hospitals and to determine the clinical impact in terms of mortality and antibiotic therapy. Methods Between July 2013 and November 2014, we conducted a multicenter observational study in 11 hospitals from 7 Latin American countries (Argentina, Colombia, Ecuador, Guatemala, Mexico, Peru, Venezuela). Patients with BSI caused by Enterobacteriaceae were included and classified either as CPE or non-CPE based on detection of blaKPC, blaVIM, blaIMP, blaNDM and blaOXA-48 by polymerase chain reaction. Enrolled subjects were followed until discharge or death. Demographic, microbiological and clinical characteristics were collected from medical records. Both descriptive and inferential statistics were used to analyze the information. Results A total of 255 patients with Enterobacteriaceae BSI were included; CPE were identified in 53 of them. In vitro non-susceptibility to all screened antibiotics was higher in the patients with CPE BSI, remaining colistin, tigecycline and amikacin as the most active drugs. Combination therapy was significantly more frequent in the CPE BSI group (p < 0.001). The most common regimen was carbapenem + colistin or polymyxin B. The overall mortality was 37% (94/255). Overall and attributable mortality were significantly higher in patients with CPE BSI (p < 0.001); however, we found that patients with CPE BSI who received combination therapy and those who received monotherapy had similar mortality. After multivariate adjustment, CPE BSI (adjusted odds ratio [aOR] 4; 95% confidence interval [CI] 1.7–9.5; p = 0.002) and critical illness (aOR 6.5; 95% CI 3.1–13.7; p < 0

Critical Multimodal Hip Hop Production: A Social Justice Approach to African American Language and Literacy Practices

Science.gov (United States)

Turner, K. C. Nat; Hayes, Nini, Visaya; Way, Kate

2013-01-01

This article features key findings from a study that highlights the transformative impact of a pedagogical approach that employs Critical Multimodal Hip Hop Production (CMHHP). The study took place in an extended day program in a northern California public middle school among a group of 30, urban, African American, Chicano/a/Latino/a, and Asian…

Critical health literacy in American deaf college students.

Science.gov (United States)

Kushalnagar, Poorna; Ryan, Claire; Smith, Scott; Kushalnagar, Raja

2017-05-24

This study investigates the relationship between critical health literacy (CHL) and discussion of health information among college deaf students who use American Sign Language. CHL is crucial in making appropriate health-related decisions for oneself and aiding others in making good health-choices. Research on general youth population shows that frequent health-related discussions with both friends and family is associated with higher health literacy. However, for our sample of deaf college-aged students who might have had less access to communication at home, we hypothesize that health-related discussions with same-age peers may be more important for critical health literacy. We asked two questions to assess the frequency of health-related discussions with friends and families: "How often do you discuss health-related information with your friends" and "How often do you discuss your family medical history with your family?". Participants rated their experience on a scale from 1-5 (1=never, 5=always). To assess CHL, 38 deaf and 38 hearing participants were shown a short scenario that showed a woman confiding in her friend after finding a lump in her breast. Participants were then asked what the friend should say. Responses were scored by a team of 3 raters using a CHL rubric. As predicted, results showed a strong relationship between discussion of health-related information with friends and CHL in both deaf and hearing samples. Discussion with family was linked to CHL only for hearing participants, but not deaf participants in our study. These findings underscore the importance of socializing with health-literate, accessible peers to improve the health literacy and health outcomes of all deaf people. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

[Nutritional Sciences' Journals in Ibero Latin American countries in the XXIst Century].

Science.gov (United States)

Culebras, J M

2012-11-01

The presence of nutrition as an independent matter in the educational programs of the Spanish Faculties of Medicine has been scanty until the end of the XXth century. We have witnessed an important development of the specific opportunities for the nutritional sciences in terms of quality and quantity in the XXIst century. Only one Ibero Latin American journal, Archivos Latinoamericanos de Nutrición (ALAN, ISSN 0004-0622), was present in the Journal Citation Reports, Science Edition among the 51 journals under the heading of Nutrition & Dietetics. Three more ibero latin American journals have been incorporated to JCR in the XXIst century, Nutrición Hospitalaria (Nutr Hosp, ISSN 0212-1611) in 2006, Revista de Nutricao (Rev Nutr, ISSN 1415-5273) and Revista Española de Nutrición Comunitaria (Rev Esp Nutr Comunit, ISSN 1135-3074) in 2007. The four journals are having a growing importance in other electronic platforms, rendering an important service to the scientific society, not only in their environment, but also in the rest of the world. Although English language dominates scientific communications, the critical mass of already existing journals in Spanish and the area of influence of this language is a good stimulus for continuing its utilization.

Electricity sector reforms in four Latin-American countries and their impact on carbon dioxide emissions and renewable energy

International Nuclear Information System (INIS)

Janet Ruiz-Mendoza, Belizza; Sheinbaum-Pardo, Claudia

2010-01-01

This paper analyzes carbon dioxide (CO 2 ) emissions related to energy consumption for electricity generation in four Latin-American countries in the context of the liberalization process. From 1990 to 2006, power plants based on renewable energy sources decreased its share in power installed capacity, and the carbon index defined as CO 2 emission by unit of energy for electricity production stayed almost constant for all countries with the exception of Colombia, where the index reduced due to increase in hydroelectricity generation in the last years. The paper also presents a new set of policies to promote renewable energy sources that have been developed in the four countries. The paper concludes that restructuring did not bring about environmental benefits related to a decrease in CO 2 emissions because this depend on the existence of committed policies, and dedicated institutional and regulatory frameworks.

Critical Success Factors for E-Learning in Developing Countries: A Comparative Analysis between ICT Experts and Faculty

Science.gov (United States)

Bhuasiri, Wannasiri; Xaymoungkhoun, Oudone; Zo, Hangjung; Rho, Jae Jeung; Ciganek, Andrew P.

2012-01-01

This study identifies the critical success factors that influence the acceptance of e-learning systems in developing countries. E-learning is a popular mode of delivering educational materials in higher education by universities throughout the world. This study identifies multiple factors that influence the success of e-learning systems from the…

Racism, Schooling, and the Streets: A Critical Analysis of Vietnamese American Youth Gang Formation in Southern California

Directory of Open Access Journals (Sweden)

Kevin D. Lam

2012-01-01

Full Text Available This paper is an analysis of the relationship between educational experiences, street life, and gang formation for Vietnamese American youth gang members in Southern California. I use critical narrative methodology to center the life and experiences of a Los Angeles area gang member. His narrative substantiates how racism in schools and on the streets works together to impact and inform gang formation. Schools were sites of inter-ethnic conflict and racialized tension, and streets were spaces for contentious interactions with the police. In addition, I place the Vietnamese American youth gang phenomenon in larger historical and political contexts such as California’s anti-youth legislation, representations of Asian American youth, and U.S. geo-politics and imperialism—factors that have serious material and ideological implications and consequences.

Is the Hegemonic Position of American Culture Able to Subjugate Local Cultures of Importing Countries? A Constructive Analysis on the Phenomenon of Cultural Localization

Science.gov (United States)

Chiang, Tien-Hui

2014-01-01

It has been argued that globalization assists the USA to gain a hegemonic position, allowing it to export its culture. Because this exportation leads to the domination by American culture of the local cultures of importing countries, which are the key element in sustaining their citizens' national identity, citizens of these countries are…

Consensus standards utilized and implemented for nuclear criticality safety in Japan

International Nuclear Information System (INIS)

Nomura, Yasushi; Okuno, Hiroshi; Naito, Yoshitaka

1996-01-01

The fundamental framework for the criticality safety of nuclear fuel facilities regulations is, in many advanced countries, generally formulated so that technical standards or handbook data are utilized to support the licensing safety review and to implement its guidelines. In Japan also, adequacy of the safety design of nuclear fuel facilities is checked and reviewed on the basis of licensing safety review guides. These guides are, first, open-quotes The Basic Guides for Licensing Safety Review of Nuclear Fuel Facilities,close quotes and as its subsidiaries, open-quotes The Uranium Fuel Fabrication Facility Licensing Safety Review Guidesclose quotes and open-quotes The Reprocessing Facility Licensing Safety Review Guides.close quotes The open-quotes Nuclear Criticality Safety Handbook close-quote of Japan and the Technical Data Collection are published and utilized to supply related data and information for the licensing safety review, such as for the Rokkasho reprocessing plant. The well-established technical standards and data abroad such as those by the American Nuclear Society and the American National Standards Institute are also utilized to complement the standards in Japan. The basic principles of criticality safety control for nuclear fuel facilities in Japan are duly stipulated in the aforementioned basic guides as follows: 1. Guide 10: Criticality control for a single unit; 2. Guide 11: Criticality control for multiple units; 3. Guide 12: Consideration for a criticality accident

Illicit Cigarette Trade in Five South American Countries: A Gap Analysis for Argentina, Brazil, Chile, Colombia and Peru.

Science.gov (United States)

Paraje, Guillermo

2018-05-15

Due to its nature, it is very hard to measure tobacco illicit trade in any product. In the case of Latin American countries, there is scant information on the magnitude and characteristics of this trade in the case of cigarettes. The goal of this article is to provide estimates on the evolution of the illicit cigarette trade in five South American countries: Argentina, Brazil, Chile, Colombia and Peru. Gap analysis estimates for cigarette tax evasion/avoidance (a comparison on the evolution of the difference between registered cigarette sales and measured population consumption) is developed for Argentina, Brazil, Chile, Colombia and Peru. Nationally representative surveys, conducted regularly, are used to measure population consumption. Confidence intervals constructed by bootstrapping sample estimates are generated in order to statistically evaluate the evolution of the gap. Cigarette illicit trade has increased as a percentage of total sales in Brazil in recent years. In the case of Argentina, after a relative decrease between 2005 and 2009 it seems to have stabilized. There is no statistical evidence to argue that there has been an increase of cigarette illicit trade in Chile, Colombia and Peru, despite substantial price increases in Chile and tax increase in both Colombia and Peru. Using simple statistical methods, it is possible to assess the trend in tobacco illicit trend over time to better inform policy-makers. Getting reliable and regular population consumption surveys can also help to track tobacco illicit trade. Claims by tobacco industry of a positive association between price/tax changes and illicit trade are unsubstantiated. Evolution of cigarette illicit trade in five Latin American countries show different trajectories, not in line with tobacco industry estimates, which highlight the importance of producing solid, independent estimates. There are inexpensive methodologies that can provide estimates of the evolution of the relative importance of

Trends in antibiotic utilization in eight Latin American countries, 1997-2007.

Science.gov (United States)

Wirtz, Veronika J; Dreser, Anahí; Gonzales, Ralph

2010-03-01

To describe the trends in antibiotic utilization in eight Latin American countries between 1997-2007 We analyzed retail sales data of oral and injectable antibiotics (World Health Organization (WHO) Anatomic Therapeutic Chemical (ATC) code J01) between 1997 and 2007 for Argentina, Brazil, Chile, Colombia, Mexico, Peru, Uruguay, and Venezuela. Antibiotics were aggregated and utilization was calculated for all antibiotics (J01); for macrolides, lincosamindes, and streptogramins (J01 F); and for quinolones (J01 M). The kilogram sales of each antibiotic were converted into defined daily dose per 1 000 inhabitants per day (DID) according to the WHO ATC classification system. We calculated the absolute change in DID and relative change expressed in percent of DID variation, using 1997 as a reference Total antibiotic utilization has increased in Peru, Venezuela, Uruguay, and Brazil, with the largest relative increases observed in Peru (5.58 DID, +70.6%) and Venezuela (4.81 DID, +43.0%). For Mexico (-2.43 DID; -15.5%) and Colombia (-4.10; -33.7%), utilization decreased. Argentina and Chile showed major reductions in antibiotic utilization during the middle of this period. In all countries, quinolone use increased, particularly sharply in Venezuela (1.86 DID, +282%). The increase in macrolide, lincosaminde, and streptogramin use was greatest in Peru (0.76 DID, +82.1%), followed by Brazil, Argentina, and Chile Analyzing antibiotic utilization in Latin America presents a series of challenges. Creating policy-relevant evidence based on antimicrobial consumption patterns is needed in order to foster policies aimed at improving appropriate use of antibiotics in the region.

American sanctions. Ones` sorrow,..; Sanctions americaines. Le malheur des uns,..

Energy Technology Data Exchange (ETDEWEB)

Anon.

1997-06-01

Myanmar joined the list of countries concerned by the D`Amato-Kennedy law which imposes economical sanctions from the USA. Total company which is involved in the exploitation of Myanmar gas resources, considered that it is not concerned by this decision while its American partner, Unocal, promised to respect the sanction. Feeling the danger which is going to happen, an `anti-sanctions` coalition was created around 140 big US companies (11 oil-companies, the American Petroleum Institute, IBM, Boeing, Pepsi, etc..) to criticize this policy. The cost of this law for the US economy represents about 19 billions of US Dollars of export dead losses and 200000 employments. Short note. (J.S.)

Paramedic versus emergency physician emergency medical service: role of the anaesthesiologist and the European versus the Anglo-American concept

NARCIS (Netherlands)

Timmermann, Arnd; Russo, Sebastian G.; Hollmann, Markus W.

2008-01-01

Purpose of review Much controversy exists about who can provide the best medical care for critically ill patients in the prehospital setting. The Anglo-American concept is on the whole to provide well trained paramedics to fulfil this task, whereas in some European countries emergency medical

Characteristics and critical success factors for implementing problem-based learning in a human resource-constrained country.

Science.gov (United States)

Giva, Karen R N; Duma, Sinegugu E

2015-08-31

Problem-based learning (PBL) was introduced in Malawi in 2002 in order to improve the nursing education system and respond to the acute nursing human resources shortage. However, its implementation has been very slow throughout the country. The objectives of the study were to explore and describe the goals that were identified by the college to facilitate the implementation of PBL, the resources of the organisation that facilitated the implementation of PBL, the factors related to sources of students that facilitated the implementation of PBL, and the influence of the external system of the organisation on facilitating the implementation of PBL, and to identify critical success factors that could guide the implementation of PBL in nursing education in Malawi. This is an ethnographic, exploratory and descriptive qualitative case study. Purposive sampling was employed to select the nursing college, participants and documents for review.Three data collection methods, including semi-structured interviews, participant observation and document reviews, were used to collect data. The four steps of thematic analysis were used to analyse data from all three sources. Four themes and related subthemes emerged from the triangulated data sources. The first three themes and their subthemes are related to the characteristics related to successful implementation of PBL in a human resource-constrained nursing college, whilst the last theme is related to critical success factors that contribute to successful implementation of PBL in a human resource-constrained country like Malawi. This article shows that implementation of PBL is possible in a human resource-constrained country if there is political commitment and support.

Agricultural biotechnology and smallholder farmers in developing countries.

Science.gov (United States)

Anthony, Vivienne M; Ferroni, Marco

2012-04-01

Agricultural biotechnology holds much potential to contribute towards crop productivity gains and crop improvement for smallholder farmers in developing countries. Over 14 million smallholder farmers are already benefiting from biotech crops such as cotton and maize in China, India and other Asian, African and Central/South American countries. Molecular breeding can accelerate crop improvement timescales and enable greater use of diversity of gene sources. Little impact has been realized to date with fruits and vegetables because of development timescales for molecular breeding and development and regulatory costs and political considerations facing biotech crops in many countries. Constraints to the development and adoption of technology-based solutions to reduce yield gaps need to be overcome. Full integration with broader commercial considerations such as farmer access to seed distribution systems that facilitate dissemination of improved varieties and functioning markets for produce are critical for the benefits of agricultural biotechnology to be fully realized by smallholders. Public-private partnerships offer opportunities to catalyze new approaches and investment while accelerating integrated research and development and commercial supply chain-based solutions. Copyright © 2011. Published by Elsevier Ltd.

Production of scientific articles on health in six Latin American countries, 1973-1992

Directory of Open Access Journals (Sweden)

Alberto Pellegrini Filho

1997-08-01

institutions and had a citation index of 4.36 per article. It is concluded that, despite the inherent limitations, this type of study reveals some general trends in the development of research in the six Latin American countries with the greatest scientific production and makes it possible to formulate hypotheses on the factors that influence these trends. Taken with the proper caution, the results of studies like this one can be of great value in defining health science and technology policies.

Production of scientific articles on health in six Latin American countries, 1973-1992

Directory of Open Access Journals (Sweden)

Pellegrini Filho Alberto

1997-01-01

institutions and had a citation index of 4.36 per article. It is concluded that, despite the inherent limitations, this type of study reveals some general trends in the development of research in the six Latin American countries with the greatest scientific production and makes it possible to formulate hypotheses on the factors that influence these trends. Taken with the proper caution, the results of studies like this one can be of great value in defining health science and technology policies.

Budget transparency on maternal health spending: a case study in five Latin American countries.

Science.gov (United States)

Malajovich, Laura; Alcalde, Maria Antonieta; Castagnaro, Kelly; Barroso, Carmen

2012-06-01

Progress in reducing maternal mortality has been slow and uneven, including in Latin America, where 23,000 women die each year from preventable causes. This article is about the challenges civil society organizations in Latin America faced in assessing budget transparency on government spending on specific aspects of maternity care, in order to hold them accountable for reducing maternal deaths. The study was carried out by the International Planned Parenthood, Western Hemisphere Region and the International Budget Partnership in five Latin American countries--Costa Rica, El Salvador, Guatemala, Panama and Peru. It found that only in Peru was most of the information they sought available publicly (from a government website). In the other four countries, none of the information was available publicly, and although it was possible to obtain at least some data from ministry and health system sources, the search process often took a complex course. The data collected in each country were very different, depending not only on the level of budget transparency, but also on the existence and form of government data collection systems. The obstacles that these civil society organizations faced in monitoring national and local budget allocations for maternal health must be addressed through better budgeting modalities on the part of governments. Concrete guidelines are also needed for how governments can better capture data and track local and national progress. Copyright © 2012 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

Social anxiety and social norms in individualistic and collectivistic countries.

Science.gov (United States)

Schreier, Sina-Simone; Heinrichs, Nina; Alden, Lynn; Rapee, Ronald M; Hofmann, Stefan G; Chen, Junwen; Oh, Kyung Ja; Bögels, Susan

2010-12-01

Social anxiety is assumed to be related to cultural norms across countries. Heinrichs et al. [2006: Behav Res Ther 44:1187-1197] compared individualistic and collectivistic countries and found higher social anxiety and more positive attitudes toward socially avoidant behaviors in collectivistic rather than in individualistic countries. However, the authors failed to include Latin American countries in the collectivistic group. To provide support for these earlier results within an extended sample of collectivistic countries, 478 undergraduate students from individualistic countries were compared with 388 undergraduate students from collectivistic countries (including East Asian and Latin American) via self-report of social anxiety and social vignettes assessing social norms. As expected, the results of Heinrichs et al. [2006: Behav Res Ther 44:1187-1197] were replicated for the individualistic and Asian countries, but not for Latin American countries. Latin American countries displayed the lowest social anxiety levels, whereas the collectivistic East Asian group displayed the highest. These findings indicate that while culture-mediated social norms affect social anxiety and might help to shed light on the etiology of social anxiety disorder, the dimension of individualism-collectivism may not fully capture the relevant norms. © 2010 Wiley-Liss, Inc.

Social anxiety and social norms in individualistic and collectivistic countries

Science.gov (United States)

Schreier, Sina-Simone; Heinrichs, Nina; Alden, Lynn; Rapee, Ronald M.; Hofmann, Stefan G.; Chen, Junwen; Ja Oh, Kyung; Bögels, Susan

2010-01-01

Background Social anxiety is assumed to be related to cultural norms across countries. Heinrichs and colleagues [1] compared individualistic and collectivistic countries and found higher social anxiety and more positive attitudes toward socially avoidant behaviors in collectivistic than in individualistic countries. However, the authors failed to include Latin American countries in the collectivistic group. Methods To provide support for these earlier results within an extended sample of collectivistic countries, 478 undergraduate students from individualistic countries were compared with 388 undergraduate students from collectivistic countries (including East Asian and Latin American) via self report of social anxiety and social vignettes assessing social norms. Results As expected, the results of Heinrichs and colleagues [1] were replicated for the individualistic and Asian countries but not for Latin American countries. Latin American countries displayed the lowest social anxiety levels, whereas the collectivistic East Asian group displayed the highest. Conclusions These findings indicate that while culture-mediated social norms affect social anxiety and might help to shed light on the etiology of social anxiety disorder, the dimension of individualism-collectivism may not fully capture the relevant norms. PMID:21049538

Increasingly heterogeneous ages at first birth by education in Southern-European and Anglo-American family-policy regimes: A seven-country comparison

Science.gov (United States)

Rendall, Michael; Aracil, Encarnacion; Bagavos, Christos; Couet, Christine; DeRose, Alessandra; DiGiulio, Paola; Lappegard, Trude; Robert-Bobée, Isabelle; Rønsen, Marit; Smallwood, Steve; Verropoulou, Georgia

2010-01-01

Family-policy regimes unfavourable to combining employment with motherhood have been claimed to increase socio-economic differentials in fertility as combining employment and motherhood has become more normative. This claim has to date been explored mainly in reference to ‘liberal’ Anglo-American regimes. Comparing education differentials in age at first birth among native-born women of 1950s and 1960s birth cohorts in seven countries representing three regime types, we find persistence in early first births among low-educated women not only in Britain and the United States but also in Greece, Italy, and Spain. Shifts towards later first births, however, were more extreme in Southern Europe and involved to some extent women at all education levels. The educationally-heterogeneous changes in age patterns of first births seen in the Southern European and Anglo-American family-policy regimes contrast with educationally-homogeneous changes across birth cohorts seen in the study’s two ‘universalistic’ countries, Norway and France. PMID:20954097

Nuclear criticality safety experiments, calculations, and analyses - 1958 to 1982. Volume 2. Summaries. Complilation of papers from the Transactions of the American Nuclear Society

International Nuclear Information System (INIS)

Koponen, B.L.; Hampel, V.E.

1982-01-01

This compilation contains 688 complete summaries of papers on nuclear criticality safety as presented at meetings of the American Nuclear Society (ANS). The selected papers contain criticality parameters for fissile materials derived from experiments and calculations, as well as criticality safety analyses for fissile material processing, transport, and storage. The compilation was developed as a component of the Nuclear Criticality Information System (NCIS) now under development at the Lawrence Livermore National Laboratory. The compilation is presented in two volumes: Volume 1 contains a directory to the ANS Transaction volume and page number where each summary was originally published, the author concordance, and the subject concordance derived from the keyphrases in titles. Volume 2 contains-in chronological order-the full-text summaries, reproduced here by permission of the American Nuclear Society from their Transactions, volumes 1-41

Nuclear criticality safety experiments, calculations, and analyses - 1958 to 1982. Volume 2. Summaries. Complilation of papers from the Transactions of the American Nuclear Society

Energy Technology Data Exchange (ETDEWEB)

Koponen, B.L.; Hampel, V.E.

1982-10-21

This compilation contains 688 complete summaries of papers on nuclear criticality safety as presented at meetings of the American Nuclear Society (ANS). The selected papers contain criticality parameters for fissile materials derived from experiments and calculations, as well as criticality safety analyses for fissile material processing, transport, and storage. The compilation was developed as a component of the Nuclear Criticality Information System (NCIS) now under development at the Lawrence Livermore National Laboratory. The compilation is presented in two volumes: Volume 1 contains a directory to the ANS Transaction volume and page number where each summary was originally published, the author concordance, and the subject concordance derived from the keyphrases in titles. Volume 2 contains-in chronological order-the full-text summaries, reproduced here by permission of the American Nuclear Society from their Transactions, volumes 1-41.

Disillusionment of the American Dream——On An American Tragedy

Institute of Scientific and Technical Information of China (English)

管秀丽

2008-01-01

Theodore Dreiser is now regarded as one of the pre-eminent American realistic novelists of the first half of the twentieth century.an anatomist of the American Dream.In his great work An American Tragedy,Dreis- er exposes and criticizes mercilessly the corruption and black side of American society.The disillusionment of the American Dream is an important theme of the fiction.This paper illustrates "An American Tragedy" is the re- flection of disillusionment of the American Dream in the perspectives of the tragedy of a mortal,the tragedy of American society,and the tragedy of the American Dream.

Oral Hygiene and Handwashing Practices among Middle School Students in 15 Latin American and Caribbean Countries.

Science.gov (United States)

McKittrick, T R; Jacobsen, K H

2015-06-01

To examine the relationship between infrequent toothbrushing and infrequent handwashing among middle school students from 15 Latin American and Caribbean countries (Antigua and Barbuda, Argentina, British Virgin Islands, Cayman Islands, Costa Rica, Grenada, Guatemala, Guyana, Peru, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and Grenadines, Suriname, Trinidad and Tobago, and Uruguay). A secondary analysis was done of nationally-representative data from 33 174 middle school students who participated in the Global School-based Student Health Survey (GSHS) between 2006 and 2011. In all 15 countries, the association between rarely brushing or cleaning teeth and rarely handwashing after using the toilet was significant for both boys and girls. The pooled odds ratio for this association was 6.7 (5.8, 7.7). Healthcare providers who notice signs of poor dental hygiene or infrequent bathing in adolescents should consider providing comprehensive hygiene education to their patients, since infrequent oral and body hygiene behaviours tend to co-exist and both are threats to health.

Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries.

Science.gov (United States)

Kahan, Brennan C; Koulenti, Desponia; Arvaniti, Kostoula; Beavis, Vanessa; Campbell, Douglas; Chan, Matthew; Moreno, Rui; Pearse, Rupert M

2017-07-01

As global initiatives increase patient access to surgical treatments, there is a need to define optimal levels of perioperative care. Our aim was to describe the relationship between the provision and use of critical care resources and postoperative mortality. Planned analysis of data collected during an international 7-day cohort study of adults undergoing elective in-patient surgery. We used risk-adjusted mixed-effects logistic regression models to evaluate the association between admission to critical care immediately after surgery and in-hospital mortality. We evaluated hospital-level associations between mortality and critical care admission immediately after surgery, critical care admission to treat life-threatening complications, and hospital provision of critical care beds. We evaluated the effect of national income using interaction tests. 44,814 patients from 474 hospitals in 27 countries were available for analysis. Death was more frequent amongst patients admitted directly to critical care after surgery (critical care: 103/4317 patients [2%], standard ward: 99/39,566 patients [0.3%]; adjusted OR 3.01 [2.10-5.21]; p analysis including only high-risk patients yielded similar findings. We did not identify any survival benefit from critical care admission following surgery.

Cultural variation in the motivational standards of self-enhancement and self-criticism among bicultural Asian American and Anglo American students.

Science.gov (United States)

Zusho, Akane

2008-10-01

Recent work on biculturalism has made theoretical and methodological inroads into our understanding of the relation of cultural processes with psychological functioning. Through the use of cultural priming methodologies, investigators have demonstrated that biculturals, or individuals who have experienced and identify with more than one culture, can switch between various "cultural frames of reference" in response to corresponding social cues (Hong, Morris, Chiu, & Benet-Martinez, 2000). Drawing on this work on the cognitive implications of biculturalism, the purpose of the present study was to examine the assumption that independent and interdependent self-construals are associated with the motivational standards of self-enhancement and self-criticism, respectively. More specifically, the effects of differential primes of self on ratings of self-enhancement were investigated in a sample of bicultural Asian American (N = 42) and Anglo American (N = 60) college students; overall, more similarities than differences were noted between the two groups. It was hypothesized that Anglo American students would display marked tendencies toward self-enhancement. However, this hypothesis was not supported. Nevertheless, consistent prime effects were observed for a selected number of ratings related to academic virtues, with those who received an independent-self prime often exhibiting greater self-enhancing tendencies than those who received an interdependent-self prime. For example, participants in the independent-self condition reported on average significantly higher ratings for self-discipline and initiative, as well as the degree to which they perceived themselves to be hard working. Implications for the work on self-representations, motivation, and acculturation are discussed.

Critical enrichment and critical density of infinite systems for nuclear criticality safety evaluation

International Nuclear Information System (INIS)

Naito, Yoshitaka; Koyama, Takashi; Komuro, Yuichi

1986-03-01

Critical enrichment and critical density of homogenous infinite systems, such as U-H 2 O, UO 2 -H 2 O, UO 2 F 2 aqueous solution, UO 2 (NO 3 ) 2 aqueous solution, Pu-H 2 O, PuO 2 -H 2 O, Pu(NO 3 ) 4 aqueous solution and PuO 2 ·UO 2 -H 2 O, were calculated with the criticality safety evaluation computer code system JACS for nuclear criticality safety evaluation on fuel facilities. The computed results were compared with the data described in European and American criticality handbooks and showed good agreement with each other. (author)

Study of the influence of socio-economic factors in the international expansion of Spanish franchisors to Latin American countries.

Directory of Open Access Journals (Sweden)

José M Ramírez-Hurtado

Full Text Available The saturation of the domestic market is one of the factors which drive firms to expand their business to other markets. Franchising is one of the formats adopted by companies when establishing their internationalization strategy. Spain is a country where franchising is strongly consolidated. This degree of maturity means that many chains seek other countries in which to operate. This work's specific aims are, on the one hand, to offer a general view of the current situation of Spanish franchisors in Latin American countries and, on the other hand, to analyze which the socio-economic or external factors are that determine the presence of Spanish franchisors in this market. Canonical-correlation analysis is used to do so. The results show that Spanish franchisors focus on the market's potential and size, and the per capita income, while they do not take into account its unemployment level, the country risk or the competitiveness there. This work shows that there is a series of socio-economic factors which influence the final choice of the destination country. However, this decision is not solely based on this country's socio-economic aspects, but also on the structure of the franchising firm itself and on its export experience in other markets. This study therefore complements other research and helps franchisors in their difficult decision of choosing the destination for their internationalization.

Study of the influence of socio-economic factors in the international expansion of Spanish franchisors to Latin American countries.

Science.gov (United States)

Ramírez-Hurtado, José M; Berbel-Pineda, Juan M; Palacios-Florencio, Beatriz

2018-01-01

The saturation of the domestic market is one of the factors which drive firms to expand their business to other markets. Franchising is one of the formats adopted by companies when establishing their internationalization strategy. Spain is a country where franchising is strongly consolidated. This degree of maturity means that many chains seek other countries in which to operate. This work's specific aims are, on the one hand, to offer a general view of the current situation of Spanish franchisors in Latin American countries and, on the other hand, to analyze which the socio-economic or external factors are that determine the presence of Spanish franchisors in this market. Canonical-correlation analysis is used to do so. The results show that Spanish franchisors focus on the market's potential and size, and the per capita income, while they do not take into account its unemployment level, the country risk or the competitiveness there. This work shows that there is a series of socio-economic factors which influence the final choice of the destination country. However, this decision is not solely based on this country's socio-economic aspects, but also on the structure of the franchising firm itself and on its export experience in other markets. This study therefore complements other research and helps franchisors in their difficult decision of choosing the destination for their internationalization.

Critical Care Delivery: The Importance of Process of Care and ICU Structure to Improved Outcomes: An Update From the American College of Critical Care Medicine Task Force on Models of Critical Care.

Science.gov (United States)

Weled, Barry J; Adzhigirey, Lana A; Hodgman, Tudy M; Brilli, Richard J; Spevetz, Antoinette; Kline, Andrea M; Montgomery, Vicki L; Puri, Nitin; Tisherman, Samuel A; Vespa, Paul M; Pronovost, Peter J; Rainey, Thomas G; Patterson, Andrew J; Wheeler, Derek S

2015-07-01

In 2001, the Society of Critical Care Medicine published practice model guidelines that focused on the delivery of critical care and the roles of different ICU team members. An exhaustive review of the additional literature published since the last guideline has demonstrated that both the structure and process of care in the ICU are important for achieving optimal patient outcomes. Since the publication of the original guideline, several authorities have recognized that improvements in the processes of care, ICU structure, and the use of quality improvement science methodologies can beneficially impact patient outcomes and reduce costs. Herein, we summarize findings of the American College of Critical Care Medicine Task Force on Models of Critical Care: 1) An intensivist-led, high-performing, multidisciplinary team dedicated to the ICU is an integral part of effective care delivery; 2) Process improvement is the backbone of achieving high-quality ICU outcomes; 3) Standardized protocols including care bundles and order sets to facilitate measurable processes and outcomes should be used and further developed in the ICU setting; and 4) Institutional support for comprehensive quality improvement programs as well as tele-ICU programs should be provided.

Clinical nursing and midwifery research in Latin American and Caribbean countries: A scoping review.

Science.gov (United States)

Iribarren, Sarah; Stonbraker, Samantha; Larsen, Brandon; Santos, Islane; Faria, Renata; Góes, Fernanda S N; Binfa, Lorena; Larson, Elaine

2018-04-01

To identify and describe published, nursing-led and midwifery-led, clinical research that has been conducted in Latin America and the Caribbean. Peer-reviewed published research may correspond to and elucidate country's realities, priorities, and needs. A 6-stage scoping review methodology was used to search scientific databases using an applied search strategy. Five databases were searched for articles published in English, Spanish, or Portuguese conducted in a Latin American or Caribbean country between January 1, 2006 and June 14, 2016. Articles were independently considered for inclusion by 2 researchers, data extracted, and study characteristics described. Of 6922 articles identified, 404 were included. The majority were conducted in Brazil (90.6%) followed by Chile (2.5%). Most were nurse-led (95.8%) and were implemented in hospitals (48.6%). Studies frequently explored patient knowledge or characterized patient populations (61.3%) and commonly assessed chronic disease (19.3%) or maternity/child health outcomes (15.9%). Findings revealed a large number of publications but an uneven geographical distribution of nurse-led clinical research and an evident gap of midwifery-related research in Latin America and the Caribbean. Results may be used to build research agendas to promote nursing and midwifery research capacity and further establish evidence-based practice. © 2018 John Wiley & Sons Australia, Ltd.

New records of benthic marine algae and Cyanobacteria for Costa Rica, and a comparison with other Central American countries

Science.gov (United States)

Bernecker, Andrea; Wehrtmann, Ingo S.

2009-09-01

We present the results of an intensive sampling program carried out from 2000 to 2007 along both coasts of Costa Rica, Central America. The presence of 44 species of benthic marine algae is reported for the first time for Costa Rica. Most of the new records are Rhodophyta (27 spp.), followed by Chlorophyta (15 spp.), and Heterokontophyta, Phaeophycea (2 spp.). Overall, the currently known marine flora of Costa Rica is comprised of 446 benthic marine algae and 24 Cyanobacteria. This species number is an under estimation, and will increase when species of benthic marine algae from taxonomic groups where only limited information is available (e.g., microfilamentous benthic marine algae, Cyanobacteria) are included. The Caribbean coast harbors considerably more benthic marine algae (318 spp.) than the Pacific coast (190 spp.); such a trend has been observed in all neighboring countries. Compared to other Central American countries, Costa Rica has the highest number of reported benthic marine algae; however, Panama may have a similarly high diversity after unpublished results from a Rhodophyta survey (Wysor, unpublished) are included. Sixty-two species have been found along both the Pacific and Caribbean coasts of Costa Rica; we discuss this result in relation to the emergence of the Central American Isthmus.

Stigma of poverty. The discursive construction of ­"South" term in Latin American countries

Directory of Open Access Journals (Sweden)

GÓMEZ QUINTERO, Juan David

2014-05-01

Full Text Available This article reflects a general knowledge and a macro-paradigmatic contribution of developmentalist discourses, in particular, its modernist and Eurocentric roots. In particular we analyze the artificiality of the discursive construction of certain categories that represent geopolitical stigma of poverty, such as ­Third World® or ­South® or ­underdeveloped® adopted in the field of international relations and the development cooperation. It notes that there are not metaphors opposite (North-South in its own right, the ­South® is not the opposite of the ­North®, but its negative extension, as evidenced by the imaginarium of most Latin American countries. The metaphors that stigmatize poverty are symbolic discourse used to define in a European way the identity of the winner (rich people.

Environmental policy implementation in developing countries

International Nuclear Information System (INIS)

Gamman, J.K.

1990-01-01

This study examines why national and international policies intended to protect limited natural resources in developing countries are not effectively implemented. It employs a comparative-policy implementation in three developing countries, Barbados, St. Lucia and St. Kitts, and three foreign assistance agencies, the US Agency for International Development, the Inter-American Development Bank and the Organization of American States. The decision-making process within the countries and donor agencies is closed, preventing key stakeholders from participating. In two instances, the mutually reinforcing behavior of top officials in the countries and the donor agencies led to decisions that prevented natural resources from being protected. In all three cases, strategies to implement environmental policies failed to account for four major elements: national politics, behavior in the donor agency, the culture of decision making, and economic necessity. The existing-decision making process in both developing countries and donor agencies is dysfunctional

Inter-country and ethnic variation in colorectal cancer survival: Comparisons between a Philippine population, Filipino-Americans and Caucasians

Directory of Open Access Journals (Sweden)

Gondos Adam

2010-03-01

Full Text Available Abstract Background Previous population-based studies showed differences in international and within country colorectal cancer survival estimates, but few investigated the role of prognostic factors. Using a "high resolution approach", we aimed to determine the effect of ethnicity and health care by comparing Filipino-Americans with Philippine residents, who have the same ethnicity, and with Caucasians living in the US, who have the same health care system. Methods Using databases from the Manila and Rizal Cancer Registries and the United States Surveillance, Epidemiology and End Results, age-adjusted five-year absolute and relative survival estimates were computed and compared between Filipino-American colorectal cancer patients, cancer patients from the Philippines and Caucasian patients. Cox proportional hazards modelling was used to determine factors affecting survival differences. Results Much lower 5-year relative survival estimates were obtained for Philippine residents (37% as compared to those in Filipino-Americans (60.3% and Caucasians (62.4%. Differences in age, stage and receipt of surgery explained a large proportion of the survival differences between Philippine residents and Filipino-Americans. However, strong excess risk of death for Philippine residents remained after controlling for these and other variables (relative risk, RR, 2.03, 95% confidence interval, 95% CI, 1.83-2.25. Conclusions Strong survival disadvantages of Philippine residents compared to Filipino-American patients were disclosed, which most likely reflect differences in access to and utilization of health care. Health education and advocacy, for both patients and health practitioners, should likewise be given priority.

[Socioeconomic factors associated with self-rated socioeconomic status among the elderly in two Latin American countries.

Science.gov (United States)

Brenes-Camacho, Gilbert

2013-01-01

The article's main goal is to study the relationship between subjective perception of own economic situation and objective measures of economic well-being -sources of income, home ownership, education level, and informal family transfers- among the elderly in two Latin American countries: Mexico and Costa Rica. The data come from two surveys about ageing: CRELES in Costa Rica and MHAS in Mexico. The most important dependent variables is derived from the answer to the question "How would you rate your current economic situation? in Costa Rica, and "Would you say that your current economic situation is…?" in Mexico. For both surveys, the answers were coded as a binary variable; code 0 represents the Excellent, Very Good, and Good categories, while the code 1 represents the Fair or Bad categories. The analysis finds that retirement pension income is an important factor for defining self-rated economic situation in both countries. In Costa Rica, spouse's income and home ownership are relevant predictors for the perception of well-being, while in Mexico, receiving transfer income is associated with this perception.

Profile and professional expectations of medical students from 11 Latin American countries: the Red-LIRHUS project.

Science.gov (United States)

Mayta-Tristán, Percy; Pereyra-Elías, Reneé; Montenegro-Idrogo, Juan José; Mejia, Christian R; Inga-Berrospi, Fiorella; Mezones-Holguín, Edward

2017-04-20

Latin America is undergoing a human resource crisis in health care in terms of labor shortage, misdistribution and poor orientation to primary care. Workforce data are needed to inform the planning of long-term strategies to address this problem. This study aimed to evaluate the academic and motivational profile, as well as the professional expectations, of Latin American medical students. We conducted an observational, cross-sectional, multi-country study evaluating medical students from 11 Spanish-speaking countries in 2011-2012. Motivations to study medicine, migration intentions, intent to enter postgraduate programs, and perceptions regarding primary care were evaluated via a self-administered questionnaire. Outcomes were measured with pilot-tested questions and previously validated scales. A total of 11,072 valid surveys from 63 medical schools were gathered and analyzed. This study describes the profile and expectations of the future workforce being trained in Latin America. The obtained information will be useful for governments and universities in planning strategies to improve their current state of affairs regarding human resources for health care professions.

'A major lobbying effort to change and unify the excise structure in six Central American countries': How British American Tobacco influenced tax and tariff rates in the Central American Common Market.

Science.gov (United States)

Holden, Chris; Lee, Kelley

2011-05-19

Transnational tobacco companies (TTCs) may respond to processes of regional trade integration both by acting politically to influence policy and by reorganising their own operations. The Central American Common Market (CACM) was reinvigorated in the 1990s, reflecting processes of regional trade liberalisation in Latin America and globally. This study aimed to ascertain how British American Tobacco (BAT), which dominated the markets of the CACM, sought to influence policy towards it by member country governments and how the CACM process impacted upon BAT's operations. The study analysed internal tobacco industry documents released as a result of litigation in the US and available from the online Legacy Tobacco Documents Library at http://legacy.library.ucsf.edu/. Documents were retrieved by searching the BAT collection using key terms in an iterative process. Analysis was based on an interpretive approach involving a process of attempting to understand the meanings of individual documents and relating these to other documents in the set, identifying the central themes of documents and clusters of documents, contextualising the documentary data, and choosing representative material in order to present findings. Utilising its multinational character, BAT was able to act in a coordinated way across the member countries of the CACM to influence tariffs and taxes to its advantage. Documents demonstrate a high degree of access to governments and officials. The company conducted a coordinated, and largely successful, attempt to keep external tariff rates for cigarettes high and to reduce external tariffs for key inputs, whilst also influencing the harmonisation of excise taxes between countries. Protected by these high external tariffs, it reorganised its own operations to take advantage of regional economies of scale. In direct contradiction to arguments presented to CACM governments that affording the tobacco industry protection via high cigarette tariffs would safeguard

'A major lobbying effort to change and unify the excise structure in six Central American countries': How British American Tobacco influenced tax and tariff rates in the Central American Common Market

Directory of Open Access Journals (Sweden)

Holden Chris

2011-05-01

Full Text Available Abstract Background Transnational tobacco companies (TTCs may respond to processes of regional trade integration both by acting politically to influence policy and by reorganising their own operations. The Central American Common Market (CACM was reinvigorated in the 1990s, reflecting processes of regional trade liberalisation in Latin America and globally. This study aimed to ascertain how British American Tobacco (BAT, which dominated the markets of the CACM, sought to influence policy towards it by member country governments and how the CACM process impacted upon BAT's operations. Methods The study analysed internal tobacco industry documents released as a result of litigation in the US and available from the online Legacy Tobacco Documents Library at http://legacy.library.ucsf.edu/. Documents were retrieved by searching the BAT collection using key terms in an iterative process. Analysis was based on an interpretive approach involving a process of attempting to understand the meanings of individual documents and relating these to other documents in the set, identifying the central themes of documents and clusters of documents, contextualising the documentary data, and choosing representative material in order to present findings. Results Utilising its multinational character, BAT was able to act in a coordinated way across the member countries of the CACM to influence tariffs and taxes to its advantage. Documents demonstrate a high degree of access to governments and officials. The company conducted a coordinated, and largely successful, attempt to keep external tariff rates for cigarettes high and to reduce external tariffs for key inputs, whilst also influencing the harmonisation of excise taxes between countries. Protected by these high external tariffs, it reorganised its own operations to take advantage of regional economies of scale. In direct contradiction to arguments presented to CACM governments that affording the tobacco industry

The relative contribution of income inequality and imprisonment to the variation in homicide rates among Developed (OECD), South and Central American countries.

Science.gov (United States)

Nadanovsky, Paulo; Cunha-Cruz, Joana

2009-11-01

Homicide rates vary widely across and within different continents. In order to address the problem of violence in the world, it seems important to clarify the sources of this variability. Despite the fact that income inequality and imprisonment seem to be two of the most important determinants of the variation in homicide rates over space and time, the concomitant effect of income inequality and imprisonment on homicide has not been examined. The objective of this cross-sectional ecological study was to investigate the association of income inequality and imprisonment with homicide rates among Developed (OECD), South and Central American countries. A novel index was developed to indicate imprisonment: the Impunity Index (the total number of homicides in the preceding decade divided by the number of persons in prison at a single slice in time). Negative binomial models were used to estimate rate ratios of homicides for young males and for the total population in relation to Gini Index and Impunity Index, controlling for infant mortality (as a proxy for poverty levels), Gross Domestic Product per-capita, education, percentage of young males in the population and urbanization. Both low income inequality and low impunity (high imprisonment of criminals) were related to low homicide rates. In addition, we found that countries with lower income inequality, lower infant mortality (less poverty), higher average income (GDP per-capita) and higher levels of education had low impunity. Our results are compatible with the hypothesis that both low income inequality and imprisonment of criminals, independent of each other and of other social-structural circumstances, may greatly contribute to the reduction in homicide rates in South and Central American countries, and to the maintenance of low levels of homicides in OECD countries. The Impunity Index reveals that countries that show greater commitment to education and to distribution of income also show greater commitment to

Study of the influence of socio-economic factors in the international expansion of Spanish franchisors to Latin American countries

Science.gov (United States)

2018-01-01

The saturation of the domestic market is one of the factors which drive firms to expand their business to other markets. Franchising is one of the formats adopted by companies when establishing their internationalization strategy. Spain is a country where franchising is strongly consolidated. This degree of maturity means that many chains seek other countries in which to operate. This work’s specific aims are, on the one hand, to offer a general view of the current situation of Spanish franchisors in Latin American countries and, on the other hand, to analyze which the socio-economic or external factors are that determine the presence of Spanish franchisors in this market. Canonical-correlation analysis is used to do so. The results show that Spanish franchisors focus on the market’s potential and size, and the per capita income, while they do not take into account its unemployment level, the country risk or the competitiveness there. This work shows that there is a series of socio-economic factors which influence the final choice of the destination country. However, this decision is not solely based on this country’s socio-economic aspects, but also on the structure of the franchising firm itself and on its export experience in other markets. This study therefore complements other research and helps franchisors in their difficult decision of choosing the destination for their internationalization. PMID:29293596

Shared Decision Making in Intensive Care Units: An American College of Critical Care Medicine and American Thoracic Society Policy Statement

Science.gov (United States)

Kon, Alexander A.; Davidson, Judy E.; Morrison, Wynne; Danis, Marion; White, Douglas B.

2015-01-01

Objectives Shared decision-making (SDM) is endorsed by critical care organizations, however there remains confusion about what SDM is, when it should be used, and approaches to promote partnerships in treatment decisions. The purpose of this statement is to define SDM, recommend when SDM should be used, identify the range of ethically acceptable decision-making models, and present important communication skills. Methods The American College of Critical Care Medicine (ACCM) and American Thoracic Society (ATS) Ethics Committees reviewed empirical research and normative analyses published in peer-reviewed journals to generate recommendations. Recommendations approved by consensus of the full Ethics Committees of ACCM and ATS were included in the statement. Main Results Six recommendations were endorsed: 1) Definition: Shared decision-making is a collaborative process that allows patients, or their surrogates, and clinicians to make health care decisions together, taking into account the best scientific evidence available, as well as the patient’s values, goals, and preferences. 2) Clinicians should engage in a SDM process to define overall goals of care (including decisions regarding limiting or withdrawing life-prolonging interventions) and when making major treatment decisions that may be affected by personal values, goals, and preferences. 3) Clinicians should use as their “default” approach a SDM process that includes three main elements: information exchange, deliberation, and making a treatment decision. 4) A wide range of decision-making approaches are ethically supportable including patient- or surrogate-directed and clinician-directed models. Clinicians should tailor the decision-making process based on the preferences of the patient or surrogate. 5) Clinicians should be trained in communication skills. 6) Research is needed to evaluate decision-making strategies. Conclusions Patient and surrogate preferences for decision-making roles regarding value

TLD Intercomparison in accelerators for radiotherapy in three Latin american countries

International Nuclear Information System (INIS)

Gaona, E.; Azorin N, J.; Perez, M.A.; Picon, C.; Castellanos, E.; Plazas, M.C.; Murcia, G.; Archundia, L.

1998-01-01

In Radiotherapy one of the objectives is to establish and to give follow up to quality assurance programs which make sure that the doses administered to the patients with cancer are a high probability of a success in external radiation. Likewise, one of the present preoccupations of the United Nations Agencies as well as the International Atomic Energy Agency and the Pan-American Health Organization is the optimal employment of the radiations in the treatment of cancer patients since the administered dose in Radiotherapy suffers considerable variations by the lack of quality assurance programs. The use of Electron linear accelerators requires a program of quality assurance that includes expert personnel, equipment and adequate facilities. The more used methodology for the dosimetry calibration and characterization of X-ray beams and high energy electrons for radiotherapy use is using a ionization chamber dosemeter calibrated in a regional secondary standardization laboratory. However, to establish and give follow up to the quality assurance programs it is necessary the dosimetric intercomparison through TLD. In this study it was designed plastic phantoms with TLD crystals and it was made its characterization to realize an absorbed dose analysis in the crystals exposed at X-ray beams 6 MV and high energy electrons 10 and 12 MeV to standardize the dosimetric procedures and proceeding to realize an International Pilot intercomparison of absorbed doses in TLD crystals in three Latin American countries: Mexico, Peru and Colombia with the participation of accelerators of five different institutions. The found results show that the majority of the measured doses with TLD in the different accelerators were in the 0.95-1.05 range though it had two cases outside of this range. The use of the phantoms with TLD crystals shows that they are of excellent aid to make analysis of the doses administered to the patients and an intercomparison of results to standardize procedures at

Energy consumption and related CO2 emissions in five Latin American countries: Changes from 1990 to 2006 and perspectives

International Nuclear Information System (INIS)

Sheinbaum, Claudia; Ruiz, Belizza J.; Ozawa, Leticia

2011-01-01

This study examines the primary energy consumption and energy-related CO 2 emissions in Argentina, Brazil, Colombia, Mexico and Venezuela during the period 1990-2006. It also reviews important reforms in the energy sector of these countries as well as the promotion of energy efficiency (EE) and renewable energy sources (RES). Using a decomposition analysis, results indicate that even though significant reductions in energy intensity have been achieved in Colombia, Mexico and in a lesser extent in Brazil and Argentina, the reduction of CO 2 emissions in these countries has not been significant due to an increased dependence on fossil fuels in their energy mix. Although the Latin American region has an important experience in the promotion of EE programs and renewable sources, the energy agenda of the examined countries focused mostly on the energy reforms during the analyzed period. The policy review suggests that further governmental support and strong public policies towards a more sustainable energy path are required to encourage a low carbon future in the region.

Policies for the Sustainable Development of Biofuels in the Pan American Region: A Review and Synthesis of Five Countries.

Science.gov (United States)

Solomon, Barry D; Banerjee, Aparajita; Acevedo, Alberto; Halvorsen, Kathleen E; Eastmond, Amarella

2015-12-01

Rapid growth of biofuel production in the United States and Brazil over the past decade has increased interest in replicating this success in other nations of the Pan American region. However, the continued use of food-based feedstock such as maize is widely seen as unsustainable and is in some cases linked to deforestation and increased greenhouse gas emissions, raising further doubts about long-term sustainability. As a result, many nations are exploring the production and use of cellulosic feedstock, though progress has been extremely slow. In this paper, we will review the North-South axis of biofuel production in the Pan American region and its linkage with the agricultural sectors in five countries. Focus will be given to biofuel policy goals, their results to date, and consideration of sustainability criteria and certification of producers. Policy goals, results, and sustainability will be highlighted for the main biofuel policies that have been enacted at the national level. Geographic focus will be given to the two largest producers-the United States and Brazil; two smaller emerging producers-Argentina and Canada; and one stalled program-Mexico. However, several additional countries in the region are either producing or planning to produce biofuels. We will also review alternative international governance schemes for biofuel sustainability that have been recently developed, and whether the biofuel programs are being managed to achieve improved environmental quality and sustainable development.

Transmission Reinforcements in the Central American Regional Power System

Energy Technology Data Exchange (ETDEWEB)

Elizondo, Marcelo A.; Vallem, Mallikarjuna R.; Samaan, Nader A.; Makarov, Yuri V.; Vyakaranam, Bharat; Nguyen, Tony B.; Munoz, Christian; Herrera, Ricardo; Midence, Diego; Shpitsberg, Anna

2016-07-25

The Central American regional interconnected power system (SER) connects the countries members of the Central American regional electricity market (MER): Guatemala, El Salvador, Honduras, Nicaragua, Costa Rica, and Panama. The SER was a result of a long term regional effort, and was initially conceived to transfer 300 MW between countries. However, the current transfer limits between countries range from 70 MW to 300 MW. Regional entities, like CRIE (Regional Commission of Electrical Interconnection), EOR (Central American Regional System Operator), and CDMER (Board of Directors of the Central American Market) are working on coordinating the national transmission expansion plans with regional transmission planning efforts. This paper presents experience in Central America region to recommend transmission reinforcements to achieve 300 MW transfer capacity between any pair of member countries of the Central American regional electricity market (MER). This paper also provides a methodology for technical analysis and for coordination among the regional and national entities. This methodology is unique for transmission systems of these characteristics.

Assisted reproductive techniques for cattle breeding in developing countries: a critical appraisal of their value and limitations.

Science.gov (United States)

Rodriguez-Martinez, H

2012-01-01

Commercialization of animal biotechnologies, including those related to reproduction [also known as assisted reproductive techniques (ARTS)], is an increasing reality in developing countries, following the enormous flow of information around us and the increasing global commercial interests in areas where cattle production has its major assets. The present review discusses the achievements of various biotechnological tools for reproduction in cattle including semen handling for artificial insemination (AI), superovulation and embryo transfer (MOET), in vitro handling of oocytes and production of embryos, reproductive cloning and emerging technologies (sex selection, gene targeting and nuclear transfer for livestock transgenesis, genomics for marker-assisted selection, etc.). The application of these technologies for cattle breeding is critically discussed in relation to their impact in the improvement of the efficiency of dairy and beef production in developed and - particularly - in developing countries, which ultimately rule the possibilities of a competitive and sound production of food for human consumption. Despite the remarkable progress made and the punctual importance of some of the above-mentioned technologies, AI remains the most important assisted reproductive technology (ART) in developing countries. Any attempt to gain widespread of any other ART under the predominant economical conditions in developing countries ought to match the simplicity and the success of AI as a breeding tool. © 2012 Blackwell Verlag GmbH.

Evidence-based guidelines for the use of tracheostomy in critically ill patients.

Science.gov (United States)

Raimondi, Néstor; Vial, Macarena R; Calleja, José; Quintero, Agamenón; Cortés, Albán; Celis, Edgar; Pacheco, Clara; Ugarte, Sebastián; Añón, José M; Hernández, Gonzalo; Vidal, Erick; Chiappero, Guillermo; Ríos, Fernando; Castilleja, Fernando; Matos, Alfredo; Rodriguez, Enith; Antoniazzi, Paulo; Teles, José Mario; Dueñas, Carmelo; Sinclair, Jorge; Martínez, Lorenzo; von der Osten, Ingrid; Vergara, José; Jiménez, Edgar; Arroyo, Max; Rodríguez, Camilo; Torres, Javier; Fernandez-Bussy, Sebastián; Nates, Joseph L

2017-04-01

To provide evidence-based guidelines for tracheostomy in critically ill adult patients and identify areas needing further research. A taskforce composed of representatives of 10 member countries of the Pan-American and Iberic Federation of Societies of Critical and Intensive Therapy Medicine and of the Latin American Critical Care Trial Investigators Network developed recommendations based on the Grading of Recommendations Assessment, Development and Evaluation system. The group identified 23 relevant questions among 87 issues that were initially identified. In the initial search, 333 relevant publications were identified, of which 226 publications were chosen. The taskforce generated a total of 19 recommendations, 10 positive (1B, 3; 2C, 3; 2D, 4) and 9 negative (1B, 8; 2C, 1). A recommendation was not possible in 6 questions. Percutaneous techniques are associated with a lower risk of infections compared with surgical tracheostomy. Early tracheostomy only seems to reduce the duration of ventilator use but not the incidence of pneumonia, the length of stay, or the long-term mortality rate. The evidence does not support the use of routine bronchoscopy guidance or laryngeal masks during the procedure. Finally, proper prior training is as important or even a more significant factor in reducing complications than the technique used. Copyright © 2016 Elsevier Inc. All rights reserved.

The Latin American Moessbauer research community

International Nuclear Information System (INIS)

Stevens, J.G.

1994-01-01

Interest in Moessbauer spectroscopy among the Latin American countries has increased in the last five years. Two-thirds of the published research is coming from the Moessbauer research groups in Brazil. Other Latin American countries with active Moessbauer research include Argentina, Chile, Columbia, Cuba, Mexico, Peru, and Venezuela. In recent years, the area having the most interest has been the investigation of minerals and high temperature superconductors. (orig.)

Management Studies, Cultural Criticism and American Dreams

DEFF Research Database (Denmark)

Guthey, Eric

2005-01-01

The article reviews three books related to industrial management, including "False Prophets: The Gurus Who Created Modern Management and Why Their Ideas Are Bad for Business Today," by James Hoopes, "Organization and Innovation: Guru Schemes and American Dreams," by David Knights and Darren Mc...

Asian American Education: Identities, Racial Issues, and Languages. Research on the Education of Asian Pacific Americans

Science.gov (United States)

Rong, Xue Lan, Ed.; Endo, Russell, Ed.

2011-01-01

Asian American Education--Asian American Identities, Racial Issues, and Languages presents groundbreaking research that critically challenges the invisibility, stereotyping, and common misunderstandings of Asian Americans by disrupting "customary" discourse and disputing "familiar" knowledge. The chapters in this anthology…

Universal health coverage in Latin American countries: how to improve solidarity-based schemes.

Science.gov (United States)

Titelman, Daniel; Cetrángolo, Oscar; Acosta, Olga Lucía

2015-04-04

In this Health Policy we examine the association between the financing structure of health systems and universal health coverage. Latin American health systems encompass a wide range of financial sources, which translate into different solidarity-based schemes that combine contributory (payroll taxes) and non-contributory (general taxes) sources of financing. To move towards universal health coverage, solidarity-based schemes must heavily rely on countries' capacity to increase public expenditure in health. Improvement of solidarity-based schemes will need the expansion of mandatory universal insurance systems and strengthening of the public sector including increased fiscal expenditure. These actions demand a new model to integrate different sources of health-sector financing, including general tax revenue, social security contributions, and private expenditure. The extent of integration achieved among these sources will be the main determinant of solidarity and universal health coverage. The basic challenges for improvement of universal health coverage are not only to spend more on health, but also to reduce the proportion of out-of-pocket spending, which will need increased fiscal resources. Copyright © 2015 Elsevier Ltd. All rights reserved.

Mutation spectrum in South American Lynch syndrome families

DEFF Research Database (Denmark)

Dominguez-Valentin, Mev; Nilbert, Mef; Wernhoff, Patrik

2013-01-01

Genetic counselling and testing for Lynch syndrome have recently been introduced in several South American countries, though yet not available in the public health care system.......Genetic counselling and testing for Lynch syndrome have recently been introduced in several South American countries, though yet not available in the public health care system....

Childcare Practices in Three Asian Countries

Science.gov (United States)

Yunus, Sham ah Md.

2005-01-01

Childcare practices such as feeding, toilet training, sleeping arrangement and discipline in three Asian countries (China, Japan, and India) are compared. These countries differ from each other in culture, religion, language and ethnic makeup from Euro-American culture. The differences in childcare practices are broadly related to the differences…

political instability in a country and health state in another country

African Journals Online (AJOL)

GRACE

impact of political crises in Central African Republic (CAR) on the Cameroon .... several countries, the gender discrimination at every stage of women's lives contributes to .... tuberculosis, diarrhea; lung infections (pneumonia), HIV/AIDS, the latter ..... Uncertainty and the Welfare Economics of Medical Care‖, The American.

The Lauramann Howe Russell Papers: a Window into Critical Care Medicine during the American Civil War.

Science.gov (United States)

Gorbaty, Benjamin

2017-10-01

The Civil War influenced all aspects of American society and culture, including the field of medicine and critical care. Union physician Lauramann Howe Russell's letter to his daughter, Ellen Howe, written on October 19, 1862, illustrates the changes in hospital construction, gender roles in healthcare and medical treatments which revolutionized healthcare during the Civil War. This letter offers a glimpse of the medical care of wounded soldiers during the early years of the Civil War. In describing his conversion hospital, he reveals the precursor to the new hospital construction which would greatly influence hospital design for decades to come. His description of women volunteers hints at the evolving role and growing importance of women in healthcare. Finally, the advancements in surgical and medical practice which developed during the Civil War are embodied in Russell's descriptions of his patients. His letter freezes a moment in medical history, bridging the gap between archaic medical practice and modern critical care. Copyright © 2017 Elsevier Inc. All rights reserved.

Financing Renewable Energy Projects in Developing Countries: A Critical Review

Science.gov (United States)

Donastorg, A.; Renukappa, S.; Suresh, S.

2017-08-01

Access to clean and stable energy, meeting sustainable development goals, the fossil fuel dependency and depletion are some of the reasons that have impacted developing countries to transform the business as usual economy to a more sustainable economy. However, access and availability of finance is a major challenge for many developing countries. Financing renewable energy projects require access to significant resources, by multiple parties, at varying points in the project life cycles. This research aims to investigate sources and new trends in financing RE projects in developing countries. For this purpose, a detail and in-depth literature review have been conducted to explore the sources and trends of current RE financial investment and projects, to understand the gaps and limitations. This paper concludes that there are various internal and external sources of finance available for RE projects in developing countries.

Administrative practices for nuclear criticality safety, ANSI/ANS-8.19-1996

International Nuclear Information System (INIS)

Smith, D.R.

1996-01-01

American National Standard, open-quotes Administrative Practices for Nuclear Criticality Safety,close quotes American National Standards Institute/American Nuclear Society (ANSI/ANS)-8.19-1996, addresses the responsibilities of management, supervision, and the criticality safety staff in the administration of an effective criticality safety program. Characteristics of operating procedures, process evaluations, material control procedures, and emergency plans are discussed

International comparisons in critical care: a necessity and challenge.

Science.gov (United States)

Wunsch, Hannah; Rowan, Kathryn M; Angus, Derek C

2007-12-01

Understanding variation in critical care resources, and delivery of care between countries will allow for improved disaster planning, evaluation of research findings, and assessment of the utility of critical care itself. This review describes the available data for international comparisons and the many factors that need to be addressed for an appropriate interpretation of results. Recent studies on subgroups of critical care patients include data from many different countries. These new studies provide important information on the overall incidence of these disease states, but most of these international studies do not take into account the critical care resources of the countries being discussed. For an appropriate interpretation of findings the relevant baseline critical care resources, prevalence of diseases, and cultural practices, need to be quantified. The existence of these other factors prevents the use of a severity of illness scoring system alone to account for differences between countries. Many recent critical care studies include data from multiple countries. With continued movement towards international studies, and improvements in data collection systems, comparisons between countries are becoming easier. These findings need to be interpreted in the context of all the relevant country information.

"I Never Really Knew the History behind African American Language": Critical Language Pedagogy in an Advanced Placement English Language Arts Class

Science.gov (United States)

Baker-Bell, April

2013-01-01

This article responds to two long-standing dilemmas that limit the effectiveness of language education for students who speak and write in African American Language (AAL): (1) the gap between theory and research on AAL and classroom practice, and (2) the need for critical language pedagogies. This article presents the effectiveness of a critical…

Assessment of human resources for health programme implementation in 15 Latin American and Caribbean countries.

Science.gov (United States)

Dal Poz, Mario Roberto; Sepulveda, Hernan Rodrigo; Costa Couto, Maria Helena; Godue, Charles; Padilla, Monica; Cameron, Rick; Vidaurre Franco, Thais de Andrade

2015-04-28

The health systems in the Americas region are characterized by fragmentation and segmentation, which constitute an important barrier to expanding coverage, achieving integrated primary health care, and reducing inefficiency and discontinuity of care. An assessment of the human resources for health (HRH) programmes that have been implemented at the country level was developed as part of the measurement of the 20 HRH regional goals for 2007-2015, adopted in 2007 by the Pan American Sanitary Conference (CSPA). The exercise was a combination of academic research and the development/application of an advocacy tool involving policy makers and stakeholders to influence the decision-making in the development, implementation, or change of HRH programmes while building evidence through a structured approach based on qualitative and quantitative information and the exchange and dissemination of best practices. This paper covers the methodological challenges, as well as a summary of the main findings of the study, which included 15 countries: Belize, Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua and Panama in the Central America, Dominican Republic in the Caribbean, Chile, Colombia, Ecuador and Peru in the Andean sub region, and Argentina, Paraguay, and Uruguay in the South Cone. Despite the different contexts, the results showed that the programmes evaluated faced common challenges, such as lack of political support and financial unsustainability. The evaluation process allowed the exchange and dissemination of practices, interventions, and programmes currently running in the region. A shared lesson was the importance of careful planning of the implementation of programmes and interventions. The similarities in the problems and challenges of HRH among the participating countries highlighted the need for a cooperation programme on the evaluation and assessment of implementation strategies in the Americas region.

Iran, America and Iranian American Community in Firoozeh Jazayeri Dumas’ Funny in Farsi

Directory of Open Access Journals (Sweden)

Zohreh Ramin

2014-01-01

Full Text Available Post 9/11 the United States of America concerns the reconstruction of already demonized identities of Arabs and Middle-eastern cultures. Postcolonial works reside in their rendering a tragic or serious image of Middle Easterners to bring the Western (American audience into sympathizing with the Middle Eastern ethnicities. Could it be the case that a fundamentally humorous (not derogatory depiction might contribute to easing such cultural tensions? Firoozeh Jazayeri Dumas’ works stand out as critically acclaimed and successful works familiarizing the American audience with the more humane, likeable, sweet and funny aspects of the Iranians and Iranian culture, and the hardships of being an Iranian immigrant and becoming a hybrid individual. This article explores the already-hybridized self and psyche of Firoozeh as an Iranian American. She writes about her mother land and her residence country and comparing the way she has written about them can help readers understand how one can make peace between different parts of her identity.

Indoor radon measurements and methodologies in Latin American countries

International Nuclear Information System (INIS)

Canoba, A.; Lopez, F.O.; Arnaud, M.I.; Oliveira, A.A.; Neman, R.S.; Hadler, J.C.; Iunes, P.J.; Paulo, S.R.; Osorio, A.M.; Aparecido, R.; Rodriguez, C.; Moreno, V.; Vasquez, R.; Espinosa, G.; Golzarri, J.I.; Martinez, T.; Navarrete, M.; Cabrera, I.; Segovia, N.; Pena, P.; Tamez, E.; Pereyra, P.; Lopez-Herrera, M.E.; Sajo-Bohus, L.

2001-01-01

According to the current international guidelines concerning environmental problems, it is necessary to evaluate and to know the indoor radon levels, specially since most of the natural radiation dose to man comes from radon gas and its progeny. Several countries have established National Institutions and National Programs for the study of radon and its connection with lung cancer risk and public health. The aim of this work is to present the indoor radon measurements and the detection methods used for different regions of Latin America (LA) in countries such as Argentina, Brazil, Ecuador, Mexico, Peru and Venezuela. This study shows that the passive radon devices based on alpha particle nuclear track methodology (NTM) is one of the more generalized methods in LA for long term indoor radon measurements, CR-39, LR-115 and Makrofol being the more commonly used detector materials. The participating institutions and the radon level measurements in the different countries are presented in this contribution

Slovene critics on Sinclair Lewis's novels

Directory of Open Access Journals (Sweden)

Vanja Avsenak

2010-12-01

Full Text Available The purpose of this article is to present the reception of Sinclair Lewis's novels by Slovene critics. Initially, the article focuses on the life and workof Sinclair Lewis, giving special emphasis to social influences that made the author a representative figure in the literary and social world. Thus his works are nowadays to be understood primarily as fiction, but on the other hand also as sociological documents of a social and political situation of the period between the two world wars. Generally, the effect they produce is one of a critical discussion of the nation of the United States. When speaking of the social relevance that Lewis's novels have, it is obvious that his works are the portrayals of Americans and their deficiencies. At the time of their publication Lewis's novels received unfavourable criticism on accountof his overly open pro-European attitude and Slovene critics of the period before World War II emphasise this in much detail. It was precisely this anti-American propaganda in the novels themselves and sincerity on the part of the novelist that won the European critics as well as the readers whenit came to appreciating his works. However, Lewis's view of the Americans, as presented throughout his works, only enhanced his literary credibility as a modern writer. That is why the articles by Slovene critics that appeared after the Second World War, and even more significantly after Lewis's death, almost minutely reflect a more favourable attitude to Sinclair Lewis, which was also the case with foreign literary criticism of the post-war period. Critics still discuss the qualities and flaws of Lewis's novels, but being more lenient they no longer profess that the novels lack in artistic value. They remain, however, primarily relevant as social documents of the pre- and post-war era, which fully presented the American middle-class mentality in America and elsewhere. For this reason, the Nobel Prize for Literature awarded to

Latin American oil markets and refining

International Nuclear Information System (INIS)

Yamaguchi, N.D.; Obadia, C.

1999-01-01

This paper provides an overview of the oil markets and refining in Argentina, Brazil, Chile, Colombia, Ecuador, Mexico, Peru and Venezuela, and examines the production of crude oil in these countries. Details are given of Latin American refiners highlighting trends in crude distillation unit capacity, cracking to distillation ratios, and refining in the different countries. Latin American oil trade is discussed, and charts are presented illustrating crude production, oil consumption, crude refining capacity, cracking to distillation ratios, and oil imports and exports

Intersectionality, critical race theory, and American sporting oppression: examining black and gay male athletes.

Science.gov (United States)

Anderson, Eric; McCormack, Mark

2010-01-01

This article examines the influence of the racial categories of White and Black and the sexual categories of gay and straight on sporting American men. The effect of the intersection of these cultural categories is discussed by investigating the exclusion of athletes who are both Black and gay, as well as highlighting the culturally perceived differences of (straight) Black and (White) gay men. However, the analysis accounts for more than just difference, examining the commonalities of oppression between these discrete identity groups. We use the research on Black athletes to call for further empirical study on gay athletes. It is argued that critical race theory and intersectionality offer complex and nuanced understandings of these oppressions, which, when theorizing is left solely to the realm of poststructuralism, can otherwise be missed.

Brit Crit: Turning Points in British Rock Criticism 1960-1990

DEFF Research Database (Denmark)

Gudmundsson, Gestur; Lindberg, U.; Michelsen, M.

2002-01-01

had national specific traits and there have been more profound paradigm shifts than in American rock criticism. This is primarily explained by the fact that American rock criticism is more strongly connected to general cultural history, while the UK rock criticism has been more alienated from dominant......The article examines the development of rock criticism in the United Kingdom from the perspective of a Bourdieuan field-analysis. Early British rock critics, like Nik Cohn, were international pioneers, a few years later there was a strong American influence, but British rock criticism has always...... culture and more linked to youth culture. However, also in the UK rock criticism has been part and parcel of the legitimation of rock culture and has moved closer to dominant fields and positions in the cultural hierarchy....

A comparison of Latin American energy-related CO2 emissions from 1970 to 2001

International Nuclear Information System (INIS)

Kuntsi-Reunanen, E.

2007-01-01

This study analyses CO 2 emission flows and energy use in the Latin American countries of Argentina, Brazil, Colombia, Mexico and Venezuela from the years 1971-2001. Results for the selected Latin American countries reveal that the changes in CO 2 intensities were quite similar in these countries. However, the energy use varied slightly, indicating differences in the energy utilization in the analysed countries. Examining the changes on energy use suggests that there were no significant changes in any of these countries' energy utilization during that period, but the energy markets are growing quite rapidly in all of these Latin American countries

Critical review of SWAT applications in the upper Nile basin countries

Directory of Open Access Journals (Sweden)

A. van Griensven

2012-09-01

Full Text Available The Soil and Water Assessment Tool (SWAT is an integrated river basin model that is widely applied within the Nile basin. Up to date, more than 20 peer-reviewed papers describe the use of SWAT for a variety of problems in the upper Nile basin countries, such as erosion modelling, land use and climate change impact modelling and water resources management. The majority of the studies are focused on locations in the tropical highlands in Ethiopia and around Lake Victoria. The popularity of SWAT is attributed to the fact that the tool is freely available and that it is readily applicable through the development of geographic information system (GIS based interfaces and its easy linkage to sensitivity, calibration and uncertainty analysis tools. The online and free availability of basic GIS data that are required for SWAT made its applicability more straightforward even in data-scarce areas. However, the easy use of SWAT may not always lead to appropriate models which is also a consequence of the quality of the available free databases in these regions. In this paper, we aim at critically reviewing the use of SWAT in the context of the modelling purpose and problem descriptions in the tropical highlands of the Nile basin countries. To evaluate the models that are described in journal papers, a number of criteria are used to evaluate the model set-up, model performances, physical representation of the model parameters, and the correctness of the hydrological model balance. On the basis of performance indicators, the majority of the SWAT models were classified as giving satisfactory to very good results. Nevertheless, the hydrological mass balances as reported in several papers contained losses that might not be justified. Several papers also reported the use of unrealistic parameter values. More worrying is that many papers lack this information. For this reason, most of the reported SWAT models have to be evaluated critically. An important gap is

The selection of quality assurance regulations by a developing country

International Nuclear Information System (INIS)

Perrin, R.

1982-01-01

The negotiations of Framatome in recent years with potential customers (both advanced and developing countries) have led to the following conclusions. A developing country which orders a nuclear power plant may adopt one of several attitudes to quality assurance: (1) it may show no interest at all, though this category of customer is on the wane; (2) it may establish its own regulations, but this course poses problems of both cost and competence; (3) it may use American standards, which are also indirectly applied to French PWR plants since the reference power plants used are American. Up to 1979, Framatome advocated the last approach in its negotations. The American nuclear quality assurance standards are the oldest in existence and reflect the experience gained from the longest period of application. In addition, the application of those standards is monitored in the USA by the organizations which issue or adopt them. (4) The country may adopt other equivalent regulations available on the market. Although not American, these provide the same guarantees and benefit from the experience on which the deserved popularity of the American standards is based. Since 1979, Framatome has considered that the IAEA Code of Practice meets these specifications and will from now on suggest in its export bids that this Code be applied. The Code is an international guide, published in four languages, and advocates the same guarantees as American texts. In addition, since EDF and Framatome have decided to apply the IAEA Code to French PWR plants as of 1980, experience gained through applying the Code and the resultant legal knowledge will quickly build up. The adoption of the Code of Practice by purchasing countries should further their relations with suppliers, facilitate the technical assistance provided by the latter, and enable the purchaser to find in most supplier countries the same code as that which he applies himself and to employ a variety of suppliers, if need be, without

CERN–Latin-American School of High-Energy Physics in Peru

CERN Multimedia

Nick Ellis, Organising Committee

2013-01-01

The 7th CERN–Latin-American School of High-Energy Physics was held in Arequipa, Peru, from 6 to 19 March 2013. The School is held every other year in a Latin-American country. This was the first time it had been hosted in Peru – a choice that reflects the increasing development of high-energy physics in the country, including collaboration in ALICE and experimental neutrino physics.   Participants in the 7th CERN–Latin-American School of High-Energy Physics in the grounds of the El Lago Estelar hotel in Arequipa, Peru. The 2013 School was attended by a total of 69 students, including 19 from Peru, selected from more than 130 applicants. About 80% of the students came from Latin-American countries, with most of the others coming from Europe. All in all, 18 different nationalities were represented. The lecturers and discussion group leaders were also from a variety of different countries including Argentina, Belgium, Brazil, Chile, Israel, Mexico, Peru, Spain, Switz...

Ayurveda in Argentina and other Latin American countries

Science.gov (United States)

Berra, Jorge Luis; Molho, Rosana

2010-01-01

Over the past 20 years the Fundacion Salud de Ayurved Prema Argentina has spread the knowledge of Ayurveda throughout Latin America. The Fundacion is based in Buenos Aires in the Argentine Republic, where it now runs courses in two of the country’s major medical schools - at the School of Medicine of the University of Buenos Aires, and the National University of Cordoba’s School of Medicine. Based on an MoU with Gujarat Ayurveda University, at Jamnagar, Gujarat, the Fundacion has been accredited as a Collaborating Center for teaching, assistance and research in the field of Ayurvedic Medicine in Argentina. This has led to successful missions to other countries in the region where the Fundacion and its associates have been able to start dialogues with governments, and in places hold sizeable courses. The knowledge of Ayurveda is now spreading throughout South and Central America and hardly a country remains untouched by it. PMID:21547054

The Effects of Globalization on Working Conditions in Developing Countries : An Analysis Framework and Country Study Results

OpenAIRE

Ruwan Jayasuriya

2008-01-01

Globalization defined as falling barriers to, and the increase in, trade, migration, and investment across borders directly affects workers in both developed and developing countries. While most global trade and investment is between the developed countries, globalization has increased dramatically in a number of developing countries. Understanding the effects of globalization is critical ...

Has the First Global Financial Crisis Changed the Entrepreneurial Values in Digitalized Marketing-based Societies? The Case of GEM Latin American Countries

OpenAIRE

José Manuel Saiz Álvarez; Alicia Coduras Martínez; Carlos Cuervo Arango

2017-01-01

As the world economy is globalized, crises are rapidly spread due to the massive use of ICTs (Information and Communication Technologies), also affecting the entrepreneurial values involved in business creation processes. In this sense, digital marketing has a key role to play, as it can serve as a tool based on technology applied to foster nascent entrepreneurship. Using data for GEM Latin American countries, and applying clustering analysis based on the K-means method, the objective of this...

The Impact of China on South American Political and Economic Development

DEFF Research Database (Denmark)

Christensen, Steen Fryba

2018-01-01

The analysis compares three typologies of South American countries in terms of the impact of China on their political and economic development.......The analysis compares three typologies of South American countries in terms of the impact of China on their political and economic development....

Performance of critical care prognostic scoring systems in low and middle-income countries: a systematic review.

Science.gov (United States)

Haniffa, Rashan; Isaam, Ilhaam; De Silva, A Pubudu; Dondorp, Arjen M; De Keizer, Nicolette F

2018-01-26

Prognostic models-used in critical care medicine for mortality predictions, for benchmarking and for illness stratification in clinical trials-have been validated predominantly in high-income countries. These results may not be reproducible in low or middle-income countries (LMICs), not only because of different case-mix characteristics but also because of missing predictor variables. The study objective was to systematically review literature on the use of critical care prognostic models in LMICs and assess their ability to discriminate between survivors and non-survivors at hospital discharge of those admitted to intensive care units (ICUs), their calibration, their accuracy, and the manner in which missing values were handled. The PubMed database was searched in March 2017 to identify research articles reporting the use and performance of prognostic models in the evaluation of mortality in ICUs in LMICs. Studies carried out in ICUs in high-income countries or paediatric ICUs and studies that evaluated disease-specific scoring systems, were limited to a specific disease or single prognostic factor, were published only as abstracts, editorials, letters and systematic and narrative reviews or were not in English were excluded. Of the 2233 studies retrieved, 473 were searched and 50 articles reporting 119 models were included. Five articles described the development and evaluation of new models, whereas 114 articles externally validated Acute Physiology and Chronic Health Evaluation, the Simplified Acute Physiology Score and Mortality Probability Models or versions thereof. Missing values were only described in 34% of studies; exclusion and or imputation by normal values were used. Discrimination, calibration and accuracy were reported in 94.0%, 72.4% and 25% respectively. Good discrimination and calibration were reported in 88.9% and 58.3% respectively. However, only 10 evaluations that reported excellent discrimination also reported good calibration

Respiratory medication used in COPD patients from seven Latin American countries: the LASSYC study.

Science.gov (United States)

Casas, Alejandro; Montes de Oca, Maria; Menezes, Ana Mb; Wehrmeister, Fernando C; Lopez Varela, Maria Victorina; Mendoza, Laura; Ramírez, Larissa; Miravitlles, Marc

2018-01-01

Limited information is available regarding medication use in COPD patients from Latin America. This study evaluated the type of medication used and the adherence to different inhaled treatments in stable COPD patients from the Latin American region. This was an observational, cross-sectional, multinational, and multicenter study in COPD patients attended by specialist doctors from seven Latin American countries. Adherence to inhaled therapy was assessed using the Test of Adherence to Inhalers (TAI) questionnaire. The type of medication was assessed as: short-acting β-agonist (SABA) or short-acting muscarinic antagonist (SAMA) only, long-acting muscarinic antagonist (LAMA), long-acting β-agonist (LABA), LABA/LAMA, inhaled corticosteroid (ICS), ICS/LABA, ICS/LAMA/LABA, or other. In total, 795 patients were included (59.6% male), with a mean age of 69.5±8.7 years and post-bronchodilator FEV 1 of 50.0%±18.6%. The ICS/LAMA/LABA (32.9%) and ICS/LABA (27.7%) combinations were the most common medications used, followed by LABA/LAMA (11.3%), SABA or SAMA (7.9%), LABA (6.4%), LAMA (5.8%), and ICS (4.3%). The types of medication most commonly used in each Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2013 category were ICS/LABA (A: 32.7%; B: 19.8%; C: 25.7%; D: 28.2%) and ICS/LAMA/LABA (A: 17.3%; B: 30.2%; C: 33%; D: 41.1%). The use of long-acting bronchodilators showed the highest adherence (good or high adherence >50%) according to the TAI questionnaire. COPD management in specialist practice in Latin America does not follow the current guideline recommendations and there is an overuse of ICSs in patients with COPD from this region. Treatment regimens including the use of long-acting bronchodilators are associated with the highest adherence.

Evidences on weaknesses and strengths from health financing after decentralization: lessons from Latin American countries.

Science.gov (United States)

Arredondo, Armando; Orozco, Emanuel; De Icaza, Esteban

2005-01-01

The main objective was to identify trends and evidence on health financing after health care decentralization. Evaluative research with a before-after design integrating qualitative and quantitative analysis. Taking into account feasibility, political and technical criteria, three Latin American countries were selected as study populations: Mexico, Nicaragua and Peru. The methodology had two main phases. In the first phase, the study referred to secondary sources of data and documents to obtain information about the following variables: type of decentralization implemented, source of finance, funds of financing, providers, final use of resources and mechanisms for resource allocation. In the second phase, the study referred to primary data collected in a survey of key personnel from the health sectors of each country. The trends and evidence reported in all five financing indicators may identify major weaknesses and strengths in health financing. Weaknesses: a lack of human resources trained in health economics who can implement changes, a lack of financial resource independence between the local and central levels, the negative behavior of the main macro-economic variables, and the difficulty in developing new financing alternatives. Strengths: the sharing between the central level and local levels of responsibility for financing health services, the implementation of new organizational structures for the follow-up of financial changes at the local level, the development and implementation of new financial allocation mechanisms taking as a basis the efficiency and equity principles, new technique of a per-capita adjustment factor corrected at the local health needs, and the increase of financing contributions from households and local levels of government.

Prevalence of Chagas disease in medical students from 16 Latin American countries attending

Directory of Open Access Journals (Sweden)

Miguel A. Serra Valdés

2012-06-01

Full Text Available Introduction: One of the infectious illnesses that have repercussion in Latin America are the Chagas illness. Objective: with the objective of identifying the students with positive serology for the illness of Chagas and describe the characteristics in the same thing with focussing epidemiological carried out to him the present study. Method: It become fulfilled a observational investigation, descriptive and prospectival. It decided the prevalencial in the Latin American students of medicine that resides in the school Salvador Allende in the period understanded between October of the 2009 to January of the 2010 by means of serology, other clinical studieses and examination. They took shelter the variables of the clinical records and of personal interview.. Results: Affected 50 of the Bolivian delegation. The prevalence went of 6.6% of this delegation. Have clinical symptoms. The detected alterations went the ventricular hypertrophy left and the disorders of transportation and of the rhythm for electrocardiogram. It predominated the masculine sex and the rural origin. It found variability in the results of laboratory, being positive in their country and negative in Cuba and vice versa. Single 56% fulfilled the treatment. The adverse reactions went minims. Conclusion: It constitutes a sanitary problem and demands a better diagnosis, control and follow-up.

Private hydropower projects: exporting the american experience

International Nuclear Information System (INIS)

Rogers, W.L.; Bourgeacq, J.P.

1991-01-01

This paper addresses different aspects of exporting the American knowledge and experience in the private development of small-scale hydropower projects. It details the 'export' and 'adaptation/translation' of American PURPA philosophy to other countries. The major stumbling blocks on the road to exportation are listed. The subject countries'market evaluation is explained, as well as methods for researching and gathering the necessary information on a specific country. Methods of choosing a target country are discussed, and the criteria necessary for making a choice are detailed. The subject of legal framework and privatization of power generation issues overseas and the ways and means to help the 'export of U.S. expertise' through U.S. Government programs are described. The subjects of financing and joint ventures with local entities are also included in this paper. Various scenarios for private development overseas are presented

Official Executive Summary of an American Thoracic Society/American College of Chest Physicians Clinical Practice Guideline

DEFF Research Database (Denmark)

Schmidt, Gregory A; Girard, Timothy D; Kress, John P

2017-01-01

BACKGROUND: This clinical practice guideline addresses six questions related to liberation from mechanical ventilation in critically ill adults. It is the result of a collaborative effort between the American Thoracic Society (ATS) and American College of Chest Physicians (CHEST). METHODS: A mult...

The critical issue of nuclear power plant safety in developing countries

International Nuclear Information System (INIS)

Rosen, M.

1977-01-01

A little more than a decade from now, large commercial nuclear power facilities will be in operation in almost 40 countries, of which approximately one-half are presently considered industrially less developed. Ambitious nuclear programmes coupled with minimal and frequently under-staffed regulatory and utility organizations are only one aspect of the difficulties related to the safety of nuclear plants that face these developing countries. Inherent problems of meeting current safety standards and requirements for the significantly non-standard nuclear power plant exports can be compounded by financial considerations that may lead to purchases of reactors of various types, from more than one supplier country and with different safety standards and requirements. An examination of these issues points to the necessity and opportunity for effective action which could include provision for adequate funding for safety considerations in the purchase contract, and for sufficient regulatory assistance and training from the developed countries. The article will introduce the topic, discuss specific examples, and offer some suggestions. (author)

Human Rights, Culture, and Literature. An Example in the Narrative of Latin American Social Criticism

Directory of Open Access Journals (Sweden)

Malvina Guaraglia

2018-03-01

Full Text Available Following the theoretical proposal of Amartya Sen to consider human rights as demands of an ethical nature, capable of articulating a particular type of moral reciprocity, the article proposes to deepen the idea of human rights as cultural artifacts inseparable from the public sphere and from their logic of creation and legitimization of political and social identities. To do this, the paper adopts the advances of a recent field of research exploring the relation between literature and human rights, and discusses their possibilities for the case of Latin American literature. Through the analysis of four novels, belonging to the social criticism narrative in the middle of the twentieth century, the article shows the way in which the literary discourse has been involved in the promotion and expansion of human rights, and in the defense of new subjects of rights. When studying the way in which these fictions build arguments in favor of the expansion of the political space and of a more equitable reorganization of the national community, the article dares to contribute to a better understanding of both the way in which human rights are integrated and consolidated in other discourses, and the key role that literature claimed to have in the construction of a democratic ethics in the Latin American national states.

The feasibility and appropriateness of introducing nursing curricula from developed countries into developing countries: a comprehensive systematic review.

Science.gov (United States)

Jayasekara, Rasika; Schultz, Tim

2006-09-01

Objectives  The objective of this review was to appraise and synthesise the best available evidence on the feasibility and appropriateness of introducing nursing curricula from developed countries into developing countries. Inclusion criteria  This review considered quantitative and qualitative research papers that addressed the feasibility and appropriateness of introducing developed countries' nursing curricula into developing countries. Papers of the highest level of evidence rating were given priority. Participants of interest were all levels of nursing staff, nursing students, healthcare consumers and healthcare administrators. Outcomes of interest that are relevant to the evaluation of undergraduate nursing curricula were considered in the review including cost-effectiveness, cultural relevancy, adaptability, consumer satisfaction and student satisfaction. Search strategy  The search strategy sought to find both published and unpublished studies and papers, limited to the English language. An initial limited search of MEDLINE and CINAHL was undertaken followed by an analysis of the text words contained in the title and abstract, and of the index terms used to describe the article. A second extensive search was then undertaken using all identified key words and index terms. Finally, the reference list of all identified reports and articles was searched, the contents pages of a few relevant journals were hand searched and experts in the field were contacted to find any relevant studies missed from the first two searches. Methodological quality  Each paper was assessed by two independent reviewers for methodological quality before inclusion in the review using an appropriate critical appraisal instrument from the System for the Unified Management, Assessment and Review of Information (SUMARI) package. Results  A total of four papers, including one descriptive study and three textual papers, were included in the review. Because of the diverse nature of

Culture at the Country Level

OpenAIRE

Maseland, R.K.J.; Hoorn, A.A.J. van; Herk, H. van; Torelli, C.J.

2017-01-01

This chapter introduces and critically discusses the idea of measuring the culture of countries and cross-national differences therein. We start by elaborating the theoretical foundations for studying culture at the country level. We highlight the use of countries or nations as a unit of analysis and pay special attention to the way in which a group-level construct such as culture has implications at lower levels of analysis, affecting the values and beliefs of individuals. After briefly trac...

International Demand for American Higher Education: An Extension.

Science.gov (United States)

Mixon, J. Wilson, Jr.; Wan, Weidong

1990-01-01

A study of the relationship of population and income in Asian countries and Organization of Petroleum Exporting Countries (OPEC) members to their demand for American higher education found that both population and income significantly affect demand, but not proportionally. Findings suggest countries meet most change in citizens' demand with…

Validation of the Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition Recommendations for Caloric Provision to Critically Ill Obese Patients: A Pilot Study.

Science.gov (United States)

Mogensen, Kris M; Andrew, Benjamin Y; Corona, Jasmine C; Robinson, Malcolm K

2016-07-01

The Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN) recommend that obese, critically ill patients receive 11-14 kcal/kg/d using actual body weight (ABW) or 22-25 kcal/kg/d using ideal body weight (IBW), because feeding these patients 50%-70% maintenance needs while administering high protein may improve outcomes. It is unknown whether these equations achieve this target when validated against indirect calorimetry, perform equally across all degrees of obesity, or compare well with other equations. Measured resting energy expenditure (MREE) was determined in obese (body mass index [BMI] ≥30 kg/m(2)), critically ill patients. Resting energy expenditure was predicted (PREE) using several equations: 12.5 kcal/kg ABW (ASPEN-Actual BW), 23.5 kcal/kg IBW (ASPEN-Ideal BW), Harris-Benedict (adjusted-weight and 1.5 stress-factor), and Ireton-Jones for obesity. Correlation of PREE to 65% MREE, predictive accuracy, precision, bias, and large error incidence were calculated. All equations were significantly correlated with 65% MREE but had poor predictive accuracy, had excessive large error incidence, were imprecise, and were biased in the entire cohort (N = 31). In the obesity cohort (n = 20, BMI 30-50 kg/m(2)), ASPEN-Actual BW had acceptable predictive accuracy and large error incidence, was unbiased, and was nearly precise. In super obesity (n = 11, BMI >50 kg/m(2)), ASPEN-Ideal BW had acceptable predictive accuracy and large error incidence and was precise and unbiased. SCCM/ASPEN-recommended body weight equations are reasonable predictors of 65% MREE depending on the equation and degree of obesity. Assuming that feeding 65% MREE is appropriate, this study suggests that patients with a BMI 30-50 kg/m(2) should receive 11-14 kcal/kg/d using ABW and those with a BMI >50 kg/m(2) should receive 22-25 kcal/kg/d using IBW. © 2015 American Society for Parenteral and Enteral Nutrition.

Science, technology and innovation policies for development the Latin American experience

CERN Document Server

Dutrénit, Gabriela

2014-01-01

This book examines the implementation of science, technology and innovation (STI) policy in eight Latin American countries and the different paths these policies have taken. It provides empirical evidence to examine the extent to which STI policies are contributing to the development of the region, as well as to the solution of market failures and the stimulus of the region’s innovation systems. Since the pioneering work of Solow (1957), it has been recognized that innovation is critical for economic growth both in developed and in less-developed countries. Unfortunately Latin America lags behind world trends, and although over the last 20 years the region has established a more stable and certain macroeconomic regime, it is also clear that these changes have not been enough to trigger a process of innovation and productivity to catch-up. Against this rather grim scenario there is some optimism emerging throughout the region. After many years of inaction the region has begun to invest in science, technology...

Petroleum term markets and OPEC producers countries

International Nuclear Information System (INIS)

Bensarsa, F.

1994-01-01

The situation of petroleum producers countries in front of term markets is described. With an economics liberalization, policy configuration changing the energetic balance (increasing of american imports, of asiatic demand and developing countries; decreasing of russian production), a more efficient technology, a right management of energetic resources with energy economy, renewable energies and non polluting energies, it is difficult for producers countries to resist at the pressure of financing tools, more and more modern and efficient as they are term markets

Stomach cancer incidence rates among Americans, Asian Americans and Native Asians from 1988 to 2011

Directory of Open Access Journals (Sweden)

Yeerae Kim

2015-02-01

Full Text Available Stomach cancer is the second most common cancer in Eastern Asia, accounting for approximately 50% of all new cases of stomach cancer worldwide. Our objective was to compare the stomach cancer incidence rates of Asian Americans in Los Angeles with those of native Asians to assess the etiology of stomach cancer from 1988 to 2011. To examine these differences, Asian Americans (Korean, Japanese, Chinese, and Filipino Americans living in Los Angeles, California, USA and native Asians (from Korea, Japan, China, and the Philippines were selected for this study. Using the Cancer Incidence in Five Continents database, stomach cancer incidence rates were examined. Data from the National Cancer Registry of Korea were used for native Koreans. Between native countries, the incidence rates in Japan, China, the Philippines, and the US declined over time, but the incidence in Korea has remained constant. The incidences among Asian immigrants were lower than those among native Asians. The incidence rates of males were approximately 2 times higher than those among females in Asian countries were. The effect of immigration on stomach cancer incidence suggests that lifestyle factors are a significant determinant of stomach cancer risk. However, the incidence in Korea remains the highest of these countries

Critical parameters in the production of ceramic pot filters for household water treatment in developing countries.

Science.gov (United States)

Soppe, A I A; Heijman, S G J; Gensburger, I; Shantz, A; van Halem, D; Kroesbergen, J; Wubbels, G H; Smeets, P W M H

2015-06-01

The need to improve the access to safe water is generally recognized for the benefit of public health in developing countries. This study's objective was to identify critical parameters which are essential for improving the performance of ceramic pot filters (CPFs) as a point-of-use water treatment system. Defining critical production parameters was also relevant to confirm that CPFs with high-flow rates may have the same disinfection capacity as pots with normal flow rates. A pilot unit was built in Cambodia to produce CPFs under controlled and constant conditions. Pots were manufactured from a mixture of clay, laterite and rice husk in a small-scale, gas-fired, temperature-controlled kiln and tested for flow rate, removal efficiency of bacteria and material strength. Flow rate can be increased by increasing pore sizes and by increasing porosity. Pore sizes were increased by using larger rice husk particles and porosity was increased with larger proportions of rice husk in the clay mixture. The main conclusions: larger pore size decreases the removal efficiency of bacteria; higher porosity does not affect the removal efficiency of bacteria, but does influence the strength of pots; flow rates of CPFs can be raised to 10-20 L/hour without a significant decrease in bacterial removal efficiency.

IMPLICATIONS OF GLOBAL PRICING POLICIES ON ACCESS TO INNOVATIVE DRUGS: THE CASE OF TRASTUZUMAB IN SEVEN LATIN AMERICAN COUNTRIES.

Science.gov (United States)

Pichon-Riviere, Andres; Garay, Osvaldo Ulises; Augustovski, Federico; Vallejos, Carlos; Huayanay, Leandro; Bueno, Maria del Pilar Navia; Rodriguez, Alarico; de Andrade, Carlos José Coelho; Buendía, Jefferson Antonio; Drummond, Michael

2015-01-01

Differential pricing, based on countries' purchasing power, is recommended by the World Health Organization to secure affordable medicines. However, in developing countries innovative drugs often have similar or even higher prices than in high-income countries. We evaluated the potential implications of trastuzumab global pricing policies in terms of cost-effectiveness (CE), coverage, and accessibility for patients with breast cancer in Latin America (LA). A Markov model was designed to estimate life-years (LYs), quality-adjusted life-years (QALYs), and costs from a healthcare perspective. To better fit local cancer prognosis, a base case scenario using transition probabilities from clinical trials was complemented with two alternative scenarios with transition probabilities adjusted to reflect breast cancer epidemiology in each country. Incremental discounted benefits ranged from 0.87 to 1.00 LY and 0.51 to 0.60 QALY and incremental CE ratios from USD 42,104 to USD 110,283 per QALY (2012 U.S. dollars), equivalent to 3.6 gross domestic product per capita (GDPPC) per QALY in Uruguay and to 35.5 GDPPC in Bolivia. Probabilistic sensitivity analysis showed 0 percent probability that trastuzumab is CE if the willingness-to-pay threshold is one GDPPC per QALY, and remained so at three GDPPC threshold except for Chile and Uruguay (4.3 percent and 26.6 percent, respectively). Trastuzumab price would need to decrease between 69.6 percent to 94.9 percent to became CE in LA. Although CE in other settings, trastuzumab was not CE in LA. The use of health technology assessment to prioritize resource allocation and support price negotiations is critical to making innovative drugs available and affordable in developing countries.

Constructing coincident indices of economic activity for the Latin American economy

Directory of Open Access Journals (Sweden)

João Victor Issler

2013-03-01

Full Text Available This paper has three main contributions. The first is to propose an individual coincident indicator for the following Latin American countries: Argentina, Brazil, Chile, Colombia and Mexico. In order to obtain similar series to those traditionally used in business-cycle research in constructing coincident indices (output, sales, income and employment we were forced to back-cast several individual country series which were not available in a long time-series span. The second contribution is to establish a chronology of recessions for these countries, covering the period from 1980 to 2012 on a monthly basis. Based on this chronology, the countries are compared in several respects. The final contribution is to propose an aggregate coincident indicator for the Latin American economy, which weights individual-country composite indices. Finally, this indicator is compared with the coincident indicator (The Conference Board - TCB of the U.S. economy. We find that the U.S. indicator Granger-causes the Latin American indicator in statistical tests

Critical Thinking in Physical Education

Science.gov (United States)

Humphries, Charlotte

2014-01-01

Changes in American education require that teachers are evaluated more often, and expectations increasingly include teaching to develop critical thinking skills. This article uses Bloom's taxonomy in describing ways physical educators can include critical thinking in their lessons, both to enhance their teaching and to meet expectations of…

THE DEPICTION OF HOMOSEXUALITY IN AMERICAN MOVIES

OpenAIRE

Rudy Rudy

2016-01-01

This study focuses on the depiction of homosexuality in American films. It is intended to identify the images of gays depicted in American films as well as the characteristics of American gay movies. It incorporates library research by applying an analytical descriptive approach in analyzing the data. The symbol and reflective theory is used to analyze 18 American movies and 14 gay films from other countries in the early 2000s. It shows that gay films can attract audiences by describing gays ...

The Depiction Of Homosexuality In American Movies

OpenAIRE

Rudy, Rudy

2016-01-01

This study focuses on the depiction of homosexuality in American films. It is intended to identify the images of gays depicted in American films as well as the characteristics of American gay movies. It incorporates library research by applying an analytical descriptive approach in analyzing the data. The symbol and reflective theory is used to analyze 18 American movies and 14 gay films from other countries in the early 2000s. It shows that gay films can attract audiences by describing gays ...

Web-based resources for critical care education.

Science.gov (United States)

Kleinpell, Ruth; Ely, E Wesley; Williams, Ged; Liolios, Antonios; Ward, Nicholas; Tisherman, Samuel A

2011-03-01

To identify, catalog, and critically evaluate Web-based resources for critical care education. A multilevel search strategy was utilized. Literature searches were conducted (from 1996 to September 30, 2010) using OVID-MEDLINE, PubMed, and the Cumulative Index to Nursing and Allied Health Literature with the terms "Web-based learning," "computer-assisted instruction," "e-learning," "critical care," "tutorials," "continuing education," "virtual learning," and "Web-based education." The Web sites of relevant critical care organizations (American College of Chest Physicians, American Society of Anesthesiologists, American Thoracic Society, European Society of Intensive Care Medicine, Society of Critical Care Medicine, World Federation of Societies of Intensive and Critical Care Medicine, American Association of Critical Care Nurses, and World Federation of Critical Care Nurses) were reviewed for the availability of e-learning resources. Finally, Internet searches and e-mail queries to critical care medicine fellowship program directors and members of national and international acute/critical care listserves were conducted to 1) identify the use of and 2) review and critique Web-based resources for critical care education. To ensure credibility of Web site information, Web sites were reviewed by three independent reviewers on the basis of the criteria of authority, objectivity, authenticity, accuracy, timeliness, relevance, and efficiency in conjunction with suggested formats for evaluating Web sites in the medical literature. Literature searches using OVID-MEDLINE, PubMed, and the Cumulative Index to Nursing and Allied Health Literature resulted in >250 citations. Those pertinent to critical care provide examples of the integration of e-learning techniques, the development of specific resources, reports of the use of types of e-learning, including interactive tutorials, case studies, and simulation, and reports of student or learner satisfaction, among other general

Forbidden Payment: Foreign Bribery and American Business After 1977

OpenAIRE

James R. Hines, Jr.

1995-01-01

The United States prohibits American individuals and corporations from bribing foreign government officials. Legislation enacted in 1976 and 1977 stipulates tax penalties, fines, and even prison terms for executives of American companies that pay illegal bribes. This paper examines the effect of US anti-bribery legislation on the operations of US firms in bribe-prone countries after 1977. Four separate indicators reveal that US business activities in these countries fell sharply after passage...

Commonly asked questions by critically ill patients relatives in Arabic countries

Directory of Open Access Journals (Sweden)

Tayseer Zaytoun

2017-04-01

Full Text Available Background: Relatives often lack important information about intensive care unit patients. Research on ways to improve family satisfaction in the ICU has become a crucial point in ICU quality improvement research. Objective: The aim of this study is to develop and analyze a list of commonly asked questions from relatives of patients in the intensive care unit in Arabic countries. This list might help families to determine which questions they want to ask and help them in decision-making process in emergency situations of their critically ill relatives. Methods: This study was a prospective double center study. It took place in the ICUs of two hospitals in Arabic countries: Egypt and Kingdom of Saudi Arabia. Alexandria University Main Hospital in Egypt and the ICU of King Fahad specialist Hospital in Dammam in Saudi Arabia. Data collection was done by reporting of Questions asked by the relatives of ICU patients during daily interview. The list of questions generated was checked to identify questions that could be eliminated. The remaining questions were categorized into 9 different groups: diagnosis, treatment, prognosis, comfort, patient interaction, family, mortality, post-ICU management and other questions. WE ranked the questions in the preliminary list through ICU staff, patients families and the patient themselves. Results: 115 Health care professional (34 physicians and 81 nurses participated in the data collection, the questions recorded were 2240 questions. It was found that about 1750 questions (78.12% were duplicated or not clear. The remaining 490 questions were classified into different categories. The same 115 Health care professional (34 physicians and 81 nurses who shared in the collection of data also shared in the ranking of the questions. 128 first degree relatives shared in the evaluation of the relevance of questions as well as 62 patients after they have been cured and before their discharge from ICU.A list was created

Dictionary criticism in Scandinavian lexicographic journals

DEFF Research Database (Denmark)

Nielsen, Sandro

2017-01-01

Dictionary criticism has a long tradition in the Nordic countries in for instance academic journals and newspapers. In order to limit the scope of the paper, the examination of dictionary reviews in the Nordic countries is restricted to the Nordic lexicographic journal LexicoNordica. The examinat......Dictionary criticism has a long tradition in the Nordic countries in for instance academic journals and newspapers. In order to limit the scope of the paper, the examination of dictionary reviews in the Nordic countries is restricted to the Nordic lexicographic journal Lexico......Nordica. The examination shows that there is great variation in the way reviewers write their critiques, and reviewers address many relevant topics and do not focus on one or two topics. Another characteristic of dictionary criticism in LexicoNordica is that reviewers often compare the dictionary under review with other...... dictionaries and previous editions and where relevant compare print and online editions. Furthermore, many reviewers address outside matter and meta-texts, thereby treating dictionaries as complex lexicographic products that consist of several distinct but interrelated components. A final characteristic...

African American Male Achievement: Using a Tenet of Critical Theory to Explain the African American Male Achievement Disparity

Science.gov (United States)

Palmer, Robert T.; Maramba, Dina C.

2011-01-01

Although African Americans continue to demonstrate a desire for education, Black male enrollment and completion rates in higher education are dismal when compared to other ethnic groups. Researchers and scholars have noted various theories and philosophies responsible for the academic disengagement of African American men in higher education. This…

Private Investment in Power Sector in Developing Countries: Lessons from Reforms in Asian and Latin American Countries.

Energy Technology Data Exchange (ETDEWEB)

Singh, Anoop

2007-07-01

The demand for investment in the electricity sector in the world between 2000 and 2030 is estimated to be USD9.8 trillion. Developing countries would require more than half of this investment. Given the limited fiscal space for public investment, a number of developing countries have undertaken policy initiatives to improve the investment climate for the private sector. The pace, scope, sequencing and outcome of reform process varies across countries. This paper undertakes a comparative evaluation of policy and regulatory reforms in Argentina, Brazil, India, Mexico, PRC and Thailand. The paper concludes that apart from macroeconomic stability, the pace and sequencing of reforms influences private investment in the power sector. Distribution reforms and setting up of an independent regulatory institution reduces risk for investors. A peace-meal approach to reform keeps uncertainties alive for investors and does not translate in significant investment in the sector. (auth)

Business Cycles in Developing Countries

DEFF Research Database (Denmark)

Rand, John; Tarp, Finn

2002-01-01

This paper demonstrates that developing countries differ considerably from their developed counterparts when focus is on the nature and characteristics of short run macroeconomic fluctuations. Cycles are generally shorter, and the stylized facts of business cycles across countries are more diverse...... than those of the rather uniform industrialized countries. Supply-side models are generally superior in explaining changes in output, but a “one-size fits all” approach in formulating policy is inappropriate. Our results also illustrate the critical importance of understanding business regularities...

Science in the Press in Nine Latin American Countries

Directory of Open Access Journals (Sweden)

Luisa Massarani

2007-12-01

Full Text Available The objective of this article is to present a panorama of the journalistic coverage of science and technology themes in Latin America, taking as a case study 12 newspapers of signifcant impact in the region, involving nine countries. We collected the stories published in the science section from January to April 2006, and analyzed them based on the constructed week methodology and using quantitative tools. In total, our sample amounted to 681 stories. Among our fndings, we observed an important presence of medicine and health issues as main topics of the stories. National science has space in the newspapers, although less than scientifc results from developed countries. Benefts are stressed in the stories, while a low level of controversies is observed. Scientists are the main source for the journalists, with a low representation of the former in stereotyped images in most of the newspapers.

78 FR 23101 - Pan American Day and Pan American Week, 2013

Science.gov (United States)

2013-04-17

... across the Americas. And just as the benefits of trade and development should be shared between nations..., countries across the Western Hemisphere came together to found the International Union of American Republics... region. In the decades since, nations in the Americas have forged lasting partnerships in trade, security...

Central American and Caribbean Observations

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — Weather and soil temperature observations from foreign countries, taken by foreign and American observers. Includes NOAA forms collected and archived at NCDC, and...

Latin American Perceptions of Regional Identity and Leadership in Comparative Perspective

Directory of Open Access Journals (Sweden)

Janina Onuki

2016-01-01

Full Text Available Abstract Public opinion plays a growing role in foreign policy formation in democratic societies. In this study, we use survey data from The Americas and the World project to establish whether Latin Americans share a common regional identity, and regard Brazil as a regional leader. Our results indicate that the majority of Brazilians do not identify themselves as Latin Americans. Moreover, while they believe their country is the most suitable candidate for regional leadership, they are unwilling to bear the costs of assuming such a role. Our study also explores perceptions of regional identity and Brazilian leadership in other Latin American countries, based on their own respective power aspirations. It shows that less powerful Latin American nations recognise Brazil as a regional leader, but citizens in middle powers, like Argentina and Mexico, still believe their countries should play a prominent regional role.

African Americans: College Majors and Earnings. Fact Sheet

Science.gov (United States)

Carnevale, Anthony P.; Fasules, Megan L.; Porter, Andrea; Landis-Santos Jennifer

2016-01-01

Access to college for African Americans has increased, but African Americans are highly concentrated in lower-paying majors. The college major, which has critical economic consequences throughout life, reflects personal choices but also reflects the fact that African-American students are concentrated in open-access four-year institutions that…

Anxiety in Kuwaiti and American college students.

Science.gov (United States)

Abdel-Khalek, Ahmed M; Lester, David

2006-10-01

Samples of Kuwaiti (n=646) and American (n=320) undergraduates responded to the Kuwait University Anxiety Scale in Arabic and English, respectively. Differences by sex were significant, with women having a higher mean anxiety score than men and by country with Kuwaiti women having a higher anxiety score than American women.

Sexual and reproductive behaviour among single women aged 15-24 in eight Latin American countries: a comparative analysis.

Science.gov (United States)

Ali, Mohamed M; Cleland, John

2005-03-01

A comparative analysis of exposure to sexual activity, contraceptive use, conceptions, and pregnancy resolutions among single women aged 15-24 in eight Latin American countries is presented. Using data from Demographic and Health Surveys complete contraceptive and reproductive histories are constructed for single women aged 15-24 during the 5 year period preceding each survey. Pre-marital conception rates and overall and cause-specific life-table probabilities of contraceptive discontinuation are estimated. Pregnancy outcome and intention status of births are summarized. Trends in virginity, contraceptive protection, and conception rates for five sites are documented. In all eight countries, virginity accounts for over half of all single woman-years of exposure between age 15 and 24. The percentage of sexually active time protected by contraception is less than 20% in five countries, is about 30% in Peru and 50% in Brazil and Colombia. The contribution of condoms to contraceptive protection ranges from one-tenth to one-fifth. Pre-marital conception rates among sexually active single women range from 14.1 per 100 woman-years in Nicaragua to 25.8 in Bolivia. Most pre-marital conceptions ended in live birth, and births that are legitimized by marriage or cohabitation are more likely to be wanted. In five settings, virginity has fallen over time, especially in Northeast Brazil and Colombia, and uptake of condoms has increased faster than use of other methods. Because of pervasive declines in the protective effect of virginity, conception rates among single women in Latin America are rising. Contraceptive uptake, particularly of condoms, is increasing but not sufficiently to offset the decline in virginity.

Study and analysis of information technology in dentistry in Latin American countries.

Science.gov (United States)

López Jordi, María Del C; Figueiredo, Marcia Ç; Barone, Dante; Pereira, Carolina

2016-04-01

Dentistry increasingly uses Information and Communication Technology (ICT), which has impact on teaching, research, the profession and dental care in general. However, there is a lack of valid information on ICT resources and use in Latin America. This was a descriptive, cross-sectional, multi-center, interdisciplinary study, the aim of which was to conduct a survey on how extensively ICT is used in Dentistry in Latin American countries by enquiring into two primary components: 1) use of ICT in student training and 2) use of ICT by professionals in consulting rooms and services. Two questionnaires on ICT were prepared: one for teachers/researchers and another for students/professionals. We received 94 answers from teachers/researchers at universities in the region providing information on ICT resources for teaching (type and implementation) and 221 answers from professionals (personal use and use in healthcare). Data are presented as absolute relative frequencies and analyzed quantitatively as percentages. 1) Teachers highlight ICT as an instrument for development, democratization and fairness in access to knowledge for higher education. 2) ICT supports collaborative learning and generates other innovative resources (e.g. simulators). 3) Innovations in telemedicine and experiences with electronic clinical history were identified in Brazil, Uruguay and Colombia. These results are a basis upon which to reach a consensus regarding a set of ICT indicators which are comparable at regional level and serve as input to unify the design and implementation of ICTs experiences in both teaching and dental care in Latin America. Sociedad Argentina de Investigación Odontológica.

78 FR 38878 - Critical Incident Stress Plans

Science.gov (United States)

2013-06-28

... Institute (API); American Public Transportation Association (APTA); American Short Line and Regional...-0131, Notice No. 1] RIN 2130-AC00 Critical Incident Stress Plans AGENCY: Federal Railroad... incident stress plans that provide for appropriate support services to be offered to their employees who...

Energy geopolitics, an American perspective

International Nuclear Information System (INIS)

Henderson, Simon

2008-01-01

Even if geopolitics can be said not to exist for Americans who, like for example in the field of energy, believe that any problem can find a solution with the help of money and of the American ingenuity, and who are in fact only interested in a lower energy price, the author comments how energy issues are addressed by the candidates to the President election of 2008. The author notices that American people may have to realise, at least for a while, that their country is accused to bear a large share of responsibilities in environmental problems

A critical hermeneutic study: Third grade elementary African American students' views of the nature of science

Science.gov (United States)

Walls, Leon

Nature of Science is one of the most fundamental aspects of understanding science. How different cultures, races and ethnicities see and interpret science differently is critical. However, the NOS views specific to African American teachers and learners have gone largely unresearched. The views of a purposeful sample of African American third grade children reported in this study contribute to efforts to make science equitable for all students. Conducted in two Midwest urban settings, within the students' regular classrooms, three instruments were employed: Views of Nature of Science Elementary (an interview protocol), Elementary Draw a Scientist Test (a drawing activity supplemented by an explicating narrative), and Identify a Scientist (a simple select-a-photo technique supported by Likert-measured sureness). The responses provided by twenty-three students were coded using qualitative content analysis. The findings are represented in three main categories: Science - is governed by experimentation, invention and discovery teach us about the natural world, school is not the only setting for learning science; Scientists - intelligent, happy, studious men and women playing multiple roles, with distinct physical traits working in laboratories; Students - capable users and producers of science and who view science as fun. This study advocates for: use of such instruments for constant monitoring of student views, using the knowledge of these views to construct inquiry based science lessons, and increased research about students of color.

A win-win solution?: A critical analysis of tiered pricing to improve access to medicines in developing countries

Science.gov (United States)

2011-01-01

Background Tiered pricing - the concept of selling drugs and vaccines in developing countries at prices systematically lower than in industrialized countries - has received widespread support from industry, policymakers, civil society, and academics as a way to improve access to medicines for the poor. We carried out case studies based on a review of international drug price developments for antiretrovirals, artemisinin combination therapies, drug-resistant tuberculosis medicines, liposomal amphotericin B (for visceral leishmaniasis), and pneumococcal vaccines. Discussion We found several critical shortcomings to tiered pricing: it is inferior to competition for achieving the lowest sustainable prices; it often involves arbitrary divisions between markets and/or countries, which can lead to very high prices for middle-income markets; and it leaves a disproportionate amount of decision-making power in the hands of sellers vis-à-vis consumers. In many developing countries, resources are often stretched so tight that affordability can only be approached by selling medicines at or near the cost of production. Policies that "de-link" the financing of R&D from the price of medicines merit further attention, since they can reward innovation while exploiting robust competition in production to generate the lowest sustainable prices. However, in special cases - such as when market volumes are very small or multi-source production capacity is lacking - tiered pricing may offer the only practical option to meet short-term needs for access to a product. In such cases, steps should be taken to ensure affordability and availability in the longer-term. Summary To ensure access to medicines for populations in need, alternate strategies should be explored that harness the power of competition, avoid arbitrary market segmentation, and/or recognize government responsibilities. Competition should generally be the default option for achieving affordability, as it has proven superior

A win-win solution?: A critical analysis of tiered pricing to improve access to medicines in developing countries.

Science.gov (United States)

Moon, Suerie; Jambert, Elodie; Childs, Michelle; von Schoen-Angerer, Tido

2011-10-12

Tiered pricing - the concept of selling drugs and vaccines in developing countries at prices systematically lower than in industrialized countries - has received widespread support from industry, policymakers, civil society, and academics as a way to improve access to medicines for the poor. We carried out case studies based on a review of international drug price developments for antiretrovirals, artemisinin combination therapies, drug-resistant tuberculosis medicines, liposomal amphotericin B (for visceral leishmaniasis), and pneumococcal vaccines. We found several critical shortcomings to tiered pricing: it is inferior to competition for achieving the lowest sustainable prices; it often involves arbitrary divisions between markets and/or countries, which can lead to very high prices for middle-income markets; and it leaves a disproportionate amount of decision-making power in the hands of sellers vis-à-vis consumers. In many developing countries, resources are often stretched so tight that affordability can only be approached by selling medicines at or near the cost of production. Policies that "de-link" the financing of R&D from the price of medicines merit further attention, since they can reward innovation while exploiting robust competition in production to generate the lowest sustainable prices. However, in special cases - such as when market volumes are very small or multi-source production capacity is lacking - tiered pricing may offer the only practical option to meet short-term needs for access to a product. In such cases, steps should be taken to ensure affordability and availability in the longer-term. To ensure access to medicines for populations in need, alternate strategies should be explored that harness the power of competition, avoid arbitrary market segmentation, and/or recognize government responsibilities. Competition should generally be the default option for achieving affordability, as it has proven superior to tiered pricing for reliably

A win-win solution?: A critical analysis of tiered pricing to improve access to medicines in developing countries

Directory of Open Access Journals (Sweden)

Childs Michelle

2011-10-01

Full Text Available Abstract Background Tiered pricing - the concept of selling drugs and vaccines in developing countries at prices systematically lower than in industrialized countries - has received widespread support from industry, policymakers, civil society, and academics as a way to improve access to medicines for the poor. We carried out case studies based on a review of international drug price developments for antiretrovirals, artemisinin combination therapies, drug-resistant tuberculosis medicines, liposomal amphotericin B (for visceral leishmaniasis, and pneumococcal vaccines. Discussion We found several critical shortcomings to tiered pricing: it is inferior to competition for achieving the lowest sustainable prices; it often involves arbitrary divisions between markets and/or countries, which can lead to very high prices for middle-income markets; and it leaves a disproportionate amount of decision-making power in the hands of sellers vis-à-vis consumers. In many developing countries, resources are often stretched so tight that affordability can only be approached by selling medicines at or near the cost of production. Policies that "de-link" the financing of R&D from the price of medicines merit further attention, since they can reward innovation while exploiting robust competition in production to generate the lowest sustainable prices. However, in special cases - such as when market volumes are very small or multi-source production capacity is lacking - tiered pricing may offer the only practical option to meet short-term needs for access to a product. In such cases, steps should be taken to ensure affordability and availability in the longer-term. Summary To ensure access to medicines for populations in need, alternate strategies should be explored that harness the power of competition, avoid arbitrary market segmentation, and/or recognize government responsibilities. Competition should generally be the default option for achieving affordability

Paying for Mitigation: A Multiple Country Study

Energy Technology Data Exchange (ETDEWEB)

Carlsson, Fredrik; Kataria, Mitesh; Krupnick, Alan; Lampi, Elina; Loefgren, Aasa; Ping Qin; Chung, Susie; Sterner, Thomas

2010-05-15

Unique survey data from a contingent valuation study conducted in three different countries (China, Sweden, and the United States) were used to investigate the ordinary citizen's willingness to pay (WTP) for reducing CO{sub 2} emissions. We find that a large majority of the respondents in all three countries believe that the mean global temperature has increased over the last 100 years and that humans are responsible for the increase. A smaller share of Americans, however, believes these statements, when compared to the Chinese and Swedes. A larger share of Americans is also pessimistic and believes that nothing can be done to stop climate change. We also find that Sweden has the highest WTP for reductions of CO{sub 2}, while China has the lowest. Thus, even though the Swedes and Chinese are similar to each other in their attitudes toward climate change, they differ considerably in their WTP. When WTP is measured as a share of household income, the willingness to pay is the same for Americans and Chinese, while again higher for the Swedes

Area Handbook Series: Brazil: A Country Study

Science.gov (United States)

1982-12-01

Encompassing almost half the South American conti- nent and bordering every South American country except Ecuador and Chile , Brazil ranks as the fifth largest...and agricultural projects related to the program was slowed. Expansion of the sugarcane acreage was less 184 Construction site, Aguas Claras mine near...Development-OECD) purchased 60 percent of Brazil’s exports. Among Brazil’s 10 largest export markets, only Argentina (US$718 million), Chile (US$363 million

Latin American Network of students in Atmospheric Sciences and Meteorology

Science.gov (United States)

Cuellar-Ramirez, P.

2017-12-01

The Latin American Network of Students in Atmospheric Sciences and Meteorology (RedLAtM) is a civil nonprofit organization, organized by students from Mexico and some Latin- American countries. As a growing organization, providing human resources in the field of meteorology at regional level, the RedLAtM seeks to be a Latin American organization who helps the development of education and research in Atmospheric Sciences and Meteorology in order to engage and promote the integration of young people towards a common and imminent future: Facing the still unstudied various weather and climate events occurring in Latin America. The RedLAtM emerges from the analysis and observation/realization of a limited connection between Latin American countries around research in Atmospheric Sciences and Meteorology. The importance of its creation is based in cooperation, linking, research and development in Latin America and Mexico, in other words, to join efforts and stablish a regional scientific integration who leads to technological progress in the area of Atmospheric Sciences and Meteorology. As ultimate goal the RedLAtM pursuit to develop climatic and meteorological services for those countries unable to have their own programs, as well as projects linked with the governments of Latin American countries and private companies for the improvement of prevention strategies, research and decision making. All this conducing to enhance the quality of life of its inhabitants facing problems such as poverty and inequality.

Comparing Work-Life Balance in Spanish and Latin-American Countries

Science.gov (United States)

Carlier, Sandra Idrovo; Llorente, Consuelo Leon; Grau, Marc Grau

2012-01-01

Purpose: This paper aims to determine the level of awareness and implementation of family-responsible parameters: policies, enablers, practices, and culture, in Spanish and Latin-American companies, and how they impact work-life balance. Design/methodology/approach: The study uses data from different national IESE's Family-Responsible Employer…

International Programme for Resource Use in Critical Care (IPOC)--a methodology and initial results of cost and provision in four European countries.

Science.gov (United States)

Negrini, D; Sheppard, L; Mills, G H; Jacobs, P; Rapoport, J; Bourne, R S; Guidet, B; Csomos, A; Prien, T; Anderson, G; Edbrooke, D L

2006-01-01

A standardized top-down costing method is not currently available internationally. An internally validated method developed in the UK was modified for use in critical care in different countries. Costs could then be compared using the World Health Organization's Purchasing Power Parities (WHO PPPs). This was an observational, retrospective, cross-sectional, multicentre study set in four European countries: France, UK, Germany and Hungary. A total of 329 adult intensive care units (ICUs) participated in the study. The costs are reported in international dollars ($) derived from the WHO PPP programme. The results show significant differences in resource use and costs of ICUs over the four countries. On the basis of the sum of the means for the major components, the average cost per patient day in UK hospitals was $1512, in French hospitals $934, in German hospitals $726 and in Hungarian hospitals $280. The reasons for such differences are poorly understood but warrant further investigation. This information will allow us to better adjust our measures of international ICU costs.

Latin American foreign exchange intervention - Updated

OpenAIRE

Da Silva, Sergio; Nunes, Mauricio

2007-01-01

We examine Latin American foreign exchange intervention in a framework where the exchange rate regime is endogenous and there exists an inefficient, equilibrium foreign exchange intervention bias. The model suggests that greater central bank independence is associated with lesser intervention in the foreign exchange market, and also with leaning-against-the-wind intervention. Both results are confirmed by data from 13 Latin American countries.

Critical success factors for competitiveness of construction companies: A critical review

Science.gov (United States)

Hanafi, Abdul Ghafur; Nawi, Mohd Nasrun Mohd

2016-08-01

Making progress basically, a fundamental issue for the construction companies to get by in a highly competitive industry. From time to time, industry players are facing stiff and tough competition due to large number of players, whether existing or new players involved from various background and track record. Furthermore, the large numbers of component deciding the competitiveness of contractors, whose organization structures and governance have turned out to be more muddled. Different construction companies have their own unique criteria which may differ from one to another. The enormous amount of issues needs to bring down to manageable numbers so that measures can be identified and scrutinized to enhance competitiveness. This paper discusses the result from the critical investigation from past studies in the Asian countries, namely China, India, Thailand, Singapore and Malaysia. Several fundamental factors have been identified as CSFs in construction companies in respective country. Also highlighted a critical survey based upon various literatures written on this subject where critical success factors (CSFs) as a yardstick to gauge the relationship among CSFs in various construction companies in the Asian region. Far reaching estimation of an organization's performance and resulting input to its supervision is crucial for business change. Estimation additionally empowers organizations to be contrasted from one another on the premise of institutionalized data, permitting best practices to be distinguished and connected more widely. Different countries have their own set of critical success factors (CSFs) which may differ in term of priority and at the same time share common elements of success factor in accomplishment as a construction companies. The study, which is exploratory in nature, embraced the content investigation and inductive technique to accomplish its objectives.

Beyond Critical Congenital Heart Disease: Newborn Screening Using Pulse Oximetry for Neonatal Sepsis and Respiratory Diseases in a Middle-Income Country.

Science.gov (United States)

Jawin, Vida; Ang, Hak-Lee; Omar, Asma; Thong, Meow-Keong

2015-01-01

Studies on pulse oximetry screening for neonatal sepsis and respiratory disease in a middle-income country are lacking. Newborn screening for critical congenital heart disease (CCHD) using pulse oximetry is an effective and life-saving strategy in developed countries. While most studies have reported false-positive results during CCHD screening, they have not elaborated on the detected disease types. We studied the effectiveness and outcomes of pulse oximetry newborn screening for non-cardiac hypoxemic diseases such as neonatal sepsis, respiratory diseases, and CCHD in a middle-income country. In a pilot study performed at the University Malaya Medical Centre (UMMC), Malaysia, all apparently healthy term newborns, delivered at UMMC were screened pre-discharge using pulse oximetry. Echocardiography was performed for newborns that had positive screening results on two separate occasions, 1-h apart. Newborns with normal echocardiograms were evaluated and treated for other non-cardiac diseases. Fifteen of 5247 term newborns had positive screening results. The median age at screening was 20 h. Thirteen newborns (0.24%) had significant non-cardiac diseases: sepsis (n = 2) and respiratory diseases (n = 11) that required hospitalization and treatment. The remaining two newborns with normal antenatal ultrasonograms had positive screening test and confirmed to have CCHD. Another 18 newborns with negative screening test were later admitted for treatment of sepsis (n = 16) and penumonia (n = 2). All newborns were treated and alive at the end of the study. The sensitivity and specificity of pulse oximetry screening for non-cardiac diseases were 42% and 99.9% respectively, and 100% and 99.7% for CCHD, respectively. Routine pulse oximetry screening test was effective in identifying newborns with CCHD and other hypoxemia illnesses, which may led to potential life-threatening condition. This study showed that the expanded use of pulse oximetry has immediate implications for low

Charting the pipeline: Identifying the critical elements in the development of successful African American scientists, engineers, and mathematicians

Science.gov (United States)

Williams, Brian Anthony

Many educational researchers are concerned with the apparent poor performance of different racial and ethnic groups in the fields of science, engineering, and mathematics in the United States. Despite improvements in the performance of African Americans, Hispanic Americans, and Native Americans in these areas over the past decade, these groups are still less likely to enroll in advanced math and science courses or score at or above the proficient level in mathematics. Furthermore, these groups continue to be underrepresented in the nation's technical and scientific workforce. The purpose of this study was to identify the critical elements related to the success of African Americans in science, engineering, and mathematics. Specifically, this study was designed to answer the following questions as they pertained to African American graduate students: What factors were perceived to have contributed to the students' initial interest in science, engineering, or mathematics? What factors were perceived to have contributed to the students' decisions to continue their studies in their specific areas of interest? What factors, associated with the K--12 schooling experience, were perceived to have contributed to the students' success in science, engineering, or mathematics? The data for the study were acquired from interviews with 32 African American students (16 males and 16 females) who were engaged in graduate work in science, engineering, or mathematics. Four major themes emerged from the analysis of the interview data. The first was that all students were involved in experiences that allowed a significant level of participation in science, engineering, and mathematics. Second, all of the students experienced some form of positive personal intervention by another person. Third, all students possessed perceptions of these fields that involved some sort of positive outcome. Finally, all of the of the students believed they possessed intrinsic qualities that qualified and

Status and progress of family health in Latin America and the Caribbean: the Ibero-American Confederation of Family Medicine (ICPM perspective

Directory of Open Access Journals (Sweden)

María Inez Padula Anderson

2013-01-01

Full Text Available In the XXI century, much of humanity does not have access to comprehensive health care, or even basic equitable health care. If studies show that countries with organized health systems based on a qualified and inclusive model of Primary Health Care (PHC and family physicians as permanent staff are achieving unquestionable results, why a large part of the countries with lower socio-economic development have not committed strongly to implement an efficient reform of their health systems based on PHC and family medicine (FM? These issues are at the core of the Latin American Confederation of Family Medicine’s concerns, an international non-profit organization composed of national associations of countries of FM from Latin America, Spain and Portugal. Its primary mission is to drive the implementation of a proper PHC system in all countries of the region and to ensure that family medicine, as a specialty, is considered critical to health systems, thereby transforming it into a public policy.

The Impacts of U.S. Agricultural and Trade Policy on Trade Liberalization and Integation via a U.S.-Central American Free Trade Agreement

OpenAIRE

Dale E. Hathaway

2003-01-01

This study looks at several major legislative actions in 2002 that will substantially affect trade negotiations with the United States, and examines the US import protection for agricultural products that will be critical in trade negotiations with Central American countries. The two important legislative actions were the passage of the 2002 Farm Bill and the passage of Trade Promotion Authority, which provides for "fast track" treatment of trade agreements. The 2002 farm bill was widely deno...

Diet and Respiratory Health in Children from 11 Latin American Countries: Evidence from ISAAC Phase III.

Science.gov (United States)

Cepeda, Alfonso Mario; Thawer, Sumaiyya; Boyle, Robert J; Villalba, Sara; Jaller, Rodolfo; Tapias, Elmy; Segura, Ana María; Villegas, Rodrigo; Garcia-Larsen, Vanessa

2017-12-01

The burden of childhood asthma and its risk factors is an important but neglected public health challenge in Latin America. We investigated the association between allergic symptoms and dietary intake in children from this region. As part of the International Study of Asthma and Allergies in Childhood (ISAAC) Phase III, questionnaire collected dietary intake was investigated in relation to risk of parental/child reported current wheeze (primary outcome) and rhino-conjunctivitis and eczema. Per-country adjusted logistic regressions were performed, and combined effect sizes were calculated with meta-analyses. 143,967 children from 11 countries had complete data. In children aged 6-7 years, current wheeze was negatively associated with higher fruit intake (adjusted odds ratio [aOR] 0.65; 95% CI 0.74, 0.97). Current rhino-conjunctivitis and eczema were statistically negatively associated with fruit intake (aOR 0.72; 95% CI 0.64, 0.82; and OR 0.64, 95% CI 0.56, 0.74, respectively). Vegetable intake was negatively associated with risk of symptoms in younger children, but these associations were attenuated in the 13-14 years old group. Fastfood/burger intake was positively associated with all three outcomes in the older children. A higher intake of fruits and vegetables was associated with a lower prevalence of allergic symptoms in Latin American children. Conversely, intake of fastfood was positively associated with a higher prevalence of wheeze in adolescents. Improved dietary habits in children might help reduce the epidemic of allergic symptoms in Latin America. Food interventions in asthmatic children are needed to evaluate the possible public health impact of a better diet on respiratory health.

Clandestine induced abortion: prevalence, incidence and risk factors among women in a Latin American country.

Science.gov (United States)

Bernabé-Ortiz, Antonio; White, Peter J; Carcamo, Cesar P; Hughes, James P; Gonzales, Marco A; Garcia, Patricia J; Garnett, Geoff P; Holmes, King K

2009-02-03

Clandestine induced abortions are a public health problem in many developing countries where access to abortion services is legally restricted. We estimated the prevalence and incidence of, and risk factors for, clandestine induced abortions in a Latin American country. We conducted a large population-based survey of women aged 18-29 years in 20 cities in Peru. We asked questions about their history of spontaneous and induced abortions, using techniques to encourage disclosure. Of 8242 eligible women, 7992 (97.0%) agreed to participate. The prevalence of reported induced abortions was 11.6% (95% confidence interval [CI] 10.9%-12.4%) among the 7962 women who participated in the survey. It was 13.6% (95% CI 12.8%-14.5%) among the 6559 women who reported having been sexually active. The annual incidence of induced abortion was 3.1% (95% CI 2.9%-3.3%) among the women who had ever been sexually active. In the multivariable analysis, risk factors for induced abortion were higher age at the time of the survey (odds ratio [OR] 1.11, 95% CI 1.07-1.15), lower age at first sexual intercourse (OR 0.87, 95% CI 0.84-0.91), geographic region (highlands: OR 1.56, 95% CI 1.23-1.97; jungle: OR 1.81, 95% CI 1.41-2.31 [v. coastal region]), having children (OR 0.82, 95% CI 0.68-0.98), having more than 1 sexual partner in lifetime (2 partners: OR 1.61, 95% CI 1.23-2.09; > or = 3 partners: OR 2.79, 95% CI 2.12-3.67), and having 1 or more sexual partners in the year before the survey (1 partner: OR 1.36, 95% CI 1.01-1.72; > or = 2 partners: OR 1.54, 95% CI 1.14-2.02). Overall, 49.0% (95% CI 47.6%-50.3%) of the women who reported being currently sexually active were not using contraception. The incidence of clandestine, potentially unsafe induced abortion in Peru is as high as or higher than the rates in many countries where induced abortion is legal and safe. The provision of contraception and safer-sex education to those who require it needs to be greatly improved and could potentially

Short of transformation: American ADN students' thoughts, feelings, and experiences of studying abroad in a low-income country.

Science.gov (United States)

Foronda, Cynthia L; Belknap, Ruth Ann

2012-06-03

ADN students are a large yet distinct subgroup of nursing students who require research and understanding. The purpose of this study was to describe the thoughts, feelings, and experiences of American associate degree nursing (ADN) students who participated in a short study abroad course in a low-income country. A qualitative, narrative method was used. Three categories emerged from the analysis. Participants revealed thoughts of "constant comparisons", feelings of an "emotional journey", and they experienced "learning". Participants did not demonstrate perspective transformation as defined by Mezirow as participants signified no intent for social action. Several potential blocks to perspective transformation were identified: egocentrism/emotional disconnect, perceived powerlessness/being overwhelmed, and a vacation mindset. The findings provide insight into the student experience of studying abroad. Transformative learning is not a guaranteed result. Nurse educators must consider strategies to foster transformation including discussing global systemic oppressors, international relations, coping, connecting, and social action.

The Meaning of Anti-Americanism: A Performative Approach to Anti-American Prejudice

Directory of Open Access Journals (Sweden)

Felix Knappertsbusch

2013-06-01

Full Text Available A contribution to the ongoing debate on how anti-Americanism can be adequately conceptualized and how such prejudice can be distinguished from legitimate criticism, arguing that part of these conceptual problems arise from a too narrow focus on defining anti-Americanism and the use of standardized empirical operationalizations. Such approaches exhibit severe limitations in grasping the flexibility of the phenomenon in everyday discourse and often underestimate or ignore the interpretive aspect involved in identifying utterances as anti-American prejudice. Alternatively, a performative approach is proposed, understanding anti-Americanism as a network of speech acts bound by family resemblance rather than identical features. In combination with qualitative empirical research methods such a conceptualization is especially suited to account for the flexible, situated use of anti-American utterances. At the same time it grants reflexivity to the research concept, in the sense of a close description of the scientific application of the notion of anti-Americanism. Two empirical examples from an interview study on anti-American speech in Germany illustrate the potential of such an approach, providing an insight into how anti-Americanism is incorporated into the construction and expression of racist and revisionist national identifications in everyday discourse.

A Political Philosophy Approach to Teaching American Politics.

Science.gov (United States)

Bailey, Kevin E.

1982-01-01

Suggests an alternative to the civic training, political indoctrination, and descriptive presentation approaches used to teaching American government courses. Recommends a political philosophy approach within a framework of elite theory to help students develop a critical perspective on American politics. (DMM)

Evaluating the Relative Environmental Impact of Countries

OpenAIRE

Bradshaw, Corey J. A.; Giam, Xingli; Sodhi, Navjot Singh

2010-01-01

Environmental protection is critical to maintain ecosystem services essential for human well-being. It is important to be able to rank countries by their environmental impact so that poor performers as well as policy ?models? can be identified. We provide novel metrics of country-specific environmental impact ranks ? one proportional to total resource availability per country and an absolute (total) measure of impact ? that explicitly avoid incorporating confounding human health or economic i...

Liberation From Mechanical Ventilation in Critically Ill Adults

DEFF Research Database (Denmark)

Schmidt, Gregory A; Girard, Timothy D; Kress, John P

2017-01-01

BACKGROUND: This clinical practice guideline addresses six questions related to liberation from mechanical ventilation in critically ill adults. It is the result of a collaborative effort between the American Thoracic Society (ATS) and the American College of Chest Physicians (CHEST). METHODS: A ...

Mammography screening in Nigeria – A critical comparison to other countries

International Nuclear Information System (INIS)

Lawal, O.; Murphy, F.J.; Hogg, P.; Irurhe, N.; Nightingale, J.

2015-01-01

Breast cancer is a leading cause of death among women, and according to the World Health Organisation (WHO) there will be a significant increase in the incidence of breast cancer in developing countries such as Nigeria by 2030. However, mammography screening can significantly reduce the mortality and morbidity of women as a result of breast cancer. Therefore, the aim of this review is to evaluate the mammography screening program in Nigeria, compare it with four developed countries and then draw inferences. The Nigerian screening program was evaluated using the following factors: - mode of invitation, frequency of screening, age of the participants, image projections, imaging staff, quality assurance program, and availability. Similarities exist between Nigeria and four developed countries (the United States of America, United Kingdom, Australia and Canada), for instance trained Radiographers do the imaging and the image projections obtained are the same. However, important differences exist, these include mode of invitation, financial model, quality assurance program and availability. On comparison with the four developed countries, various issues have been identified within the Nigerian breast screening programmes. No one simple solution can be offered to address these as the challenges are multi-factorial. - Highlights: • The mammography screening program in Nigeria is compared to four structured screening programs. • There is poor participation of Nigerian women in the screening program. • The cost of mammogram is associated with poor attendance. • The Nigerian screening program lags behind with the age of women invited for screening and lack of quality assurance program.

The effects of agricultural trade openness on food price transmission in Latin American countries

Directory of Open Access Journals (Sweden)

Insa Flachsbarth

2014-11-01

Full Text Available Trade of agricultural commodities has grown significantly in most Latin American countries (LAC over the last two decades. However, after the international food price surges in 2006-08 and 2011-12 concerns about food access of the poor arose. Within a panel framework containing six LAC (Argentina, Brazil, Chile, Colombia, Mexico and Peru, we used a single equation error correction model to identify possible cointegrating relationships between the food consumer price index (CPI and a set of trade related and domestic variables. The main focus of the study was to examine how different levels of trade openness impact international food price transmission to domestic markets. Our results confirm that deeper market integration increases global price transmission elasticities. In other words, more agricultural trade openness proves to elevate food CPIs during global price spikes. Thus, for poor consumers world price shocks can be deteriorating in the short-run and domestic food prices will slowly converge to a higher long-run equilibrium. Especially in increasingly integrated economies, effective policies to buffer food price shocks should be put in place, but must be carefully planned with the required budget readily available. We also found that exchange rate appreciations can buffer price shocks to a certain extent and that monetary policies seem to be an appropriate means for stabilizing food prices to safeguard food access of the poor population.

The Ties that Bind: Effective American American Communities as Models of Peaceful Coexistence.

Science.gov (United States)

Steward, Robbie J.

Peace, though pursued, is often presented in the literature as an elusive and somewhat ethereal state that seldom is attained. However, African American communities in this country have historically developed and maintained effective, collaborative, working alliances that have assisted in individual and group survival under the most adverse…

International Clinical Trials in Latin American and Caribbean Countries: Research and Development to Meet Local Health Needs

Directory of Open Access Journals (Sweden)

Ricardo E. da Silva

2018-01-01

Full Text Available Introduction: Although international health research involves some benefits for the host countries, such as access to innovative treatments, the research itself may not be aligned with their communities' actual health needs.Objective: To map the global landscape of clinical trials run in Latin American and Caribbean countries and discuss the addressing of local health needs in the agenda of international clinical trials.Methods: The present study is a cross-sectional overview and used data referent to studies registered between 01/01/2014 and 12/31/2014 in the World Health Organization's (WHO International Clinical Trials Registry Platform (ICTRP.Results: Non-communicable diseases such as diabetes, cancer, and asthma—studies which were financed mainly by industries—were the conditions investigated most in the region of Latin America and the Caribbean. The neglected diseases, on the other hand, such as Chagas disease, and dengue, made up 1% of the total number of studies. Hospitals and nonprofit nongovernmental organizations prioritize resources for investigating new drugs for neglected diseases, such as Chagas disease and dengue.Conclusion: The international multicenter clinical trials for investigating new drugs are aligned with the health needs of the region of Latin America and the Caribbean, when one considers the burden resulting from the non-communicable diseases in this region. However, the transmissible diseases, such as tuberculosis and AIDS, and the neglected diseases, such as Chagas disease and dengue, which have an important impact on public health in this region, continue to arouse little interest among the institutions which finance the clinical trials.

Latin American space activities based on different infrastructures

Science.gov (United States)

Gall, Ruth

The paper deals with recent basic space research and space applications in several Latin-American countries. It links space activities with national scientific and institutional infrastructures and stresses the importance of interdisciplinary space programs, that can play a major role in the developing countries achievement of self reliance in space matters.

American Holidays and Festivals

Institute of Scientific and Technical Information of China (English)

冯凌

2002-01-01

One of the interesting things to learn about a country is to know different kinds of holidays and festivals its people celebrate(庆祝) and to tell why they celebrate them. Although there are some similarities(相似) between American and Chinese holidays and festivals, there are quite a few differences.

The value of Standards and Labelling: an international cost-benefit analysis tool for Standards and Labelling programs with results for Central American countries

International Nuclear Information System (INIS)

Buskirk, Robert D. Van; McNeil, Michael A.; Letschert, Virginie E.

2005-01-01

We describe a cost-benefit spreadsheet analysis tool that provides an evaluation of the net impacts of an appliance standards and labelling (SandL) program. The tool is designed to provide a rough estimate at very low cost to local analysts, while allowing for a more accurate evaluation when detailed local data are available. The methodology takes a bottom-up engineering approach, beginning with appliance-specific engineering parameters relating efficiency improvement and incremental costs associated with specific design technologies. Efficiency improvement afforded by each potential policy option is combined with local appliance use patterns to estimate average annual energy consumption for each appliance. This information is combined with appliance lifetime data and local energy prices to provide a life cycle cost impact assessment at the household level. In addition to household level impacts, the analysis tool forecasts future appliance sales, in order to calculate potential energy savings, consumer financial impacts and carbon emissions reductions at the national level. In order to demonstrate the features of the policy model employed, this poster presents a regional analysis based on the most recent publicly available appliance data. In particular, a set of developing countries in Central America were chosen as an example. Taken as a whole, the Central American results demonstrate the general level of benefit which could be afforded in these countries. Comparison between the countries reveals the key parameters determining the benefit a given country can expect from a standards program

Inefficiency in Latin-American market indices

Science.gov (United States)

Zunino, L.; Tabak, B. M.; Pérez, D. G.; Garavaglia, M.; Rosso, O. A.

2007-11-01

We explore the deviations from efficiency in the returns and volatility returns of Latin-American market indices. Two different approaches are considered. The dynamics of the Hurst exponent is obtained via a wavelet rolling sample approach, quantifying the degree of long memory exhibited by the stock market indices under analysis. On the other hand, the Tsallis q entropic index is measured in order to take into account the deviations from the Gaussian hypothesis. Different dynamic rankings of inefficieny are obtained, each of them contemplates a different source of inefficiency. Comparing with the results obtained for a developed country (US), we confirm a similar degree of long-range dependence for our emerging markets. Moreover, we show that the inefficiency in the Latin-American countries comes principally from the non-Gaussian form of the probability distributions.

Childhood dual burden of under- and overnutrition in low- and middle-income countries: a critical review.

Science.gov (United States)

Tzioumis, Emma; Adair, Linda S

2014-06-01

In low- and middle-income countries, the distribution of childhood nutritional diseases is shifting from a predominance of undernutrition to a dual burden of under- and overnutrition. This novel and complex problem challenges governments and health organizations to tackle opposite ends of the malnutrition spectrum. The dual burden may manifest within a community, household, or individual, but these different levels have not been addressed collectively. To critically review literature on the prevalence, trends, and predictors of the dual burden, with a focus on children from birth to 18 years of age. We reviewed literature since January 1, 1990, published in English, using the PubMed search terms nutrition transition, double burden, dual burden, nutrition status, obesity, overweight, underweight, stunting, body composition, and micronutrient deficiencies. The findings were classified and described according to dual burden level (community, household, or individual). Global trends indicate decreases in diseases of undernutrition, while overnutrition is increasing. On the community level, economic status may influence the extent of the dual burden, with obesity increasingly affecting the already undernourished poor. In a household, shared determinants of poor nutritional status among members can result in disparate nutritional status across generations. Within an individual, obesity may co-occur with stunting or anemia due to shared underlying determinants or physiologic links. The dual burden of malnutrition poses a threat to children's health in low- and middle-income countries. We must remain committed to reducing undernutrition while simultaneously preventing over-nutrition through integrated child health programs that incorporate prevention of infection, diet quality, and physical activity.

American Akicita: Indigenous American warriors and military service.

Science.gov (United States)

McDonald, J Douglas

2017-08-01

Indigenous Americans (i.e., Native/American Indians, AK natives, Pacific Islanders) have consistently volunteered for military service at greater rates than any other ethnic group, including the majority culture, since the early days of the country. This article is an introduction to the special section which includes a number of outstanding papers that provide an innovative and compelling effort to overcome the challenges of casualties from war and render effective and culturally informed care. These manuscripts describe culturally appropriate considerations of suicide (O'Keefe), family involvement and access to care (Whealin), and telehealth for treatment of rural Native veterans (Goss). Challenging and complex treatment needs call for equally mindful and competent approaches. These authors and providers present compelling examples of addressing these needs in working with our Wounded Warriors. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Tank farms criticality safety manual

International Nuclear Information System (INIS)

FORT, L.A.

2003-01-01

This document defines the Tank Farms Contractor (TFC) criticality safety program, as required by Title 10 Code of Federal Regulations (CFR-), Subpart 830.204(b)(6), ''Documented Safety Analysis'' (10 CFR- 830.204 (b)(6)), and US Department of Energy (DOE) 0 420.1A, Facility Safety, Section 4.3, ''Criticality Safety.'' In addition, this document contains certain best management practices, adopted by TFC management based on successful Hanford Site facility practices. Requirements in this manual are based on the contractor requirements document (CRD) found in Attachment 2 of DOE 0 420.1A, Section 4.3, ''Nuclear Criticality Safety,'' and the cited revisions of applicable standards published jointly by the American National Standards Institute (ANSI) and the American Nuclear Society (ANS) as listed in Appendix A. As an informational device, requirements directly imposed by the CRD or ANSI/ANS Standards are shown in boldface. Requirements developed as best management practices through experience and maintained consistent with Hanford Site practice are shown in italics. Recommendations and explanatory material are provided in plain type

The Filipinization of Critical Pedagogy: Widening the Scope of Critical Educational Theory

Science.gov (United States)

Viola, Michael

2009-01-01

The internationalist frame of critical pedagogy has drawn primarily from the standpoint of Latin American struggle. Unfortunately, the policies of military repression, forced disappearances, and widespread impoverishment in Latin America has been recreated in the present tense--Philippine-style. In my paper, I provide a brief overview of the…

Latin American Research Consortiums : a Comparative Analysis ...

International Development Research Centre (IDRC) Digital Library (Canada)

Latin American countries are implementing several policies to enhance innovation. ... foster research collaboration between different actors in the innovation system. ... adaptive water management: Innovative solutions from the Global South”.

Latin-American inmigration in Spain in the 21st Century

Directory of Open Access Journals (Sweden)

Aurora García Ballesteros

2010-06-01

Full Text Available Latino-American immigration in Spain increased in the last fourth of the 20th century and in the first decade of the 21st century, promoted by historical and social links and by bilateral covenants. Country provenance also changed due to the social-economic and political circumstances the countries were going through. Nowadays, most immigrants come from Ecuador and Colombia. The main effects that this emigration had on the countries of origin as well as immigrants’ legal situation in Spain are studied. The age and gender structures and their health situation are also analysed. Later on, their spatial distribution is looked into, specially in Madrid and Barcelona where almost half of Latin-Americans are concentrated. In the last part, labour and their main activities are examined as well as the existing differences depending on the country of origin.

Constitutionalism (s and reframing Hermeneutics : Reflections from the Critical Perspective Latin American

Directory of Open Access Journals (Sweden)

Ivone Fernandes Morcilo Lixa

2016-05-01

Full Text Available At the end of XX century, news and diffuse law speeches will pointing the emergence of innovative theoretical models self-proclaimed “critical”. In Brazil, in this context, is inaugurated an innovative and revolutionary face of constitutionalism which expands the power of the judiciary, for the preservation of democratic order and fundamental rights. On this track changes a new feature is the extensive social rights catalog that redefines the hermeneutic field, hitherto of modern formal legalistic tradition. However, the desire to consolidate and ensure both institutional and cultural fundamental rights, is being wit- nessing the first decade of XX century in Brazil as well as in some Latin American coun- tries, expanding the field of democratization and social policies. In this context, while it is being implemented a new constitutional paradigm from plurinationality, demodiversity and new rights linked to rationality, there is the expansion of the role of the judiciary which ultimately provoque a distortion of jurisdiction and hermeneutic fundamentals that serves as its legitimacy. It is from this unprecedented complexity that since Mark of the tradition of critical thinking, the juridical thinkers are forced to rethink hermeneutics from a new logic, new foundations and new epistemological elements, shifting the her- meneutical question to a different dimension than have been given by modern rationality and beyond what was bequeathed to the positivist tradition: the external field of norma- tive valuation. Challenge between oscillations and divergences can not be overlooked.

The association of family functioning and psychosis proneness in five countries that differ in cultural values and family structures.

Science.gov (United States)

Wüsten, Caroline; Lincoln, Tania M

2017-07-01

For decades, researchers have attributed the better prognosis of psychosis in developing countries to a host of socio-cultural factors, including family functioning. Nevertheless, it is unknown whether family functioning and its association with symptoms differ across countries. This study assessed family functioning (support, satisfaction with family relations, and criticism) and psychosis proneness in community samples from Chile (n =399), Colombia (n=486), Indonesia (n=115), Germany (n=174) and the USA (n=143). Family functioning was compared between prototypical developing countries (Chile, Columbia, Indonesia) and highly industrialized countries (Germany, USA). Hierarchical regression analysis was used to test for the moderating effect of country on the associations between family functioning and psychosis proneness. Participants from developing countries perceived more support and felt more satisfied. However, they also perceived more criticism than participants from highly industrialized countries. Criticism and family satisfaction were significantly associated with psychosis proneness. Moreover, the relationship between criticism and psychosis proneness was significantly stronger in developing countries compared to highly industrialized countries. Generally, family satisfaction and criticism appear to be more relevant to psychosis proneness than the quantity of family support. Moreover, criticism seems to be more closely related to psychosis proneness in developing countries. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

School factors associated with socio-emotional development in Latin American Countries

Directory of Open Access Journals (Sweden)

Murillo, F.Javier

2011-09-01

Full Text Available We present the results of an international research that intends to identify key factors associated with school and classroom socio-emotional achievement of Primary Education Students in Latin America countries. This Multilevel Study has been conducted with 4 analysis levels; we studied 5,603 students from 248 classrooms from 98 schools in 9 countries. We worked with 4 product socio-affective variables (self-concept, academic behaviour, social interaction and satisfaction with the school. The results showed a series of classroom and school factors that explain the socio-emotional development, consistent with those found in research on school effectiveness to cognitive factors.

Higher education in Latin American: the necessary converge

Directory of Open Access Journals (Sweden)

Rodolfo Joaquim Pinto da Luz

2005-01-01

Full Text Available This paper investigates the current status of higher education and its reflection upon economic and social policies in Latin American countries. The university, as one of the most important social institutions – due to its plurality of ideas, creativity and dynamic nature – produces scientific and technological research which transforms society. The present paper identifies the main evaluation and accreditation systems in the region and points out the necessity to converge Latin American education systems, aiming at strengthening and increasing competition in the region economy, taking as an example what has been happening in Europe with the signing of the Bologna Agreement, which in turn has created a common European higher education Space. To achieve this, it is necessary to encourage scientific and cultural exchange programs, review evaluation and accreditation systems and discuss curricula that allow for academic and professional mobility between Latin American countries.

Precious African American memories, post-racial dreams & the American nation.

Science.gov (United States)

Martin, Waldo E

2011-01-01

This interdisciplinary essay explores a fundamental paradox at the heart of American race relations since the 1960s: "the changing same." The more things change; the more they remain the same. Combining historical and social-scientific evidence with autobiographical reflections, this discussion critically probes the paradoxical decline and persistence of two dimensions of our enduring racial quagmire: racial inequality and white supremacy. The essay argues that these powerful and interrelated elements of America's continuing racial dilemma demand a massive democratic movement to alleviate both at once. This wide-ranging struggle to realize the promise of American democracy requires more than just a revitalized African American Freedom Struggle that is both intraracial and interracial. Progress toward resolving the seemingly intractable problem of racial inequality in the United States demands far more than intensified efforts to alleviate economic inequality; it requires alleviating white supremacy as well.

The authoritarian reign in American health care.

Science.gov (United States)

Ballou, Kathryn A; Landreneau, Kandace J

2010-02-01

The aim of this article is to increase understanding of the mechanisms of the continuation of elite hegemonic control of a highly valued social system--American health care. White, male physicians and administrators achieved control of the health care industry and its workers, including nurses, at the start of the 20th century. Using critical theorists' work on authoritarianism and incorporating gender analysis, the authors describe the health care system from a critical social- psychological perspective. The authors discuss the meaning and presence of authoritarian hierarchy and gender effects in today's health system through a critical analysis of the profession of medicine, the profession of nursing, corporate and bureaucratic health care, and patients or consumers. It is concluded that the social-psychological behavior of the American health care system has profound implications that must be taken into account in any recommendations for change.

Influenza and other respiratory viruses in three Central American countries

Science.gov (United States)

Laguna‐Torres, Victor A.; Sánchez‐Largaespada, José F.; Lorenzana, Ivette; Forshey, Brett; Aguilar, Patricia; Jimenez, Mirna; Parrales, Eduardo; Rodriguez, Francisco; García, Josefina; Jimenez, Ileana; Rivera, Maribel; Perez, Juan; Sovero, Merly; Rios, Jane; Gamero, María E.; Halsey, Eric S.; Kochel, Tadeusz J.

2010-01-01

Please cite this paper as: Laguna‐Torres et al. (2011) Influenza and other respiratory viruses in three Central American countries. Influenza and Other Respiratory Viruses 5(2), 123–134. Background  Despite the disease burden imposed by respiratory diseases on children in Central America, there is a paucity of data describing the etiologic agents of the disease. Aims  To analyze viral etiologic agents associated with influenza‐like illness (ILI) in participants reporting to one outpatient health center, one pediatric hospital, and three general hospitals in El Salvador, Honduras, and Nicaragua Material & Methods  Between August 2006 and April 2009, pharyngeal swabs were collected from outpatients and inpatients. Patient specimens were inoculated onto cultured cell monolayers, and viral antigens were detected by indirect and direct immunofluorescence staining. Results  A total of 1,756 patients were enrolled, of whom 1,195 (68.3%) were under the age of 5; and 183 (10.4%) required hospitalization. One or more viral agents were identified in 434 (24.7%) cases, of which 17 (3.9%) were dual infections. The most common viruses isolated were influenza A virus (130; 7.4% of cases), respiratory syncytial virus (122; 6.9%), adenoviruses (63; 3.6%), parainfluenza viruses (57; 3.2%), influenza B virus (47; 2.7% of cases), and herpes simplex virus 1 (22; 1.3%). In addition, human metapneumovirus and enteroviruses (coxsackie and echovirus) were isolated from patient specimens. Discussion  When compared to the rest of the population, viruses were isolated from a significantly higher percentage of patients age 5 or younger. The prevalence of influenza A virus or influenza B virus infections was similar between the younger and older age groups. RSV was the most commonly detected pathogen in infants age 5 and younger and was significantly associated with pneumonia (p < 0.0001) and hospitalization (p < 0.0001). Conclusion  Genetic analysis of influenza

Special situations in inflammatory bowel disease: First Latin American consensus of the Pan American Crohn's and Colitis Organisation (PANCCO) (Second part).

Science.gov (United States)

Yamamoto-Furusho, J K; Bosques-Padilla, F; Daffra, P; De Paula, J A; Etchevers, J; Galiano, M T; Ibañez, P; Juliao, F; Kotze, P G; Marroquín de la Garza, J M; Monreal Robles, R; Rocha, J L; Steinwurz, F; Vázquez-Frías, R; Veitia, G; Zaltman, C

This is the first Latin American Consensus of the Pan American Crohn's and Colitis Organisation (PANCCO) regarding special situations in patients with inflammatory bowel disease (IBD). The aim of this consensus is to raise awareness in the medical community in all Latin American countries with respect to pregnancy, vaccinations, infections, neoplasms, including colorectal cancer, and pediatric issues in patients with IBD. Copyright © 2017 Asociación Mexicana de Gastroenterología. Publicado por Masson Doyma México S.A. All rights reserved.

Iberian (South American) Model of Judicial Review: Toward Conceptual Framework

Science.gov (United States)

Klishas, Andrey A.

2016-01-01

The paper explores Latin American countries legislation with the view to identify specific features of South American model of judicial review. The research methodology rests on comparative approach to analyzing national constitutions' provisions and experts' interpretations thereof. The constitutional provisions of Brazil, Peru, Mexico, and…

Civic Innovation & American Democracy.

Science.gov (United States)

Sirianni, Carmen; Friedland, Lewis

1997-01-01

Argues that American democracy is at a critical stage of development, with declining trust in government, citizens feeling displaced by a professional political class, derailed public interest, and policy that limits citizen deliberation and responsibility. Some instances of civic innovation, community organization, civic journalism, and efforts…

Global Surgery 2030: a roadmap for high income country actors

Science.gov (United States)

Greenberg, Sarah L M; Abdullah, Fizan; Amado, Vanda; Anderson, Geoffrey A; Cossa, Matchecane; Costas-Chavarri, Ainhoa; Davies, Justine; Debas, Haile T; Dyer, George S M; Erdene, Sarnai; Farmer, Paul E; Gaumnitz, Amber; Hagander, Lars; Haider, Adil; Leather, Andrew J M; Lin, Yihan; Marten, Robert; Marvin, Jeffrey T; McClain, Craig D; Meara, John G; Meheš, Mira; Mock, Charles; Mukhopadhyay, Swagoto; Orgoi, Sergelen; Prestero, Timothy; Price, Raymond R; Raykar, Nakul P; Riesel, Johanna N; Riviello, Robert; Rudy, Stephen M; Saluja, Saurabh; Sullivan, Richard; Tarpley, John L; Taylor, Robert H; Telemaque, Louis-Franck; Toma, Gabriel; Varghese, Asha; Walker, Melanie; Yamey, Gavin; Shrime, Mark G

2016-01-01

The Millennium Development Goals have ended and the Sustainable Development Goals have begun, marking a shift in the global health landscape. The frame of reference has changed from a focus on 8 development priorities to an expansive set of 17 interrelated goals intended to improve the well-being of all people. In this time of change, several groups, including the Lancet Commission on Global Surgery, have brought a critical problem to the fore: 5 billion people lack access to safe, affordable surgical and anaesthesia care when needed. The magnitude of this problem and the world's new focus on strengthening health systems mandate reimagined roles for and renewed commitments from high income country actors in global surgery. To discuss the way forward, on 6 May 2015, the Commission held its North American launch event in Boston, Massachusetts. Panels of experts outlined the current state of knowledge and agreed on the roles of surgical colleges and academic medical centres; trainees and training programmes; academia; global health funders; the biomedical devices industry, and news media and advocacy organisations in building sustainable, resilient surgical systems. This paper summarises these discussions and serves as a consensus statement providing practical advice to these groups. It traces a common policy agenda between major actors and provides a roadmap for maximising benefit to surgical patients worldwide. To close the access gap by 2030, individuals and organisations must work collectively, interprofessionally and globally. High income country actors must abandon colonial narratives and work alongside low and middle income country partners to build the surgical systems of the future. PMID:28588908

Ten years of transition Stiglitz's criticism and counterarguments

Directory of Open Access Journals (Sweden)

Đurđević Ljiljana

2004-01-01

Full Text Available IMF supports the transition process in most ex-socialist countries through concessionary financing, recommendations for economic policy and technical assistance. Results vary across countries and have been analyzed by a number of authors. In this context, some authors have dealt with the IMF's "guilt" Stiglitz's criticism having struck the most responsive chord in public triggering violent reactions. The paper deals with the key hypotheses of this criticism as well as the main counter arguments.

Country Competitiveness Relationship with Higher Education Indicators

Directory of Open Access Journals (Sweden)

Santos Lopez-Leyva

2016-12-01

Full Text Available This paper reports the performance of global competitiveness and higher education competitiveness between two groups of countries. The first group is formed by four Asian countries; the second one by four Latin American countries. Indicators from the World Economic Forum 2007-2015 are compared. The indicators with the nearest proximity were found in the management quality of the universities, where there was only a five-point difference in favor of the Asian group. The indicator with the widest gap came from the quality of math and sciences education where we found a difference of 104 points. This is congruent with the results of PISA 2012, which showed a difference of 152 points in math.

76 FR 25523 - Older Americans Month, 2011

Science.gov (United States)

2011-05-05

... enriching lives and contributing to our country. This theme also highlights how technology, including social..., older Americans have shaped the story of America and secured the promise of our future. We are...

A Case Study of the Development of African American Women Executives

Science.gov (United States)

Brooks Greaux, Lisa

2010-01-01

Even in an era when the country elected an African American man as President of the United States, there is still a paucity of African American women executives within Fortune 500 companies. Although more African American women have joined the ranks of corporate management over the last two decades, the numbers, when compared to those of White…

Parenting African American Children in the Context of Racism

Science.gov (United States)

Keyes, Angela W.; Smyke, Anna T.; Middleton, Melissa; Black, Corey L.

2015-01-01

The legacy of slavery in the United States has impacted generations of African Americans, especially parents who must prepare their children to face the challenges associated with being a person of color in this country. The authors explore aspects of racism, White privilege, racial socialization, and African American parents' fears as they equip…

The effectiveness of international development assistance from American organizations to deaf communities in Jamaica.

Science.gov (United States)

Wilson, Amy T

American organizations bringing assistance to deaf people in developing countries unintentionally create relationships of dependency or oppression rather than relationships of support. Using qualitative methods, the author examined the effectiveness of development assistance provided to the Jamaican Deaf community by two American churches, one American nongovernmental organization, and one U.S. federal agency. Documents were reviewed and observations were made. Interviews were conducted with more than 60 deaf and hearing people involved with the American organizations, the Jamaican organizations, and deaf Jamaican beneficiaries. The author concludes that the Jamaican Deaf community was often excluded in planning, designing, or evaluating programs, and was unsatisfied with the American assistance it received. Results also indicate that the American organizations were poorly prepared to work with the Deaf community. Suggestions for American organizations wishing to strengthen and empower deaf people through development assistance in developing countries are proposed.

A critical overview of industrial energy decoupling programs in six developing countries in Asia

International Nuclear Information System (INIS)

Luken, Ralph A.; Piras, Stefano

2011-01-01

In reviewing the journal literature on the decoupling of energy use and industrial output in the Asian region, particularly with respect to developing countries, we found little information about most country programs other than for China and India and only one article that compared the programs of these two countries. For this reason, we used diverse sources to identify the key programmatic features that have contributed, but clearly are not totally responsible for, decoupling achievements of two countries ( China and Thailand) and then, on the basis of these findings, reviewed emerging industrial energy decoupling programs in four other countries (India, Indonesia, Malaysia and Vietnam). We found that the design of the two successful on-going decoupling programs have common features, which are setting an explicit target for decoupling of energy use and industrial output, a government program that offers financial incentives and imposes specific auditing and reporting requirements and involvement of the manufacturing sector in designing and implementing targets as they apply to individual enterprises. We also found that the emerging programs in the other four countries lack some or all of these essential programmatic features. - Highlights: → We reviewed two on-going and four emerging industrial energy decoupling programs. → These six Asian developing countries have very different rates of decoupling. → The two successful on-going programs share three common features. → These are quantitative targets, supportive programs and industry involvement. → The four emerging programs lack some or all of these features.

Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition.

Science.gov (United States)

Mehta, Nilesh M; Skillman, Heather E; Irving, Sharon Y; Coss-Bu, Jorge A; Vermilyea, Sarah; Farrington, Elizabeth Anne; McKeever, Liam; Hall, Amber M; Goday, Praveen S; Braunschweig, Carol

2017-07-01

This document represents the first collaboration between 2 organizations-the American Society for Parenteral and Enteral Nutrition and the Society of Critical Care Medicine-to describe best practices in nutrition therapy in critically ill children. The target of these guidelines is intended to be the pediatric critically ill patient (>1 month and 2-3 days in a PICU admitting medical, surgical, and cardiac patients. In total, 2032 citations were scanned for relevance. The PubMed/MEDLINE search resulted in 960 citations for clinical trials and 925 citations for cohort studies. The EMBASE search for clinical trials culled 1661 citations. In total, the search for clinical trials yielded 1107 citations, whereas the cohort search yielded 925. After careful review, 16 randomized controlled trials and 37 cohort studies appeared to answer 1 of the 8 preidentified question groups for this guideline. We used the GRADE criteria (Grading of Recommendations, Assessment, Development, and Evaluation) to adjust the evidence grade based on assessment of the quality of study design and execution. These guidelines are not intended for neonates or adult patients. The guidelines reiterate the importance of nutrition assessment-particularly, the detection of malnourished patients who are most vulnerable and therefore may benefit from timely intervention. There is a need for renewed focus on accurate estimation of energy needs and attention to optimizing protein intake. Indirect calorimetry, where feasible, and cautious use of estimating equations and increased surveillance for unintended caloric underfeeding and overfeeding are recommended. Optimal protein intake and its correlation with clinical outcomes are areas of great interest. The optimal route and timing of nutrient delivery are areas of intense debate and investigations. Enteral nutrition remains the preferred route for nutrient delivery. Several strategies to optimize enteral nutrition during critical illness have emerged. The

History of Latin American Archaeology

Directory of Open Access Journals (Sweden)

David L. Browman

1995-11-01

Full Text Available Two recent contributions (Oyuela-Caycedo 1994 and Politis 1995 to analyses of the intellectual development of archaeology in Latin America provide us with new perspectives. A theme shared by both is the perception by the authors of a need to distance the development of archaeology in Latin American countries from the overweening influence of Europe and especially U. S. archaeologists. Politis argues that U.S. influence has been tantamount to 'cultural imperialism' (1995:226. He sees U.S. archaeologists as having a history of appropriating and manipulating the knowledge of the past which ignores the local peoples own traditional perceptions of their patrimony, and argues that the U.S. perspective is designed to satisfy the needs of western scholarship but fails to enter a dialog with the legitimate concerns of the subject countries. Oyuela·Caycedo's introductory essay in his book "Nationalism and Archaeology" carries a very similar message. He faults U.S. archaeologists for failing to locate their studies in the areas social and local context, which he sees as leading the U.S. scholars to employ a model derived from "dependency theory" (1994:5, resulting in an overly simplistic perception of the context for the development of archaeological disciplines in respective Latin American countries.

Leaders of Universities' Association Criticize World Bank's View on Developing Countries.

Science.gov (United States)

Morna, Colleen Lowe

1987-01-01

World Bank recommendations calling on developing countries to shift some of their higher-education funds to elementary and secondary education have prompted opposition from leaders of the International Association of Universities. (MLW)

American Indian Tribal Values: A Critical Consideration in the Education of American Indians/Alaska Natives Today

Science.gov (United States)

Tippeconnic, John W., III; Tippeconnic Fox, Mary Jo

2012-01-01

The education of American Indians and Alaska Natives has increasingly become more complex given the differences in tribal languages and cultures, especially as changing demographics and issues of Indian identity are considered. There are over 200 languages and vast cultural differences between and within the 565 federally recognized tribes in…

Automatic detection of rhythmic and periodic patterns in critical care EEG based on American Clinical Neurophysiology Society (ACNS) standardized terminology.

Science.gov (United States)

Fürbass, F; Hartmann, M M; Halford, J J; Koren, J; Herta, J; Gruber, A; Baumgartner, C; Kluge, T

2015-09-01

Continuous EEG from critical care patients needs to be evaluated time efficiently to maximize the treatment effect. A computational method will be presented that detects rhythmic and periodic patterns according to the critical care EEG terminology (CCET) of the American Clinical Neurophysiology Society (ACNS). The aim is to show that these detected patterns support EEG experts in writing neurophysiological reports. First of all, three case reports exemplify the evaluation procedure using graphically presented detections. Second, 187 hours of EEG from 10 critical care patients were used in a comparative trial study. For each patient the result of a review session using the EEG and the visualized pattern detections was compared to the original neurophysiology report. In three out of five patients with reported seizures, all seizures were reported correctly. In two patients, several subtle clinical seizures with unclear EEG correlation were missed. Lateralized periodic patterns (LPD) were correctly found in 2/2 patients and EEG slowing was correctly found in 7/9 patients. In 8/10 patients, additional EEG features were found including LPDs, EEG slowing, and seizures. The use of automatic pattern detection will assist in review of EEG and increase efficiency. The implementation of bedside surveillance devices using our detection algorithm appears to be feasible and remains to be confirmed in further multicenter studies. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Country of origin effect on brand perception

DEFF Research Database (Denmark)

Iacob, Andreea

2016-01-01

During the past two decades there has been a substantial amount of empirical evidence on the country of origin phenomenon. However, marketing scholars have different perspectives and views on how the country of origin effect has impacted the brand perceptions of consumers. This paper presents...... an extensive review of the literature on the COO effect and traces the conceptual development of the country-of-origin construct in order to provide scholars and practitioners with a critical appraisal of the existing research on this topic. By following the grounds of the systematic literature, this study...... seeks to establish a solid base for country-of-origin research review....

The Vatican & Population Growth Control: Why an American Confrontation?

Science.gov (United States)

Mumford, Stephen D.

1983-01-01

The Vatican, because of its position on population growth, threatens the security of all nations. Catholic countries with right-wing dictatorships cannot confront the Vatican on family planning and survive. U.S. Catholics must confront the Vatican on this issue. American lay Catholics must break the American church away from the Vatican control.…

Operating procedures for the Pajarito Site Critical Assembly Facility

International Nuclear Information System (INIS)

Malenfant, R.E.

1983-03-01

Operating procedures consistent with DOE Order 5480.2, Chapter VI, and the American National Standard Safety Guide for the Performance of Critical Experiments are defined for the Pajarito Site Critical Assembly Facility of the Los Alamos National Laboratory. These operating procedures supersede and update those previously published in 1973 and apply to any criticality experiment performed at the facility

British and American attitudes toward credit cards.

Science.gov (United States)

Yang, Bijou; James, Simon; Lester, David

2006-04-01

American university students owned more than twice as many credit cards as British university students. However, scores on a credit card attitude scale predicted the number of cards owned by respondents in both countries.

Sociostructural factors influencing health behaviors of urban African-American men.

Science.gov (United States)

Plowden, Keith O; Young, Anthony E

2003-06-01

African-American men are suffering disproportionately from most illnesses. Seemingly, action is needed if health disparities that disproportionately affect African-American men as compared to their White and female counterparts are to be reduced or eliminated. An important step in decreasing common health disparities evidenced among African-American men is to understand social factors that act as motivators and barriers to seeking care for most of this vulnerable population. Following a constructionist epistemology, this study used ethnography to explore social structure factors that motivate urban African-American men to seek care. Leininger's Culture Care Diversity and Universality Theory guided this study. Qualitative interviews were conducted with urban African-American men and other individuals in the community to explore understanding, attitudes, and beliefs about health. Critical issues examined included social factors associated with health seeking behaviors. Themes that emerged from these data indicated that critical social factors include: 1) Kinship/significant others; 2) accessibility of resources; 3) ethnohealth belief; and 4) accepting caring environment. The data also indicated a relationship between these social factors and health seeking behaviors of urban African-American men.

The American in Europe as Portrayed in American Literature of Late Nineteenth and Early Twentieth Centuries

Science.gov (United States)

1990-05-22

understood. In the end, James uses all of these characters to draw a distinction between stereotypical Americans and Europeans. One critic, James Tuttleton...lover in the ruins by moonlight , she would probably never have caught malaria. She falls critically ill because of the malaria and ultimately dies...America’s political dominance was established, ,.ry few people could question its cultural dominance. Today, Hollywood films are shown in every

78 FR 33959 - National Caribbean-American Heritage Month, 2013

Science.gov (United States)

2013-06-06

... progress. Separated by sea but united by a yearning for independence, our countries won the right to chart... those enduring achievements. It is also a chance to recognize men and women who trace their roots to the Caribbean. Through every chapter of our Nation's history, Caribbean Americans have made our country stronger...

Achieving equity through critical science agency: An ethnographic study of African American students in a health science career academy

Science.gov (United States)

Haun-Frank, Julie

The purpose of this study was to examine the potential of a High School Health Science Career Academy to support African American students' science career trajectories. I used three key theoretical tools---critical science agency (Basu, 2007; Calabrese Barton & Tan, 2008), power (Nespor, 1994), and cultural production (Carlone, 2004; Eisenhart & Finkel, 1998) to highlight the intersections between the career trajectory implied by the Academy (its curriculum, classroom activities, and clinical experiences) and the students' pursued career trajectories. Data was collected over five months and included individual student interviews, group interviews, parent and administrator interviews, field notes from a culminating medical course and clinical internship, and Academy recruitment documents. The results of this study suggest that participants pursued a health science career for altruistic purposes and the Academy was a resource they drew upon to do so. However, the meanings of science and science person implied by the Academy hindered the possibility for many participants' to advance their science career trajectories. While the Academy promised to expose students to a variety of high-status health care roles, they were funneled into feminine, entry-level positions. This study adds to previous underrepresentation literature by contextualizing how identity-related factors influence African American students' career attainment.

Asian Americans in American History: An AsianCrit Perspective on Asian American Inclusion in State U.S. History Curriculum Standards

Science.gov (United States)

An, Sohyun

2016-01-01

Compared to other groups of color, Asian Americans and their perspectives have rarely been given attention in curriculum studies. This article seeks to address the gap in the literature. It uses AsianCrit, a branch of critical race theory, as a theoretical lens to analyze and explicate common patterns across various states' scripting of Asian…

Social media in public health: an analysis of national health authorities and leading causes of death in Spanish-speaking Latin American and Caribbean countries.

Science.gov (United States)

Novillo-Ortiz, David; Hernández-Pérez, Tony

2017-02-03

Information and communications technologies, like social media, have the potential to reduce some barriers in disease prevention and control in the Americas. National health authorities can use these technologies to provide access to reliable and quality health information. A study was conducted to analyze availability of information about the leading causes of death on social media channels of national health authorities in 18 Spanish-speaking Latin American and Caribbean countries. We gathered data of national health authorities's institutional presence in social media. Exploratory-descriptive research was useful for analysis and interpretation of the data collected. An analysis was carried out for 6 months, from April 1 to September 30, 2015. Sixteen of the 18 countries studied have institutional presences on social media. National health authorities have a presence in an average of almost three platforms (2.8%). An average of 1% of the populations with Internet access across the 18 countries in this study follows national health authorities on social media (approximately, an average of 0.3% of the total population of the countries under study). On average, information on 3.2 of the 10 leading causes of death was posted on the national health authorities' Facebook pages, and information on 2.9 of the 10 leading causes of death was posted on their Twitter profiles. Additionally, regarding public health expenditures and the possibility of retrieving information on the leading causes of death, an apparent negative correlation exists in the case of Facebook, r(13) = -.54, P = .03 and a weak negative correlation in the case of Twitter, r(14) = -.26, P = .31, for the countries with presences in those networks. National health authorities can improve their role in participating in conversations on social media regarding the leading causes of death affecting their countries. Taking into account Internet accessibility levels in the countries under study

Birth defects and genetic disorders among Arab Americans--Michigan, 1992-2003.

Science.gov (United States)

Yanni, Emad A; Copeland, Glenn; Olney, Richard S

2010-06-01

Birth defects and genetic disorders are leading causes of infant morbidity and mortality in many countries. Population-based data on birth defects among Arab-American children have not been documented previously. Michigan has the second largest Arab-American community in the United States after California. Using data from the Michigan Birth Defects Registry (MBDR), which includes information on parents' country of birth and ancestry, birth prevalences were estimated in offspring of Michigan women of Arab ancestry for 21 major categories of birth defects and 12 congenital endocrine, metabolic, and hereditary disorders. Compared with other non-Hispanic white children in Michigan, Arab-American children had similar or lower birth prevalences of the selected types of structural birth defects, with higher rates of certain hereditary blood disorders and three categories of metabolic disorders. These estimates are important for planning preconception and antenatal health care, genetic counseling, and clinical care for Arab Americans.

Critical Care Pharmacist Market Perceptions: Comparison of Critical Care Program Directors and Directors of Pharmacy.

Science.gov (United States)

Hager, David R; Persaud, Rosemary A; Naseman, Ryan W; Choudhary, Kavish; Carter, Kristen E; Hansen, Amanda

2017-05-01

Background: While hospital beds continue to decline as patients previously treated as inpatients are stabilized in ambulatory settings, the number of critical care beds available in the United States continues to rise. Growth in pharmacy student graduation, postgraduate year 2 critical care (PGY2 CC) residency programs, and positions has also increased. There is a perception that the critical care trained pharmacist market is saturated, yet this has not been evaluated since the rise in pharmacy graduates and residency programs. Purpose: To describe the current perception of critical care residency program directors (CC RPDs) and directors of pharmacy (DOPs) on the critical care pharmacist job market and to evaluate critical care postresidency placement and anticipated changes in PGY2 CC programs. Methods: Two electronic surveys were distributed from October 2015 to November 2015 through Vizient/University HealthSystem Consortium, American Society of Health-System Pharmacists (ASHP), Society of Critical Care Medicine, and American College of Clinical Pharmacy listservs to target 2 groups of respondents: CC RPDs and DOPs. Questions were based on the ASHP Pharmacy Forecast and the Pharmacy Workforce Center's Aggregate Demand Index and were intended to identify perceptions of the critical care market of the 2 groups. Results: Of 116 CC RPDs, there were 66 respondents (56.9% response rate). Respondents have observed an increase in applicants; however, they do not anticipate increasing the number of positions in the next 5 years. The overall perception is that there is a balance in supply and demand in the critical care trained pharmacist market. A total of 82 DOPs responded to the survey. Turnover of critical care pharmacists within respondent organizations is expected to be low. Although a majority of DOPs plan to expand residency training positions, only 9% expect to increase positions in critical care PGY2 training. Overall, DOP respondents indicated a balance of

[Aeromedical evacuation of critically ill patients in developing countries A retrospective study on 244 patients in Djibouti].

Science.gov (United States)

Bordes, J; Loheas, D; Benois, A

2015-01-01

The pratice of intensive care in Africa is marked by a wide variety of health care delivery. Only a few centers offer specialized intensive care units, as cardiac or neurological units. That may explain the need for aeromedical evacuations for patients whose condition exceeds local capacity. Our objective was to assess whether the proportion of patients admitted to intensive care and evacuated had increased between 1997 and 2013 in a developing country, Djibouti. We examined the activity register of Bouffard Hospital intensive care unit in Djibouti to determine the number and characteristics of patients evacuated by air ambulance during a 16 years period. From January 1997 to December 2013, a total of 244 patients were evacuated. The evacuation rate was 5.74ù of the patients admitted to the entire duration of the study. The rate of patients evacuated was not different between 1997 and 2013 (5,69ù versus 8,33ù respectively, p = 0,269). However, the rate of djiboutian evacuated patients was statistically different between 1997 and 2013 (0,96ù versus 4,46ù, p = 0,02). The main causes were severe trauma injuries, cardiovascular diseases and neurological diseases. The aeromedical evacuation of a critically ill patient in a developing country is a process requiring heavy logistics and depending on the medical skills available in the area, and financial resources that can be implemented for the patient. Our study shows that medical evacuations in favor of Djiboutian patients are marginal but are increasing over the past decade.

Childhood dual burden of under- and over-nutrition in low- and middle-income countries: a critical review

Science.gov (United States)

Tzioumis, Emma; Adair, Linda S.

2015-01-01

Background In low- and middle income countries, the distribution of childhood nutritional diseases is shifting from a predominance of undernutrition to a dual burden of under- and overnutrition. This novel and complex problem challenges governments and health organizations to tackle opposite ends of the malnutrition spectrum. The dual burden may manifest within a community, household, or individual, but these different levels have not been addressed collectively. Objective To critically review literature on the prevalence, trends, and predictors of the dual burden, with a focus on children from birth to 18 years. Methods We reviewed literature since January 1, 1990, published in English, using the PubMed search terms: nutrition transition, double burden, dual burden, nutrition status, obesity, overweight, underweight, stunting, body composition, and micronutrient deficiencies. Findings were classified and described according to dual burden level (community, household, individual). Results Global trends indicate decreases in diseases of undernutrition, while overnutrition is increasing. On the community level, economic status may influence the dual burden’s extent, with obesity increasingly affecting the already undernourished poor. In a household, shared determinants of poor nutritional status among members can result in disparate nutritional status across generations. Within an individual, obesity may co-occur with stunting or anemia, due to shared underlying determinants or physiologic links. Conclusions The dual burden of malnutrition poses a threat to children’s health in low- and middle-income countries. We must remain committed to reducing undernutrition while simultaneously preventing overnutrition, through integrated child health programs that incorporate prevention of infection, diet quality, and physical activity. PMID:25076771

Dependence of critical current on sample length analyzed by the variation of local critical current bent of BSCCO superconducting composite tape

International Nuclear Information System (INIS)

Matsubayashi, H.; Mukai, Y.; Shin, J.K.; Ochiai, S.; Okuda, H.; Osamura, K.; Otto, A.; Malozemoff, A.

2008-01-01

Using the high critical current type BSCCO composite tape fabricated at American Superconductor Corporation, the relation of overall critical current to the distribution of local critical current and the dependence of overall critical current on sample length of the bent samples were studied experimentally and analytically. The measured overall critical current was described well from the distribution of local critical current and n-value of the constituting short elements, by regarding the overall sample to be composed of local series circuits and applying the voltage summation model. Also the dependence of overall critical current on sample length could be reproduced in computer satisfactorily by the proposed simulation method

RUSSIA’S ‘FOREIGN AGENT’ LAW: A RESPONSE TO AMERICAN DEMOCRATIC PROMOTION POLICY

Directory of Open Access Journals (Sweden)

Vijay Kumar

2015-01-01

Full Text Available Recently passed the Russian ‘Foreign Agent’ law against foreign funding of NGOs and civil society has attracted criticism from almost every quarter. From home to abroad all party concerned (i.e., civil society organizations, NGO groups, donor countries (especiallyAmericaand European countries as well as some Russian opposition political parties are of the view that this bill has been introduced to scuttle the independent civic activities and in this way unconstitutional. However on the basis of overall analysis of ‘Foreign Agent’ law in the context of American democratic promotion policy this paper is of the view that this law simply cannot be characterized as anti-democratic, which is against the very basis of freedom and rule of law, by the anti-democratic Russian government but it should be seen as extension of same challenge which American democratic promotion policy is facing around the whole world. It is because of its illegal and unconstitutional method of regime change policy, with the help of foreign funded NGOs, and civil society which has compelled various countries includingRussiato resort this type of law. It is important to note that the promise of peace, stability and prosperity by the democratic promotion protagonists after the fall ofSoviet Unionhas not been realised till today. Instead what post-Soviet states are witnessing today is emergence of chauvinist nationalist government in respective countries which witnessed colour revolution. Whole region is now plunging into economic turmoil, ethnic nationalism, rise of religious fundamentalism and identity politics. Recent overthrow of legitimate Viktor Yanukovych government inUkraineand subsequent decision by incumbent government to exclude Russian as administrative language can be sited as example. That is why former American Republican Congressman Ron Paul is of the view that “US‘Democracy Promotion’ Destroys Democracy Overseas’’. In this context this paper

Critical Vision of Security Governance in Three Latin American ...

International Development Research Centre (IDRC) Digital Library (Canada)

María José Peréz

2015-05-13

May 13, 2015 ... It will compare security policies in 3 capitals of Latin America from 2008 to 2013. • Special attention ... Council. ▫ Deputy ministers or vice ministers. Critical aspect. Lack of political weigtht to ... ▫Interventions should be based on.

Critical infrastructure protection

Energy Technology Data Exchange (ETDEWEB)

Bradley, F. [Canadian Electricity Association, Toronto, ON (Canada)

2003-04-01

The need to protect critical electrical infrastructure from terrorist attacks, or other physical damage, including weather related events, or the potential impact of computer viruses and other attacks on IT resources are discussed. Activities of the North American Electric Reliability Council (NERC) are highlighted which seek to safeguard the North American bulk electric power system principally through the Information Sharing and Analysis Sector (ES-ISAC). ES-ISAC serves the electricity sector by facilitating communication between electric sector participants, federal government and other critical infrastructure industries by disseminating threat indications, analyses and warnings, together with interpretations, to assist the industry in taking infrastructure protection actions. Attention is drawn to the numerous cyber incidents in recent years, which although resulted in no loss of service to electricity customers so far, in at least one instance (the January 25th SOL-Slammer worm incident) resulted in degradation of service in a number of sectors, including financial, transportation and telecommunication services. The increasing frequency of cyber-based attacks, coupled with the industry's growing dependence on e-commerce and electronic controls, are good reasons to believe that critical infrastructure protection (CIP) poses a serious challenge to the industry's risk management practices. The Canadian Electricity Association (CEA) is an active participant in ES-ISAC and works cooperatively with a range of partners, such as the Edison Electric Institute and the American Public Power Association to ensure coordination and effective protection program delivery for the electric power sector. The Early Warning System (EWS) developed by the CIP Working Group is one of the results of this cooperation. EWS uses the Internet, e-mail, web-enabled cell phones and Blackberry hand-held devices to deliver real-time threat information to members on a 24/7 basis. EWS

THE DEPICTION OF HOMOSEXUALITY IN AMERICAN MOVIES

Directory of Open Access Journals (Sweden)

Rudy Rudy

2016-06-01

Full Text Available This study focuses on the depiction of homosexuality in American films. It is intended to identify the images of gays depicted in American films as well as the characteristics of American gay movies. It incorporates library research by applying an analytical descriptive approach in analyzing the data. The symbol and reflective theory is used to analyze 18 American movies and 14 gay films from other countries in the early 2000s. It shows that gay films can attract audiences by describing gays as the objects for laughs; gays revealing their sexual identities; sexual scenes of gays; masculine gay men; and violence in gay life. They appear in genres like drama, comedy, romance, detective, western, and horror/mystery with two images of gay people shown in American gay movies; they are the portrait of gays as a minority and the pessimism. However, it also shows that some American gay films picture good gay life, happy gay couples, gay marriage, etc.

Clinical practice parameters for hemodynamic support of pediatric and neonatal septic shock: 2007 update from the American College of Critical Care Medicine

Science.gov (United States)

Brierley, Joe; Carcillo, Joseph A.; Choong, Karen; Cornell, Tim; DeCaen, Allan; Deymann, Andreas; Doctor, Allan; Davis, Alan; Duff, John; Dugas, Marc-Andre; Duncan, Alan; Evans, Barry; Feldman, Jonathan; Felmet, Kathryn; Fisher, Gene; Frankel, Lorry; Jeffries, Howard; Greenwald, Bruce; Gutierrez, Juan; Hall, Mark; Han, Yong Y.; Hanson, James; Hazelzet, Jan; Hernan, Lynn; Kiff, Jane; Kissoon, Niranjan; Kon, Alexander; Irazusta, Jose; Lin, John; Lorts, Angie; Mariscalco, Michelle; Mehta, Renuka; Nadel, Simon; Nguyen, Trung; Nicholson, Carol; Peters, Mark; Okhuysen-Cawley, Regina; Poulton, Tom; Relves, Monica; Rodriguez, Agustin; Rozenfeld, Ranna; Schnitzler, Eduardo; Shanley, Tom; Skache, Sara; Skippen, Peter; Torres, Adalberto; von Dessauer, Bettina; Weingarten, Jacki; Yeh, Timothy; Zaritsky, Arno; Stojadinovic, Bonnie; Zimmerman, Jerry; Zuckerberg, Aaron

2013-01-01

Background The Institute of Medicine calls for the use of clinical guidelines and practice parameters to promote “best practices” and to improve patient outcomes. Objective 2007 update of the 2002 American College of Critical Care Medicine Clinical Guidelines for Hemodynamic Support of Neonates and Children with Septic Shock. Participants Society of Critical Care Medicine members with special interest in neonatal and pediatric septic shock were identified from general solicitation at the Society of Critical Care Medicine Educational and Scientific Symposia (2001–2006). Methods The Pubmed/MEDLINE literature database (1966–2006) was searched using the keywords and phrases: sepsis, septicemia, septic shock, endotoxemia, persistent pulmonary hypertension, nitric oxide, extracorporeal membrane oxygenation (ECMO), and American College of Critical Care Medicine guidelines. Best practice centers that reported best outcomes were identified and their practices examined as models of care. Using a modified Delphi method, 30 experts graded new literature. Over 30 additional experts then reviewed the updated recommendations. The document was subsequently modified until there was greater than 90% expert consensus. Results The 2002 guidelines were widely disseminated, translated into Spanish and Portuguese, and incorporated into Society of Critical Care Medicine and AHA sanctioned recommendations. Centers that implemented the 2002 guidelines reported best practice outcomes (hospital mortality 1%–3% in previously healthy, and 7%– 10% in chronically ill children). Early use of 2002 guidelines was associated with improved outcome in the community hospital emergency department (number needed to treat = 3.3) and tertiary pediatric intensive care setting (number needed to treat = 3.6); every hour that went by without guideline adherence was associated with a 1.4-fold increased mortality risk. The updated 2007 guidelines continue to recognize an increased likelihood that

76 FR 11929 - Irish-American Heritage Month, 2011

Science.gov (United States)

2011-03-03

... life in a new Nation, these intrepid immigrants built strong communities and helped forge our country's... the American story. Through hard work, perseverance, and patriotism, women and men of Irish descent...

Tobacco Smoking and Antisocial Deviance among Vietnamese, Vietnamese-American, and European-American Adolescents.

Science.gov (United States)

Weiss, Bahr; Nguyen, Tam; Trung, Lam; Ngo, Victoria; Lau, Anna

2018-03-21

Tobacco smoking is one of the most significant modifiable behavioral health risk factors worldwide. Although smoking rates in some high-income countries (HIC) have declined, rates in many low-and-middle-income countries (LMIC) remain high. Adolescence is a key developmental risk period for smoking initiation. Research indicates that a major adolescent risk factor for tobacco smoking is antisocial deviance, which includes such behaviors as aggression, risk-taking, and rule-breaking. The linkages between antisocial deviance and smoking suggest that these behaviors and their underlying attitudes can be important targets for smoking prevention programs, but for public health efficiency it is important to target the components of antisocial deviance most closely linked smoking. However, although 80% of smokers live in LMIC, most relevant research has been conducted in HIC and its applicability to LMIC is unclear, given cultural differences between many HIC and LMIC. The purpose of the present study was to assess cross-cultural variations in relations among components of antisocial deviance and self-reported tobacco smoking among 2,724 10th and 11th grade Vietnamese, Vietnamese-American, and European-American students. Within the combined sample the relation between self-reported smoking and overall antisocial deviance was β = 0.33. However, the component of antisocial deviance most strongly related to smoking varied across groups, with Risk-taking most strongly related to smoking for Vietnamese-American (β = 0.37) and Vietnamese (β = 0.36) adolescents, and Rule-breaking Behavior most strongly related to smoking for European-American (β = 0.51) adolescents. These and other findings suggest the possible importance of culturally-tailored foci for smoking prevention programs emphasizing different aspects of antisocial deviance.

Victimization and Substance Use among Native American College Students

Science.gov (United States)

Fish, Jillian; Livingston, Jennifer A.; VanZile-Tamsen, Carol; Patterson Silver Wolf, David A.

2017-01-01

According to Tribal Critical Race Theory, Native American students have low retention rates due to the structural barriers and racism inherent in colleges and universities. Similarly, structural barriers and racism could put Native American students at risk for victimization and substance use, thus influencing their academic success. The purposes…

Nuclear criticality predictability

International Nuclear Information System (INIS)

Briggs, J.B.

1999-01-01

As a result of lots of efforts, a large portion of the tedious and redundant research and processing of critical experiment data has been eliminated. The necessary step in criticality safety analyses of validating computer codes with benchmark critical data is greatly streamlined, and valuable criticality safety experimental data is preserved. Criticality safety personnel in 31 different countries are now using the 'International Handbook of Evaluated Criticality Safety Benchmark Experiments'. Much has been accomplished by the work of the ICSBEP. However, evaluation and documentation represents only one element of a successful Nuclear Criticality Safety Predictability Program and this element only exists as a separate entity, because this work was not completed in conjunction with the experimentation process. I believe; however, that the work of the ICSBEP has also served to unify the other elements of nuclear criticality predictability. All elements are interrelated, but for a time it seemed that communications between these elements was not adequate. The ICSBEP has highlighted gaps in data, has retrieved lost data, has helped to identify errors in cross section processing codes, and has helped bring the international criticality safety community together in a common cause as true friends and colleagues. It has been a privilege to associate with those who work so diligently to make the project a success. (J.P.N.)

Innovation strategies in Latin American firms

Energy Technology Data Exchange (ETDEWEB)

Vargas, F.

2016-07-01

During the last fifteen years, several Latin American countries have launched new policies to spur the structural transformation of their economies. In parallel, the availability of R&D and innovation statistics is greater than ever before. However, most of the new policies have been backed by the use of simple aggregated R&D and innovation indicators. This work will use a unique dataset of IS from several LA economies to produce a detailed analysis of innovation strategies of LA firms. These results will facilitate a more comprehensive comparison of innovation performance between LA countries and a richer benchmark analysis with economies from the EU. Furthermore, it will allow to measure the explanatory power of industry and country conditions in the heterogeneity of innovation strategies and to test the pertinence of the OECD sector-based technological classifications in the LA context. During the last fifteen years, several Latin American countries have launched new policies to spur the structural transformation of their economies. In parallel, the availability of R&D and innovation statistics is greater than ever before. However, most of the new policies have been backed by the use of simple aggregated R&D and innovation indicators. This work will use a unique dataset of IS from several LA economies to produce a detailed analysis of innovation strategies of LA firms. These results will facilitate a more comprehensive comparison of innovation performance between LA countries and a richer benchmark analysis with economies from the EU. Furthermore, it will allow to measure the explanatory power of industry and country conditions in the heterogeneity of innovation strategies and to test the pertinence of the OECD sector-based technological classifications in the LA context. (Author)

When Culture Implies Deficit: Placing Race at the Center of Hmong American Education

Science.gov (United States)

DePouw, Christin

2012-01-01

There is a need for a critical race analysis of Hmong American education that places race and racism at the center of analysis, highlights Whiteness as property and recognizes the fluid and situated racialization of Hmong American students. Majoritarian explanations of inequities in Hmong American education often describe Hmong American student…

Organization of Cooperation in Education and Science with Latin American countries

Directory of Open Access Journals (Sweden)

S A Moshlyak

2014-12-01

Full Text Available In the above article the problems associated with the organization of student exchanges on the example of Argentina are revealed, as well as practical recommendations for improving the implementation of academic mobility with the countries of Latin America.

Remapping Place and Narrative in Native American Literature: David Treuer's "The Hiawatha"

Science.gov (United States)

Kirwan, Padraig

2007-01-01

David Treuer's 1997 novel, "The Hiawatha," engages the traditional literary strategies employed by Native American writing, compares those strategies to earlier narratives (Native American and canonically American), offers a reassessment of indigenous novelistic structures, engages critical responses to tribal fiction, and does so in response to…

Country-level predictors of vaccination coverage and inequalities in Gavi-supported countries.

Science.gov (United States)

Arsenault, Catherine; Johri, Mira; Nandi, Arijit; Mendoza Rodríguez, José M; Hansen, Peter M; Harper, Sam

2017-04-25

Important inequalities in childhood vaccination coverage persist between countries and population groups. Understanding why some countries achieve higher and more equitable levels of coverage is crucial to redress these inequalities. In this study, we explored the country-level determinants of (1) coverage of the third dose of diphtheria-tetanus-pertussis- (DTP3) containing vaccine and (2) within-country inequalities in DTP3 coverage in 45 countries supported by Gavi, the Vaccine Alliance. We used data from the most recent Demographic and Health Surveys (DHS) conducted between 2005 and 2014. We measured national DTP3 coverage and the slope index of inequality in DTP3 coverage with respect to household wealth, maternal education, and multidimensional poverty. We collated data on country health systems, health financing, governance and geographic and sociocultural contexts from published sources. We used meta-regressions to assess the relationship between these country-level factors and variations in DTP3 coverage and inequalities. To validate our findings, we repeated these analyses for coverage with measles-containing vaccine (MCV). We found considerable heterogeneity in DTP3 coverage and in the magnitude of inequalities across countries. Results for MCV were consistent with those from DTP3. Political stability, gender equality and smaller land surface were important predictors of higher and more equitable levels of DTP3 coverage. Inequalities in DTP3 coverage were also lower in countries receiving more external resources for health, with lower rates of out-of-pocket spending and with higher national coverage. Greater government spending on heath and lower linguistic fractionalization were also consistent with better vaccination outcomes. Improving vaccination coverage and reducing inequalities requires that policies and programs address critical social determinants of health including geographic and social exclusion, gender inequality and the availability of

Energy policies of IEA countries: 1994 review

International Nuclear Information System (INIS)

1995-01-01

This 1994 edition contributes to the IEA's on-going analysis of countries'energy policies and market developments. it reviews recent trends and developments in energy demand and supply, efficiency, technology and environment. This year's Energy Policies includes: - critical reviews of all 23 IEA Member countries, including in-depth reviews of Finland, Ireland, Italy, Japan, Luxembourg and Switzerland; - a synthesis report highlighting major energy policy developments and market trends in IEA Member countries and an overview of significant energy developments elsewhere in the world; -an analysis of trends in key energy indicators over a twenty year period. (authors)

THE GODFATHER AND THE AMERICAN DREAM

Directory of Open Access Journals (Sweden)

Goksu Gigi Akkan

2017-01-01

Full Text Available This paper tries to demonstrate how The Godfather by Francis Ford Coppola challenges the myth of the American Dream. The thesis of the paper is that The Godfather is not a film seeking to re-establish American norms and ideals, but that it tries to break down and shed light on the corrupt side of the modern American society through the myth of “the American Dream”. The structure of the paper is so that first, what other academics and critiques have to say about Coppola’s attempt to criticize the American society and ideals will be visited, as this will give the reader a clearer understanding of the film’s meaning and message. Then, analyses of how certain characters are built and how their presence and attributes contribute to the film’s meaning will be conducted, topped off with the usage of props.

Country-dependent characterisation factors for acidification in Europe - A critical evaluation

NARCIS (Netherlands)

Hettelingh, JP; Posch, M; Potting, J

2005-01-01

Goal, Scope and Background. Country-dependent characterisation factors for acidification have been derived for use in life cycle assessments to describe the effect on ecosystem protection of a change in national emissions. They have recently also been used in support of European air pollution

A Comparative Study on Storytelling Perceptions of Chinese, Vietnamese, American, and German Education Students

Science.gov (United States)

Nguyen, Kate; Stanley, Nile; Stanley, Laurel; Rank, Astrid; Wang, Yonghui

2016-01-01

The study compared the perceptions of adults from four countries about storytelling. Americans (N = 153), Germans (N = 163), Chinese (N = 324), and Vietnamese (N = 356) completed a survey. Americans' scores on measures of storytelling experiences were the highest overall. Americans and Germans reported having significantly more childhood…

Devaluation and trade balance in Latin American countries

Directory of Open Access Journals (Sweden)

Kahraman Kalyoncu

2009-06-01

Full Text Available The aim of this paper is to examine effectiveness of devaluation on the trade balance in four countries: Argentina, Brazil, Mexico and Peru. We use the Johansen-Juselius cointegration test and impulse response function to estimate the long-run and shortrun effects of devaluation on the trade balance. The estimated results suggest that depreciation improve the trade balance in the long run for the case of Argentina and Peru, and in the short-run there has been J-curve in Argentina and Peru. In addition, the cointegration is found among the four variables (trade balance, domestic income, foreign incomes and real exchange rate in the case of Argentina and Peru. The results also indicate that there is no cointegration relationship between these variables for Brazil and Mexico. The conclusion of the paper is that the evidence of the J-curve pattern was found for Argentina and Peru only.

A Constructivist Perspective on Leadership Thought among Brazilian and North-American Scholars

Directory of Open Access Journals (Sweden)

Anderson de Souza Sant'Anna

2011-04-01

Full Text Available This paper presents the results of an exploratory, inductive cataloguing of the views of Brazilian and U.S. academics regarding current leadership theory and development. Semi structured interviews with academics from a variety of institutional settings in Brazil and the U.S. were content analyzed to identify major themes and tendencies across the two countries. Our analyses revealed that neither Brazilian nor U.S. academics adopted the bulk of current formal leadership thought uncritically. Instead, both the Brazilian and North American business education fields adopted theories selectively and formulated idiosyncratic approaches to the field. The U.S. interviewees appeared to vary much more from one another than the Brazilian scholars, whose positions were more critical but more homogeneous overall. There was also considerable variation across the two national settings. We found Bourdieu’s practice theory useful in interpreting our results, particularly the concepts of field differentiation and heteronomy, habitus, and cultural capital. Still, much research remains to be done to disentangle the purely historical and cultural factors from the impacts of the social construction of the field of business education in the two countries.

A Web-Based Nuclear Criticality Safety Bibliographic Database

International Nuclear Information System (INIS)

Koponen, B L; Huang, S

2007-01-01

A bibliographic criticality safety database of over 13,000 records is available on the Internet as part of the U.S. Department of Energy's (DOE) Nuclear Criticality Safety Program (NCSP) website. This database is easy to access via the Internet and gets substantial daily usage. This database and other criticality safety resources are available at ncsp.llnl.gov. The web database has evolved from more than thirty years of effort at Lawrence Livermore National Laboratory (LLNL), beginning with compilations of critical experiment reports and American Nuclear Society Transactions

American Indians in Graduate Education.

Science.gov (United States)

Kidwell, Clara Sue

1989-01-01

The number of American Indians enrolled in institutions of higher education is very small. Enrollment figures for fall 1984 show Indians made up .68% of the total enrollment in institutions of higher education in the country, but only 15% of them were in universities. Their largest representation was in two-year institutions, where 54% of Indian…

Sexism in modern American society

Directory of Open Access Journals (Sweden)

Ibraeva B. M.

2016-12-01

Full Text Available the authors of the article consider that modern life is still full of various stereotypes. One of the most controversial questions in this article is the issue of discrimination against women in contemporary American society, and it is hard to believe, because this country claims to be a main guarantor of the human rights and freedoms.

7 CFR 319.56-40 - Peppers from certain Central American countries.

Science.gov (United States)

2010-01-01

... country for the weevil Faustinus ovatipennis, pea leafminer, tomato fruit borer, banana moth, lantana... approved protein bait must be placed inside the greenhouses at a density of four traps per hectare, with a... Faustinus ovatipennis, pea leafminer, tomato fruit borer, banana moth, lantana mealybug, passionvine...

Child malnutrition and antenatal care: Evidence from three Latin American countries

NARCIS (Netherlands)

N.F. Ramirez (Nohora); L.F. Gamboa (Luis); A.S. Bedi (Arjun Singh); R.A. Sparrow (Robert)

2012-01-01

textabstractThe importance of ever-earlier interventions to help children reach their physical and cognitive potential is increasingly being recognized. In part, as a result of this, in developing countries, antenatal care is becoming an important element of strategies to prevent child stunting in

The American Civil-Military Relationship: A Delicate Balance

National Research Council Canada - National Science Library

Harms, Bradley J

2008-01-01

An effective civil-military relationship represents a critical component of the American governmental system and requires mutual understanding, uncensored debate, and institutional trust to produce...

Exploring opportunities and challenges for establishing a South American Space Agency

Science.gov (United States)

Silva-Martinez, Jackelynne P.; Aguilar, Andrés D.; Sarli, Bruno V.; Pardo Spiess, Monika Johanna; Sorice, Andreia F.; Genaro, Gino; Ojeda, Oscar I.

2018-06-01

The idea of establishing a South American Space Agency (SASA) is not new. There have been many discussions about this topic for a couple of decades, including an agreement by the Union of South American Nations to create such a space agency. Roughly 10 years ago, Argentina was the first to propose this collaboration with a military orientation. As the ideas progressed, Brazil was proposed to host its headquarters. However, not much support from the South American region has been given, either financially or logistically. To this day, a South American Space Agency or a similar concept has not yet been established in the region. The Space Generation Advisory Council (SGAC) hosted the first South American Space Generation Workshop in Argentina in 2015, where one of the working groups was tasked to further investigate the feasibility, advantages and challenges of implementing SASA. This paper presents an extension of the main findings from this working group where South American students and young professionals study and present a rationale in favor of SASA, outlining possible solutions and a structure that could be taken into account for its implementation. This paper pays particular attention to the question: Is it possible for countries in South America to establish the kind of cooperation necessary to stimulate the development and application of capabilities in the space sector, which would then enable undertaking missions far beyond the scope of what any single country in South America could do on its own? The existence of SASA would allow access to a common representative agency, which would lower costs, be accessible to all participating countries, and allow engagement with other emerging and established space agencies around the world.

Latin American cooperation on nuclear energy

International Nuclear Information System (INIS)

Faria, N.M. de; Associacao Brasileira de Direito Nuclear, Rio de Janeiro)

1984-01-01

The cooperation between Latin American countries on nuclear matters in which Brazil should play a significant role is presented. The possible areas for cooperation, particularly the nuclear law, are focused. The cooperation should be developed on bilateral or multilateral basis, by governmental and non governmental entities. (Author) [pt

Power and Ideology in American Sport. A Critical Perspective.

Science.gov (United States)

Sage, George H.

This book offers a critical perspective in examining how the dominant power interests influence sport and its role in society. It provides insights into how government, big business, the mass media, and educational institutions gain and maintain power and wealth while sport participants and spectators look to sport for enjoyment, creative…

Physician assistant education: five countries.

Science.gov (United States)

Hooker, Roderick S; Kuilman, Luppo

2011-01-01

Physician assistant (PA) education has undergone substantial change since the late 1960s. After four decades of development, other countries have taken a page from the American experience and launched their own instructional initiatives. The diversity in how different countries approach education and produce a PA for their nation's needs provides an opportunity to make comparisons. The intent of this study was to document and describe PA programs in Australia, Canada, the United Kingdom, The Netherlands, and the United States. We reviewed the literature and contacted a network of academics in various institutions to obtain primary information. Each contact was asked a set of basic questions about the country, the PA program, and the deployment of graduates. Information on US PA programs was obtained from the Physician Assistant Education Association. At year's end 2010, the following was known about PA development: Australia, one program; Canada, four programs; United Kingdom, four programs; The Netherlands, five programs; the United States, 154 programs. Trends in program per capita growth remain the largest in the United States, followed by The Netherlands and Canada. The shortest program length was 24 months and the longest, 36 months. Outside the United States, almost all programs are situated in an academic health center ([AHC] defined as a medical university, a teaching hospital, and a nursing or allied health school), whereas only one-third of US PA programs are in AHCs. All non-US programs receive public/government funding whereas American programs are predominately private and depend on tuition to fund their programs. The PA movement is a global phenomenon. How PAs are being educated, trained, and deployed is known only on the basic level. We identify common characteristics, unique aspects, and trends in PA education across five nations, and set the stage for collaboration and analysis of optimal educational strategies. Additional information is needed on

Socioeconomic Gradients in Eastern European Countries: Evidence from PIRLS 2006

Science.gov (United States)

Caro, Daniel H.; Mirazchiyski, Plamen

2012-01-01

This article analyses educational inequalities related to socioeconomic status (SES) in 12 Eastern European countries that participated in the International Reading Literacy Study (PIRLS) 2006. Economies and educational systems of these countries have undergone critical transformations since the fall of communism. The authors' analyses, using data…

Child malnutrition and prenatal care: Evidence from three Latin American countries

NARCIS (Netherlands)

N. Forero-Ramirez (Nohora); L.F. Gamboa (Luis F.); A.S. Bedi (Arjun Singh); R.A. Sparrow (Robert)

2014-01-01

textabstractObjective. To examine the effect of prenatal care (PNC) on the level and distribution of child stunting in three Andean countries-Bolivia, Colombia, and Peru-where expanding access to such care has been an explicit policy intervention to tackle child malnutrition in utero and during

Critical Thinking Dispositions of Nursing Students in Asian and Non-Asian Countries: A Literature Review

OpenAIRE

Salsali, Mahvash; Tajvidi, Mansooreh; Ghiyasvandian, Shahrzad

2013-01-01

Critical thinking disposition represents an inclination of a person to use possessed skills in relation to critical thinking. The trend of critical thinking has been described as inner motivation to solve problems and make decisions by thinking. In nursing as a practical profession, the concept of critical thinking dispositions is important component in helping to manage complex health situations and to deal with patient issues effectively. Willingness to think critically is a prerequisite fo...

South American collaboration in scientific publications on leishmaniasis: bibliometric analysis in SCOPUS (2000-2011).

Science.gov (United States)

Huamaní, Charles; Romaní, Franco; González-Alcaide, Gregorio; Mejia, Miluska O; Ramos, José Manuel; Espinoza, Manuel; Cabezas, César

2014-01-01

Evaluate the production and the research collaborative network on Leishmaniasis in South America. A bibliometric research was carried out using SCOPUS database. The analysis unit was original research articles published from 2000 to 2011, that dealt with leishmaniasis and that included at least one South American author. The following items were obtained for each article: journal name, language, year of publication, number of authors, institutions, countries, and others variables. 3,174 articles were published, 2,272 of them were original articles. 1,160 different institutional signatures, 58 different countries and 398 scientific journals were identified. Brazil was the country with more articles (60.7%) and Oswaldo Cruz Foundation (FIOCRUZ) had 18% of Brazilian production, which is the South American nucleus of the major scientific network in Leishmaniasis. South American scientific production on Leishmaniasis published in journals indexed in SCOPUS is focused on Brazilian research activity. It is necessary to strengthen the collaboration networks. The first step is to identify the institutions with higher production, in order to perform collaborative research according to the priorities of each country.

Trump’s presidency: the future of American tourism industry

Directory of Open Access Journals (Sweden)

Anh Viet Le

2017-04-01

Full Text Available Purpose – The purpose of this paper is to provide the author’s opinion about the future of American tourism under Trump’s presidency. Design/methodology/approach – This paper relies on secondary data. Findings – The influences of Trump’s presidency on American tourism will be on both sides. It will influence the destination image. It will also influence the relationships between America with several countries such as: China, Mexico, UK. Originality/value – Contributes to the knowledge about the future of American tourism when the political system is changed.

Questioning Discrimination through Critical Media Literacy. Findings from Seven European Countries

Science.gov (United States)

Ranieri, Maria; Fabbro, Francesco

2016-01-01

This paper presents the main findings of an action-research study that took place in seven European countries in order to develop effective educational responses to prevent and combat discrimination. The study entailed the design of media and citizenship education activities, their implementation in the different educational contexts and the…

Critical Arts-Based Research in Education: Performing Undocumented Historias

Science.gov (United States)

Bagley, Carl; Castro-Salazar, Ricardo

2012-01-01

The article seeks to elucidate and academically position the genre of critical arts-based research in education. The article fuses Critical Race Theory (CRT), life history and performance, alongside work with undocumented American students of Mexican origin, to show how a politicised qualitative paradigmatic re envisioning can occur in which…

The China Dream and the American Dream

Institute of Scientific and Technical Information of China (English)

WILLIAM; A.CALLAHAN

2014-01-01

Since Xi Jinping invoked"The China Dream"as a key concept in November 2012,this phrase has come to dominate discussions of China’s future.This paper will examine the China dream phenomenon first by placing it in the context of debates that have been raging in Chinese civil society over the past few years.It will analyze the works of20 prominent"China dreamers"in terms of debates over the proper relationship between(1)politics and economics,(2)equality and hierarchy,(3)civilization and civility,and(4)nationalism and statism.The other main context for the China dream concept is the American dream.While it is common to dismiss the American dream as crass materialism,this essay will examine how it stresses the complementary ideals of freedom and equality.More importantly,it will examine how the American dream has been used as a critical tool to comment on problems in the United States,and relate this to examples in the PRC where the China dream is being used as a critical tool as well.

The China Dream and the American Dream

Institute of Scientific and Technical Information of China (English)

WILLIAM A.CALLAHAN

2014-01-01

Since Xi Jinping invoked "The China Dream" as a key concept in November 2012,this phrase has come to dominate discussions of China's future.This paper will examine the China dream phenomenon first by placing it in the context of debates that have been raging in Chinese civil society over the past few years.It will analyze the works of 20 prominent "China dreamers" in terms of debates over the proper relationship between (1) politics and economics,(2) equality and hierarchy,(3) civilization and civility,and (4) nationalism and statism.The other main context for the China dream concept is the American dream.While it is common to dismiss the American dream as crass materialism,this essay will examine how it stresses the complementary (i)deals of freedom and equality.More importantly,it will examine how the American dream has been used as a critical tool to comment on problems in the United States,and relate this to examples in the PRC where the China dream is being used as a critical tool as well.

Respiratory medication used in COPD patients from seven Latin American countries: the LASSYC study

Directory of Open Access Journals (Sweden)

Casas A

2018-05-01

Full Text Available Alejandro Casas,1 Maria Montes de Oca,2 Ana MB Menezes,3 Fernando C Wehrmeister,3 Maria Victorina Lopez Varela,4 Laura Mendoza,5 Larissa Ramírez,6 Marc Miravitlles7 On behalf of the LASSYC team 1Fundación Neumológica Colombiana, Universidad del Rosario, Bogotá, Colombia; 2Universidad Central de Venezuela, Caracas, Venezuela; 3Federal University of Pelotas, Pelotas, Brazil; 4Universidad de la República, Montevideo, Uruguay; 5Hospital Clínico Universidad de Chile, Santiago de Chile, Chile; 6AstraZeneca, San José, Costa Rica; 7Department of Pneumology, Hospital Universitari Vall d’Hebron, CIBER de Enfermedades Respiratorias (CIBERES, Barcelona, Spain Background: Limited information is available regarding medication use in COPD patients from Latin America. This study evaluated the type of medication used and the adherence to different inhaled treatments in stable COPD patients from the Latin American region.Methods: This was an observational, cross-sectional, multinational, and multicenter study in COPD patients attended by specialist doctors from seven Latin American countries. Adherence to inhaled therapy was assessed using the Test of Adherence to Inhalers (TAI questionnaire. The type of medication was assessed as: short-acting β-agonist (SABA or short-acting muscarinic antagonist (SAMA only, long-acting muscarinic antagonist (LAMA, long-acting β-agonist (LABA, LABA/LAMA, inhaled corticosteroid (ICS, ICS/LABA, ICS/LAMA/LABA, or other.Results: In total, 795 patients were included (59.6% male, with a mean age of 69.5±8.7 years and post-bronchodilator FEV1 of 50.0%±18.6%. The ICS/LAMA/LABA (32.9% and ICS/LABA (27.7% combinations were the most common medications used, followed by LABA/LAMA (11.3%, SABA or SAMA (7.9%, LABA (6.4%, LAMA (5.8%, and ICS (4.3%. The types of medication most commonly used in each Global Initiative for Chronic Obstructive Lung Disease (GOLD 2013 category were ICS/LABA (A: 32.7%; B: 19.8%; C: 25.7%; D: 28.2% and

Increasing transparency in the European Union: developments of Country-by-Country Reporting

Directory of Open Access Journals (Sweden)

Alicja Brodzka

2017-09-01

Full Text Available Increasing transparency in the European Union: developments of Country-by-Country Reporting The aim of the paper is to bring closer Country-by-Country Reporting and outline possible future amendments of the introduced anti-tax avoidance measures. The article presents the motives of implementing the international CbC initiative, aimed at increasing transparency of the biggest multinational enterprises, with particular emphasis on the specificity of the European Union. Part 2 of the paper analyses the Euro-pean legal bases for companies’ financial reporting. It also gives an overview of the main findings of Directive 2016/881, which implements Country-by-Country Reporting and allows for the exchange of information between tax authorities. Part 3 deals with the national perspective, presenting the CbC solu-tions implemented to the Polish legal system; the paper also attempts to assess the potential impact of tax information disclosures, both from the perspective of taxpayers and the tax administration. The final part presents conclusions and tries to draft future developments of the Country-by-Country Reporting system. In the paper, the following research methods have been used: critical analysis and deduction, with partic-ular reference to the source materials and legal acts, as well as the reports of the European Commission, consulting companies, and NGOs. Although the article deals with tax matters, CbC Reporting is an im-portant and relevant issue from the point of view of researchers and accounting specialists. Reporting this phenomenon is part of the accounting science as a universal tool for recording economic phenomena. The author examined all relevant sources and took into account all important factors in order to obtain a com-prehensive picture of CbC Reporting and to prepare a paper that may serve as a reference for future research.

Prevalence of obesity among young Asian-American children.

Science.gov (United States)

Jain, Anjali; Mitchell, Stephanie; Chirumamilla, Radha; Zhang, Jin; Horn, Ivor B; Lewin, Amy; Huang, Z Jennifer

2012-12-01

Asian-American children are considered to be at low risk of obesity, but previous estimates have not distinguished between children from different Asian countries. We estimate the prevalence of obesity among Asian-American children by mother's country of origin, generational status, and family socioeconomic factors using a secondary analysis of the Early Childhood Longitudinal Study-Birth Cohort (ECLS-B) wave III (children ∼4 years old) dataset. The ECLS-B is a nationally representative study of children born in 2001 that oversampled births to Asian mothers. Asian ethnic categories included Chinese, Japanese, Filipino, Asian Indian, Korean, Vietnamese, and Other Asian/Pacific Islander. The primary outcome variable was weight status; overweight = BMI ≥85(th) and obese = BMI ≥95(th) percentile for age and gender. Twenty-six percent [95% confidence interval (CI) 23.6-29.1] of Asian-American 4 year olds were overweight or obese, and 13% (95% CI 10.2-15.2) were obese. Chinese-American children were at lower risk of overweight or obesity (23.5%, 95% CI 18.4-29.5 ) compared to whites (36%, 95% CI 34.3-37.7); Asian-Indian 4 year olds had the lowest rates of overweight or obesity (15.6%, 95% CI 8.0-28.2) and were most likely to be underweight (10%, 95% CI 4.9-19.4). Among Asians,Vietnamese-American children had the highest rate of overweight or obesity (34.7%, 95% CI 0.6-52.3). Vietnamese-American children are at elevated risk of obesity and overweight, whereas Chinese and Asian-Indian children are at low risk. After controlling for Asian ethnicity, maternal education, and household poverty status, Asian-American children whose mothers were born outside the United States were less likely to be obese [odds ratio = 0.55 (0.32-0.95), p = 0.03].

Cross-Cultural Equivalency of the California Critical Thinking Disposition Inventory

Science.gov (United States)

Iskifoglu, Gökhan

2014-01-01

This study describes the cross-cultural applicability of a multidimensional inventory of students' evaluation of critical thinking dispositions (California Critical Thinking Disposition Inventory). The goal was to assess the cross-cultural psychometric equivalency of the CCTDI through testing measurement invariance across American and Turkish…

A grim contradiction: the practice and consequences of corporate social responsibility by British American Tobacco in Malaysia.

Science.gov (United States)

Barraclough, Simon; Morrow, Martha

2008-04-01

In the wake of the World Health Organization Framework Convention on Tobacco Control, corporate social responsibility (CSR) is among the few remaining mechanisms for tobacco corporations publicly to promote their interests. Health advocates may be unaware of the scale, nature and implications of tobacco industry CSR. This investigation aimed to construct a typology of tobacco industry CSR through a case study of the evolution and impact of CSR activities of a particular tobacco corporation in one country - British American Tobacco, Malaysia (BATM), the Malaysian market leader. Methods included searching, compiling and critically appraising publicly available materials from British American Tobacco, BATM, published literature and other sources. The study examined BATM's CSR strategy, the issues which it raises, consequences for tobacco control and potential responses by health advocates. The investigation found that BATM's CSR activities included assistance to tobacco growers, charitable donations, scholarships, involvement in anti-smuggling measures, 'youth smoking prevention' programs and annual Social Reports. BATM has stated that its model is predominantly motivated by social and stakeholder obligations. Its CSR activities have, however, had the additional benefits of contributing to a favourable image, deflecting criticism and establishing a modus vivendi with regulators that assists BATM's continued operations and profitability. It is imperative that health advocates highlight the potential conflicts inherent in such arrangements and develop strategies to address the concerns raised.

Geochemical characterization of critical dust source regions in the American West

Science.gov (United States)

Aarons, Sarah M.; Blakowski, Molly A.; Aciego, Sarah M.; Stevenson, Emily I.; Sims, Kenneth W. W.; Scott, Sean R.; Aarons, Charles

2017-10-01

The generation, transport, and deposition of mineral dust are detectable in paleoclimate records from land, ocean, and ice, providing valuable insight into earth surface conditions and cycles on a range of timescales. Dust deposited in marine and terrestrial ecosystems can provide critical nutrients to nutrient-limited ecosystems, and variations in dust provenance can indicate changes in dust production, sources and transport pathways as a function of climate variability and land use change. Thus, temporal changes in locations of dust source areas and transport pathways have implications for understanding interactions between mineral dust, global climate, and biogeochemical cycles. This work characterizes dust from areas in the American West known for dust events and/or affected by increasing human settlement and livestock grazing during the last 150 years. Dust generation and uplift from these dust source areas depends on climate and land use practices, and the relative contribution of dust has likely changed since the expansion of industrialization and agriculture into the western United States. We present elemental and isotopic analysis of 28 potential dust source area samples analyzed using Thermal Ionization Mass Spectrometry (TIMS) for 87Sr/86Sr and 143Nd/144Nd composition and Multi-Collector Inductively Coupled Plasma Mass Spectrometer (MC-ICPMS) for 176Hf/177Hf composition, and ICPMS for major and trace element concentrations. We find significant variability in the Sr, Nd, and Hf isotope compositions of potential source areas of dust throughout western North America, ranging from 87Sr/86Sr = 0.703699 to 0.740236, εNd = -26.6 to 2.4, and εHf = -21.7 to -0.1. We also report differences in the trace metal and phosphorus concentrations in the geologic provinces sampled. This research provides an important resource for the geochemical tracing of dust sources and sinks in western North America, and will aid in modeling the biogeochemical impacts of increased

[Epidemiological transition in Latin America: a comparison of four countries].

Science.gov (United States)

Albala, C; Vio, F; Yáñez, M

1997-06-01

In the last decade, Latin America has experienced important transformations in its health conditions, due to demographic changes and a rapid urbanization process. To analyze socioeconomic, demographic and epidemiological changes in Chile, Guatemala, Mexico and Uruguay and relate them to the different stages in the demographic and epidemiological transition of these countries. Data was obtained from official information of local and international organizations such as Pan-American Health Organization, United Nations, Latin American Center for Demography (CELADE) and World Bank. Guatemala is in a pre-transition stage with a high proportion of communicable diseases as causes of death (61%) as compared with Mexico (22%), Chile (13%) and Uruguay (7%). Mexico is in a prolonged transition situation and Chile is close to Uruguay in a post-transitional stage. Despite decreasing rates of mortality, the proportion of deaths represented by chronic diseases and injuries has increased to over 30% in all countries, except Uruguay. Adjusted mortality rates for cardiovascular diseases are lower in Latin American countries, as compared to Canada. However, excepting Guatemala, there are differences in the pattern of cardiovascular disease, with a higher mortality due to cerebrovascular and a lower mortality due to coronary artery diseases. An increment in non communicable diseases is expected for the next decades in Latin America. Analysis of demographic and epidemiological transition is crucial to define health policies and to adequate health systems to the new situations.

African American Women and Obesity through the Prism of Race

Science.gov (United States)

Knox-Kazimierczuk, Francoise; Geller, Karly; Sellers, Sherrill; Taliaferro Baszile, Denise; Smith-Shockley, Meredith

2018-01-01

Background: There are minimal studies focusing on African American women and obesity, and there are even fewer studies examining obesity through a critical race theoretical framework. African American obesity research has largely focused on individual and community interventions, which have not been sufficient to reverse the obesity epidemic.…

Exploration of critical thinking in dental hygiene education.

Science.gov (United States)

Beistle, Kimberly S; Palmer, Louann Bierlein

2014-12-01

This qualitative study explores the perceptions of dental hygiene faculty regarding issues surrounding critical thinking skills integration within their associate degree dental hygiene programs. Twenty faculty participated in the study, as drawn from 11 accredited associate degree dental hygiene programs in one Midwest state. Multiple sources of data were collected, including email questionnaires, individual follow-up phone interviews and artifacts. Interpretive analysis was conducted. Data analysis revealed that faculty generally understood critical thinking, but interpretations varied. Most do not use varied teaching strategies to promote critical thinking skills, and focus on one particular strategy--that of case studies. The participants identified the need for allied health-focused faculty development opportunities, and noted that calibration of instruction was needed. Despite challenges, faculty felt responsible for teaching critical thinking skills, and identified the need for time to build critical thinking skills into the curriculum. This study was conducted in response to the American Dental Education Association Commission on Change and Innovation's challenge for dental hygiene educators to comprehend their own knowledge on the concept of critical thinking related to research-based pedagogical approaches to teaching and learning. Findings revealed a strong desire among the dental hygiene faculty in this study to incorporate critical thinking into their work. They want to do what they believe is the right thing, but their actual knowledge of the definitional and application theories about critical thinking is still in the early stages of development. Regular and targeted faculty development opportunities are needed. Copyright © 2014 The American Dental Hygienists’ Association.

Association of the duration of residence with obesity-related eating habits and dietary patterns among Latin-American immigrants in Spain.

Science.gov (United States)

Marín-Guerrero, A C; Rodríguez-Artalejo, Fernando; Guallar-Castillón, P; López-García, Esther; Gutiérrez-Fisac, Juan L

2015-01-28

The dietary patterns of immigrants usually change with the duration of residence and progressively resemble those of the host country. However, very few studies have investigated individuals migrating to countries with a high-quality diet, such as the Mediterranean diet (MD), and none has yet focused on Latin-American immigrants. The present study examined the association of the duration of residence with obesity-related eating habits and dietary patterns among Latin-American immigrants residing in Spain. A cross-sectional study was conducted in 2008-10 in a representative sample of the adult population residing in Spain. Adherence to the MD was defined as a MD Adherence Screener score ≥ 9. Analyses were conducted by including 419 individuals aged 18-64 years born in Latin-American countries. Compared with immigrants residing in Spain for American immigrants. Some of the healthy changes observed contrasted the 'Westernisation' of the diet reported in studies conducted in other Western countries. The results of the present study support the role of the food environment of the host country in the modification of the dietary patterns of immigrants.

State, market and civil society: Latin American development in comparative perspective

Directory of Open Access Journals (Sweden)

Menno Vellinga

2010-06-01

Full Text Available In the 1980s Latin America made a radical break with the model of development that had been pursued by most countries on the continent for the last fifty years and implemented a new development strategy, defined along neo-liberal lines. These changes have taken place under conditions of increasing globalization, e.g. they had to be realized increasingly within globally defined parameters and structures. The relationship between the state, the market and civil society was redefined. The traditional structures of interest representation of groups and classes, their legitimacy and effectiveness underwent significant changes in many countries. In this article we will explore the nature of these changes and their consequences for state reform and the relation to problems of national development. We will do so in a comparative perspective, including experiences from South East Asia. The debate about the relationship between state, market and civil society has received a new impetus from the 2008 crisis of the international financial system and the widely spread criticism of the workings of the market capitalism that it has generated. For Latin American development the conclusions of this debate and their possible translation into concrete policies are of the utmost importance.

Differences in Ostomy Pouch Seal Leakage Occurrences Between North American and European Residents.

Science.gov (United States)

Fellows, Jane; Forest Lalande, Louise; Martins, Lina; Steen, Anne; Størling, Zenia M

The purpose of this study was to compare experiences and concerns about pouch seal leakage between persons with ostomies residing in North America (Canada and the United States) and Europe (United Kingdom, Netherlands, Sweden, Germany, Belgium, France, and Italy). Differences in reported pouch wear time and accessories used between the 2 groups were also examined. Secondary analysis of data from a cross-sectional study (Ostomy Life Study). Responses from persons residing in European countries (n = 1939) were compared with responses of 1387 individuals residing in North American countries. Persons with an ostomy completed a questionnaire that focused on 4 topics related to the daily use of an ostomy pouching system (pouch seal leakage, ballooning, appearance of pouching system such as color and size of the pouch and whether it is discrete under clothing, and coupling failure of 2-piece pouching systems). Pouch seal leakage was defined as stomal effluent seeping between the skin and the wafer of the ostomy pouching system. Statistical analysis was performed using a proportional odds model including various variable effects. Special attention was given to frequency of pouch seal leakage occurrences. All tests were 2-sided; P values ≤.05 were deemed statistically significant. Participants living in the North American countries indicated they were more likely to experience leakage from the ostomy (odds ratio = 2.610, 95% CI 2.187-3.115; P < .0001). Findings also indicated they were more likely to worry about pouch seal leakage than those in the European countries' data set (odds ratio = 2.722, 95% CI 2.283-3.246; P < .0001). Participants residing in the North American countries had significantly longer wear times than those participants in the European countries (P < .0001, χ test). The use of accessories was associated with a longer pouching system wear time. Study results suggest that participants from the North American countries indicated significantly more

The Mediated Figure of Hmong Farmer, Hmong Studies, and Asian American Critique

Directory of Open Access Journals (Sweden)

Hui Niu Wilcox

2012-01-01

Full Text Available The objective of this article is two-fold: First, it argues for critical engagement between Hmong Studies and Asian American Studies. Second, to illustrate the productivity of such engagement,this article analyzes the media coverage of an incident involving Hmong American farmers and their white neighbors in Eagan, Minnesota, June 2010. The focal question is how media discourses around farming and immigration serve to racialize Hmong American identities. Thisanalysis shows that Hmong Americans experience “Asiatic racialization” in that they are either discursively cast outside of the imagined American nation, or included contingent uponassimilation and conformity. Critiquing both the exclusionary and assimilative narratives, this article explicates the inherent contradictions of the U.S. nationalism, referencing both existingHmong Studies literature and Asian Americanist discourses on race and nation. Both bodies of work foreground the historical and social construction of identities, as well as the simultaneous,intertwined workings of race, class, gender/sexuality and nation. Critical dialogues could generate new ideas and possibilities for both Asian American Studies and Hmong Studies.

Neonatal and pediatric extracorporeal membrane oxygenation in developing Latin American countries

Directory of Open Access Journals (Sweden)

Javier Kattan

2017-03-01

Conclusions: The best results in short‐ and long‐term survival are in patients with isolated respiratory diseases. Today extracorporeal membrane oxygenation therapy is a standard therapy in some Latin American referral centers. It is hoped that these new extracorporeal membrane oxygenation centers will have a positive impact on the survival of newborns and children with respiratory or cardiac failure, and that they will be available for an increasing number of patients from this region in the near future.

WTO negotiations on agriculture and developing countries:

OpenAIRE

Hoda, Anwarul; Gulati, Ashok

2008-01-01

The World Trade Organization’s Doha Round of trade talks has been plagued by a lack of concrete progress toward establishing a fair and harmonious agricultural trading system. Because the results of the Doha Round could have far-reaching implications for the trade and economic prospects of developing countries in the twenty-first century, it is critical for these countries to fully understand the issues involved in the negotiations on agriculture. However, there has been no authoritative an...

Absolute pitch among American and Chinese conservatory students: prevalence differences, and evidence for a speech-related critical period.

Science.gov (United States)

Deutsch, Diana; Henthorn, Trevor; Marvin, Elizabeth; Xu, HongShuai

2006-02-01

Absolute pitch is extremely rare in the U.S. and Europe; this rarity has so far been unexplained. This paper reports a substantial difference in the prevalence of absolute pitch in two normal populations, in a large-scale study employing an on-site test, without self-selection from within the target populations. Music conservatory students in the U.S. and China were tested. The Chinese subjects spoke the tone language Mandarin, in which pitch is involved in conveying the meaning of words. The American subjects were nontone language speakers. The earlier the age of onset of musical training, the greater the prevalence of absolute pitch; however, its prevalence was far greater among the Chinese than the U.S. students for each level of age of onset of musical training. The findings suggest that the potential for acquiring absolute pitch may be universal, and may be realized by enabling infants to associate pitches with verbal labels during the critical period for acquisition of features of their native language.

Variation in critical care services across North America and Western Europe

NARCIS (Netherlands)

Wunsch, Hannah; Angus, Derek C.; Harrison, David A.; Collange, Olivier; Fowler, Robert; Hoste, Eric A. J.; de Keizer, Nicolette F.; Kersten, Alexander; Linde-Zwirble, Walter T.; Sandiumenge, Alberto; Rowan, Kathryn M.

2008-01-01

Objective: Critical care represents a large percentage of healthcare spending in developed countries. Yet, little is known regarding international variation in critical care services. We sought to understand differences in critical care delivery by comparing data on the distribution of services in

Writing the west: critical approaches to Shane

OpenAIRE

Griffin, R

2007-01-01

Representations of the American West have perhaps resonated most strongly in the western film genre, yet at the same time, the literary Western is a highly developed and sophisticated genre in its own right. Meanwhile, critical approaches to the West have become increasingly wide-ranging, spanning historical/literary studies; film/cultural studies; genre; gender studies; philosophy, structuralism and, most recently, post-modernism. In light of such critical diversity, this article places a li...

Food Allergen Labeling: A Latin American Approach.

Science.gov (United States)

Lopez, Maria Cristina

2018-01-01

Food allergy is a public health concern almost all over the world. Although most of the countries that regulate the declaration of allergens in prepackaged foods include the list recommended by the Codex Alimentarius, some countries have added other allergens to this list due to prevalence data and regional incidence, whereas others have incorporated exceptions for some products derived from allergenic foods. Within this context, the situation in Latin America regarding these regulations is diverse. Data about prevalence of food hypersensitivity are very limited in the region. The countries that have established regulations are Brazil, Colombia, Costa Rica, Guatemala, Honduras, El Salvador, Nicaragua, Chile, Mexico, and Venezuela. Argentina has approved a regulation for the labeling of food allergens in November 2016. It only needs to be published in the Official Bulletin to go into effect. All countries follow the Codex list that includes latex and excludes sulfites, except Brazil. On the other hand, Argentina is the only country that includes exceptions. As for the methodologies for the detection of allergens in foods, this issue is a serious problem for both the food industry and control laboratories. Available methodologies are based mainly on commercial ELISA kits; currently, there are no Latin American companies that produce them, so ELISA kits are expensive and their acquisition is complicated. There is an initiative in Argentina to address all these gaps in the region through the Platform of Food Allergens (PFA), a nonprofit organization that integrates health professionals, patients, representatives of the food industry, government, and scientists. The different actions carried out by the PFA have made it possible to contact different scientific groups from other Latin American countries in order to expand this initiative and thereby promote and strengthen both public and private capacities in the region.

Machismo: Manifestations of a cultural value in the Latin American casino.

Science.gov (United States)

Thompson, W N

1991-06-01

Casino operations were observed in twelve Latin American countries. Owners, managers, employees, players, and government regulators in each of these countries were interviewed. The concept of machismo is described in its historical and cultural context. It is then used to illuminate casino operations and the mode of play in existence in these casinos.

Neoliberalism inside Two American High Schools

Science.gov (United States)

Cleary, Joseph, Jr.

2017-01-01

This article examines "neoliberalism" inside two American public high schools. The work of one leading critical theorist, Mark Olssen, is explained and examined. Particular attention is paid to Olssen's concepts of "homo economicus" and "manipulatable man." It is concluded that Olssen's theories on neoliberalism…

THE MAGNITUDE AND DETERMINANTS OF CAPITAL FLIGHT - THE CASE FOR 6 SUB-SAHARAN AFRICAN COUNTRIES

NARCIS (Netherlands)

HERMES, N; LENSINK, R

1992-01-01

Most studies treat capital flight as an exclusively Latin American problem. This paper estimates capital flight for six African countries and shows that the emphasis on Latin American capital flight is not correct. It appears that the burden of capital flight is also important for many African

Americans’ Views of the Muslim World: Realities and Fallacies

Science.gov (United States)

2006-12-01

interesting, considering that Dr. Muhammad Mahatir , the economic reformer of Malaysia, has been very critical of American policies, especially those toward...that Dr. Mahatir , the former Malaysian prime minister, has been very critical of America and Israel. This may be due to two things: either that

South American Youth : Regional Democracy-Building Dialogue ...

International Development Research Centre (IDRC) Digital Library (Canada)

This project will undertake a comparative analysis of South American youth in the Mercosur countries (Argentina, Brazil, Paraguay and Uruguay) and their perception of rights, democracy and regional integration. Researchers will examine the meaning that young people, adults and mediators of youth demands attribute to ...

77 FR 68045 - American Education Week, 2012

Science.gov (United States)

2012-11-15

... reaffirm our national mission of educating our students and training our workers better than any other country on earth. My Administration is committed to enhancing American education by raising standards... students' needs first, increasing financial aid for millions of young people. We also invested in training...

Environmental Complexity: ethic-environmental propositions of the Latin- American Environmental Thought

International Nuclear Information System (INIS)

Noguera de Echeverri, Ana Patricia

2007-01-01

In this article, are compiled the most important ethic-environmental propositions of the Latin- American Environmental Thought, that had been growing up 30 years ago. In it are authors outlined in the field of the philosophic environmental thought, as the philosopher and Colombian thinker, of Latin-American transcendence, Augusto Angel Maya, who pustules the possibility of build en Ethical - Esthetic Environmental Philosophy, in fact of the Modern Philosophy have been metaphysic, even in the empiric, positivist and neo-positivist tendencies. It has been outlined the Enrique Leff's work, Mexican, who proposes his concepts of Complexity and Environmental Known as an initial point of an ethic in the education, science and technology into of an systemic and holistic relations. Equally, the Julio Carrizosa's ethical - esthetic proposition, also Colombian, which this essay shows as a fundamental political propose against Colombian problems as violence and exclusion. The propositions of Colombian philosophers of big relevance in the politic-moral philosophy had become in a public and communicative environmental ethic, that's the case of Guillermo Hoyos Vasquez and other thinkers as in Colombia and so other Latin-American countries which are shown in this space, with the finality of to pick up in a critical way our ideas about the possibility of an environmental ethic, that means an decentred ethic, with out subject and object, and systemic ethic, where the values has come being constructed 2.500 millions years ago, of which we are pure threads, an ethic that pass of been an object to be first a value in his greater sense

The Central American Regional Payment System: Reasons for its Failure and Reconversion (1989-1993

Directory of Open Access Journals (Sweden)

Rafael de Juan Peñalosa

1995-11-01

Full Text Available This article, entitled “The Central American regional payment system: focusses and its reconversion”, is placed in the context of the recent strengthening of those mechanisms responsible for the reactivation of the Central American process of regional economic integration. With the aim of starting up a Central American regional payment system within the framework of the evolution and development of the regional integration of the Central American isthmus, the member countries of the Central American Common Market asked the European Community for technical assistance regarding its creationand application. After careful study by the EC this petition met with a positive response fitting as it did within the context of the policy of cooperation between the European Union and the countries of the Central American region. This in turn led to the signing of the Central American Payment System Financing Treaty in the Irish capital, Dublin, coinciding as it did with the San Jose VI Conference (9/10 March, 1990 which subsequently enjoyed diplomatic as well as financial and technical support as well as an intense development throughout the latter years of the Nineties.

EMERGING ECONOMIES: COMPARATIVE ANALYSIS OF MIST AND IBSA COUNTRIES

Directory of Open Access Journals (Sweden)

Gonca Oguz Gok

2016-04-01

Full Text Available Post Second World War liberal economic order and its institutions have been challenged with the rapidly growing powerful economies of some Asian and Latin American countries in the last decade. Yet, there is ambiguity in international political economy field with regard to conceptualizing and categorizing these emerging economies. This study mainly aims to ravel out this obstacle by offering a new quantitative benchmarking framework. In other words, this study proposes a new evaluation criteria set for assessing emerging economies with combining testable domestic and systematic factors. Accordingly, this study presents the cross-country comparison by using quantitative benchmarking analysis between IBSA -India, Brazil and South Africa- and MIST -Mexico, Indonesia, South Korea and Turkey- countries over the period 2008- 2012. We compare these countries based on the criteria of economic growth, human development index, foreign direct investment, and official development assistance. This study also aims to evaluate the group performance of these newly emerging economies- namely the rise of IBSA and MIST countries-in a comparative perspective. In conclusion, the performance of these countries -from both group-of-country and individual-country perspectives- are discussed in light of the results

Circles of Women: Professional Skills Training with American Indian Women.

Science.gov (United States)

LaFromboise, Teresa D.

This manual is a resource guide for organizing leadership training workshops for American Indian women at various levels of professional training. The resources and ideas for training were supplied by American Indian women who participated in such workshops. Section 1 of the manual presents an overview of critical issues in the professionalization…

Subnational Taxes in Developing Countries: The Way Forward.

OpenAIRE

Richard M. Bird; Roy Bahl

2008-01-01

This paper reviews the literature and evidence on the most appropriate structure of regional and local taxes in developing countries. A good subnational tax system is critical to an effective and sustainable system of intergovernmental fiscal relations – a need that has become increasingly important around the world as more and more public services are being delivered through subnational governments. In most developing countries potentially sound and productive taxes exist that are suitable f...

Revitalizing social work education through global and critical awareness

DEFF Research Database (Denmark)

Flem, Aina Lian; Jönsson, Jessica H.; Alseth, Ann Kristin

2017-01-01

and critical components in theoretical courses, professional training and field practice in the social work education of the countries in question. It is argued that social work education should move beyond the old division of classical and international/intercultural toward including global and critical...

SOUTH AMERICAN COLLABORATION IN SCIENTIFIC PUBLICATIONS ON LEISHMANIASIS: BIBLIOMETRIC ANALYSIS IN SCOPUS (2000-2011

Directory of Open Access Journals (Sweden)

Charles Huamaní

2014-09-01

Full Text Available Objectives: Evaluate the production and the research collaborative network on Leishmaniasis in South America. Methods: A bibliometric research was carried out using SCOPUS database. The analysis unit was original research articles published from 2000 to 2011, that dealt with leishmaniasis and that included at least one South American author. The following items were obtained for each article: journal name, language, year of publication, number of authors, institutions, countries, and others variables. Results: 3,174 articles were published, 2,272 of them were original articles. 1,160 different institutional signatures, 58 different countries and 398 scientific journals were identified. Brazil was the country with more articles (60.7% and Oswaldo Cruz Foundation (FIOCRUZ had 18% of Brazilian production, which is the South American nucleus of the major scientific network in Leishmaniasis. Conclusions: South American scientific production on Leishmaniasis published in journals indexed in SCOPUS is focused on Brazilian research activity. It is necessary to strengthen the collaboration networks. The first step is to identify the institutions with higher production, in order to perform collaborative research according to the priorities of each country.

Cultural competency education in American nursing programs and the approach of one school of nursing.

Science.gov (United States)

Sloand, Elizabeth; Groves, Sara; Brager, Rosemarie

2004-01-01

The importance of cultural competency in all areas of American society is well accepted. Indeed, the evolving demographics of the country make it imperative. A wide range of educational and work settings has addressed the concept, from business and government to education and health. Cultural competency is particularly critical in the realm of healthcare, as the potential impact on quality of health and life is at stake. Nursing is a leader in this field, with a long theoretical and practice history of attention to, and respect for, individual differences. This article reviews cultural competency education in nursing and its respective educational settings. Common threads and different models are discussed. The program components of cultural competency education in one School of Nursing are highlighted. Future directions towards refining cultural competency education are presented.

prediction of shear resistance factor in flat slabs design using critical

African Journals Online (AJOL)

user

The provisions of the American, Canadian, European and. Model codes, regarding the ... is the applied shear stress. W1 .... perimeter implies a smaller stress while a smaller critical .... should be compared with values provided in this work to validate ... [1] American Concrete Institute : Building code requirement for structural ...

Trans-American Security: What's Missing? Strategic Forum, Number 228, September 2007

National Research Council Canada - National Science Library

Einaudi, Luigi R

2007-01-01

The countries of the Western Hemisphere are more integrated than ever, with both each other and countries elsewhere, but critical aspects of their relationships remain hampered by outdated patterns and stereotype...

[Diagnosis of capacity to perform essential public health functions in the Central American countries, the Dominican Republic, and the Mexican states of Chiapas and Quintana Roo].

Science.gov (United States)

González Block, Miguel Ángel; González Robledo, Luz María; Cuadra Hernández, Silvia Magali

2013-04-01

Characterize the capacity of public and private institutions in the Central American countries, the Dominican Republic, and the Mexican states of Chiapas and Quintana Roo to perform essential public health functions (EPHFs). An online survey of 83 organizations in Belize, Costa Rica, the Dominican Republic, El Salvador, Guatemala, Honduras, Nicaragua, Panama, and the Mexican states of Chiapas and Quintana Roo was conducted to learn about their capacity to perform each of the 11 EPHFs. The results were validated in a workshop with representatives of the ministries of health from the seven countries and the two participating Mexican states. High levels of performance capacity were found most often for EPHF 1 (monitoring, evaluation, and analysis of health status of the population), EPHF 2.1.1 (surveillance, research, and control of risks and threats to public health from infectious diseases), and EPHF 5 (policy development and health planning). The greatest weakness was found in EPHF 2.1.2 (surveillance, research, and monitoring of noninfectious diseases). Asymmetries in EPHF performance within each country mainly revealed weaknesses in the laboratory and public health research functions. In the countries and territories analyzed, there is a need to improve strategic performance in most of the EPHFs, as well as to strengthen infrastructure, upgrade equipment, and further develop human resources at both the strategic and the tactical levels. A regional approach should be used to take advantage of the different levels of capacity, with a view to greater strengthening and enhanced technical support and cooperation.

Fears of American Children Following Terrorism

Science.gov (United States)

Burnham, Joy J.; Hooper, Lisa M.

2008-01-01

Two months after 9/11, the fears of children and adolescents in Grades 2-12 were examined utilizing the American Fear Survey Schedule for Children and Adolescents (FSSC-AM). Fear intensity scores and age and gender differences are reported. Terrorist-related content on the FSSC-AM (e.g., terrorist attacks, our country being invading by enemies)…

Evidence for criticality in financial data

Science.gov (United States)

Ruiz, G.; de Marcos, A. F.

2018-01-01

We provide evidence that cumulative distributions of absolute normalized returns for the 100 American companies with the highest market capitalization, uncover a critical behavior for different time scales Δt. Such cumulative distributions, in accordance with a variety of complex - and financial - systems, can be modeled by the cumulative distribution functions of q-Gaussians, the distribution function that, in the context of nonextensive statistical mechanics, maximizes a non-Boltzmannian entropy. These q-Gaussians are characterized by two parameters, namely ( q, β), that are uniquely defined by Δt. From these dependencies, we find a monotonic relationship between q and β, which can be seen as evidence of criticality. We numerically determine the various exponents which characterize this criticality.

Transnational citizenship: Latin Americans in Portugal

Directory of Open Access Journals (Sweden)

Beatriz Padilla

2014-09-01

Full Text Available This article is a reflection upon the exercising of transnational citizenship as a consequence of international migration, applied to Latin Americans resident in Portugal. In order to do this we have adopted the concept of transnational citizenship, as its malleability allows us to consider the whole concept of countries of origin and destination and the influence of bilateral and international relations. We ask how transnational citizenship is exercised in the European Union, Ibero-American and, particularly, Portuguese spaces, and whether it is affected by the economic crisis in Europe and, in particular, Portugal, by analysing the cases of Argentines, Brazilians and Uruguayans living in Portugal.

Zika virus infection in Asian island countries in Indian Ocean：Present situation

Institute of Scientific and Technical Information of China (English)

Somsri Wiwanitkit; Viroj Wiwanitkit

2016-01-01

Zika virus infection is the present global problem. The infection is widely seen in tropical Latin and South American countries and results in several problems in that area. In addition, the previous big outbreak in many island countries in Pacific region brings attention to the further expansion of the infection worldwide. The specific situation of the infection in island countries is very interesting. Here, the current situation (in 2016) of Zika virus infection in Asian island countries in Indian Ocean is summarized and presented. Although there is still no current problem in the Asian island countries in Indian Ocean, the appearance of infection in the sea resorts of countries lining Indian Ocean is a big concern. Due to the high volume of traveler to sea resorts, emergence of the new disease in Asian island countries in Indian Ocean can be expected.

Four critical facilities: their capabilities and programs

International Nuclear Information System (INIS)

Whitesides, G.E.

1980-01-01

Information is presented on the critical experiments facilities at Babcock and Wilcox, Lynchburg, Virginia; at Battelle Pacific Northwest Laboratory in Hanford, Washington; at Rockwell-International in Rocky Flats, Colorado; and at Los Alamos Scientific Laboratory in New Mexico. It is noted that the critical mass facilities which still exist in this country represent a bare minimum for maintaining a measurement program sufficient for meeting data requirements

Financing Training in Developing Countries: The Role of Payroll Taxes.

Science.gov (United States)

Whalley, John; Ziderman, Adrian

1990-01-01

Although in most developing countries, major vocational training programs are financed from general government revenues, earmarked payroll taxes are becoming increasingly popular. This paper summarizes international experience with these payroll taxes, distinguishing between the more traditional revenue-raising schemes of the Latin American model…

Elements of a nuclear criticality safety program

International Nuclear Information System (INIS)

Hopper, C.M.

1995-01-01

Nuclear criticality safety programs throughout the United States are quite successful, as compared with other safety disciplines, at protecting life and property, especially when regarded as a developing safety function with no historical perspective for the cause and effect of process nuclear criticality accidents before 1943. The programs evolved through self-imposed and regulatory-imposed incentives. They are the products of conscientious individuals, supportive corporations, obliged regulators, and intervenors (political, public, and private). The maturing of nuclear criticality safety programs throughout the United States has been spasmodic, with stability provided by the volunteer standards efforts within the American Nuclear Society. This presentation provides the status, relative to current needs, for nuclear criticality safety program elements that address organization of and assignments for nuclear criticality safety program responsibilities; personnel qualifications; and analytical capabilities for the technical definition of critical, subcritical, safety and operating limits, and program quality assurance

Diaphragm Dysfunction in Critical Illness.

Science.gov (United States)

Supinski, Gerald S; Morris, Peter E; Dhar, Sanjay; Callahan, Leigh Ann

2018-04-01

The diaphragm is the major muscle of inspiration, and its function is critical for optimal respiration. Diaphragmatic failure has long been recognized as a major contributor to death in a variety of systemic neuromuscular disorders. More recently, it is increasingly apparent that diaphragm dysfunction is present in a high percentage of critically ill patients and is associated with increased morbidity and mortality. In these patients, diaphragm weakness is thought to develop from disuse secondary to ventilator-induced diaphragm inactivity and as a consequence of the effects of systemic inflammation, including sepsis. This form of critical illness-acquired diaphragm dysfunction impairs the ability of the respiratory pump to compensate for an increased respiratory workload due to lung injury and fluid overload, leading to sustained respiratory failure and death. This review examines the presentation, causes, consequences, diagnosis, and treatment of disorders that result in acquired diaphragm dysfunction during critical illness. Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

Emerging from the Shadows: The Visual Arts and Asian American History

Directory of Open Access Journals (Sweden)

Gordon H Chang

2009-02-01

Full Text Available Asian American Art: A History, 1850-1970, the book from which this foreword is excerpted, is the first comprehensive study of the lives and artistic production of artists of Asian ancestry active in the United States before 1970. The publication features original essays by ten leading scholars, biographies of more than 150 artists, and over 400 reproductions of artwork, ephemera, and images of the artists. Aside from a few artists such as Dong Kingman, Yasuo Kuniyoshi, Isamu Noguchi, and Yun Gee, artists of Asian ancestry have received inadequate historical attention, even though many of them received wide critical acclaim during their productive years. This pioneering work recovers the extraordinarily impressive artistic production of numerous Asian Americans, and offers richly informed interpretations of a long-neglected art history. To unravel the complexity of Asian American art expression and its vital place in American art, the texts consider aesthetics, the social structures of art production and criticism, and national and international historical contexts. Without a doubt, Asian American Art will profoundly influence our understanding of the history of art in America and the Asian American experience for years to come. Chang, Gordon H., Mark Johnson, and Paul Karlstrom, eds. Asian American Art: A History, 1850-1970. Stanford, Calif.: Stanford University Press, 2008. Reprinted with the permission of Stanford University Press. http://www.sup.org

The state of American health care: November 2016 to November 2020, a look forward.

Science.gov (United States)

Marmor, Theodore; Gusmano, Michael K

2018-01-01

The election of Donald Trump, coupled with the retention of Republican majorities in the US House of Representatives and Senate, raises questions about future of the Patient Protection and Affordable Care Act, the structure and funding of the country's public health insurance programs - Medicare, Medicaid and the Child Health Insurance Program - and the direction of health policy in the United States, more generally. Political scientists are not renowned for their capacity to predict the future and many of those who forecast election results have received criticism in recent weeks for failing to predict the Trump victory. While the future is uncertain, it is possible for social scientists to offer a 'conditional causal analysis' about the future. This essay is an effort to think about the likely shape of American health care between now and the next US presidential election.

Americans' views of the Muslim world realities and fallacies

OpenAIRE

Sulehri, Waqas A.

2006-01-01

The 9/11 terror attacks prompted a large number of public opinion surveys in the Islamic world by Gallup, Pew, Zogby, and others seeking to understand the level and nature of muslim antagonism toward America. Far less attention has been paid to public opinion surveys of Americans concerning their views of Islam, Muslims, and Muslim countries. This thesis sorts through the surveys and presents some surprising findings. First, while American views of Muslim have generally been rather unfavor...

The Barbarian Invasion: Anti-Americanism in Edith Wharton's Transatlantic Marriage Novels

OpenAIRE

Olsen, Anita Storm

2014-01-01

This thesis is a study of Edith Wharton s Madame de Treymes (1907), The Custom of the Country (1913) and The Buccaneers (1938). These novels deal with transatlantic marriages in The Gilded Age and at the turn of the last century. They contain numerous incidents of Euro-American encounters and anti-American attitudes. The aim of the thesis is to show that the novels reflect anti-American sentiments that were widespread in European literature and society at the time they were set and written. T...

Comic Drama in the Low Countries (c.1450-1560) : A critical anthologie

NARCIS (Netherlands)

Ben Parsons; Bas Jongenelen

2012-01-01

During the Middle Ages and early modern period, a dramatic culture of astonishing vitality developed in the Low Countries. Owing to the activities of organisations known as rederijkerskamers, or "chambers of rhetoric", drama became a central aspect of public life in the cities of the Netherlands.

Cultural Factors relevant to Korean Americans in Health Research: A Systematic Review.

Science.gov (United States)

Shin, Cha-Nam; Keller, Colleen; Sim, Jeongha

2018-04-01

To eliminate health disparities in the United States, identifying cultural contexts salient to the target populations in an intervention study is critical; however, little research has been conducted on the identification of cultural contexts among Korean Americans who have significant risk factors for chronic diseases. This systematic review identifies critical cultural contexts central to the literature discussed in health research on Korean Americans. We examined 14 research reports of 801 potentially eligible articles published between 2000 and 2016 and analyzed their contribution to cultural contexts among Korean Americans based on the PEN-3 model. This review highlights how cultural contexts impact health and health behaviors of Korean Americans, and may contribute to health disparities in the United States. The key cultural contexts highlighted in this review include social support/social network, family, gender role expectations, and a holistic view of health and illness. These cultural contexts should be incorporated in designing culturally relevant, effective, and sustainable health interventions for Korean Americans, which will contribute to eliminating health disparities for this ethnic group who experience great obstacles to healthcare access and healthy behaviors.

American ways and their meaning: Edith Wharton’s post-war fiction and American history, ideology, and national identity

OpenAIRE

Jenny Lynn Glennon

2011-01-01

This thesis argues that Edith Wharton’s assessment of American ways and their meaning in her post-war fiction has been widely misread. Its title derives from French Ways and Their Meaning (1919), which she wrote to educate her countrymen about French culture and society. Making sense of America was as great a challenge to Wharton. Much of her later fiction was for a long time dismissed by critics on the grounds that she had failed to ‘make sense’ of America. Wharton was troubled by American m...

Country impacts of multilateral oil sanctions

International Nuclear Information System (INIS)

Canes, M.E.

2000-01-01

In recent years, economic sanctions have become an important tool in the conduct of U.S. foreign policy. Though usually aimed at a single country, they also can affect the economics of other nations. Knowledge of such impacts would inform U.S. policy-makers as to which other countries might be helped or harmed, and help predict which other nations likely would support or oppose the sanctions. This article presents results relating to the imposition of sanctions in the oil market. These results are obtained from exercising a dynamic computable general equilibrium model built by Charles River Associates under sponsorship of the American Petroleum Institute. The model is used to analyze GDP effects on a number of countries from multilateral oil sanctions against Iraq. The results suggest that it is possible to provide useful information regarding the impact of sanctions as a foreign policy tool. However, they also indicate that sanctions can be expensive, with substantial spillover effects. Though sanctions may be appropriate policy choice in given instances, these effects should be incorporated into foreign policy analyses. (author)

Victims of femicide in Latin America: Legal and criminal justice responses

Directory of Open Access Journals (Sweden)

Joseph Janice

2017-01-01

Full Text Available Despite the progress that women have made in the fight against gender-based violence, it is still prevalent in various countries in the world. For many women in Latin American countries femicide is a constant reality. This paper critically analyzes femicide in Latin American countries and the legal and criminal responses to this crime. The paper defines femicide and discusses the nature and extent of femicide in Latin America. The analysis of this phenomenon in Latin American countries indicates that although some of these countries have made important strides in addressing the problem, they still face challenges in adequately preventing this crime.

48 CFR 27.204-1 - Use of patented technology under the North American Free Trade Agreement.

Science.gov (United States)

2010-10-01

... under the North American Free Trade Agreement. 27.204-1 Section 27.204-1 Federal Acquisition Regulations... Patents and Copyrights 27.204-1 Use of patented technology under the North American Free Trade Agreement... the patent holder is from a country that is a party to the North American Free Trade Agreement (NAFTA...

Energy technology transfer to developing countries

International Nuclear Information System (INIS)

Butera, F.; Farinelli, U.

1992-01-01

With the use of critical analyses of some examples of technology transfer by industrialized to third world countries, this paper illustrates the importance, in technology transfer, of giving due consideration to the specific social and marketing contexts of the targeted developing country and its physical and financial capability to acquire all the technology necessary to make the total realization of a desired industrial scheme feasible from the economic, technical and social points of view. It also indicates that the most effective transfers are those in which efforts are made to optimize local work force learning levels, process scheme efficiency and cost through the careful integration of innovative with conventional technologies

RILARA: Ibero-American laboratories network of radioactivity analysis in food

International Nuclear Information System (INIS)

Romero, M. Lourdes; Fernandez, Isis M.; Aguirre, Jaime; Melo, Ana C. de; Flores, Yasmine; Igliki, Amanda; Osores, Jose M.; Vasquez, L. Ramiro

2008-01-01

The Ibero-American Laboratories Network of Radioactivity Analysis in Food (RILARA), is a thematic network that was established in the year 2007 with the financial support of the Ibero-American Program of Science and Technology for Development (CYTED). The network brings together laboratories from Argentina, Brazil, Cuba, Ecuador, Spain, Mexico, Peru and Venezuela. The main objective of thematic networks is the transfer of knowledge among the research groups and to foster the cooperation as a working method. Their mission is to create a collaboration framework that allows in the future developing new common actions. The main objective of RILARA is to guarantee the radioactive innocuousness in foodstuffs, to protect consumer's health. Besides, the network aims to facilitate the international trade among Ibero-American countries, by strengthening technical cooperation of radioactivity analysis laboratories in food and by maintaining a continuous exchange of information related to the topic. This paper presents how this network was conceived, its objectives and specific goals. Also actions taken to achieve a stable and continuous interaction among the Ibero-American laboratories controlling radioactivity in food are specified. The completion of these actions is expected to provide technological transfer among countries/Institutions and staff methodology training at developing laboratories. (author)

Sickly Americans, Kindly Portuguese, and Lithuanian Couch Potatoes.

Science.gov (United States)

Bracey, Gerald W.

2000-01-01

Of 27 countries in a World Health Organization survey, American children report the most physical complaints, Portuguese children are most kind to one another, and Lithuanians watch more TV. U.S. and Czech teens are great dieters. Northern Irish, Scottish, and Finnish youngsters love computer games. (MLH)

Emerging Varieties of Capitalism in Transition Countries: Literature Review

Directory of Open Access Journals (Sweden)

Leszczyński Dariusz

2015-12-01

Full Text Available The systemic transformation of post-socialist countries from central planning to a market economy was a very complex and unprecedented undertaking. In this study we critically examine three influential classifications proposed by Coates [2000, 2006], Hall and Soskice [2001], and Amable [2003], within the “comparative capitalisms” literature stream, and argue that they are unsuitable for evaluating the progress made by transition economies since 1990. The basis of the criticism stems from timing: these theoretical frameworks were developed primarily to evaluate the growth of advanced and mature capitalist countries. Thus, they fail to capture the unique features of transition economies and the complexity of the transformation process that led to the emergence of different market-based systems. From this vantage point, we discusses and also critique a recent classification developed by Myant and Drahokoupil [2011, 2015], who distinguish five ideal models (i.e. “varieties of capitalism” that have evolved within transition countries. In our conclusion we point to areas within the field that may be explored by future research.

CDM criticisms: don't throw the baby out with the bathwater

Energy Technology Data Exchange (ETDEWEB)

Buen, Joerund

2012-07-01

CDM has delivered greater offset volumes than anticipated, mainly with money from the private sector in host countries (underlying project investment) and investor countries (carbon offset purchasing) and has built considerable institutional capacity. Criticisms have focused on high transaction costs and lack of scalability; additionality challenges and lack of net mitigation impact; preventing more ambitious targets and changes in emissions paths in developed and developing countries alike; excessive rents and perverse incentives; unbalanced regional distribution; low local sustainable development benefits; corruption and lack of transparency; and lack of technology transfer. While some of these criticisms are justified, others are outdated. Transaction costs have been drastically reduced. Excessive rents and perverse incentives in the CDM will be substantially reduced post-2012. Unbalanced regional distribution will be reduced by new rules; moreover, this is probably less of a problem than commonly thought. Some criticisms are erroneously founded. There is no evidence of CDM preventing more ambitious targets in developing countries while it could prevent changes in emissions paths in developed countries. Few CDM projects have serious known problems as regards sustainable development. Corruption and fraud seem limited; and technology transfer has never been a core CDM concern. Ironically, critics often neglect the elements that need to be improved. To ensure additionality, CDM rules must be tightened to exclude common practice projects and prevent host countries from changing their policies to cater for CDM projects. CDM's scalability and additionality challenges could be substantially reduced by discounting emission reductions. There could still be some non-additional projects, but the volume of the overall portfolio of projects would be additional.(Author)

Maternal and congenital syphilis in selected Latin America and Caribbean countries: a multi-country analysis using data from the Perinatal Information System.

Science.gov (United States)

Serruya, Suzanne J; Duran, Pablo; Martinez, Gerardo; Romero, Mario; Caffe, Sonja; Alonso, Monica; Silveira, Mariangela F

2015-04-01

Background Maternal syphilis has an important impact on reproductive health. In 2010, World Health Organization (WHO)/Pan American Health Organization (PAHO) member countries approved the Strategy and Plan of Action for Elimination of Mother-to-Child Transmission of HIV and Congenital Syphilis in the Americas by 2015. This paper aims to describe epidemiological and programmatic characteristics related to maternal and congenital syphilis in selected countries of Latin America and Caribbean for the period 2010-12. The report is based on a multi-country, quantitative and qualitative analysis from data collected from several sources, representing a compilation of country reports from nine countries as part of the 2012 mid-term evaluation of the Strategy. Data was collected based on standardised procedures at country level. Results are variable among countries. All countries have a strategic national plan to eliminate congenital syphilis, with some distinct characteristics for each country. Protocols and guidelines for the management and treatment of maternal and congenital syphilis in all countries were updated between 2011 and 2013. A high rate of missing information for all countries for some indicators was noticed. The main limitation of the analyses is the huge amount of missing data. Countries must continue to be supported to build capacity for collecting high-quality data on intervention coverage and inequities, and to use it as a basis for decisions about how best to reach women and children with interventions. A high level political commitment is necessary to put into practice the Regional Initiative to Eliminate Congenital Syphilis, with the support of Health Ministries.

Why American curriculum research could enrich Swiss curriculum stud-ies

OpenAIRE

Brühwiler Ingrid

2016-01-01

Implementing American curriculum research in another country is very problematic and frequently undesired because curriculum studies are complex as there are differences in terms history research approaches and political and social contexts. Nevertheless it is worthwhile to consider some North American curriculum theories as the findings lead to an enriching understanding of schools and hence of curricula and society. In this article William Pinar’s method of “currere” is explained to determ...

The Pajarito Site operating procedures for the Los Alamos Critical Experiments Facility

International Nuclear Information System (INIS)

Malenfant, R.E.

1991-12-01

Operating procedures consistent with DOE Order 5480.6, and the American National Standard Safety Guide for the Performance of Critical Experiments are defined for the Los Alamos Critical Experiments Facility (LACEF) of the Los Alamos National Laboratory. These operating procedures supersede and update those previously published in 1983 and apply to any criticality experiment performed at the facility. 11 refs

Not all Americans are creationists. Not all creationists are American (Italian original version)

OpenAIRE

Marco Ferrari

2006-01-01

In addition to their intrusive presence in American schools, creationists - or more modern epigones thereof, known as “intelligent designers” - are also and unexpectedly to be found in other countries. Take the United Kingdom as an example. Over the past few years, Darwin’s homeland has actually been witnessing attempts to introduce literal faith in the Bible into school programmes in a way which does not significantly differ from the one adopted in the United States. It is multi-billionaire ...

Software Development Offshoring Competitiveness: A Case Study of ASEAN Countries

Science.gov (United States)

Bui, Minh Q.

2011-01-01

With the success of offshoring within the American software industry, corporate executives are moving their software developments overseas. The member countries of the Association of Southeast Asian Nations (ASEAN) have become a preferred destination. However, there is a lack of published studies on the region's software competitiveness in…

75 FR 62453 - German-American Day, 2010

Science.gov (United States)

2010-10-12

... a better life. The German men and women who braved numerous perils to cross the Atlantic long ago... influenced our country in all walks of life, and their resolve lives on in the men, women, and families of... not only the countless achievements and rich heritage of German Americans, but also the strong ties...

The Asian countries and the non-proliferation treaty prorogation

International Nuclear Information System (INIS)

Hoffmann, N.

1995-01-01

This work deals with the non-proliferation treaty prorogation of Asia. The position of the asian countries under the old non-proliferation treaty is given. It includes the 1968 non-proliferation treaty signatories, the calling in question again and the criticisms revealed by the asian countries. The positions and the open forecasts expressed on the non-proliferation treaty prorogation and the article on the elimination of the nuclear weapons are also given. (O.L.)

COUNTRY OF ORIGIN EFFECT ON ORGANIZATIONAL INNOVATION IN MALAYSIA: THE MEDIATING ROLE OF STRUCTURE

Directory of Open Access Journals (Sweden)

Aizzat Mohd. Nasurdin

2004-01-01

Full Text Available The two main objectives of this study are: first, to determine whether the level of innovation (technological and process, product and administrative varies by country of origin, and second, to investigate the influence of country of origin on organizational innovation (technological and process, product and administrative via the mediating role played by organizational structure (formalization and centralization, among firms operating in Malaysia. Statistical analyses of the 80 multinational corporations and 43 locally-owned firms and joint-ventures using ANOVA revealed that significant differences do exist in terms of their innovation levels. Firms from the West (American multinationals and European multinationals had higher levels of technological and process innovation compared to firms from the East (Eastern multinationals plus local companies and joint-ventures. Regarding product innovation, American multinationals were found to be more innovative compared to European multinationals and firms from the East (Eastern multinationals plus local firms and joint-ventures. In terms of administrative innovation, American multinationals were found to be most innovative followed by European multinationals, and lastly, firms from the East (Eastern multinationals plus local companies and joint-ventures. Additionally, country of origin had no indirect effect on the three forms of innovation via structure. Implications and suggestions for future research are discussed.

Social security reform in Central and Eastern Europe: variations on a Latin American theme.

Science.gov (United States)

Kritzer, B E

After Chile reformed its social security system in 1981, several other Latin American countries and certain Central and Eastern European (CEE) countries implemented the Chilean model, with some variations: either a single- or multitier system, or with a period of transition to take care of those in the labor force at the time of the change. The single-tier version consists of individual accounts in pension fund management companies. Multi-tier systems retain some form of public program and add mandatory individual accounts. Most of the CEE countries did not want to incur the high transition costs associated with the Chilean model. The switch to a market economy had already strained their economies. Also, the countries' desire to adopt the European Union's Euro as their currency--a move that required a specific debt ceiling--limited the amount of additional debt they could incur. This article describes the CEE reforms and makes some comparisons with the Latin American experience. Most of the CEE countries have chosen a mixed system and have restructured the pay-as-you-go (PAYGO) tier, while the Latin American countries have both single- and multi-tier systems. Some CEE countries have set up notional defined contribution (NDC) schemes for the PAYGO tier in which each insured person has a hypothetical account made up of all contributions during his or her working life. Survivors and disability programs in CEE have remained in the public tier, but in most of the Latin American programs the insured must purchase a separate insurance policy. Issues common to both regions include: Administrative costs are high and competition is keen, which has led to consolidation and mergers among the companies and a large market share controlled by a few companies. Benefits are proportionately lower for women than for men. A large, informal sector is not covered by social security. This sector is apparently much larger in Latin America than in the CEE countries. Issues that are unique

Methodological Bases for Ranking the European Union Countries in Terms of Macroeconomic Security

Directory of Open Access Journals (Sweden)

Tymoshenko Olena V.

2015-11-01

Full Text Available The fundamental contradictions of existing methodical approaches to assessing the level of the state economic security have been substantiated and proposals on the introduction of a unified methodology for its assessment, which would be acceptable for use at the international level or for a specific cluster of countries, have been developed. Based on the conducted researches it has been found that the there are no unified signs for such classification of countries. To determine the most significant coefficients and critical values of the indicators of economic security, it is appropriate that the countries should be grouped in terms of the level of the economic development proposed by the UN Commission and the IMF. Analysis of the economic security level has been conducted for the countries-members of the European Union as a separate cluster of countries on the example of macroeconomic security indicators. Based on the evaluation it has been found that the proposed list of indicators and their critical values is economically sound and built on the principle of adequacy, representativeness and comprehensiveness. In 2004 the most secure countries of the EU corresponding to the macroeconomic security standards were Austria, Denmark, Sweden, Finland, and as in 2014 the percentage of absolutely secure countries decreased from 14.3 to 7.1%, only Denmark and Sweden remained in the ranking. During the analyzed period Bulgaria and Croatia got into the risk zone, Estonia, Lithuania, Latvia, Romania were in a danger zone. In 2014 Ukraine in terms of its macroeconomic security was in a critical state, which testified about serious structural and system imbalances in its development.

Third world criticism of the NPT

International Nuclear Information System (INIS)

Nielebock, T.

1990-01-01

The criticism has gotten point mainly from the nuclear threshold countries, whose motives can be categorized as relating to security and economy. In the beginning of the 1980s, the nuclear threshold countries succeeded in finding support for their attitude by most of the non-aligned countries. This became obvious e.g. at the second NPT-review conference in 1980, which ended without a result. The prospects for either extending the NPT or for replacing it by a regulation that integrates the nuclear threshold countries in 1995 are rather dim. Today, the problems connected with the utilization of nuclear energy are separately dealt with on different fora. However, between 1990 and 1995, they will be brought together again in the discussions over the future of the NPT. This will render a global regulation of non-proliferation considerably more difficult. (orig./HSCH) [de

African Education and Globalization: Critical Perspectives

Science.gov (United States)

Abdi, Ali A., Ed.; Puplampu, Korbla P., Ed.; Dei, George J. Sefa, Ed.

2006-01-01

Containing both theoretical discussions of globalization and specific case analyses of individual African countries, this collection of essays examines the intersections of African education and globalization with multiple analytical and geographical emphases and intentions. The 11 essays critically analyze the issues from historical, cultural,…

Emerging from the Shadows: The Visual Arts and Asian American History

Directory of Open Access Journals (Sweden)

Gordon H Chang

2009-02-01

Full Text Available

Asian American Art: A History, 1850-1970, the book from which this foreword is excerpted, is the first comprehensive study of the lives and artistic production of artists of Asian ancestry active in the United States before 1970. The publication features original essays by ten leading scholars, biographies of more than 150 artists, and over 400 reproductions of artwork, ephemera, and images of the artists. Aside from a few artists such as Dong Kingman, Yasuo Kuniyoshi, Isamu Noguchi, and Yun Gee, artists of Asian ancestry have received inadequate historical attention, even though many of them received wide critical acclaim during their productive years. This pioneering work recovers the extraordinarily impressive artistic production of numerous Asian Americans, and offers richly informed interpretations of a long-neglected art history. To unravel the complexity of Asian American art expression and its vital place in American art, the texts consider aesthetics, the social structures of art production and criticism, and national and international historical contexts. Without a doubt, Asian American Art will profoundly influence our understanding of the history of art in America and the Asian American experience for years to come. Chang, Gordon H., Mark Johnson, and Paul Karlstrom, eds. Asian American Art: A History, 1850-1970. Stanford, Calif.: Stanford University Press, 2008. Reprinted with the permission of Stanford University Press. http://www.sup.org

American Diet Quality: Where It Is, Where It Is Heading, and What It Could Be.

Science.gov (United States)

Wilson, Magdalena M; Reedy, Jill; Krebs-Smith, Susan M

2016-02-01

Diet quality is critically important to the prevention of many types of chronic disease. The federal government provides recommendations for optimal diet quality through the Dietary Guidelines for Americans, and sets benchmarks for progress toward these recommendations through the Healthy People objectives. This analysis estimated recent trends in American diet quality and compared those trends to the quality of diets that would meet the Healthy People 2020 objectives and the 2010 Dietary Guidelines for Americans in order to measure progress toward our national nutrition goals. This analysis used 24-hour recall data from the cross-sectional National Health and Nutrition Examination Survey, between the years of 1999-2000 and 2011-2012, to determine mean intakes of various dietary components for the US population over time. Mean intakes were estimated using the population ratio method, and diet quality was assessed using the Healthy Eating Index 2010 (HEI-2010). The mean HEI-2010 total score for the US population has increased from 49 in 1999-2000 to 59 in 2011-2012; continuing on that trajectory, it would reach a score of 65 by 2019-2020. A diet that meets the Healthy People 2020 objectives would receive a score of 74 and, by definition, a diet that meets the 2010 Dietary Guidelines for Americans would receive a score of 100. Trends in HEI-2010 component scores vary; all HEI-2010 component scores except sodium have increased over time. Diet quality is improving over time, but not quickly enough to meet all of the Healthy People 2020 objectives. Whole fruit and empty calories are the only HEI-2010 components on track to meet their respective Healthy People 2020 targets. Furthermore, the country falls short of the 2010 Dietary Guidelines for Americans by a large margin in nearly every component of diet quality assessed by the HEI-2010. Published by Elsevier Inc.

An Official American Thoracic Society Research Statement: Implementation Science in Pulmonary, Critical Care, and Sleep Medicine.

Science.gov (United States)

Weiss, Curtis H; Krishnan, Jerry A; Au, David H; Bender, Bruce G; Carson, Shannon S; Cattamanchi, Adithya; Cloutier, Michelle M; Cooke, Colin R; Erickson, Karen; George, Maureen; Gerald, Joe K; Gerald, Lynn B; Goss, Christopher H; Gould, Michael K; Hyzy, Robert; Kahn, Jeremy M; Mittman, Brian S; Mosesón, Erika M; Mularski, Richard A; Parthasarathy, Sairam; Patel, Sanjay R; Rand, Cynthia S; Redeker, Nancy S; Reiss, Theodore F; Riekert, Kristin A; Rubenfeld, Gordon D; Tate, Judith A; Wilson, Kevin C; Thomson, Carey C

2016-10-15

Many advances in health care fail to reach patients. Implementation science is the study of novel approaches to mitigate this evidence-to-practice gap. The American Thoracic Society (ATS) created a multidisciplinary ad hoc committee to develop a research statement on implementation science in pulmonary, critical care, and sleep medicine. The committee used an iterative consensus process to define implementation science and review the use of conceptual frameworks to guide implementation science for the pulmonary, critical care, and sleep community and to explore how professional medical societies such as the ATS can promote implementation science. The committee defined implementation science as the study of the mechanisms by which effective health care interventions are either adopted or not adopted in clinical and community settings. The committee also distinguished implementation science from the act of implementation. Ideally, implementation science should include early and continuous stakeholder involvement and the use of conceptual frameworks (i.e., models to systematize the conduct of studies and standardize the communication of findings). Multiple conceptual frameworks are available, and we suggest the selection of one or more frameworks on the basis of the specific research question and setting. Professional medical societies such as the ATS can have an important role in promoting implementation science. Recommendations for professional societies to consider include: unifying implementation science activities through a single organizational structure, linking front-line clinicians with implementation scientists, seeking collaborations to prioritize and conduct implementation science studies, supporting implementation science projects through funding opportunities, working with research funding bodies to set the research agenda in the field, collaborating with external bodies responsible for health care delivery, disseminating results of implementation

Evaluating the costs of pneumococcal disease in selected Latin American countries.

Science.gov (United States)

Constenla, Dagna

2007-10-01

To estimate the costs of pneumococcal disease in Brazil, Chile and Uruguay, to describe how these costs vary between different patient groups, and to discuss factors that affect these cost variations. The cost of pneumococcal disease was estimated from the health care perspective. For each country, baseline cost estimates were primarily developed using health resources information from patient-level data and facility-specific cost data. A regression model was constructed separately for four types of pneumococcal diseases. The skewness-kurtosis test and the Cook-Weisberg test were performed to test the normality of the residuals and the heteroscedasticity, respectively. The treatment of pneumococcal meningitis generated up to US$ 5 435 per child. The treatment costs of pneumococcal pneumonia were lower, ranging from US$ 372 per child to US$ 3 483 per child. Treatment of acute otitis media cost between US$ 20 per child and US$ 217 per child. The main source of treatment costs variations was level of service provided and country in which costs were incurred. However, the tendency of costs to change with these variables was not statistically significant at the 5% level for most pneumococcal disease models. Pneumococcal disease resulted in significant economic burden to selected health care systems in Latin America. The patterns of treatment cost of pneumococcal disease showed a great deal of variation.

Toward improved interpretation and theory building of African American male sexualities.

Science.gov (United States)

Lewis, Linwood J; Kertzner, Robert M

2003-11-01

This paper examined five challenges to clear understanding of African American male sexualities: incorrect assumptions of African American homogeneity; an underemphasis on developmental change, the contexts and the meanings of sexual behaviors; and a lack of compelling theoretical grounding for African American sexualities. Critical elements for effective theorizing and research about African American sexualities (i.e. multiple levels of analysis, examination of phenomenological meaning of sexuality, measurement of dynamic/developmental change) were outlined and candidate theories within sexual science (social exchange theories, symbolic interactionism, sexual scripting theory) were analyzed in light of these elements. It is suggested that a re-orientation of sex research about African American men using these elements will result in improved understanding of African American sexualities in multiple contexts.

North American Integration after 20 Years

Directory of Open Access Journals (Sweden)

Galina M. Kostyunina

2015-01-01

Full Text Available Formation of the North American Free Trade Area (NAFTA among the three countries - the U.S., Canada and Mexico is the most striking example of successful development of integration processes in the Western Hemisphere. This year NAFTA marks the 20th anniversary of its foundation (1994. NAFTA covers trade in goods, services and movement of capital, intellectual property rights, environmental cooperation and labor cooperation. Its main advantages for member countries related to the dynamic growth of regional trade and investments, promoting the growth of industrial production (capital-intensive and high-tech industries in the U.S. and Canada, and labor-intensive industries in Mexico, increase the investment attractiveness of the economies of member countries and the promotion of employment. But there are costs, both general and specific to the individual member countries. Common costs are primarily asymmetrical level of economic interdependence, where mutual economic relations are the most developed between the U.S. and Canada, the U.S. and Mexico, and the least developed between Mexico and Canada due to historical conditions. Other costs are the differentiation in the levels of economic development, in volumes of overall GDP and per capita, population and size of the territory. But despite the costs, integration processes are successfully developed and repeatedly raised the issue of deepening economic integration between the U.S., Canada and Mexico. So, in 2000, there was put forward the concept of creating the North American community as an economic and security community by 2010, and in 2005 proposed the idea of a common currency called the Amero. But these proposals did not come true. On the agenda - the possibility of signing a new, more expanded NAFTA+, and even in the last year - the possibility to form a customs union under NAFTA.

Clinical review: International comparisons in critical care - lessons learned.

Science.gov (United States)

Murthy, Srinivas; Wunsch, Hannah

2012-12-12

Critical care medicine is a global specialty and epidemiologic research among countries provides important data on availability of critical care resources, best practices, and alternative options for delivery of care. Understanding the diversity across healthcare systems allows us to explore that rich variability and understand better the nature of delivery systems and their impact on outcomes. However, because the delivery of ICU services is complex (for example, interplay of bed availability, cultural norms and population case-mix), the diversity among countries also creates challenges when interpreting and applying data. This complexity has profound influences on reported outcomes, often obscuring true differences. Future research should emphasize determination of resource data worldwide in order to understand current practices in different countries; this will permit rational pandemic and disaster planning, allow comparisons of in-ICU processes of care, and facilitate addition of pre- and post-ICU patient data to better interpret outcomes.

Dynamic functional studies in nuclear medicine in developing countries

International Nuclear Information System (INIS)

1989-01-01

The Proceedings document some of the trials and tribulations involved in setting up nuclear medicine facilities in general and specifically as regards nuclear medicine applications for the diagnosis of the diseases prevalent in the less developed countries. Most of the 51 papers deal with various clinical applications of dynamic functional studies. However, there was also a session on quality control of the equipment used, and a panel discussion critically looked at the problems and potential of dynamic studies in developing countries. This book will be of interest and use not only to those practising nuclear medicine in the developing countries, but it may also bring home to users in developed countries how ''more can be done with less''. Refs, figs and tabs

Simulating the Camp David Negotiations: A Problem-Solving Tool in Critical Pedagogy

Science.gov (United States)

McMahon, Sean F.; Miller, Chris

2013-01-01

This article reflects critically on simulations. Building on the authors' experience simulating the Palestinian-Israeli-American Camp David negotiations of 2000, they argue that simulations are useful pedagogical tools that encourage creative--but not critical--thinking and constructivist learning. However, they can also have the deleterious…

Japanese Shame Culture and American Guilt Culture

Institute of Scientific and Technical Information of China (English)

Lu Weijie

2016-01-01

Culture is an important factor contributing to the success of intercultural communication. In the east and west, there are many different cultures, among which Japanese shame culture and American guilt culture are two typical ones. Influenced by different cultures, these two countries have different characteristics, which reminds us that in intercultural communication culture should be paid much attention to.

Metal Criticality Determination for Australia, the US, and the Planet—Comparing 2008 and 2012 Results

Directory of Open Access Journals (Sweden)

Luca Ciacci

2016-09-01

Full Text Available Episodic supply shortages of metals and unsettling predictions of potential supply constraints in the future have led to a series of recent criticality evaluations. This study applies a consistent criticality methodology to the United States, Australia, and to the global level for both 2008 and 2012. It is the first time that criticality assessments are presented for Australia, a country that contrasts with the United States in terms of its mineral deposits and metal use characteristics. We use the Yale criticality methodology, which measures Supply Risk (SR, Environmental Implications (EI, and Vulnerability to Supply Restriction (VSR to derive criticality assessments for five major metals (Al, Fe, Ni, Cu, Zn and for indium (In. We find only modest changes in SR between 2008 and 2012 at both country and global levels; these changes are due to revisions in resource estimates. At the country level, Australia’s VSR for Ni, Cu, and Zn is 23%–33% lower than that for the United States, largely because of Australia’s abundant domestic resources. At the global level, SR is much higher for In, Ni, Cu, and Zn than for Al and Fe as a consequence of SR’s longer time horizon and anticipated supply/demand constraints. The results emphasize the dynamic nature of criticality and its variance between countries and among metals.

Nature in Arab American Literature Majaj, Nye, and Kahf

OpenAIRE

Bujupaj, Ismet

2015-01-01

Much critical engagement with works of Arab American literature focuses on cultural identity and political issues, without treating nature in those works. The writings of Lisa Suhair Majaj, Naomi Shihab Nye, and Mohja Kahf, provide rich opportunities to start examining Arab American writings through an ecocritical lens which examines the human relationship to nature, place, and the physical environment. Often, in these works, place is doubled, with the present-day physical environment as well...

Multifractal structure in Latin-American market indices

International Nuclear Information System (INIS)

Zunino, Luciano; Figliola, Alejandra; Tabak, Benjamin M.; Perez, Dario G.; Garavaglia, Mario; Rosso, Osvaldo A.

2009-01-01

We study the multifractal nature of daily price and volatility returns of Latin-American stock markets employing the multifractal detrended fluctuation analysis. Comparing with the results obtained for a developed country (US) we conclude that the multifractality degree is higher for emerging markets. Moreover, we propose a stock market inefficiency ranking by considering the multifractality degree as a measure of inefficiency. Finally, we analyze the sources of multifractality quantifying the contributions of two factors, the long-range correlations of the time series and the broad fat-tail distributions. We find that the multifractal structure of Latin-American market indices can be mainly attributed to the latter.

Social effects of migration in receiving countries.

Science.gov (United States)

Ohndorf, W

1989-06-01

This paper examines the impact of post-1945 migration into Western, Middle, and Northern Europe from Southern Europe, Turkey, and Northern Africa, and migration to the traditional immigration countries by Asian and Latin American immigrants, on the social structures of receiving countries. Between 1955 and 1974, 1) traditional migration to the US and Australia became less important for European countries while traditional receiving countries accepted many immigrants from developing countries; and 2) rapid economic revival in Western and Northern Europe caused a considerable labor shortage which was filled by migrant workers especially from Southern Europe, Turkey, and Northern Africa, who stayed only until they reached their economic goals. Since 1974, job vacancies have declined and unemployment has soared. This employment crisis caused some migrants 1) to return to their countries of origin, 2) to bring the rest of their families to the receiving country, or 3) to lengthen their stay considerably. The number of refugees has also significantly increased since the mid-970s, as has the number of illegal migrants. After the mid-1970s, Europe began to experience integration problems. The different aspects of the impact of migration on social structures include 1) improvement of the housing situation for foreigners, 2) teaching migrants the language of the receiving country, 3) solving the unemployment problem of unskilled migrants, 4) improvement of educational and vocational qualifications of 2nd generation migrants, 5) development of programs to help unemployed wives of migrants to learn the language and meet indigenous women, 6) encouraging migrants to maintain their cultural identity and assisting them with reintegration if they return to their original country, 7) coping with the problems of refugees, and 8) solving the problems of illegal migration. Almost all receiving countries now severely restrict further immigration. [Those policies should result in

Using the cloud to provide telemedicine services in a developing country

Directory of Open Access Journals (Sweden)

Liezel Cilliers

2014-11-01

Objectives: The aim of the article is to provide critical success factors (CSF that will enable the deployment of telemedicine in the cloud in order to improve health care services in developing countries. Methods: A thorough literature review was performed of peer reviewed articles in order to identify possible barriers for telemedicine to be deployed in the cloud. Furthermore, the Technology Organization Environmental Model was used in order to group the barriers according to the various factors and, from this process, critical success factors were formulated for consideration. Conclusion: Five critical success factors were formulated in order to implement telemedicine making use of the cloud in developing countries. These include having a national integrated plan for telemedicine; promoting best practices within a legislation framework; involving the end user; providing education to improve levels of telemedicine awareness amongst staff and patients, and addressing technological issues.

Progressive Propaganda Critics and the Magic Bullet Myth.

Science.gov (United States)

Sproule, J. Michael

1989-01-01

Examines the development and historical inaccuracies of the "magic bullet" interpretation of American propaganda studies, which asserts that propaganda critics between the world wars treated messages as "magic bullets" directly and powerfully infused into passive receivers. Considers why this misconception of the progressive…

Critical Contexts for Biomedical Research in a Native American Community: Health Care, History, and Community Survival

Science.gov (United States)

Sahota, Puneet Chawla

2012-01-01

Native Americans have been underrepresented in previous studies of biomedical research participants. This paper reports a qualitative interview study of Native Americans' perspectives on biomedical research. In-depth interviews were conducted with 53 members of a Southwest tribal community. Many interviewees viewed biomedical research studies as a…

Stress and Coping of Critical Care Nurses After Unsuccessful Cardiopulmonary Resuscitation.

Science.gov (United States)

McMeekin, Dawn E; Hickman, Ronald L; Douglas, Sara L; Kelley, Carol G

2017-03-01

Participation by a critical care nurse in an unsuccessful resuscitation can create a unique heightened level of psychological stress referred to as postcode stress, activation of coping behaviors, and symptoms of posttraumatic stress disorder (PTSD). To explore the relationships among postcode stress, coping behaviors, and PTSD symptom severity in critical care nurses after experiencing unsuccessful cardiopulmonary resuscitations and to see whether institutional support attenuates these repeated psychological traumas. A national sample of 490 critical care nurses was recruited from the American Association of Critical-Care Nurses' eNewsline and social media. Participants completed the Post-Code Stress Scale, the Brief COPE (abbreviated), and the Impact of Event Scale-Revised, which were administered through an online survey. Postcode stress and PTSD symptom severity were weakly associated ( r = 0.20, P = .01). No significant associations between coping behaviors and postcode stress were found. Four coping behaviors (denial, self-distraction, self-blame, and behavioral disengagement) were significant predictors of PTSD symptom severity. Severity of postcode stress and PTSD symptoms varied with the availability of institutional support. Critical care nurses show moderate levels of postcode stress and PTSD symptoms when asked to recall an unsuccessful resuscitation and the coping behaviors used. Identifying the critical care nurses most at risk for PTSD will inform the development of interventional research to promote critical care nurses' psychological well-being and reduce their attrition from the profession. ©2017 American Association of Critical-Care Nurses.

Media Watchers: A Profile of Press Criticism in Latin America

Directory of Open Access Journals (Sweden)

Rogerio Christofoletti

2006-12-01

Full Text Available Media watchers are recent actors on the Latin American media scene, including the Brazilian one. However, there are examples of monitoring activity spread around the entire continent. Over and above contributing to the improvement of mass media, the observatories help to diff use a culture of critical consumption of information. That contributes to the development of democracy by promoting values such as transparency, freedom and citizenship. This article refl ects, initially, on the conditions of the Brazilian media market. Following that, it evaluates the obstacles to the dissemination of a media criticism culture. At a third moment, the focus is amplifi ed and a profi le of Latin American media watchers is provided, emphasizing characteristics in common and aspects that distinguish them.

SOCIAL CLEAVAGES IN THE AMERICAN SOCIETY AS A FACTOR OF 2016 PRESIDENTIAL CAMPAIGN

Directory of Open Access Journals (Sweden)

P. S. Kanevskiy

2017-01-01

Full Text Available Current article is dedicated to analysis of social cleavages in the American elections and the ways they influenced on presidential election in 2016. Originally developed by S. Rokkan and S.M. Lipset, social cleavages became a classic theme for contemporary political sociology. However, despite the fact that the theory has been developing primarily by Americans, it has been rarely used to analyze electoral system in the USA. Traditionally it’s been aimed at European and developing countries where electoral fragmentation is seen more clearly. But recent changes in the American society and the political system demonstrate the emergence of social cleavages that had not been inherent before. The article shows how American electoral space transformed since the 1980s and how it became more fragmented under the influence of social, economic and ideological factors. Elections in 2016 became a watershed for social cleavages that accumulated through time and aggravated even more considering internal crises in the Democratic and more so in the Republican parties. Donald Trump’s victory is an impersonation of the American party system crisis and of the mainstream politicians’ inability to find proper explanation of the changing electorate. Author shows that American society today is polarized even more than many European countries while group identification determines vectors of political change.

Small Companies Innovations in Emerging Countries: E-Business Adoption and its Business Model

Directory of Open Access Journals (Sweden)

Silvia Novaes Zilber

2012-07-01

Full Text Available Organizations have been taking advantage of e-business as an innovative opportunity to improve business results, but small companies have not been adopting this tool as quickly as large corporations. There are several studies on the adoption of e-business in developed countries, but there are fewer studies in emerging Latin American countries. Thus, the goal of this study was to describe the business model of small companies that have adopted e-business (an innovation to this segment in an emerging Latin American country. For that, we used a quantitative approach trough a survey data. Main results: the owners/shareholders play a central role in making decisions about the adoption of e-business; the main value delivered from using the internet was improved brand and/or product awareness. The companies using e-business achieved increase in business and an expanded geographic scope of sales. The main difficulties encountered were training personnel to work on the internet and defining which web activities can lead to achieve strategic objectives.

ICT diffusion in developing countries towards a new concept of technological takeoff

CERN Document Server

Lechman, Ewa

2015-01-01

This book provides an extensive overview of the diffusion of Information and Communication Technologies (ICTs) in developing countries between 2000 and 2012. It covers issues such as country-specific ICT diffusion patterns, technological substitution and technological convergence. By identifying social, economic and institutional prerequisites and analyzing critical country-specific conditions, the author develops a new approach to explaining the emergence of their technological takeoff. Readers will discover how developing countries are now adopting ICTs, rapidly catching up with the developed world in terms of ICT access and use.

A Review of Environmental Life Cycle Assessments of Liquid Transportation Biofuels in the Pan American Region.

Science.gov (United States)

Shonnard, David R; Klemetsrud, Bethany; Sacramento-Rivero, Julio; Navarro-Pineda, Freddy; Hilbert, Jorge; Handler, Robert; Suppen, Nydia; Donovan, Richard P

2015-12-01

Life-cycle assessment (LCA) has been applied to many biofuel and bioenergy systems to determine potential environmental impacts, but the conclusions have varied. Different methodologies and processes for conducting LCA of biofuels make the results difficult to compare, in-turn making it difficult to make the best possible and informed decision. Of particular importance are the wide variability in country-specific conditions, modeling assumptions, data quality, chosen impact categories and indicators, scale of production, system boundaries, and co-product allocation. This study has a double purpose: conducting a critical evaluation comparing environmental LCA of biofuels from several conversion pathways and in several countries in the Pan American region using both qualitative and quantitative analyses, and making recommendations for harmonization with respect to biofuel LCA study features, such as study assumptions, inventory data, impact indicators, and reporting practices. The environmental management implications are discussed within the context of different national and international regulatory environments using a case study. The results from this study highlight LCA methodology choices that cause high variability in results and limit comparability among different studies, even among the same biofuel pathway, and recommendations are provided for improvement.

A Review of Environmental Life Cycle Assessments of Liquid Transportation Biofuels in the Pan American Region

Science.gov (United States)

Shonnard, David R.; Klemetsrud, Bethany; Sacramento-Rivero, Julio; Navarro-Pineda, Freddy; Hilbert, Jorge; Handler, Robert; Suppen, Nydia; Donovan, Richard P.

2015-12-01

Life-cycle assessment (LCA) has been applied to many biofuel and bioenergy systems to determine potential environmental impacts, but the conclusions have varied. Different methodologies and processes for conducting LCA of biofuels make the results difficult to compare, in-turn making it difficult to make the best possible and informed decision. Of particular importance are the wide variability in country-specific conditions, modeling assumptions, data quality, chosen impact categories and indicators, scale of production, system boundaries, and co-product allocation. This study has a double purpose: conducting a critical evaluation comparing environmental LCA of biofuels from several conversion pathways and in several countries in the Pan American region using both qualitative and quantitative analyses, and making recommendations for harmonization with respect to biofuel LCA study features, such as study assumptions, inventory data, impact indicators, and reporting practices. The environmental management implications are discussed within the context of different national and international regulatory environments using a case study. The results from this study highlight LCA methodology choices that cause high variability in results and limit comparability among different studies, even among the same biofuel pathway, and recommendations are provided for improvement.

Critical behavior of the dielectric constant in asymmetric fluids.

Science.gov (United States)

Bertrand, C E; Sengers, J V; Anisimov, M A

2011-12-08

By applying a thermodynamic theory that incorporates the concept of complete scaling, we derive the asymptotic temperature dependence of the critical behavior of the dielectric constant above the critical temperature along the critical isochore and below the critical temperature along the coexistence curve. The amplitudes of the singular terms in the temperature expansions are related to the changes of the critical temperature and the critical chemical potential upon the introduction of an electric field. The results of the thermodynamic theory are then compared with the critical behavior implied by the classical Clausius-Mossotti approximation. The Clausius-Mossotti approximation fails to account for any singular temperature dependence of the dielectric constant above the critical temperature. Below the critical temperature it produces an apparent asymmetric critical behavior with singular terms similar to those implied by the thermodynamic theory, but with significantly different coefficients. We conclude that the Clausius-Mossotti approximation only can account for the observed asymptotic critical behavior of the dielectric constant when the dependence of the critical temperature on the electric field is negligibly small. © 2011 American Chemical Society

"Borrowing" Activities from Another Culture: A Native American's Perspective.

Science.gov (United States)

Oles, Gordon W. A.

1992-01-01

Criticizes the practice in adventure education of using Native American rituals and practices without the proper cultural context. Suggests that western society uses rites and ceremonies initiated in its own culture for experiential education. (KS)

Mexican American Mothers' Perceptions of Childhood Obesity: A Theory-Guided Systematic Literature Review

Science.gov (United States)

Sosa, Erica T.

2012-01-01

Childhood obesity continues to increase, disproportionately affecting Mexican American children. The aims of this review are to (a) assess the literature regarding Mexican American mothers' knowledge and perceptions of childhood obesity, prevention, and their role in prevention; (b) critically evaluate the methodological quality of the research…

American Psychological Association annual report.

Science.gov (United States)

2010-01-01

Presents the 2009 American Psychological Association annual report. It highlights a very important year for APA and psychology by summarizing activities within each directorate. It describes strides made toward the goal of infusing psychology into the health care marketplace and of bringing psychology-and the unique skills of psychologists-to the attention of the public. This report aims to give insight into the contributions psychologists make to our communities and our country. 2010 APA, all rights reserved.

Curriculum Change in the Developing Country: The Case of Saudi Arabia.

Science.gov (United States)

Shaker, Paul

Based on current thought in multicultural education, this paper discusses the need for Americans to help Saudi Arabia integrate western technology into education without subjecting the country to cultural imperialism. The paper is purported to rest on the "reconceptualist" theories of curriculum development. The author cites four…

Personality factors of critical care nurses.

Science.gov (United States)

Levine, C D; Wilson, S F; Guido, G W

1988-07-01

Two hundred members of the American Association of Critical-Care Nurses responded to a mail-out survey done to determine the psychologic profile of critical care nurses in terms of self-esteem, gender identity, and selected personality characteristics. The instruments used were Cattell's 16 PR, the Personal Attributes Questionnaire (PAQ), and the Texas Social Behavior Inventory (TSBI). Their personality factors tended to be aggressive, assertive, competitive, persevering, moralistic, resourceful, and mechanical. The nurses who enjoyed the field most were of the androgynous or masculine type and had high levels of self-esteem. On the basis of these findings, the nurse recruiter or faculty member doing career counseling could assess the personality characteristics, gender identity, and self-esteem levels of interested nurses. The goal would be to identify nurses who would both enjoy the field and remain active in critical care nursing after orientation. The goal could also be to help nurses dissatisfied with critical care nursing to seek means of improving their self-esteem.

Nuclear criticality safety experiments, calculations, and analyses: 1958 to 1982. Volume 1. Lookup tables

International Nuclear Information System (INIS)

Koponen, B.L.; Hampel, V.E.

1982-01-01

This compilation contains 688 complete summaries of papers on nuclear criticality safety as presented at meetings of the American Nuclear Society (ANS). The selected papers contain criticality parameters for fissile materials derived from experiments and calculations, as well as criticality safety analyses for fissile material processing, transport, and storage. The compilation was developed as a component of the Nuclear Criticality Information System (NCIS) now under development at the Lawrence Livermore National Laboratory. The compilation is presented in two volumes: Volume 1 contains a directory to the ANS Transaction volume and page number where each summary was originally published, the author concordance, and the subject concordance derived from the keyphrases in titles. Volume 2 contains - in chronological order - the full-text summaries, reproduced here by permission of the American Nuclear Society from their Transactions, volumes 1-41

Articles by latin american authors in prestigious journals have fewer citations.

Directory of Open Access Journals (Sweden)

Rogerio Meneghini

Full Text Available BACKGROUND: The journal Impact factor (IF is generally accepted to be a good measurement of the relevance/quality of articles that a journal publishes. In spite of an, apparently, homogenous peer-review process for a given journal, we hypothesize that the country affiliation of authors from developing Latin American (LA countries affects the IF of a journal detrimentally. METHODOLOGY/PRINCIPAL FINDINGS: Seven prestigious international journals, one multidisciplinary journal and six serving specific branches of science, were examined in terms of their IF in the Web of Science. Two subsets of each journal were then selected to evaluate the influence of author's affiliation on the IF. They comprised contributions (i with authorship from four Latin American (LA countries (Argentina, Brazil, Chile and Mexico and (ii with authorship from five developed countries (England, France, Germany, Japan and USA. Both subsets were further subdivided into two groups: articles with authorship from one country only and collaborative articles with authorship from other countries. Articles from the five developed countries had IF close to the overall IF of the journals and the influence of collaboration on this value was minor. In the case of LA articles the effect of collaboration (virtually all with developed countries was significant. The IFs for non-collaborative articles averaged 66% of the overall IF of the journals whereas the articles in collaboration raised the IFs to values close to the overall IF. CONCLUSION/SIGNIFICANCE: The study shows a significantly lower IF in the group of the subsets of non-collaborative LA articles and thus that country affiliation of authors from non-developed LA countries does affect the IF of a journal detrimentally. There are no data to indicate whether the lower IFs of LA articles were due to their inherent inferior quality/relevance or psycho-social trend towards under-citation of articles from these countries. However

(North American Studies in Spain: between eclecticism and politics

Directory of Open Access Journals (Sweden)

Francisco Collado Rodríguez

2006-01-01

Full Text Available At present, the Spanish university system does not offer any specific place for American Studies. In practical terms, this means that there is not such a thing as a degree in (North American Studies for undergraduate students. The study of the history and culture of the United States of America is mostly disseminated all over the country in a number of departments of English, English—and English literature—still being the main subject of study in the only BA degree somehow related to our fie...

Evaluating "Cat Country": The Humor within Satire

Science.gov (United States)

Chang, Chung-chien Karen

2010-01-01

Satire, as a mode, is not frequently employed in Chinese narratives. "Cat Country," or "Mao Cheng Ji," written by Lao She (pen name of Shu Qing Chun, 1898--1966) has come under much attack of its literary values. Whereas most critics have no doubt that this work sets out to satirize China through the portrayal of a society of…

[Latin-American public policy regarding social determinants of health].

Science.gov (United States)

García-Ramírez, Jorge A; Vélez-Álvarez, Consuelo

2013-01-01

The study was aimed at identifying Latin-American countries' public policy which has been related to the social determinants of health. A topic review was thus made of papers kept in the 22 Latin-American countries' databases and official documents issued by their multilateral organisations and ministries of health. The World Health Organization's concept of the social determinants of health has been summarised and a history given of the pertinent work developed worldwide in regions such as Europe and Latin-America. Public policy regarding the field of study in Argentina, Brazil, Bolivia, Chile, Colombia, Costa Rica, México and Venezuela has been described. It was concluded that Latin-America provides a panorama of inequality regarding the application of policy concerning the social determinants of health and that there was segmented intervention, mainly regarding intermediate determinants of health, without taking an integrated approach from different entrance points into account, according to the stated conceptual framework.

DataTri, a database of American triatomine species occurrence

Science.gov (United States)

Ceccarelli, Soledad; Balsalobre, Agustín; Medone, Paula; Cano, María Eugenia; Gurgel Gonçalves, Rodrigo; Feliciangeli, Dora; Vezzani, Darío; Wisnivesky-Colli, Cristina; Gorla, David E.; Marti, Gerardo A.; Rabinovich, Jorge E.

2018-04-01

Trypanosoma cruzi, the causative agent of Chagas disease, is transmitted to mammals - including humans - by insect vectors of the subfamily Triatominae. We present the results of a compilation of triatomine occurrence and complementary ecological data that represents the most complete, integrated and updated database (DataTri) available on triatomine species at a continental scale. This database was assembled by collecting the records of triatomine species published from 1904 to 2017, spanning all American countries with triatomine presence. A total of 21815 georeferenced records were obtained from published literature, personal fieldwork and data provided by colleagues. The data compiled includes 24 American countries, 14 genera and 135 species. From a taxonomic perspective, 67.33% of the records correspond to the genus Triatoma, 20.81% to Panstrongylus, 9.01% to Rhodnius and the remaining 2.85% are distributed among the other 11 triatomine genera. We encourage using DataTri information in various areas, especially to improve knowledge of the geographical distribution of triatomine species and its variations in time.

Perceptions of African American faculty in kinesiology-based programs at predominantly White American institutions of higher education.

Science.gov (United States)

Burden, Joe W; Harrison, Louis; Hodge, Samuel R

2005-06-01

The purpose of this study was to examine the perceptions of African American faculty on their organizational socialization in kinesiology-based (i.e., sport pedagogy, exercise physiology, motor behavior, sport management/history) programs at predominantly White American institutions of higher education (PW-IHE). Participants were 9 African American tenure-track faculty members from various kinesiology-based programs at PW-IHE. Data were gathered via interviewing and analyzed within the framework of critical race theory (Ladson-Billings, 2000). Findings are presented using storytelling and thematic narratives. Interviews with the participants revealed four major recurring themes with regard to: (a) resources, opportunities, and power structures; (b) programmatic neglects and faculty mentoring needs; (c) social isolation, disengagement, and intellectual inferiority issues; and (d) double standards, marginalization, and scholarship biases. This study suggests that faculty and administrators at PW-IHE should develop sensitivity toward organizational socialization issues relevant to faculty of color.

American Immigrant Girls' Understanding of Female Body Image in Disney: A Critical Analysis of Young Korean Girls' Perspectives

Science.gov (United States)

Lee, Lena

2009-01-01

This paper discusses young Korean immigrant girls' understanding of American popular culture in a small-scale qualitative study in order to disclose young American immigrant girls' perspectives on such culture. In particular, this paper explores how these Korean girls (age five to eight) perceive female body images in American popular culture -…

Effect of the essentials of critical care orientation (ECCO) program on the development of nurses' critical thinking skills.

Science.gov (United States)

Kaddoura, Mahmoud A

2010-09-01

It is essential for nurses to develop critical thinking skills to ensure their ability to provide safe and effective care to patients with complex and variable needs in ever-changing clinical environments. To date, very few studies have been conducted to examine how nursing orientation programs develop the critical thinking skills of novice critical care nurses. Strikingly, no research studies could be found about the American Association of Critical Care Nurses Essentials of Critical Care Orientation (ECCO) program and specifically its effect on the development of nurses' critical thinking skills. This study explored the perceptions of new graduate nurses regarding factors that helped to develop their critical thinking skills throughout their 6-month orientation program in the intensive care unit. A convenient non-probability sample of eight new graduates was selected from a hospital that used the ECCO program. Data were collected with demographic questionnaires and semi-structured interviews. An exploratory qualitative research method with content analysis was used to analyze the data. The study findings showed that new graduate nurses perceived that they developed critical thinking skills that improved throughout the orientation period, although there were some challenges in the ECCO program. This study provides data that could influence the development and implementation of future nursing orientation programs. Copyright 2010, SLACK Incorporated.

Johns Hopkins's first professorship in philosophy: a critical pivot point in the history of American psychology.

Science.gov (United States)

Green, Christopher D

2007-01-01

The first professorship in philosophy at Johns Hopkins University was contested in the early 1880s by two of the most prominent and influential scholars in America: Charles Sanders Peirce and George Sylvester Morris. A third figure also vied for the position, although he was much less well known at the time: Granville Stanley Hall. Through a series of unexpected circumstances, Hall ultimately won the professorship and then used it to leverage an extraordinary career that included his opening the first American research laboratory in psychology, establishing the American Journal of Psychology, becoming president of Clark University, founding the American Psychological Association, and profoundly affecting the character of developmental psychology in America.

Critical reflections on the New Rurality and the rural territorial development approaches in Latin America

Directory of Open Access Journals (Sweden)

César Ramírez-Miranda

2014-04-01

Full Text Available This paper presents a critical approach to the New Rurality and the Rural Territorial Development (RTD perspectives, which nowadays are hegemonic for governmental organizations and Latin American academies. RTD's core requirements, which are functional for neoliberal policies resulting in the loss of food sovereignty, the globalization of agribusinesses, and migration as a consequence of peasant agricultural weakening, were critically reviewed on the basis of the principal challenges faced by Latin American rural areas. In light of the above consequences, it is thought that changes in such areas are based on neoliberal rurality rather than on the purported New Rurality. By stressing the need for a global historical view that reintroduces the Latin American critical thinking tradition, the urgency for public policies that stop neoliberal prescriptions and seek to strengthen peasant and indigenous agriculture in order to encourage rural development based on food sovereignty, democracy, equity and sustainability were established.

Perceived family and friend support and the psychological well-being of American and Chinese elderly persons.

Science.gov (United States)

Poulin, John; Deng, Rong; Ingersoll, Travis Sky; Witt, Heather; Swain, Melanie

2012-12-01

This study examines two sources of informal support-perceived family and friend support-and the psychological well-being-self-esteem, depression and loneliness-of 150 Chinese and 145 American elders. There were no significant differences between the elderly American and Chinese persons' mean scores on family and friend support. The multiple linear regression analyses with interaction terms (country x family support and country x friend support), however, indicated that the relationship between family support and depression and family support and loneliness was stronger for the Chinese elderly than the US elderly. Conversely, the relationship between friend support and depression and friend support and loneliness is stronger for US elderly than Chinese elderly. The implications of these findings for social work practice in both countries is discussed.

What challenges does mental and neurological health research face in Latin American countries? ¿Qué desafíos enfrenta la investigación en salud mental y neurológica en los países latinoamericanos?

Directory of Open Access Journals (Sweden)

Fabián Fiestas

2008-12-01

Full Text Available OBJECTIVE: The World Health Organization Atlas Project identified important deficiencies in world mental and neurological health resources. These deficiencies, especially evident in low and middle-income countries, can be overcome by improving research capacity. The objective of this study is to assess the status of mental and neurological research in Latin American countries and identify the main difficulties encountered in conducting research, publishing results, and shaping health policies, interventions, and programs. METHOD: Semi-structured interviews were conducted with 34 key informants from 13 Latin American countries. RESULTS: Participants reported that production of mental and neurological research in Latin American countries is low. Lack of financial and human resources, including lack of support from government agencies, were identified as the main factors contributing to the dearth of local research. The few research projects that do take place in Latin American countries are often funded at researchers' personal expense. Few policies, interventions, or programs are generated from research results. To address these deficiencies, participants called for training in research methodology, mechanisms for identifying funding opportunities, and greater recognition of their research products. CONCLUSIONS: Researchers and stakeholders recognize the need to mobilize local and international efforts aimed at strengthening research capacity and results implementation. This will lead to an overall optimization of mental and neurological research in the region.OBJETIVO: El proyecto Atlas de la Organización Mundial de la Salud identifica importantes deficiencias en salud mental y neurológica. Estas deficiencias, especialmente evidentes en países de medianos y bajos ingresos, pueden resolverse mejorando las capacidades en investigación. El objetivo de este estudio es evaluar el estado de la investigación en salud mental y neurológica en pa

Slang Usage of French by Young Americans.

Science.gov (United States)

Ensz, Kathleen Y.

1985-01-01

Describes reactions of native French speakers to usage of French slang by young American students. French-speaking participants rated 30 tape-recorded slang expressions. Their reactions were evaluated in relation to the sex, profession, age, and residence of the respondents. Results show attitudes critical of the use of slang in general. (SED)

The PREEV project of the Latin American Forum.Regulatory practices on aging and life extension

International Nuclear Information System (INIS)

Figueras, J. M.

2011-01-01

The American Forum Plenary approved in 2008 the PREEV project, Regulatory Practices in Aging and Life Extension, whose main objective is to improve the regulatory action with regard to the management programs of life and long-term operation of nuclear power plants in the countries of the region Latin American.

North American energy relationships : clean energy and climate action : a North American collaboration : draft paper for discussion

International Nuclear Information System (INIS)

Russell, D.

2009-12-01

This paper discussed energy and climate policies and programs aimed at reducing greenhouse gas (GHG) emissions in North America. The aim of the study was to determine how energy production and use will impact policy responses to climate change and the development of clean energy technologies. Energy sectors in Canada, the United States and Mexico were outlined, and the relationships between the different countries and their energy systems were discussed. Energy policy drivers and infrastructure in each of the 3 countries were also discussed. The influence of energy security on energy trading, clean energy technology, and climate change policy was also investigated in order to identify barriers to future cooperation between the countries. Emerging areas of cooperation were outlined. Potential climate policy scenarios were reviewed, and the implications of a more highly integrated North American energy and climate policy were discussed. The study indicated that increased linkages between the Canadian and United States systems are likely in the future. 62 refs., 11 tabs., 7 figs.

How do american students measure up? Making sense of international comparisons.

Science.gov (United States)

Koretz, Daniel

2009-01-01

In response to frequent news media reports about how poorly American students fare compared with their peers abroad, Daniel Koretz takes a close look at what these comparisons say, and do not say, about the achievement of U.S. high school students. He stresses that the comparisons do not provide what many observers of education would like: unambiguous information about the effectiveness of American high schools compared with those in other nations. Koretz begins by describing the. two principal international student comparisons-the Trends in International Mathematics and Science Study (TIMSS) and the Program for International Student Assessment (PISA). Both assessments, he stresses, reflect the performance of students several years before they complete high school. PISA, which targets fifteen-year-old students, measures students' abilities to apply what they have learned in school to real-world problems. By contrast, TIMSS tests fourth and eighth graders. Unlike PISA, TIMSS follows the school curriculum closely. Because the findings of the two tests are sometimes inconsistent, Koretz stresses the importance of considering data from both sources. He cautions against comparing U.S. students with an "international average," which varies widely from survey to survey depending on which countries participate, and recommends instead comparing them with students in other nations that are similar to the United States or that are particularly high-achieving. Many observers, says Koretz, speculate that the lackluster average performance of American students in international comparisons arises because many, especially minority and low-income U.S. students, attend low-performing schools. But both TIMSS and PISA, he says, show that the performance of American students on the exams is not much more variable than that of students in countries that are socially more homogeneous or that have more equitable educational systems. Koretz emphasizes that the international comparisons

Foreign Aid and Security Sector Reform in Latin America: mapping donors and recipient countries

Directory of Open Access Journals (Sweden)

Ana Maura Tomesani

2017-01-01

Full Text Available Abstract: this article is part of a PhD thesis interested in confronting the demands of Latin American law enforcement institutions with programs in the security sector reform fostered by foreign agencies for international assistance on the continent. The guiding hypothesis of this study is that programs of international aid focused on the security sector reform in Latin America overlook law enforcement demands for institutional strengthening. I suggest that the international offering in this area follows a regional agenda, which is basically preventive and is very resistant to work with law enforcement organizations. Part of the work is mapping donor and recipient countries for analyzing programs implemented in Latin American countries. This article presents the literature review for this investigation and the first results of our empiric research.

Addressing criticisms of existing predictive bias research: cognitive ability test scores still overpredict African Americans' job performance.

Science.gov (United States)

Berry, Christopher M; Zhao, Peng

2015-01-01

Predictive bias studies have generally suggested that cognitive ability test scores overpredict job performance of African Americans, meaning these tests are not predictively biased against African Americans. However, at least 2 issues call into question existing over-/underprediction evidence: (a) a bias identified by Aguinis, Culpepper, and Pierce (2010) in the intercept test typically used to assess over-/underprediction and (b) a focus on the level of observed validity instead of operational validity. The present study developed and utilized a method of assessing over-/underprediction that draws on the math of subgroup regression intercept differences, does not rely on the biased intercept test, allows for analysis at the level of operational validity, and can use meta-analytic estimates as input values. Therefore, existing meta-analytic estimates of key parameters, corrected for relevant statistical artifacts, were used to determine whether African American job performance remains overpredicted at the level of operational validity. African American job performance was typically overpredicted by cognitive ability tests across levels of job complexity and across conditions wherein African American and White regression slopes did and did not differ. Because the present study does not rely on the biased intercept test and because appropriate statistical artifact corrections were carried out, the present study's results are not affected by the 2 issues mentioned above. The present study represents strong evidence that cognitive ability tests generally overpredict job performance of African Americans. (c) 2015 APA, all rights reserved.

Analysis of Grid Emission Factors for the Electricity Sector in Caribbean Countries

DEFF Research Database (Denmark)

Hinostroza, Miriam L.; Desgain, Denis DR; Perez Martín, David

by undertaking a study to calculate standardized grid emissionfactors (GEF) for sixteen independent nations or groups of countries in the Caribbean region as a basis to the further identification of mitigation activities such as CDM PoAs or any other market-related instrument to be approved by the UNFCCC......As part of their capacity development efforts to promote mitigation actions, the UNEP DTU Partnership, together with the UNFCCC Regional Collaborating Centre in the Caribbean, UNDP and OLADE, agreed to collaborate with Caribbean countries willing to update or establish their grid emission factors...... emission factor for countries with generation units with similar characteristics. Data on the power systems of the different countries have been collected from several centres and institutions, including the UNEP DTU Partnership, the Latin American Energy Organization (OLADE), the Caribbean Community...

International analysis of the countries where Brazilian franchise chains operate

Directory of Open Access Journals (Sweden)

Pedro Lucas de Resende Melo

2015-03-01

Full Text Available This paper aims to demonstrate which external environment factors are involved in the international commitment of Brazilian franchise chains. Our objectives herein are to understand which external country characteristics lead to international franchising operations and to ascertain the influence of such characteristics in the commitment of franchise chains in each country they operate in. The database has 54 Brazilian franchise chains with international operations in 26 countries, which implies in 157 franchises operating abroad. Regarding external environment factors, the independent variables form a group divided into market opportunity and business efficiency – trust and ease to doing business. The result of the three distinct clusters show how the market opportunity and the business efficiency (trust and ease in doing business work as drivers to the international operation of Brazilian franchises. The paper shows that the franchise chains operating in the USA (cluster 3 have an inferior international commitment in comparison with the franchises which operate in developed countries and in small Latin American countries (cluster 2. It is also possible to notice a large number of franchises that operate in underdeveloped countries from Latin America and Africa (cluster 1 with worse business efficiency due to the advantage of learning how to operate in a country that could have some similarities with Brazil

Zitkala-Sa and the Problem of Regionalism: Nations, Narratives, and Critical Traditions

Science.gov (United States)

Totten, Gary

2005-01-01

Although Yankton Sioux writer Zitkala-Sa (Gertrude Bonnin, 1876-1938) was, as P. Jane Hafen notes, "virtually unknown for many decades," much critical work has appeared since Dexter Fisher's 1979 article,"Zitkala-Sa: Evolution of a Writer." Some critics desiring to bring Zitkala-Sa into the conversation about turn-of-the-century American women…

A Comparative Analysis of Prenatal Care and Fetal Growth in Eight South American Countries

Science.gov (United States)

Woodhouse, Cristina; Lopez Camelo, Jorge; Wehby, George L.

2014-01-01

There has been little work that comprehensively compared the relationship between prenatal care and infant health across multiple countries using similar data sources and analytical models. Such comparative analyses are useful for understanding the background of differences in infant health between populations. We evaluated the association between prenatal care visits and fetal growth measured by birth weight (BW) in grams or low birth weight (Prenatal care visits were significantly (at pprenatal care and fetal growth are population-specific and may not be generalizable to other populations. Furthermore, as one of the indicators for a country’s healthcare system for maternal and child health, prenatal care is a highly variable indicator between countries in South America. PMID:24625630

Outline of criticality safety research project

International Nuclear Information System (INIS)

Kobayashi, Iwao; Tachimori, Shoichi; Suzaki, Takenori; Takeshita, Isao; Miyoshi, Yoshinori; Nakajima, Ken; Sakurai, Satoshi; Yanagisawa, Hiroshi

1987-01-01

As the power generation capacity of LWRs in Japan increased, the establishment and development of nuclear fuel cycle have become the important subject. Conforming to the safety research project of the nation, the Japan Atomic Energy Research Institute has advanced the project of constructing a new research facility, that is, Nuclear Fuel Cycle Engineering Research Facility (NUCEF). In this facility, it is planned to carry out the research on criticality safety, upgraded reprocessing techniques, and the treatment and disposal of transuranium element wastes. In this paper, the subjects of criticality safety research and the research carried out with a criticality safety experiment facility which is expected to be installed in the NUCEF are briefly reported. The experimental data obtained from the criticality safety handbooks and published literatures in foreign countries are short of the data on the mixture of low enriched uranium and plutonium which is treated in the reprocessing of spent fuel from LWRs. The acquisition of the criticality data for various forms of fuel, the elucidation of the scenario of criticality accidents, and the soundness of the confinement system for gaseous fission products and plutonium are the main subjects. The Static Criticality Safety Facility, Transient Criticality Safety Facility and pulse column system are the main facilities. (Kako, I.)

American Board of Orthodontics: Time for change.

Science.gov (United States)

Chung, Chun-Hsi; Tadlock, Larry P; Barone, Nicholas; Pangrazio-Kulbersh, Valmy; Sabott, David G; Foley, Patrick F; Trulove, Timothy S; Park, Jae Hyun; Dugoni, Steven A

2018-03-01

The American Board of Orthodontics (ABO) works to certify orthodontists in a fair, reliable, and valid manner. The process must examine an orthodontist's knowledge, abilities, and critical thinking skills to ensure that each certified orthodontist has the expertise to provide the highest level of patient care. Many medical specialty boards and 4 American Dental Association specialty boards use scenario-based testing for board certification. Changing to a scenario-based clinical examination will allow the ABO to test more orthodontists. The new process will not result in an easier examination; standards will not be lowered. It will offer an improved testing method that will be fair, valid, and reliable for the specialty of orthodontics while increasing accessibility and complementing residency curricula. The ABO's written examination will remain as it is. Copyright © 2018 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

Latin American Philosophers: Some Recent Challenges to Their Intellectual Character

Directory of Open Access Journals (Sweden)

Susana Nuccetelli

2016-07-01

Full Text Available For Latin American philosophers, the quality of their own philosophy is a recurrent issue. Why hasn’t it produced any internationally recognized figure, tradition, or movement? Why is it mostly unknown inside and outside Latin America? Although skeptical answers to these questions are not new, they have recently shifted to some critical-thinking competences and dispositions deemed necessary for successful philosophical theorizing. Latin American philosophers are said to lack, for example, originality in problem-solving, problem-making, argumentation, and to some extent, interpretation. Or does the problem arise from their vices of “arrogant reasoning?” On my view, all of these answers are incomplete, and some even self-defeating. Yet they cast some light on complex, critical-thinking virtues and vices that play a significant role in philosophical thinking.

Social protection for developing countries: Can social insurance be ...

African Journals Online (AJOL)

In this article, Nicola Smit and Letlhokwa George Mpedi critically evaluate the appropriateness of social protection, particularly social insurance, for informal economy workers. It addresses the question from a developing country perspective, focusing in particular on Southern Africa. The authors start by analysing concepts ...

The EU’s CAP, the Doha Round and Developing Countries

OpenAIRE

Halderman, Michael; Nelson, Michael

2004-01-01

This study analyzes the political economy of European Union policy-making in regard to EU trade in beef and dairy with developing countries. The way the EU makes its agriculture and trade policies involves three levels: the EU member state, the EU itself, and the international trading system. The study also considers a fourth "level," developing countries, that is affected by EU policy-making. We present criticism from various sources concerning negative international effects of EU agricultur...

The Role of Individualism/Collectivism in Critical Classroom Encounters: A Four Country Study

Science.gov (United States)

Frankel, Robert; Swanson, Scott R.; Sagan, Mariusz

2005-01-01

Internationalization raises the issue of whether, and to what extent, the inherent culture of a country may have particular influence on the nature of service interactions, and on education (i.e., student-professor interactions) specifically. Thus the service encounter in the classroom becomes a subject of increasing importance and interest with…

Evidence on equity, governance and financing after health care reform in Mexico: lessons for Latin American countries

Directory of Open Access Journals (Sweden)

Armando Arredondo

2015-06-01

Full Text Available This article includes evidence on equity, governance and health financing outcomes of the Mexican health system. An evaluative research with a cross-sectional design was oriented towards the qualitative and quantitative analysis of financing, governance and equity indicators. Taking into account feasibility, as well as political and technical criteria, seven Mexican states were selected as study populations and an evaluative research was conducted during 2002-2010. The data collection techniques were based on in-depth interviews with key personnel (providers, users and community leaders, consensus technique and document analysis. The qualitative analysis was done with ATLAS TI and POLICY MAKER softwares. The Mexican health system reform has modified dependence at the central level; there is a new equity equation for resources allocation, community leaders and users of services reported the need to improve an effective accountability system at both municipal and state levels. Strategies for equity, governance and financing do not have adequate mechanisms to promote participation from all social actors. Improving this situation is a very important goal in the Mexican health democratization process, in the context of health care reform. Inequality on resources allocation in some regions and catastrophic expenditure for users is unequal in all states, producing more negative effects on states with high social marginalization. Special emphasis is placed on the analysis of the main strengths and weaknesses, as relevant evidences for other Latin American countries which are designing, implementing and evaluating reform strategies in order to achieve equity, good governance and a greater financial protection in health.

Heritage of Struggle. A History of American Working People.

Science.gov (United States)

Harris, Howard

The materials in this pamphlet describe the difficulties encountered by various racial and ethnic groups as they attempted to become assimilated into the American labor force. The experiences and problems faced by blacks, Jews, and immigrants from England, Ireland, the Scandinavian countries, China, Italy, and Puerto Rico are described in an…

Asian American History: Reflections on Imperialism, Immigration, and "The Body."

Science.gov (United States)

Choy, Catherine Ceniza

2000-01-01

Draws on a historical study of the immigration of nurses from the Philippines to the United States and other countries to illustrate the prevalence of stereotypes in images of Asian American history and to show how to confront stereotypes in the writing of history. (SLD)

Abstratcs of the 5th American Rabbit Congress

Directory of Open Access Journals (Sweden)

5th American Rabbit Congress Toluca, Estado de México, Mexico, September 8-11, 2014

2015-03-01

Full Text Available The 5th American Rabbit Congress was held in Toluca, Mexico State, Mexico from September 8th to the 11th, 2014. Research works representing 14 countries were accepted to take part at the congress, including papers from Algeria, Argentina, Brazil, China, Costa Rica, Cuba, Egypt, France, Hungary, Italy, México, Uruguay, the USA and Venezuela. These research works highlight the enormous interest, effort and commitment of the scientific community that bonds the trinomium of Research+Innovation+Technology Transfer, in favour of the integral development of rabbit rearing as an important primary activity that generates permanent employment, as well as healthy and nutritive meals for their respective countries for the XXI Century World. One major impact at this 5th American Rabbit Congress was the participation of Argentina, Brazil and China. The latter country’s report was presented by Laping Wu and Dong Wang (2014, showing that from 2005 to 2010, meat production of swine, beef and poultry underwent average growth of 2.6%, whereas rabbit meat production reported an annual average growth of 6.29%, reaching an annual volume of 761 000 tons, positioning China as the world’s main rabbit meat producer. This data highlights the great potential of rabbit production, both as an economic activity and a key strategy in the fight against hunger and poverty in many countries all over the world. During the congress, scientific works were presented related with the fields of Ethology, Housing & Welfare; Genetics; Reproduction; Digestive Physiology and Basic Nutrition; Feed Evaluation and Feeding; Pathology & Hygiene, Meat Quality, Safety & Dining; Management, Social & Economy. Furthermore, the meeting of the AB-WRSA chaired by the AB-WRSA founder, Dr. Steven Lukefahr, also took place at this congress, in which the new board of the American Branch was elected and the proposal put forward for the next American Rabbit Congress to be held in Costa

Productivity convergence across industries and countries : The importance of theory-based measurement

NARCIS (Netherlands)

Inklaar, R.; Timmer, M.P.

Cross-country studies of economic growth have been hampered by the scarcity of reliable data on productivity at the industry level; see Bernard and Jones [American Economic Review, 91 (4) (2001) 1168-1169] and Rogerson [Journal of Political Economy, 116 (2) (2008), 235-259]. We bring together

Constructing coincident indices of economic activity for the Latin American economy

Directory of Open Access Journals (Sweden)

João Victor Issler

2013-03-01

Full Text Available This paper has three main contributions. The first is to propose an individual coincident indicator for the following Latin American countries: Argentina, Brazil, Chile, Colombia and Mexico. In order to obtain similar series to those traditionally used in business-cycle research in constructing coincident indices (output, sales, income and employment we were forced to back-cast several individual country series which were not available in a long time-series span. The second contribution is to establish a chronology of recessions for these countries, covering the period from 1980 to 2012 on a monthly basis. Based on this chronology, the countries are compared in several respects. The final contribution is to propose an aggregate coincident indicator for the Latin American economy, which weights individual-country composite indices. Finally, this indicator is compared with the coincident indicator (The Conference Board - TCB of the U.S. economy. We find that the U.S. indicator Granger-causes the Latin American indicator in statistical testsEsse artigo tem 3 contribuições à literatura de ciclos de negócios. A primeira é a de construir indicadores coincidentes de atividade econômica para Argentina, Brasil, Chile, Colômbia e México, usando pesos idênticos para as séries de Emprego, Produção, Renda, e Vendas. Para tal, tivemos que fazer o back-cast de algumas séries chave para poder construir esses indicadores. A segunda é a de estabelecer uma cronologia de recessões para esses países no período 1980-2012 em bases mensais. Com base na última, fazemos comparações em várias dimensões. Finalmente, nossa última contribuição é propor um índice coincidente agregado para a América Latina, que é comparado ao índice agregado dos EUA. Esta comparação indica que o índice coincidente dos EUA Granger-causa o da América Latina, mas a recíproca não é verdadeira

Critical Analysis of the Problems of Education in Pakistan: Possible Solutions

Science.gov (United States)

Ahmad, Iqbal; ur Rehman, Kahil; Ali, Asghar; Khan, Itbar; Khan, Fazal Akber

2014-01-01

Education lays the foundation for political, social and economic development of any country. A viable education system enables the nation to achieve its national goals. Pakistan as a developing country has faced critical problems of education since its inception and therefore, the system of education has failed to deliver according to the…

Food Leftover Practices among Consumers in Selected Countries in Europe, South and North America.

Science.gov (United States)

Koppel, Kadri; Higa, Federica; Godwin, Sandria; Gutierrez, Nelson; Shalimov, Roman; Cardinal, Paula; Di Donfrancesco, Brizio; Sosa, Miriam; Carbonell-Barrachina, Angel A; Timberg, Loreida; Chambers, Edgar

2016-09-21

Foodborne illnesses may be related to many food production factors with home practices of consumers playing an important role in food safety. Consumer behavior for handling food leftovers has been studied, however little work on comparisons among countries has been published. The objective of this study was to investigate home food leftover practices of people from North American, South American, and European countries. Surveys were conducted with approximately 100 or more consumers in Argentina, Colombia, the United States, Estonia, Italy, Russia, and Spain. The participants responded to questions related to the length of time different types of food leftovers; such as meat, fresh salads, or restaurant dishes would be kept refrigerated or would be left at room temperature before refrigeration. Researchers also investigated how consumers would determine if the food was still safe for consumption. Potentially risky behaviors were observed in all seven countries. For instance, 55.8% of Estonians, 25% of Russians and 25.8% of Argentinean participants left food out at room temperature for several hours before storing in the refrigerator. Furthermore, 25%-29% of Colombian, Estonian, and Spanish consumers would look, smell, and taste leftovers to determine its probable safety. Correct handling of leftovers is an important aspect of consumer food safety. Although the surveys cannot be representative of all consumers in each country, they do provide an initial overview of comparative practices for handling leftovers among different countries. This provides government and educators with information on potential universal and unique consumer food safety issues related to handling leftover foods among various countries.

Beyond Latin Americanism and other Accidental/Occidental tourism: Guatemala (NS) in seach of cultural theory, and more

OpenAIRE

Volek, Emil

2005-01-01