Tebogo M. Mothiba
Full Text Available Background: Immunisation is the cornerstone of primary healthcare. Apart from the provision of safe water, immunisation remains the most cost-effective public health intervention currently available. Immunisation prevents infectious conditions that are debilitating, fatal and have the potential to cause huge public health burdens, both financially and socially, in South Africa.Aim: To determine the challenges faced by professional nurses when implementing the Expanded Programme on Immunisation (EPI at rural clinics in Capricorn District, Limpopo Province, South Africa.Setting: The study was conducted in selected primary healthcare clinics of Capricorn District, Limpopo Province.Methods: A qualitative explorative descriptive contextual research design was used to gather data related to the challenges faced by professional nurses when implementing EPI at rural clinics in Capricorn District.Results: The findings revealed that professional nurses had knowledge of the programme, but that they experienced several challenges during implementation of EPI that included staff shortages and problems related to maintenance of the vaccines’ potency.Conclusions: The Department of Health as well as the nursing administration should monitor policies and guidelines, and especially maintenance of a cold chain for vaccines, to ensure that they are practised throughout Limpopo Province. The problem of staff shortages also needs to be addressed so that the EPI can achieve its targeted objectives.Keywords: Professional nurse, knowledge, EPI-SA, immunisation
Pordes, Ruth; /Fermilab
Today's global communities of users expect quality of service from distributed Grid systems equivalent to that their local data centers. This must be coupled to ubiquitous access to the ensemble of processing and storage resources across multiple Grid infrastructures. We are still facing significant challenges in meeting these expectations, especially in the underlying security, a sustainable and successful economic model, and smoothing the boundaries between administrative and technical domains. Using the Open Science Grid as an example, I examine the status and challenges of Grids operating in production today.
China's rise signifies a gradual transformation of the international system from unipolarity to a non-unipolar world. ,4s an organization of small and middle powers, ASEAN faces strategic uncertainties brought about by the power transition in the system. Deepening economic interdependence between...... ASEAN and China has amplified the economic cost for the ASEAN states to use traditional military means to deal with China s rise. Applying institutional balancing theory, this paper examines how ASEAN has adopted various institutional instruments, such as the ASEAN Regional Forum (ARF), the East Asia...... Summit (EAS), the Regional Comprehensive Economic Partnership (RCEP), and the ASEAN Community, to constrain and shape China's behaviour in the region in the post-Cold War era. It argues that due to globalization and economic interdependence, the power transition in the 21st century is different from...
In 2007, the U.S. Geological Survey (USGS) developed a science strategy outlining the major natural-science issues facing the Nation in the next decade. The science strategy consists of six science directions of critical importance, focusing on areas where natural science can make a substantial contribution to the well-being of the Nation and the world. This fact sheet is an overview of the science strategy and describes how USGS research can strengthen the Nation with information needed to meet the challenges of the 21st century.
SIMION MINODORA OTILIA
Full Text Available The ESP teacher has to face certain challenges in his profession: One of the biggest challenges of the ESP teacher is the fact that he/she lacks the necessary knowledge of the subject to teach Business English, for instance, some researchers believing that such courses should be taught by subject teachers. The task of teaching ESP by ESL teachers is not an easy one. Dudley- Evans and St. John pointed out its complexity, identifying five key roles of the ESP practitioner: teacher, course designer and materials provider, collaborator, researcher and evaluator and this is probably the biggest challenge of the profession. The ESP practitioner has also to be aware of the fact that using a foreign language for workplace or study purposes requires not only linguistic proficiency and knowledge but also knowledge of work –related and disciplinary concepts.Last but not least, another challenge for the ESP practitioner is the use of technology in class, a valuable tool for helping with traditional forms of teaching and for creating new forms of communicating.Thus, the ESP practitioner has many things in common with the teacher of general English: he has to be familiar with linguistic development and teaching theories ,he has to be aware of contemporary ideas related to his position and role and he has to become familiar with the new technologies which can be used to improve his methodology.However,his role is more complex than that of a General English teacher.
Full Text Available Abstract Multimorbidity is a major public health challenge that is rising up the political and health agenda at an accelerated rate. Although the prevalence of multimorbidity increases with age, more than half of the population with multimorbidity are under the age of 65 years , with social deprivation a key determinant of multimorbidity in young and middle-aged adults [2,3]. From an individual’s perspective, multimorbidity reduces life expectancy [4–6], decreases physical functioning and quality of life , and increases the risk of depression and other mental health disorders . From a healthcare provider’s perspective, multimorbidity is associated with increased health service use, a high risk of emergency and other hospital admissions, high rates of polypharmacy, and spiralling costs . Current health systems, which are typically built around a single-disease framework, are poorly adapted to cope with patients with multimorbidity, who typically experience fragmented healthcare services, leading to potentially inefficient and ineffective care. It is increasingly clear that we need to change our perspective on multimorbidity in order to address it as a specific condition that requires tailored solutions and approaches. The urgent need to tackle multimorbidity in a more strategic, holistic, and cost-effective manner was evident at the 18th European Health Forum Gastein, a leading annual health policy event in the European Union (EU, held in the autumn of 2015. This Forum attracted policymakers, clinicians, health service managers, patients, and a broad range of other stakeholders, all of whom were invited to attend a session entitled “Facing the Challenge of Multimorbidity”. Journal of Comorbidity 2016;6(1:1–3
Ide, Bette; Dingmann, Colleen; Cuevas, Elizabeth; Meehan, Maurita
This study tests the validity and reliability of the Family Adaptability and Cohesion Scale III (FACES III) in two samples of rural adolescents. The underlying theory is the linear 3-D circumplex model. The FACES III was administered to 1,632 adolescents in Grades 7 through 12 in two counties in a rural western state. The FACES III Scale and the…
El desafío de las comunidades artesanales rurales: una propuesta ecotecnológica para una artesanía sostenible* Challenges faced by rural communities of artisans: an eco-technological proposal for sustainable handcrafting
Juan Carlos Pacheco Contreras
Full Text Available Bajo el enfoque del Modelo Ecotecnológico observado en las comunidades artesanales de Galapa y Usiacurí del Departamento de Atlántico; Colombia, se presentan las dimensiones que caracterizan lo artesanal. En ambas comunidades se elaboran máscaras en madera y artesanías en palma de iraca, respectivamente, las cuales han persistido a los retos de la globalización. Sin embargo, la capacidad de estos artesanos ha sido perturbada por la dinámica económica basada en el mercado, que les exige niveles de producción y utilización excesiva de recursos naturales, conduciéndolos a una ruptura entre el patrimonio cultural material, la memoria tecnológica y el balance ecológico de recursos naturales utilizados. El modelo se construye a partir de datos cualitativos obtenidos mediante instrumentos participativos sistematizados en una matriz de análisis estructural, para dar cuenta de las relaciones de incidencia y dependencia de las dimensiones del modelo. Los resultados se sintetizan en un instrumento que permite tomar decisiones sobre la productividad cultural, tecnológica y ecológica de la producción artesanal.An eco-technological model was used to determine aspects of artisanal production in the rural communities of Galapa and Usiacurí, located in the Department of Atlántico, Colombia. Galapa produces wooden masks and Usiacurí, handcrafts made with the Iraca palm. Both communities are facing the challenges of globalization and the capacity of their artisans has been affected by market economy dynamics, which demand high levels of production and excessive use of natural resources. This has led to a rupture between material cultural patrimony, technological memory, and ecological balance of natural resources used. The model draws from qualitative data obtained through participatory instruments, which are then systematized in a structural analysis matrix to determine the impact and inter-dependency of the different aspects covered in the
Chang, Bo; Kang, Haijun
Online group work can be complicated because of its asynchronous characteristics and lack of physical presence, and its requirements for skills in handling technology, human relationships, and content-related tasks. This study focuses on the administrative, logistical and relationship-related challenges in online group work. Challenges in areas…
de Oliveira, Sandi Michele; Hernández-Flores, Nieves
In current research on face analysis questions of who and what should be interpreted, as well as how, are of central interest. In English language research, this question has led to a debate on the concepts of P1 (laypersons, representing the “emic” perspective) and P2 (researchers, representing ...
Matore, Mohd Effendi @ Ewan Mohd; Khairani, Ahmad Zamri
This study aims to identify other challenges besides those already faced by students, in seven polytechnics in Malaysia as a continuation to the previous research that had identified 52 main challenges faced by students using the Rasch Model. The explorative study focuses on the challenges that are not included in the Mooney Problem Checklist (MPCL). A total of 121 polytechnic students submitted 183 written responses through the open questions provided. Two hundred fifty two students had responded from a students' perspective on the dichotomous questions regarding their view on the challenges faced. The data was analysed qualitatively using the NVivo 8.0. The findings showed that students from Politeknik Seberang Perai (PSP) gave the highest response, which was 56 (30.6%) and Politeknik Metro Kuala Lumpur (PMKL) had the lowest response of 2 (1.09%). Five dominant challenges were identified, which were the English language (32, 17.5%), learning (14, 7.7%), vehicles (13, 7.1%), information technology and communication (ICT) (13, 7.1%), and peers (11, 6.0%). This article, however, focus on three apparent challenges, namely, English language, vehicles, as well as computer and ICT, as the challenges of learning and peers had been analysed in the previous MPCL. The challenge of English language that had been raised was regarding the weakness in commanding the aspects of speech and fluency. The computer and ICT challenge covered the weakness in mastering ICT and computers, as well as computer breakdowns and low-performance computers. The challenge of vehicles emphasized the unavailability of vehicles to attend lectures and go elsewhere, lack of transportation service in the polytechnic and not having a valid driving license. These challenges are very relevant and need to be discussed in an effort to prepare polytechnics in facing the transformational process of polytechnics.
This purpose of this investigation is to explore the cultural challenges faced by Mexican immigrant students through the study of current literature. Four themes emerged as a result of the investigation: dominant pedagogy, educational skills, deficit model, and student identities. The themes are discussed and suggestions are made as to how these…
Memon, Ismail K.
Anatomy education in Pakistan is facing many of the same challenges as in other parts of the world. Roughly, a decade ago, all medical and dental colleges in Pakistan emphasized anatomy as a core basic discipline within a traditional medical science curriculum. Now institutions are adopting problem based learning (PBL) teaching philosophies, and…
On October 7, the US Supreme Court declined to hear Skott vs. US, a case challenging the Freedom of Access to Clinic Entrances Act (FACE). The 1994 law makes it a federal crime to use or attempt to use force, threat of force, or physical obstruction to injure, intimidate, or interfere with reproductive health care providers and their patients. The case came to the High Court after the US Court of Appeals for the Seventh Circuit overturned an earlier district court ruling and upheld the constitutionality of the federal statute in December 1995. Six Wisconsin anti-choice protestors, who had been arrested in September 1994 after participating in a blockade of a Milwaukee women's health facility, had successfully petitioned the US District Court for the Eastern District of Wisconsin to dismiss criminal charges based on FACE. While the district court held that Congress had no authority under the Commerce Clause or under the Fourteenth Amendment of the US Constitution to enact FACE, the appellate panel found that the lower court had not given sufficient consideration to congressional findings that the activities restricted by FACE substantially affect interstate commerce and are subject to the regulatory power of Congress. FACE has been upheld by the US Courts of Appeal for the Fourth, Eighth, and Eleventh Circuits and eleven federal district courts. Two district courts have found the law invalid. This marks the third time the High Court has refused to hear a challenge to the law.
Laryea, Samuel Amartei
The main aim of this study was to ascertain and discuss the current challenges and opportunities facing construction contractors in Ghana. This involved a review of the economic, legal and political environments in which contractors in Ghana operate; a review of published studies on construction in developing countries generally and Ghana specifically; and in-depth interviews and discussions with seven building and civil engineering contractors in Ghana in 2009 and 2010. Six road contractors ...
Full Text Available While gaining centrality within the sport field, media accelerated its commodification process and facilitated sport actors becoming competitive on the celebrity market. The aim of this paper is to discuss the reconfiguration that the celebrity logic brought in terms of the mere condition of the sport actor and the face management challenges and remedial strategies that he has to cope with. I will thus focus on two main dimensions that I find to be constitutive for the celebrity status: one related to the augmented media exposure that sport stars are subject to and to the corollary symbolic reconfiguration of the boundaries between his public and his private life, and the second one related to the vulnerability that comes along with the new visibility of the complex repertoire of identities and social roles performed by the sport actors. Within this last dimension of the sport-related celebrity cycle of promotion, I will lay stress not only on the face threatening aspects for the sport stars, but also on the vulnerability transfer within the affinal branding network and the challenges it could bring for the brands that chose to associate their image with a sport celebrity. Thus, I argue that the kaleidoscopic public figures of sport celebrities requires high impression management involvement on their part, as well as more caution on the marketeers part.
Full Text Available Mia Beck Lichtenstein,1 Cecilie Juul Hinze,2 Bolette Emborg,3 Freja Thomsen,2 Simone Daugaard Hemmingsen4 1Department of Psychology, Faculty of Health Sciences, University of Southern Denmark, 2Research Unit for Telepsychiatry and E-mental Health, Mental Health Services in the Region of Southern Denmark, Odense, 3Department of Public Health, Aarhus University, Aarhus, 4Research Unit, Child and Adolescent Psychiatry, Mental Health Services in the Region of Southern Denmark, Odense, Denmark Abstract: Compulsive exercise is a condition described since 1970s. It is characterized by a craving for physical training, resulting in uncontrollable excessive exercise behavior with harmful consequences, such as injuries and impaired social relations. It has not been accepted as a mental disorder in either International Classification of Diseases or Diagnostic and Statistical Manual of Mental Disorders. The aim of this literature review was to critically examine the research on links (comorbidity, risks (negative consequences, and challenges faced (problems in a treatment context. This review found that compulsive exercise is associated with eating disorder pathology, perfectionism, neuroticism, narcissism, and obsessive compulsive traits. The most prominent negative consequences were injuries, social impairment, and depression, but more research is needed to uncover the potential dysfunction resulting from compulsive exercise. As the condition is not recognized as a psychiatric disorder, studies on treatment interventions are sparse. Problems with compliance have been reported; therefore, motivational interviewing has been proposed as a treatment approach, in combination with cognitive behavioral therapy. This review summarizes and discusses findings on links/comorbidity, risks/negative consequences, and treatment challenges. We suggest that future studies should pay attention to both prevention and counseling in sports settings, where compulsive exercise
Pereira, Luis S.
Water scarcity characterizes large portions of the world, particularly the Mediterranean area. It is due to natural causes - climate aridity, which is permanent, and droughts, that are temporary - and to human causes - long term desertification and short term water shortages. Droughts aggravate water scarcity. Knowledge has well developed relative to all processes but management tools still are insufficient as well as the tools required to support appropriate planning and management. Particularly, new approaches on tools for assessing related impacts in agriculture and other economic and social activities are required. Droughts occur in all climates but their characteristics largely differ among regions both in terms frequency, duration and intensity. Research has already produced a large number of tools that allow appropriate monitoring of droughts occurrence and intensity, including dynamics of drought occurrence and time evolution. Advances in drought prediction already are available but we still are far from knowing when a drought will start, how it will evolve and when it dissipates. New developments using teleconnections and GCM are being considered. Climate change is a fact. Are droughts occurrence and severity changing with global change? Opinions are divided about this subject since driving factors and processes are varied and tools for the corresponding analysis are also various. Particularly, weather data series are often too short for obtaining appropriate answers. In a domain where research is producing improved knowledge and innovative approaches, research faces however a variety of challenges. The main ones, dealt in this keynote, refer to concepts and definitions, use of monitoring indices, prediction of drought initiation and evolution, improved assessment of drought impacts, and possible influence of climate change on drought occurrence and severity.
Apostol, Liviu; Mihai, Florin-Constantin
Rural areas of the new EU Member States face serious problems in compliance of EU regulation on waste management. Firstly, the share of rural population is higher and it has lower living standards and secondly, the waste collection services are poorly-developed covering some rural regions. In this context, open dumping is used as an appropriate waste disposal solution generating complex pollution. This paper analyzes the disparities between Romanian counties regarding the rural pop...
The 21st Century is the time for human seeking harmonizing with environment and carrying out sustainable development strategy. But sustainable development is facing many challenges. They may mainly include the follows: challenge comes from the contradiction between human and the earth, challenge of local benefit conflict to human common goal, challenge of competition to fairness, challenge of unbalanced development in regions and countries, challenge of diversity and challenge of calamity. Challenges are not only pressure, but also the motive force. Challenge exists, the motive force would never stop. Sustainable development was born in challenges, is developing in contradiction and will sustain in conflict.
This paper seeks to examine the challenges that face the university press in Africa in general and South Africa in particular. It will start by examining the state of the university press in Africa, the state of the university press in South Africa, the challenges that face university presses, such
Olneck, Michael R.
Multicultural policy in South Korea faces variants of challenges endemic to multiculturalism. These challenges are "dilemmas of difference," "variable terms of inclusion," and "legitimacy." In Korea, these challenges arise in a setting in which ethnic diversity is of relatively recent origin, an ideology of ethnic…
Olneck, Michael R.
Multicultural policy in South Korea faces variants of challenges endemic to multiculturalism. These challenges are "dilemmas of difference," "variable terms of inclusion," and "legitimacy." In Korea, these challenges arise in a setting in which ethnic diversity is of relatively recent origin, an ideology of ethnic homogeneity is prevalent, and…
Full Text Available Rural tourism is widely promoted as an efficient means of counteracting the social, economic and environmental challenges facing rural areas, primarily those associated with the decline of traditional agrarian industries. In line with this, the objective of this paper is to investigate the role and key challenges of rural tourism development in Montenegro as typical transitional economy. Using the extensive literature, available secondary and primary data collected from rural tourism operators, this paper throws light on the main components and issues about current situation in rural areas and rural tourism in Montenegro. Key findings indicate that three key factors of future success should be pulled out, as follows: support from government and international and/or national bodies/organizations, development of new and diversification of present tourist offers in rural areas and enhancement of government policy in the area of entrepreneurship and starting-up of new businesses in rural areas. Regarding practical implications, this paper provide the guidance and ideas for further rural and tourism development in Montenegro.
@@ Chinese petrochemical companies should gird for new challenges in three years, triggered by cost-competitive products flooding in from overseas, especially the Middle East countries.This advice was highlighted by company executives and association leaders during a discussion on the sidelines of a petrochemical conference organized by the China Petroleum and Chemical Industry Association in early April.
... Challenges Faced by Parents of Children with Congenital Heart Disease Page Content The first thing most parents want ... common and expected. About Congenital Heart Defects Congenital Heart Disease (CHD) is the most common type of birth ...
understanding of the issues and challenges facing the organization. This is enhanced by investing the time to build skills and align the relationships ...financial systems. Given the challenging fiscal issues facing the Department, along with the ongoing fact that cost management systems are inadequate for...benefit for military personnel. DoD’s vast infrastructure consumes substantial resources that, if better managed , could realize savings that could be
Full Text Available Besides population decline, structurally weak rural areas in Austria face a new challenge related to demographic change: the increasing heterogeneity of their aging population. From the example of the so-called ‘best agers’ - comprising people aged 55 to 65 years - this contribution makes visible patterns and consequences of growing individualized spatial behaviour and spatial perception. Furthermore, contradictions between claims, wishes and expectations and actual engagement and commitment to their residential rural municipalities are being pointed out. These empirically-based facts are rounded off by considerations on the best agers’ future migration-behaviour and the challenges for spatial planning at the municipal level.
Full Text Available Point of view, preferences and priorities of quality inspection in modern production systems have changed. Quality inspection in its activities is no longer limited only to the documentation of the past, nor is it seen solely as a tool for the detection of nonconformity. Nowadays, the most important quality inspection function is prevention, whose most important goal is to make it before nonconformity. What is expected from modern quality inspection is that it actively improves the production and quality as well as reduces the costs. The aim of the article is to present requirements, guidelines and challenges in the organization of modern quality inspection in a manufacturing company. The role of quality inspection in the classical model and modern model of quality improvement was presented. Determinants of effective quality inspection were presented, as well. The quality inspection methods that best fit into the paradigm of modern quality inspection, that is source inspection, together with visual management were pointed out.
Demirel, Turgay; Baydas, Ozlem; Yilmaz, Rabia M.; Goktas, Yuksel
The numbers of project competitions and interest in this kind of competition have been steadily increasing in Turkey. Accordingly, it is important to determine what challenges teachers and students may face while preparing themselves for project competitions, so that recommendations may be made to overcome these challenges. This study investigated…
Just like any other effective immunization in medicine, cancer vaccines need to have antigens with particular specificity and immunostimulatory features, the immune responses to be elicited in the body, and therapeutic effect-regression or prevention of the cancer-must be meaningful and clinically observable. There are many choices for cancer antigens, such as tissue-specific proteins, cancer-specific proteins, class I- or class II-restricted peptides derived from those, or in situ and whole-cell-derived products are some examples. Another translational issue is that cancer patients are heterogeneous with respect to the extent to which the immune system is already activated with potential to impact the tumor growth or, conversely, the extent to which the immune system has been impaired through a prior and ongoing interaction with the tumor. Conventional or immunologic tests have potential to define a subset of patients with better chance or response, so that particular vaccines can be tested. Treatment of cancer patients is expensive, and trials are slow. To meet these challenges in practical terms will require not only careful scientific technical work for product development, coordination with clinicians to define patient subsets with diseases that can show responses, but also a comprehensive, practical implementation so that we can unlock the full potential of anticancer vaccines.
This article presents the challenges that scientific research institutions face in terms of their marketing, which have been divided into two groups of those associated with internal marketing and those linked to external marketing. The most significant and important determinants that constitute challenges to both internal and external marketing were described. The key aspects of each of the identified challenges were indicated, as was their impact on the implementation of the marketing polic...
Full Text Available This article presents the challenges that scientific research institutions face in terms of their marketing, which have been divided into two groups of those associated with internal marketing and those linked to external marketing. The most significant and important determinants that constitute challenges to both internal and external marketing were described. The key aspects of each of the identified challenges were indicated, as was their impact on the implementation of the marketing policy at institutions.
Hunsberger, Mabel; Baumann, Andrea; Blythe, Jennifer; Crea, Mary
Context: Concerns have been raised about the sustainability of health care workforces in rural settings. According to the literature, rural nurses' work satisfaction varies with the resources and supports available to respond to specific challenges. Given the probable effects of stressors on retention, it is essential to understand the unique…
Simon D. Ellis; Aurelio Menendez
This paper will review the key elements required for effective decentralized implementation of rural roads programs. It will review the range of options available and the evidence for successful implementation where it exists. Section 2 makes the case for the importance of rural roads and sets out the evidence for the socio-economic benefits. Section 3 addresses the responsibilities for implementation and critical importance of having clarity over network ownership. Section 4 highlights the d...
Full Text Available The European Union is currently affected by the financial crisis that spread internationally. The member states face difficulties such as price volatility, uncertainties, liquidity issues, cases of bankruptcy, increased unemployment rate, and decreasing GDP. The present paper analyses the challenges faced under these new circumstances by the European companies and their stakeholders. By taking into consideration the threats and weaknesses faced by firms and other interested parties, we emphasize the importance that transparency and communication among companies and their stakeholder have in overcoming financial difficulties.
M. J. Naude
Full Text Available Purpose and Objective: The South African automotive component industry faces huge challenges in a very competitive global market. The primary focus of this research article is to determine the challenges facing exporters within this industry with special reference to selected sub-sectors. The challenges are approached from a supply chain perspective only. Problem Investigated: The research problem of this study was to identify these unique challenges and ascertain whether the implementation of a 'philosophy of continuous improvement' could be used as a strategic tool to address the challenges they face in the market. Methodology: This study included a combination of literature review, interviews with managers in the selected sub-groups and questionnaires sent out to determine the challenges facing automotive component exporters. In order to test the content validity and the reliability of the questionnaire, a pilot study was conducted at two organisations that are the main suppliers of automotive filters for passenger vehicles. The non-probability convenience sample technique was used to select the sample and consisted of selected sub-sectors that contribute 64,1% of the total value of automotive component exports in South Africa. Out of twenty-seven questionnaires sent out, twenty (74% response rate were duly completed by the respondents and returned to the researcher. Findings: South Africa faces unique challenges and these are listed and ranked according to priority from most to least important as follows: 1. The reduction of production costs; 2. R/US$ exchange rate effect on the respondent's export sales and profit margin; 3. Exchange rate fluctuations; 4. Threats to the local automotive component market; and 5. Increased competition by way of manufactured imports being sold in the South African market. Value of Research: The study provides recommendations that can be used within the automotive component industry.
@@ China's energy development will be confronted with five major challenges in the coming decades, experts said at the International Partnership for the Hydrogen Economy (IPHE)Steering Committee in Beijing in late May. The five major challenges include high oil import dependency which threatens the nation's energy security, using coal as the main energy generator, which leads to severe pollution, gigantic energy demands due to growing economic development,global climate change resulting from greenhouse gas emissions, and energy supply and consumption problems in rural areas.
Anil K Chillimuntha
Full Text Available Disadvantaged rural health reflected by significantly higher mortality rates in rural areas which indicate less attention paid by the government. The issue of health disadvantage to the rural area in the country is far from settled. The public expenditure on health in India is far too inadequate, less than 10% of the total health budget is allocated to rural area where 75% people live. In spite of rising budgetary provision, many of the rural populace dies without any medical attention. Access to high quality health care services plays an important part in the health of rural communities and individuals. Resolving the health problems of rural communities will require more than simply increasing the quality and accessibility of health services. Until governments begin to take an upside-down perspective, focusing on building healthy communities rather than simply on building hospitals to make communities healthy, the disadvantages faced by rural people will continue to be exacerbated. Underutilization of existing rural hospitals and health care facilities can be addressed by a market-centered approach, and more effective government intervention for horizontal and vertical hospital integration. Tele-healthcare, Mobile Health Units and Community-based health insurance are proven helpful in rural areas. Autonomy enjoyed by women and exposure to media also has a significant impact on maternal health care utilization. Accessibility to health facilities is a critical factor in effective health treatment for people in rural areas. Locationallocation models prescribe optimal configurations of health facilities in order to maximize accessibility. [Natl J of Med Res 2013; 3(1.000: 80-82
The effects of secularisation on society demand a rethinking of the identity and mission of Catholic schools in France. In 2013, the French bishops published a new directory which offers new approaches, described here, based on the three challenges facing Catholic education in France: linking social responsibility and evangelisation, setting up…
The aim of this study is to identify key challenges of practice that principals face. In line with this purpose, the researcher has employed a qualitative research methodology, interviewing principals working in Amasya district, over and above doing document analysis to collect detailed information concerning leadership and administration…
Lee, Lung-Sheng Steven
The technology education in Taiwan is prescribed in the national curriculum and provided to all students in grades 1-12. However, it faces the following challenges: (1) Lack of worthy image, (2) Inadequate teachers in elementary schools, (3) Deficient teaching vitality in secondary schools, and (4) Diluted technology teacher education programs. In…
Angima, Sam; Etuk, Lena; Maddy, Deborah
A survey-based study explored approaches used by one land-grant university to meet the needs of Extension clients who face language, vision, or hearing challenges. In attempts to serve such clients, the greatest gaps existed for clients whose main language was Spanish, followed by those who had vision impairments and then those who had hearing…
Islam, Nurul; Beer, Martin; Slack, Frances
E-learning has become a necessity in higher education institutions and is being deployed in educational establishments throughout the world. Researchers have made much emphasis on its benefits but not much is discussed on the disadvantages of e-learning technology. This paper references some of the research work on the limitations of e-learning technology, categorises it in five challenges that teachers are faced with and suggestions for a successful e-learning outcome. This paper also discus...
@@ After several decades of development the processing capac ity of Chinese refineries has reached 276 million tons per year,ranking the fourth in the world. The refining industry has made great contribution to the growth of national economy in China. With changing times, especially after China's accession to the WTO, significant changes have occurred in economy, politics and petroleum market both at home and abroad. The survival and growth of Chinese refineries has faced new challenges.
Daniel R Terry
Full Text Available Background At the time of recruitment, migration, and placement, international medical graduates (IMGs encounter professional challenges. These challenges may include a loss of status and professional identity, professional isolation in rural practice, restrictions on medical practice, and social isolation. Understanding the nature of these challenges may facilitate the recruitment, placement, and success of international medical graduates within rural Tasmania. Aims The aim of this study was to investigate the experiences, challenges,and barriers that IMGs encounter as they work and live in rural Tasmania. Methods The study used a mixed-methods design where data were collected using a questionnaire and semi-structured interviews across the south, north, and northwest of Tasmania. IMGs were recruited through purposive snowball and convenience sampling. Results A total of 105 questionnaires were returned (response rate 30.0per cent and 23semi-structured interviews were conducted with IMGs across Tasmania. Questionnaire participants indicated that the majority of IMGs are satisfied in their current employment; however, interview participants indicated there were a number of barriers to practising medicine in Tasmania as well as factors that would influence ongoing employment in the state. Despite these challenges, professional support was recognised as a key contributor to professional satisfaction, particularly among IMGs who had just arrived. Conclusion The study contributes to the current knowledge and understanding of IMGs who live and work in rural areas. The study shows that there are high levels of satisfaction among IMGs with their current position; however, the research also provides insight into the complexities and factors that impact IMGs as they work and live within rural areas such as Tasmania. This study offers an understanding for policy to improve greater retention of IMGs across rural areas.
D'Alessandro, M P; Galvin, J R; Colbert, S I; D'Alessandro, D M; Choi, T A; Aker, B D; Carlson, W S; Pelzer, G D
During the creation of a university digital library and press intended to serve as a medical reference and education tool for health care providers and their patients, six distinct and complex digital publishing challenges were encountered. Over nine years, through a multidisciplinary approach, solutions were devised to the challenges of digital content ownership, management, mirroring, translation, interactions with users, and archiving. The result is a unique, author-owned, internationally mirrored, university digital library and press that serves as an authoritative medical reference and education tool for users around the world. The purpose of this paper is to share the valuable digital publishing lessons learned and outline the challenges facing university digital libraries and presses.
Adrián Cuevas Jiménez
Full Text Available Higher education refers to the subsequent training to high school education; that is undergraduate and graduate; whose mission is to preserve; develop and disseminate culture. Throughout the history of higher education it has undergone a process of transformation; mainly due to the development of knowledge and the transformation of society. In the process they highlighted two great moments; in the first; which culminated in the mid-twentieth century; it conceived the higher education institution encompassing all knowledge of society; and who graduated was ready to perform professionally throughout life; the second time; after those dates; it is conceivable that knowledge is no longer exclusive to the institution of higher education; and there can be no efficient performance without continuous training and continuous updating of knowledge. The objective of this work is to point out the general goals and some strategies of the students’ formation of superior education; to confront the big challenges that it faces today the society. To define this goals and strategies four challenge levels are considered: a physical; structural and politicalideological challenges; b challenges around the scientifictechnician and of the knowledge advances; c challenges of the internal structure of the formative process and the access to the superior education; and d challenges in the formation of values in the students.
Onokerhoraye, Andrew G; Maticka-Tyndale, Eleanor
Despite the significant contributions of the various North-South research partnerships during the past five decades to enhancing research capacity in the South, they have faced a number of challenges associated with the various partnerships. There have been limited attempts to critically examine the successes and challenges associated with these partnerships. Based on the experiences of implementing the 'HIV Prevention for Rural Youth' programme by a Canadian-Nigerian partnership during a four year period, this paper outlines the successes achieved and the challenges faced. The paper reviews the context of contemporary North-South research collaboration which provided the framework for the implementation of the HIV Prevention for Rural Youth. It then examines the benefits which the implementation of the programme have stimulated as well as the various challenges which confronted the partnership and how they were handled. The implications of the project's implementation experiences for future North-South collaborative research programmes are highlighted.
Growing demand for science teachers in the Kingdom of Saudi Arabia, fed by increasing numbers of public school students, is forcing the Saudi government to attract, recruit and retain well-qualified science teachers. Beginning science teachers enter the educational profession with a massive fullfilment and satisfaction in their roles and positions as teachers to educating children in a science classroom. Nevertheless, teachers, over their early years of practice, encounter numerous challenges to provide the most effective science instruction. Therefore, the current study was aimed to identify academic and behavioral classroom challenges faced by science teachers in their first three years of teaching in the Kingdom of Saudi Arabia. In addition, new science teacher gender, school level and years of teaching experience differences in perceptions of the challenges that they encountered at work were analyzed. The present study also investigated various types of support that new science teachers may need to overcome academic and behavioral classroom challenges. In order to gain insights about ways to adequately support novice science teachers, it was important to examine new science teachers' beliefs, ideas and perceptions about effective science teaching. Three survey questionnaires were developed and distributed to teachers of both sexes who have been teaching science subjects, for less than three years, to elementary, middle and high school students in Al Jouf public schools. A total of 49 novice science teachers responded to the survey and 9 of them agreed to participate voluntarily in a face-to-face interview. Different statistical procedures and multiple qualitative methodologies were used to analyze the collected data. Findings suggested that the top three academic challenges faced by new science teachers were: poor quality of teacher preparation programs, absence of appropriate school equipment and facilities and lack of classroom materials and instructional
Environmental biotechnology relies on the exploration of novel biological systems and a thorough understanding of the underlying molecular mechanisms. Next-generation proteomics based on the latest generation of mass analyzers currently allows the recording of complete proteomes from any microorganism. Interpreting these data can be straightforward if the genome of the organism is established, or relatively easy to perform through proteogenomics approaches if a draft sequence can be obtained. However, next-generation proteomics faces new, interesting challenges when the organism is distantly related to previously characterized organisms or when mixtures of organisms have to be analyzed. New mass spectrometers and innovative bioinformatics tools are reshaping the possibilities of homology-based proteomics, proteogenomics, and metaproteomics for the characterization of biological systems. Novel time- and cost-effective screening strategies are also possible with this methodology, as exemplified by whole proteome thermal profiling and subpopulation proteomics. The complexity of environmental samples allows for unique developments of approaches and concepts.
Full Text Available Intellectual capital is recognized as one of the most critical factors for the success of organizations in a knowledge-based economy. In a knowledge-based economy high tech organizations are facing tremendous challenges to gain competitive advantage. The main objective of this study is to introduce the concept and applications of intellectual capital in Pakistani pharmaceutical industry. Pakistani pharmaceutical industry is one of the major industries and it has 70% of share to fulfill the demand of finished pharmaceutical products. This industry also contributes in economic growth and development. This study is a preliminary in nature and it will also be a milestone for future research on this topic.
Full Text Available This article focuses on one of the main challenges that Central Asian armies face, that is, the problem of training and formation. Having rapidly increased since 2007, Central Asian military budgets have been able to multiply the purchases of equipment and weapons from foreign partners (Russia, western countries, Israel, China, South Korea, etc.. Money is not enough, however, to get the military institution back on its feet in its most human aspect, that of formation. In fact, the teaching institutions and the training possibilities provided to conscripts and professional soldiers on contract are generally of inadequate quality and impede the overall military capacities of the Central Asian states. This article will examine the main problems of the Central Asian military institutions and will discuss the means that have been implemented by Central Asian governments to reduce the negative impact of difficulties in promoting human capital.
Full Text Available Although the maternal mortality ratio has descended in Bolivia from 416 (1989 to 229 deaths (DHS 2003 per one hundred thousand live births, it is one of the highest in the region. As a national average, the ratio conceals the rural-urban, socio-economics differences and the reality of the indigenous population. Maternal mortality is one of the major challenges at national level. Reduction of maternal mortality, in addition of technical-medical measures offering health services, requires to focus on socio-cultural aspects that hamper the access to health services. This article examines challenges faced by indigenous mothers accessing the health services. In addition to the geographic, economic and administrative barriers that generate delays in access to the health services, there are others that are presented in the context of multiculturalism resulting from discriminatory attitudes exercised in health centers. The testimonies of indigenous mothers show delays faced in health centers because of prejudice and discrimination suffered, threatening the lives of mothers and their babies. The study also suggests the need to deepen the concept of multiculturalism as a successful strategy in health, in order to promote equity and social justice on the horizon of more inclusive societies.
Trainor, Paul A; Richtsmeier, Joan T
Craniofacial anomalies are among the most common human birth defects and have considerable functional, aesthetic, and social consequences. The early developmental origin as well as the anatomical complexity of the head and face render these tissues prone to genetic and environmental insult. The establishment of craniofacial clinics offering comprehensive care for craniofacial patients at a single site together with international research networks focused on the origins and treatment of craniofacial disorders has led to tremendous advances in our understanding of the etiology and pathogenesis of congenital craniofacial anomalies. However, the genetic, environmental, and developmental sources of many craniofacial disorders remain unknown. To overcome this problem and further advance craniofacial research, we must recognize current challenges in the field and establish priority areas for study. We still need (i) a deeper understanding of variation during normal development and within the context of any disorder, (ii) improved genotyping and phenotyping and understanding of the impact of epigenetics, (iii) continued development of animal models and functional analyses of genes and variants, and (iv) integration of patient derived cells and tissues together with 3D printing and quantitative assessment of surgical outcomes for improved practice. Only with fundamental advances in each of these areas will we be able to meet the challenge of translating potential therapeutic and preventative approaches into clinical solutions and reduce the financial and emotional burden of craniofacial anomalies.
Full Text Available In this paper, the present scenario of rural electrification in India is taken into account. Basically, the electrification in this country is facing a lot of problem and is a growing matter of concern for all. The development in production is not reaching the one who need them. Also taking into picture the present sources of energy it is difficult to make the electricity available to the people belonging to rural areas who don’t have much source of income. To overcome this drawback we can utilise renewable sources of energy which is easily available and accessible. Also harvesting this will not cost much except the initial cost of setting up the device to utilise this type of energy. Many projects have been initiated by the government of India to provide subsidy and equipments like solar lantern and solar cooker etc. to the rural population but this didn’t turn out to be effective as the follow could not be done by the people to maintain the devices. This can be overcome by implementing off-grid projects which can be initiated at small levels so that people don’t have burden to maintain them and it even don’t have any adverse effect to environment or society.
Intervention research in rural health disparities communities presents challenges for study design, implementation, and evaluation, thus threatening scientific rigor, reducing response rates, and confounding study results. A multisite nutrition intervention was conducted in the rural Lower Mississip...
Uma Shankar Kurmi
Full Text Available At present face recognition has wide area of applications such as security, law enforcement. Imaging conditions, Orientation, Pose and presence of occlusion are huge problems associated with face recognition. The performance of face recognition systems decreases due to these problems. Discriminant Analysis (LDA or Principal Components Analysis (PCA is used to get better recognition results. Human face contains relevant information that can extracted from face model developed by PCA technique. Principal Components Analysis method uses eigenface approach to describe face image variation. A face recognition technique that is robust to all situations is not available. Some techniques are better in case of illumination, some for pose problem and some for occlusion problem. This paper presents some algorithms for face recognition.
Florini, Ann; Sovacool, Benjamin K. [Centre on Asia and Globalisation, Lee Kuan Yew School of Public Policy, National University of Singapore, Singapore 259772 (Singapore)
This article conceptualizes the energy problems facing society from a global governance perspective. It argues that a notion of 'global energy governance,' taken to mean international collective action efforts undertaken to manage and distribute energy resources and provide energy services, offers a meaningful and useful framework for assessing energy-related challenges. The article begins by exploring the concepts of governance, global governance, and global energy governance. It then examines some of the existing institutions in place to establish and carry out rules and norms governing global energy problems and describes the range of institutional design options available to policymakers. It briefly traces the role of a selection of these institutions, from inter-governmental organizations to summit processes to multilateral development banks to global action networks, in responding to energy issues, and points out their strengths and weaknesses. The article concludes by analyzing how the various approaches to global governance differ in their applicability to addressing the conundrums of global energy problems. (author)
Davis, P.B. [Department of Energy (United States); Sutton, R. [Argonne National Lab. (United States); Wagner, F.W. [Energetics Incorporated (United States)
The U.S. Department of Energy (DOE) and the U.S. automotive industry are working cooperatively under the auspices of the Partnership for a New Generation of Vehicles (PNGV) to develop a six-passenger automobile that can achieve up to 80 mpg. while meeting customer needs and all safety and emission requirements. These partners are continuing to invest heavily in the research and development of polymer electrolyte membrane (PEM) fuel cells as a clean and efficient energy conversion system for the PNGV. A critical challenge facing fuel cell systems for the PNGV is the development of efficient, compact, cost-effective air management systems. The U.S. Department of Energy has been exploring several compressor/expander options for pressurized fuel cell systems, including scroll, toroidal intersecting vane, turbine, twin screw, and piston technologies. Each of these technologies has strengths and weaknesses regarding efficiency, pressure ratio over turndown, size and weight, and cost. This paper will present data from the U.S. Department of Energy's research and development efforts on air management systems and will discusses recent program developments resulting from an independent peer review evaluation. (author)
La Belle-Hamer, N.; Nicoll, J.; Atwood, D.; Arko, S.
The Alaska Satellite Facility (ASF) of the Geophysical Institute, University of Alaska Fairbanks, has just celebrated its 15th year of experience in satellite remote sensing. ASF is involved in a wide range of activities - - from downlinking satellite data to developing data analysis tools, value-added products, and training for Synthetic Aperture Radar (SAR) users. Satellite remote sensing data are acquired, processed, analyzed, and archived by ASF from several satellites; ASF has built expertise in handling and manipulating the data, SAR in particular. SAR is the only satellite imagery in the world today that can be acquired at any time of the day or night and during adverse weather conditions. It can be used to develop value-added products to aid in global climate change research. Examples include the SAR-derived coastal winds in the Gulf of Alaska and Bering Sea; monitoring of the major ice shelves in the Arctic and Antarctic; and examining the impact on sea level from the Greenland ice sheets and glaciers. The challenges facing the use of remote-sensing data in climate change research can be divided into three major categories: economical, political, and technical. The expense of designing, building, and launching a satellite is substantial. The costs of the ground segment including data management can be substantial and should not be neglected. The US agency funding climate often has the research community pushing for new missions against declining federal budgets in direct competition with ongoing missions. On the political front, data policy, data ownership, and cost recovery are issues often perceived as insurmountable by the user community. The technical issues, while challenging, are often the easiest to solve. The Japan Aerospace Exploration Agency, with the successful launch of the Advanced Land Observing System (ALOS), has embarked on a new way of handling the ground segment with the introduction of international data nodes. ASF will serve with NOAA
Gender equality has been a topic of discussion throughout my long (now three decade) career. This alone illustrates the complex nature of the issue, and the lack of a simple solution, particularly as many of the daily challenges that women face are institution or discipline-specific. For this reason, I will summarize some of the issues that appear to me to be more general, and therefore ones that may have general solutions. The first and foremost relates to demands on women's time. One way that academic institutions have sought to overcome gender bias has been to require that every university committee have a female member; in departments, schools and faculties where women represent a minority, this necessarily means that women shoulder an inequitable share of the service duties. I have experienced this myself, seen it in promotion files at all levels, and observed it with regard to my female colleagues. Clearly time spent doing service is time not spent doing science. There is also an easy solution to this problem, which is to re-think the underlying assumption that men are necessarily gender-biased if they don't have a woman sitting in the room! Additional time demands can come from informal mentoring of both students and younger colleagues, particularly in cases where senior male colleagues are viewed as too important, or too intimidating, to be consulted on personal issues. Although I suspect that this problem may also be widespread, it is more difficult to quantify, and is therefore more difficult to factor into time allotments of departmental duties. A final thought relates to hiring practices. I have now worked in both the US and UK educational systems, which have very different interview and hiring protocols. I will review both, highlighting components that I think are most likely to promote equitable hiring practices.
Amy Price Azano
Full Text Available Recruiting and retaining highly qualified teachers in rural schools is a persistent struggle in many countries, including the U.S. Salient challenges related to poverty, geographic isolation, low teacher salaries, and a lack of community amenities seem to trump perks of living in rural communities. Recognizing this issue as a complex and hard to solve fixture in the composition of rural communities, we sought to understand how teacher preparation programs might better prepare preservice teachers for successful student teaching placements and, ideally, eventual careers in rural schools. In this study, we explore teacher candidates’ perceptions of rurality while examining how specific theory, pedagogy, and practice influence their feelings of preparedness for working in a rural school. Using pre- and post- questionnaire data, classroom observations, and reflections, we assess the effectiveness of deliberate efforts in our teacher preparation program to increase readiness for rural teaching. In our analysis and discussion, we draw on critical and sociocultural theories to understand the experiences of a cohort of teacher candidates as they explore personal histories, the importance of place, expectations, and teaching strategies for rural contexts. While rural education researchers have long lamented the struggle to recruit and retain teachers, there is relatively little known about intentional efforts to prepare teachers specifically for rural classrooms. We conclude our article with recommendations for enhancing teacher preparation programs in ways that might result in significant progress toward the goal of staffing rural schools with the highly skilled teachers all students deserve.
Rigotto, Raquel Maria; Carneiro, Fernando Ferreira; Marinho, Alice Maria Correia Pequeno; Rocha, Mayara Melo; Ferreira, Marcelo José Monteiro; Pessoa, Vanira Matos; Teixeira, Ana Cláudia de Araújo; da Silva, Maria de Lourdes Vicente; Braga, Lara de Queiroz Viana; Teixeira, Maiana Maia
In this paper, we ask ourselves who should, can and has the will to promote health in the rural zone today. The fields of science and public policy were chosen as our primary focus of dialogue conducted from the perspective of the right to health and a healthy environment. Seven lessons emerged: (1) in addition to the surveillance of isolated chemical risks, the relation between agrochemicals and health should be investigated in the context of conservative agricultural modernization; (2) it is mandatory and urgent to discover the health problems related to the use of agrochemicals; (3) the State has been successful in its support of agribusiness, but highly inefficient at enforcing policies to safeguard social rights; (4) sectors of society linked to rural organizations have played an important role in the public policies combating agrochemicals and protecting health; (5) studies must help deconstruct the myths surrounding the Green Revolution model; (6) we are faced with the challenge of contributing to the construction of an emerging scientific paradigm founded on an ethical-political commitment to the most vulnerable social elements; (7) rural communities are creating agro-ecological alternatives for life in semiarid areas.
Jhansi Seetharam Chittoor
Full Text Available
Governments all over the world have focused upon sustainable rural development in an organized way. Rural locations, in particular, need more economic development in order to match urban centric development. Poverty in rural areas has remained by and large, the main focal point of governments and development agencies. Sustainable rural development is the most effective way to eliminate this curse. Environment friendly growth stimulators have been provided to rural populations. This paper aims to: (a give an insight into the linkages between the agricultural education and sustainable rural development, and (b present strategies for sustainable rural development. Challenges in sustainable rural development for developing countries in the 21st century have also been looked into. The paper concludes that agricultural education institutions in developing countries will need to address not only immediate production needs, but also long-term food security, sustainable agriculture and rural development needs.
Full Text Available Purpose: People with disability in rural India face multiple barriers accessing healthcare; our hypothesis is that children with intellectual disability suffer the same but little is known about the barriers faced by them. The objectives of the study were to identify the health seeking behaviours of families with children with intellectual disabilities and the barriers they faced accessing healthcare. Methods: This qualitative study involved interviewing caregivers of children with intellectual disability from a pre-existing community development project in the Sahadoli Kadim block of rural Uttar Pradesh. Semi-structured interviews were also conducted with the local practitioners frequented by these caregivers. Results: Barriers identified were grouped under cognitive, structural and financial barriers which were found to be consistent with the Health Care Access Barrier Model (Carrillo, et al., 2011; WHO, 2011. Cognitive barriers included caregivers being unable to identify the complex health needs of their children. Caregivers lacked appropriate knowledge of intellectual disability, with doctors failing to educate them. Structural and financial barriers encompassed poor availability of healthcare providers and contributed to poor access to specialists. Caregivers had no information about government financial aid and healthcare providers did not refer them to these. Conclusion: Children with intellectual disabilities are forced to live with a poor quality of life because of cognitive, structural and financial barriers they face in accessing health care. Results are specific to children with intellectual disability in rural Sahadoli Kadim and could be used to inform policies and strategies to reduce disparities in health care access for these children.
Sandford, Adam; Burton, A Mike
Face recognition is widely held to rely on 'configural processing', an analysis of spatial relations between facial features. We present three experiments in which viewers were shown distorted faces, and asked to resize these to their correct shape. Based on configural theories appealing to metric distances between features, we reason that this should be an easier task for familiar than unfamiliar faces (whose subtle arrangements of features are unknown). In fact, participants were inaccurate at this task, making between 8% and 13% errors across experiments. Importantly, we observed no advantage for familiar faces: in one experiment participants were more accurate with unfamiliars, and in two experiments there was no difference. These findings were not due to general task difficulty - participants were able to resize blocks of colour to target shapes (squares) more accurately. We also found an advantage of familiarity for resizing other stimuli (brand logos). If configural processing does underlie face recognition, these results place constraints on the definition of 'configural'. Alternatively, familiar face recognition might rely on more complex criteria - based on tolerance to within-person variation rather than highly specific measurement.
Ardenkjær-Larsen, Jan Henrik; Boebinger, Gregory S.; Comment, Arnaud
enhance the sensitivity of solid‐ and liquid‐state experiments. While substantial advances have been made in all these areas, numerous challenges remain in the quest of endowing NMR spectroscopy with the sensitivity that has characterized forms of spectroscopies based on electrical or optical measurements....... These challenges, and the ways by which scientists and engineers are striving to solve them, are also addressed....
Patterson, Giovanna; Sprehe, J. Timothy
Discusses electronic records management in the federal government. Highlights include managing electronic mail; information technology planning, systems design, and architecture; updating conventional records management; integrating electronic records management with other information technology systems; challenges of end-user training; business…
Raheem Usman Adebimpe
Full Text Available Human populations are exposed to climate change directly through changing weather patterns as manifested in the more frequent extreme events and indirectly through changes in ecosystem functions. Rainstorm disasters are common events associated with environmental change and settlements in Kwara state, Nigeria were ravaged by rainstorm events between 2003 and 2006. More than 1000 households were displaced from their habitual homes with consequences for human health and other adjustment challenges. This paper examines the variations in the post-disaster adjustment challenges of rural and urban households so as to identify location specific intervention strategies in the domains of environ- ment and health of the victims. A sample of 200 households was drawn from all households affected by rainstorm disaster as reflected in the FEMA records during the period. A structured questionnaire was administered in addition to the secondary data and analyzed using relevant statistical techniques. The findings include that most households required support before replacing the roofs and/or walls of their homes. Sources of support however vary. Urban households received more institutional support but lower than the amount required for the renovation. A signifficant proportion of urban households moved to poorer homes where they faced challenges relating to the quality of environmental services. Many urban respondents also reported increases in the occurrence of water-borne and weather-related diseases and ailments. Rural households indicated no signi$cant ecological differences between their former homes and the areas to which they relocated. The paper concludes that signi$cant variations exist in the adjustment challenges faced by rural and urban dwellers after a disaster. Community efforts hold promise for emergency response particularly during disasters in rural areas.
Gimena Castro Pérez; Cintia Arias; Paula Luna; Irene Sorín; Luis Daniel Mazzuoccolo
Dermatofibrosarcoma protuberans (DFSP) is a malignant fibrohistiocytic tumor that appears exclusively on the skin. It is a low-grade malignant soft tissue tumor of subcutaneous tissues that has a propensity for local recurrence but seldom metastasizes. It may rarely occur on the head and neck accounting for less than one percent of total head and neck malignancies. We present a man with a giant DFSP on the face. Oncological, functional, and aesthetic aspects are set forth.
Gimena Castro Pérez
Full Text Available Dermatofibrosarcoma protuberans (DFSP is a malignant fibrohistiocytic tumor that appears exclusively on the skin. It is a low-grade malignant soft tissue tumor of subcutaneous tissues that has a propensity for local recurrence but seldom metastasizes. It may rarely occur on the head and neck accounting for less than one percent of total head and neck malignancies. We present a man with a giant DFSP on the face. Oncological, functional, and aesthetic aspects are set forth.
AlHagbani, Eman Saad; Khan, Muhammad Badruddin
The future information systems are expected to be more intelligent and will take human queries in natural language as input and answer them promptly. To develop a chatbot or a computer program that can chat with humans in realistic manner to extent that human get impressions that he/she is talking with other human is a challenging task. To make such chatbots, different technologies will work together ranging from artificial intelligence to development of semantic resources. Sophisticated chatbots are developed to perform conversation in number of languages. Arabic chatbots can be helpful in automating many operations and serve people who only know Arabic language. However, the technology for Arabic language is still in its infancy stage due to some challenges surrounding the Arabic language. This paper offers an overview of the chatbot application and the several obstacles and challenges that need to be resolved to develop an effective Arabic chatbot.
Ghada Quaisi Audi
Full Text Available This paper focuses on contemporary issues facing the Arab population vis-à-vis the American legal system. While Arab Americans enjoy the same basic rights enshrined in the federal and various state Constitutions, some of them have been subjected to various forms of discrimination that have infringed upon these basic rights. I will survey these areas as follows: racial discrimination, hate crimes, civil rights (including racial profiling and immigration, and employment. The paper concludes with a discussion on various means to prevent discriminatory practices with specific recommendations for the classroom.
Jung, Adrian; Nam, Sang; Han, Shini
The purpose of this study was to help parents, educators, and policymakers understand how to help transnational children adjust to their psychological challenges at school in the United States. A total of 109 Korean transnational adolescents aged 11 to 19 participated in this study. They had been staying in the country alone or with one of their…
Lent, ReLeah Cossett
ReLeah Cossett Lent provides practical advice for ensuring that books are kept on shelves and in classrooms for students to read. She outlines steps for creating professional learning communities that engage with censorship issues and prepare schools to deal with book challenges in thoughtful, supportive ways. (Contains 4 figures.)
@@ With ups and downs in the past 15 years, China was officially admitted into World Trade Organization in November 2001. China's entry into WTO inevitably poses a severe challenge to the country's domestic petroleum and petrochemical industry, which has been protected by means of tariff hurdles and other administrative measures for a long time.
Full Text Available The educational challenge in South Africa is currently demonstrated by the fact that education is seen as a priority on all agendas, be they national, provincial or local. Developments in society compel educational thinkers to rethink the role and status of education in a democratic society. In this article an educo-philosophical perspective is applied in an attempt to analyse some of the developments that might have an influence on educational thought and practice.
Hansen, Lars; Pedersen, Keld
Abstract. Increasing the organizational benefits from IT projects is a key concern in most organizations. The use of Project Portfolio Management (PPM) is generally recommended by consultants (e.g. Kaplan 2005) and researchers (e.g. De Reyck et al 2005) as one way of increasing the organizational...... benefits from IT investments. This article reports from an action research project aiming at understanding and improving IT PPM practices in Danish municipalities, thereby contributing to the general body of knowledge concerning PPM of IT projects. Our findings suggest that the participating organizations...... might benefit from a structured approach as suggested by the literature (e.g. Kaplan 2005), but also that the prescriptive PPM literature in some areas is too simplistic when compared to the reality faced by the participating practitioners. Especially, our research suggests that different PPM elements...
Moon, Sidney M.
One rationale for failure to address the needs of high-ability students in schools is that high-ability students do not need special services because they do not face any special problems or challenges. A more extreme corollary of this attitude is the notion that high ability is so protective that students with high ability do not face problems or…
design . Our work on the NPOESS program has shown that without clear lines of authority, conflicts between satellite users hampered decisions, such as for...DEFENSE WEATHER SATELLITES DOD Faces Acquisition Challenges for Addressing Capability Needs Statement of Cristina T...Environment, Committee on Science, Space, and Technology, House of Representatives July 2016 DEFENSE WEATHER SATELLITES DOD Faces Acquisition
Dai, Jing; Chiu, Helen F K; Hou, Zai-Jin; Caine, Eric D
BACKGROUND: The paper addressed a unique challenge for public health and community research in rural China, i.e., the very large percentage of young adults that comprises a highly mobile working population that has been an essential component of the country's economic transformation. Fluid local demographic patterns potentially have a substantial impact on sample representativeness and data validity. METHODS: This report is based upon a cross sectional survey with face-to-face interviews of residents aged 16-34 years in rural communities of Mianyang, Sichuan Province, China. Two waves of fieldwork and other strategies were adopted in response to recruitment challenges. RESULTS: 1654 of 3008 potential participants took part in the study; this constituted 98% of those individuals approached and 55% of the persons enumerated in the local household registration system (hukou). Analyses revealed substantial differences among those who were interviewed during September and October 2005, versus those seen during the Chinese Lunar New Year of 2006 when many migrant workers and students returned to their homes. Both groups together differed from those who were unavailable during either recruiting episode. DISCUSSION AND CONCLUSIONS: We discuss potential responses to associated methodological challenges, including, (1) permanent hukou mismatches; (2) temporary hukou mismatches; (3) difficulties faced by potential participants to fully understand the purpose of research, the informed consent process, and specific research questions; and (4) appreciation of the importance of local social networks, as they pertain in particular to rural China. These findings underscore that there may be a need to make "on-the-ground" adjustments to varying local conditions to maximize sample representativeness and data validity.
Margaret Macherera, MSc
Full Text Available Objectives:Despite the advent of antiretroviral therapy (ART, many children, particularly in the rural communities of Zimbabwe, remain vulnerable. The purpose of this study was to determine the factors and challenges facing children on antiretroviral therapy (ART in Brunapeg area of Mangwe District, Zimbabwe.Methods:A mixed-method approach involving interviewer-guided focus group discussions and piloted semi-structured questionnaires was utilized to collect data from different key population groups. The data obtained were analyzed through content coding procedures based on a set of predetermined themes of interest.Results:A number of challenges emerged as barriers to the success of antiretroviral therapy for children. Primary care givers were less informed about HIV and AIDS issues for people having direct impact on the success of antiretroviral therapy in children whilst some were found to be taking the antiretroviral drugs meant for the children. It also emerged that some primary care givers were either too young or too old to care for the children while others had failed to disclose to the children why they frequently visited the Opportunistic Infections (OI clinic. Most primary care givers were not the biological parents of the affected children. Other challenges included inadequate access to health services, inadequate food and nutrition and lack of access to clean water, good hygiene and sanitation. The lack of community support and stigma and discrimination affected their school attendance and hospital visits. All these factors contributed to non-adherence to antiretroviral drugs.Conclusions and Public Health Implications:Children on ART in rural communities in Zimbabwe remain severely compromised and have unique problems that need multi-intervention strategies both at policy and programmatic levels. Effective mitigating measures must be fully established and implemented in rural communities of developing countries in the fight for
Atkinson, Nancy L.; Desmond, Sharon M.; Saperstein, Sandra L.; Billing, Amy S.; Gold, Robert S.; Tournas-Hardt, Amy
Objective: To examine assets of and challenges to getting adequate nutrition and physical activity among low-income rural residents, and the potential for technology to provide health education. Methods: Environmental scans and community stakeholder interviews were conducted in 5 rural counties in Maryland. During environmental scans, stakeholders…
Full Text Available Rural public libraries have been relatively understudied when compared to public libraries as a whole. Data are available to show that rural libraries lag behind their urban and suburban counterparts in technology service offerings, but the full meaning and impact of such disparities is unclear. The authors combine data from the Public Library Technology and Access Study with data from smaller studies to provide greater insight to these issues. By filtering these data through the Digital Inclusion framework, it becomes clear that disparities between rural and non-rural libraries are not merely a problem of weaker technological infrastructure. Instead, rural libraries cannot reach their full customer service potential because of lower staffing (but not lower staff dedication and funding mechanisms that rely primarily on local monies. The authors suggest possible solutions to these disparities, while also discussing the barriers that must be overcome before such solutions can be implemented.
Shafran, David; Kodish, Eric; Tzakis, Andreas
The success of organ transplantation as a treatment for end-stage organ disease has yielded a series of ethical quandaries originating from the issue of organ shortage. Scarcity of organs for transplantation necessitates formulation of just and fair allocation policies as well as ethically viable solutions to bridging the vast gap between organ supply and demand. The concept of "triage" provides a useful paradigm in which to contextualize the organ shortage issue. This entails subjugating the welfare of the individual patient for the benefit of the wider community as an ethically justified response to the challenge of scarcity.
Vivian E A Eta
Full Text Available BACKGROUND: Clinical teaching is an important component of clinical education. In nursing, clinical teaching is ensured by clinical nurse educators (CNEs. This study aimed at describing the major challenges faced by CNEs in Cameroon. METHODS: In a qualitative study, supplemented with quantitative methods, CNEs were enrolled from three health districts to represent their frequency in Cameroon’s health delivery system. RESULTS: A total of 56 CNEs participated in the study, of whom, as many as 58.9% acknowledged always facing challenges in clinical teaching and supervision. The major challenges identified were the lack of opportunities to update knowledge and skills, students’ lack of preparedness and the CNEs not being prepared for clinical teaching. CNEs attributed these challenges in major part to the lack of incentives and poor health policies. CONCLUSION: CNEs in Cameroon do indeed face major challenges which are of diverse origins and could adversely affect teaching in clinical settings
Full Text Available Problem statement: The nature of sustainable development requires new paradigms for education. Issues of sustainability are wicked problems that do not lend themselves to conventional didactic approaches. The challenge for higher education is to examine interdisciplinary approaches to global societal responsibility and, within this, issues of education for sustainable development. Approach: A project, sponsored by the Royal Academy of Engineering, developed a course unit in sustainable development across several disciplines. The approach was initially pedagogic in nature, with a strong evaluative theme. At the same time, a Delphi study was undertaken by the same team and this inter-relates with the main project. The focus of the action research was a series of wicked problems that would provide real-world challenges with no simple answers. Results: The project was evaluated in a number of ways, not least the pre-and post-testing of students attitudes and approaches, but also using nominal group techniques. The project demonstrated that an interdisciplinary PBL approach succeeded in deepening the learning of the students as well as developing key skills. Conclusion: The use of collaborative, group-based approaches, notably PBL, offers a key way of approaching the design of curricula for sustainable development and other areas of global societal responsibility that hinge on wicked problems.
Elena Simona Vrânceanu
Full Text Available The project of the European construction has been subject to constant contradictions since the time of its first steps of implementation. Beyond the ideal of economic and political unification, the European Union has to manage more and more cultural, social, and economic challenges, which aren’t at all negligible, and all the more pressing in the context of recent years marked by the global financial crisis and the assault of asylum seekers from Africa and Middle East. Therefore we can launch a series of interrogations: What is the citizens’ level of trust in the European construction project? How does the European Union proceed in order to integrate immigrants? What is the link between good immigrant integration and consolidation of the European construction project? These three interrogations represent the axes of analysis of this article, which aims to highlight some theoretical aspects of the effects of current migration on the structuring or restructuration of the European Union. As a conclusion, we may say that the current challenges of migration have opened the path to a new phase of the European construction project, and the consensus of state actors and the direct involvement of the Community institutions can be decisive in shaping the medium and long term evolution of the European Union.
Zhang, B N; Chen, W Q; Zhang, X; Qiao, Y L
The incidence and mortality of breast cancer is in an increasing trend. In contrast to the global breast cancer situation, the prevention and control is challenging in China. Some suggestions are presented to the project of breast cancer prevention and control in China. Combining the global screening experiences with the epidemiological features of Chinese female breast cancer, aims to improve the population screening and early detection rate. Standardizing clinical diagnosis and treatment practice, aims to increase the efficacy and decrease the mortality. Intervening lifestyle and dietary behaviors, and intends to reduce risk exposure and incidence. Building national breast cancer registry provides preventive strategies. Great efforts should be made to carry out large sample multicenter clinical trails and translational research on the prevention and cotrol of breast cancer coordiated by health care service and science and technology administrations. Breast cancer prevention and control has a long way to go in China.
Lupi, F.; Borri, C.; Harte, R.; Krätzig, W. B.; Niemann, H.-J.
The Solar Updraft Power Plant technology addresses a very challenging idea of combining two kinds of renewable energy: wind and solar. The working principle is simple: a Solar Updraft Power Plant (SUPP) consists of a collector area to heat the air due to the wide-banded ultra-violet solar radiation, the high-rise solar tower to updraft the heated air to the atmosphere, and in between the power conversion unit, where a system of coupled turbines and generators transforms the stream of heated air into electric power. A good efficiency of the power plant can only be reached with extra-large dimensions of the tower and/or the collector area. The paper presents an up-to-date review of the SUPP technology, focusing on the multi-physics modeling of the power plant, on the structural behavior of the tower and, last but not least, on the modeling of the stochastic wind loading process.
Bernat, James L
Challenges to ethics and professionalism that can harm neurologists and their patients include the commercialization of medicine, poorly designed Medicare regulations, conflicts of interest, physician employment by hospitals, faulty measurement of medical quality care, electronic health records, electronic communications with patients, and the demotion of the role of physician beneficence. These threats can lead to inaccurate medical record-keeping, unnecessary medical care, a decline in the primacy of patients' interests, and damage to the sanctity of the patient-physician relationship. The increasing frequency of physician burnout can be attributed at least partially to unmitigated stresses on practicing physicians, particularly the growing time pressures for patient visits, the mounting daily requirements of documentation, and the increasing burden of time-consuming but unproductive tasks. Recommended correctives include reforming billing documentation regulations, improving electronic health records, designing proper quality indicators integrating physician wellness, and incorporating reasonable physician workflows in the design of accountable care organizations.
Beam, Andrea P.; Claxton, Russell L.; Smith, Samuel J.
Challenges for novice school leaders evolve as information is managed differently and as societal and regulatory expectations change. This study addresses unique challenges faced by practicing school administrators (n = 159) during their first three years in a school leadership position. It focuses on their perceptions, how perceptions of present…
Roland W. Scholz
Full Text Available This paper identifies and discusses the benefits, threats, and vulnerabilities related to the digital revolution. It aims to motivate research and its funding regarding digital threats and vulnerabilities related, in particular, to anticipating unintended, undesirable rebound effects, tipping points, critically fast evolutionary change rates, trade-offs, etc. A brief analysis of the history of the mind and technology reveals slow technological development over tens of thousands of years (including the invention of a place-value digital number system. Then, a small series of groundbreaking ideas (e.g., binary logic, Shannon’s symbolic analysis of relay and switching circuits, architectures of computing enabled the industry-driven invention of programmable computing machines. Ultimately, the mastery of electron and semiconductor physics allowed for economical and seemingly unlimited storage capacity that made digital tools available to all domains of society. Based on the historical analysis, a coupled human-environment systems perspective (that includes a hierarchy assumption ranging from the human cell to the human species enables the identification of several potential challenges to society and science. First, digital nano-engineering promotes genetic modifications (i.e., directed evolution, and synthetic biology enables a new level of the appropriation of nature. The understanding of cell-based biocomputers may call for new forms of logic. These and other challenges require thorough sustainability research in order to anticipate major changes on all levels of human systems. Second, the human individual is exposed to new forms of vulnerability. In particular, the potential epigenetic effects resulting from the excessive use of digital information of historically unknown speed, density, and contents and the loss of (the Western common-law right to privacy resulting from big data (whose ownership is often unknown should become subjects of
Mowafi, Hani; Nowak, Kristin; Hein, Karen
The human resources crisis in humanitarian health care parallels that seen in the broader area of health care. This crisis is exacerbated by the lack of resources in areas in which humanitarian action is needed--difficult environments that often are remote and insecure--and the requirement of specific skill sets is not routinely gained during traditional medical training. While there is ample data to suggest that health outcomes improve when worker density is increased, this remains an area of critical under-investment in humanitarian health care. In addition to under-investment, other factors limit the availability of human resources for health (HRH) in humanitarian work including: (1) over-reliance on degrees as surrogates for specific competencies; (2) under-development and under-utilization of national staff and beneficiaries as humanitarian health workers; (3) lack of standardized training modules to ensure adequate preparation for work in complex emergencies; (4) and the draining of limited available HRH from countries with low prevalence and high need to wealthier, developed nations also facing HRH shortages. A working group of humanitarian health experts from implementing agencies, United Nations agencies, private and governmental financiers, and members of academia gathered at Hanover, New Hampshire for a conference to discuss elements of the HRH problem in humanitarian health care and how to solve them. Several key elements of successful solutions were highlighted, including: (1) the need to develop a set of standards of what would constitute "adequate training" for humanitarian health work; (2) increasing the utilization and professional development of national staff; (3) "training with a purpose" specific to humanitarian health work (not simply relying on professional degrees as surrogates); (4) and developing specific health task-based competencies thereby increasing the pool of potential workers. Such steps would accomplish several key goals, such as
Full Text Available Network access technologies have evolved significantly in the last years. They deploy novel mechanisms like reactive capacity allocation and time-slotted operation to optimize overall network capacity. From a single node's perspective, such optimizations decrease network determinism and measurement repeatability. Evolving application fields like machine to machine (M2M communications or real-time gaming often have strict real-time requirements to operate correctly. Highly accurate delay measurements are necessary to monitor network compliance with application demands or to detect deviations of normal network behavior, which may be caused by network failures, misconfigurations or attacks. This paper analyzes factors that challenge active delay measurements in modern networks. It introduces the Representative Delay Measurement tool (RDM that addresses these factors and proposes solutions that conform to requirements of the recently published RFC7312. Delay measurement results acquired using RDM in live networks confirm that advanced measurement methods can significantly improve the quality of measurement samples by isolating systematic network behavior. The resulting high-quality samples are one prerequisite for accurate statistics that support proper operation of subsequent algorithms and applications.
María Elena Villafuerte-Castrejón
Full Text Available The search for electroceramic materials with enhanced ferro-pyro-piezoelectric properties and revealing the perovskite type structure has been the objective of a significant number of manuscripts reported in the literature. This has been usually carried out by proposing the synthesis and processing of new compounds and solid solution series. In this work, several methods to obtain ferro-pyro-piezoelectric families of materials featuring the well-known ABO3 perovskite structure (or related such as BaTiO3, Ba1–xCaxTi1–yZryO3, (Bi0.5Na0.5TiO3, (K0.5Na0.5NbO3 and their solid solutions with different cations either in the A or B positions, are presented. For this kind of materials, the challenge for obtaining a single phase compound with a specific grain size and morphology and, most importantly, with the adequate stoichiometry, will also be discussed. The results reviewed herein will be discussed in terms of the tendency of working with softer conditions, i.e., lower temperature and shorter reaction times, also referred to as soft-chemistry.
Full Text Available One of the challenges of teaching pre-teens about the internet is their varying degrees and levels of involvement. The juvenile police officer brings a solid understanding of the laws as well as a strong knowledge of safety issues to the classroom, making them an excellent educational resource. Officers can utilize an educational approach with parents and students in which they define what cyber bullying is and, importantly, demonstrate that definition by describing real cases that I and other officers have addressed. This approach focused both on the effect that cyber bullying has on the victims and the impact of the online behavior on the atmosphere and climate at the school. Students and parents also need to learn about the potential consequences for the perpetrator. Finally, an important method for bridging varying degrees of involvement in bullying is to emphasize that all students play a role in cyber bullying prevention-not merely those who perpetrate it or are victimized by it. That lesson is accomplished through discussions about strategies that bystanders can use to intervene."
Full Text Available Ayman S Bannaga,1 Christian P Selinger2 1Department of Gastroenterology, Doncaster Royal Infirmary, Doncaster, UK; 2Department of Gastroenterology, St James University Hospital, Leeds, UK Abstract: Inflammatory bowel disease (IBD causes severe physical symptoms and is also associated with psychological comorbidities. Abnormal anxiety levels are found in up to 40% of patients with IBD. Anxiety symptoms are often related to flares of IBD but may persist in times of remission. Detection of anxiety disorder (AD in patients with IBD can be challenging. Patients with anxiety may also exhibit symptoms in keeping with functional gastrointestinal disorders (FGID. Evidence for the effectiveness of pharmacological and psychological therapies for anxiety stems from patients without IBD. Studies in patients with IBD have either been small or shown negative results. In light of this, a combined approach involving IBD physicians to improve disease control and psychologists or psychiatrists to treat anxiety is advised. This review examines the evidence of anxiety issues in IBD with a focus on extent of the problem, risk factors for anxiety, and the effectiveness of interventions. Keywords: inflammatory bowel disease, Crohn's disease, ulcerative colitis, anxiety
This paper reviews the development of the urban and rural old age security system in China,and discusses the challenges in the process of constructing a sustained old age security system. Although funding gaps and empty individual accounts have imposed a heavy burden on the sustainability of China's urban pension system, there is a relatively high coverage rate of 35.3 percent for urban workers. However, China's pension system provides low coverage rate for rural farmers. The more rapidly aging population and lower incomes in rural areas pose challenges to the vulnerable rural household support system. The separation of the old age security system between rural and urban areas also puts great pressure as a result of urbanization on farmers who lose their farmland. Therefore, it is urgent for China to speed up the reform of its old age security system to provide an institutional support for its economic and social transition.
Baraka, Jitihada; Rusibamayila, Asinath; Kalolella, Admirabilis; Baynes, Colin
Provider perspectives have been overlooked in efforts to address the challenges of unmet need for family planning (FP). This qualitative study was undertaken in Tanzania, using 22 key informant interviews and 4 focus group discussions. The research documents perceptions of healthcare managers and providers in a rural district on the barriers to meeting latent demand for contraception. Social-ecological theory is used to interpret the findings, illustrating how service capability is determined by the social, structural and organizational environment. Providers' efforts to address unmet need for FP services are constrained by unstable reproductive preferences, low educational attainment, and misconceptions about contraceptive side effects. Societal and organizational factors--such as gender dynamics, economic conditions, religious and cultural norms, and supply chain bottlenecks, respectively--also contribute to an adverse environment for meeting needs for care. Challenges that healthcare providers face interact and produce an effect which hinders efforts to address unmet need. Interventions to address this are not sufficient unless the supply of services is combined with systems strengthening and social engagement strategies in a way that reflects the multi-layered, social institutional problems.
Allen, Suzanne M; Ballweg, Ruth A; Cosgrove, Ellen M; Engle, Kellie A; Robinson, Lawrence R; Rosenblatt, Roger A; Skillman, Susan M; Wenrich, Marjorie D
The authors examine the potential impact of the Patient Protection and Affordable Care Act (ACA) on a large medical education program in the Northwest United States that builds the primary care workforce for its largely rural region. The 42-year-old Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI) program, hosted by the University of Washington School of Medicine, is one of the nation's most successful models for rural health training. The program has expanded training and retention of primary care health professionals for the region through medical school education, graduate medical education, a physician assistant training program, and support for practicing health professionals.The ACA and resulting accountable care organizations (ACOs) present potential challenges for rural settings and health training programs like WWAMI that focus on building the health workforce for rural and underserved populations. As more Americans acquire health coverage, more health professionals will be needed, especially in primary care. Rural locations may face increased competition for these professionals. Medical schools are expanding their positions to meet the need, but limits on graduate medical education expansion may result in a bottleneck, with insufficient residency positions for graduating students. The development of ACOs may further challenge building a rural workforce by limiting training opportunities for health professionals because of competing demands and concerns about cost, efficiency, and safety associated with training. Medical education programs like WWAMI will need to increase efforts to train primary care physicians and increase their advocacy for student programs and additional graduate medical education for rural constituents.
Full Text Available Susan M Carr1,2, Pauline Pearson1, Lesley Young-Murphy3, Barbara Cleghorn41Centre for Community Health & Education Studies Research & Enterprise, Northumbria University, Newcastle upon Tyne, UK; 2School of Health, University of New England, Armidale, New South Wales, Australia; 3NHS North of Tyne, Newcastle upon Tyne, UK, 4Newcastle PCT, Newcastle upon Tyne, UKAbstract: This paper presents an overview of the challenges and potential of lean implementation for the health visiting service in England and examines the rhetoric and the reality of the situation. It is coauthored by academic researchers and senior service providers so as to embrace the multidimensional issues impacting on this subject. If lean thinking is to be implemented in relation to health visiting, it is important to understand how it is likely to be viewed by practitioners and line managers in settings where it is used. In order to contextualize the discussion, an introduction to the roles, systems, and structures of health visiting are provided. The literature on what lean implementation is, what it means, and in particular the application and potential of the approach to primary care and public health services is reviewed. The process and findings from a focus group convened within a large primary care organization in the National Health Service during their lean implementation is reported. The paper concludes that it is important for staff at all levels to see a clear link between strategic aims and objectives and the planning processes operated by providers and commissioners. It appears that the successful introduction of lean thinking should focus more on productive working and thereby reducing waste. This has the potential to refresh workforce models to ensure that health visiting and other practitioners liberate the use of their specialist knowledge and skills. In a context of enhanced partnership working, the stage is then set for providers to add value to the whole
competitiveness, measured in terms of scientific yield and citations, primarily affects fields where articles and citations are not the traditional outputs, such as the humanities and social sciences in general and planning-related disciplines in particular. When discussing planning, it has to be stressed out that research has a merely societal value and is not aimed at developing products that can foster economic growth or delivering scientific articles that profoundly change the theoretical perspectives. Simply put, research in planning aims at increasing the safety and welfare of people. As a consequence, planning research topics have shifted from providing scientific grounds to regional development policies, to addressing research quality and social responsibility or producing research guidelines. This article looks at the particular case of Romanian planning research based on SCImago data, in an attempt to assess whether this field is able to meet these global challenges, especially after the consistent, albeit uneven, in terms of goal and pace, application of new research policies designed after joining the European Union, which were aimed at increasing its article output and its international visibility. The findings indicate that the numerical growth of articles and publications is spectacular in Romania for most fields, and even more so within the humanities, the social sciences and planning. However, the question remains whether this impressive growth is supported by an increase in quality. We have therefore left aside matters such as the globalization of authors, topics or citations. These aspects require a more in-depth research effort.
Full Text Available This article wants to outline the challenges faced by a local basic food producer in his battle to stay on the market. We will reveal the challenges he’s facing in his own production lines and also the way he has to adapt to the changing world of the multinational companies. We will present a short history of the founding and evolution of the company on the Romanian pastry food market pointing out the relevant events which have marked the company life during the years. We will also make a short review of the competition on the market of the pastry food products and we will present the marketing strategy and policies the company is using to be able to face the new challenges.
There is a long way to go for sustainable development of rural tourism. It is necessary to strengthen the planning for training rural tourism talents, and establish sustainable reserve tourism service personnel; innovate upon the promotion mode of rural tourism and open the tourist source market; strengthen the building of characteristic brand of rural tourism, and create sustainable development core of tourism; give play to the role of government in guiding rural tourism, strengthen the opti...
Romeo Cătălin CREŢU
Full Text Available As an alternative of Romania’s sustainable development, rural tourism is considered to be an assembly of productprice- consumption, which awards the country multiple opportunities for integration into European structures. Taking into consideration the Government Decision no. 20/2012 on the approval of multi-annual programmer for destinations, forms and tourism products development, the 3rd article, the 1st line, e item “actions regarding a specialized ranking of reception structures with accommodation in the hydropathical (spa and rural tourism in Romania”, as well as the measures covered in the Strategic and Operational Marketing Plan for Romania during 2011-2015, the National Authority for Tourism together with the National Organization for Rural, Ecological and Cultural Tourism, The Partnership Federation in Romanian Tourism and the Management, Economic Engineering in Agriculture and Rural Development at the University of Agronomic Sciences and Veterinary Medicine in Bucharest launch the pilot project: “A thematic specialization of tourism and agritourism guest houses in Romania”.
Full Text Available Sports and events play an important role in local identity building and creating a sense of community that encourages participation and increases social capital. Rural communities are specific areas with special needs and can face challenges and restraints when it comes to event organisation. The purpose of this paper is to identify organisational challenges and analyse the potential to achieving long-term sustainable social and economic outcomes linked to small-scale sports events in rural communities. Organisational challenges of rural communities in terms of organising sport events are examined and discussed using the framework of event leveraging developed by O’Brien and Chalip. This methodology is applied and discussed to a case study focusing on small-scale winter sport events in rural Croatia. Semi-structured interviews with local organisers were conducted in order to collect data on the overall event organisation and management, local coordination, role of community stakeholders and challenges facing strategic planning, with the intent to identify objectives for future events. Results were discussed independently and in the context of the leverage framework, with reflection on its applicability to rural communities as the event organisers. Recommendations are provided based on critical insight from the literature and are oriented on how to streamline the process of organising, delivering and managing of events in remote rural communities. Finally, the idea of inter-community organisation is proposed to ensure long-term social and economic benefits and to address the existing issues of overlapping of stakeholder categories, mixed objectives, distrust among stakeholders and inefficiently used local resources.
Center for Rural Policy and Development, 2009
When this research report was first conceived, the current economic crisis was only just on the verge of revealing its full extent. Economic crisis or no economic crisis, over the years funding for PK-12 education has been a constant struggle. While all schools continue to face difficulties, for various reasons rural schools have different and…
Vellas, Bruno; Pesce, Alain; Robert, Philippe H; Aisen, Paul S; Ancoli-Israel, Sonia; Andrieu, Sandrine; Cedarbaum, Jesse; Dubois, Bruno; Siemers, Eric; Spire, Jean-Paul; Weiner, Michael W; May, Thomas S
The recruitment and retention of patients are among the greatest challenges currently being faced by researchers who conduct Alzheimer's disease (AD) clinical trials. To discuss these challenges and other major issues associated with clinical research in AD, an international workshop was organized by the Association Monégasque pour la recherche sur la Maladie d'Alzheimer at Monte Carlo, Monaco, in February 2010, with the participation of leading research experts in the field of Alzheimer's. Key topics discussed were as follows: (1) the selection, recruitment, and retention of clinical trial subjects; (2) international co-operation among researchers; and (3) patient rights and informed consent for participants in clinical trials. This article highlights some of the challenges faced by investigators when conducting clinical trials in AD, and it also offers some recommendations aimed at overcoming these challenges.
Asare-Kyei, Daniel; Renaud, Fabrice G; Kloos, Julia; Walz, Yvonne; Rhyner, Jakob
West Africa has been described as a hotspot of climate change. The reliance on rain-fed agriculture by over 65% of the population means that vulnerability to climatic hazards such as droughts, rainstorms and floods will continue. Yet, the vulnerability and risk levels faced by different rural social-ecological systems (SES) affected by multiple hazards are poorly understood. To fill this gap, this study quantifies risk and vulnerability of rural communities to drought and floods. Risk is assessed using an indicator-based approach. A stepwise methodology is followed that combines participatory approaches with statistical, remote sensing and Geographic Information System techniques to develop community level vulnerability indices in three watersheds (Dano, Burkina Faso; Dassari, Benin; Vea, Ghana). The results show varying levels of risk profiles across the three watersheds. Statistically significant high levels of mean risk in the Dano area of Burkina Faso are found whilst communities in the Dassari area of Benin show low mean risk. The high risk in the Dano area results from, among other factors, underlying high exposure to droughts and rainstorms, longer dry season duration, low caloric intake per capita, and poor local institutions. The study introduces the concept of community impact score (CIS) to validate the indicator-based risk and vulnerability modelling. The CIS measures the cumulative impact of the occurrence of multiple hazards over five years. 65.3% of the variance in observed impact of hazards/CIS was explained by the risk models and communities with high simulated disaster risk generally follow areas with high observed disaster impacts. Results from this study will help disaster managers to better understand disaster risk and develop appropriate, inclusive and well integrated mitigation and adaptation plans at the local level. It fulfills the increasing need to balance global/regional assessments with community level assessments where major decisions
There is a long way to go for sustainable development of rural tourism.It is necessary to strengthen the planning for training rural tourism talents,and establish sustainable reserve tourism service personnel;innovate upon the promotion mode of rural tourism and open the tourist source market;strengthen the building of characteristic brand of rural tourism,and create sustainable development core of tourism;give play to the role of government in guiding rural tourism,strengthen the optimization of management of rural tourism market environment,and enhance the rural tourism safety;expand the rural tourism industry chain,and strengthen the management planning of sales market of rural tourism product.
Cohen, Jeffrey H.; Rodriguez, Leila
In this paper, we investigate the ways in which migrant households in rural Oaxaca, Mexico use remittances. We use data from a survey and ethnographic research in 12 rural communities in the central valleys of the state to examine three investment strategies: those made in the local (village) commercial economy, those made in the agricultural/dairy sector, and those made in Oaxaca’s tourism industry. In our discussion, we examine the challenges that surround such local efforts and ask whether...
Nelson, William A; Barr, Paul J; Castaldo, Mary G
The ethical standard for informed consent is fostered within a shared decision-making (SDM) process. SDM has become a recognized and needed approach in health care decision-making. Based on an ethical foundation, the approach fosters the active engagement of patients, where the clinician presents evidence-based treatment information and options and openly elicits the patient's values and preferences. The SDM process is affected by the context in which the information exchange occurs. Rural settings are one context that impacts the delivery of health care and SDM. Rural health care is significantly influenced by economic, geographical and social characteristics. Several specific distinctive features influence rural health care decision-making-poverty, access to health care, isolation, over-lapping relationships, and a shared culture. The rural context creates challenges as well as fosters opportunities for the application of SDM as a natural dynamic within the rural provider-patient relationship. To fulfill the ethical requirements of informed consent through SDM, it is necessary to understand its inherent challenges and opportunities. Therefore, rural clinicians and ethicists need to be cognizant of the impact of the rural setting on SDM and use the insights as an opportunity to achieve SDM.
Jagero Juliet Akinyi
Full Text Available Despite the various efforts to enable Kiswahili usage in Information and Communication Technologies (ICT, users of Kiswahili language in ICT have continued to face various challenges. This paper discusses the various challenges that face Kiswahili usage in ICT in two New Partnership for Africa’s Development (NEPAD sponsored schools in Kenya that use Microsoft software’s: Chavakali and Maranda Boy’s secondary schools. This study is guided by a model developed from a combination of two theories: Use and Gratification theory and Symbolic Interaction theory. Data from the two schools are analyzed using qualitative and quantitative analysis. The Data for this work came from 120 students selected through random sampling and 8 teachers of Kiswahili selected through saturated sampling technique. From the analysis of the responses from the study it is evident that Kiswahili usage in ICT is faced by various challenges. Major challenges included negative attitude towards Kiswahili language, difficult technological terms, limited number of those using Kiswahili in ICT, wrong usage of Kiswahili in ICT, English preference and limited research work written in Kiswahili in the internet. Others were limited Kiswahili programs, being forced to use correct Kiswahili, and Kiswahili not being accepted by English programs. The study notes that these challenges need to be addressed. Therefore, recommendations are made on how to overcome the challenges.
Magalhães-Sant'Ana, M; More, S J; Morton, D B; Hanlon, A
Ethics is key to the integrity of the veterinary profession. Despite its importance, there is a lack of applied research on the range of ethical challenges faced by veterinarians. A three round Policy Delphi with vignette methodology was used to record the diversity of views on ethical challenges faced by veterinary professionals in Ireland. Forty experts, comprising veterinary practitioners, inspectors and nurses, accepted to participate. In round 1, twenty vignettes describing a variety of ethically challenging veterinary scenarios were ranked in terms of ethical acceptability, reputational risk and perceived standards of practice. Round 2 aimed at characterising challenges where future policy development or professional guidance was deemed to be needed. In round 3, possible solutions to key challenges were explored. Results suggest that current rules and regulations are insufficient to ensure best veterinary practices and that a collective approach is needed to harness workable solutions for the identified ethical challenges. Challenges pertaining mostly to the food chain seem to require enforcement measures whereas softer measures that promote professional discretion were preferred to address challenges dealing with veterinary clinical services. These findings can support veterinary representative bodies, advisory committees and regulatory authorities in their decision making, policy and regulation.
Bossér, Ulrika; Lundin, Mattias; Lindahl, Mats; Linder, Cedric
Teachers may face considerable challenges when implementing socio-scientific issues (SSI) in their classroom practices, such as incorporating student-centred teaching practices and exploring knowledge and values in the context of socioscientific issues. This year-long study explores teachers' reflections on the process of developing their…
Al-Jaradat, Mahmoud Khaled Mohammad
This study aimed at identifying the challenges facing women academic leadership in secondary schools of Irbid Educational Area. A random sample of 187 female leaders were chosen. They responded to a 49-item questionnaire prepared by the researcher. The items were distributed into four domains: organizational, personal, social and physical…
This paper explores some new challenges facing universities in a global multimediated Internet-based environment, as they seek alternative paradigms and options to remain true to their core business. At a time of rapid technological change, and contested, complex concepts associated with globalisation, knowledge is becoming a primary factor of…
California Postsecondary Education Commission, 2006
This report discusses the State of California's fiscal condition and guides the reader through numerous factors that will influence State spending on higher education in the coming fiscal year. It also offers insight and observations on challenging policy decisions the Governor, the Legislature, and higher education leaders face in the coming…
Mahfoodh, Omer Hassan Ali
This paper reports a qualitative study which examines the challenges faced by six international undergraduate students in their socialisation of oral academic discourse in a Malaysian public university. Data were collected employing interviews. Students' presentations were also collected. Semi-structured interviews were transcribed verbatim and…
de Lange, Paul; Watty, Kim
Of the various reports released in 2010, two purport to examine the state of accounting education in Australia. These are "Accounting Education at a Crossroad in 2010" and "Challenges Facing Accounting Education in Australia". Both were released as collaborations of the leading academic organisation, the Accounting and Finance…
Garwe, Evelyn Chiyevo
The study sought to provide an understanding of the quality assurance challenges and opportunities faced by private universities in Zimbabwe. The study analyzed the factors determining provision of quality higher education in private universities and the resultant effects of failing to achieve the minimum acceptable standards. The author employed…
Challenges and Opportunities to Climate Change Adaptation and Sustainable Development Among Tanzanian Rural Communities Challenges and Opportunities to Climate Change Adaptation and Sustainable Development Among Tanzanian Rural Communities
Esther W. Dungumaro
Full Text Available In more recent years climate change impacts have been obvious around the globe. This non-contentious reality has resulted in various global initiatives to reduce climate change impacts. However, differences exist in opportunities and capacity to adaptation. This paper, descriptive in nature, draws heavily from literature and also uses 2002 Tanzanian population and housing census to identify and discuss major challenges and opportunities to climate change adaptation and sustainable development in rural areas of Tanzania. Two groups are of focus; pastoralist herders and smallholder farmers. Analysis indicates that opportunities to climate change adaptation among rural community include their knowledge and experience. Challenges are centered on the pervasive poverty, rapid population increase and high illiteracy rates. Forces beyond their control including funds and governance also present definite limits to climate change adaptation. The paper suggests among others, the effective implementation of two top policies: education and social security funding.In more recent years climate change impacts have been obvious around the globe. This non-contentious reality has resulted in various global initiatives to reduce climate change impacts. However, differences exist in opportunities and capacity to adaptation. This paper, descriptive in nature, draws heavily from literature and also uses 2002 Tanzanian population and housing census to identify and discuss major challenges and opportunities to climate change adaptation and sustainable development in rural areas of Tanzania. Two groups are of focus; pastoralist herders and smallholder farmers. Analysis indicates that opportunities to climate change adaptation among rural community include their knowledge and experience. Challenges are centered on the pervasive poverty, rapid population increase and high illiteracy rates. Forces beyond their control including funds and governance also present definite
Bernardes, Margarida Maria Rocha; Lopes, Gertrudes Teixeira
This historic-sociologic study aims to analyse the challenges faced by the Brazilian Expeditionary Force's Air Transportation Nurses of the Army with the Theatre of Operations on the course of World War II. The primary source was comprised of a photograph from this time period and oral testimonies of those who participated in the conflict. Ideas by sociologist Pierre Bourdieu support the discussion. Results suggest that Brazilian nurses were challenged to transport the wounded without medical advice. We conclude that the challenge to fulfill the task imposed, which led to independent decision-making, gave confidence and autonomy to the ones already responsible for the transportation of the wounded.
Miller, Michael T.; Tuttle, Courtney C.
Rural America, in direct competition with growing suburban and urban America, has struggled to maintain a high quality of life. Rural out-migration levels are high, as are poverty and illiteracy rates. Rural community colleges have worked to defend and expand opportunities in rural settings, yet face their own challenges tied to resources,…
Full Text Available Automated person recognition (APR based on biometric signals addresses the process of automatically recognize a person according to his physiological traits (face, voice, iris, fingerprint, ear shape, body odor, electroencephalogram – EEG, electrocardiogram, or hand geometry, or behavioural patterns (gait, signature, hand-grip, lip movement. The paper aims at briefly presenting the current challenges for two specific non-cooperative biometric approaches, namely face and gait biometrics as well as approaches that consider combination of the two in the attempt of a more robust system for accurate APR, in the context of surveillance application. Open problems from both sides are also pointed out.
Marco Aurélio de Souza Rodrigues
Full Text Available The publishing industry is at a turning point. Facing the first major disruptive innovation in five centuries, its long-established structure and business model are at stake. Building on literature based on the pitfalls for incumbents, we interviewed key executives from the major publishers in Brazil to understand their perspective. We find that not only are they facing those pitfalls, but we also propose a new one, The Industry View Trap, concerning challenges created by convergence, the difficulty to deal with changes in the ecosystem and the fact that the very definition of the industry you're part of might have changed.
Full Text Available Background: Until recently, procurement was seen as a necessity only. In fact, in many developing economies the profession is still being treated as a ‘back-office’ function. However, not much has been done to explore and address challenges facing procurement professionals in developing economies.Objectives: The purpose of this article was to examine the critical role played by the procurement function in business and to reveal the challenges faced by procurement professionals in developing economies as well as to suggest solutions to these challenges.Method: A sequential literary analysis was used, complemented by cross-country qualitative data gathered from one hundred diverse procurement practitioners from Botswana, Namibia and Zimbabwe. These were primarily participants in a series of procurement workshops run by the researchers from January to June 2014.Results: Findings suggested that limited recognition, increasing unethical behaviour, poor supplier service delivery, poor regulatory environment, varying supplier standards and poor corporate governance are the main challenges faced by the procurement profession in these countries.Conclusion: The study’s findings imply that there is limited understanding regarding the role procurement plays in both government and non-government institutions in developing economies. The article suggests solutions which procurement professionals and organisations can implement in order to unlock the potential value in the procurement function.
Mentz, Elsa; Bailey, Roxanne; Havenga, Marietjie; Breed, Betty; Govender, Desmond; Govender, Irene; Dignum, Frank; Dignum, Virginia
This article reflects on the first phase of a research project aimed at the empowerment of Information Technology (IT) teachers in black rural schools in the North-West province of South Africa. In order to empower these IT teachers, the first phase aimed at understanding their unique challenges and needs. Qualitative research methodology was used…
Yahia M Al-Khaldi
Full Text Available Objective: The objective of this paper was to show the challenges that are faced by the Family Medicine Training Programmes in the Kingdom of Saudi Arabia as well as suggests appropriate and practical solutions. Materials and Methods: This study was conducted from 2010 - 2013 using a semi-structured questionnaire to achieve the objective. The questionnaire was designed and completed by the investigators during their visits to accredit the training centres all over the Kingdom. It consisted of questions concerning the trainers′ and trainees′ opinions regarding all the aspects of training. Another tool used was the accreditation checklist, which contained a comprehensive list of training structures and processes mandatory for any training centre. The accreditation checklist and questionnaire were reviewed by the investigators after visiting all the training centres. The challenges were then classified manually and solutions were reviewed as well as approved by the members of the Accreditation Committee. Results: Seventy-five training centres were visited and 250 trainees along with 75 trainers participated in this study. Twenty-five challenges were identified and classified under 6 major groups. The practical solutions to these challenges were discussed with participants and then approved by the investigators. Conclusion: This study showed that Family Medicine Training in the Kingdom of Saudi Arabia faces many different challenges. Early identification along with key solutions to these difficulties are extremely important in the efforts to produce a new generation of competent Saudi Family Physicians who can improve the quality of healthcare for the population of Saudi Arabia.
This review paper considers the various challenges facing the South African agricultural sector against the background that agricultural sectors globally are pressurised to provide food security for the estimated nine billion people in 2050, while simultaneously addressing climate change. The use of agricultural land to produce crops for the production of biofuels and the impact of land redistribution in South Africa on food security are contemplated. It is recommended that the So...
Abd Rahman Ahmad; Alan Farley
The purpose of this paper is to explore the shift in funding reforms currently facing at Malaysian public universities focusing on issues and challenges experienced by the Focused Universities in particular. Previous research has shown that shifts in funding mechanisms to public universities are more likely to result in behavioural changes at such institutions. Under the National Higher Education Strategic Plan beyond 2020, the Federal Government has launched a strategic plan of government ob...
Ben-David, Brenda; Nel, Norma
Children with visible physical disabilities (CWPDs) living in rural areas of South Africa are a matter of particular concern. While all children living in rural areas face negative influences such as poverty and the high incidence of HIV/AIDS, this situation is exacerbated for CWPDs who are more vulnerable to these influences (Human Sciences…
John Kuumuori Ganle
Full Text Available While a number of studies have examined the factors affecting accessibility to and utilisation of healthcare services by persons with disability in general, there is little evidence about disabled women's access to maternal health services in low-income countries and few studies consult disabled women themselves to understand their experience of care and the challenges they face in accessing skilled maternal health services. The objective of this paper is to explore the challenges women with disabilities encounter in accessing and using institutional maternal healthcare services in Ghana.A qualitative study was conducted in 27 rural and urban communities in the Bosomtwe and Central Gonja districts of Ghana with a total of 72 purposively sampled women with different physical, visual, and hearing impairments who were either lactating or pregnant at the time of this research. Semi-structured in-depth interviews were used to gather data. Attride-Stirling's thematic network framework was used to analyse the data. Findings suggest that although women with disability do want to receive institutional maternal healthcare, their disability often made it difficult for such women to travel to access skilled care, as well as gain access to unfriendly physical health infrastructure. Other related access challenges include: healthcare providers' insensitivity and lack of knowledge about the maternity care needs of women with disability, negative attitudes of service providers, the perception from able-bodied persons that women with disability should be asexual, and health information that lacks specificity in terms of addressing the special maternity care needs of women with disability.Maternal healthcare services that are designed to address the needs of able-bodied women might lack the flexibility and responsiveness to meet the special maternity care needs of women with disability. More disability-related cultural competence and patient-centred training for
Thirumurthy, N.; Harrington, L.; Martin, D.; Thomas, L.; Takpa, J.; Gergan, R.
The goal of this report is to inform investors about the potential of solar minigrid technologies to serve India's rural market. Under the US-India Energy Dialogue, the US Department of Energy's (DOE) National Renewable Energy Laboratory (NREL) is supporting the Indian Ministry of New and Renewable Energy (MNRE)'s Jawaharlal Nehru National Solar Mission (JNNSM) in performing a business-case and policy-oriented analysis on the deployment of solar minigrids in India. The JNNSM scheme targets the development of 2GW of off-grid solar power by 2022 and provides large subsidies to meet this target. NREL worked with electricity capacity and demand data supplied by the Ladakh Renewable Energy Development Agency (LREDA) from Leh District, to develop a technical approach for solar minigrid development. Based on the NREL-developed, simulated solar insolation data for the city of Leh, a 250-kW solar photovoltaic (PV) system can produce 427,737 kWh over a 12-month period. The business case analysis, based on several different scenarios and JNNSM incentives shows the cost of power ranges from Rs. 6.3/kWh (US$0.126) to Rs. 9/kWh (US$0.18). At these rates, solar power is a cheaper alternative to diesel. An assessment of the macro-environment elements--including political, economic, environmental, social, and technological--was also performed to identify factors that may impact India?s energy development initiatives.
In the remote village of Martadi, in Bajura district of western Nepal, the total fertility rate is 7. 20% of newborns die before they reach age 1. Temporary migration, mainly to India, is common due to the inability of the rugged and rocky terrain to supply enough food. The existence of temporary migration and a high frequency of remarriage suggest a high rate of sexually transmitted diseases. The relatively new hospital is very much under used (e.g., only 35 patients in 1995). The office in Kolti that supplies vaccines to Martadi has gone at least six months without receiving any new child immunization drugs, despite the presence of an air service. During and after delivery, no one, not even family members or traditional birth attendants, can touch a woman, who is confined to a cow-shed to deliver and care for her child and herself alone. Yet sick animals receive care. A new mother also is required to bathe herself, often requiring a walk of many hours. Women often identify access to water as their top priority. Pregnant or postpartum women are forbidden from eating green vegetables because of the belief that they cause diarrhea. Sanitation is better now in Martadi than in the past. Diarrhea and vomiting were once very prevalent. The international organization, CARE, along with the Ministry of Local Development operate the Remote Area Basic Needs Project, which revolves around community organization, agroforestry, rural infrastructure, and primary health care. The project has helped villagers construct low-cost toilets. It provides training in basic hygiene. Households have kitchen-gardens. Many families are now eating green vegetables regularly. Fruit trees are being introduced. Villagers recognize the value of child immunization. Some small-scale drinking water systems are operating. Villagers are trained in repair and management of these systems. About 33% of women aged 15-49 want no more children. A first-ever outreach program for female sterilization services
Full Text Available BackgroundChild healthcare practices in China over the last 60 yearshave extensively improved children’s health and growth, yetnew challenges lie ahead. This review aims to summarisethe successful experiences and the newly identifiedproblems in child healthcare in China.MethodInformation, available to the public, was obtained fromChinese databases and Chinese Government websites,chiefly the Chinese National Knowledge Infrastructuredatabase, the Chinese Biomedical Literature database, theMinistry of Health website and the National WorkingCommittee on Children and Women website.ResultsDuring its poverty-stricken 1950s–1970s, China protectedchildren’s health mainly through prevention and control ofcommon infectious diseases and severe malnutrition withina comprehensive healthcare system. After the subsequent30 years of rapid socio-economic development, China hasachieved great success in reducing childhood mortality ratesand promoting child growth, meeting the MillenniumDevelopment Goal 4 targets and the WHO child growthstandards. Meanwhile, new challenges for children’shealthcare emerged, including: large disparities in thehealth, growth and nutritional status of children, and in theaccessibility and quality of child healthcare, between urbanand rural areas and across different regions of China; thenutritional and healthcare concerns of the fast-expandingpopulation of migrant children and rural left-behindchildren; the burgeoning epidemic of childhood obesity inurban and economically developed areas; micronutrientdeficiencies such as calcium, iron, zinc and vitamin A; andincreasing prevalence of mental and behavioural disorders.ConclusionUnder poor economic conditions, healthcare plays a keyrole in protecting children against diseases. With thedevelopment of social economy, new challenges present tohealthcare services, specifically, to comprehensivelypromote and optimise childrens’ health and nutrition.
Mann, Matthew James
Rural and small schools have almost one-third of all public school enrollment in America, yet typically have the fewest financial and research based resources. Educational models have been developed with either the urban or suburban school in mind, and the rural school is often left with no other alternative except this paradigm. Rural based educational resources are rare and the ability to access these resources for rural school districts almost non-existent. Federal and state based education agencies provide some rural educational based programs, but have had virtually no success in answering rural school issues. With federal and state interest in science initiatives, the challenge that rural schools face weigh in. To align with that focus, this study examined Texas middle school student achievement in science and its relationship with school district enrollment size. This study involved a sequential transformative mixed methodology with the quantitative phase driving the second qualitative portion. The quantitative research was a non-experimental causal-comparative study conducted to determine whether there is a significant difference between student achievement on the 2010 Texas Assessment of Knowledge and Skills 8 th grade science results and school district enrollment size. The school districts were distributed into four categories by size including: a) small districts (32-550); b) medium districts (551-1500); c) large districts (1501-6000); and d) mega-sized districts (6001-202,773). A one-way analysis of variance (ANOVA) was conducted to compare the district averages from the 2010 TAKS 8th grade science assessment results and the four district enrollment groups. The second phase of the study was qualitative utilizing constructivism and critical theory to identify the issues facing rural and small school administrators concerning science based curriculum and development. These themes and issues were sought through a case study method and through use of semi
Hakami, Samah Mohammed
The purpose of this study was to explore the major acculturation challenges faced by Saudi female students who study in the U.S. and to develop a scale to measure potential acculturation challenges. The construction of the scale was based on a table of specification that included nine domains of possible acculturation challenges: (a)…
María López Belloso
Full Text Available This article analyses transnational communities through the case study of the Sahrawi migrant community in Spain. After reviewing the most important theoretical contributions on transnational migration and determining the characteristics of these communities, this article will examine potential difficulties that derive from regulations and from the process of acquiring citizenship, which in turn affect the inclusion of this group of migrants within the host society. The article studies whether these regulations and processes may become determinants of this group’s vulnerability, and provides the main conclusions deriving from the challenges that this community faces.
An upgraded safety concept for CMS has been adapted to the size of the project and its organisational challenges under today's budgetary constraints, as well as to the increasing levels of risk. Strong magnetic fields and high radiation levels, including neutrons, pose additional hazards to materials, to operators, to maintenance and to ultimate deposit of activated materials. CMS also fits the insurer's risk-description for modern facilities, i.e. characterised by "higher energy density, more combustible materials and unattended operation". The regulatory environment, consisting essentially of CERN's autonomous regulations as well as of those of its host countries, also need to be satisfied with much attention. To face this challenge, seven distinct safety management tools have been identified, which are described in some detail, namely clear safety objectives, documented safety requirements, open items list, safety ( and design)reviews, safety risk analysis, enforcement of compliance and quality management....
Gopal Rao, MRS Web-Editor; Yury Gogotsi, Drexel University; Karen Swider-Lyons, Naval Research Laboratory
Symposium T: Nanomaterials for Polymer Electrolyte Membrane Fuel Cells Polymer electrolyte membrane (PEM) fuel cells are under intense investigation worldwide for applications ranging from transportation to portable power. The purpose of this seminar is to focus on the nanomaterials and nanostructures inherent to polymer fuel cells. Symposium topics will range from high-activity cathode and anode catalysts, to theory and new analytical methods. Symposium U: Materials Challenges Facing Electrical Energy Storage Electricity, which can be generated in a variety of ways, offers a great potential for meeting future energy demands as a clean and efficient energy source. However, the use of electricity generated from renewable sources, such as wind or sunlight, requires efficient electrical energy storage. This symposium will cover the latest material developments for batteries, advanced capacitors, and related technologies, with a focus on new or emerging materials science challenges.
Peter G. Spooner
Full Text Available Roads corridors are a conspicuous part of most landscapes, which are gaining greater recognition for their role in nature conservation. However roads cause wildlife mortality, alter water and nutrient flows, change local microclimatic conditions, act as vectors for weeds and pest animals, and have other far-reaching effects. Not surprisingly, there is much attention from both road and conservation managers to lessen these impacts, with an emphasis on developing solutions to mitigate the barrier effects of major roads to wildlife movements. However in many anthropogenic landscapes, road corridors can also provide key habitat and connectivity for local biodiversity. In particular, where traffic volumes are low, minor roads often provide critical habitat and refuge for many native species. Knowledge of the ecology and biodiversity conservation values of minor rural road verges has been underpinned by studies in various contexts, such as sunken roads, field margins and hedgerow networks in Europe, to stock routes in Spain and Australia. Despite their different histories and management constructs, important commonalties have been highlighted in terms of their biodiversity values, and the factors which influence these values. As such, minor rural road networks can be vital in providing connected, functioning ecosystems within rural landscapes. The importance of vegetated minor rural road networks will only become more pressing with future climate change. In Australia, road management authorities are tasked with the dual roles of maintaining road transport needs (i.e. priorities for road maintenance and safety concerns, whilst maintaining the environmental values of roads. This paper reviews the biodiversity values of minor rural roads, discusses the challenges and constraints in managing these values, and describes the case of identifying historic roads as an example of enhancing conservation management of these important habitats in rural landscapes.
Full Text Available BACKGROUND: Chronic Kidney Disease disproportionately affects the poor in Low and Middle Income Countries (LMICs. Mexico exemplifies the difficulties faced in supporting Renal Replacement Therapy (RRT and providing equitable patient care, despite recent attempts at health reform. The objective of this study is to document the challenges faced by uninsured, poor Mexican families when attempting to access RRT. METHODS: The article takes an ethnographic approach, using interviewing and observation to generate detailed accounts of the problems that accompany attempts to secure care. The study, based in the state of Jalisco, comprised interviews with patients, their caregivers, health and social care professionals, among others. Observations were carried out in both clinical and social settings. RESULTS: In the absence of organised health information and stable pathways to renal care, patients and their families work extraordinarily hard and at great expense to secure care in a mixed public-private healthcare system. As part of this work, they must navigate challenging health and social care environments, negotiate treatments and costs, resource and finance healthcare and manage a wide range of formal and informal health information. CONCLUSIONS: Examining commonalities across pathways to adequate healthcare reveals major failings in the Mexican system. These systemic problems serve to reproduce and deepen health inequalities. A system, in which the costs of renal care are disproportionately borne by those who can least afford them, faces major difficulties around the sustainability and resourcing of RRTs. Attempts to increase access to renal therapies, therefore, need to take into account the complex social and economic demands this places on those who need access most. This paper further shows that ethnographic studies of the concrete ways in which healthcare is accessed in practice provide important insights into the plight of CKD patients and so
Guarneri, Erminia; King, Rauni Prittinen
Biofield therapies (BTs) are increasingly employed in contemporary healthcare. In this white paper, we review specific challenges faced by biofield practitioners resulting from a lack of (1) a common scientific definition of BT; (2) common educational standards for BT training (including core competencies for clinical care); (3) collaborative team care education in complementary and alternative medicine (CAM) and in integrative health and medicine (IHM); (4) a focused agenda in BT research; and (5) standardized devices and scientifically validated mechanisms in biofield research. We present a description of BT and discuss its current status and challenges as an integrative healthcare discipline. To address the challenges cited and to enhance collaboration across disciplines, we propose (1) standardized biofield education that leads to professional licensure and (2) interprofessional education (IPE) competencies in BT training required for licensed healthcare practitioners and encouraged for other practitioners using these therapies. Lastly, we discuss opportunities for growth and a potential strategic agenda to achieve these goals. The Academy of Integrative Health and Medicine (AIHM) provides a unique forum to facilitate development of this emerging discipline, to facilitate IPE, and to further increase the availability of BT to patients.
Berch, Daniel B
In this commentary, I examine some of the distinctive, foundational difficulties in learning fractions and other types of rational numbers encountered by students with a mathematical learning disability and how these differ from the struggles experienced by students classified as low achieving in math. I discuss evidence indicating that students with math disabilities exhibit a significant delay or deficit in the numerical transcoding of decimal fractions, and I further maintain that they may face unique challenges in developing the ability to effectively translate between different types of fractions and other rational number notational formats-what I call conceptual transcoding I also argue that characterizing this level of comprehensive understanding of rational numbers as rational number sense is irrational, as it misrepresents this flexible and adaptive collection of skills as a biologically based percept rather than a convergence of higher-order competencies that require intensive, formal instruction.
Wanner, A A; Kirschmann, M A; Genoud, C
Serial block-face scanning electron microscopy (SBEM) is becoming increasingly popular for a wide range of applications in many disciplines from biology to material sciences. This review focuses on applications for circuit reconstruction in neuroscience, which is one of the major driving forces advancing SBEM. Neuronal circuit reconstruction poses exceptional challenges to volume EM in terms of resolution, field of view, acquisition time and sample preparation. Mapping the connections between neurons in the brain is crucial for understanding information flow and information processing in the brain. However, information on the connectivity between hundreds or even thousands of neurons densely packed in neuronal microcircuits is still largely missing. Volume EM techniques such as serial section TEM, automated tape-collecting ultramicrotome, focused ion-beam scanning electron microscopy and SBEM (microtome serial block-face scanning electron microscopy) are the techniques that provide sufficient resolution to resolve ultrastructural details such as synapses and provides sufficient field of view for dense reconstruction of neuronal circuits. While volume EM techniques are advancing, they are generating large data sets on the terabyte scale that require new image processing workflows and analysis tools. In this review, we present the recent advances in SBEM for circuit reconstruction in neuroscience and an overview of existing image processing and analysis pipelines.
Australia and Canada are benefiting from a global increase in coal consumption, but face challenges regarding coal and coal export capacity. Coal is Australia's biggest export commodity, accounting for over 50 percent of world coking coal exports, with almost 75 percent of those exports destined for Asian markets, primarily Japan. However, the number of ships delayed at Australian ports hit a record of 223 bulk carriers in early 2010. Compared to Canada, Australia faces greater logistical issues getting coal into port and onto ships at its 9 loading terminals. Two of Canada's 3 major shipping terminals, Westshore and Neptune, have some additional capacity. Its third terminal, Ridley Island, has considerable potential to carry more coal. With 98 percent of all coal moved by rail in Australia, rail issues also hinder growth. A national approach to planning freight transport on both roads and rail is being developed. While infrastructure issues remain the single greatest barrier to export growth for Australia's coal sector, Canada's most immediate issues pertain to mine permitting and mine-site expansion. In 2009, Canada exported 28 million tonnes of coal, 90 percent of it metallurgical. With approximately 70 million tonnes of annual production, mostly in British Columbia and Alberta, coal remains the number one commodity in Canada carried by rails and shipped from ports. 1 fig.
Underdevelopment of bond markets is one of the factors contributing to the vulnerability of financial systems in Asian countries. Due to over-reliance on bank loans, it has not been possible for savings in Asia to be invested directly in enterprises rather than being funneled to international financial centers in theU.S, and Europe and then back to Asia. When there is a crisis, enterprises and financial institutions are faced with both “mismatch in maturity of loans” and “mismatch in currency denomination” in their funding positions. The risks inherent in the dual mismatches are sources offinancial instability in Asia. Therefore there has been a consensus among major Asian countries to foster Asian bond markets in order to reduce these risks. For China, developing its domestic bond market has become an important part of effort to participate in fostering Asian bond markets. Based on proposals and recent development of Asian bond markets, this paper discusses the problems and challenges faced by China in developing domestic bond markets.
Updike, Randall G.; Ellis, Eugene G.; Page, William R.; Parker, Melanie J.; Hestbeck, Jay B.; Horak, William F.
Along the nearly 3,200 kilometers (almost 2,000 miles) of the United States–Mexican border, in an area known as the Borderlands, we are witnessing the expression of the challenges of the 21st century. This circular identifies several challenge themes and issues associated with life and the environment in the Borderlands, listed below. The challenges are not one-sided; they do not originate in one country only to become problems for the other. The issues and concerns of each challenge theme flow in both directions across the border, and both nations feel their effects throughout the Borderlands and beyond. The clear message is that our two nations, the United States and Mexico, face the issues in these challenge themes together, and the U.S. Geological Survey (USGS) understands it must work with its counterparts, partners, and customers in both countries.Though the mission of the USGS is not to serve as land manager, law enforcer, or code regulator, its innovation and creativity and the scientific and technical depth of its capabilities can be directly applied to monitoring the conditions of the landscape. The ability of USGS scientists to critically analyze the monitored data in search of signals and trends, whether they lead to negative or positive results, allows us to reach significant conclusions—from providing factual conclusions to decisionmakers, to estimating how much of a natural resource exists in a particular locale, to predicting how a natural hazard phenomenon will unfold, to forecasting on a scale from hours to millennia how ecosystems will behave.None of these challenge themes can be addressed strictly by one or two science disciplines; all require well-integrated, cross-discipline thinking, data collection, and analyses. The multidisciplinary science themes that have become the focus of the USGS mission parallel the major challenges in the border region between Mexico and the United States. Because of this multidisciplinary approach, the USGS
Updike, Randall G.; Ellis, Eugene G.; Page, William R.; Parker, Melanie J.; Hestbeck, Jay B.; Horak, William F.
Along the nearly 3,200 kilometers (almost 2,000 miles) of the United States–Mexican border, in an area known as the Borderlands, we are witnessing the expression of the challenges of the 21st century. This circular identifies several challenge themes and issues associated with life and the environment in the Borderlands, listed below. The challenges are not one-sided; they do not originate in one country only to become problems for the other. The issues and concerns of each challenge theme flow in both directions across the border, and both nations feel their effects throughout the Borderlands and beyond. The clear message is that our two nations, the United States and Mexico, face the issues in these challenge themes together, and the U.S. Geological Survey (USGS) understands it must work with its counterparts, partners, and customers in both countries. Though the mission of the USGS is not to serve as land manager, law enforcer, or code regulator, its innovation and creativity and the scientific and technical depth of its capabilities can be directly applied to monitoring the conditions of the landscape. The ability of USGS scientists to critically analyze the monitored data in search of signals and trends, whether they lead to negative or positive results, allows us to reach significant conclusions—from providing factual conclusions to decisionmakers, to estimating how much of a natural resource exists in a particular locale, to predicting how a natural hazard phenomenon will unfold, to forecasting on a scale from hours to millennia how ecosystems will behave. None of these challenge themes can be addressed strictly by one or two science disciplines; all require well-integrated, cross-discipline thinking, data collection, and analyses. The multidisciplinary science themes that have become the focus of the USGS mission parallel the major challenges in the border region between Mexico and the United States. Because of this multidisciplinary approach, the USGS
Conceição de Maria Pinheiro Barros
Full Text Available The Professional Executive Secretary has been occupying space increasingly evident in the labor market and organizational structure, both because of market demand, the needs of dynamism in the modern administration that demonstrates the growth of the reference to it. It has sought in his field vision and attitude of performance excellence with fulfilling its role with its own characteristics. This study aims to investigate the general challenges for the Executive Secretariat professional male in contemporary organizations. We defined the following objectives: to analyze the insertion of the male in the profession of Executive Secretary and identify the challenges faced by the Executive Secretary of the males to their development and professional growth. To this end, we performed a literature search, followed by a field survey. It is a qualitative research because data collected, and then make a qualitative analysis of results from selected literature. The survey was conducted in organizations from the public and private, state of Ceará. The sample was represented by professional male graduates in the executive secretariat at the Federal University of Ceará and working in the area. After analyzing the data it was concluded that despite the obstacles to be overcome, the tendency is that these opportunities work for the professional male grow, requiring that all actors in the field to seek gender equity in the profession.
Houseal, A.; Gallagher, R.; Fuhrmann, B.; Sanford, R.
The literature outlines many challenges faced by Student-Teacher-Scientist Partnerships (STSPs) including cultural differences between the scientific research and education communities. For example, shared vocabulary terms with dissimilar definitions can create communication problems. Other issues include accuracy in data collection, meeting the needs of a very diverse group of partners, connecting students with research science in a meaningful way, and maintaining the infrastructure necessary to develop and maintain these partnerships. Additionally, evidence, other than anecdotal, of the success of these partnerships is limited, especially as school year and research cycles are often on different schedules or have very different goals. Students, Teachers, and Rangers & Research Scientists: Investigating Systems at Mammoth Hot Springs in Yellowstone National Park (STaRRS) was an STSP developed to address some of these challenges, model some solutions within an STSP, and identify some possible outcomes for participating teachers and their students. Three strategies used to address some of these challenges that will be discussed briefly in this presentation include: (a) embedding the STSP in an already existing National Park Service environmental education program; (b) development of three types of research activities connecting teachers, students, and scientists to the research, and (c) a professional development (PD) model that included all partners in an on-going year-long process. Results from an accompanying research study will also be presented. Using a pretest-intervention-posttest design, this study revealed significant changes in attitude regarding science and scientists of participating STaRRS teachers. Student data gathered using a quasi-experimental pretest-intervention-posttest treatment and comparison group design also demonstrated significant changes in their attitudes and gains in earth science content knowledge.
Full Text Available A large number of semi-domesticated reindeer is lost every year. Predators are the single most important factor for these losses, whereas restrictions on food availability some years also may cause high mortality. In the past, reindeer herding was challenged by severe infectious diseases, killing hundreds and thousands of animals, and having huge economic and social impact on reindeer herding in Fennoscandia. The general zoo-sanitary situation in Fennoscandia is very favourable for the time being, but reindeer herding is sometimes challenged by disease outbreaks, and diseases play an important role for survival and fitness of reindeer. Reindeer herding is also facing changes and challenges, which also may impact reindeer health and the disease status. Introduction of infectious agents not commonly present in the reindeer population may take place through import of animals, as well as by contact between reindeer, livestock and wildlife. Further, changes in the herding, such as increased feeding, transport, size of herds, animal density and stress load on the animals, may affect the animals ability to cope with infectious diseases. Also changes in weather conditions and climate, such as increased precipitation and mean temperature, may over time lead to restricted availability of pastures, changes in vegetation and changed conditions for parasites and insect vectors. These changes might be especially important for the reproductive success, including fitness of the calves during their first winter. To be able to cope with these changes and their potential impact on reindeer health, increased efforts should be made to gather reference data on health and disease parameters from the different reindeer herding districts, along with epidemiological risk factor analysis. This would increase the ability for the reindeer herding to cope with changes and to continue to produce quality meat products for the market.
Full Text Available Background. The native people of Alaska have experienced historical trauma and rapid changes in culture and lifestyle patterns. As a consequence, these populations shoulder a disproportionately high burden of psychological stress. The Yup’ik Experiences of Stress and Coping project originated from rural Yup’ik communities’ concerns about stress and its effects on health. It aimed to understand the stressful experiences that affect Yup’ik communities, to identify coping strategies used to deal with these stressors and to inform culturally responsive interventions. Objectives. Here, we examine the process of moving from research (gaining understanding to disseminating project findings to translation into intervention priorities. We highlight the importance of community participation and discuss challenges encountered, strategies to address these challenges and ethical considerations for responsible intervention research with indigenous communities that reflect their unique historical and current socio-cultural realities. Design. Community-wide presentations and discussions of research findings on stress and coping were followed by smaller Community Planning Group meetings. During these meetings, community members contextualized project findings and discussed implications for interventions. This process placed priority on community expertise in interpreting findings and translating results and community priorities into grant applications focused on intervention development and evaluation. Results. Challenges included translation between English and Yup’ik, funding limitations and uncertainties, and the long timelines involved in moving from formative research to intervention in the face of urgent and evolving community needs. The lack of congruence between institutional and community worldviews in the intervention research enterprise highlights the need for “principled cultural sensitivity”. Conclusions. Cultural sensitivity requires
Sun, Ronglin; Jin, Menggui; Giordano, Mark; Villholth, Karen G.
Groundwater plays an important role in the total water supply of much of China, particularly in the north. It has contributed substantially to both agricultural growth and urban and industrial expansion. However, overexploitation and poor management have contributed to infamous groundwater depletion problems and less publicized groundwater quality deterioration. One of the key challenges for China will be how to make groundwater use sustainable while still meeting increased food needs as well as the industrial and domestic demands of a rapidly urbanizing society. Zhengzhou City, one of China’s test cities for building a “water saving society” highlights both the difficulties and potential solutions to northern China’s joint rural and urban groundwater challenges. Based on secondary data and a primary survey of groundwater management in the region, this report provides an overview of Zhengzhou’s groundwater development and use as well as the ongoing institutional and policy reform processes within the water sector. The results highlight how a deepening of ongoing reforms, which simultaneously consider groundwater as an integral rural and urban issue and a fundamental economic and social asset, may improve groundwater outcomes, not only in Zhengzhou but in China, as the country’s economy and demography continue to change.
Baulieu, J.L. [Hopital Bretonneau, CHU de Tours, Unite de Medecine Nucleaire, 37 - Tours (France); Mundler, O. [CHU la Timone, Service Central de Biophysique et Medecine Nucleaire, 13 - Marseille (France)
A national survey was made at the 2008 la Baule Symposium 'nuclear medicine facing major public health challenges'. The aim was to evaluate the activity in the fields of clinical specialities involved in these challenges : cancerology, cardiology and neurology. The response rate was 62%. The total number of PET scans performed in France during the year 2007 was about 100,000 including 97.5% of cancer indications. The mean number of PET scans per center was 1285, with a maximum of 3500 scans. The first indications were lung cancer (27%), lymphoma (20%) and colorectal cancer (14%). The registered number of cardiac examinations was 170,387 extrapolated to a total number of about 250,000 examinations in one year. The number of registered brain SPECT was 11,215 corresponding to about 100 examinations per center in one year. The survey pointed out large variations of PET activity between centers and suggested potentialities in extending and diversifying the field of PET. Brain scintigraphy appeared as a minor sector out of proportion with the challenge of degenerative brain pathology. Performing again these evaluations in the next years should allow to better describe the capabilities of nuclear medicine to face the major challenges and the evolution of public health.
El-Shazly, A. K.
Small geoscience departments with 5 faculty members or less in undergraduate institutions are facing serious challenges that will have a profound impact on their future, as well as the future of geoscience education. In addition to past and future budget cuts that affect all departments, small departments are more vulnerable to such problems as (i) decreased enrollments in introductory level classes, (ii) small number of geology majors, (iii) small number of graduates per year (iv) lack or paucity of equipment necessary for faculty and student research, (v) limited opportunities for external funding, (vi) need to offer upper division classes on an alternate year basis, (vii) difficulty in recruiting and retaining students, (viii) high teaching loads for faculty, and (ix) designing rigorous curricula based on 120 credit hours with a significant component of liberal art classes. These problems pose new challenges for faculty, department chairs and administrators. Faculty need to design curricula tailored to the need of the job market, without compromising rigor or the quality of the program. New classes/ concentrations in environmental science, hydrogeology and geographical information systems should be offered, and traditional classes in petrology, geophysics and tectonics should be maintained. Classes in Physics, Chemistry and Math should be core requirements. Student involvement in research should be encouraged at an early stage (sophomore/ junior levels). Department chairs need to assign duties in their department carefully to capitalize on the strengths of their faculty: faculty with strong research backgrounds should be helped in their efforts to pursue external funding opportunities, whereas those with strong teaching abilities should be evaluated primarily on their performance in the classroom. Student credit hour production should not be used as a criterion for evaluating faculty. Administrators should evaluate programs and departments based on the success
Kilpatrick, Sue; Stirling, Christine; Orpin, Peter
This paper examines the skills required of volunteers in the voluntary sector organisations that operate in three rural Tasmanian communities. It reports how volunteers acquire those skills and reveals the challenges faced by voluntary sector organisations in rural communities whose industries and, following from this, community members have a…
Full Text Available This study presents an empirical investigation to study the post-war tourism in sought west region of Iran. This region is the host of many Iranian who wish remember the events of War between Iran and Iraq. Many high school or university students travel to the region through cultural as well as religious communities. This paper tries to analyze the challenges facing these people when they travel to province of Khozestan, Iran. The study designs a questionnaire in Likert scale and distributes it among some randomly selected people who visited the region. The implementation of Pearson correlation test has determined that “Weakness of tourism infrastructure facilities and services” is to be blamed the most followed by “Underdevelopment of decision making centers”. Moreover, path analysis has been implemented to detect direct and indirect effects of different factors on development of tourism in the region. In our survey, marketing, culture and weakness in infrastructures have been determined the most important factors influencing on development of the region.
Full Text Available Selena R Levine,1 Jennifer L McNeer,2 Michael S Isakoff1 1Center for Cancer and Blood Disorders, Connecticut Children’s Medical Center and University of Connecticut School of Medicine, Hartford, CT, 2Section of Pediatric Hematology/Oncology, University of Chicago Comer Children's Hospital, Chicago, IL, USA Abstract: The survival rate for children with acute lymphoblastic leukemia (ALL has dramatically improved over the last 50 years. However, for those in the adolescent and young adult (AYA age-group of 15–30 years with ALL, there has not been the same degree of improvement. Historically, pediatric and adult providers have utilized different treatment approaches based on clinical trials. However, studies that have compared the outcome of AYA patients with ALL treated on pediatric or adult clinical trials have generally shown substantially better outcomes for this patient population treated with the pediatric trials. Additionally, hematopoietic stem cell transplantation has been considered as part of intensified therapy for AYA patients with ALL. Herein, we review the outcomes with chemotherapy alone and with hematopoietic stem cell transplantation, and explore the challenges faced in determining the ideal therapy for the AYA population of patients. Keywords: adolescent young adult oncology, leukemia, hematopoietic stem cell transplantation
Full Text Available Innovations in Information technology have changed the way financial transactions are done in banking industry globally. Online banking uses today’s computer technology to give user the ability to manage their finances more quickly and efficiently, from anywhere around the world, and with just a click of the mouse. Banks perceive online banking as a powerful ‘value-added’ tool to attract and retain new customers while helping to eliminate costly paper handling and teller interactions. Online banking has managed to provide customers the convenience, efficiency, effe ctiveness, and most importantly, the speed needed in today’s dynamic world. As more banks around the world are offering online banking to its customers, it is becoming a rather popular trend. Online banking is an asset both to the bank and the customer. However, countries like Sudan are yet to join the frenzy of this new innovation in an effective manner. This paper will investigate what are the challenges faced by Sudanese banks in implementing online banking.
ABSTRACT The study focus was to explore: the major challenges faced by teachers in the teaching: the teachers experiences in overcoming the challenges and then ways in which the teachers capacity can be improved in teaching and psychosocial needs support towards formerly abducted children (FAC). Qualitative approach was chosen with special reference to case study design. Three schools were the cases. The head-teachers and the classroom teachers were the main interviewees in the study...
Lowe, Cynthia Louise Altman
This dissertation study was a descriptive case study of a minority community service organization whose members were actively involved in local school decision-making and activities in a rural Northeast Georgia community. Rural schools face unique challenges in light of current educational trends. To address the challenges, rural schools must…
Charalambous, Charalambos Y.; Kyriakides, Leonidas; Philippou, George N.
This paper illustrates the application of existing guidelines to develop a test grounded in theoretical perspectives and empirical findings in the area of problem solving. By documenting this process, the paper outlines the challenges test developers face when seeking to construct a theory/research-driven test, discusses the decisions made at…
This article provides a reflective perspective on the role that research-led teaching plays in the development of future arts workers in higher education. It explores the challenges faced by lecturers developing curricula in the performing and creative arts and argues that the increasing focus on employability can conflict with universities'…
In this article I highlight the challenges facing a law lecturer in a multicultural society in transformation where the student is being prepared to serve society in different occupational fields as a professional person. I indicate that the law itself cannot effect change. For this we need properly trained lawyers. For an effective transformation…
Full Text Available The discussion over the 1st point of the Havana’s Peace Agreement has been surrounded by all kind of statements: speculations, exaggerations, distortions, true observations and uncomfortable truths. In order to put into perspective the real effects of the Integral Rural Reform over the Rural Law in the years to come in Colombia, it is important to separate the facts from the fiction. That is the aim of this note.
Esposti, R.; Pagliacci, F.; Sotte, F.; Camaioni, Beatrice; Lobianco, A.
Although RDP 2007-2013 expenditures represent less than 20% of total CAP expenditures, this policy is supposed to support rural areas in facing new challenges. Actually, EU rural areas are going through major transformations. Due to the very different development processes that rural areas have lately undertaken, the urban-rural divide is now almost outdated (OECD, 2006): rural regions in central EU regions can benefit from the improvements in transportation systems and in ICT, in touristic f...
Arfken, C L; Wilson, J G; Hegedus, A M
Evaluation of outcome measures can provide policymakers with valuable information on the effectiveness of psychiatric rehabilitation. Two specific challenges in collecting outcome measures for psychiatric rehabilitation programs are heterogeneity of outcomes and difficulty with follow-up. These two challenges were illustrated in the process of evaluating Rose Hill Center, a rural residential psychiatric rehabilitation program. The original design was to conduct interviews with former residents and family members and verify healthcare utilization. The difficulty of locating people and their reluctance to participate conspired to lower the follow-up rates. The design was modified to improve the follow-up rate but decrease the details of specific outcomes. The results showed a high but biased follow-up rate, with more information obtained for people who graduated from the program. The residents with planned discharge showed excellent outcomes in terms of living situation, working situation, healthcare utilization, and low severity of current symptoms. High compliance with medication spoke to the program's philosophy of including the residents in the decision-making process. The dual challenges of heterogeneity of outcomes and difficulty in follow-up that limit efforts to document the value of psychiatric rehabilitation are discussed.
Viáfara John Jairo
Full Text Available
As an EFL Student teachers’ advisor, I had constantly perceived that they regarded using the target language with their pupils inside their classroom as a challenge. That is why I became interested in investigating how thirteen student teachers in Tunja public schools faced this issue. While participants were involved in a reflective teaching preparation model, I used field notes, interviews and their portfolios to explore their attitudes and strategies. Findings revealed that their history as learners, their teaching context and preparation influenced their decisions. Moreover, it was possible to identify the strategies they implemented to interact in English with their students.
En mi labor como tutor de estudiantes practicantes del inglés como lengua extranjera, he percibido constantemente que, para ellos, la utilización del inglés como medio de comunicación con sus estudiantes dentro de la clase es un reto. Por esta razón, me interesé por investigar cómo trece estudiantes practicantes en colegios públicos de Tunja afrontaban esta circunstancia. Mientras los participantes se involucraban en un modelo reflexivo de preparación docente, utilicé notas de campo, entrevistas y sus portafolios para explorar sus actitudes y estrategias. Los hallazgos revelan que sus decisiones fueron influenciadas por su trayectoria como estudiantes, su contexto de enseñanza y su preparación. Además, se pudieron identificar las estrategias que utilizaron para interactuar por medio del inglés con sus estudiantes.
桑吉·古普塔; 本尼迪克特·克莱门茨; 戴维·科迪; 王宇(译)
At present, poor medical service availability, high health care costs and inefficient of public health spending are exsiting in many countries, and health care reform still faces big challenges. To improve people's health and to make a control of the costs are dilemma of health-care reform, and thus improving the efficiency of public health expenditure is the optimal choice to improve social health. The forms of government intervention and the level of public health expenditure are different due to different countries and period. Emerging economies should expand basic health care coverage on the premise of fiscal sustainable development while developed economies should pay attention to improve the public health spending efficiency and limit the spending growth.%当前，许多国家仍存在医疗服务可得性差、医疗成本高昂、公共卫生支出效率低下等问题，医保改革面临重大挑战。医保改革目标存在两难—既要改善人们的健康状况，又要控制支出成本，因而提高公共卫生支出效率是改善社会健康状况的最优选择。各国政府的干预形式和公共卫生支出水平因国别、时间等的不同而变化。财政状况较好的新兴经济体需在保证财政可持续的前提下扩大基本医保覆盖面；发达经济体则应注重提升公共卫生支出的效率并限制支出增长速度。
Temtime, Zelealem T.; Mmereki, Rebana N.
Purpose: The purpose of this paper is to examine the degree of satisfaction and perceived relevance of the Graduate Business Education (GBE) programme at the University of Botswana. Design/methodology/approach: A self-administered questionnaire and face to face interviews were used to collect data from Master of Business Administration (MBA)…
Full Text Available Abstract Background Infant feeding is a subject of worry in prevention of mother to child transmission (pMTCT programmes in settings where breastfeeding is normative. Nurse-counsellors, expected to counsel HIV-positive women on safer infant feeding methods as defined in national/international guidelines, are faced with a number of challenges. This study aims to explore the experiences and situated concerns of nurses working as infant feeding counsellors to HIV-positive mothers enrolled in pMTCT programmes in the Kilimanjaro region, northern Tanzania. Methods A qualitative study was conducted using in-depth interviews and focus group discussions (FGDs with 25 nurse-counsellors at four pMTCT sites. Interviews were handwritten and FGDs were tape-recorded and transcribed, and the programme Open Code assisted in sorting and structuring the data. Analysis was performed using 'content analysis.' Results The findings revealed a high level of stress and frustration among the nurse-counsellors. They found themselves unable to give qualified and relevant advice to HIV-positive women on how best to feed their infants. They were confused regarding the appropriateness of the feeding options they were expected to advise HIV-positive women to employ, and perceived both exclusive breastfeeding and exclusive replacement feeding as culturally and socially unsuitable. However, most counsellors believed that formula feeding was the right way for an HIV-positive woman to feed her infant. They expressed a lack of confidence in their own knowledge of HIV and infant feeding, as well as in their own skills in assessing a woman's possibilities of adhering to a particular method of feeding. Moreover, the nurses were in general not comfortable in their newly gained role as counsellors and felt that it undermined the authority and trust traditionally vested in nursing as a knowledgeable and caring profession. Conclusion The findings illuminate the immense burden placed on
Full Text Available Drawing on critical, socio-cultural and sociolinguistic theories of writing, text and voice, this ethnographic study examines the challenges that a mature ESL student and her instructors in a university course on Spanish Language Media face as they co-construct a common understanding of academic literacy and voice in an undergraduate General Studies Program offered by a university in Western Massachusetts. Intertextual analysis of the data suggests that traditional product-based approaches to helping students develop academic literacy might not be very effective. However, to be able to take a different approach, such as the one suggested by genre scholars, both faculty teaching content subjects and writing tutors would need appropriate training. Key words: ESL writing, academic writing, academic voice, disciplinary writing Con base en teorías críticas, socioculturales y sociolingüísticas sobre escritura académica, texto y voz, este estudio etnográfico explora los retos que enfrentan una estudiante hablante de inglés como segunda lengua y sus profesores de un curso de Medios de Comunicación en Lengua Española al construir conjuntamente los conceptos de literacias académicas y de voz en un curso de pregrado en estudios generales ofrecido por una universidad en Massachusetts. El análisis intertextual de los datos recogidos muestra que algunos métodos tradicionales dirigidos a la elaboración de productos pueden resultar poco efectivos para apoyar el desarrollo de la escritura académica. Sin embargo, se concluye que para usar metodologías más efectivas, como las propuestas por las teorías de género, es indispensable que tanto los profesores de las diferentes materias como los tutores reciban el entrenamiento adecuado. Palabras clave: escritura de inglés como segunda lengua, escritura académica, voz académica, escritura disciplinaria
Wenger, A.; O'Doherty, S.; Rigby, M. L.; Ganesan, A.; Manning, A.; Allen, G.
Estimating the anthropogenic component of carbon dioxide emissions from direct atmospheric measurements is difficult, due to the large natural carbon dioxide fluxes. One way of determining the fossil fuel component of atmospheric carbon dioxide is the use of radiocarbon measurements. Whilst carbon reservoirs with a reasonably fast carbon exchange rate all have a similar radiocarbon content, fossil fuels are completely devoid of radiocarbon due to their age. Previous studies have 14CO2 (UK) this approach is compromised by the high density of 14CO2 emitting nuclear power plants. Of the 16 nuclear reactors in the UK, 14 are advanced gas cooled reactors, which have one of the highest 14CO2 emission rates of all reactor types. These radiocarbon emissions not only lead to a serious underestimation of the recently added fossil fuel CO2, by masking the depletion of 14C in CO2, but can in fact overshadow the depletion by a factor of 2 or more. While a correction for this enhancement can be applied, the emissions from the nuclear power plants are highly variable, and an accurate correction is therefore not straightforward. We present the first attempt to quantify UK fossil fuel CO2 emissions through the use of 14CO2. We employ a sampling strategy that makes use of a Lagrangian particle dispersion model, in combination with nuclear industry emission estimates, to forecast "good" sampling times, in an attempt to minimize the correction due to emissions from the nuclear industry. As part of the Greenhouse gAs Uk and Global Emissions (GAUGE) project, 14CO2measurements are performed at two measurement sites in the UK and Ireland, as well as during science flights around the UK. The measurement locations have been chosen with a focus on high emitting regions such as London and the Midlands. We discuss the unique challenges that face the determination of fossil fuel emissions through radiocarbon measurements in the UK and our sampling strategy to deal with them. In addition we
Casey, Michelle M.; Moscovice, Ira S.; Davidson, Gestur
Context: Medication safety is clearly an important quality issue for rural hospitals. However, rural hospitals face special challenges implementing medication safety practices in terms of their staffing and financial and technical resources. Purpose: This study assessed the capacity of small rural hospitals to implement medication safety…
Full Text Available Abstract Background In India, 72% of the population resides in rural areas and 30-40% of cancers are found in the oral cavity. The majority of Haryana residents live in villages where inadequate medical facilities, no proper primary care infrastructure or cancer screening tools and high levels of illiteracy all contribute to poor oral cancer (OC outcomes. In this challenging environment, the objective of this study was to assess the association between various risk factors for OC among referrals for suscipious lesions and to design and pilot test a collaborative community-based effort to identify suspicious lesions for OC. Methods Setting: Community-based cross sectional OC screening. Participants: With help from the Department of Health (DOH, Haryana and the local communities, we visited three villages and recruited 761 participants of ages 45-95 years. Participants received a visual oral cancer examination and were interviewed about their dental/medical history and personal habits. Pregnant women, children and males/females below 45 years old with history of OC were excluded. Main outcome: Presence of a suspicious oral lesion. Results Out of 761 participants, 42 (5.5% were referred to a local dentist for follow-up of suspicious lesions. Males were referred more than females. The referral group had more bidi and hookah smokers than non smokers as compared to non referral group. The logistic regression analysis revealed that smoking bidi and hookah (OR = 3.06 and 4.42 were statistically significant predictors for suspicious lesions. Conclusions Tobacco use of various forms in rural, northern India was found to be quite high and a main risk factor for suspicious lesions. The influence of both the DOH and community participation was crucial in motivating people to seek care for OC.
Tomola M Obamuyi
Full Text Available This paper examines the Nigerian economy and the tendency for its growth in the face of several socio-political challenges facing the country, which have hampered the rate of economic development in spite of the tremendous human and material resources inherent. The paper identifies the socio-political challenges to include corruption, poverty, unemployment, insecurity, politics and governance, among others. The central argument of the paper is that steady economic growth can be achieved and financial crisis mitigated in Nigeria, if the effects of socio-political challenges, which are the key factors that have contributed to the high poverty, unemployment and economic instability in the country, are minimised. To ensure economic growth and move the country forward politically and economically, government must be more accountable in managing the nation’s resources in order to avoid wastage, poverty and unemployment. Close attention should be given to those socio-political challenges in the formulation of policies that aimed at maintaining economic growth at a level commensurate with the country’s growth rate. This study put forward that government must be proactive in all issues relating to the socio-political challenges to prevent resource mismanagement, poverty, unemployment, insecurity and slow economic growth in future.
@@ The millions of medical and health care professionals in China celebrate with great pleasure and confidence the 60th birthday of the people's republic. In this issue of the journal, our readers will see a part of what fruitful achievements have been obtained by the government, health and medical professionals and researchers in various fields of health and medical care and research as well as what challenges the Chinese medical professionals face.
Full Text Available In the paper, divided into two parts, a problem of advancements in maritime education and research facing the 21st century challenges, based on the case study of the Gdynia Maritime University (GMU experience is discussed. Part I is devoted to the main directions of advances in the maritime education and research towards the challenges in a global meaning. In this context, the education and research potential of the Gdynia Maritime University, as one of the world-leading maritime universities, is shortly presented. Part II is dedicated to the Gdynia Maritime University experiencing the 21st century challenges. The GMU’s contribution and good practices concerning the participation in modification of the processes of the IMO STCW 78/2010 convention, adoption of programmes into the international and national qualification frameworks’ standards and procedures, as well as the development of research addressed to a new technological and organizational solution are described and analyzed.
Denvil, Sébastien; Dufresne, Jean-Louis; Salas, David; Meurdesoif, Yann; Valcke, Sophie; Caubel, Arnaud; Foujols, Marie-Alice; Servonnat, Jérôme; Sénési, Stéphane; Derouillat, Julien; Voury, Pascal
The presentation will introduce a french national project : CONVERGENCE that has been funded for four years. This project will tackle big data and computational challenges faced by climate modeling community in HPC context. Model simulations are central to the study of complex mechanisms and feedbacks in the climate system and to provide estimates of future and past climate changes. Recent trends in climate modelling are to add more physical components in the modelled system, increasing the resolution of each individual component and the more systematic use of large suites of simulations to address many scientific questions. Climate simulations may therefore differ in their initial state, parameter values, representation of physical processes, spatial resolution, model complexity, and degree of realism or degree of idealisation. In addition, there is a strong need for evaluating, improving and monitoring the performance of climate models using a large ensemble of diagnostics and better integration of model outputs and observational data. High performance computing is currently reaching the exascale and has the potential to produce this exponential increase of size and numbers of simulations. However, post-processing, analysis, and exploration of the generated data have stalled and there is a strong need for new tools to cope with the growing size and complexity of the underlying simulations and datasets. Exascale simulations require new scalable software tools to generate, manage and mine those simulations ,and data to extract the relevant information and to take the correct decision. The primary purpose of this project is to develop a platform capable of running large ensembles of simulations with a suite of models, to handle the complex and voluminous datasets generated, to facilitate the evaluation and validation of the models and the use of higher resolution models. We propose to gather interdisciplinary skills to design, using a component-based approach, a
Full Text Available Uganda has experienced a major policy shift from a supply-driven to a demand-driven approach in rural water provision since 1990. The article sheds light on the rural population’s access to safe water within the changing institutional frameworks. We analysed individual and group interviews with key informants from national to community levels and relevant official documents with the ‘Social-Ecological Systems’ framework. Since the implementation of the demand-driven approach, rural safe water coverage has slightly improved but operation and maintenance of water sources pose a great challenge hampering, long-term access to safe water. The abrupt and top-down imposed policy shift has resulted in competing signals from old and new policies creating uncertainty and ambiguity about responsibilities, rules and incentives. The analysis shows the importance of taking into account the implications of national institutional disturbances on local collective action for long-term access to safe water.
O'Toole, Stephanie; Lambert, Veronica; Gallagher, Pamela; Shahwan, Amre; Austin, Joan K
The aim of this qualitative study was to explore the challenges that parents of children with epilepsy experienced when engaging in dialog with their child about epilepsy and epilepsy-related issues. Using a qualitative exploratory approach, interviews were conducted with 34 parents of children with epilepsy (aged 6-16 years), consisting of 27 mothers and 7 fathers. Data were transcribed verbatim and thematically analyzed. Findings revealed five main themes: normalizing epilepsy, the invisibility of epilepsy, information concealment, fear of misinforming the child, and difficulty in discussing particular epilepsy-related issues. Many of the communicative challenges experienced by parents impacted on their ability to engage openly in parent-child dialog about epilepsy in the home. Parents face specific challenges when choosing to communicate with their child about epilepsy, relating to creating a sense of normality, reducing fear of causing their child worry, and having a lack of epilepsy-related knowledge. Healthcare professionals who work closely with families living with epilepsy should remain mindful of the importance of discussing family communication surrounding epilepsy and the challenges parents of children with epilepsy face when talking about epilepsy within the home.
The recruitment of international academic staff is viewed as one of the strategies to internationalise the universities. International academic staff, however, usually encounter many challenges when in a foreign context. This study aims to investigate the challenges of Chinese academic staff teaching in the UK in terms of language, relationships…
Rass, Ruwaida Abu
This study aimed to investigate problems facing Palestinian Arab students from Israel who are majoring in teaching English as a Foreign Language (EFL) in developing well-written paragraphs in English. They usually transfer the stylistic features of their first language, Arabic to the target language, English. For example, they tend to write long…
Hambrick, James P.; Pimentel, Sandra; Albano, Anne Marie
Although formal ethics classes provide a basic foundation in managing ethical dilemmas, professionals often point to their experiences on internship as an important training ground for consolidation of their ethical development. Clinical interns face many personal and professional transitions that can lead to a number of ethical dilemmas.…
Vogel, Glen M.
More than 690,000 foreign students studied in the United States during the 2009-10 academic year. As non-native English-speaking students continue to pour into American educational institutions, one question many educators have is: are these international students adequately prepared for the language and cultural demands they will face when they…
Hansen, Zaza Nadja Lee; Jacobsen, Peter
This paper investigates the challenges in the food industry, illustrated by a case study from the baked goods sector in Denmark. The paper proposes key elements this sector needs to address in order to limit waste, improve productivity and increase profitability.......This paper investigates the challenges in the food industry, illustrated by a case study from the baked goods sector in Denmark. The paper proposes key elements this sector needs to address in order to limit waste, improve productivity and increase profitability....
BODEN John Mark; CAGNIN CRISTIANO; CARABIAS BARCELO VICENTE; HAEGEMAN Karel; KÖNNÖLÄ Timo-Topias Totti
What will the world look like in 2025? What are the possible future disruptive global challenges? And how can the EU position itself to take an active role in shaping a response to them? This publication offers possible answers to these questions through the identification of three main challenges and potential responses to these, and concludes that the main policy issues to be considered at EU level are: policy alignment towards sustainability; social diversity and the use of ICT for citizen...
Hargreaves, Andy; Parsley, Danette; Cox, Elizabeth K.
Rural school educators are often isolated and have few opportunities to learn from neighboring schools or colleagues. This is an especially daunting challenge for low-performing rural schools faced with implementing significant reform efforts (e.g., turnaround approaches, educator effectiveness systems, college- and career-ready standards and…
Kipling, Richard Philip; Bannink, Andre; Bellocchi, Gianni
gas (GHG) emissions, while intensification of production has driven biodiversity and nutrient loss, and soil degradation. Modeling can offer insights into the complexity underlying the relationships between climate change, management and policy choices, food production, and the maintenance......Ruminant production systems are important producers of food, support rural communities and culture, and help to maintain a range of ecosystem services including the sequestering of carbon in grassland soils. However, these systems also contribute significantly to climate change through greenhouse...... of ecosystem services. This paper 1) provides an overview of how ruminant systems modeling supports the efforts of stakeholders and policymakers to predict, mitigate and adapt to climate change and 2) provides ideas for enhancing modeling to fulfil this role. Many grassland models can predict plant growth...
Vaughn, Margaret; Saul, Melissa
Advocates of rural education emphasize the need to examine supports which may promote rural educators given the challenging contexts of which they face. Teacher visioning has been conceptualized as a navigational tool to help sustain and promote teachers given high-challenging contexts. The current study explored 10 public school teachers from…
Examines the recent history of rural-urban labour migration in China in the process of its rapid socioeconomic transformation. It looks at the trends and patterns of this internal migration and its consequences on the rights and welfare of rural migrant workers and their families.
Joseph, Alun E.; Skinner, Mark W.
This paper examines voluntarism as a response to the challenges faced by people growing old in rural communities that are themselves being transformed in fundamental ways, both socially and demographically. Informed by evolving theorisations within the rural aging and geographies of voluntarism literatures, we outline the key processes in space…
The paper explores the role of the Society for the Provision of Education in Rural Australia (SPERA) and the challenges it has faced as the primary voice for Australian rural educators. The paper charts the origins of SPERA, and the contributions of key people involved in its foundation. The paper then examines the advocacy and impact of SPERA…
Full Text Available This article provides evidence to show that the contributions of African researchers to the informetrics literature are minimal. The three main challenges identified as limiting the contributions of African scholars to the informetrics literature are lack of appropriate skills, inadequate data collection sources, and unaffordable analytical tools. To overcome these challenges, it is suggested that regular pre-conference workshops on informetrics should be organized, an African Citation Index should be developed, and the use of free analytical tools should be encouraged.
Rodrigues, Paulo Henrique de Almeida
This article investigates the circumstances in which Brazil’s sanitation reform was conceived and the Sistema Único de Saúde (SUS) was constructed. A brief analysis is conducted of Brazil’s political transition to democracy, focusing on three political challenges facing the consolidation of SUS: its weak support base amongst workers, competition with the private sector, and the fragmentation of its administration caused by its municipalization. Finally, the changes in the scenario caused by the weakening of neoliberalism since the 2008 crisis, the reemergence of a multipolar political scenario internationally, and the financing conditions of the Brazilian State are described.
Handal, Alexis J; Garcia Saavedra, Luigi; Schrader, Ronald; Aragón, Crystal L; Páez, Maritza; Lowe, Jean R
Objectives The importance of mother-child interaction in early infancy on child development has been well documented. The purpose of this study was to assess the feasibility of using the Still Face Paradigm to measure mother interactive style, infant affect and emotional regulation in a rural Ecuador setting. Methods Infant's emotional regulation and the quality of mother's interaction were measured with the Still Face Paradigm at 4 months of age (±15 days). Twenty-four infants and their mothers were assessed in their home. Mother interactive style was coded for attention seeking and contingent responding. Emotional regulation was described by change in infant affect between Still Face episodes. Results A significant difference was found for infant affect between the five Still Face episodes (F1,118 = 9.185, p = 0.003). A significant negative correlation was found for infant affect between episode 3 and 2 with attention seeking mother interactive style during episode 3 (rho = -0.44, p = 0.03), indicating that mothers using more contingent-responding interactions had infants with more positive affect. Conversely, a significant positive association was found for infant affect between episode 3 and 2 and contingent responding mother interactive style during episode 3 (rho = 0.46, p = 0.02), indicating that mothers who used more attention seeking play had infants who showed less positive affect. Conclusion for Practice Study results demonstrate feasibility in using the Still Face Paradigm in working populations residing in a rural region in Ecuadorian highlands and may be feasible in other similar populations in Latin America, and as a successful approach to measuring maternal-child interactions within a field-based epidemiological study design.
As ideas about effective conservation of biodiversity develop, zoos are adapting their roles to meet the new challenges. This article considers these changes, using the work of Bristol and other UK zoos as a case study. The significance of zoos in both global and local conservation of biodiversity, their role in promoting public engagement and…
This qualitative study focused on the successes and challenges experienced by four undergraduate college women while holding top leadership roles in student organizations. Interpretive and descriptive qualitative research methods were employed with aspects of case study and phenomenological approaches of inquiry. Data were collected through…
Sifakis, Nicos C.; Sougari, Areti-Maria
Addresses the challenge of globalization with respect to English language teaching and particularly teaching English to speakers of foreign languages. Argues that some of the primary issues involved concern the increasing role of technology and communication in modern societies and the looming conflict between local communities and the…
Jang, Yoo Jin; Woo, Hongryun; Henfield, Malik S.
Using consensual qualitative research methodology, this study examines the challenges doctoral-level international students encountered in counselor education programs, during supervisor training, specifically. Semi-structured interviews were conducted with eight participants and revealed a variety of difficulties. Despite the wide variability in…
Simo, Nuria; Telford, Jon
The arrival over the last 15 years of a substantial number of pupils of immigrant origin has presented Catalan schools with significant challenges. The schools in Vic (70 km north of Barcelona) have been at the forefront of attempts to adjust to this new multicultural reality. This article describes the results of three studies carried out by the…
Aronson, Keith R.; Perkins, Daniel F.
The global war on terror has placed a number of stressful demands on service members and their families. Although the military offers a wide range of services and supports to military families, not all families are willing or able to use them. For example, geographically dispersed families can find it challenging to connect with military support…
Traditional learning spaces have evolved into dynamic blended tertiary environments (BTEs), providing a modern means through which tertiary education institutes (TEIs) can augment delivery to meet stakeholder needs. Despite the significant demand for web-enabled learning, there are obstacles concerning the use of EOTs, which challenge the…
Hausstatter, Rune Sarromaa
This article attempts to clarify some of the problems and challenges currently met by the teaching profession in special education, in particular those relating to why students choose to study special needs education and what they expect to learn. There are two major reasons why students choose to become a "special needs" teacher: to…
Full Text Available Liezel Ennion, Anthea Rhoda Department of Physiotherapy, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town, South Africa Background: Major lower limb amputations result in a significant sense of loss, psychological stress, and decrease in function and overall quality of life for the amputee. The holistic, patient-centered prosthetic rehabilitation of an amputee requires input from a team of dedicated health professionals from different disciplines commonly referred to as a multidisciplinary team (MDT. MDT rehabilitation is considered crucial in the reintegration of the amputee into the community, as well as for providing psychological support after limb loss. Multidisciplinary and interdisciplinary rehabilitation has been proven to be more successful than therapy provided by individual therapists in a number of different populations, regardless of the population studied. However, in most developing countries, there is a significant lack of multidisciplinary rehabilitation.Aim: To explore the roles and challenges of the members of the MDT involved in trans-tibial amputation rehabilitation in a rural community in South Africa (SA.Design: An explorative sequential qualitative descriptive study.Setting: A rural district in the KwaZulu Natal province in SA.Participants: Nine prosthetic users, three surgeons, three traditional healers, 17 therapists, four prosthetists, and four community health workers.Instruments for data collection: Semistructured interviews and focus group discussions.Results: The roles of the members of the MDT were clarified, and various members of the MDT highlighted specific challenges relating to their experiences and roles in the rehabilitation team. Lack of interdisciplinary rehabilitation and communication among team members, as well as lack of resources, and patient education negatively impact the rehabilitation of trans-tibial amputees.Conclusion: Aiming to address the limited resources
Nursing faculty are facing challenges in facilitating student learning of complex concepts such as compassionate practice. Compassion is a stated expectation of Registered Nurse (RN) and student nurse practice, and yet how it is enabled and learned within the challenging environments of university and health service provider organisations are not yet understood. There is currently an international concern that student nurses are not being adequately prepared for compassion to flourish and for compassionate practice to be sustained upon professional qualification. In order to investigate the experiences of nursing faculty in their preparation of student nurses for compassionate practice, an exploratory aesthetic phenomenological research study was undertaken using in depth interviews with five nurse teachers in the North of England. Findings from this study were analysed and presented using embodied interpretation, and indicate that nurse teachers recognise the importance of the professional ideal of compassionate practice alongside specific challenges this expectation presents. They have concerns about how the economically constrained and target driven practice reality faced by RNs promotes compassionate practice, and that students are left feeling vulnerable to dissonance between learned professional ideals and the RNs' practice reality they witness. Nurse teachers also experience dissonance within the university setting, between the pressures of managing large student groups and the time and opportunity required for small group discussion with students that enables compassion to develop in a meaningful and emotionally sustainable way. Teachers also express discomfort due to a perceived promotion of an 'unachievable utopia' within practice, identifying how the constraints within practice could be better managed to support professional ideals. The nurse teachers within this exploratory study identify the need for strong nurse leadership in practice to challenge
Tolon, Mert; Yazgan, Ufuk; Ural, Derin N; Goss, Kay C
On October 23, 2011, a M7.2 earthquake caused damage in a widespread area in the Van province located in eastern Turkey. This strong earthquake was followed by a M5.7 earthquake on November 9, 2011. This sequence of damaging earthquakes led to 644 fatalities. The management during and after these earthquake disaster imposed many critical challenges. In this article, an overview of these challenges is presented based on the observations by the authors in the aftermath of this disaster. This article presents the characteristics of 2011 Van earthquakes. Afterward, the key information related to the four main phases (ie, preparedness, mitigation, response, and recovery) of the disaster in Van is presented. The potential strategies that can be taken to improve the disaster management practice are identified, and a set of recommendations are proposed to improve the existing situation.
body of cold-war analytic and planning techniques to be unseated; methodologically, the region is tabula rasa . We found that net assessments have their...countries. The result was substantially enhanced comprehension of the roles played by the U.S. and Soviet research, deVelopment, and acquisition processes...address these challenges. Technology will no doubt have an important role in the military power of many Asian nations, although not necessarily in
Full Text Available The Ministry of Education in Thailand is currently distributing tablets to all first year primary (Prathom 1 school children across the country as part of the government’s “One Tablet Per Child” (OTPC project to improve education. Early indications suggest that there are many unexplored issues in designing and implementing tablet activities for such a large and varied group of students and so far there is a lack of evaluation on the effectiveness of the tablet activities. In this article, the authors propose four challenges for the improving Thailand’s OTPC project, consisting of: developing contextualised content, ensuring usability, providing teacher support, and assessing learning outcomes. A case study on developing science activities for first year primary school children on the OTPC devices is the basis for presenting possible solutions to the four challenges. In presenting a solution to the challenge of providing teacher support, an architecture is described for collecting data from student interactions with the tablet in order to analysis the current progress of students while in a live classroom setting. From tests in three local Thai schools, the authors evaluate the case study from both student and teacher perspectives. In concluding the paper, a framework for guiding mobile learning innovation is utilised to review the qualities and shortcomings of the case study.
Agerholm, Niels; Møller, Jørgen
Rural transportation is facing the challenges of the required mobility increasing and the public transportation parallel being limited to a deficient level. A new mobility application (app) based on Intelligent Transport Systems (ITS), called Intelligent Carpooling, can be a significant contributor...... to mitigate these challenges. This system uses ITS to plan and coordinate carpooling. A study in two Danish rural areas found that a markedly part of residents are interesting in Intelligent Carpooling, but also that they require knowledge of whom they are driving with and as well as planning the carpooling...... carpooling work....
Durazo, Eva; Jones, Melissa; Wallace,Steven; Van Arsdale, Jessica; Aydin, May; Stewart, Connie
Despite living in the countryside where open space is plentiful and there is often significant agricultural production, rural older adults have higher rates of overweight/obesity, physical inactivity and food insecurity than older adults living in suburban areas. All three conditions are risk factors for heart disease, diabetes and repeated falls. This policy brief examines the health of rural elders and, by contrast, their urban counterparts, and finds that both groups lmost one in five Cali...
Jiehui, J.; Kandachar, P.
China has a largest population in the world (1.3Billion) and 0.9 Billion is rural population. Most of rural people earn less than US$3/day, and they are called “Base of the economic pyramid (BoP)”. Compared with high level market, BoP is a new market, which means a low individual profit, but a large
A brief review of the main empirical research about Latin-American rurality in the early twenty-first century, show us at least four different ways of transformation at Latin American Rural Territories: agribusiness headed process, family farming headed process, several diversification of activities and incomes linked by the new quality of relations between country and urban places, the kind of processes experienced by those territories where peasants or ethnical minorities prevail (native a...
Oman, Kathleen S; Fink, Regina M; Krugman, Mary; Goode, Colleen J; Traditi, Lisa K
To provide quality patient care and achieve positive patient outcomes, it is widely recognized that organizations must develop a supportive environment that encourages individuals to practice from a research- and evidence-based framework. This article describes a Web-based professional educational program designed to teach principles of evidence-based practice to nurses in rural hospitals. Nurses working in staff development will find this useful for designing educational programs for staff in rural hospitals.
Pastor, M Carmen; Rehbein, Maimu Alissa; Junghöfer, Markus; Poy, Rosario; López, Raul; Moltó, Javier
Several challenges make it difficult to simultaneously investigate central and autonomous nervous system correlates of conditioned stimulus (CS) processing in classical conditioning paradigms. Such challenges include, for example, the discrepant requirements of electroencephalography (EEG) and electrodermal activity (EDA) recordings with regard to multiple repetitions of conditions and sufficient trial duration. Here, we propose a MultiCS conditioning set-up, in which we increased the number of CSs, decreased the number of learning trials, and used trials of short and long durations for meeting requirements of simultaneous EEG-EDA recording in a differential aversive conditioning task. Forty-eight participants underwent MultiCS conditioning, in which four neutral faces (CS+) were paired four times each with aversive electric stimulation (unconditioned stimulus) during acquisition, while four different neutral faces (CS-) remained unpaired. When comparing after relative to before learning measurements, EEG revealed an enhanced centro-posterior positivity to CS+ vs. CS- during 368-600 ms, and subjective ratings indicated CS+ to be less pleasant and more arousing than CS-. Furthermore, changes in CS valence and arousal were strong enough to bias subjective ratings when faces of CS+/CS- identity were displayed with different emotional expression (happy, angry) in a post-experimental behavioral task. In contrast to a persistent neural and evaluative CS+/CS- differentiation that sustained multiple unreinforced CS presentations, electrodermal differentiation was rapidly extinguished. Current results suggest that MultiCS conditioning provides a promising paradigm for investigating pre-post-learning changes under minimal influences of extinction and overlearning of simple stimulus features. Our data also revealed methodological pitfalls, such as the possibility of occurring artifacts when combining different acquisition systems for central and peripheral
Bamidele A. OJO
Full Text Available This paper examines the question of distance education and its pivotal role in promoting social change and development in Africa. It also discussed within the context of the global digital divide and the ongoing need for collaborative effort at global education, the limitation imposed by the socio-economic and political environment on the continent. The paper in its findings conclude that the crisis within African societies constitutes a serious challenge to the implementation of and the effectiveness of distance education in Africa and therefore contributes to the widening of the digital divide rather than reducing it.
Full Text Available Successful managers find ways to overcome situations of uncertainty. The strategies adopted are based on a series of simplistic reasoning such as analogy, taking into account the ideas of experts, rigorous debate and experimentation. Napoleon Bonaparte said that "there is nothing more important and more valuable than being able to make decisions." Business leaders today must deal with an avalanche of ambiguity, it must decide on the future of the company. I intend to expose some successful methods by which top managers were able to transform into opportunities, challenges of economic crisis.
Full Text Available Vee P Prasher, Hassan Mahmood, Madhumanti Mitra Birmingham Learning Disability Service, Birmingham Community Healthcare NHS Foundation Trust, Birmingham, UK Abstract: Dementia in Alzheimer’s disease (DAD is more common in adults with Down syndrome (DS, with characteristically an earlier onset. The treatment of DAD is not too dissimilar in the general population and in people with intellectual disabilities. However, the underlying intellectual disability can make the management of DAD more challenging in older adults with DS. This literature review aimed to look at the management of DAD in people with DS. The management of dementia is holistic. This includes treating reversible factors, aiming to slow the cognitive decline, psychological therapies, ensuring that the environment is appropriate, and use of psychotropic medication when necessary to manage behavioral problems, psychotic symptoms, depressive symptoms, and sleep difficulty. Antidementia medications have a role to play but remain limited. The management of DAD in the DS population can be at times challenging, but good clinical practice should involve accurate diagnosis of dementia, treating any reversible additional factors, consideration of psychological and behavioral management, use of antidementia medication, and a multidisciplinary team approach. Keywords: Down syndrome, Alzheimer’s disease, dementia, management
Full Text Available Cancer survivorship research includes the study of physical, psychosocial, and economic consequences of cancer diagnosis and treatment among pediatric and adult cancer survivors. Historically, the majority of cancer survivorship studies were from the United States, but survivorship issues are increasingly being addressed in other developed countries. Cross-cultural studies remain, however, scarce. The degree to which knowledge attained may or may not be transferred across cultures, countries, or regions is not known. Some important challenges for comparative research are therefore discussed in a cross-cultural perspective. Several substantive and methodological challenges that complicate the execution of cross-cultural cancer survivorship research are presented with examples and discussed to facilitate comparative research efforts in the establishment of new survivorship cohorts and in the planning and implementation of survivorship studies. Comparative research is one key to understanding the nature of cancer survivorship, distinguishing modifiable from nonmodifiable factors at individual, hospital, societal, and system levels and may thus guide appropriate interventions. Lastly, suggested future courses of action within the field of comparative cancer survivorship research are provided.
Khairiri, A.; Ghani, A. [PETRONAS GAS BERHAD, Kuala Lumpur (Malaysia)
The design of the Gelugor Mainline pipeline in Malaysia faced several obstacles of major importance. The Gelugor Mainline is part of the Peninsular Gas Utilization Project - Stage III. This NPS 24 gas pipeline is approximately 7 km in length and runs from Tenaga National Berhad (TNB) Prai Power Plant of the main line to TNB Gelugor Power Plant on Penang Island. Operating at high pressure, the route runs through complex terrain with varied seabed lithology with depth up to 16 m. It will cross active shipping lanes, zones of live electrical cables, an extensive system of submarine pipeline, mudbank and areas susceptible to mass gravity flows. The development of a Light Rapid Transportation system and the proposed development of a Vision City are both within a few meters of the route of the pipeline. In addition, the pipeline traverses an environmentally sensitive region which includes the rearing of caged fishing activities. A risk assessment study was performed to determine the mitigation actions required and appropriate evasion procedures. The busy shipping strait became the site of a detailed survey of its activities. The different phases of the design process were explained in the presentation as well as an outline of the techniques employed in the design of the pipeline. 7 refs., 2 tabs., 6 figs.
Full Text Available This paper analyzes weaknesses faced by the carbon neutrality initiative proposed by the Costa Rican government due to metrics and highlights some of the technical improvements that will be required in order to achieve greater comparability, applicability and confidence from the results obtained. Technical gaps are found not only in the assessment of greenhouse gas emissions but when accounting for biogenic carbon capture and storage, where global reference values, usually those reported by the IPCC, are commonly used. We then make reference to problems associated with their use, mainly related to the uncertainty (accuracy and precision that results from any estimate. At the national level there is a lack of information for biomass and carbon for some ecosystems as well as few complete studies that consider all carbon pools at the ecosystem level. We give examples for some of the most studied species. Finally, we compare results using global reference values against those developed from local studies a the national level.
Lefèvre, Åsa; Pia, Lundqvist; Eva, Drevenhorn; Inger, Hallström
The purpose of this study was to describe child health centre (CHC) nurses' views of managing parental groups during early childhood. All 311 CHC nurses working within the Swedish CHC system in one county were asked to complete a web-based questionnaire. Findings showed that although the CHC nurses were experienced, several found group leadership challenging and difficult. The need for specialized groups for young parents, single parents and parents whose first language was not Swedish was identified by 57% of the nurses. The CHC nurses found the participation of fathers in their parental groups to be low (an estimate of 10-20%), and 30% of the nurses made special efforts to make the fathers participate. Education in group dynamics and group leadership can strengthen CHC nurses in managing parental groups. It is recommended that specialized parental groups are organized by a few family centres so CHC nurses can develop their skill in managing such groups.
Moridis, G.J.; Collett, T.S.; Pooladi-Darvish, M.; Hancock, S.; Santamarina, C.; Boswell, R.; Kneafsey, T.; Rutqvist, J.; Kowalsky, M.; Reagan, M.T.; Sloan, E.D.; Sum, A.K.; Koh, C.
The current paper complements the Moridis et al. (2009) review of the status of the effort toward commercial gas production from hydrates. We aim to describe the concept of the gas hydrate petroleum system, to discuss advances, requirement and suggested practices in gas hydrate (GH) prospecting and GH deposit characterization, and to review the associated technical, economic and environmental challenges and uncertainties, including: the accurate assessment of producible fractions of the GH resource, the development of methodologies for identifying suitable production targets, the sampling of hydrate-bearing sediments and sample analysis, the analysis and interpretation of geophysical surveys of GH reservoirs, well testing methods and interpretation of the results, geomechanical and reservoir/well stability concerns, well design, operation and installation, field operations and extending production beyond sand-dominated GH reservoirs, monitoring production and geomechanical stability, laboratory investigations, fundamental knowledge of hydrate behavior, the economics of commercial gas production from hydrates, and the associated environmental concerns.
Northouse, Laurel L; Rosset, Tansey; Phillips, Laurel; Mood, Darlene; Schafenacker, Ann; Kershaw, Trace
The purposes of this article are: (a) to describe and analyze the accrual and retention patterns in a longitudinal randomized clinical trial with prostate cancer patients and their partners, and (b) to discuss strategies that were used to overcome challenges in conducting this family-based study. Initially, 429 dyads were referred to the study. Of these, 166 were not enrolled due to refusal (n = 120) or ineligibility (n = 46), 21 of whom did not meet one or more of the inclusion criteria, and 25 of whom could not be reached within the 2-month window of eligibility. Of the 383 eligible dyads, 263 dyads were enrolled (enrollment rate of 68.7%). Accrual and retention patterns differed by research site, referral procedures, and phase of prostate cancer. The retention rate was very good with the majority of dyads (n = 218) completing all three follow-up assessments at 4, 8, and 12 months (82.9%).
James J.F. Forest
Full Text Available Many kinds of entities—including terrorists and insurgents—seek to influence perceptions and behavior among various target audiences, and have become increasingly reliant on the Internet in their efforts, incorporating social media, blogging, public video sharing and other online tools. This article is focused on the ideological messages that terrorist groups use to convey with these tools. Drawing from a study of Al-Qaeda, this discussion illustrates how ideologies of violence have certain vulnerabilities that can be exploited in order to degrade a terrorist group’s ability to achieve its objectives. While crafting and disseminating counter-narratives can be a critical part of a counterterrorism strategy, it is also important to identify ways in which terrorists undermine their own central narratives and exacerbate pre-existing “influence warfare” challenges
Vande Putte, Danny; Verhelst, Marc
Risk management has never been easy. Finding efficient mitigating measures is not always straightforward. Finding measures for cyber crime, however, is a really huge challenge because cyber threats are changing all the time. As the sophistication of these threats is growing, their impact increases. Moreover, society and its economy have become increasingly dependent on information and communication technologies. Standard risk analysis methodologies will help to score the cyber risk and to place it in the risk tolerance matrix. This will allow business continuity managers to figure out if there is still a gap with the maximum tolerable outage for time-critical business processes and if extra business continuity measures are necessary to fill the gap.
Callegary, James; Langeman, Jeff; Leenhouts, Jim; Martin, Peter
Along the United States–Mexican border, the health of communities, economies, and ecosystems is inextricably intertwined with the availability and quality of water, but effective water management in the Borderlands is complicated. Water users compete for resources, and their needs are increasing. Managers are faced with issues such as finding a balance between agriculture and rapidly growing cities or maintaining public supplies while ensuring sufficient resources for aquatic ecosystems. In addition to human factors, the dry climate of the Borderlands, as compared to more temperate regions, also increases the challenge of balancing water supplies between humans and ecosystems. Warmer, drier, and more variable conditions across the southwestern United States—the projected results of climate change (Seager and others, 2007)—would further stress water supplies.
Ruston, Annmarie; Shortall, Orla; Green, Martin; Brennan, Marnie; Wapenaar, Wendela; Kaler, Jasmeet
The farm animal veterinary profession in the UK has faced a number of challenges in recent decades related to the withdrawal of government funding and a contraction of the agricultural sector. They have come under pressure to respond by developing skills and focusing on disease prevention advisory services. However, this puts veterinarians in competition with other providers of these services, and moves in this direction have only been partial. Failure to respond to these challenges puts the veterinary profession at risk of de-professionalisation-a loss of their monopoly over knowledge, an erosion of client beliefs in their service ethos and a loss of work autonomy. This paper explores how farm animal veterinarians in England perceive these challenges and are responding to them. Semi-structured qualitative interviews were carried out with 28 veterinarians from Royal College of Veterinary Surgeon farm accredited practices. Veterinarians were chosen from high, medium and low density cattle farming regions. Interviews were recorded, transcribed and themes identified through the constant comparison method. The majority of respondents recognised the challenges facing the veterinary profession. Most believed their role had changed, moving towards that of a disease prevention adviser who was part of the farm management team. In terms of maintaining and redefining their professional status, farm animal veterinarians do have a defined body of knowledge and the ability to develop trusting relationships with clients, which enhances their competitiveness. However, while they recognise the changes and challenges, moves towards a disease prevention advisory model have only been partial. There seem to be little effort towards using Farm accreditation status or other strategies to promote their services. They do not appear to be finding effective strategies for putting their knowledge on disease prevention into practice. Disease prevention appears to be delivered on farm on an ad
Horton, Graeme; Hanna, Liz; Kelly, Brian
Older Australians living in rural areas have long faced significant challenges in maintaining health. Their circumstances are shaped by the occupations, lifestyles, environments and remoteness which characterise the diversity of rural communities. Many rural regions face threats to future sustainability and greater proportions of the aged reside in these areas. The emerging changes in Australia's climate over the past decade may be considered indicative of future trends, and herald amplification of these familiar challenges for rural communities. Such climate changes are likely to exacerbate existing health risks and compromise community infrastructure in some instances. This paper discusses climate change-related health risks facing older people in rural areas, with an emphasis on the impact of heat, drought and drying on rural and remote regions. Adaptive health sector responses are identified to promote mitigation of this substantial emerging need as individuals and their communities experience the projected impact of climate change.
Updike, Randall G.; Page, William R.
Along the nearly 3,200 kilometers (almost 2,000 miles) of the United States–Mexican border, we are witnessing the expression of the challenges of the 21st century. The Borderlands have become a microcosm for the entire United States and Mexico; the issues faced in that region are felt throughout both nations—water availability and quality, ecosystem health, natural resource needs, safety from natural hazards, and human socioeconomic well-being. If these issues were not challenging enough, we now recognize that the difficulties of addressing them are exacerbated by the onset of climate change, and as we come to better understand the complexities of the components of these challenge themes, we discover that each part is inextricably intertwined with other overarching issues. Further, because we are a creative and progressive society, we all seek to understand and appreciate the natural environments associated with the Borderlands while at the same time benefitting from the region’s many social and economic values. It is little wonder that we as a society find it increasingly difficult to ask the right questions, much less find suitable answers to the questions we do ask. For the many scientists who have worked in the Borderlands and contributed to the preceding chapters, this circular is a way to describe to the two nations of the region the capabilities the U.S. Geological Survey can provide to assist in that quest for knowledge and understanding in preparation for the future.
Jiehui, Jiang; Kandachar, Prabhu
China has a largest population in the world (1.3Billion) and 0.9 Billion is rural population. Most of rural people earn less than US$3/day, and they are called 'Base of the economic pyramid (BoP)'. Compared with high level market, BoP is a new market, which means a low individual profit, but a large population. This paper discusses the healthcare issues in rural China (BoP) and study their healthcare needs through field study and case studies. This research is carried out within the framework of 'Design for Sustainability at Base-of-the-Pyramid (BoP)' programme of the School of Industrial Design Engineering at Delft University of Technology. And the aim of this research is to provide a low cost advanced healthcare product design, which will meet poor's needs and create a business case for commercial partners.
Full Text Available A brief review of the main empirical research about Latin-American rurality in the early twenty-first century, show us at least four different ways of transformation at Latin American Rural Territories: agribusiness headed process, family farming headed process, several diversification of activities and incomes linked by the new quality of relations between country and urban places, the kind of processes experienced by those territories where peasants or ethnical minorities prevail (native american or afro descendents as an example.The main objective is to identify the theoretical background’s that may help us explaining such processes, while implies a re-construction booth of the rural sociologist space dimension’s and the interdisciplinary focus.
In order for the U.S. Geological Survey (USGS) to respond to evolving national and global priorities, it must periodically reflect on, and optimize, its strategic directions. This report is the first comprehensive science strategy since the early 1990s to examine critically major USGS science goals and priorities. The development of this science strategy comes at a time of global trends and rapidly evolving societal needs that pose important natural-science challenges. The emergence of a global economy affects the demand for all resources. The last decade has witnessed the emergence of a new model for managing Federal lands-ecosystem-based management. The U.S. Climate Change Science Program predicts that the next few decades will see rapid changes in the Nation's and the Earth's environment. Finally, the natural environment continues to pose risks to society in the form of volcanoes, earthquakes, wildland fires, floods, droughts, invasive species, variable and changing climate, and natural and anthropogenic toxins, as well as animal-borne diseases that affect humans. The use of, and competition for, natural resources on the global scale, and natural threats to those resources, has the potential to impact the Nation's ability to sustain its economy, national security, quality of life, and natural environment. Responding to these national priorities and global trends requires a science strategy that not only builds on existing USGS strengths and partnerships but also demands the innovation made possible by integrating the full breadth and depth of USGS capabilities. The USGS chooses to go forward in the science directions proposed here because the societal issues addressed by these science directions represent major challenges for the Nation's future and for the stewards of Federal lands, both onshore and offshore. The six science directions proposed in this science strategy are listed as follows. The ecosystems strategy is listed first because it has a dual nature
Groisman, Pavel; Gutman, Garik; Gulev, Sergey; Maksyutov, Shamil; Qi, Jiaguo
foci emerged in discussions within the NEESPI community during the past 20 months. Presentation will provide justification of these foci and approach examples addressing them. The societal challenges, particularly the socio-economic challenges are the top priority in most of them. Throughout the NEESP Initiative duration, support for it studies has been provided by different national and international Agencies of the United States (in particular, the NASA Land Cover and Land Use Change Program), the Russian Federation (in particular, the Ministry of Education and Science, e.g., mega-grant 14.B25.31.0026), European Union, Japan, and China. After the NEFI White Paper release, we anticipate a similar kind of support for this new Initiative.
Full Text Available Community schools have long been accepted as an institutional mechanism for intervening in the relationship between poverty, poor educational outcomes, and limited life chances. At a time when public services are being retracted, and disadvantaged places are being increasingly left to struggle, community schools are poised to become more important in offering a response to the needs of children, families, and communities in these places. Yet, despite their apparent promise, community schools remain badly under-conceptualized. As an international field, research on community schooling has rarely articulated or questioned how—by providing additional learning and leisure opportunities and personal and social supports—community schools might create a viable intervention in the relationship between poverty and poor outcomes. This paper explicitly addresses this significant challenge. Conceptualizing empirical findings emerging from a research-practice partnership, it identifies the core features of a new institutional design for community schools which can help to clarify their potential contribution to addressing disadvantage. Marking a considerable shift from a traditional design of simply adding new services to the school day, it argues that community schools will need to operate as social enterprises with networked governance arrangements, and to develop strategies which engage with children’s social ecologies, and are risk-reducing and resilience-building within these. This, in turn, sets a new agenda for significantly advancing the field of community schooling by further defining—conceptually and empirically—the core elements of a new institutional design as identified here.
Martin, Graeme; Beech, Nic; MacIntosh, Robert; Bushfield, Stacey
The discourse of leaderism in health care has been a subject of much academic and practical debate. Recently, distributed leadership (DL) has been adopted as a key strand of policy in the UK National Health Service (NHS). However, there is some confusion over the meaning of DL and uncertainty over its application to clinical and non-clinical staff. This article examines the potential for DL in the NHS by drawing on qualitative data from three co-located health-care organisations that embraced DL as part of their organisational strategy. Recent theorising positions DL as a hybrid model combining focused and dispersed leadership; however, our data raise important challenges for policymakers and senior managers who are implementing such a leadership policy. We show that there are three distinct forms of disconnect and that these pose a significant problem for DL. However, we argue that instead of these disconnects posing a significant problem for the discourse of leaderism, they enable a fantasy of leadership that draws on and supports the discourse.
Zhi-Jian; Lu; Su-Jun; Deng; Da-Gang; Huang; Yun; He; Ming; Lei; Li; Zhou; Pei; Jin
Therapeutic monoclonal antibodies have become an important class of modern medicines.The established technologies for therapeutic antibody discovery such as humanization of mouse antibodies,phage display of human antibody libraries and transgenic animals harboring human IgG genes have been practiced successfully so far,and many incremental improvements are being made constantly.These methodologies are responsible for currently marketed therapeutic antibodies and for the biopharma industry pipeline which are concentrated on only a few dozen targets.A key challenge for wider application of biotherapeutic approaches is the paucity of truly validated targets for biotherapeutic intervention.The efforts to expand the target space include taking the pathway approach to study the disease correlation.Since many new targets are multi-spanning and multimeric membrane proteins there is a need to develop more effective methods to generate antibodies against these difficult targets.The pharmaceutical properties of therapeutic antibodies are an active area for study concentrating on biophysical characteristics such as thermal stability and aggregation propensity.The immunogenicity of biotherapeutics in humans is a very complex issue and there are no truly predictive animal models to rely on.The in silico and T-cell response approaches identify the potential for immunogenicity;however,one needs contingency plans for emergence of antiproduct antibody response for clinical trials.
Full Text Available Despite a record-breaking 14.5 per cent increase in world merchandise exports, the effects of the financial crisis and global recession are still hampering faster economic recovery. Relatively high oil prices combined with persistent unemployment and measures designed to reduce budget deficits have undermined short-term growth prospects. While South–South trade continues to explode, trade imbalances – i.e. the gap between exports and imports – widened in 2010 compared to 2009 (though smaller than pre-crisis levels. Meanwhile, trade negotiations under the Doha Round have reached an impasse, generating uncertainties about the future of the World Trade Organization (WTO as a negotiating forum. Under these circumstances, should the system rethink its decision-making process founded upon the predominance of member states, the principle of consensus and the notion of single undertaking, as some critics have suggested? And, if so, how could such a reform agenda be initiated at the WTO? Moreover, beyond the negotiating function of the WTO, the paralysis of the system also raises urgent questions about the ability of the system to respond to pressing challenges of our times, such as trade and climate change, or food security and price volatility.
Lu, Xi; McElroy, Michael B.; Peng, Wei; Liu, Shiyang; Nielsen, Chris P.; Wang, Haikun
In the 21st Conference of the Parties held in Paris in December 2015, China pledged to peak its carbon emissions and increase non-fossil energy to 20% by 2030 or earlier. Expanding renewable capacity, especially wind power, is a central strategy to achieve these climate goals. Despite greater capacity for wind installation in China compared to the US (145.1 versus 75.0 GW), less wind electricity is generated in China (186.3 versus 190.9 TWh). Here, we quantify the relative importance of the key factors accounting for the unsatisfactory performance of Chinese wind farms. Different from the results in earlier qualitative studies, we find that the difference in wind resources explains only a small fraction of the present China-US difference in wind power output (-17.9% in 2012); the curtailment of wind power, differences in turbine quality, and delayed connection to the grid are identified as the three primary factors (respectively -49.3%, -50.2%, and -50.3% in 2012). Improvements in both technology choices and the policy environment are critical in addressing these challenges.
Kavanagh, K H
This paper is in response to an invitation to address the topic of advocacy and diversity from the perspective of past and present transcultural nursing. With origins in nursing, with its philosophy of active intervention, and in anthropology, where relativism proposes merit in diverse (including non-interventive) approaches to health and illness, transcultural nursing grapples with potential epistemological conflict as it helps shape health care in highly industrialized, multicultural societies and even more varied global contexts. As a developing subdiscipline, transcultural nursing continuously reexamines dialectical relationships between change and preservation and between health care needs and the risk of imposition. Whereas advocacy is viewed as a moral imperative in nursing, diversity (which can be used to argue against acknowledgement of differences and to promote the pretense that everything is the same for everyone) remains better developed conceptually than operationally, while universality too often falls prey to misuse as an argument against acknowledgement of diversity. Within a framework constructed from the juxtaposition of advocacy with diversity/universality (Leininger, 1988c, 1991), this article appraises the accomplishments and challenges of transcultural nursing as it moves into its second quarter century. It is proposed that the future of transcultural nursing should emphasize development of realistic nursing roles that include a confluence of advocacy and diversity/universality and negotiation of responsible social conceptualizations of cultural issues such as "race" and diversity.
Sethi, S. K.; Rohatgi, S.; Dragon-Durey, M. A.; Raghunathan, V.; Dhaliwal, M.; Rawat, A.; Jha, P.; Bansal, S. B.; Raina, R.; Kher, V.
Much progress has been made in understanding the pathophysiology and treatment of atypical hemolytic uremic syndrome (aHUS). Plasma therapy is the mainstay of treatment for aHUS. The availability of the first effective anti-complement therapeutic agent, eculizumab, has dramatically changed the outlook of this disease. However, its use in clinical practice raises important questions, such as who should receive the drug, when to start such therapy, and is it safe to stop treatment once the disease is controlled. We describe here for the 1st time in India, use of eculizumab in a 12-year-old boy with aHUS. We also describe in this report challenges faced in procuring the drug, and an ideal, evidence-based method of treating aHUS in children. PMID:28182046
This article provides an overview of the information security challenges faced by hospitals in the process of healthcare reform. The solutions and implementation approaches for financial security, business continuity management, internet security and leakage of sensitive information were proposed. A brief analysis about significant barriers to promoting hospital information security governance was also in this article.%概述了医改形势下医院信息化所面临的安全挑战,针对财务安全、业务连续性管理、互联网安全和敏感信息泄漏问题提出了应对方案和实施策略,并对推进医院信息安全治理的主要障碍进行了简要分析.
Ngowi, Aiwerasia; Mrema, Ezra; Kishinhi, Stephen
The Tanzania informal sector is growing fast, with precarious working conditions and particular hazards for women and children in agriculture. Hazardous agricultural chemicals including pesticides are mostly imported and have been used for many years. Despite the role played by pesticides in food security and vector control, these chemicals are responsible for acute and chronic illnesses among communities. The availability of obsolete persistent organic pesticides on the open market indicates existence of an inadequate regulatory system. People who get injured or ill in the agriculture sector in Tanzania receive health services in primary health care facilities where professionals have little or no knowledge of pesticides. We are presenting the pesticide health and safety challenges faced by small-scale farmers who fall in the informal sector. Achievements that have been made by the government and other players to reduce and prevent pesticide exposures and poisoning are also outlined.
David M.P. Jacoby
Full Text Available With broad distributions, diadromous fishes can be exposed to multiple threats at different stages of development. For the primarily catadromous eels of the family Anguillidae, there is growing international concern for the population abundance and escapement trends of some of these species and yet incomplete knowledge of their remarkable life-histories hampers management and conservation. Anguillids experience a suite of pressures that include habitat loss/modification, migration barriers, pollution, parasitism, exploitation, and fluctuating oceanic conditions that likely have synergistic and regionally variable impacts, even within species. In beginning to redress this rather fragmented picture, we evaluated the extinction risk of these species using the IUCN Red List of Threatened Species Categories and Criteria to infer population-wide trends from catch and monitoring data. Here we consolidate and build upon these species assessments by presenting an overview of the current state of global eel data and conservation, categorising the knowledge gaps and geographic regions where resources are needed and discussing future recommendations to improve our understanding of anguillids. We find stark disparity between the quality and length of data available to assess population trends and conservation priorities in temperate and tropical anguillids. Of the 13 species assessed, four were listed as ‘Threatened’ (Vulnerable, Endangered or Critically Endangered; four were Near Threatened, three were Data Deficient and two were deemed Least Concern. Comparing with other diadromous species, we examine the multiple threats that impact eels during their different life-history stages, highlighting the challenges of applying the Red List Categories and Criteria to geographically-expansive, catadromous and panmictic groups of species.
Full Text Available Background Thalassemia is considered an important public health problem worldwide, especially in developing and poor countries. Although several advanced techniques have been developed for prevention of thalassemia in the recent years, many adolescents and youths are still living with this disease. Independence from parents, decisions about high-risk behaviors, uncovering the identity, and adapting to mental and physical effects of the disease occur together in adolescents. Objectives This study was conducted to explore challenges of self-management empowerment in adolescents and youths with major thalassemia. Materials and Methods This was a descriptive-exploratory study. The study population consisted of adolescents and youths with major thalassemia who had medical records in the Bushehr Thalassemia Center, affiliated with Bushehr University of Medical Sciences. The study samples were purposively selected. Demographic information questionnaire and empowerment questionnaire were used to collect data from the semistructured interview. We analyzed qualitative data by content analysis method and quantitative data by descriptive (mean, standard deviation and analytical (Student's t-test, ANOVA and Pearson’s correlation coefficient statistical methods, using the statistical software SPSS 18. Results In qualitative part of the study, data from semistructured in-depth interviews with 15 participants were coded and summarized in five themes including: 1 awareness of personal changes; 2 need for adaptation; 3 maintaining independence and self-management; 4 uncovering the identity and role playing; and 5 sense of control and satisfaction. Results of the quantitative part showed that the overall score of participants on empowerment was 92.46 of 149 scores, which showed a moderate situation in the empowerment of these individuals. In addition, the empowerment score showed no statistically significant correlation with demographic characteristics
Bouma, Johan; Montanarella, Luca
Our current information society, populated by increasingly well-informed and critical stakeholders, presents a challenge to both the policy and science arenas. The introduction of the UN Sustainable Development Goals (SDGs) offers a unique and welcome opportunity to direct joint activities towards these goals. Soil science, even though it is not mentioned as such, plays an important role in realizing a number of SDGs focusing on food, water, climate, health, biodiversity, and sustainable land use. A plea is made for a systems approach to land use studies, to be initiated by soil scientists, in which these land-related SDGs are considered in an integrated manner. To connect with policy makers and stakeholders, two approaches are functional. The first of these is the policy cycle when planning and executing research, which includes signaling, design, decision making, implementation, and evaluation. Many current research projects spend little time on signaling, which may lead to disengagement of stakeholders. Also, implementation is often seen as the responsibility of others, while it is crucial to demonstrate - if successful - the relevance of soil science. The second approach is the DPSIR approach when following the policy cycle in land-related research, distinguishing external drivers, pressures, impact, and responses to land use change that affect the state of the land in the past, present, and future. Soil science cannot by itself realize SDGs, and interdisciplinary studies on ecosystem services (ESs) provide an appropriate channel to define contributions of soil science in terms of the seven soil functions. ESs, in turn, can contribute to addressing the six SDGs (2, 3, 6, 12, 13, and 15) with an environmental, land-related character. SDGs have a societal focus and future soil science research can only be successful if stakeholders are part of the research effort in transdisciplinary projects, based on the principle of time-consuming "joint learning". The
China’s complex economic situation has been unprecedentedly challenged since the reform and opening-up policy adopted three decades ago. In an article published in the May 14 issue of Caijing magazine, Guo Shuqing,President of China Construction Bank, one of China’s four state-owned commercial lenders, stressed that the issues of agriculture, rural areas and farmers are the biggest challenges facing the country’s economic stability.Guo says only through an exceptional urbanization process can rapidly advancing social development be maintained. Excerpts:
Lind, Tommy; Stjernström, Olof
In this study, the spatial structure of primary schools and alternative organizational frameworks are studied in a number of rural municipalities in the northern parts of Norway, Sweden, and Finland. The aim of the study is to investigate how the spatial structure of schools has changed between the years 2008 and 2013 in these municipalities, what…
McGrath, Shelly A.; Johnson, Melencia; Miller, Michelle Hughes
This article re-centers an ecological model traditionally used to understand the experiences of interpersonal violence victims around the perceptions and experiences of victim advocates. We suggest that the development of such a model might shed light on rural-urban differences in the accessibility and availability of support services in rural…
Han, Keonghee Tao; Leonard, Jacqueline
Using critical race theory as an analytical framework to examine White privilege and institutional racism, two teacher educators, in a rural predominantly White university tell counterstories about teaching for social justice in literacy and mathematics education courses. In sharing our counterstories in this paper, we, women faculty of color,…
Kikuchi, R. K.; Elliff, C. I.
to increase resilience and guarantee the adaptation of this ecosystem to climate change. Thus, considering that the majority of the marine ecosystem services we benefit from are provided from coastal habitats, of which coral reefs play an important role, the challenge at hand is in fact the interaction between local factors and climate change
This paper discusses issues related to rural electrification in China, with emphasis on a pilot project in Mongolia to implement small scale renewable energy sources. These projects consist of photovoltaic systems, wind electric systems, photovoltaic/wind hybrid systems, and wind/gasoline generator sets. These systems are small enough to implement in rural environments, more cost effective than grid type systems, and have lower cost than standard generator sets alone because of the improved reliability. The author also discusses the use of such systems for village power sources. A number of factors are contributing to the increase in such systems. Individuals are able and willing to pay for such systems, lending institutions are willing to fund such small-scale projects, they provide reliable, high quality services which support social and economic development.
Perkins, Daniel F.; LaGreca, Anthony J.; Mullis, Ronald L.
This publication combines three papers on rural and urban youth issues. "Key Issues Facing Rural Youth" (Daniel F. Perkins) notes that rural adolescents share the same concerns and exhibit the same problem behaviors as their urban counterparts. But in addition, geographic isolation presents problems unique to rural areas. A framework is proposed…
Williams, Lee L.; Lindsey, Maria Julietta
Throughout Pennsylvania, rural residents have taken on leadership roles to support and promote their communities and their residents. The challenges these leaders face continue to become more complex, as economic, political, social, cultural and even global forces influence local events. This research was conducted to understand how a sample of…
@@ INTRODUCTION India is among one of the ten most industrialized nations in the world. Increase in population has raised the urbar industrial, transport and agriculture demands which are major reasons for the degradation of the environmel condition. For India besides land and soil degradation, deforestation, low accessibility of water, ,industrial pollution and urban congestion are the major environmental issues of priority. The industries that generate huge quantities of waste are thermal power station, Iron and Steel Plants, Sugar, Paper and Fertilizer Industries.
India is among one of the ten most industrialized nations in the world. Increase in population has raisedthe urbar industrial, transport and agriculture demands which are major reasons for the degradationof the environmel condition. For India besides landand soil degradation, deforestation, low accessibilityof water, ,industrial pollution and urban congestionare the major environmental issues of priority. Theindustries that generate huge quantities ofwaste are thermal power station, Iron and SteelPlants, Sugar, Paper and Fertilizer Industries.
In order to sustain the rural education community, access to high quality professional development opportunities must become a priority. Teachers in rural areas face many challenges in order to access professional learning equitable to their city counterparts. In the current climate, the Federal government of Australia is committed to initiatives…
Dhakal, Sulochana; van Teijlingen, Edwin; Raja, Edwin Amalraj; Dhakal, Keshar Bahadur
In Nepal, most births take place at home, and many, particularly in rural areas, are not attended by a skilled birth attendant. The main objectives of the study were to assess the use of skilled delivery care and barriers to access such care in a rural community and to assess health problems during delivery and seeking care. This cross-sectional study was carried out in two Village Development Committees in Nepal in 2006. In total, 150 women who had a live birth in the 24 months preceding the survey were interviewed using a structured questionnaire. The sample population included married women aged 15-49 years. Forty-six (31%) women delivered their babies at hospital, and 104 (69%) delivered at home. The cost of delivery at hospital was significantly (p access skilled delivery care were: distance to hospital, lack of transportation, lack of awareness on delivery care, and cost. The main reasons for seeking intrapartum care were long labour, retained placenta, and excessive bleeding. Only a quarter of women sought care immediately after problems occurred. The main reasons seeking care late were: the woman or her family not perceiving that there was a serious problem, distance to health facility, and lack of transport. The use of skilled birth attendants at delivery among rural women in Nepal is very poor. Home delivery by unskilled birth attendants is still a common practice among them. Many associated factors relating to the use of skilled delivery care that were identified included age, education and occupation of women, and education and occupation of husbands. Therefore, the availability of skilled delivery care services at the community, initiation of a primary health centre with skilled staff for delivery, and increasing awareness among women to seek skilled delivery care are the best solution.
Hester W.J. Meyer
Full Text Available A recent survey by Meyer (2009 on the need for the training of general library workers revealed that employers in library services are often not aware of the conditions affecting the ability of library and information science (LIS educators at South African tertiary institutions to deliver ‘work ready’ general workers to the LIS industry. Simultaneously, LIS educators are not aware of the extent to which changes to learning programmes can affect the appointment and promotions of library staff in practice. The objectives of the study were to determine the need for a formal learning programme for general library workers and how existing study material can be adapted to develop a formal learning programme suitable for general library workers countrywide. Data was collected by means of a self-administered questionnaire directed at supervisory staff of provincial and municipal libraries in South Africa, interviews with supervisors, and consultation of relevant internal documentation on job descriptions and legislation. The findings revealed that there is a definite need for training general library workers, whether formally or informally. This article, the first of two parts, considers the challenges facing LIS educators of which employers in the LIS industry are seldom aware of. The discussion is based on a literature study regarding training of general library workers in South Africa, as well as personal experience of the impact of various conditions on the relevant learning programmes of the Department of Information Science, University of South Africa before and after merging with the former Technikon SA. It considers the implementation of legislation and policies with regard to LIS training and how LIS educators, involved in open distance learning (ODL cope with the specific challenges for delivering ‘work ready’ general library workers. Part two will deal with aspects concerning the types of task general workers perform, and the
Maxwell D. Murphy
Full Text Available Current research in brain computer interface (BCI technology is advancing beyond preclinical studies, with trials beginning in human patients. To date, these trials have been carried out with several different types of recording interfaces. The success of these devices has varied widely, but different factors such as the level of invasiveness, timescale of recorded information, and ability to maintain stable functionality of the device over a long period of time all must be considered in addition to accuracy in decoding intent when assessing the most practical type of device moving forward. Here, we discuss various approaches to BCIs, distinguishing between devices focusing on control of operations extrinsic to the subject (e.g., prosthetic limbs, computer cursors and those focusing on control of operations intrinsic to the brain (e.g. using stimulation or external feedback, including closed-loop or adaptive devices. In this discussion, we consider the current challenges facing the translation of various types of BCI technology to eventual human application.
Murphy, Maxwell D; Guggenmos, David J; Bundy, David T; Nudo, Randolph J
Current research in brain computer interface (BCI) technology is advancing beyond preclinical studies, with trials beginning in human patients. To date, these trials have been carried out with several different types of recording interfaces. The success of these devices has varied widely, but different factors such as the level of invasiveness, timescale of recorded information, and ability to maintain stable functionality of the device over a long period of time all must be considered in addition to accuracy in decoding intent when assessing the most practical type of device moving forward. Here, we discuss various approaches to BCIs, distinguishing between devices focusing on control of operations extrinsic to the subject (e.g., prosthetic limbs, computer cursors) and those focusing on control of operations intrinsic to the brain (e.g., using stimulation or external feedback), including closed-loop or adaptive devices. In this discussion, we consider the current challenges facing the translation of various types of BCI technology to eventual human application.
Maternal Mortality Ratio (MMR) continues to remain high in our country without showing any declining trend over a period of two decades. The proportions of maternal deaths contributed by direct obstetric causes have also remained more or less the same in rural areas. There is a strong need to improve coverage of antenatal care, promote institutional deliveries and provide emergency obstetric care. Delays occur in seeking care for obstetric complications and levels of 'met obstetric need' continue to be low in many parts of the country. Most of the First Referral Units (FRUs) and CHCs function at sub-optimal level in the country. National Rural Health Mission (NRHM) offers institutional mechanism and strategic options to reduce high MMR. 'Janani Suraksha Yojna', strengthening of CHCs (as per Indian Public Health standards) to offer 24 hours quality services including that of anesthetists and Accredited Social Health Activist (ASHA) are important proposals in this regard. District Health Mission can play an important role in monitoring maternal deaths occurring in hospitals or in community and thus create a social momentum to prevent and reduce maternal deaths. NRHM, however, depends largely on Panchayati Raj Institutions for effective implementation of proposed interventions and utilization of resources. In most parts of our country, State Governments have not empowered PRIs with real devolution of power. Therefore, much needs to be done locally to build the capacity of PRIs and develop state-specific guidelines in operational terms to implement interventions under NRHM for reducing maternal mortality ratio.
Kucuk, Gultekin Ozan
Lo studio illustra i dettagli tecnici e sociali delle difficoltà da affrontare nell’adozione dell’appendicectomia laparoscopica in un ospedale periferico in ambiente rurale, e suggerisce le soluzioni, includendo la casistica nell’intervallo tra aprile 2009 e dicembre 2010, di cui sono analizzati le caratteristiche demografiche, i reperti operatori ed i risultati. La casistica si riferisce a 51 pazienti (28 uomini e 23 donne) sottoposti ad appendicectomia laparoscopica, di età media di 23 anni (tra 13 e 74 anni). In media l’intervento ha richiesto 45 minuti (tra 20 e 75 minuti). La base appendicolare è stata trattata con endoloop in 4 casi (7,8%) o per nodo intracorporeo in 46 casi (90,2%); in un caso la base è stata suturata. In 20 casi (39,2%) si sono dovute fronteggiare difficoltà tecniche, ed in un paziente (2%) si è fatto ricorso alla conversione al trattamento laparotomico. La degenza postoperatoria è stata di 2.4 ± 0.8 giorni, ed in un paziente (2%) si è sviluppato un ascesso intra-addominale. In conclusione la appendicectomia laparoscopica può essere adottata con sicurezza in ambiente rurale, anche se si tratta di casi complicati. Si discutono alcune difficoltà tecniche e sociali da affrontare, e le soluzioni adottate.
Full Text Available Background: Pakistan is one of the most populated countries with a population of 160 million; 67% are rural population but all the tertiary care facilities are concentrated in large cities. The Northern Areas is the most remote region with difficult terrain, harsh weather conditions and the tertiary care hospital at a distance of 600 km with traveling time of 16 h. The Aga Khan Medical Centre, Singul (AKMCS is a secondary healthcare facility in Ghizer district with a population of 132,000. AKMCS was established in 1992 to provide emergency and common elective surgical care. It has strengthened the primary health service through training, education and referral mechanism. It also provided an opportunity for family physicians to be trained in common surgical operations with special emphasis on emergency obstetric care. In addition it offers elective rotations for the residents and medical students to see the spectrum of diseases and to understand the concept of optimal care with limited resources. Methods and Results: The clinical data was collected prospectively using international classification of diseases ICD -9 coding and the database was developed on a desktop computer. Information about the operative procedures and outcome was separately collected on an Excel worksheet. The data from January 1998 to December 2001 were retrieved and descriptive analysis was done on epi info-6. Thirty-one thousand seven hundred and eighty-two patients were seen during this period, 53% were medical, 24% surgical, 16% obstetric and 7% with psychiatric illness. Out of 1990 surgical operations 32% were general surgery, 31% orthopedic, 21% pediatric, 12% obstetric and 4% urological cases; 42% of operations were done under general anesthesia, 22% spinal, 9% intravenous (IV ketamine, 6% IV sedation and 21% under local anesthesia. Six hundred and sixty-two were done in the main operation room including general surgery 337, obstetric 132, urological 67, pediatric 66
Samuel, Koji; Mulenga, H. M.; Angel, Mukuka
This paper investigates the challenges faced by secondary school teachers and pupils in the teaching and learning of algebraic linear equations. The study involved 80 grade 11 pupils and 15 teachers of mathematics, drawn from 4 selected secondary schools in Mufulira district, Zambia in Central Africa. A descriptive survey method was employed to…
Cruickshank, Vaughan; Pedersen, Scott; Hill, Allen; Callingham, Rosemary
The gender-related challenges facing males entering the primary-school teaching profession have been well documented in the academic literature over recent decades. The majority of these data have come about through qualitative reports. Whilst qualitative methods provide important perspectives into these issues, the use of valid and reliable…
Gonzalez, Gabriella; Karoly, Lynn A.; Constant, Louay; Salem, Hanine; Goldman, Charles A.
Countries in the Arab region are faced with the challenge of developing their populations' skills and technical knowledge, or human capital, in order to compete in the 21st century global economy. The authors describe the education and labor market initiatives implemented or under way in four countries in the Arab region -- Lebanon, Oman, Qatar,…
Ezeudu, F. O.; Nkokelonye, C. U.; Ezeudu, S. A.
This paper is a study of historical foundations of science education in Igboland, its nature and scope as well as the challenges facing its integration into the 21st century school system in a globalized world. The authors found that there were many scientific activities in Igbo culture, but many problems hinder their integration into the basic…
Mondialisation et exploitation des ressources linguistiques: les defis des communautes francophones de l'Ontario (Globalization and Use of Linguistic Resources: The Challenges Facing Francophone Communities in Ontario).
Labrie, Normand; Belanger, Nathalie; Lozon, Roger; Roy, Sylvie
Examines challenges faced by two Canadian francophone communities, one in Niagra Peninsula, and the other in the Simcoe region. Investigates how communities are affected by changes related to globalization and how the members of these two communities use their linguistic resources to adapt socially and professionally. (Author/VWL)
This document provides the presentations proposed during the day Cathala-Letort on the challenges of the processes engineering facing the hydrogen-energy. In the context of the greenhouse effect increase and the fossil energies resources decrease, it brings information on researches on hydrogen technologies, carbon dioxide sequestration, hydrogen supply, production, storage and distribution and the thermo-chemical cycles. (A.L.B.)
Mwanik, Kantim; Orodho, John Aluko
The thrust of this study was to examine the critical challenges inhibiting effective participation in education by pupils from rural public primary schools in Central Division, Narok North Sub-County, in Narok County, Kenya. The study adopted a descriptive cross-sectional research design. Combinations of stratified and purposive sampling…
虽然血液透析应用于临床治疗已经90余年，成为急、慢性肾衰竭的最主要治疗手段，但仍然存在许多问题与挑战。在我国，伴随血液透析患者的快速增加，将给我国医疗保障体系带来严重挑战，亟待加快社会资金参入和培养合格的血液透析医护人员。从血液透析的基本技术层面看，血液透析开始的最佳时机？血管通路是否一定要优先选择血管内瘘？血液透析患者的适宜透析液钙浓度？目前尚存争议。从血液透析并发症防治层面看，透析患者血压控制靶目标？甲状旁腺激素控制的靶目标？目前也无定论。本文将结合现有文献证据进行评述，为临床医生的临床实践提供借鉴。%Although hemodialysis has been applied to clinical treatment for more than 90 years and become the main treatment for patients with acute and chronic renal failures,nephrologists are still faced with many problems and challenges.The rapid increase of hemodialysis patients in our country will bring serious challenges to China′s health care,which is in urgent need of being supported by more social capital participation and cultivation of qualified hemodialysis medical workers.There are still controversies.From the basic technical level of hemodialysis:when is the best time for hemodialysis initiation?Is intravascular fistula definitely the first choice of vascular access?What is the suitable calcium concentration of dialysate for hemodialysis patients?Besides,from the aspect of prevention and treatment of hemodialysis complications in dialysis patients:what is the target of blood pressure control?How about the target for parathyroid hormone control?In this article,the existing literature evidence was reviewed in order to provide reference for clinical doctors in clinical practice.
Quintero Corzo Josefina
Full Text Available
The status quo of new-type rural financial institutions in the Yellow River delta is summarized.It is pointed out that these financial institutions have improved the development of economy concerning agriculture,rural areas and peasants,but due to the shortage of capital,deficit and many other reasons,the outlets is fewer,which can not serve the agriculture,rural areas and peasants well.The necessity of developing rural banks in the Yellow River delta is introduced:firstly,rural banks can serve the agriculture,rural areas and peasants well with flexible system and management methods.Secondly,rural banks can serve and support the vulnerable groups of the three rural issues concerning agriculture,countryside and famers well.Thirdly,rural banks provide strong support for the all around development of rural business concerning the agriculture,rural areas and peasants.Fourthly,rural banks have significant advantages in serving the agriculture,rural areas and peasants.The probability of developing rural banks in the Yellow River delta is analyzed from the three advantages of policy,environment and economy.The challenges faced by the development of rural banks are studied as follows:firstly,the short-term profits are hard to take effect.Secondly,the capital quantity of rural banks is large.Thirdly,the pressure of competition and operation is great.Thus the countermeasures of developing rural banks in the Yellow River delta are put forward:for instance,clarifying the service object in a certain area;using the minority to bring along the majority;reducing the risk of asymmetric information by information technology.
Garg, Rajesh; Goyal, Shobha; Gupta, Sanjeev
The onset of menstruation is one of the most important physiological changes occurring among girls during the adolescent years. Menstruation heralds the onset of physiological maturity in girls. It becomes the part and parcel of their lives until menopause. Apart from personal importance, this phenomenon also has social significance. In India, menstruation is surrounded by myths and misconceptions with a long list of "do's" and "don'ts" for women. Hygiene-related practices of women during menstruation are of considerable importance, as it may increase vulnerability to Reproductive Tract Infections (RTI's). Poor menstrual hygiene is one of the major reasons for the high prevalence of RTIs in the country and contributes significantly to female morbidity. Most of the adolescent girls in villages use rags and old clothes during menstruation, increasing susceptibility to RTI's. Adolescents constitute one-fifths of India's population and yet their sexual health needs remain largely unaddressed in the national welfare programs. Poor menstrual hygiene in developing countries has been an insufficiently acknowledged problem. In June 2010, the Government of India proposed a new scheme towards menstrual hygiene by a provision of subsidized sanitary napkins to rural adolescent girls. But there are various other issues like awareness, availability and quality of napkins, regular supply, privacy, water supply, disposal of napkins, reproductive health education and family support which needs simultaneous attention for promotion of menstrual hygiene. The current article looks at the issue of menstrual hygiene not only from the health point of view, but also considers social and human rights values attached to it.
Throughout the 1990s, Europe's rural areas increasingly embraced local action and local development solutions to face the challenge of the continued re-structuring of the agricultural industry. In parallel, in both the EU and the UK, a policy discourse has emerged which envisages a fundamental shift in support policies for rural areas from a…
People with learning disabilities may have additional healthcare needs compared to the general population, and the NHS faces challenges in addressing these needs. Scotland has many remote and rural communities, and residents of these communities can encounter difficulties in accessing healthcare resources. This article considers Scotland's healthcare policy in relation to remote and rural areas, and how effective it is in meeting the needs of people with learning disabilities in these communities.
Sandro Ropero Beltran
Full Text Available The rural question is one of the great challenges for institutions in Colombia. The discussion regarding institutional efficiency and effectiveness for the rural sector should be brought forward based on circumstantial aspects that in turn mediate social the social, political, cultural, environmental, economic and productive in the Colombian agriculture, including trade agreements and post-conflict eventually included. The new rurality as an approach to rural development poses a different view about the subject, conceives the rural thing as a multisectorial and multidimensional space, which is the starting point from which arise the elements of analysis that allow advance an institutional debate broad and participatory facing the structural transformation of the rural reality.
Efforts to achieve effective and meaningful patient and public involvement (PPI) in healthcare have existed for nearly a century, albeit with limited success. This brief commentary discusses a recent paper by Carter and Martin exploring the "Challenges Facing Healthwatch, a New Consumer Champion in England," and places these challenges in the context of the broader struggle to give a voice to healthcare consumers and citizens. With an overview of what can go right and-perhaps more importantly-what can go wrong, the question remains: will Healthwatch-and other PPI efforts in healthcare-represent the voice of consumers or citizens and will it matter?
Srinivas Nallala; Subhashisa Swain; Sanju Das; Shravan K Kasam; Sanghamitra Pati
Introduction: Inadequate, inequitable distribution of the medical workforce remains a challenge across the globe, and India is no exception. Odisha, a state in India faces a major shortage of doctors particularly in rural and remote areas. In order to address this challenge, it is essential to understand medical students′ career plans, specialization preferences, choices of job location and sector, and views on working in rural and remote areas. This study explored the immediate and long-term...
Louw, Arnt Vestergaard
The findings of the expert group detail the role of youth work and its specific contribution to addressing the challenges young people face, in particular the transition from education to employment. In this context, youth work is defined as 'actions directed towards young people regarding activi...... activities where they take part voluntarily, designed for supporting their personal and social development through non-formal and informal learning'....
To examine the challenges encountered by Eastern European students within a sixth form college in the United Kingdom. This paper aims to consider the difficulties encountered by this particular ethnic group examining the impact the challenges may have on their performance, success and achievement. This paper will also highlight equality and…
The following narrative reflects on the dilemmas and problems faced by inexperienced researchers working within the field of education. Focusing on a research project completed in fulfilment of an MA in Teaching and Learning, the article recounts the decisions made by one emergent researcher and evaluates how far the chosen methods may have helped…
Brazil, China, India and South Africa have each worked to improve access to electricity services. While many of the challenges faced by these countries are similar, the means of addressing them varied in their application and effectiveness. This report analyses the four country profiles, determining the pre-requisites to successful rural electrification policies.
Context: Identifying ways to meet the health care needs of older adults is important because their numbers are increasing and they often have more health care issues. High resilience level may be one factor that helps older adults adjust to the hardships associated with aging. Rural community-dwelling older adults often face unique challenges such…
Bolsinger, V; Schmelcher, P
Exploring the impact of dimensionality on the quantum dynamics of interacting bosons in traps including particle correlations is an interesting but challenging task. Due to the different participating length scales the modelling of the short-range interactions in three dimensions plays a special role. We review different approaches for the latter and elaborate that for multi-configurational computational strategies finite range potentials are adequate resulting in the need of large grids to resolve the relevant length scales. This results in computational challenges which include also the exponential scaling of complexity with the number of atoms. We show that the recently developed ab-initio Multi-Layer Multi-Configurational Time- Dependent Hartee method for Bosons (ML-MCTDHB) [J. Chem. Phys. 139, 134103 (2013)] can face both numerical challenges and present an efficient numerical implementation of ML-MCTDHB in three spatial dimensions, particularly suited to describe the quantum dynamics for elongated traps...
In the face of renewed competition from Hollywood since the early 1980s and the challenges posed to Europe's national cinemas by the fall of the Wall in 1989, independent filmmaking in Europe has begun to re-invent itself. European Cinema: Face to Face with Hollywood re-assesses the different debate
Sussan Aggrey Mensah
Full Text Available Participation in tourism brings individuals, families and communities together, making it an important social inclusion strategy. Negative perceptions about persons with disabilities could make it difficult for them to access public places. Therefore, this study served to examine tourism challenges for persons with disabilities (PwDs in the Ashanti region of Ghana. A cross sectional study with quantitative data collection was conducted with PwDs. Structured questionnaires were administered to 120 PwDs using a convenience sampling technique. Descriptive statistics were explored using SPSS version 20. The study found that PwDs faced barriers to facilities and structures at tourist destinations. The barriers to tourism included lack of income, negative attitudes of the public and physical barriers such as a lack of adapted toilet facilities, tables and chairs, inaccessible routes for wheel chair users, inability to climb walkways and an absence of canopy walk-ways. The study supports the evidence of challenges faced by PwDs at tourism destinations. Redesigning and resourcing tourism facilities to be more PwD friendly could remove barriers faced by PwDs in tourism, creating greater social inclusion for this population. Keywords: tourism, persons with disabilities, participation, accessibility, inclusion
阐述了当前我国石化产业面临着原油低价格、市场化进程加快、科技革命兴起等新形势,同时也面临着市场竞争加剧、环保要求日益严格等严峻挑战,指出我国石化工业面对新的机遇和挑战,必须走创新驱动、转型升级、绿色发展之路.%The article expounds on the new situation facing China's petrochemical industry such as low oil price, continuously accelerated commercialization process and accelerated advances in science & technological revolution, as well as severe challenges facing it such as aggravated market competition and increasingly strict environmental protection requirements. It points out that, being faced with new chances and challenges, China's petrochemical industry must walk along the road of innovation drive, transformation and upgrading as well as green development.
A. S. Voshev
Full Text Available Conditions for production activity vary considerably from region to region, from area to area, from settlement to settlement. In this connection, investors are challenged to choose an optimum site for a new enterprise. To make the decision, investors follow such references as: investment potential and risk level; their interrelation determines investment appeal of a country, region, area, city or rural settlement. At present Russia faces a problem of «black boxes» represented by a lot of rural settlements. No effective and suitable techniques of quantitative estimation of investment potential, rural settlement risks and systems to make the given information accessible for potential investors exist until now.
Gilmar P Henz
morango do DF mais eficiente e seletivo.In this article, I had highlighted the results of a survey carried out in 2009 on the situation and difficulties faced by strawberry growers, characterized as smallholders, in the Federal District (DF, Brazil. In addition, I discuss some alternatives to mitigate these problems. The most cited challenges identified by smallholders were, in order of importance: (1 incidence of pests and diseases; (2 strawberry plantlet acquisition; (3 packing costs; (4 need of intensive labor; and (5 high production costs. Based on these information, some possible measures to improve the social and economic status of the smallholders involved in the strawberry production in DF are: (a local production of plantlets, with sanitary quality and affordable costs, to reduce the dependence on other Brazilian States; (b a more intensive use of the several public and private universities, science and technology institutions and rural extension services available in DF to support the sector; (c creation of an association or cooperative to scale up production, access distinct market niches and strengthen the political influence of the sector; (d improve the postharvest handling system by adopting modern packing materials and refrigeration; (e adopt modern traceability tools, so as to increase the local strawberry added value and, therefore, access more demanding markets; (f implement and join the "Strawberry Integrated Production Program (PIMo", officially launched by the Brazilian Ministry of Agriculture, Livestock and Food Supply in 2006; (g survey the local strawberry market and consumer demands to develop a strategic marketing plan to serve the distinct market segments. The increasing consumers' demand for fruit quality and certified and residue free products will surely push the strawberry production system in DF into a scenario of efficiency and excellence.
Arnove, Robert F.
Examines challenges to comparative and international education in the areas of epistemological approaches, research methodology, philosophical considerations, and dissemination of findings; the field's contributions in questioning assumptions about school-society relationships, identifying the benefits and dangers of "borrowing" educational…
Kuhl, Susan; Pagliano, Paul; Boon, Helen
Given the urban dominance of inclusion literature, it is germane to explore issues pertaining to including students with disability in the rural school. As such, this paper uses a qualitative research methodology to examine how 20 teachers experience including students with disabilities in their rural secondary classrooms. As a mother of an adult…
Full Text Available The process of setting up a digital preservation repository in compliance with the OAIS model is not only a technical challenge: libraries also need to develop and maintain appropriate skills and organizations. Digital activities, including digital preservation, are nowadays moving into the mainstream activity of the Library and are integrated in its workflows.The Bibliothèque nationale de France (BnF has been working on the definition of digital preservation activities since 2003. This paper aims at presenting the organizational and human resources challenges that have been faced by the library in this context, and those that are still awaiting us.The library has been facing these challenges through a variety of actions at different levels: organizational changes, training sessions, dedicated working group and task forces, analysis of skills and processes, etc. The results of these actions provide insights on how a national library is going digital, and what is needed to reach this longstanding goal.
Nocella, Kiki C; Horowitz, Kim J; Young, Jami J
Community Health Information Networks have provided lessons learned for RHIOs by bringing attention to issues of trust, buy-in, ownership and financing. This article reports the formation of a new rural RHIO, East Kern County Integrated Technology Association (EKCITA) and addresses unique rural demands and success themes specificto rural environments. A case study approach-grounded in action research and utilizing techniques of key informant interviews, participant observations and content review of written data sources from 2006-was utilized. Through a process of grassroots governance, transparency and consensus decision-making, EKCITA was incorporated in 2006. Taking lessons learned from past initiatives, this rural RHIO used a transparent and participative process while addressing unique challenges faced by rural regions. Through this process, seven additional success themes were identified, five of which are unique to rural regions. Rural communities can develop dynamic entities that address a host ofissues in addition to information technology.
Whereas the primary challenge for agriculture after World War II was improving food security by increasing productivity, the challenges faced by today’s agriculture are more complex and diverse. In this context it is interesting to investigate Danish agricultural extension. Firstly, the more...... complex and diverse a situation that farmers have to deal with, the more support farmers may need. Secondly, agricultural extension is important to Danish farmers, pointing to a significant arena for learning and change. Thirdly, privatizing agricultural extension (in Denmark since 1994) should...... interactions, by exploring the perspective of the participants; and the paper also seeks to understand possible constraining or supportive extension aspects at play. Paper 3 examines how the apparent change effort: ‘rural development service’ is reflected in the management strategies of individual agricultural...
Chen, Min; Liao, Yong; Liu, Jia; Fang, Wenjie; Hong, Nan; Ye, Xiaofei; Li, Jianjun; Tang, Qinglong; Pan, Weihua; Liao, Wanqing
Currently, research in sexual behavior and awareness in female Chinese college students (FCCSs) is limited, particularly regarding the difference and the influencing factors between students from rural areas and urban areas. To fill the gap in available data, a cross-sectional study using anonymous questionnaires was conducted among 3193 female students from six universities located in Beijing, Shanghai, and Guangzhou, China, from February to June, 2013. Of the 2669 respondents, 20.6% and 20.9% of the students from urban and rural areas, respectively, reported being sexually experienced. The proportion of students who received safe-sex education prior to entering university from rural areas (22.4%, 134/598) was lower (P Sexual behavior has become increasingly common among FCCSs, including high-risk sexual behavior such as unprotected commercial sex. However, knowledge concerning human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) transmission and the risks is insufficient, particularly for those from rural areas, which is a challenge for HIV/AIDS control in China. The Chinese government should establish more specific HIV/AIDS prevention policies for Chinese young women, strengthen sex education, and continue to perform relevant research.
Full Text Available Currently, research in sexual behavior and awareness in female Chinese college students (FCCSs is limited, particularly regarding the difference and the influencing factors between students from rural areas and urban areas. To fill the gap in available data, a cross-sectional study using anonymous questionnaires was conducted among 3193 female students from six universities located in Beijing, Shanghai, and Guangzhou, China, from February to June, 2013. Of the 2669 respondents, 20.6% and 20.9% of the students from urban and rural areas, respectively, reported being sexually experienced. The proportion of students who received safe-sex education prior to entering university from rural areas (22.4%, 134/598 was lower (P<0.0001 than the proportion from urban areas (41.8%, 865/2071. Sexual behavior has become increasingly common among FCCSs, including high-risk sexual behavior such as unprotected commercial sex. However, knowledge concerning human immunodeficiency virus (HIV/acquired immune deficiency syndrome (AIDS transmission and the risks is insufficient, particularly for those from rural areas, which is a challenge for HIV/AIDS control in China. The Chinese government should establish more specific HIV/AIDS prevention policies for Chinese young women, strengthen sex education, and continue to perform relevant research.
Tuthill, Emily L; Chan, Jessica; Butler, Lisa M
Exclusive breastfeeding (EBF) has been identified as the optimal nutrition and critical behavior in attaining human immunodeficiency virus (HIV)-free infant survival in resource-limited settings. Health-care providers (HCPs) in clinic- and community-settings throughout sub-Saharan Africa (sSA) provide infant-feeding counseling. However, rates of EBF at 6 months of age are suboptimal. HCPs are uniquely positioned to educate HIV-positive mothers and provide support by addressing known barriers to EBF. However, limited evidence exists on the experiences faced by HCPs in providing counseling on infant feeding to HIV-positive women. Our objective is to describe experiences faced by HCPs when delivering infant-feeding counseling in the context of HIV in program settings in sSA. We searched a range of electronic databases, including PubMed, CINAHL, and PsycINFO from January 1990 to February 2013, in addition to hand-searching, cross-reference searching, and personal communications. The search was limited to publications in English. Empirical studies of HCP experiences providing infant-feeding counseling in the prevention of mother-to-child transmission (PMTCT) of HIV programs in sSA were selected. We identified 10 peer-reviewed articles reporting HCP challenges in infant-feeding counseling that met inclusion criteria. Articles included qualitative, cross-sectional and mixed-method studies, and cumulatively reported 31 challenges faced by HCPs. Among the challenges identified, the most commonly reported were personal beliefs held by the HCPs toward infant feeding in the context of HIV, contradictory messages, staff workload, directive counseling styles, and a lack of practical strategies to offer mothers, often leading to improvised counseling approaches. Counseling strategies need to be developed that are relevant, meaningful, and responsive to the needs of both HCPs and mothers.
After attending trainings at senior high school mathematics curriculum standards and textbooks and curriculum reforms, the author feels that mathematics teachers are being faced with new challenges. And this paper throws some light on this issue.%经过参加高中数学课程标准和试用教材的培训学习，以及参与正在进行的课程改革实验。笔者深感数学教师面临很多新的挑战。
Chamhuri Siwar; Nor Diana Mohd Idris; Muhammad Yasar; Golam Morshed
This study is an effort to explore and investigate the issues and challenging are facing rice production and food security in Malaysia. It is also to identify the contribution of the granary areas in East Coast Economic Region (ECER) to the national food security. The important of rice as a staple food crop of Malaysia and is grown on 673,745 ha of land, producing annually 2.6 million tons of paddy grain valued at RM 2 billion, which is contribute with average growth rate of 3.7% of year, in ...
Norman, Laura M.; Hirsch, Derrick D.; Ward, A. Wesley
INTRODUCTION TO THE WORKSHOP PROCEEDINGS Competition for water resources, habitats, and urban areas in the Borderlands has become an international concern. In the United States, Department of Interior Bureaus, Native American Tribes, and other State and Federal partners rely on the U.S. Geological Survey (USGS) to provide unbiased science and leadership in the Borderlands region. Consequently, the USGS hosted a workshop, ?Facing Tomorrow?s Challenges along the U.S.-Mexico Border,? on March 20?22, 2007, in Tucson, Ariz., focused specifically on monitoring, modeling, and forecasting change within the Arizona-Sonora Transboundary Watersheds
王超群; 赵斌; 孙杨; 顾雪非
The medical insurance system for urban and rural residents after the integration will face three challenges: sustainability of finance, balanced development of medical insurance and medical care, and national insurance. To cope with the challenges, this paper proposes to implement grading treatment by the payment reform, control the rapid growth of medical expenses, enhance the sustainability of the health insurance fund, and realize universal health insurance coverage by insurance innovation which made the family as a unit.%整合后的城乡居民医保制度将面临财务可持续性、医保与医疗协调发展、全民参保难题等三大挑战。为应对挑战，建议通过大小病统包基础下的支付方式改革落实分级诊疗，控制医疗费用快速增长，提升医保基金的财务可持续性；通过以家庭为单位的参保方式创新，实现医疗保险全民覆盖。
Erick P. Massami
Full Text Available Transportation is a key to the economy and social welfare; it makes mobility more accessible and enhances the social and economic interactions. On the other hand, the increase of urban population, pollution and other negative impacts has directly affected the existing transportation system in Dar es Salaam City - Tanzania. As the transportation challenges cannot be overcome simultaneously due to the scarcity of financial resources, a decision support tool is needed to prioritize these challenges. In this study, a composite model of Vague Set Theory (VST and Analytical Hierarchy Process (AHP is applied to appraise the challenges. The Vague Analytical Hierarchy Process (VAHP uses opinions of experts collected from a survey questionnaire. The computational results reveal the ranking in descending order of the urban transportation challenges as poor traffic management, inadequacy of proper public transit service and inadequacy of road transport infrastructure. The results also depict that the VAHP model is a useful decision support tool for transport planners, transport policy makers and other industry stakeholders.
This study investigates the challenges sixteen non-native preservice ESL teachers in a Bachelor of Education (English Language) (BEdEL) programme from Hong Kong experienced in an eight-week teaching practicum. Qualitative data from semi-structured interviews and reflective journals were collected from all 16 participants to obtain a detailed…
Based on a survey conducted by our research team at the Chinese Academy of Social Sciences, the present paper reports on the development of China's new rural cooperative medical system set up in late 2002. The new rural cooperative medical system is different from the old system in that it is organized, guided and supported by the government but that rural residents voluntarily participate in its administration. It is financed by individuals,collectives and the government. The new cooperative medical system focuses on serious disease planning and mutual aid and fraternity between rural residents in health care. The results of our survey indicate that the new rural medical system has been successful up to now but that it also has some problems. China needs to pay more attention to overcoming the difficulties and challenges it faces in terms of future medical needs so that a mechanism for its sustainable development can be established.
Full Text Available With less than 6% of total global water resources but one fifth of the global population, China is facing serious challenges for its water resources management, particularly in rural areas due to the long-standing urban-rural dualistic structure and the economic-centralized developmental policies. This paper addresses the key water crises in rural China including potable water supply, wastewater treatment and disposal, water for agricultural purposes, and environmental concerns, and then analyzes the administrative system on water resources from the perspective of characteristics of the current administrative system and regulations; finally, synthetic approaches to solve water problems in rural China are proposed with regard to institutional reform, regulation revision, economic instruments, technology innovation and capacity-building. These recommendations provide valuable insights to water managers in rural China so that they can identify the most appropriate pathways for optimizing their water resources, reducing the total wastewater discharge and improving their water-related ecosystem.
The history of telecom industry development can be said to be the history of communications technology development and advance in a sense. Especially in the new century, information technology develops and changes quickly out of our imagination. Innovation in new services makes the limit among all services becoming not clear any more. Also the integration of telecom network, internet and TV net becomes a trend. All those bring new challenges for telecom administration.
Shan, Gongbing; Visentin, Peter
In a prisoner's dilemma, constructed narratives are used to demonstrate problems within individual rationality and decision-making. Performing artists can be seen as facing a type of prisoner's dilemma in their careers: they must practice repeated movements for long periods in order to improve, yet despite the short-term perception of gained artistic benefit, the long-term consequences may be playing-related musculoskeletal disorders and injury. To help avoid such an outcome, educators and health and wellness practitioners must function as negotiators, engaging in discussions of artistry as part of establishing credibility and encouraging behaviors that keep artists in efficient, healthy behaviors. By setting practice time limits that are considerate of the intensity of each specific task, performers can improve their performance on a daily basis and become more skilled at planning their future training.
和体育学的其他子学科相类似的是,运动生理学作为一个科学领域在研究(新知识的创新和消化)和教育(课堂教学和学生指导)方面也面临着巨大的挑战.我们可以通过分析运动生理学的过去和现在,解析这一学科面对的挑战,根据我们的知识和工作经验为运动生理学的发展提出自己的建议,希望能够更好的促进运动生理学的发展.%Similar to physical education and other sub-disciplincs, athlethic physiology as a scientific area is also facing huge challenge both in its study (new knowledge's innovation and digestion) and education (classroom teaching and student guidance). We could analyze the challenge faced by athlethie physiology through analyzing of its past and the present situation. Our suggestion is proposed according to our knowledge and work experience in hope of promoting athletic physiology's development.
Munn, Adam J; Treloar, Marguerite
Phenotypic plasticity allows animals to manage environmental challenges. Studies aimed at quantifying plasticity often focus on one challenge, such as diet, and one organ system, such the gastrointestinal tract, but this approach may not adequately reflect how plasticity could buffer multiple challenges. Thus, we investigated the outcomes of a dual challenge experiment that fed land snails either a high-fibre (low quality) or a low-fibre (high quality) diet, and simultaneously exercised them daily over 1.2 m on either a smooth surface of polyvinyl chloride (PVC) or a rough sandpaper. By the end of 20 days, snails fed the poor quality diet had a longer crop and oesophagus and a heavier intestine and rectum than those offered a low-fibre diet. Additionally, high-fibre fed snails had a smaller spermoviduct and oviduct. When also exercised on sandpaper, high-fibre fed snails had a smaller digestive gland, a main energy store, than those exercised on PVC. All snails exercised on sandpaper had a heavier pedal mucus gland, used a loping gait and used less mucus than those on PVC plastic, but there was no difference in the average speed of snails on either surface, supporting the conclusion that loping is a mucus conserving gait. Notably, snails faced with both a diet and substrate challenge had a smaller kidney, which could directly effect fecundity. This demonstrates that our dual challenge approach has potential for evaluating the costs and limits of the plasticity necessary to fully appreciate the evolutionary significance of plasticity in snails and other species.
Page, William R.; Parcher, Jean W.; Stefanov, Jim
Natural hazards such as earthquakes, landslides and debris flows, wildfires, hurricanes, and intense storm-induced flash floods threaten communities to varying degrees all along the United States–Mexican border. The U.S. Geological Survey (USGS) collaborates with Federal, State, and local agencies to minimize the effects of natural hazards by providing timely, unbiased science information to emergency response officials, resource managers, and the public to help reduce property damage, injury, and loss of life. The USGS often mobilizes response efforts during and after a natural hazard event to provide technical and scientific counsel on recovery and response, and it has a long history of deploying emergency response teams to major disasters in both domestic and international locations. This chapter describes the challenges of natural hazards in the United States–Mexican border region and the capabilities of the USGS in the fields of hazard research, monitoring, and assessment, as well as preventative mitigation and post-disaster response.
Jung, Mary E; Brawley, Lawrence R
Self-regulatory efficacy (SRE) should influence persistence towards goals. Mothers attempting to exercise while managing work and young children (N = 49, M(age) = 35.69, M(children) = 1.88) were stratified into high or low concurrent SRE groups, then randomized to read a hypothetical scenario detailing numerous or minimal exercise barrier conditions. Consistent with self-efficacy theory, when exercise barriers were numerous, mothers with higher concurrent SRE demonstrated greater persistence towards exercise goals, and perceived concurrent management of exercise with their other valued goals as more positively challenging, than mothers with lower concurrent SRE.
Fitzpatrick, Joan; Gray, Floyd; Dubiel, Russell; Langman, Jeff; Moring, J. Bruce; Norman, Laura M.; Page, William R.; Parcher, Jean W.
The prediction of global climate change in response to both natural forces and human activity is one of the defining issues of our times. The unprecedented observational capacity of modern earth-orbiting satellites coupled with the development of robust computational representations (models) of the Earth’s weather and climate systems afford us the opportunity to observe and investigate how these systems work now, how they have worked in the past, and how they will work in the future when forced in specific ways. In the most recent report on global climate change by the Intergovernmental Panel on Climate Change (IPCC; Solomon and others, 2007), analyses using multiple climate models support recent observations that the Earth’s climate is changing in response to a combination of natural and human-induced causes. These changes will be significant in the United States–Mexican border region, where the process of climate change affects all of the Borderlands challenge themes discussed in the preceding chapters. The dual possibilities of both significantly-changed climate and increasing variability in climate make it challenging to take full measure of the potential effects because the Borderlands already experience a high degree of interannual variability and climatological extremes.
Aiemjoy, Kristen; Stoller, Nicole E.; Gebresillasie, Sintayehu; Shiferaw, Ayalew; Tadesse, Zerihun; Sewnet, Tegene; Ayele, Bezuayehu; Chanyalew, Melsew; Callahan, Kelly; Stewart, Aisha; Emerson, Paul M.; Lietman, Thomas M.; Keenan, Jeremy D.
Background Face cleanliness is a core component of the SAFE (Surgery, Antibiotics, Facial cleanliness, and Environmental improvements) strategy for trachoma control. Understanding knowledge, attitudes, and behaviors related to face washing may be helpful for designing effective interventions for improving facial cleanliness. Methods In April 2014, a mixed methods study including focus groups and a quantitative cross-sectional study was conducted in the East Gojjam zone of the Amhara region of Ethiopia. Participants were asked about face washing practices, motivations for face washing, use of soap (which may reduce bacterial load), and fly control strategies. Results Overall, both knowledge and reported practice of face washing was high. Participants reported they knew that washing their own face and their children’s faces daily was important for hygiene and infection control. Although participants reported high knowledge of the importance of soap for face washing, quantitative data revealed strong variations by community in the use of soap for face washing, ranging from 4.4% to 82.2% of households reporting using soap for face washing. Cost and forgetfulness were cited as barriers to the use of soap for face washing. Keeping flies from landing on children was a commonly cited motivator for regular face washing, as was trachoma prevention. Conclusions Interventions aiming to improve facial cleanliness for trachoma prevention should focus on habit formation (to address forgetfulness) and address barriers to the use of soap, such as reducing cost. Interventions that focus solely on improving knowledge may not be effective for changing face-washing behaviors. PMID:27788186
Désamoré, Aurélie; Laenen, Benjamin; Stech, Michael; Papp, Beata; Hedenäs, Lars; Mateo, Ruben G; Vanderpoorten, Alain
Bryophytes are a group of early land plants, whose specific ecophysiological and biological features, including poikilohydry, sensitivity to moderately high temperature and high dispersal ability, make them ideal candidates for investigating the impact of climate changes. Employing a combined approach of species distribution modelling (SDM) and molecular phylogeography in the temperate moss Homalothecium sericeum, we explore the significance of the Mediterranean refugia, contrasting the southern and northern refugia hypotheses, determine the extent to which recolonization of previously glaciated areas has been facilitated by the high dispersal ability of the species and make predictions on the extent to which it will be impacted by ongoing climate change. The Mediterranean areas exhibit the highest nucleotidic diversities and host a mixture of ancestral, endemic and more recently derived haplotypes. Extra-Mediterranean areas exhibit low genetic diversities and Euro-Siberian populations display a significant signal of expansion that is identified to be of Euro-Siberian origin, pointing to the northern refugia hypothesis. The SDMs predict a global net increase in range size owing to ongoing climate change, but substantial range reductions in southern areas. Presence of a significant phylogeographical signal at different spatial scales suggests, however, that dispersal limitations might constitute, as opposed to the traditional view of spore-producing plants as efficient dispersers, a constraint for migration. This casts doubts about the ability of the species to face the massive extinctions predicted in the southern areas, threatening their status of reservoir of genetic diversity.
Challenge theme 7: Information support for management of border security and environmental protection: Chapter 9 in United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science
Parcher, Jean W.; Page, William R.
Historically, international borders were located far from the major political and economic capitals of their countries and rarely received adequate planning or infrastructure development. Today, as a result of global economics and increased movement of goods between nations, border regions play a much greater role in commerce, tourism, and transportation. For example, Mexico is the second largest destination for United States exports (Woodrow Wilson Center Mexico Institute, 2009). The rapid population and economic growth along the United States–Mexican border, undocumented human border crossings, and the unique natural diversity of resources in the Borderlands present challenges for border security and environmental protection. Assessing risks and implementing sustainable growth policies to protect the environment and quality of life greatly increase in complexity when the issues cross an international border, where social services, environmental regulations, lifestyles, and cultural beliefs are unique for each country. Shared airsheds, water and biological resources, national security issues, and disaster management needs require an integrated binational approach to assess risks and develop binational management strategies.
Bolsinger, V. J.; Krönke, S.; Schmelcher, P.
Exploring the impact of dimensionality on the quantum dynamics of interacting bosons in traps including particle correlations is an interesting but challenging task. Due to the different participating length scales, the modelling of the short-range interactions in three dimensions plays a special role. We review different approaches for the latter and elaborate that for multi-configurational computational strategies, finite-range potentials are adequate resulting in the need for large grids to resolve the relevant length scales. This results in computational challenges, which include the exponential scaling of complexity with the number of atoms. We show that the recently developed ab initio multi-layer multi-configurational time-dependent Hartee method for bosons (ML-MCTDHB) (2013 J. Chem. Phys. 139 134103) can face both numerical challenges and present an efficient numerical implementation of ML-MCTDHB in three spatial dimensions, particularly suited to describe the quantum dynamics for elongated traps. The beneficial scaling of our approach is demonstrated by studying the tunnelling dynamics of bosonic ensembles in a double well. Comparing three-dimensional with quasi-one dimensional simulations, we find dimensionality-induced effects in the density. Furthermore, we study the crossover from weak transversal confinement, where a mean-field description of the system is sufficient, towards tight transversal confinement, where particle correlations and beyond mean-field effects are pronounced.
Updike, Randall G.; Page, William R.
Along the nearly 3,200 kilometers (almost 2,000 miles) of the United States–Mexican border, we are witnessing the expression of the challenges of the 21st century. The Borderlands have become a microcosm for the entire United States and Mexico; the issues faced in that region are felt throughout both nations—water availability and quality, ecosystem health, natural resource needs, safety from natural hazards, and human socioeconomic well-being. If these issues were not challenging enough, we now recognize that the difficulties of addressing them are exacerbated by the onset of climate change, and as we come to better understand the complexities of the components of these challenge themes, we discover that each part is inextricably intertwined with other overarching issues. Further, because we are a creative and progressive society, we all seek to understand and appreciate the natural environments associated with the Borderlands while at the same time benefitting from the region’s many social and economic values. It is little wonder that we as a society find it increasingly difficult to ask the right questions, much less find suitable answers to the questions we do ask. For the many scientists who have worked in the Borderlands and contributed to the preceding chapters, this circular is a way to describe to the two nations of the region the capabilities the U.S. Geological Survey can provide to assist in that quest for knowledge and understanding in preparation for the future.
Kendrick, Maureen; Mutonyi, Harriet
This article seeks to better understand the relation between local and traditional modes of communication and health literacy within the context of a rural West Nile community in Northern Uganda. Drawing on social semiotics (multimodality) and Bakhtin's notion of the carnival, the focus is on a group of women participating in a grassroots literacy…
Full Text Available In the paper, divided into two parts, a problem of advancements in maritime education and research facing the 21st century challenges, based on the case study of the Gdynia Maritime University (GMU experience is discussed. Part I is devoted to the advances in the maritime education and research towards the challenges in a global meaning. The maritime education challenges are focused on contribution of the University’s representatives in full implementation of the STCW 1978 as amended in 2010 convention, and on the flexible adoption of the academic specializations and programmes to the European and National Qualifications Frameworks, as well as to the needs of a global and local labour market. The research advancements in the maritime universities are basically oriented to marine transport problems, and their main focus is concentrated on the implementation of new technologies, effective and reliable technical and organizational solutions, friendly for users and environment. Part II is dedicated to the Gdynia Maritime University experiencing the 21st century challenges. In this part, firstly the education and research potential of the Gdynia Maritime University, as the one of the world-leading maritime universities, is shortly presented. And next, the GMU’s contribution and good practices concerning the participation in modification of the processes of the IMO STCW 78/2010 convention, adoption of programmes into the international and national qualification frameworks’ standards and procedures, as well as the development of research addressed to a new technological and organizational solution are described and analyzed.
Borges, Maria Jucineide Lopes; Sampaio, Aletheia Soares; Gurgel, Idê Gomes Dantas
The complexity of providing healthcare to people with HIV/Aids requires investment in comprehensive action and care, constituting a challenge for the multidisciplinary work teams to build an interdisciplinary practice. This study sought to analyze comprehensive healthcare in the Specialized Assistance Services for HIV/Aids (SAE-HIV/Aids) in Recife, in the State of Pernambuco, starting with the process and organization of team work. This is a case study developed in three SAE-HIV/Aids units, based on a qualitative approach using different research techniques. The results show that SAE-HIV/Aids have complied with most of the Brazilian Health Ministry recommendations in terms of basic infrastructure, though none of them had a team of appropriate size. These services have shown signs of fragmentation and difficulty in establishing a systematic intersectorial and interdisciplinary practice, with failings in ensuring the reference and counter-reference flow. It was seen that there was little appreciation of the role of the manager as team leader. The need to perceive the user as a whole was identified, as well as for the team to work in a coordinated manner in order to ensure communicative and relational activities.
Full Text Available In Human Resource Management (HRM, Recruitment is the first and foremost issue to be considered with full of sincerity, because its role is to create a positive impression about the employer in the job market by ensuring effective stimuli for the job seekers. At the beginning, the study sets a picture that focuses on the importance of effective recruitment in the hospitality sector of Bangladesh and then the study details obligatory determinants of attracting efficient human resource for the development of this sector. The main objective of the paper is to study the status and the scopes of recruitment function in hospitality industry with focus towards star rated residential hotels. This study is based on primary data collection through a formal questionnaire. The questionnaire was of mixed mode with most questions in likert-type scale and few were dichotomous in nature. The key finding of the study is that recruitment is a highly challenging task in hospitality and it is quite evident that attractive compensation package is the key factor to attract potential employees. The need and scope to modernize the recruitment practices along with the line of company and employer branding ideas are also recommended in details. There is a long way to go on the way of conceptualizing and actualizing recruitment functions and practices. A paper like this can help to discuss and debate on the necessity of developing better recruitment cultural and conceptual change in these sectors.
Lauenstein, J M.
An overview is presented of the space radiation environment and its effects on electrical, electronic, and electromechanical parts. Relevant test standards and guidelines are listed. Test standards and guidelines are necessary to ensure best practices, minimize and bound systematic and random errors, and to ensure comparable results from different testers and vendors. Test standards are by their nature static but exist in a dynamic environment of advancing technology and radiation effects research. New technologies, failure mechanisms, and advancement in our understanding of known failure mechanisms drive the revision or development of test standards. Changes to standards must be weighed against their impact on cost and existing part qualifications. There must be consensus on new best practices. The complexity of some new technologies exceeds the scope of existing test standards and may require development of a guideline specific to the technology. Examples are given to illuminate the value and limitations of key radiation test standards as well as the challenges in keeping these standards up to date.
Prieto Gonzalez, Jose Manuel
Full Text Available The current “Barrio Antiguo” (Old Quarter of Monterrey (Mexico, formerly known as "Cathedral Quarter", is a postmodern product arising from the intervention between 1988 and 1994 in a sector called First Square, shortly after the construction of the “Macroplaza” (1979-1985 destroyed a significant part of that same sector. Thus, “Barrio Antiguo” became an example of consciousness cleansing experience. The area is a part of what would become the center of Monterrey, whose physical and conceptual boundaries are still undefined. After a harsh period of degradation in the quarter, especially profound in the context of organized crime and its resulting violence in recent years, the Municipal Institute for Planning and Coexistence of Monterrey (IMPLANC has undertaken the task of regenerating the area. The aim of this lecture is to reveal the difficulties faced by the previously mentioned regeneration, starting with the "inferiority complex" that stirs up among the Monterrey population –traditionally-identified with the official discourse of "greatness"– due to the humility of both the architecture and the vernacular northeastern atmosphere of the quarter, especially when comparisons are made with national historic centers which are World Heritage Sites. El actual Barrio Antiguo de Monterrey, antaño conocido como “Barrio de Catedral”, es un producto posmoderno que surge de la intervención realizada entre 1988 y 1994 en un sector del llamado Primer Cuadro de la ciudad, poco después de que las obras de la Macroplaza (1979-85 destruyeran una parte importante de ese mismo sector. Barrio Antiguo vino a ser así una especie de lavado de conciencia. La zona es una parte de lo que sería el centro histórico de Monterrey, cuyos límites físicos y conceptuales aún están sin definir. Después de una dura etapa de degradación del Barrio, especialmente intensa en el contexto de la ola de violencia de los últimos años, el Instituto
Maimu Alissa Rehbein
Full Text Available Relative to healthy controls, anxiety-disorder patients show anomalies in classical conditioning that may either result from, or provide a risk factor for, clinically relevant anxiety. Here, we investigated whether healthy participants with enhanced anxiety vulnerability show abnormalities in a challenging affective-conditioning paradigm, in which many stimulus-reinforcer associations had to be acquired with only few learning trials. Forty-seven high and low trait-anxious females underwent MultiCS conditioning, in which 52 different neutral faces (CS+ were paired with an aversive noise (US, while further 52 faces (CS- remained unpaired. Emotional learning was assessed by evaluative (rating, behavioral (dot-probe, contingency report, and neurophysiological (magnetoencephalography measures before, during, and after learning. High and low trait-anxious groups did not differ in evaluative ratings or response priming before or after conditioning. High trait-anxious women, however, were better than low trait-anxious women at reporting CS+/US contingencies after conditioning, and showed an enhanced prefrontal cortex activation towards CS+ in the M1 (i.e., 80 to 117 ms and M170 time intervals (i.e., 140 to 160 ms during acquisition. These effects in MultiCS conditioning observed in individuals with elevated trait anxiety are consistent with theories of enhanced conditionability in anxiety vulnerability. Furthermore, they point towards increased threat monitoring and detection in highly trait-anxious females, possibly mediated by alterations in visual working memory.
城乡二元体制是我国社会的基本特征之一，这一特征深刻地影响了我国的农村义务教育。我国的财政管理体制使得基层的县乡政府负担了大部分的农村义务教育投入任务，这是我国农村义务教育不公平现状的根源。要改变这一现状，必须要加大财政投入的力度，中央和省级政府应该要承担更多的农村义务教育发展的财政责任。%The city-country dual system is one of the basic characteristics of Chinese society, which profoundly influences the compulsory education in the rural area. The fiscal management system imposes majority of the rural compulsory education task to the grassroot county and township government, which defines the inequality of the rural compulsory education. To change this situation, the fiscal expenditure on rural compulsory education must be increased and the central and provincial government should shoulder more fiscal responsibility.
Baker, Derek; Abildtrup, Jens; Hedetoft, Anders
Food industry firms in remote areas face a set of constraints, which have motivated the form and function of assistance instruments under various regional and rural development programmes. Recent food industry developments present new challenges to these firms, for which available assistance may...... be less appropriate. This paper employs telephone interviews and workshop discussions with firms in isolated locations to investigate their satisfaction with assistance programmes, their ability to innovate (through product introductions) and respond to challenges in the food industry (the emergence...... concrete suggestions for network activities had been made, but overall the development is at an early stage....
Allen, Riley [Regulatory Assistance Project, Montpelier, VT (United States); Brutkoski, Donna [Regulatory Assistance Project, Montpelier, VT (United States); Farnsworth, David [Regulatory Assistance Project, Montpelier, VT (United States); Larsen, Peter [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)
The state of Alaska recognizes the challenges these rural communities face and provides financial support via the Power Cost Equalization (PCE) program. The PCE subsidizes the electricity prices paid by customers of these high-cost utilities. The PCE program is designed to spread the benefits of Alaska’s natural resources more evenly throughout the state. Yet even with this subsidy, electricity is still much more expensive for these rural customers. And beyond the PCE, other forms of assistance to rural utilities are becoming scarce given the state’s current fiscal environment. Nearly 90 percent of Alaska’s unrestricted budget funds in recent years have been tied to oil royalties—a sector experiencing significant declines in production and oil prices. Consequently, as Alaska looks to tighten budgets, the challenge of lowering rural utility costs, while encouraging self-sufficiency, has become more urgent.This study examines reliability, capital and strategic planning, management, workforce development, governance, financial performance and system efficiency in the various communities visited by the research team. Using those attributes, a tier system was developed to categorize rural Alaska utilities into Leading and Innovating Systems (Tier I), Advanced Diesel Systems (Tier II), Basic Systems (Tier III), and Underperforming Systems (Tier IV). The tier approach is not meant to label specific utilities, but rather to provide a general set of benchmarks and guideposts for improvement.
José Manuel del Barrio Aliste
Full Text Available Uno de los temas que más preocupan en la actualidad en Castilla y León es el relacionado con los problemas y desafíos de la población en las zonas rurales. Con el fin de contribuir al debate sobre esta cuestión, este texto pretende ofrecer algunas reflexiones sobre este importante y controvertido tema. En primer lugar, se reflexiona sobre la importancia de las cuestiones de población en el imaginario colectivo de la región, en el estado de la autonomía y en la “Agenda para la Población de Castilla y León”. En segundo lugar, se aportan algunos datos poblacionales básicos, poniendo de relieve las disparidades, las diferencias demográficas y los contrastes que existen en la región. Por último, en tercer lugar, proporcionar algunas propuestas para la acción, centrándose en particular en las implicaciones de los nuevos escenarios de la ruralidad. One of the issues that most concern in Castile-Leon are related to the problems and challenges of the population in rural areas. In order to contribute to the debate on this question, this text seeks to provide some thoughts about this important and controversial issue. First, some reflections about the importance of population issues in the collective imagination of the region, in the status of autonomy and in the “Agenda for the Population of Castile-Leon”. Secondly, there is some basic population data, highlighting the disparities, demographic differences and contrasts that exist in the region. Finally, thirdly, some proposals for action are provided, focusing in particular on the implications of the new context in the rural areas.
Edwards, Janine C.; Kang, JungEun; Silenas, Rasa
Context and Purpose: Rural communities face substantial risks of natural disasters but rural hospitals face multiple obstacles to preparedness. The objective was to create and implement a simple and effective training and planning exercise to assist individual rural hospitals to improve disaster preparedness, as well as to enhance regional…
Full Text Available This study is an effort to explore and investigate the issues and challenging are facing rice production and food security in Malaysia. It is also to identify the contribution of the granary areas in East Coast Economic Region (ECER to the national food security. The important of rice as a staple food crop of Malaysia and is grown on 673,745 ha of land, producing annually 2.6 million tons of paddy grain valued at RM 2 billion, which is contribute with average growth rate of 3.7% of year, in the last five years. However, the current country’s self-sufficiency level for rice production is about 71.4% and the balance imported from countries abroad. Efforts are being undertaken by government to increase the productivity, cropping intensity prediction and crop acreage to cope with the growing demand for the produce. This study examines the various issues of rice production for food security and analyses the challenging of rice production in Malaysia. Various policies, strategies and programmes for rice production will be thoroughly analysed for attaining the study objectives. In the ECER, Kemubu Agricultural Development Authority (KADA, Kemasin Semerak and North Terengganu (KETARA Integrated Agriculture Development Area (IADA is among the granary areas, which emphasised on paddy cultivation to the country. The role of the area is important to enhance the self-sufficiency level of rice in Malaysia. Issues and challenges related to rice production, food security and self-sufficiency are discussed. Various efforts and government intervention have been implemented to ensure that these areas will remain as the important granary area. Several approaches to improve the productivity and stability of food production as well as outlining the agenda to ensure the country food supply are discussed.
Callegary, James; Langeman, Jeff; Leenhouts, Jim; Martin, Peter
Along the United States–Mexican border, the health of communities, economies, and ecosystems is inextricably intertwined with the availability and quality of water, but effective water management in the Borderlands is complicated. Water users compete for resources, and their needs are increasing. Managers are faced with issues such as finding a balance between agriculture and rapidly growing cities or maintaining public supplies while ensuring sufficient resources for aquatic ecosystems. In addition to human factors, the dry climate of the Borderlands, as compared to more temperate regions, also increases the challenge of balancing water supplies between humans and ecosystems. Warmer, drier, and more variable conditions across the southwestern United States—the projected results of climate change (Seager and others, 2007)—would further stress water supplies.
Much of the Northwest Region (Alaska, Idaho, Montana, Oregon, and Washington) is rural in nature. A characteristic of the extractive economies such as timber, agriculture, mining, and fisheries is that they are generally located in small communities isolated by distances. While schools in these communities face the same challenges as those in…
Major, Jae; Wilkinson, Jane; Langat, Kip; Santoro, Ninetta
This article discusses literature pertaining to the settlement of African refugees in regional and rural Australia, particularly focusing on the specific challenges and opportunities faced by Sudanese young people of refugee background in education. Drawing on a pilot study of the out-of-school resources of regionally located young Sudanese…
Davidson, Shannon; Adams, Jennifer
Throughout the developing world, adolescents living in rural poverty face multiple and inter-related adaptive challenges. Using longitudinal data from the Gansu Survey of Children and Families, we adopt an approach grounded in resilience theory to investigate the relationship between cumulative adversity and internalizing problems among 1,659…
Cho, Eun Ji
China has been undergoing a rapid development over the past decades, and rural areas are facing a number of challenges in the process of the change. The "New Channel" project, initiated to promote sustainable development and protect natural and cultural heritage in Tongdao county in China from a rapid urbanization and economic…
Muhammad Shakil Ahmad
Full Text Available Most of the developing nations are still struggling for efficient use of their resources. In order to overcome physical and administrative constraints of the development, it is necessary to transfer the power from the central government to local authorities. Distribution of power from improves the management of resources and community participation which is considered key to sustainable development. Advocates of decentralization argue that decentralized government is source to improve community participation in rural development. Decentralized government is considered more responsive towards local needs and development of poor peoples. There are many obstacles to expand the citizen participation in rural areas. There are many approaches for participatory development but all have to face the same challenges. Current paper highlights the literature about Decentralization and participatory rural development. Concept and modalities of Decentralization, dimensions of participation, types of rural participation and obstacles to participation are also the part of this paper.
Souza, Rubem Cesar Rodrigues; Bacellar, Atlas Augusto; Seye, Omar; Goncalves, Cristiano; Cunha, Yasmine dos Santos Ribeiro; Souza, Fernando Cesar Rodrigues; Mota, Sheila Cordeiro; Sardinha, Marcia Drumond; Cunha, Priscila de Sa Leitao; Albuquerque, Felipe Oliveira; Costa, Whillison Bentes da; Silveira Junior, Wellyghan Assis [Universidade Federal do Amazonas (UFAM), Manaus, AM (Brazil). Centro de Desenvolvimento Energetico Amazonico
In this article some important elements are discussed in the challenge to make possible the isolated of the Amazon electric supply in maintainable bases. The discussion is made fundamentally starting from the experience lived in the project 'Model for Electric Power Enterprise in Isolated Communities in the Amazon - NERAM', financed by the National Council for Scientific and Technological Development - CNPq in the extent of the program 'Luz para Todos', being implemented by the Amazonian Center of Energy Development - CDEAM of Amazon Federal University - UFAM. The reading of the problem is focused in two aspects considered fundamental for the discussion, which they are: the generation of income and the generation, distribution and electric power sale. (author)
In this century,China started facing five major challenges in the energy field:energy supply,shortage of liquid fuel,environmental pollution,green house gas (GHG)emission,and energy supply in rural areas.In this paper,the Chinese energy development strategy and general technical scheme (including energy conservation,utilization of coal,alternative fuel and renewable energy) are discussed,and some key scientific problems in the fundamental research of energy are put forward.
Toledo, Chelsea E; Jacobson, Julie; Wainwright, Emily C; Ottesen, Eric A; Lammie, Patrick J
While global programs targeting the control or elimination of five of the neglected tropical diseases (NTDs)-lymphatic filariasis, onchocerciasis, soil-transmitted helminthiasis, schistosomiasis and trachoma-are well underway, they still face many operational challenges. Because of the urgency of 2020 program targets, the Bill & Melinda Gates Foundation and the U.S. Agency for International Development devised a novel rapid research response (RRR) framework to engage national programs, researchers, implementers and WHO in a Coalition for Operational Research on NTDs. After 2 years, this effort has succeeded as an important basis for the research response to programmatic challenges facing NTD programs.
The new curriculum, new ideas and new requirements concerning English teaching have made the rural English teaching face unprecedented challenges. There are many problems contributing to the poor effect of rural English teaching, such as outdated teaching equipment, unreasonable curriculum design, insufficient teaching staff, asymmetrical teaching content, family education and students' personal problems. Based on the Chinese General Social Survey data, it is found that in terms of English re...
Ramirez, Sarah M; Stafford, Randall
As a result of the rising national obesity rates, public health researchers and advocates have initiated a number of obesity prevention interventions to reduce the rates of overweight and obesity along with their related medical conditions and costs. Policymakers have also initiated a wide range of environmental and policies to support healthy eating and physical activity. Policies such as California's SB1413, which requires that free drinking water be served in school cafeterias during mealtimes, and subsequently the Healthy Hunger-Free Kids Act of 2010, assume an equal access to safe and healthy drinking water. As a result, these policies and their application may unintentionally, exacerbate the inequities already present. Unless we take reasonable steps to address the needs of high-need communities, these one-size-fits-all policy efforts may result in an unequal patchwork of disparities and may have a greater negative impact in high-need poor and rural areas.
Williams, Harry F; Vaiyapuri, Rajendran; Gajjeraman, Prabu; Hutchinson, Gail; Gibbins, Jonathan M; Bicknell, Andrew B; Vaiyapuri, Sakthivel
Snakebites cause death, disability and economic devastation to their victims, people who live almost exclusively in rural areas. Annually an estimated two million venomous bites cause as many as 100,000 deaths worldwide as well as hundreds of thousands of deformities and amputations. Recent studies suggest that India has the highest incidence of snakebite and associated deaths worldwide. In this study, we interviewed 25 hospital-based clinicians who regularly treat snakebites in Tamil Nadu, India, in order to gauge their opinions and views on the diagnostic tools and treatment methods available at that time, the difficulties encountered in treating snakebites and improvements to snakebite management protocols they deem necessary. Clinicians identified the improvement of community education, training of medical personnel, development of standard treatment protocols and improved medication as priorities for the immediate future.
At present, SINOPEC’s brand building is facing certain problems and challenges. The brand image needs to be reshaped and optimized to enhance its appeal to domestic and international consumers; the brand positioning needs to be more clear to highlight value propositions that are globally consistent; the marketing tools need to be integrated to help with brand communication and promotion; designing at the top level needs to be improved to align brand building and management systems.%当前，中国石化品牌建设面临问题和挑战。品牌形象需优化重塑，以增强品牌对国内外消费者的吸引力；品牌定位应加以明确，突出全球一致的价值主张；营销手段需进一步整合，以助力品牌传播推广；顶层设计待完善，应抓紧统一品牌建设和管理体系。
Full Text Available Starting from the premises that the competitive capacity of the SMEs is determined by their nature: some of them having rapidly growing capacity, others being totally dependent on local or regional markets, the present paper aims to investigate the capacity of SMEs from Bihor county, which carry out export and import activity, to face the challenges of integration in the European Single Market, with the purpose to guide them towards that initiatives and measures that correspond to their nature, by exploiting the possibilities offered by structural funds. The paper presents the general situation of the SMEs from Bihor county focused on those which are part of intra-communitary trade, and, on the base of a questionnaire applied to a number of 50 of them, their perceptions regarding the threats and opportunities of the European Single Market, in order to increase the absorption of structural funds and to design a Euroregional strategy for the SME sector with direct benefits for the economic agents and communities from Romania and Hungary. The paper is based on the preliminary research results of the project called “The encouragement of SMEs which carry out import-export activity from Bihor county regarding the integration in the European Single Market through the development of cross-border business services”, financed by the PHARE CBC 2005 Programme. The data used have been offered for the mentioned project by Local SMEs Council, Oradea.
Full Text Available European cities and regions are facing the crucial challenge of greening their economy towards more sustainable patterns. Politicians and policy-makers should promote new policies for sustainable growth including renewables, greenhouse gas emissions, energy efficiency and biodiversity. All of these aspects can be considered as a boost for local and regional economy. In this regard, European countries and regions can benefit from the Europe 2020 Strategy which is defined as Europe’s blueprint for a smart, sustainable and inclusive future, providing a ten year roadmap for growth and jobs. EU2020S was designed as a European exit strategy from the global economic and financial crisis in view of new European economic governance. This study discusses the above issues regarding Italy and intends to provide some answers on the perspectives of the new EU2020S. It draws from a research project supported by ESPON, the S.I.E.S.T.A. Project, focused on the territorial dimension of the EU2020S. Therefore, this paper aims at analyzing Italian regional patterns on climate change, green economy and energy within the context of EU2020S and at providing policy recommendations for better achieving the goals of the Strategy.
Based on the phenomenology of Merleau-Ponty and neuro-scientific explanation, Hubert Dreyfus puts forward the idea of ＂Intelli- gence without Representation＂. Through the critical survey, we see that it still faces some challenges. It is not definitive that expert skillful ac tion without representation. The critique of propositional representation doesn＇t result to deny any form of representation. Using phenomenolo- gy actively demands a guideline of constructive phenomenology.%立足梅洛-庞蒂的现象学思想和神经科学解释,德雷福斯提出了＂无表征智能＂的设想。基于不同角度对德雷福斯设想的批判性审视,我们看到这一设想面临着诸多挑战：很难确定专家级别的熟练技能行为完全脱离表征;命题式表征的批判并不意味着消除任何形式的表征;发挥现象学在认知科学研究中的积极作用需要阐明一种建设性的纲领。
Nearly one out of six people in the world is suffering from hunger and illiteracy. This book was developed to assist policy makers dealing with rural poverty, food insecurity and education challenges confronting rural people. It seeks to address the correlation between education, training, empowerment and food security, mainly through a number of examples from all over the world. It is about strengthening the capacity of rural people to achieve food security. It identifies different dimension...
This first article in a series on telecommunications in rural America provides an overview of several key telecommunication issues facing rural regions. High speed data services known as broadband have the potential to make rural areas less isolated and improve the rural quality of life, but physical barriers, sparse population density, and few…
Developing Academic Literacy and Voice: Challenges Faced by a Mature ESL Student and Her Instructors (Desarrollo del discurso académico y la voz: retos de una estudiante de inglés como segunda lengua y sus profesores)
Drawing on critical, socio-cultural and sociolinguistic theories of writing, text and voice, this ethnographic study examines the challenges that a mature ESL student and her instructors in a university course on Spanish Language Media face as they co-construct a common understanding of academic literacy and voice in an undergraduate General…
Roberts, Philip; Green, Bill
This paper explores some of the political and methodological challenges involved in researching rural education. It begins by outlining the situation in Australia regarding the relationship between social justice and rural education. It first describes the disadvantages experienced by many rural communities and presents an analysis of rural…
Egypt which has more advanced higher education in the Arab world has cultivated several Nobel Prize winners. The last century in the late 1980s, Egypt had early realized higher education popularity while many serious problems and challenges are facing its higher education system. Such as the contradiction between centralized management system of higher education and University autonomy, as well as the confusion and inequality which are brought about by two paralleling education system: the secular system and the religious ,or Al-Azhar system. Facing its history and current situation of higher education, Egyptian government persists in implementing the education development strategy to explore the way to cope with and get rid of dilemma. However, it is still a difficult problem for Egyptian government to realize the coordination between education and economy society.%埃及是阿拉伯世界高等教育比较发达的国家,相继培养出多位诺贝尔奖获得者.20世纪八十年代中后期,在埃及较早进入高等教育大众化阶段的同时,其高等教育系统也面临着许多严重的问题与挑战,如高等教育中央集权管理体制与大学自治的矛盾,以世俗教育和宗教教育为中心的双轨教育体制所带来的不平等和混乱等.针对其高等教育的历史与现状,埃及政府坚持实施教育兴国的现代化发展战略,积极探索应对之道,努力摆脱困境.但如何使教育和经济社会协调发展,依然是摆在埃及政府面前的一道难题.
Prout, Sarah; Lin, Ivan; Nattabi, Barbara; Green, Charmaine
Health indicators for rural populations in Australia continue to lag behind those of urban populations and particularly for Indigenous populations who make up a large proportion of people living in rural and remote Australia. Preparation of health practitioners who are adequately prepared to face the 'messy swamps' of rural health practice is a growing challenge. This paper examines the process of learning among health science students from several health disciplines from five Western Australian universities during 'Country Week': a one-week intensive experiential interprofessional education program in rural Western Australia. The paper weaves together strands of transformative theory of learning with findings from staff and student reflections from Country Week to explore how facilitated learning in situ can work to produce practitioners better prepared for rural health practice.
Despite recent research on the difficulties associated with attracting women to the rural medical workforce, and the perception that the image of the rural doctor is male, women have had a history in rural medicine in southwest New South Wales that spans a century. This paper explores the contribution to medicine of women medical practitioners working within one geographical area of rural New South Wales. It traces these women, documenting the diversity of women's medical work and some of the challenges faced. Based largely on data from contemporary reports in two local newspapers, the Daily Express and The Daily Advertiser, this paper shows that some of the silence associated with the role of women in rural medicine could be attributed to them holding positions at the margins of what is depicted as 'real' medicine, in fields that include public health and education.
Full Text Available Providing anaesthesia for the separation surgery of conjoined twins presents unique challenges to the managing anaesthesiologists. The low incidence of such surgeries and anatomical variations in each type of conjoined twins makes each separation surgery a unique experience. This report features the anaesthetic plan and challenges faced in performing the separation surgery of a set of thoraco-omphalopagus twins in a rural secondary hospital in a remote location in India.
Full Text Available Appolinary AR Kamuhabwa,1 Vicky Manyanga21Unit of Pharmacology and Therapeutics, 2Department of Medicinal Chemistry, School of Pharmacy, Muhimbili University of Health and Allied Sciences, Dar es Salaam, TanzaniaBackground: If children born to HIV-infected mothers are not identified early, approximately 30% of them will die within the first year of life due to opportunistic infections. In order to prevent morbidity and mortality due to opportunistic infections in children, the World Health Organization recommends the use of prophylaxis using co-trimoxazole. However, the challenges affecting effective implementation of this policy in Tanzania have not been documented.Aim: In this study, we assessed the challenges facing the provision of co-trimoxazole prophylaxis among children born to HIV-infected mothers in the public hospitals of Dar es Salaam, Tanzania.Methodology: Four hundred and ninety-eight infants' PMTCT (Prevention of Mother-to-Child Transmission of HIV register books for the past 2 years were reviewed to obtain information regarding the provision of co-trimoxazole prophylaxis. One hundred and twenty-six health care workers were interviewed to identify success stories and challenges in the provision of co-trimoxazole prophylaxis in children. In addition, 321 parents and guardians of children born to HIV-infected mothers were interviewed in the health facilities.Results: Approximately 80% of children were initiated with co-trimoxazole prophylaxis within 2 months after birth. Two hundred and ninety-one (58.4% children started using co-trimoxazole within 4 weeks after birth. Majority (n=458, 91.8% of the children were prescribed 120 mg of co-trimoxazole per day, whereas 39 (7.8% received 240 mg per day. Only a small proportion (n=1, 0.2% of children received 480 mg/day. Dose determination was based on the child's age rather than body weight. Parents and guardians reported that 42 (13.1% children had missed one or more doses of co
Caldon, Lisa J.M.; Collins, Karen A.; Reed, Malcolm W.; Sivell, Stephanie; Austoker, Joan; Clements, Alison M.; Patnick, Julietta; Elwyn, Glyn
Abstract Background There is interest in interventions that provide support for patients facing challenging decisions, such as the choice between mastectomy and breast conservation surgery for breast cancer. However, it is difficult to implement these interventions. One potential source of resistance is the attitudes of clinicians. Objective To examine specialist breast clinicians’ opinions about the provision of decision support interventions (DesIs) for patients. Methods As part of the development of a web‐based DesI (BresDex), semi‐structured interviews were conducted with specialist clinicians [breast surgeons, breast care nurses (BCNs) and oncologists] from four breast units in a UK region, and speciality national opinion leaders. Interviews were recorded, transcribed and analysed using the Framework approach. Results A majority of the 24 clinicians interviewed did not have a working knowledge of DesIs and were ambivalent or sceptical. Many expressed conflicting opinions: they noted the potential benefits, but at the same time expressed reservations about information overlap, overload and about content that they considered inappropriate. Many wanted access to DesIs to be always under clinical supervision. In particular, they were uncertain as regards how DeSIs could be tailored to individual patients’ needs and also accommodate clinical practice variation. BCNs were particularly concerned that DesIs might induce patient anxiety and replace their role. Conclusions The concept of providing interventions to support patients in decision‐making tasks generated concern, defensiveness and scepticism. These attitudes will be a significant barrier. Implementation efforts will need to recognize and address these issues if these interventions are to become embedded in clinical practice. PMID:21029281
Collective bargaining is the way to handle labor relationships in Western society, and the contracts are formed on the basis of consensus between labor unions and employers. The United States is an early country recognized collective bargaining and applied it into professional sports fields gradually,and developed its characteristics. In NBA＇s collective bargaining agreement, include some restrictive measures,such as the age requirement of players access to league, freedom of movement, salary cap, and so on, the purpose of these rules is to balance the competition between teams. Now, NBA＇s collective bargaining system faces the challenges from developing overseas basketball markets,so,NBA needs reconsider of its global strategy and the upcoming collective bargaining in 2011.%美国是较早确认集体谈判机制的国家，后逐渐将其适用于职业体育领域，并形成其特点。NBA的集体谈判协议中安排了球员准入年龄、自由流动及工资帽等限制性措施，其目的是为了平衡球队间的竞争。在海外篮球市场的冲击下，其集体谈判机制面临挑战，NBA需对其全球战略及即将进行的2011年集体谈判进行重新考量。
Millennium Challenge Corporation — This report provides the results from (1) an impact evaluation of the MCA's Rural Water Point Implementation Program ('RWPIP') in Nampula and (2) an evaluation of...
Using a critical theory framework, the article explores emancipatory narratives obtained through a case study of women in rural India. In-depth interviews, focus group conversations, observations, and document analysis highlight the complexity of the subsequent set of challenges facing women as it relates to both the education and empowerment for…
Full Text Available Dans cet article, on cherche à comprendre le sens de l'engagement de certains syndicalistes du Pernambouc dans les actions d'occupation des terres ainsi que les conséquences de cette nouvelle pratique observée dans d'autres États brésiliens sous l'égide du MST (Mouvement des Sans-Terre pour le syndicalisme rural vu comme le plus dynamique du pays. À l'aide d'une analyse centrée surtout sur le suivi systématique des événements organisés par la FETAPE (Fédération des travailleurs de l'agriculture à Pernambouc, on a pu percevoir que l'adhésion de ce traditionnel pôle de défense des travailleurs ruraux au modèle fabriqué par le MST a été dictée, en grande partie, par les structures internes elles-mêmes de la formation syndicale, par leurs conditions historiques de reproduction et surtout par un conflit de générations entre ses membres.
Pinto, Meredith; Rochat, Roger; Hennink, Monique; Zertuche, Adrienne D; Spelke, Bridget
Objectives In 2011, a workforce assessment conducted by the Georgia Maternal and Infant Health Research Group found that 52 % of Primary Care Service Areas outside metropolitan Atlanta, Georgia, had an overburdened or complete lack of obstetric care services. In response to that finding, this study's aim was twofold: to describe challenges faced by providers who currently deliver or formerly delivered obstetric care in these areas, and to identify essential core components that can be integrated into alternative models of care in order to alleviate the burden placed on the remaining obstetric providers. Methods We conducted 46 qualitative in-depth interviews with obstetricians, maternal-fetal medicine specialists, certified nurse midwives, and maternal and infant health leaders in Georgia. Interviews were digitally recorded, transcribed verbatim, uploaded into MAXQDA software, and analyzed using a Grounded Theory Approach. Results Providers faced significant financial barriers in service delivery, including low Medicaid reimbursement, high proportions of self-pay patients, and high cost of medical malpractice insurance. Further challenges in provision of obstetric care in this region were related to patient's late initiation of prenatal care and lacking collaboration between obstetric providers. Essential components of effective models of care included continuity, efficient use of resources, and risk-appropriate services. Conclusion Our analysis revealed core components of improved models of care that are more cost effective and would expand coverage. These components include closer collaboration among stakeholder populations, decentralization of services with effective use of each type of clinical provider, improved continuity of care, and system-wide changes to increase Medicaid benefits.
Full Text Available We conducted qualitative individual and combined interviews with couples to explore their experiences since the time of taking an HIV test and receiving the test result together, as part of a home-based HIV counselling and testing intervention.This study was conducted in October 2011 in rural KwaZulu-Natal, South Africa, about 2 years after couples tested and received results together. Fourteen couples were purposively sampled: discordant, concordant negative and concordant positive couples.Learning about each other's status together challenged relationships of the couples in different ways depending on HIV status and gender. The mutual information confirmed suspected infidelity that had not been discussed before. Negative women in discordant partnerships remained with their positive partner due to social pressure and struggled to maintain their HIV negative status. Most of the couple relationships were characterized by silence and mistrust. Knowledge of sero-status also led to loss of sexual intimacy in some couples especially the discordant. For most men in concordant negative couples, knowledge of status was an awakening of the importance of fidelity and an opportunity for behaviour change, while for concordant positive and discordant couples, it was seen as proof of infidelity. Although positive HIV status was perceived as confirmation of infidelity, couples continued their relationship and offered some support for each other, living and managing life together. Sexual life in these couples was characterized by conflict and sometimes violence. In the concordant negative couples, trust was enhanced and behaviour change was promised.Findings suggest that testing together as couples challenged relationships in both negative and positive ways. Further, knowledge of HIV status indicated potential to influence behaviour change especially among concordant negatives. In the discordant and concordant positive couples, traditional gender roles exposed
Full Text Available Nowadays science applies agricultural innovations in a wide range all over the world; however, number of water users in innovations is in smaller amounts. This might happen to a number of factors, for example lack of adequate knowledge exchange system, nominal extension services at places, lack of well-defined policies, barriers in ‘human’ minds change’, barriers at policy level. As for Uzbekistan, it could be said that practice of extension of innovations application and its diffusion in agricultural irrigation sector in Uzbekistan does not have much experience, however, before 1991 Uzbekistan was one of the Soviet Unions’ republics and as it is known, the Soviet Union had high practice in innovations in different sectors, as well as in agriculture. Although, since independence, Uzbekistan has continued to experience innovations in agricultural sector independently, their diffusion is at a challenging shape. This article captures the policy issue, how Uzbekistan started to develop water management issues in its economic reforms, it describes a case research on application of innovative technique on a farm level and accordingly, it tries to propose the aspects that need to be involved in future reforms to make the current situation be better managed.
Full Text Available The paper focuses on the need to address territorial inequalities in American healthcare services. It shows how much the situation has become critical in the United States. It discusses to what extent telemedicine is a sustainable option to reduce the negative consequences of the economic, professional and physical barriers to care in rural areas. As far as healthcare is concerned, rural and urban environments in the United States do not have to face the same barriers and challenges. The article first details what specific health issues have to be dealt with in rural areas. The case of emergency care in Vermont is then developed to illustrate what could be the benefits of using ICTs to improve access to care.
Mayer, Heidi; Renouf, Tia
Despite a large number of yearly medical graduates, rural New Zealand is faced with a scarcity of practicing physicians. Opportunities to learn and practice in rural settings start at the undergraduate level and extend to practicing physicians. There are a number of different programs available to facilitate rural medical education for all students and physicians. These programs will be discussed in this article.
Deressa, Wakgari; Ali, Ahmed; Hailemariam, Damen
A range of activities are currently underway to improve access to malaria prevention and control interventions. As disease control strategies change over time, it is crucial to understand the health-seeking behaviour and the local socio-cultural context in which the changes in interventions operate. This paper reflects on how people in an area of seasonal malaria perceive the causes and transmission of the disease, and what prevention and treatment measures they practise to cope with the disease. It also highlights some of the challenges of malaria treatment for health care providers. The study was undertaken in 2003 in Adami Tulu District in south-central Ethiopia, where malaria is a major health problem. Pre-tested structured questionnaires and focus group discussions were conducted among men and women. Malaria, locally known as busa, was perceived as the most important cause of ill health in the area. Respondent's perception and knowledge about the cause and transmission of the disease were relatively high. The newly introduced insecticide-treated nets were not popular in the area, and only 6.4% of households possessed at least one. The results showed that patients use multiple sources of health care for malaria treatment. Public health facilities, private clinics and community health workers were the main providers of malaria treatment. Despite higher treatment costs, people preferred to use private health care providers for malaria treatment due to the higher perceived quality of care they offer. In conclusion, effort in the prevention and control of malaria should be intensified through addressing not only public facilities, but also the private sector and community-based control interventions. Appropriate and relevant information on malaria should be disseminated to the local community. The authors propose the provision of effective antimalarial drugs and malaria prevention tools such as subsidized or free insecticide-treated nets.
The social and economic development of China has been inevitably drawing the attentions of foreign governments and international organizations after China's entry of WTO .Statistics which describe the basic national condition is facing both developing chances and grim challenges. So we should promote the statistical team and strengthen the training of statisticians with ability of meet the needs of the development of statistics after China' s Entry of WTO.
Full Text Available The 18th National Congress of Communist Party of China proposed the goal of building a beautiful China. The key points and difficulties of beautiful China construction lie in countryside. Beautiful countryside construction is an important integral part of the beauty of China. Under the background of rapid urbanization, industrialization and rural transformative development, beautiful countryside construction has a vital practical significance for renovating hollowed villages, improving rural living environment, reconstructing rural space and narrowing rural-urban income gap as well as promoting rural-urban integrated development. However, the construction of China's beautiful countryside is facing many challenges, i.e., population emigration, employment, land use, resource consumption and environmental governance. In this study, the strategies and outlets to solve the beautiful countryside construction problems were put forward based on the objective analysis of challenges and plights faced by beautiful countryside construction. It would provide a theoretical basis for exploring the geographical patterns of rebalancing the man-land relationship from uncoordinated mode. These findings would also provide a scientific decision support for constructing beautiful countryside construction in new period.
Barnett, Tony; Hoang, Ha; Stuart, Jackie; Crocombe, Len
Objectives To investigate the challenges of providing oral health advice/treatment as experienced by non-dental primary care providers in rural and remote areas with no resident dentist, and their views on ways in which oral health and oral health services could be improved for their communities. Design Qualitative study with semistructured interviews and thematic analysis. Setting Four remote communities in outback Queensland, Australia. Participants 35 primary care providers who had experie...
David F Nichols
Full Text Available A great challenge to the field of visual neuroscience is to understand how faces are encoded and represented within the human brain. Here we show evidence from functional magnetic resonance imaging (fMRI for spatially distributed processing of the whole face and its components in face-sensitive human visual cortex. We used multi-class linear pattern classifiers constructed with a leave-one-scan-out verification procedure to discriminate brain activation patterns elicited by whole faces, the internal features alone, and the external head outline alone. Furthermore, our results suggest that whole faces are represented disproportionately in the fusiform cortex (FFA whereas the building blocks of faces are represented disproportionately in occipitotemporal cortex (OFA. Faces and face components may therefore be organized with functional clustering within both the FFA and OFA, but with specialization for face components in the OFA and the whole face in the FFA.
Recent studies on obesity rates show alarming increases across the entire population. Some of these studies indicate higher rates of obesity in rural populations than urban and suburban populations. Obesity in children in rural places also outpaces their suburban and urban counterparts. Although a number of factors account for these differences, public health professionals and researchers have begun to recognize that conventional development patterns and land use policies in rural areas are playing an important role in the trend. Smart growth alternatives to current rural development patterns also support broad public health goals. Rural communities across America face a number of challenges, yet many are using smart growth development strategies to turn the challenges into opportunities. These strategies are structured in a way that builds on broadly held values in rural communities, ones that build upon the traditional development pattern and support multiple community goals. Public health professionals, managers, and academics will benefit from this discussion because it will explain the strategies that rural decision makers, planners, and citizens are adopting to create places that support multiple community goals including a built environment that sustains and promotes active living.
大气二氧化碳浓度升高、温度上升、降雨分布不均、灾害性天气出现频次增加等全球气候变化,深刻改变着农林生态系统昆虫群落的组成结构、功能和演替,使昆虫分布区域扩大、发生世代增多、生态适应性变异,从而影响了原有的植物-害虫-天敌间内在联系和各营养层间的固有平衡格局,最终导致一些害虫暴发成灾,一些昆虫种群数量下降,甚至一些昆虫物种灭绝.本文在综述昆虫对温度升高、干旱、温室气体(CO2、O3)变化响应研究的基础上,提出我国未来应围绕害虫对全球气候变化的响应特征、适应机制及其控制新方法3个关键的科学问题,通过长期监测、控制试验和模型预测结合,重点开展4个领域的研究工作,以应对全球气候变化下昆虫发生、控制与保护的新挑战.%Global climate change, such as elevated CO2 and O3 concentrations, rising temperature and the uneven distribution of rainfall has a profound impact on insect community composition and the interaction between host plants, and pest insects and their natural enemies. Insect responses to global climate change are frequently "species-specific" and can be negative, positive or neutral. Global climate change has been associated with an increase in the number of pest insect outbreaks, a decline in some insect populations, and even the extinction of some insect species. This review examines the effects of climate change including those in temperature, rainfall and greenhouse gases (CO2, O3), on insects. There are still many challenges facing entomologists in predicting and monitoring the impacts of climate change on insects. Future research needs to focus on the response characteristics and adaptive mechanisms of insects, and developing new control methods for insect pests through long - term monitoring, control experiments and predictive modeling.
Li, Stan Z
This highly anticipated new edition provides a comprehensive account of face recognition research and technology, spanning the full range of topics needed for designing operational face recognition systems. After a thorough introductory chapter, each of the following chapters focus on a specific topic, reviewing background information, up-to-date techniques, and recent results, as well as offering challenges and future directions. Features: fully updated, revised and expanded, covering the entire spectrum of concepts, methods, and algorithms for automated face detection and recognition systems
Idaho State Dept. of Commerce, Boise.
This document examines population trends and economic and social indicators in rural Idaho. The first few sections discuss the definition of "rural," rural challenges and strengths, and outside economic and political forces impacting Idaho's rural areas. Subsequent sections present data on population trends, migration patterns, race and…
Full Text Available Although representing less than 20% of total CAP expenditure, the Rural Development Policy (RDP 2007-2013 is supposed to support rural areas which are facing new challenges. Currently, many EU rural areas are experiencing major transformations and the traditional urban-rural divide seems outdated (OECD, 2006. Going beyond dichotomous definitions and approaches, the paper applies at EU NUTS 3 level a new composite and comprehensive measure of rurality and peripherality (the PeripheRurality Indicator, PRI: the higher this index, the more rural and peripheral a given region is. Within a Principal Component Analysis (PCA approach, this indicator takes into account both conventional socio-economic indicators and the relevant geographical characteristics of the region. On the basis of this analysis, the paper also puts forward a clusterisation of NUTS 3 regions across Europe and assesses the correlation between the RDP expenditure intensity, the PRI and the different regional clusters. This analysis is aimed at assessing the coherence of RDP fund allocation with the real characteristics of EU rural space.
Russell, Felice Atesoglu
Content teachers responsible for the instruction of English learner students will perceive myriad challenges when it comes to English learner students in the mainstream. School leaders can play a pivotal role in supporting and mitigating some of these challenges by recognizing what some of the pitfalls and issues might be for content teachers…
Moletsane, Relebohile; Mitchell, Claudia; de Lange, Naydene; Stuart, Jean; Buthelezi, Thabisile; Taylor, Myra
This article explores the use of participatory video in finding solutions to challenges faced by schools and communities in the contexts of poverty and the AIDS pandemic in one rural community in KwaZulu-Natal, South Africa. Locating the analysis within the study of feminist visual culture and the notion of the female gaze, the article focuses on…
Henning-Smith, Carrie; O'Connor, Heidi; Casey, Michelle; Moscovice, Ira
Rural residents are more likely to be enrolled in traditional fee-for-service Part D Medicare prescription drug plans, and they face particular challenges in accessing pharmaceutical care. This study examines rural/urban differences in satisfaction with Medicare Part D coverage. Using data from the 2012 Medicare Current Beneficiary Survey (N = 3,107 beneficiaries aged 65 and older), we find that rural residents have significantly lower satisfaction with Part D coverage but that regional variation in satisfaction is largely explained by differences in health services use and type of Part D plan (stand-alone versus Medicare Advantage). We conclude by suggesting a multifaceted approach to improving satisfaction with Part D for rural residents.
Nyamathi, Adeline; Ekstrand, Maria; Salem, Benissa E; Sinha, Sanjeev; Ganguly, Kalyan K; Leake, Barbara
Rural women living with HIV/AIDS (WLA) in India face multifarious challenges which affect access to antiretroviral regimens and management of HIV/AIDS. The purpose of this pilot study, using cluster randomization, is to compare the effectiveness of the Asha-Life (AL) intervention, delivered by HIV-trained village women, Asha (Accredited Social Health Activists), with a usual care group on reduction of internalized stigma and avoidant coping among 68 WLA in rural India over a 6-month period. The findings demonstrated that participation in the AL intervention was associated with significant reductions in internalized stigma and the use of avoidant coping strategies at follow-up. The findings of our study are promising in terms of the role rural village women (Asha) may play in reducing internalized stigma and avoidant coping in the lives of rural WLA in India.
Egbe BASSEY ETOWA
Full Text Available In recent times some economists view Non-Timber Forest Products (NTFPs extraction and marketing as a better alternative to timber exploitation as a rural livelihood strategy. Harvesting and sale of NTFPs have the potential for accomplishing the dual goals of natural forest conservation and income generation for the rural inhabitants. Meanwhile, realization of these dual goals in Nigeria, require an understanding of how NTFPs functions in the face of marketing, ecological, geographic and institutional constraints. Following a conceptualization of NTFPs, this paper provides a vivid overview of the simultaneous roles of NTFPs in rural livelihood enhancement and forest conservation in Nigeria. It highlights governmental initiatives with respect to conservation, the challenges and prospects of NTFPs as a conservation strategy. Conclusively, the paper suggests that appropriate NTFPs development policies are required to simultaneously address forest depletion and poverty in rural areas of Nigeria.
Full Text Available Abstract Background Kenya has bold plans for scaling up priority interventions nationwide, but faces major human resource challenges, with a lack of skilled workers especially in the most disadvantaged rural areas. Methods We investigated reasons for poor recruitment and retention in rural areas and potential policy interventions through quantitative and qualitative data collection with nursing trainees. We interviewed 345 trainees from four purposively selected Medical Training Colleges (MTCs (166 pre-service and 179 upgrading trainees with prior work experience. Each interviewee completed a self-administered questionnaire including likert scale responses to statements about rural areas and interventions, and focus group discussions (FGDs were conducted at each MTC. Results Likert scale responses indicated mixed perceptions of both living and working in rural areas, with a range of positive, negative and indifferent views expressed on average across different statements. The analysis showed that attitudes to working in rural areas were significantly positively affected by being older, but negatively affected by being an upgrading student. Attitudes to living in rural areas were significantly positively affected by being a student at the MTC furthest from Nairobi. During FGDs trainees raised both positive and negative aspects of rural life. Positive aspects included lower costs of living and more autonomy at work. Negative issues included poor infrastructure, inadequate education facilities and opportunities, higher workloads, and inadequate supplies and supervision. Particular concern was expressed about working in communities dominated by other tribes, reflecting Kenya’s recent election-related violence. Quantitative and qualitative data indicated that students believed several strategies could improve rural recruitment and retention, with particular emphasis on substantial rural allowances and the ability to choose their rural location
Along with the our country city urbanization process accelerating, more and more surplus rural labor pouring into the city, in order to seek work and life chances. This large groups of migrant workers contribute to the city development, is facing the whole from the household registration system and the closely related to employment, education and social security alliance and so on a series of institutional exclusion. Therefore, how to get a clear understanding and analysis of the current institutional barriers and effectively increase the system supply, in order to find the urbanization of peasant workers out of the way, having important significance for the development of China's industrialization, urbanization and modernization comprehensive.%随着我国城市化进程的不断加快，越来越多的农村剩余劳动力涌入城市，以寻求工作和生活的机会。这一庞大的农民工群体为城市发展做出贡献的同时，自身却面临着来自户籍制度以及与之密切相关联的就业、教育和社会保障等一系列制度的整体排斥。因此，如何清醒地认识和分析现行制度上的障碍并有效地增加制度供给，从而找到农民工市民化的出路，对全面推进我国工业化、城市化和现代化事业的发展有着积极的意义和作用。
A person may meet many challenges in his or her life.Some people think challenges are terrible.But I think they’re great.And I want to say,"Thank you,challenges!"For some people,it’s hard to face the challenges because they are afraid of failing in the end.However,it’s necessary for a person to face the challenges.Challenges are good to~①you.
A normal and healthy rural financial system for the rural economy sustained and rapid development has an important role in safeguarding . Despite years of reform of rural finance system has made significant progress, there is stil some deficiencies in rural finance system, the need for further reform and innovation of rural finance system is necessary. In this paper, recent research results in the reform and innovation of rural financial system were reviewed. This paper describes the status quo of China's rural financial development, introduces the major issues currently facing the development of rural finance, and finaly some suggestions to raised address these issues.
... Development Rural Development Economic and Rural Development Rural America Collections Rural Citizen Services Rural Funding Resources Sustainable Rural Communities What is Rural? Visual Arts and Agricultural History Abraham Lincoln and Agriculture Agricultural History Biographies Digital ...
Randive Bharat; Chaturvedi Sarika; Mistry Nerges
Abstract Background Contracting in private sector is promoted in developing countries facing human resources shortages as a challenge to reduce maternal mortality. This study explored provision, practice, performance, barriers to execution and views about contracting in specialists for emergency obstetric care (EmOC) in rural India. Methods Facility survey was conducted in all secondary and tertiary public health facilities (44) in three heterogeneous districts in Maharashtra state of India. ...
Last November, surgeons in France successfully performed the world's first face transplant surgery. Ten days later, Chen Huanran in Beijing began soliciting patients who were ready to accept a face transplant, searching for China's first such patient through an advertisement on his website and other channels. Chen, chief orthopedic surgeon at the Plastic Surgery Hospital under the Chinese Academy of Medical Sciences, has conducted more than 300 transsexual operations and was considered one of the top com...
Noelia MORALES ROMO
Full Text Available This article includes some reflections about the tandem between new technologies, particularly the Internet, and elderly people living in rural areas. This article combines a qualitative (personal interviews and focus groups andquantitative methodology (analysis of demographic data, aiming to deep about the relationship between relationshipbetween the digital divide and geographical gap for elderly people living in rural areas in Castilla y León. Results obtained from this research show the existence of structural elements in these rural areas but also symbolic aspects often overlooked, which must take into account when implementing intervention projects. This study confirms theneed to attend to the territory as a variable but also the characteristics of those who have greater difficulties in useand access to ICT, and progress towards equal opportunities.
Full Text Available Advanced connectivity offers rural communities prospects for socio-economic development. Despite Australia’s national broadband infrastructure plans, inferior availability and quality of rural Internet connections remain persistent issues. This article examines the impact of limited connectivity on rural socio-economic opportunities, drawing from the views of twelve citizens from the Boorowa local government area in New South Wales. The available fixed wireless and satellite connections in Boorowa are slow and unreliable, and remote regions in the municipality are still without any Internet access. Participants identified four key areas in their everyday lives that are impacted by insufficient connectivity: business development, education, emergency communication, and health. Rural citizens often already face challenges in these areas, and infrastructure advancements in urban spaces can exacerbate rural-urban disparities. Participants’ comments demonstrated apprehension that failure to improve connectivity would result in adverse long-term consequences for the municipality. This article suggests that current broadband policy frameworks require strategic adaptations to account for the socio-economic and geographic contexts of rural communities. In order to narrow Australia’s rural-urban digital divide, infrastructure developments should be prioritised in the most underserved regions.
Santemiz, Pinar; Spreeuwers, Luuk J.; Veldhuis, Raymond N.J.; Biggelaar , van den Olivier
As a widely used biometrics, face recognition has many advantages such as being non-intrusive, natural and passive. On the other hand, in real-life scenarios with uncontrolled environment, pose variation up to side-view positions makes face recognition a challenging work. In this paper we discuss th
The new curriculum,new ideas and new requirements concerning English teaching have made the rural English teaching face unprecedented challenges. There are many problems contributing to the poor effect of rural English teaching,such as outdated teaching equipment,unreasonable curriculum design,insufficient teaching staff,asymmetrical teaching content,family education and students’ personal problems. Based on the Chinese General Social Survey data,it is found that in terms of English reading,English speaking or English writing,the current English level of China’s rural residents is lagging behind. From the average,the reading level of rural residents is better than the speaking and writing level,but the paired T-test results show that there are no significant differences between them,suggesting that under the current system of rural English teaching,the English level of rural residents is constrained to a low level. To improve the rural English teaching in the future,it is necessary to pay close attention to the following aspects: stabilizing the investment in rural education; optimizing the English teaching content; converting the philosophy of education; increasing teacher training; establishing the new linkage system.
Kwansah, Janet; Dzodzomenyo, Mawuli; Mutumba, Massy; Asabir, Kwesi; Koomson, Elizabeth; Gyakobo, Mawuli; Agyei-Baffour, Peter; Kruk, Margaret E; Snow, Rachel C
Like many countries in sub-Saharan Africa, Ghana is faced with the simultaneous challenges of increasing its health workforce, retaining them in country and promoting a rational distribution of staff in remote or deprived areas of the country. Recent increases in both public-sector doctor and nurse salaries have contributed to a decline in international out-migration, but problems of geographic mal-distribution remain. As part of a research project on human resources in the Ghanaian health sector, this study was conducted to elicit in-depth views from nursing leaders and practicing nurses in rural and urban Ghana on motivations for urban vs rural practice, job satisfaction and potential rural incentives. In-depth interviews were conducted with 115 nurses selected using a stratified sample of public, private and Christian Health Association of Ghana (CHAG) facilities in three regions of the country (Greater Accra, Brong Ahafo and Upper West), and among 13 nurse managers from across Ghana. Many respondents reported low satisfaction with rural practice. This was influenced by the high workload and difficult working conditions, perception of being 'forgotten' in rural areas by the Ministry of Health (MOH), lack of professional advancement and the lack of formal learning or structured mentoring. Older nurses without academic degrees who were posted to remote areas were especially frustrated, citing a lack of opportunities to upgrade their skills. Nursing leaders echoed these themes, emphasizing the need to bring learning and communication technologies to rural areas. Proposed solutions included clearer terms of contract detailing length of stay at a post, and transparent procedures for transfer and promotion; career opportunities for all cadres of nursing; and benefits such as better on-the-job housing, better mentoring and more recognition from leaders. An integrated set of recruitment and retention policies focusing on career development may improve job satisfaction
Hansen-Thomas, Holly; Grosso Richins, Liliana; Kakkar, Kanika; Okeyo, Christine
This paper explores the perceived professional development needs of inservice teachers of English-language learners (ELLs) from 10 rural and small districts in the USA. The survey instrument that captured responses from 159 elementary and secondary teachers in Texas was primarily quantitative and was based on the state English as a second language…
Monroe, Pamela A.; O'Neil, Carol; Tiller, Vicky V.; Smith, Jennifer
A study examined welfare reform and food security issues. Interviews were conducted with 32 rural Louisiana women in 1997-98 when they were receiving welfare payments, in 1998-99 when they were in transition, and in 2000-01 when none received Temporary Assistance for Needy Families (TANF). Most women were African-American; about half had not…
Wang, Dayong; Otto, Charles; Jain, Anil K
rsons of interest among the billions of shared photos on these websites. Despite significant progress in face recognition, searching a large collection of unconstrained face images remains a difficult problem. To address this challenge, we propose a face search system which combines a fast search procedure, coupled with a state-of-the-art commercial off the shelf (COTS) matcher, in a cascaded framework. Given a probe face, we first filter the large gallery of photos to find the top-k most similar faces using features learned by a convolutional neural network. The k retrieved candidates are re-ranked by combining similarities based on deep features and those output by the COTS matcher. We evaluate the proposed face search system on a gallery containing 80 million web-downloaded face images. Experimental results demonstrate that while the deep features perform worse than the COTS matcher on a mugshot dataset (93.7% vs. 98.6% TAR@FAR of 0.01%), fusing the deep features with the COTS matcher improves the overall performance (99.5% TAR@FAR of 0.01%). This shows that the learned deep features provide complementary information over representations used in state-of-the-art face matchers. On the unconstrained face image benchmarks, the performance of the learned deep features is competitive with reported accuracies. LFW database: 98.20% accuracy under the standard protocol and 88.03% TAR@FAR of 0.1% under the BLUFR protocol; IJB-A benchmark: 51.0% TAR@FAR of 0.1% (verification), rank 1 retrieval of 82.2% (closed-set search), 61.5% FNIR@FAR of 1% (open-set search). The proposed face search system offers an excellent trade-off between accuracy and scalability on galleries with millions of images. Additionally, in a face search experiment involving photos of the Tsarnaev brothers, convicted of the Boston Marathon bombing, the proposed cascade face search system could find the younger brother's (Dzhokhar Tsarnaev) photo at rank 1 in 1 second on a 5M gallery and at rank 8 in 7
... Rural Health > Topics & States > Topics View more Rural Aging The nation's population is aging, and with that change comes increased healthcare needs. ... Disease Control and Prevention report, The State of Aging and Health in America 2013 , the population 65 ...
Mehta, D.; Anand GARG; Naveen K MEHTA
Mosquito repellants prevent mosquito bites and prevention of "man-mosquito contact" is a critical factor in transmission and spread of any disease through mosquitoes particularly in rural area. There has been a long standing 'bias' towards rural buyers. The rural markets are considered rigid in the nature but it is not the case in real sense. Marketing to rural buyers is not only a challenge to the marketers but to the manufacturers, communicators, national planners and economists as well. Th...
Till now,though great progress has been made in the treatment of refractory wound,severe challenges are still awaiting to be solved.The strategy of treatment is generally either non-surgical treatment or surgical treatment.Non-surgical treatment includes physical therapy,negative pressure wound therapy,growth factor therapy,stem cell transplantation,gene therapy,application of new biological dressing,application of skin tissue engineering,three-dimensional bio-printing technology,biological therapy,and Chinese herbal medicine therapy.Surgical treatment mainly includes skin graft transplantation and a variety of skin flap transplantation.To my mind,comprehensive therapy with concept of precision treatment strategy should be advocated for treatment of refractory wound.
Despite the growth of the IT industry and the high demand for IT skills university departments seem unable to attract enough student to cater for the needs of the profession. There seems to be a misconception about the difference between IT user skills and the discipline of Computing. This article attempts to do three things: 1) reinforce the view that a crisis of IT skills shortage is looming; 2) reiterate the fact that computing science is an exciting discipline that is central to the knowledge economy and that career prospects in IT-related jobs are very good despite the fears surrounding outsourcing and 3) suggest that HE computing departments must be flexible enough to embrace a two-facetted challenge: a) the changing landscape of IT Skills and b) the high hopes and aspirations of the first generation of our digital-native student community.
Full Text Available This report, based on clinical practice on a childrenÃ¢Â€Â™s ward in New Zealand, examines the role of short-term music therapy in supporting children and their parents facing the difficulties of hospitalisation. It endeavours to explore three questions. How might music therapy support hospitalised children? How can it support parents of hospitalised children? Is it important/valuable for music therapists working in a paediatric ward to involve parent(s in music therapy sessions? Three hospitalised children (aged 11 months, 5 and 7 years, who were accompanied by a parent, participated in a single individual music therapy session. From the clinical notes, semi-structured interviews with the childrenÃ¢Â€Â™s parents and a staff member, and my own reflective journal it was indicated that music therapy supported the psychosocial needs of the paediatric patients and their parents in many ways. For the children music therapy: 1 promoted normalisation; and 2 provided emotional/psychological support. For parents, it: 1 elicited positive changes in mood; 2 reduced anxiety; and 3 supported parental learning/parenting. Furthermore, the findings suggested that the wellbeing of the parent-child relationship can be supported during music therapy. The importance of parental involvement varied for each case, and highlighted different views between therapist, staff member and parents regarding this. Factors that may determine parental involvement and the benefits of both parental presence and absence during sessions were elicited. The report suggests that music therapy has the potential positively to support paediatric wards in New Zealand to provide an environment that is responsive to the psychosocial needs of hospitalised children and their parents
Full Text Available This report, based on clinical practice on a children’s ward in New Zealand, examines the role of short-term music therapy in supporting children and their parents facing the difficulties of hospitalisation. It endeavours to explore three questions. How might music therapy support hospitalised children? How can it support parents of hospitalised children? Is it important/valuable for music therapists working in a paediatric ward to involve parent(s in music therapy sessions? Three hospitalised children (aged 11 months, 5 and 7 years, who were accompanied by a parent, participated in a single individual music therapy session. From the clinical notes, semi-structured interviews with the children’s parents and a staff member, and my own reflective journal it was indicated that music therapy supported the psychosocial needs of the paediatric patients and their parents in many ways. For the children music therapy: 1 promoted normalisation; and 2 provided emotional/psychological support. For parents, it: 1 elicited positive changes in mood; 2 reduced anxiety; and 3 supported parental learning/parenting. Furthermore, the findings suggested that the wellbeing of the parent-child relationship can be supported during music therapy. The importance of parental involvement varied for each case, and highlighted different views between therapist, staff member and parents regarding this. Factors that may determine parental involvement and the benefits of both parental presence and absence during sessions were elicited. The report suggests that music therapy has the potential positively to support paediatric wards in New Zealand to provide an environment that is responsive to the psychosocial needs of hospitalised children and their parents.
Full Text Available A study of both face recognition and detection techniques is carried out using the algorithms like Principal Component Analysis (PCA, Kernel Principal Component Analysis (KPCA, Linear Discriminant Analysis (LDA and Line Edge Map (LEM. These algorithms show different rates of accuracy under different conditions. The automatic recognition of human faces presents a challenge to the pattern recognition community. Typically, human faces are different in shapes with minor similarity from person to person. Furthermore, lighting condition changes, facial expressions and pose variations further complicate the face recognition task as one of the difficult problems in pattern analysis.
Heaton, Lisa J; Smith, Timothy A; Raybould, Ted P
Individuals' utilization of dental services depends upon an array of factors, including access to care, financial restrictions, attitudes toward dental care, and dental fear. These factors, in turn, may vary across geographic locations and demographic groups. The goals of this study were to assess the use of dental services in both rural and urban areas of Kentucky and to examine challenges facing practitioners in rural areas. Individuals sampled from a rural population and patients in rural and urban dental clinics completed questionnaires about use of dental services, self-rated dental health, and dental fear. While these variables were strongly interrelated, differences emerged across locations. Patients in the urban area reported having more dental insurance but not better dental health. Patients in more rural areas reported seeking more emergency dental treatment but not more dental fear. While these factors are important considerations across locations, dental practitioners in rural areas in particular should be aware of barriers to dental care facing individuals in these areas. They have unique opportunities to provide education to their patients regarding the importance of dental care and the role of oral health in overall physical health.
Spina, John; Menec, Verena H
Age-friendly initiatives are increasingly promoted as a policy solution to healthy aging, The primary objective of this article was to examine older adults' and key stakeholders' perceptions of the factors that either help or hinder a community from becoming age-friendly in the context of rural Manitoba, a Canadian prairie province. Twenty-four older adults and 17 key informants completed a qualitative interview. The findings show that contextual factors including size, location, demographic composition, ability to secure investments, and leadership influence rural communities' ability to become age-friendly. Government must consider the challenges these communities face in becoming more age-friendly and develop strategies to support communities.
Park, Gina; Johnson, Heather; Vath, Richard; Kubitskey, Beth; Fishman, Barry
Online teacher professional development has become an alternative to face-to-face professional development. Such a shift from face-to-face to online professional development, however, brings new challenges for professional development facilitators, whose roles are crucial in orchestrating teacher learning. This paper is motivated by the need to…
Brownstein, Barry; Brownstein, Deborah; Gerlowski, Daniel A.
The challenges of online learning include ensuring that the learning outcomes are at least as robust as in the face-to-face sections of the same course. At the University of Baltimore, both online sections and face-to-face sections of core MBA courses are offered. Once admitted to the MBA, students are free to enroll in any combination of…
Robotham, Julia Emma; Lindegaard, Martin Weis; Delfi, Tzvetelina Shentova
performed within normal range on at least one test of visual categorisation, strongly suggesting that their abnormal performance with words and faces does not represent a generalised visuo-perceptual deficit. Our results suggest that posterior areas in both hemispheres may be critical for both reading...
Sørensen, Mette-Marie Zacher
Abstract: The article presents three contemporary art projects that, in various ways, thematise questions regarding numerical representation of the human face in relation to the identification of faces, for example through the use of biometric video analysis software, or DNA technology. The Dutch...... and critically examine bias in surveillance technologies, as well as scientific investigations, regarding the stereotyping mode of the human gaze. The American artist Heather Dewey-Hagborg creates three-dimensional portraits of persons she has “identified” from their garbage. Her project from 2013 entitled....... The three works are analysed with perspectives to historical physiognomy and Francis Galton's composite portraits from the 1800s. It is argued that, rather than being a statistical compression like the historical composites, contemporary statistical visual portraits (composites) are irreversible...
Full Text Available This article focuses on those Estonian male migrants to ‘Old Europe’ who spend most of their time in the domestic realm as caring fathers and supportive spouses to their wives, who are meanwhile advancing their transnational careers. In this context, masculine identity talk can be understood in terms of strategies employed in response to the challenge to the men’s masculinity that this atypical life choice is likely to entail. Identity is viewed in this article as a processual phenomenon that is relentlessly, although not always deliberately, (reformulated in discourse, rather than determined by the assigned social roles. Analysis of in-depth interviews reveals that there are varied discourses in use that efficiently reconstruct the interviewees’ sense of personal significance. Interestingly, men predominantly combine ‘alternative’ discourses (‘caring father’, ‘supportive spouse’, ‘civilised adult’, which potentially undermine Estonian idealised masculinity, with the ‘conservative’ discourses (‘professional man’, the ‘well-off’, that reinforce the Estonian male norm. Men draw on a range of potentially oppositional and conflicting resources for constructing masculinity, without much reflexive selection from their part. Hence, the discourses men engage in position the men as much as the men appear to consciously position themselves in the discourses. This poststructuralist account of identity is located within a more structural historical context of transition and change in contemporary Europe.
The installation and operation of an OSI seismic aftershock monitoring system (SAMS) is bound by strict time constraints: 30+ small arrays must be set up within days, and data screening must cope with the daily seismogram input. This is a significant challenge since any potential, single ML -2.0 aftershock from a potential nuclear test must be detected and discriminated against a variety of higher-amplitude noise bursts. No automated approach can handle this task to date; thus some 200 traces of 24/7 data must be screened manually with a time resolution sufficient to recover signals of just a few sec duration, and with tiny amplitudes just above the threshold of ambient noise. Previous tests confirmed that this task can not be performed by time-domain signal screening via established seismological processing software, e.g. PITSA, SEISAN, or GEOTOOLS. Instead, we introduced 'SonoView', a seismic diagnosis tool based on a compilation of array traces into super-sonograms. Several hours of cumulative array data can be displayed at once on a single computer screen - without sacrifying the necessary detectability of few-sec signals. Then 'TraceView' will guide the analyst to select the relevant traces with best SNR, and 'HypoLine' offers some interactive, graphical location tools for fast epicenter estimates and source signature identifications. A previous release of this software suite was successfully applied at IFE08 in Kasakhstan, and supported the seismic sub-team of OSI in its timely report compilation.
M E Baloyi
Full Text Available Teaching used to be a well-respected profession, which many people used to love in the past.Many children, when asked what they wanted to be when growing up, indicated that theywanted to be teachers. This is why – even when children were play-acting – most of them likedto play the role of a teacher. It is disturbing to learn that this profession has grown to be hated bymany people today. This is evidenced by the mass resignations of teachers from many publicschools over the past few years in South Africa. This exodus had been researched by differentscholars from different disciplines who have also made their recommendations as to how thesituation can be reversed. The fact that teachers, who are disappointed and demotivated tocontinue with the career, are the creation of God and are teaching the creation of God, calls forthe church through its pastoral theological services to play its role in trying to compose guidelinesfor the elimination of the problem. The purpose of this article is to search for possible ways inwhich the church can theologically play its role in addressing the problem of the teachers’dissatisfaction as well as giving some guidelines on how this challenge can be eliminated.
Júlio César Cossio Rodriguez
Full Text Available Este artigo analisa as configurações da política externa brasileira pós-2002 para relacionar os ganhos e perdas com as mudanças estruturais do sistema internacional. O intuito e realizar um balanço das capacidades materiais do Brasil, assim como dos seus desafios e oportunidades, a partir das categorias propostas por Randall Schweller. Chacal ou Cordeiro? Como se comporta o Brasil num sistema internacional em transição e quais podem ser as consequências? Ou seja, atua como chacal na busca de ganhos relativos ao seguir o ator mais revisionista (China, e como cordeiro na associação direta com a potência unipolar.This article analyzes the configurations of Brazilian foreign policy after 2002 in order to relate to gains and losses the structural changes of the international system. The aim is to achieve a balance of material capabilities of Brazil, as well as its challenges and opportunities, from the categories proposed by Randall Schweller. Jackal or Lamb? How does Brazil behave in the international system in transition, and what can be the consequences? That is, while Jackal it acts in pursuit of relative gains by following the more revisionist actor (China, and as Lamb in direct association with the unipolar power.
Full Text Available Introduction: This study aimed to identify the challenges of risk management in the context of clinical governance in selected hospitals of Tehran University of Medical Sciences. Materials and Methods:This study was implemented in two phases: qualitative step and quantitative step (survey. The first step was conducted using in-depth interviews and the second was carried out through a survey by questionnaire. Data were collected in hospitals through in-depth interviews with hospitals managers and the experts involved in clinical governance who had been introduced by the hospital manager. All professionals affiliated with clinical governance in Baharloo, Firoozgar, Farabi, Shahid Rajai, Ziaeian, Motahari and Sina hospitals were selected. Results: 35 experts involved in clinical governance were interviewed. According to these experts, the main obstacles in hospital risk management were: Lack of an error reporting culture, exaggerated fear of the consequences, and physicians' lack of interest in this domain. High workloads in this area have led to a reduction in employees' contributions. Conclusion: Establishing clinical governance in health care organizations has had many benefits, such as improving patient care, increased level of patients' satisfaction, establishment of a risk management system, improvement in staff and health-care personnel cooperation, and achieving a more successful organizational management. Appropriate changes in the organizational culture are necessities for the successful establishment of risk management. Human and cultural obstacles that hinder the implementation of risk management in hospitals are evident; thus, major actions are necessary to implement risk management properly in a disciplined manner.
Sardana A. Evseeva
Full Text Available The negative consequences of social and economic changes in recent decades have primarily affected the rural population and violated the main principles of medical care organization for this group. The reduction by one third in the number of district hospitals, uncompensated by adequate development of outpatient care, and a shortage of doctors in rural clinics led to reduced availability of primary care. Specialized medical assistance in regional and national hospitals has also become less accessible to the rural population due to the high cost of travel. The number of doctors and nurses in rural areas is lower by 3.4 and 1.6 times, respectively, than in cities. In this regard, the burden and responsibility for rural health workers is much higher. Study of the opinions of the medical staff of the Northern and Arctic regions is an important part of the decision-making system in health care, allowing us to carry out modernization programs in the industry and increase their efficiency through feedback mechanisms. This article presents the available data on the problems of organizing medical assistance for residents of the Northern and Arctic regions of Yakutia, because dealing with these problems is still the most socially significant task for the authorities and carries a great load of negative experience, stereotypes, and scientific-methodological errors. To assess the quality of medical care, we conducted an anonymous survey of parents and medical staff of the Northern and Arctic regions of Yakutia. A total of 1,415 parents and 322 health specialists were interviewed between 2011 and 2012. The results of the anonymous survey revealed that in the Northern and Arctic regions of Yakutia there is a deficit of qualified specialists of different profiles, an unsatisfactory infrastructure of medical offices and hospitals, and a low level of income for medical personnel and the whole population. All above listed are some of the reasons for developing
This manuscript discusses the implications of the productive paradigm changes in health and environment of rural area of Brazil. It analyzes production, economy and demography data, facing social and structural determinants with health and environmental reflexes, revealing a serious panorama that includes: a) environmental impacts associated to large productive chains, such as corn, soy-bean, cotton and sugar cane; b) chemical contamination of diverse environment compartments due to pesticides and fertilizers used in agriculture; c) the use of natural land in the expansion of agriculture and cattle farming activities; and d) the reflexes of these actions on individuals, workers or not, that are more and more forced to deal with extreme vulnerability situations because of the risk of rural work processes. Thus, the present article points that macro-determinants (or driven-forces) tends to configure the health status of Rural Brazil inhabitants which, day after day, face a series of challenges in order to guarantee dignity in their work and quality of life.
Full Text Available Abstract Background The complex mechanism of nicotine dependency makes it challenging to evaluate dependence or progress towards dependence. The aim of this study was to estimate nicotine dependence levels and identify determinants of dependence among Chinese rural-urban migrants. Methods Multi-stage systematic sampling was used to select 4,198 rural-urban migrants aged 18 years or older from three metropolises in China. A structured questionnaire was administered during face-to-face interviews. Nicotine dependence among participants was assessed by means of the six-item Mandarin Chinese Version of the Fagerström Test for Nicotine Dependence (CFTND. Determinants of dependence were analyzed using multivariate analysis of variance (MANOVA. Results Among 4,198 participants, estimated current, daily, and occasional smoking rates were 28.3%, 21.2%, and 7.1%, respectively. The CTFND score for the 894 daily smokers was 3.39(SD: 2.32. MANOVA showed that work type, age at first migration, length of migration, and number of cities ever lived were associated with nicotine dependence. Conclusion A migratory lifestyle is associated with nicotine dependence. Results could inform the design of tobacco control programs that target Chinese rural-urban migrant workers as a special at-risk population.
Fung, Ronald K F; Kerridge, Ian H
The discovery of induced pluripotent stem (iPS) cells in 2006 was heralded as a major breakthrough in stem cell research. Since then, progress in iPS cell technology has paved the way towards clinical application, particularly cell replacement therapy, which has refueled debate on the ethics of stem cell research. However, much of the discourse has focused on questions of moral status and potentiality, overlooking the ethical issues which are introduced by the clinical testing of iPS cell replacement therapy. First-in-human trials, in particular, raise a number of ethical concerns including informed consent, subject recruitment and harm minimisation as well as the inherent uncertainty and risks which are involved in testing medical procedures on humans for the first time. These issues, while a feature of any human research, become more complex in the case of iPS cell therapy, given the seriousness of the potential risks, the unreliability of available animal models, the vulnerability of the target patient group, and the high stakes of such an intensely public area of science. Our paper will present a detailed case study of iPS cell replacement therapy for Parkinson's disease to highlight these broader ethical and epistemological concerns. If we accept that iPS cell technology is fraught with challenges which go far beyond merely refuting the potentiality of the stem cell line, we conclude that iPS cell research should not replace, but proceed alongside embryonic and adult somatic stem cell research to promote cross-fertilisation of knowledge and better clinical outcomes.
Nidia Yolive Vera-Angarita
Full Text Available Starting from the assumption of a nonexistent rural school given that the current educational institution, which performs in that context, assumes an inappropriate vision of its reality which is identified by the possession of a set of economical and socio-cultural characteristics and defined as a form of existence both distinct and differentiable. This, therefore, brings forward the fact that rural schools need to adopt a rediscovery of the nature of the countryside realm as a basic condition for the elaboration of a suitable educational proposal able to cope with particularities, issues and expectations of the rural sphere, particularly, capable of facing the challenges that globalization processes set out to this form of existence.
张企申; 赵宏亮; 郑学党
facing,and identify the best operational goals and competitive strategies to assist the Port of Kaohsiung to improve operational performance and port competitiveness.
Full Text Available Mosquito repellants prevent mosquito bites and prevention of "man-mosquito contact" is a critical factor in transmission and spread of any disease through mosquitoes particularly in rural area. There has been a long standing 'bias' towards rural buyers. The rural markets are considered rigid in the nature but it is not the case in real sense. Marketing to rural buyers is not only a challenge to the marketers but to the manufacturers, communicators, national planners and economists as well. That is why it has been necessary to understand the various aspects of selected rural areas and consumption pattern for such a fast growing market i.e. mosquito repellants and rural buyers’ perception towards such urban products. The present paper aims to find out the factors influencing the purchase decisions of rural buyers for mosquito repellants and to study the perceptions of present and potential rural buyers' of selected mosquito repellant brands.
随着信息化的不断发展与进步，人们的衣、食、住、行都与计算机息息相关。在信息化背景下，计算机教育面临着重大的挑战，传统的计算机教育模式已适应不了教学的需要，需要实施改革。该文从计算机背景下的计算机教育角度出发，先分析了计算机教育所面临的挑战，然后在此基础上提出了相应的改革措施，旨在提高计算机教育水平。%With the continuous development and progress of informatization, is closely related to people's clothing, food, live, row and computer. In the background of the informationization, computer education is facing great challenge, the traditional mode of education has to adapt computer need not teaching, needs reform. In this paper, from the perspective of computer edu-cation under the background of the computer, the first analysis of the computer education challenges, and then put forward the corresponding reform measures, aimed at improving the level of computer education.
The success of any brand depends on it acceptance by the consumers. This project highlights the rural buying behaviour. The rural consumers tend to show a closed mind towards branded goods and services. Though the current scenario is improved than the past but still large amount of rural market is untapped. The marketers now understand the potential at the bottom of the pyramid but there are doubts regarding the way this market can be reached and converted into customers. Many factors like in...
Haar, F.B. Ter; Veltkamp, R.C.
Morphable face models have proven to be an effective tool for 3D face modeling and face recognition, but the extension to 3D face scans with expressions is still a challenge. The two main difficulties are (1) how to build a new morphable face model that deals with expressions, and (2) how to fit thi
Kruse, Clemens Scott; Bouffard, Shelby; Dougherty, Michael; Parro, Jenna Stewart
Native American communities face serious health disparities and, living in rural areas, often lack regular access to healthcare services as compared to other Americans. Since the early 1970's, telecommunication technology has been explored as a means to address the cost and quality of, as well as access to, healthcare on rural reservations. This systematic review seeks to explore the use of telemedicine in rural Native American communities using the framework of cost, quality, and access as promulgated by the Affordable Care Act of 2010 and urge additional legislation to increase its use in this vulnerable population. As a systematic literature review, this study analyzes 15 peer-reviewed articles from four databases using the themes of cost, quality, and access. The theme of access was referenced most frequently in the reviewed literature, indicating that access to healthcare may be the biggest obstacle facing widespread adoption of telemedicine programs on rural Native American reservations. The use of telemedicine mitigates the costs of healthcare, which impede access to high-quality care delivery and, in some cases, deters prospective patients from accessing healthcare at all. Telemedicine offers rural Native American communities a means of accessing healthcare without incurring high costs. With attention to reimbursement policies, educational services, technological infrastructure, and culturally competent care, telemedicine has the potential to decrease costs, increase quality, and increase access to healthcare for rural Native American patients. While challenges facing the implementation of telemedicine programs exist, there is great potential for it to improve healthcare delivery in rural Native American communities. Public policy that increases funding for programs that help to expand access to healthcare for Native Americans will improve outcomes because of the increase in access.
Challenge theme 7: information support for management of border security and environmental protection: Chapter 9 in United States--Mexican Borderlands--facing tomorrow’s challenges through USGS science
Parcher, Jean W.; Page, William R.
Historically, international borders were located far from the major political and economic capitals of their countries and rarely received adequate planning or infrastructure development. Today, as a result of global economics and increased movement of goods between nations, border regions play a much greater role in commerce, tourism, and transportation. For example, Mexico is the second largest destination for United States exports (Woodrow Wilson Center Mexico Institute, 2009). The rapid population and economic growth along the United States–Mexican border, undocumented human border crossings, and the unique natural diversity of resources in the Borderlands present challenges for border security and environmental protection. Assessing risks and implementing sustainable growth policies to protect the environment and quality of life greatly increase in complexity when the issues cross an international border, where social services, environmental regulations, lifestyles, and cultural beliefs are unique for each country. Shared airsheds, water and biological resources, national security issues, and disaster management needs require an integrated binational approach to assess risks and develop binational management strategies.
This letter presents a face normalization algorithm based on 2-D face model to rec-ognize faces with variant postures from front-view face.A 2-D face mesh model can be extracted from faces with rotation to left or right and the corresponding front-view mesh model can be estimated according to facial symmetry.Then based on the relationship between the two mesh models,the nrmalized front-view face is formed by gray level mapping.Finally,the face recognition will be finished based on Principal Component Analysis(PCA).Experiments show that better face recognition performance is achieved in this way.
Wu Lifang; Shen Lansun
This letter presents a face normalization algorithm based on 2-D face model to recognize faces with variant postures from front-view face. A 2-D face mesh model can be extracted from faces with rotation to left or right and the corresponding front-view mesh model can be estimated according to the facial symmetry. Then based on the inner relationship between the two mesh models, the normalized front-view face is formed by gray level mapping. Finally, the face recognition will be finished based on Principal Component Analysis (PCA). Experiments show that better face recognition performance is achieved in this way.
Our country economy development has entered a "new normal", gradualy the pattern of economic development and economic structure transformation and adjustment, the rural economy development also before the traditional, extensive to intensive agricultural economy, marketization, industrialization and commercialization. But in rural areas in our country present water resources and hydropower construction of infrastructure and the transformation and upgrading of rural economic development stil exist. This paper analysis the current status of rural areas in China water resources and hydropower engineering combining rural reality, discussed with the emphasis and direction for the work of water conservancy and hydropower, and corresponding measures are put forward.%当前我国经济发展进入了一个“新常态”，经济发展方式与经济结构逐渐得到转变和调整，农村经济发展也在由之前的传统式、粗放式的农业经济向集约型、市场化、产业化和商品化方向转变。但是就我国农村地区目前的水利水电基础设施建设与农村经济发展转型升级还存在着很大差距。本文着重分析目前我国农村地区的水利水电工程状况，结合农村实际，对水利水电工作的重点和方向加以探讨，并提出针对性的措施。
王永平; 周丕东; 黄海燕; 刘希磊
新时期民族地区农村反贫困成效如何,直接关系到2020年我国全面小康社会战略目标能否实现.本文以贵州省为例,在分析新时期农村反贫困面临的挑战的基础上,提出了针对不同对象实施有针对性的扶贫措施、扶业与扶人并举、区域瞄准与人口瞄准相结合的扶贫开发总体思路,并从“两项制度”衔接、推进区域连片开发、完善“大扶贫”联动机制和扶贫资金投入与监管机制、健全贫困动态监测与绩效考评机制等方面,提出了推动新时期农村扶贫开发体制机制创新的对策措施.%The effectiveness of the rural anti-poverty in minority regions in the new period directly concerns the realization of the two strategic goals of basically eliminating absolute poverty phenomena and completely building overall well-off society by 2020 in China. Based on the analysis of the rural poverty problems and challenges of rural anti-poverty in Guizhou Province, this paper puts forward the general idea of poverty alleviation, which is adopting pertinent poverty alleviation measures for different poor populations, supporting the development of both rural industry and poor populations, and targeting both poor region and poor populations. Meanwhile, the paper suggests specific countermeasures for promoting institutional innovation of the rural poverty alleviation in terms of linking "two systems", promoting regional development, perfecting linkage mechanisms of anti-poverty and the mechanisms of poverty alleviation fund investing and controlling, and improving the dynamic monitoring and evaluation mechanisms, etc.
Full Text Available With the intention of keeping the status of educational research Forming Schools teachers in Tlaxcala, has initiated an diagnosis to define the challenges facing these institutions, mainly the Rural Normal School Lic Benito Juarez. This research is documentary, quantitative and qualitative, is still in process. area systematized information. Statistics of the Educational Services Unit of the State of Tlaxcala, the PEFEN 2011-2012 and Curriculum 2012 and also various policy documents, research data at national level and normal schools were reviewed. The first approach suggests that teacher training institutions face major challenges, which they can no longer delay therefore involves a reorganization of the activities developed by teachers and institutions.
Laursen, Lea Louise Holst; Møller, Jørgen
villages in order to secure their future. This paper will address the concept of cluster-villages as a possible approach to strengthen the conditions of contemporary Danish villages. Cluster-villages is a concept that gather a number of villages in a network-structure where the villages both work together...... of municipalities in 2007 has resulted in geographical larger municipalities in which the distance between the lived lives in the rural villages seem increasingly alienated from the municipal government and civil service. These challenges require new methods and approaches that address the reality of the rural...... on economies of scale, or the decentralised model based on proximity. In the developments and debate relating to these matters, strategic and visionary planning is back in the municipal arena as the only tool capable of handling the many different challenges facing the municipalities. Mellem disse...
Foreign banks are beginning to invest in China's rural financial system, helping to meet a strong need for capital As Chinese commercial banks retreat from the rural market, foreign banks appear ready to jump into a sector with a strong thirst for capital. In July, Rabobank Group, the International Finance Corp. and the United
Treillon, Roland; And Others
This publication describes the formation and evolution of rural agribusiness (RA) in the southern hemisphere as a precondition for improving the lives of families in rural communities, and focuses on RA endeavors created by development projects in Latin America, the Caribbean, and Africa. After a short introduction, the first section of this study…
with extreme vulnerability situations because of the risk of rural work processes. Thus, the present article points that macro-determinants (or driven-forces tends to configure the health status of Rural Brazil inhabitants which, day after day, face a series of challenges in order to guarantee dignity in their work and quality of life.
Lander, Karen; Poyarekar, Siddhi
It has been previously established that extraverts who are skilled at interpersonal interaction perform significantly better than introverts on a face-specific recognition memory task. In our experiment we further investigate the relationship between extraversion and face recognition, focusing on famous face recognition and face matching. Results indicate that more extraverted individuals perform significantly better on an upright famous face recognition task and show significantly larger face inversion effects. However, our results did not find an effect of extraversion on face matching or inverted famous face recognition.
Many rural municipalities are challenged due to overall population decline and demographic changes and thus need to make adjustment to municipal services. Demographic profiles are central for assessing both needs, place bound resources and development potential of individual localities.Assessment...... and whether service adjustments are incorporated in municipal plans for strategic development. Keywords: place bound potential, development in rural communities, municipal services and strategic planning....
Apostolopoulos, George; Tzitzilonis, Vasileios; Kappatos, Vassilios;
Disguised face recognition is considered as very challenging and important problem in the face recognition field. A disguised face recognition algorithm is proposed using quaternionic representation. The feature extraction module is accomplished with a new method, decomposing each face image...
Through five cases from high-end fashion brands, this article explores the use of models in contemporary fashion marketing. The models represent subversive beauty ideals, and the aim of the analysis is to determine whether these ‘faces’ are intended to challenge stereotypes concerning age, gender...... that while greater diversity may be a positive side effect of the use of subversive beauty ideals the stereotypes are also the prerequisite for the social strategy at play. This strategy deals with the Logic of Wrong where social distinction is created through literally doing something that is considered...
Osuna Torres, Blanca Herlinda; Gonzáles Rendón, M C Cristina
The current avatars situate education schools and colleges in training students for competitions so that they be able to: perform successfully in the labor market, develop in a globalized world and deliver "human sense" services these can offer. The pillars of education  or the four ways to acquire significant knowledge for life are the basic premises on which is built the new educational dynamics in the context of globalization and global village, prepare students for internationalizaition is now imperative. In a globalized world in which we now live, acquire an ecological awareness, sense of solidarity, responsibility, social justice, peace, harmony, democracy, equity and learn to know, are actions that are thought together and as indispensable for complex life on the planet. The socio-cultural, economic, technological and political demand new ways of understanding the world and require fundamental changes in lifestyles for sustainable development.
@@ Alarming local oil industry This year, the purchasing price of rapeseed from China's major production bases has gone up due to the decline in planting area of oil-bearing crops. In this June, the purchase price of rapeseeds from Anhui Province, a major rape production base in China, increased by 10%～20% from this May and by 50%～60% over last year. It was even 0.26 yuan /jin (half a kilogram) higher than the highest price level of last year. Domestic oil price rise has also resulted in the increasing import of cooking oil.
... NIAID, NIH Partnerships with Foreign Countries, NIAID, NIH Public-Private Partnerships Technology Transfer Collaborations Resources by Health/ ... Services Office of Biodefense Research & Surety Communications Government Relations ... Dr. John J. McGowan Visitor Information
Carlo Granados Beltrán
Full Text Available Experiments in Content Language Integrated Learning have been carried out most of the time at primary and secondary education. However, not much is known about what higher education institutions are doing in this respect. This article aims to present an experience that occurred in the Languages Department at Universidad Central (Bogotá, Colombia in relation to the inclusion of content in language classes bymeans of project work. The way project work was organised as well as how it was evaluated in the different levels will be explained. Finally, a discussion of some surveys applied to both students and teachers to evaluate the experience will be presented, taking into consideration the advantages and limitations of this kind of work for university contexts.
I. Background The intellectual property-related legislation has been substantially in place in China. Compared with the national laws that are not clearly discussed in theory and from which no basic, sectorial laws are made, the laws in the field of intellectual property right is more sophistic, and the legislation in this regard in China is more developed than that in most developing countries. All the successive Directors General of the World Intellectual Property Organisation of the United Nations say...
... Viral Suppression Doctor, Clinical & Dental Visits Treatment Adherence Mental Health Substance Abuse Issues Sexual Health Nutrition & Food Safety Exercise Immunizations Aging with HIV/AIDS Women’s Health Housing ...
Anzellotti, Stefano; Caramazza, Alfonso
Recognizing the identity of a face is computationally challenging, because it requires distinguishing between similar images depicting different people, while recognizing even very different images depicting a same person. Previous human fMRI studies investigated representations of face identity in the presence of changes in viewpoint and in expression. Despite the importance of holistic processing for face recognition, an investigation of representations of face identity across different face parts is missing. To fill this gap, we investigated representations of face identity and their invariance across different face halves. Information about face identity with invariance across changes in the face half was individuated in the right anterior temporal lobe, indicating this region as the most plausible candidate brain area for the representation of face identity. In a complementary analysis, information distinguishing between different face halves was found to decline along the posterior to anterior axis in the ventral stream.
DeGutis, Joseph; Cohan, Sarah; Nakayama, Ken
Prosopagnosia has largely been regarded as an untreatable disorder. However, recent case studies using cognitive training have shown that it is possible to enhance face recognition abilities in individuals with developmental prosopagnosia. Our goal was to determine if this approach could be effective in a larger population of developmental prosopagnosics. We trained 24 developmental prosopagnosics using a 3-week online face-training program targeting holistic face processing. Twelve subjects with developmental prosopagnosia were assessed before and after training, and the other 12 were assessed before and after a waiting period, they then performed the training, and were then assessed again. The assessments included measures of front-view face discrimination, face discrimination with view-point changes, measures of holistic face processing, and a 5-day diary to quantify potential real-world improvements. Compared with the waiting period, developmental prosopagnosics showed moderate but significant overall training-related improvements on measures of front-view face discrimination. Those who reached the more difficult levels of training ('better' trainees) showed the strongest improvements in front-view face discrimination and showed significantly increased holistic face processing to the point of being similar to that of unimpaired control subjects. Despite challenges in characterizing developmental prosopagnosics' everyday face recognition and potential biases in self-report, results also showed modest but consistent self-reported diary improvements. In summary, we demonstrate that by using cognitive training that targets holistic processing, it is possible to enhance face perception across a group of developmental prosopagnosics and further suggest that those who improved the most on the training task received the greatest benefits.
我国大学在高等教育国际化、高等教育大众化、高等教育体制改革、办学资源竞争以及建设高等教育强国等复杂背景下产生了一些不适甚至是失败，究其根源在于缺少成熟的现代大学思想与现代大学制度作为发展的思想基础与制度基础。因而，我国大学要走出发展困局，必须逐渐建立成熟的现代大学思想和完善的现代大学制度、培养现代大学校长以及在大学推行和实施战略管理。%Universities in our country faced many challenges such as the internationalization and popularization of higher education,the higher education system reform,the competition for school-running resources and the construction of “A Strong Nation of Higher Education”. Those challenges are results from the shortage of a mature modern university thought as the ideological basis for the development of the modern university system and a kind of foundation as the perfect system of the development. Therefore,the university should establish gradually mature modern university ideas and perfect modern university system,and cultivate the modern university President in colleges and universities to push and implement strategy management to go out of the development dilemma.
Full Text Available Background: Maine is a rural state with an aging population located in the northeastern United States. Pharmacists play an important role in serving the public’s health as they are often the most available point-of-contact within a community. Objective: To assess the current pharmacy practice needs as viewed by licensed pharmacists across our rural state, and to distinguish issues that are unique to rural pharmacy practice. Methods: An online survey was sent to all licensed pharmacists in the state in the fall of 2014 (n=1,262 to assess their pharmacy practice needs, and specify an rural-specific needs, within the categories of (1 opioid misuse, abuse, and diversion, (2 challenges associated with access to healthcare, (3 poly-pharmacy use, (4 meeting the needs of special populations, (5 lack of antibiotic stewardship, and (6 resources, such as staffing. Results: The response rate was 22.1 % (n=279. We found the most agreed upon issue facing pharmacists’ in Maine is opioid use, misuse and diversion, followed closely by shortages in staffing. We also learned that pharmacists’ view pharmaceutical care for older adults, those with low health literacy, and those with mental disabilities more time-consuming. Some urban-rural differences were discovered in with regard to the pharmacists’ views; such as the magnitude of the distance barrier, and limited transportation options available to rural residents. Issues related to polypharmacy were viewed as more problematic by pharmacists practicing in urban versus rural sites. Conclusions: Pharmaceutical care in Maine must focus on meeting the needs of the elderly, those with disabilities, and those with limited health literacy. As with the rest of the nation, opioids challenge pharmacy practice in a variety of ways. These findings clarify areas that present opportunities for pharmacists to focus more specifically on Maine’s largely rural population.
Smith, H L; Haley, D; Piland, N F
Rural hospitals confront an inauspicious environment due to changes in patient reimbursement and medical practice. Facing a situation of declining revenues, marketing presents an option for rural hospitals to adapt to the growing constraints. This paper analyzes the determinants of marketing strategy emphasis in rural hospitals. The conceptual model adopted in this study predicts that prior performance and contextual variables explain marketing strategy emphasis. The relationships are examined in a case study of rural New Mexico hospitals. Results suggest that prior performance and several contextual variables explain variations in marketing strategy emphasis. In particular, higher gross patient revenues are associated with more emphasis on television and radio advertising. Furthermore, rural New Mexico hospitals with high numbers of licensed beds and medical staff members, or that are affiliated with a chain organization, place greater emphasis on market research and market planning. The implications for marketing practice in rural hospitals are discussed.
Park, Unsang; Tong, Yiying; Jain, Anil K
One of the challenges in automatic face recognition is to achieve temporal invariance. In other words, the goal is to come up with a representation and matching scheme that is robust to changes due to facial aging. Facial aging is a complex process that affects both the 3D shape of the face and its texture (e.g., wrinkles). These shape and texture changes degrade the performance of automatic face recognition systems. However, facial aging has not received substantial attention compared to other facial variations due to pose, lighting, and expression. We propose a 3D aging modeling technique and show how it can be used to compensate for the age variations to improve the face recognition performance. The aging modeling technique adapts view-invariant 3D face models to the given 2D face aging database. The proposed approach is evaluated on three different databases (i.g., FG-NET, MORPH, and BROWNS) using FaceVACS, a state-of-the-art commercial face recognition engine.
＂公民新闻＂是新闻传播领域一个新兴概念,＂公民新闻＂的报道者被称作＂公民记者＂,是＂web2.0时代＂的催生品。＂公民记者＂的出现给传统媒体施加了不小的压力,本文通过对＂公民记者＂优劣势的梳理比较,同时结合一些＂公民记者＂案例,概括总结出目前职业记者面临的挑战,以及新媒体时代职业记者的出路和对策。%＂Civil journalism＂ is a new concept in the field of journalism.People who report ＂civil news＂ are called ＂civil journalists＂,which is a product of the web2.0 time.The emergence of civil journalists has posed quite a pressure on traditional media.By weighing the advantages and disadvantages of ＂civil journalists＂ and exploring some cases of ＂civil journalists＂ such as Pan Shiyi,this thesis aims to summarize the challenges facing by professional journalists and to put forward with the solutions and strategies for professional journalists in this new media era.
过去40年,世界遗产地已经成为保护世界上最珍贵的自然和文化遗产最强有力的方式.今天,促进更加可持续的生存方式的愿望,对这些独特的“保护孤岛”提出了新的挑战.通过反思实现上述两大目标带来的机会和引发的潜在紧张关系,建议遗产地可以获得更多利益,条件是世界遗产地的杰出普遍价值能够得到更敏感、更具包容性、创造性和开放的方式的规划和管理.%For the last 40 years World Heritage properties has been a powerful way of protecting the world's most prized natural and cultural assets. Today the desire to promote more sustainable approaches to living, pose new challenges to these unique "Conservation islands". Reflecting on the opportunities and potential tensions associated with pursuing these two ambitions, this critique reviews and suggests the additional benefits which could arise if the Outstanding Universal Values of World Heritage properties are planned and managed in a more sensitive, inclusive creative and outward facing manner.
The ever increasing adoption of mobile technologies and ubiquitous services allows to sense human behavior at unprecedented levels of details and scale. Wearable sensors are opening up a new window on human mobility and proximity at the finest resolution of face-to-face proximity. As a consequence, empirical data describing social and behavioral networks are acquiring a longitudinal dimension that brings forth new challenges for analysis and modeling. Here we review recent work on the representation and analysis of temporal networks of face-to-face human proximity, based on large-scale datasets collected in the context of the SocioPatterns collaboration. We show that the raw behavioral data can be studied at various levels of coarse-graining, which turn out to be complementary to one another, with each level exposing different features of the underlying system. We briefly review a generative model of temporal contact networks that reproduces some statistical observables. Then, we shift our focus from surface ...
As the Chinese economy soars ahead in the wake of the international financial crisis, more attention is being given to the country’s indus-trial, financial, investment and trade figures. But the Central Rural Work
Full Text Available Ageing society, lack of skilled workforce, changes in work life careers and changes in partner and family models, a shift in societal roles of women and men, young and old, migration flows from rural to urban, multiple residences and new forms of housing and the related spatial impacts are in focus of demographic change. It is obvious that demographic change is not to be managed without gender and equality issues. Spatial planning has a crucial role in facing these challenges as spatial planning laws demand to ensure equal access to housing, services and labour markets and to organize transparent and inclusive decision making procedures. The paper explores key concepts, methods and selected case studies from Europe on gender planning trying to focus on the potential for innovating planning discipline and tackling with demographic change issues in rural areas. Cases from Bavaria and Austria compared to rural regions in Eastern Germany with high female emigration show concrete planning approaches.
Full Text Available Looking ahead, rural Europe faces significant challenges. Some of these are long-term and will require major adaptation, such as climate change, increasing scarcity of fossil fuels and the ageing indigenous population. Others are medium-term and subject to political uncertainty, such as economic stagnation and unemployment, pressures from in-migration, and constrained public finances. Markets appear likely to continue to encourage conventional farm modernisation and capitalization, but these may increase, rather than resolve, rural problems and tensions. Seen through an ecological lens, conventional patterns of development decrease rural social, environmental and economic resilience, and yet this is becoming increasingly important. New approaches are needed which can work with global and local processes to maintain rural diversity, quality and community: key factors in resilience-building. Interesting tactics may involve increasing local capacity to act, stimulating new local products, services and markets and new forms of pluri-activity. Business profitability and productivity will remain central, but can be realised in a variety of unconventional ways. Some examples and approaches are briefly presented and some general lessons identified for the new Rural Development Policy and Programmes, 2014–2020.
How Do EFL Student Teachers Face the Challenge of Using L2 in Public School Classrooms? (¿Cómo enfrentan los docentes practicantes de inglés como lengua extranjera el reto de usar una segunda lengua en las aulas de clase de la escuela pública?)
Viáfara, John Jairo
As an EFL Student teachers' advisor, I had constantly perceived that they regarded using the target language with their pupils inside their classroom as a challenge. That is why I became interested in investigating how thirteen student teachers in Tunja public schools faced this issue. While participants were involved in a reflective teaching…
Understanding and Facing Discipline-Related Challenges in the English as a Foreign Language Classroom at Public Schools (Comprensión y tratamiento de los retos asociados a la disciplina en el aula de lengua extranjera en escuelas públicas)
Quintero Corzo, Josefina; Ramírez Contreras, Odilia
Complying with school regulations and teachers' instructions is a basic principle of an excellent class; both novice and experienced teachers face challenging situations when getting into real classrooms, especially those related to classroom management. There are various reasons that explain discipline problems in public schools, as well as…
黎国庆; 袁兆康; 刘勇; 何沛源; 郑建军; Mark Harris
电子健康档案在社区卫生服务中逐渐发挥出不可替代的积极作用,但是在农村地区电子健康档案的日常使用面临着诸多问题,如村医对电子健康档案功效性认识不足、操作不熟练、软件不够完善、电子健康档案与其他相关软件衔接不完善、缺乏日常行为规范准则及人员流动不便信息及时更新.为了促进村医开展电子健康档案工作,本文主要从完善软件、新农合定点机构的授权、改善工作环境、公共卫生补助、职业发展、养老保险等方面进行了激励措施的探讨分析.%Electronic health records ( EHR ) has gradually played an active and irreplaceable role in Community Health Services, but the daily use of EHR in rural areas is facing many problems, such as lack of knowledge about the efficacy of EHR, unskilled operation, imperfect software, imperfect integration between EHR and other health management software, lack of daily behavior rule, and difficulty of information update resulting from turnover of personnel. In order to promote rural doctors to carry out the work of EHR, this paper mainly explored the incentive policies about perfecting software, authorization of new Rural Cooperative Medical institutions, improvement of working environment, public health grants, career development, and pension insurance, and so on.
Based on an ethnographic study in a rural middle school in Northwest China, the author explores how the transition of the rural countryside, specifically townization, has challenged the urban-rural dichotomy being reproduced in and by formal schooling. Rural students express criticism of the chaos, pollution, and corruption they have experienced…
Ingrid G Barlow
Full Text Available This study compared outcomes of wheelchair seating and positioning interventions provided by telerehabilitation (n=10 and face-to-face (n=20; 10 in each of two comparison groups, one urban and one rural. Comparison clients were matched to the telerehabilitation clients in age, diagnosis, and type of seating components received. Clients and referring therapists rated their satisfaction and identified if seating intervention goals were met. Clients recorded travel expenses incurred or saved, and all therapists recorded time spent providing service. Wait times and completion times were tracked. Clients seen by telerehabilitation had similar satisfaction ratings and were as likely to have their goals met as clients seen face-to-face; telerehabilitation clients saved travel costs. Rural referring therapists who used telerehabilitation spent more time in preparation and follow-up than the other groups. Clients assessed by telerehabilitation had shorter wait times for assessment than rural face-to-face clients, but their interventions took as long to complete. Keywords: Telerehabilitation, Telehealth, Videoconferencing, Wheelchair Seating, Outcomes, Rehabilitation
Saurabh D. Parmar,
Full Text Available Face Recognition (FR under various illuminations is very challenging. Normalization technique is useful for removing the dimness and shadow from the facial image which reduces the effect of illumination variations still retaining the necessary information of the face. The robust local feature extractor which is the gray-scale invariant texture called Local Binary Pattern (LBP is helpful for feature extraction. K-Nearest Neighbor classifier is utilized for the purpose of classification and to match the face images from the database. Experimental results were based on Yale-B database with three different sub categories. The proposed method has been tested to robust face recognition in various illumination conditions. Extensive experiment shows that the proposed system can achieve very encouraging performance in various illumination environments.
Brown, Charles S; Gander, Brian; Cunningham, Michael; Furr, Allen; Vasilic, Dalibor; Wiggins, Osborne; Banis, Joseph C; Vossen, Marieke; Maldonado, Claudio; Perez-Abadia, Gustavo; Barker, John H
Human face transplantation is now a clinical reality. The surgical techniques necessary to perform these procedures have been used routinely in reconstructive microsurgery for many years. From an immunological standpoint since face and hand contain mostly the same tissues it is reasonable to assume that the same immunosuppressive regimen found to be effective in human hand transplants should also work in face transplantation. It is the ethical issues associated with the risks and benefits of performing facial transplantation that have posed the greatest challenges leading up to performing this new procedure. In this editorial, we will review some of the main events that have led to the recently performed human face transplants, specifically focusing on the key ethical issues at the center of this debate. We will discuss how the research and clinical experience in human hand transplantation laid the foundation for performing face transplantation and describe the research and the ethical guidelines upon which a team at the University of Louisville based their position "to move ahead" in spite of much criticism. Finally we will outline some of the key arguments against face transplantation, and conclude with a discussion on what comes next now that the first human face transplants have been performed.
Dakshina Ranjan Kisku
Full Text Available Faces are highly challenging and dynamic objects that are employed as biometrics evidence in identity verification. Recently, biometrics systems have proven to be an essential security tools, in which bulk matching of enrolled people and watch lists is performed every day. To facilitate this process, organizations with large computing facilities need to maintain these facilities. To minimize the burden of maintaining these costly facilities for enrollment and recognition, multinational companies can transfer this responsibility to third-party vendors who can maintain cloud computing infrastructures for recognition. In this paper, we showcase cloud computing-enabled face recognition, which utilizes PCA-characterized face instances and reduces the number of invariant SIFT points that are extracted from each face. To achieve high interclass and low intraclass variances, a set of six PCA-characterized face instances is computed on columns of each face image by varying the number of principal components. Extracted SIFT keypoints are fused using sum and max fusion rules. A novel cohort selection technique is applied to increase the total performance. The proposed protomodel is tested on BioID and FEI face databases, and the efficacy of the system is proven based on the obtained results. We also compare the proposed method with other well-known methods.
Full Text Available Introduction: We aimed to quantify and identify associated factors of linkage to HIV care following home-based HIV counselling and testing (HBHCT in the ongoing ANRS 12249 treatment-as-prevention (TasP cluster-randomized trial in rural KwaZulu-Natal, South Africa. Methods: Individuals ≥16 years were offered HBHCT; those who were identified HIV positive were referred to cluster-based TasP clinics and offered antiretroviral treatment (ART immediately (five clusters or according to national guidelines (five clusters. HIV care was also available in the local Department of Health (DoH clinics. Linkage to HIV care was defined as TasP or DoH clinic attendance within three months of referral among adults not in HIV care at referral. Associated factors were identified using multivariable logistic regression adjusted for trial arm. Results: Overall, 1323 HIV-positive adults (72.9% women not in HIV care at referral were included, of whom 36.9% (n=488 linked to care 42%, p<0.001. Linkage to care was lower in students (adjusted odds-ratio [aOR]=0.47; 95% confidence interval [CI] 0.24–0.92 than in employed adults, in adults who completed secondary school (aOR=0.68; CI 0.49–0.96 or at least some secondary school (aOR=0.59; CI 0.41–0.84 versus ≤ primary school, in those who lived at 1 to 2 km (aOR=0.58; CI 0.44–0.78 or 2–5 km from the nearest TasP clinic (aOR=0.57; CI 0.41–0.77 versus <1 km, and in those who were referred to clinic after ≥2 contacts (aOR=0.75; CI 0.58–0.97 versus those referred at the first contact. Linkage to care was higher in adults who reported knowing an HIV-positive family member (aOR=1.45; CI 1.12–1.86 versus not, and in those who said that they would take ART as soon as possible if they were diagnosed HIV positive (aOR=2.16; CI 1.13–4.10 versus not. Conclusions: Fewer than 40% of HIV-positive adults not in care at referral were linked to HIV care within three months of HBHCT in the TasP trial. Achieving universal
Full Text Available Introduction: Inadequate, inequitable distribution of the medical workforce remains a challenge across the globe, and India is no exception. Odisha, a state in India faces a major shortage of doctors particularly in rural and remote areas. In order to address this challenge, it is essential to understand medical students′ career plans, specialization preferences, choices of job location and sector, and views on working in rural and remote areas. This study explored the immediate and long-term career plans of final year medical students, their intended practice locations and underlying reasons for the choices. Methodology: A cross-sectional survey was conducted in all the medical colleges (three government and three private in the state of Odisha. Through the systematic sampling method, data were gathered from 390 final year students. A semi-structured questionnaire was administered to the students and data were analyzed using SPSS version 20. Results: Of the 390 students, 290 (74.35% were from a government college. The most preferred immediate career goal was postgraduation studies (45.9% of students in government medical schools and 54% in private. About 17% of government students and 9% of private students showed willingness to work in rural areas, in the long run. Nearly 44.5% mentioned opportunities for career growth, followed by the possibilities for higher education (26.8% as major the factors for preferring an urban posting. Similarly, higher pay scales, better working conditions were major factors for preferring the private sector. Most of the students maintained that good housing, better salaries, and adequate facilities at the workplace would attract more students toward rural service. Conclusion: Since public funded medical students are not motivated to serve in rural settings, increasing the number of places or establishing new medical institutions may not be an effective solution to the issue. Approaches such as extended clinical
介绍了2008年国际金融危机对世界炼油工业带来的各种影响,分析了在后危机时代世界炼油工业面临的各种机遇与挑战.挑战:(1)炼油能力过剩增加;(2)国际油价走高;(3)轻重原油价差收窄;(4)汽柴油价格颠倒;(5)炼油工业要为提高汽车燃油效率,增加生物燃料用量和减排CO2付出沉重代价;(6)炼油工程建设项目投资难以大幅度减少.机遇:(1)石油基运输燃料将继续主导世界运输燃料市场,炼油厂仍将是汽油和柴油的主要来源地;(2)轻重原油价差会重新拉大;(3)升级换代炼油技术不断出现,重质劣质渣油深度转化技术取得突破性进展;(4)亚太地区将持续引领全球炼油能力的增长.%The effects of international financial crisis on the world petroleum refining industry were introduced, and the challenges and opportunities faced by the industry were discussed. The challenges were as follows:( 1 )the surplus refining capacity increased; (2)the petroleum price in international market continued to rise;(3 )the price difference between light and heavy oils shortened; (4) the prices for gasoline and diesel oil inversed; ( 5 ) the refining industry has to pay rather heavily for improving automobile fuel efficiency, enhancing biofuel consumption and reducing carbon dioxide emission;(6) the investment in refining projects is hard to be decreased. The opportunities were as follows: ( 1 ) petroleum - based transportation fuel will still dominate the world fuel market, and the refineries will continue to be the major providers of gasoline and diesel oil; (2)the price difference between gasoline and diesel oil will increase again; ( 3 ) the upgrade refining technologies will continue to be created, and the deep conversion technology for heavy and poor quality residua has got a breakthrough progress; (4)Asia Pacific will still keep the leading place in enlarging refining capacity.
Millennium Challenge Corporation — The impact evaluation design of the rural water intervention proposes two separate approaches so as to ensure a “defensive evaluation” that is, so that results can...
随着社会的迅猛发展和科技水平的不断提高，进入21世纪之后，我们的社会经济迎来了另一个时代，知识经济时代。在知识经济时代的社会大背景下，知识经济的到来对经济管理提出了新的要求。文章首先对知识管理进行了简要的概述，其次对构建知识管理学科体系的必要性和可行性进行了详细的分析，详细阐述了知识管理科学所面临的挑战，同时根据相关知识管理学科体系的探索，探究了知识管理学科体系的框架和主要内容。%With the rapid development of society and the improvement of science and technology, enter in twenty-first Century, our social economy has ushered in another era, the era of knowledge economy. In the social background of the era of knowledge economy, the arrival of the knowledge economy put forward new requirements for economic management. This article is a brief overview of the knowledge management, then makes a detailed analysis on the necessity and feasibility of constructing the system of subject knowledge management, expounds the scientific challenges faced by knowledge management, at the same time according to the exploration of knowledge management discipline system, to research framework and main content of knowledge management.
Developing Academic Literacy and Voice: Challenges Faced by A Mature esl Student and Her Instructors Desarrollo del discurso académico y la voz: retos de una estudiante de inglés como segunda lengua y sus profesores
Full Text Available Drawing on critical, socio-cultural and sociolinguistic theories of writing, text and voice, this ethnographic study examines the challenges that a mature ESL student and her instructors in a university course on Spanish Language Media face as they co-construct a common understanding of academic literacy and voice in an undergraduate General Studies Program offered by a university in Western Massachusetts. Intertextual analysis of the data suggests that traditional product-based approaches to helping students develop academic literacy might not be very effective. However, to be able to take a different approach, such as the one suggested by genre scholars, both faculty teaching content subjects and writing tutors would need appropriate training.Con base en teorías criticas, socioculturales y sociolingüísticas sobre escritura académica, texto y voz, este estudio etnográfico explora los retos que enfrentan una estudiante hablante de inglés como segunda lengua y sus profesores de un curso de Medios de Comunicación en Lengua Española al construir conjuntamente los conceptos de literacias académicas y de voz en un curso de pregrado en estudios generales ofrecido por una universidad en Massachusetts. El análisis intertextual de los datos recogidos muestra que algunos métodos tradicionales dirigidos a la elaboración de productos pueden resultar poco efectivos para apoyar el desarrollo de la escritura académica. Sin embargo, se concluye que para usar metodologías mas efectivas, como las propuestas por las teorías de genero, es indispensable que tanto los profesores de las diferentes materias como los tutores reciban el entrenamiento adecuado.
张福兴; 李军; 王健; 李宁宁
Industrial engineering is a way to be flourishing and successful for one business. In the background of economic globalization, China＇s enterprises are faced with the severe challenges from market competition. It is urgent for us to apply the theory and method of industrial engineering into reducing production cost, improving product quality and the level of management. The enterprise should combine the industrial engineering and its own culture together and start with changing the ideology of the employees and from the lean factory, lean business to lean supply chain, promote the complete change of production system gradually. This will do good for the formation of unique management mode which owns the enterprise characteristics and having a continued improvement of the core competitiveness of the enterprise.%工业工程是企业的兴业之道、成功之术。在经济全球化背景下,我国的企业面临着严酷的市场竞争挑战,迫切需要应用工业工程的理论和方法,降低生产成本,提高产品质量,改善管理水平。企业应将工业工程与企业自身的文化相融合,从转变员工的思想意识着手,逐步从精益现场、精益工厂、精益企业到精益供应链推动生产体系的彻底变革,形成具有企业自身特色的管理模式,促使企业核心竞争力的不断提升。
According to the background of a new round of global technological and industrial revolution, combined with develop-ment condition in manufacturing industry in China, the opportunities and challenges faced under new model of intelligent manufacturing were analyzed. It was put forward for development of the intelligent manufacturing that two development routes should be made sure, as well as of propelled gradually construction of intelligent factory with classified levels and in step by step. Then, product technology in-novation should be paid more attention, and product quality and reliability levels improved to enhance competitiveness. Finlay, services in intelligent product and intelligent manufacturing must be developed with a great effort to promote intelligent manufacturing model widely used in industry.%以全球新一轮科技革命和产业变革为背景,结合我国制造业发展情况,分析了在智能制造新生产模式下我国制造业发展面临的机遇和挑战,提出了发展智能制造要明确两条发展路线,明确要分层次、 分步骤逐步推进智能工厂建设,并注重产品技术创新,提升产品质量可靠性水平,大力发展智能产品和智能制造服务业,最终推动智能制造模式在工业领域的广泛应用.
Thompson, Greg; Cook, Ian
This paper uses Deleuze and Guattari's concept of faciality to analyse the teacher's face. According to Deleuze and Guattari, the teacher-face is a special type of face because it is an "overcoded" face produced in specific landscapes. This paper suggests four limit-faces for teacher faciality that actualise different mixes of significance and…
Mark R. Schmeler
Full Text Available Rehabilitation service providers in rural or underserved areas are often challenged in meeting the needs of their complex patients due to limited resources in their geographical area. Recruitment and retention of the rural clinical workforce are beset by the ongoing problems associated with limited continuing education opportunities, professional isolation, and the challenges inherent in coordinating rural community healthcare. People with disabilities who live in rural communities also face challenges accessing healthcare. Traveling long distances to a specialty clinic for necessary expertise may be troublesome due to inadequate or unavailable transportation, disability specific limitations, and financial limitations. Distance and lack of access are just two threats to quality of care that now being addressed by the use of videoconferencing, information exchange, and other telecommunication technologies that facilitate telerehabilitation. This white paper illustrates and summarizes clinical and vocational applications of telerehabilitation. We provide definitions related to the fields of telemedicine, telehealth, and telerehabilitation, and consider the impetus for telerehabilitation. We review the telerehabilitation literature for assistive technology applications; pressure ulcer prevention; virtual reality applications; speech-language pathology applications; seating and wheeled mobility applications; vocational rehabilitation applications; and cost effectiveness. We then discuss external telerehabilitation influencers, such as the positions of professional organizations. Finally, we summarize clinical and policy issues in a limited context appropriate to the scope of this paper. Keywords: Telerehabilitation, Telehealth, Telemedicine, Telepractice
Comaschi, F.; Stuijk, S.; Basten, T.; Corporaal, H.
The problem of online face tracking from unconstrained videos is still unresolved. Challenges range from coping with severe online appearance variations to coping with occlusion. We propose RFTD (Robust Face Tracking-by-Detection), a system which combines tracking and detection into a single framewo
Elfattah, Marwa M A; Sarhan, Ebada
Nowadays, mobile handsets combine the functionality of mobile phones and PDAs. Unfortunately, mobile handsets development process has been driven by market demand, focusing on new features and neglecting security. So, it is imperative to study the existing challenges that facing the mobile handsets threat containment process, and the different techniques and methodologies that used to face those challenges and contain the mobile handsets malwares. This paper also presents a new approach to group the different malware containment systems according to their typologies.
Municipal service provision in rural communities EU policies for rural development stress the importance of investments rather than subsidies and aim at integrating different sectoral policies in order to improve the coherence and effectiveness of public expenditure. Policies also emphasize...... a place-based approach for rural development and thereby setting a competitive framework for local development. Rural municipalities are challenged due to demographic changes and population decline and consequently need to adjust municipal services. In this respect it is stressed that service provision...... communities. The paper further discusses whether rural municipalities can plan strategically, manage service provision and support place bound potential in rural communities in light of a competitive framework for local development....
Massoud, May A; Al-Abady, Abdolmonim; Jurdi, Mey; Nuwayhid, Iman
Adequate and safe water is important for human health and well-being, economic production, and sustainable development. Failure to ensure the safety of drinking water may expose the community to the risk of outbreaks of waterborne and infectious diseases. Although drinking water is a basic human right, many people do not have access to safe and adequate drinking water or proper sanitation facilities. The authors conducted a study to assess the quantity, cost, continuity, coverage, and quality of drinking water in the village of Zawtar El-Charkieh, Lebanon. Their aim was to identify the challenges of sustainable access to safe drinking water in order to determine the short-term management actions and long-term strategies to improve water quality. Results revealed that contamination of the source, absence of any disinfection method or insufficient dose, poor maintenance operations, and aging of the networks are significant factors contributing to water contamination during the storage and distribution process. Establishing a comprehensive drinking water system that integrates water supply, quality, and management as well as associated educational programs in order to ensure the safety and sustainability of drinking water supplies is essential.
Currently,faced with the rapid development of information technology and increasing competition of the global economy,many countries have been very concerned about the issues of informatization concerning agriculture and rural areas. The level of informatization in the developed countries has been universally high,and some developing countries are also highly concerned about how to actively promote the rural market information service. With the increasing level of China’s economic development,agriculture and rural economy have placed a growing demand on informatization. From the overall perspective of agricultural and rural informatization,this paper gives a detailed analysis of current situation,goals,tasks and constraints about agricultural and rural informatization construction,and finally makes the corresponding recommendations.
For lower-income farmers in China,from those living in the generally well-off coastal regions in the east,to those in the relatively poor landlocked interior in the west,the recent news from Beijing no doubt brought smiles to tired and worried faces:the Central Government has decided to extend the safety net,literally dubbed the basic living guarantee system,to all the rural poor from this year.
Byrne, T. R.; Byrne, J. M.; McDaniel, S.
Food insecurity is one of the most important challenges facing humanity in the 21st century - a challenge that will be further exacerbated by the changing climate. The effects of human induced climate change will be most disproportionate and severe in the developing world, where a stable food supply, decreased purchasing power, and adequate nutrition are often already a daily struggle. This study will build on work done by the Food and Agriculture Organization (FAO) of the United Nations (UN), and will assess how vulnerability to household food insecurity will be affected by global warming in various rural parts of Latin America. Temperature data from downscaled Global Circulation Models (GCM) will be used in conjunction with the results of national household surveys to generate information on each rural farming household's probability of falling below a food poverty threshold in the near future. The results of the study will allow us to distinguish between households that are likely to experience chronic food insecurity and those that are likely to experience transitory food insecurity, permitting for improved targeting of policy responses.
高校女生的发展状况主要从学业与能力表现、职业准备、社会交往、政治和社会事务参与、婚恋状况、身心健康和社会性别观念等七个方面衡量。研究发现，高校女生在学习表现上并不落后于男生；绝大部分女生赞同女性也应该有自己的一番事业；通过寻找兼职及获得职业证书的方式为自己积累求职资本；更偏好与初级群体建立联系，和其他人建立起情感性的密切关系；在政治活动和参与社团活动等方面并不落后，有更多的女生加入社会公益组织；在平衡学业和情感关系上，高校女生表现出一定的优势；高校女生的社会性别观念日趋理性、平等。高校女生有着良好的发展状况和发展环境的同时，也面临着挑战和处于不利的发展环境。%The development status of women college students is measured in these ways: academic performance and ability; vocational preparation; social interactions; political and social engagement; romantic relationships and marital status; mental and physical health; gender consciousness. The research demonstrates women college students do well in their academic outcomes compared to men college students. Most of the researchers hold the opinion that women should have their own careers; accumulating career capital by way of doing part-time work and acquiring professional qualifications; women prefer to establish close relationships with grass-roots groups; many women students take part in volunteer and community service organizations; they also perform better in balancing learning and romantic relationships. The gender consciousness of women students is more rational and equal. On the other hand, they also face challenges and unfavorable environment.
Walzer, Norman; Harger, Brian L.
Rural areas are undergoing a significant transition with both opportunities and challenges that will require effective management and investment strategies by all levels of government. Since 2007, the recession has magnified long-term shifts in employment and economic activity, especially in rural areas. The employment structure continues to…
Romanian rural area faces a violent lack of entrepreneurship initiatives, which can generate negative economic and social phenomena, with medium and long-term effects, such as: the decreased living standards of people in rural areas, the migration of young people from rural areas, which generates psychosocial problems among children who have to stay with their grandparents, the sharp decrease of interest for agriculture and, thus, the decrease of GDP ratio from agricultural activities, the la...
Charlier, Hara Dracon
As rural community colleges face mounting fiscal pressure, the ability to attract adjunct faculty members to support the institutional mission becomes increasingly important. Although the professional literature documents differences between rural, suburban, and urban community colleges, the effect of this institutional diversity on the role and…
Grineski, Sara E.
Asthma is the number one chronic health condition facing children today; however, little is known about rural-urban inequalities in asthma. This "area effects on health" study examines rural-urban differences in childhood asthma hospitalizations within the state of Texas using negative binomial regression models. Effects associated with…
Weigel, Daniel J.; Baker, Brad G.
The purpose of this article is to review the available literature regarding rural couple and family counseling, in conjunction with the findings of research in closely related fields. This review is conducted in an effort to identify unique practice issues facing rural couple and family counselors. (Contains 77 references.) (GCP)
Jaeger, Audrey J.; Dunstan, Stephany Brett; Dixon, Karrie Gibson
Students from rural areas face additional burdens, such as affordability, academic preparation, and lack of college-going resources that make seeking, enrolling, and attending college more difficult. Community colleges offer hope to achieve a college degree for many rural students, and well-developed articulation agreements can be one way of…
Wardle, Jon; Lui, Chi-Wai; Adams, Jon
Contexts: The consumption of complementary and alternative medicine (CAM) in rural areas is a significant contemporary health care issue. An understanding of CAM use in rural health can provide a new perspective on health beliefs and practice as well as on some of the core service delivery issues facing rural health care generally. Purpose: This…
Nahar, Papreen; Kannuri, Nanda Kishore; Mikkilineni, Sitamma; Murthy, G V S; Phillimore, Peter
This article examines challenges facing implementation of likely mHealth programmes in rural India. Based on fieldwork in Andhra Pradesh in 2014, and taking as exemplars two chronic medical 'conditions' - type 2 diabetes and depression - we look at ways in which people in one rural area currently access medical treatment; we also explore how adults there currently use mobile phones in daily life, to gauge the realistic likelihood of uptake for possible mHealth initiatives. We identify the very different pathways to care for these two medical conditions, and we highlight the importance to the rural population of healthcare outside the formal health system provided by those known as registered medical practitioners (RMP), who despite their title are neither registered nor trained. We also show how limited is the use currently made of very basic mobile phones by the majority of the older adult population in this rural context. Not only may this inhibit mHealth potential in the near future; just as importantly, our data suggest how difficult it may be to identify a clinical partner for patients or their carers for any mHealth application designed to assist the management of chronic ill-health in rural India. Finally, we examine how the promotion of patient 'self-management' may not be as readily translated to a country like India as proponents of mHealth might assume.
Ipsen, Catherine; Rigles, Bethany; Arnold, Nancy; Seekins, Tom
Telecommunication offers rural vocational rehabilitation (VR) clients a method of communicating with their VR counselor between face-to-face visits. Unfortunately, certain telecommunication methods may not be available to many rural VR clients or may pose barriers in the rehabilitation process. This article describes findings from an exploratory…
Mehaffy, George L.
In the past twenty years, various industries have been forever altered by technology: newspapers, book publishing, the photography business, and many more. Higher education too faces unprecedented challenges primarily driven by rapid changes in technology. To meet these challenges and adapt to these changes, new models are needed. Six challenges…
Pegg, John; Panizzon, Debra
When questioned, secondary mathematics teachers in rural and regional schools in Australia refer to their limited opportunities to engage and share experiences with peers in other schools as an under-utilised and cost-effective mechanism to support their professional learning and enhance their students' learning. The paper reports on the creation and evaluation of a network of learning communities of rural secondary mathematics teachers around a common purpose—enhancement and increased engagement of student learning in mathematics. To achieve this goal, teams of teachers from six rural schools identified an issue hindering improved student learning of mathematics in their school. Working collaboratively with support from university personnel with expertise in curriculum, assessment and quality pedagogy, teachers developed and implemented strategies to address an identified issue in ways that were relevant to their teaching contexts. The research study identifies issues in mathematics of major concern to rural teachers of mathematics, the successes and challenges the teachers faced in working in learning communities on the issue they identified, and the efficacy of the professional learning model.
Md. M. Hossain
Full Text Available Problem statement: Bangladesh, often better known to the outside world as a country of natural calamities, is a poor and low-income country. Bangladeshs main challenge is to reduce poverty through increasing equitable income. Although Bangladesh has faced many problems since its independence in 1971, its gross domestic product has been growing steadily and the country has achieved much success in social indicators. This article explores the culture of consumption in rural Bangladesh and answers the following question: How is Bangladeshi culture associated with consumption. Approach: This study employed a triangulation of methods: namely semi-structured indepth qualitative interviews, ethnography and unstructured conversations substantiated by secondary sources and photographs. Results: This study highlighted consumption and other related issues of marriage and dowry, household decision making, division of labor, as well as different festivals such as Eid (for Muslims, the Bengali New Year and Durga puja (for Hindus. Early marriage and dowry are still practiced in rural areas. Women in rural Bangladesh perform most of the household work but men, as in any other patriarchal society, make the major decisions. Conclusion: The government and NGOs should engage in various activities to boost awareness among the rural people.