Sample records for chilean rural practitioner

  1. Nurse Practitioner Autonomy and Satisfaction in Rural Settings. (United States)

    Spetz, Joanne; Skillman, Susan M; Andrilla, C Holly A


    Rural primary care shortages may be alleviated if more nurse practitioners (NPs) practiced there. This study compares urban and rural primary care NPs (classified by practice location in urban, large rural, small rural, or isolated small rural areas) using descriptive analysis of the 2012 National Sample Survey of NPs. A higher share of rural NPs worked in states without physician oversight requirements, had a DEA (drug enforcement administration) number, hospital admitting privileges, and billed using their own provider identifier. Rural NPs more often reported they were fully using their NP skills, practicing to the fullest extent of the legal scope of practice, satisfied with their work, and planning to stay in their jobs. We found lower per capita NP supply in rural areas, but the proportion in primary care increased with rurality. To meet rural primary care needs, states should support rural NP practice, in concert with support for rural physician practice.

  2. Information-Seeking Activity of Rural Health Practitioners. (United States)

    Matsuda, Sandra; Donaldson, Joe F.

    The information-seeking activity (ISA) of 16 rural health practitioners (occupational, physical, and respiratory therapists; radiological technologists; speech/language pathologists; and nurses) was explored using qualitative methods of participant observation, document collection, and in-depth interviews. Field notes and documents were collected…

  3. Video-conferencing: under-used by rural general practitioners. (United States)

    Robinson, Anske


    The objective was to investigate the use of and value General Practitioners place on video-conferencing as a tool in providing rural health care. The participants were 8 rural general practitioners in rural Victoria towns. I found that six out of the eight GPs did not value video-conferencing as a tool to assist with patient care, and the other two GPs were interested in the technology only for certain aspects of support with patient consultations and continuing education. In conclude that there needs to be a review of whether video-conferencing equipment should continue to be implemented in the same way that it has been so far in Victoria, and of the cost-effectiveness of providing video-conferencing facilities in rural health services. In particular, there needs to be a review of whether more training and support for rural general practitioners is needed to increase the uptake of video-conferencing. Alternatively, analysis can be undertaken of the intrinsic value of using video-conferencing as an interactive tool for obtaining specialist support for patient care or undertaking continuing education via video-conferencing, and the program discontinued if it is found to be unwarranted.

  4. Quality assessment of private practitioners in rural Wardha, Maharashtra

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    Ganguly Enakshi


    Full Text Available Objective: To assess the quality of care provided by private practitioners in rural areas of Wardha district. Methodology: The study was carried out in three primary health centres of Wardha district. 20% of the 44 registered private practitioners were selected randomly for the study. The data was collected using checklist through direct observation for the infrastructure. Assessment of quality of services delivered, 10 consecutive patients were observed and also the medical practitioner was interviewed. Supplies and logistics were assessed through observation. Results: All the facilities were sheltered from weather conditions and 90% had adequate waiting space. But, drinking water and adequate IEC material was available in only 20% facilities. Complete history taking and relevant physical examination was done in only 20% cases. Only 20% practitioners recorded blood pressure and 30% recorded temperature in cases with fever. Provisional diagnosis was not written in any of the case and only 20% explained prescription to the patients. Conclusion: There is considerable scope to improve the quality of services of private practitioners. To achieve this quality assurance programs may be initiated along with the training of private medical practitioners.

  5. Rural career choice issues as reported by first year medical students and rural general practitioners. (United States)

    Somers, G T; Young, A E; Strasser, R


    Governments have recently instituted several programmes designed to attract medical students to rural practice. Questions may be raised as to whether interventions based around issues identified as important to practising rural general practitioners (GPs) are equally applicable to undergraduate medical students. The results of two studies on the importance of personal and practice issues as ascribed by Australian rural GPs and Victorian medical students are analysed. The effect of the students' gender, place of origin and intended location of practice is assessed. Findings suggest that practising GPs may have resolved many of the student issues and may be well placed to advise students on perceived hurdles to rural practice. Furthermore, students may be seeking a practice style similar to that sought by female GPs. The present paper concludes that while there are similarities between the groups, the differences identified support caution when basing student programmes on research performed on rural GPs.

  6. [The analysis of functioning of general practitioners offices in rural area]. (United States)


    The article deals with the analysis of functioning of general practitioners offices in rural municipal districts of Penzenskaya oblast. The particular forms of such practices (only adults, adults and children) are analyzed. The analysis of functional capacity of general practitioners offices depending on size of population assigned to the feldsher posts is presented. The measurement of work of general practitioner in pilot rural municipal district is carried out. The need in general practitioners offices and planned size of both adult and children population per one position of general practitioner is substantiated. The recommendations concerning the estimate of numbers of positions of general practitioners depending on size of population assigned to the feldsher posts are given.

  7. The advanced registered nurse practitioner in rural practice. (United States)

    Schmidt, L; Brandt, J; Norris, K


    Availability of health care to rural areas is limited. FNP's in rural practice have the ability to address rural needs and tailor interventions to the specific attributes of rural populations. The objective of this article is to define the role and the functions of the FNP and to support and defend this role in the rural setting. Much of the FNP research presented in the literature to date focuses on urban populations; therefore, the unique health care problems and needs of rural populations will first be defined as they relate to the FNP's scope of practice.

  8. Patterns of Computer Usage among Medical Practitioners in Rural and Remote Queensland. (United States)

    White, Col; Sheedy, Vicki; Lawrence, Nicola


    As part of a study examining continuing medical education, computer usage was investigated among medical practitioners in rural and remote Queensland (Australia). Surveys of 131 rural doctors showed that they used computers more than their urban counterparts and more than previously estimated. A majority of respondents considered Internet delivery…

  9. Nature of association between rural background and practice location: A comparison of general practitioners and specialists

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    Humphreys John S


    Full Text Available Abstract Background Rural and remote areas are characterised by a shortage of medical practitioners. Rural background has been shown to be a significant factor associated with medical graduates' intentions and decisions to practise within a rural area, though most studies have only used simple definitions of rural background and not previously looked at specialists. This paper aims to investigate in detail the nature of the association between rural background and practice location of Australian general practitioners (GPs and specialists Methods Data for 3156 GPs and 2425 specialists were obtained from the Medicine in Australia: Balancing Employment and Life (MABEL study. Data on the number of childhood years resident in a rural location and population size of their rural childhood location were matched against current practice location. Logistic regression modelling was used to calculate adjusted associations between doctors in rural practice and rural background, sex and age. Results GPs with at least 6 years of their childhood spent in a rural area were significantly more likely than those with 0-5 years in a rural area to be practising in a rural location (OR 2.28, 95% CI 1.69-3.08, whilst only specialists with at least 11 years rural background were significantly more likely to be practising in a rural location (OR 2.27, 95% CI 1.77-2.91. However, for doctors with a rural background, the size of the community that they grew up in was not significantly associated with the size of the community in which they currently practise. Both female GPs and female specialists are similarly much less likely to be practising in a rural location compared with males (GPs: OR 0.53, 95% CI 0.45-0.62. Conclusions This study elucidates the association between rural background and rural practice for both GPs and specialists. It follows that increased take-up of rural practice by new graduates requires an increased selection of students with strong rural

  10. A study of rural preschool practitioners' views on young children's mathematical thinking (United States)

    Hunting, Robert P.; Mousley, Judith A.; Perry, Bob


    The project Mathematical Thinking of Preschool Children in Rural and Regional Australia: Research and Practice aimed to investigate views of preschool practitioners about young children's mathematical thinking and development. Structured individual interviews were conducted with 64 preschool practitioners from rural areas of three Australian states. The questions focused on five broad themes: children's mathematics learning, support for mathematics teaching, technology and computers, attitudes and feelings, and assessment and record keeping. We review results from the interview data for each of these themes, discuss their importance, and outline recommendations related to teacher education as well as resource development and research.

  11. Defining the role of primary health care nurse practitioners in rural Nova Scotia. (United States)

    Martin-Misener, Ruth; Reilly, Sandra M; Vollman, Ardene Robinson


    This article reports on a mixed methods study to define the role of nurse practitioners (NPs) in rural Nova Scotia, Canada, by collecting the perceptions of rural health board chairpersons and health-care providers. Qualitative data were collected in telephone interviews with health board chairpersons. Quantitative data were collected in a survey of NPs, family physicians, public health nurses, and family practice nurses.The authors describe participants' perspectives on the health needs of rural communities, the gaps in the current model of primary health care services, the envisaged role of NPs in rural communities, and the facilitators of and barriers to NP role implementation. Optimizing the benefits of the NP role for residents of rural communities requires attention to the barriers that impede deployment and integration of the role.

  12. Assessment of prescribing practices among urban and rural general practitioners in Tamil Nadu

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    Sekharan Gopalakrishnan


    Full Text Available Background: Studying drug use pattern among medical practitioners is of vital importance in the present scenario where irrational drug use and development of drug resistance is becoming rampant. Objective: To assess, the pattern of prescribing practices among the general practitioners in a defined rural and urban area of Tamil Nadu. Materials and Methods: A community based descriptive study was conducted to collect 600 prescriptions from the catchment areas of rural and urban health training centers of a medical college using prescribing indicators as per the WHO "How to investigate drug use in health facilities" tool. Results: This prescription study revealed that multivitamins (19.5%, antibiotics (19.3%, drugs for gastro-intestinal tract (GIT (18%, analgesic non-steroidal anti-inflammatory drugs/ (NSAID′s (15.1%, and antihistaminic (12.5% were prescribed frequently. Among the antibiotics, amoxicillin (49.2% was the most commonly prescribed followed by gentamicin (31.7%. Percentage of prescriptions with an antibiotic was 55% and nearly 62% of the practitioners prescribed drugs by their generic names. As a practice of poly-pharmacy, it was observed that the average number of drugs prescribed in urban and rural area was nearly 5 and 4, respectively. Nearly 80% of the urban and rural practitioners were prescribing at least one injection. Study of the quality of prescriptions revealed that there was poor legibility, high usage of abbreviations, inadequate details of the drugs, and absence of signature by practitioners in the prescriptions. Conclusion: This study clearly highlights the practice of poly-pharmacy, low usage of generic drugs, injudicious usage of antibiotics and injections and low usage of drugs prescribed from essential drugs list.

  13. Playing the Scales: Regional Transformations and the Differentiation of Rural Space in the Chilean Wine Industry (United States)

    Overton, John; Murray, Warwick E.


    Globalization and industrial restructuring transform rural places in complex and often contradictory ways. These involve both quantitative changes, increasing the size and scope of operation to achieve economies of scale, and qualitative shifts, sometimes leading to a shift up the quality/price scale, towards finer spatial resolution and…

  14. Physiotherapy Extended-Role Practitioner for Individuals with Hip and Knee Arthritis: Patient Perspectives of a Rural/Urban Partnership


    Gillis, Katherine; Augruso, Alanna; Coe, Terelle; O'Neill, Andrea; Radford, Lindsay; Gibson, B E; O'Callaghan, Lynda; Soever,Leslie


    Purpose: To explore the perspectives of people with hip and knee arthritis regarding a physiotherapy extended-role practitioner (ERP) model of care in a rural setting. Method: Using semi-structured interviews, a qualitative descriptive case study was undertaken with 13 participants from a rural family practice located in the province of Ontario, Canada, who had all been assessed by an ERP. Transcribed interviews were analyzed for emergent themes. Results: Three main themes were identified: (1...

  15. A study on concept of P- drug selection among rural general practitioners

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    Priyadarshini Bai G.


    Full Text Available Background: The objective of the study was to assess the awareness of P- drug selection among rural general practitioners’s (GP for common medical conditions. Methods: Fifty general practitioners in Tumakuru district were provided with proformas for selection of P- drugs for mild to moderate hypertension, diabetes, upper respiratory tract infections and acid peptic disease based on safety, affordability, need, and efficacy (SANE criteria. Results: Forty one GP’s responded by completing the proformas. Seventeen of them were aware of the concept of P- drug selection. In hypertension, beta blockers followed by Angiotensin Converting Enzyme (ACE inhibitors were most commonly preferred. In diabetes, biguanides followed by sulfonylureas were preferred as oral hypoglycemic agents. Ampicillin, Ciprofloxacin and Cotrimoxazole were the commonly used antibiotics for upper respiratory tract infections. Ranitidine and antacids were preferred for acid peptic disease. Affordability followed by efficacy was the deciding criteria for P- drug selection. Conclusions: There is lack of awareness of P- drug selection among many rural GP’s. Therefore, there is necessity to create awareness about P- drug selection through continued medical education for rational use of drugs.

  16. Factors influencing use of dental services in rural and urban communities: considerations for practitioners in underserved areas. (United States)

    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.

  17. In the choice between health and money, health comes first: an analysis of happiness among rural Chilean elderly

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    German Lobos


    Full Text Available Abstract: We studied the relationship between happiness and individual socio-demographic context and health and dietary variables by interviewing 389 elderly individuals (age 60-90 years living in rural areas in the Maule Region of Central Chile. The Lyubomirsky & Lepper (1999 subjective happiness scale was used. Ordinal logistic regression models were estimated. The discrete dependent variable was level of happiness. The following variables were significantly associated with happiness: (1 individual socio-demographic variables like age and satisfaction with the economic situation; (2 health variables like independence in activities of daily living, common activities, and self-rated health; and (3 dietary variables such as life satisfaction related to food and the frequency with which the elders shared dinner with others. The study results suggest more efficient efforts at healthy eating for the elderly in rural areas.

  18. In the choice between health and money, health comes first: an analysis of happiness among rural Chilean elderly. (United States)

    Lobos, German; Lapo, Maria Del Carmen; Schnettler, Berta


    We studied the relationship between happiness and individual socio-demographic context and health and dietary variables by interviewing 389 elderly individuals (age 60-90 years) living in rural areas in the Maule Region of Central Chile. The Lyubomirsky & Lepper (1999) subjective happiness scale was used. Ordinal logistic regression models were estimated. The discrete dependent variable was level of happiness. The following variables were significantly associated with happiness: (1) individual socio-demographic variables like age and satisfaction with the economic situation; (2) health variables like independence in activities of daily living, common activities, and self-rated health; and (3) dietary variables such as life satisfaction related to food and the frequency with which the elders shared dinner with others. The study results suggest more efficient efforts at healthy eating for the elderly in rural areas.

  19. In the choice between health and money, health comes first: an analysis of happiness among rural Chilean elderly


    German Lobos; Maria del Carmen Lapo; Berta Schnettler


    Abstract: We studied the relationship between happiness and individual socio-demographic context and health and dietary variables by interviewing 389 elderly individuals (age 60-90 years) living in rural areas in the Maule Region of Central Chile. The Lyubomirsky & Lepper (1999) subjective happiness scale was used. Ordinal logistic regression models were estimated. The discrete dependent variable was level of happiness. The following variables were significantly associated with happiness: (1)...

  20. A study evaluating knowledge, attitude and practices of practitioners in the medicine department of tertiary care teaching rural hospital with respect to antihypertensives

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    Jatin Patel


    Full Text Available Background: The aim of this study was to evaluate knowledge, attitude and practices of practitioners in the medicine department of tertiary care teaching rural hospital with respect to antihypertensives and find out the disparity between the recommended and actual practices for pharmacological management. Methods: It was survey type of study, carried out using feedback questionnaire related to use of antihypertensives. Total 25 consultants were included in the study. Results: It was found that in mild hypertension single drug and two drugs in combination were preferred by 15 and 10 practitioners respectively. In moderate hypertension single drug, two drugs in combination, and greater than two drugs were preferred by 3, 13, and 7 practitioners respectively. In severe hypertension two drugs in combination and greater than two drugs were preferred by 16 and 9 practitioners respectively; none preferred single drug. Angiotensin converting enzyme inhibitors /angiotensin receptor blockers, beta blockers, Calcium channel blockers, diuretics were preferred as first line drug by 7, 4, 8, and 16 practitioners respectively. Most commonly preferred combination was Losartan and amlodipine by 16 practitioners. In pregnancy nifedipine was preferred as the first line drug while in elderly diuretics were preferred. In hypertensive patients with age less than 40 years all practitioners preferred ACEIs/ARBs. In diabetics ACEIs/ARBs was preferred by all practitioners. Each practitioner claimed to follow Joint National Committee (JNC 7 criteria. Cost of drug was an important consideration in all their prescribing patterns. Conclusion: The knowledge, attitudes and practices followed by the practitioners of Dhiraj hospital were satisfactory and guidelines oriented. [Int J Res Med Sci 2015; 3(3.000: 715-717

  1. [Chilean nuclear policy]. (United States)

    Bobadilla, E


    This official document is statement of the President of the Chilean Nuclear Energy Commission, Dr. Eduardo Bobadilla, about the nuclear policy of the Chilean State, Thanks to the international policy adopted by presidents Aylwin (1990-1994) and his successor Frei Ruiz Tagle (1994-), a nuclear development plan, protected by the Chilean entrance to the nuclear weapons non proliferation treaty and Tlatelolco Denuclearization treaty, has started. Chile will be able to develop without interference, an autonomous nuclear electrical system and other pacific uses of nuclear energy. Chile also supports a new international treaty to ban nuclear weapon tests.

  2. Accessibility of general practitioners and selected specialist physicians by car and by public transport in a rural region of Germany


    Stentzel, Ulrike; Piegsa, Jens; Fredrich, Daniel; Hoffmann, Wolfgang; van den Berg, Neeltje


    Background The accessibility of medical care facilities in sparsely populated rural regions is relevant especially for elderly people which often represent a large segment of the population in such regions. Elderly people have higher morbidity risks and a higher demand for medical care. Although travelling with private cars is the dominating traffic mode in rural regions, accessibility by public transport is increasingly important especially because of limited mobility of elderly people. The ...

  3. The effects of initial participation motivations on learning engagement in transition training for future general practitioners in rural China: perceived deterrents as mediator

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    Guan-yu Cui


    Full Text Available Background: For the shortage of high-quality general practitioners (GPs in China's rural areas, Chinese government has taken steps to encourage rural specialists to participate in transition training for future GPs. Specialists’ initial participation motivations and their perceived deterrents during training may play important roles for their learning engagement in the transition training. This study aimed at revealing the relationships among the variables of initial participation motivations, perceived deterrents in training, and learning engagement. Methods: A questionnaire survey was used in this study. A total of 156 rural specialists who participated in transition training for future GPs filled out the questionnaire, which consisted of the measurements of initial participation motivations, perceived deterrents, and learning engagement in training. The data about specialists’ demographic variables were collected at the same time. Results: The variance of initial escape/stimulations motivation significantly predicted the variance of learning engagement through the full mediating role of perceived deterrents in training. In addition, initial educational preparation motivations predicted the variance of learning engagement directly. Conclusions: Specialists’ initial participation motivations and perceived deterrents in training played important roles for learning engagement in the transition training.

  4. Physiotherapy extended-role practitioner for individuals with hip and knee arthritis: patient perspectives of a rural/urban partnership. (United States)

    Gillis, Katherine; Augruso, Alanna; Coe, Terelle; O'Neill, Andrea; Radford, Lindsay; Gibson, B E; O'Callaghan, Lynda; Soever, Leslie


    Objectif : Explorer les perspectives des personnes qui ont de l'arthrite dans la hanche et le genou en ce qui concerne un modèle de soins basé sur le rôle élargi du professionnel de la physiothérapie (REP) en contexte rural. Méthode   : Nous avons entrepris une étude de cas descriptive qualitative basée sur des entrevues structurées menées auprès de 13 participants d'un cabinet de médecine familiale en milieu rural dans la province d'Ontario, au Canada, qui avaient tous été évalués par un professionnel à rôle élargi. Nous avons analysé les entrevues transcrites pour en dégager des thèmes émergents. Résultats : Nous avons dégagé trois grands thèmes : (1) l'accès rapide aux soins; (2) la distance comme facteur de la recherche de soins; (3) les perceptions du modèle de soins basé sur le rôle élargi du professionnel. Conclusions : Des participants ont signalé de nombreuses expériences positives du modèle rural REP en physiothérapie. Les moyens de réduire au minimum les déplacements pour avoir accès aux soins sont importants pour les membres des communautés rurales. Un modèle de soins basé sur le rôle élargi du professionnel offre des soins compétents qui incluent la capacité de poser un diagnostic de l'appareil locomoteur et du temps pour l'éducation et pour répondre aux questions.

  5. Worlds Apart: A Social Theoretical Exploration of Local Networks, Natural Actors, and Practitioners of Rural Development in Southern Honduras

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    Brian J. Gareau


    Full Text Available This paper explores the importance of incorporating the socioecological realities of alternative networks into analyses of rural development. Cultural theory is examined, which provides a base upon which rural development can identify difference in worldviews based on difference in sociological conditions and environmental phenomena. Actor-oriented theory problematizes the ideal types of cultural theory, providing a means of give-and-take between actors’ worldviews of different networks. Actor-network theory breaks down the nature-culture dichotomy of actor-oriented theory, so that nature becomes as ‘active’ an actor as people and community. Actor-network theory brings nature and society together, perceiving the two as mutually inclusive and constitutive. Coupled with recognition of power associated with political economic/ecological forces, actor-network theory can encourage us to see the frequency of tropical storms in Honduras as being among the powerful actors that have played a significant, consistent role in shaping the mode of ordering of impoverished Honduran peoples. This paper concludes by exploring how alternative, agroecological networks established in a protected area in southern Honduras with ‘strong’ natural actors can be re-ordered by incorporating autonomy and resiliency into the network.

  6. Demographic and labor market in the Chilean countryside Transformations

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    Carlos René Rodríguez Garcés


    Full Text Available Based on the information provided by the National Socioeconomic Survey of 1990 and 2013, the Chilean countryside reconfigurations are analyzed in terms of their demographic trends and labor market restructuring. A continuous process of depopulation and aging of the rural population is demographically notes. The agricultural activities of the rural labor market charge less important in terms of jobs and income, showing a strong process and favoring deagrarianisation positioning services area. Finally, a growing number of households that hold informal consensual unions and a greater presence of single-parent households, mainly consisting of female-headed households is observed.

  7. Extracciones e indicaciones de extracciones dentales en población rural chilena de 11 a 30 años Extractions and indications of dental extractions in rural chilean population give 11 to 30 years

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    S Olate


    Full Text Available Introducción: A pesar de la creciente tecnología odontológica y el progresivo aumento de la cantidad de odontólogos, el precario estándar de salud oral de la población rural se ha mantenido a lo largo del tiempo. El objetivo de esta investigación es describir y cuantificar las exodoncias de piezas dentarias permanentes en población rural. Metodología: Se realizó un estudio de tipo descriptivo seleccionando el 100% de los sujetos atendidos en el Consultorio Chol-Chol, (IX Región de 11 a 30 años de edad que obtuvieron su alta integral durante los años 2001 y 2003. Los diagnósticos fueron realizados por dos odontólogos experimentados en ausencia de apoyo radiográfico (procedimiento realizado de acuerdo al instrumental y equipos disponibles. Se evaluó el estado de cada una de las piezas dentarias exceptuando los terceros molares. Resultados: Fueron analizadas 181 fichas clínicas de los cuales el 36,42% fueron del sexo masculino, siendo la edad media de la muestra 18,27 años. 143 sujetos presentaron piezas perdidas en el momento del examen, a 117 sujetos se les indico extracción de piezas dentales permanentes. Al finalizar el tratamiento 167 (92,2% sujetos presentaron ausencia de piezas dentarias permanentes, con un promedio de 5,6 piezas al finalizar el alta integral. Conclusión: Los pacientes adolescentes y adultos jóvenes en condiciones de ruralidad presentan alta frecuencia de patologías orales que determinan la exodoncia de las piezas dentales. Estos pacientes necesitaran a corto plazo extensas rehabilitaciones para recuperar su sistema estomatognático.Introduction: In spite of high end dental technology and the progressive increase in the amount of Dentists in our Country, the precarious standard of oral health in the rural population have stayed throughout the time, specially in ethnic groups such as Mapuche population. The objective of the present study is to describe and to quantify dental extractions in permanent

  8. Nutrition education in Chilean primary schools. (United States)

    Olivares, Sonia; Zacarías, Isabel; Andrade, Margarita; Kain, Juliana; Lera, Lydia; Vio, Fernando; Morón, Cecilio


    The purpose of this study was to incorporate nutrition education in Chilean primary schools. The baseline information included nutritional status, food consumption and physical activity of 1701 children from 3rd to 7th grade in ten urban and rural schools. Main results showed a high prevalence of obesity (15.4%) and overweight (19.6%), low consumption of vegetables, fruits, and dairy products, high intake of snacks and a low level of physical activity, especially in girls. Because the Ministry of Education does not allow the incorporation of new programs into the curriculum, the educational strategy was based on the development of a text book, a teacher's guide, five practical guides for students from third to eighth grade and a CD-Rom. These materials were validated by 36 teachers in six schools through an educational intervention. Teachers and students considered the educational materials useful, motivational and easy to understand. This program is being implemented in 57 schools.

  9. Anthropometric profile of elite Chilean Paralympic athletes

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    Samuel Durán-Agüero


    Full Text Available Introduction: Sport is one of the most popular social events worldwide. It becomes interesting to characterize its practitioners, even more in some poorly studied groups such as Paralympic athletes. The main objective of this study is to determine the anthropometric profile of Chilean Elite Paralympic Athletes (CEPA through body composition and somatotype. Material and Methods: A cross-sectional study was conducted with 41 subjects (93% of the classified to the Para-Panamerican Games Toronto 2015, who practiced table tennis (n=6, football 5 (n=11, swimming (n=8, rugby (n=7, powerlifting (n=6 and wheelchair tennis (n=3. The body composition and somatotype were assessed through the protocol described by the International Society for the Advancement of Kinanthropometry (ISAK. Results: The CEPA reach an average for that classifies somatotype mostly as meso-endomorphic (5.3 - 7.8 - 0.5, a BMI of 27.4 kg/m2, and body composition for fat mass reaches 29.8% in women and 25.7% in men, while muscle mass gain 42.6% (women and 44.5% (men. Conclusions: The CEPA have a somatotype profile that classifies mostly as meso-endomorphic, body composition has a predominance muscle mass and high fat mass, although is similar to other Paralympics athletes.

  10. Improving the effectiveness of rural development policy in Chile

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    Carter Leal, L.M.


    In Chile, agriculture remains a key economic factor for rural development. Accordingly, the Chilean government, through the Agricultural Development Institute (INDAP), provides financial support for fostering entrepreneurship among small farmers to enable them to become more competitive in global ma

  11. Reflections on the Chilean Transition

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    Antonia SANTOS PÉREZ


    Full Text Available Chile has historically excelled in Latin America for its political stability and its institutional strength, which did not prevent it from living under an authoritarian regime (1973-1988. The political transition was a consequence of a fast political pact between the military and a strong political class that led to a limited democracy because of the origin and content of the Constitution, partially overcome by the constitutional reform of 2005. However, the slow development of the Chilean democratic process is due to both the institutional framework and the behavior of the political actors who have favored political stability based on consensus before the plurality of competition and the political debate for the sake of democratic quality.

  12. Insulin resistance in Chileans of European and indigenous descent: evidence for an ethnicity x environment interaction.

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    Carlos A Celis-Morales

    Full Text Available BACKGROUND: Effects of urbanisation on diabetes risk appear to be greater in indigenous populations worldwide than in populations of European origin, but the reasons are unclear. This cross-sectional study aimed to determine whether the effects of environment (Rural vs. Urban, adiposity, fitness and lifestyle variables on insulin resistance differed between individuals of indigenous Mapuche origin compared to those of European origin in Chile. METHODOLOGY/PRINCIPAL FINDINGS: 123 Rural Mapuche, 124 Urban Mapuche, 91 Rural European and 134 Urban European Chilean adults had blood taken for determination of HOMA-estimated insulin resistance (HOMA(IR and underwent assessment of physical activity/sedentary behaviour (using accelerometry, cardiorespiratory fitness, dietary intake and body composition. General linear models were used to determine interactions with ethnicity for key variables. There was a significant "ethnicity x environment" interaction for HOMA(IR (Mean±SD; Rural Mapuche: 1.65±2.03, Urban Mapuche: 4.90±3.05, Rural European: 0.82±0.61, Urban European: 1.55±1.34, p((interaction = 0.0003, such that the effect of urbanisation on HOMA(IR was greater in Mapuches than Europeans. In addition, there were significant interactions (all p<0.004 with ethnicity for effects of adiposity, sedentary time and physical activity on HOMA(IR, with greater effects seen in Mapuches compared to Europeans, an observation that persisted after adjustment for potential confounders. CONCLUSIONS/SIGNIFICANCE: Urbanisation, adiposity, physical activity and sedentary behaviour influence insulin resistance to a greater extent in Chilean Mapuches than Chileans of European descent. These findings have implications for the design and implementation of lifestyle strategies to reduce metabolic risk in different ethnic groups, and for understanding of the mechanisms underpinning human insulin resistance.

  13. 42 CFR 414.56 - Payment for nurse practitioners' and clinical nurse specialists' services. (United States)


    ... 42 Public Health 3 2010-10-01 2010-10-01 false Payment for nurse practitioners' and clinical nurse... HEALTH SERVICES Physicians and Other Practitioners § 414.56 Payment for nurse practitioners' and clinical nurse specialists' services. (a) Rural areas. For services furnished beginning January 1, 1992...

  14. Obesity, Body Fat Distribution, and Physical Activity in School-age Children: an Urban and Rural Comparison in Valparaíso, Chile. (United States)

    Lizana, Pablo A; Paula, Cisternas-Vallejos; Araya, Leonel; Aguilera, Francisco; Mora, Manuel


    This study analyze the relation between body composition, physical activity (PA), and sex in Chilean children from rural and urban public educational institutions. The prevalence of obesity (according to BMI) was 30.88% in urban children and 28.93% in rural children. Central obesity presented mainly in the rural girls. Approximately 90% of the participants reported child urban-rural population.

  15. ICT & Learning in Chilean Schools: Lessons Learned (United States)

    Sanchez, Jaime; Salinas, Alvaro


    By the early nineties a Chilean network on computers and education for public schools had emerged. There were both high expectancies that technology could revolutionize education as well as divergent voices that doubted the real impact of technology on learning. This paper presents an evaluation of the Enlaces network, a national Information and…

  16. Fostering Teaching Quality in Chilean Universities (United States)

    Guzman Cruzat, Jose Antonio


    This study aims to explain the strategies that have been carried out by three Chilean universities in order to advance the quality of their teaching. The studied institutions are the Universidad de los Andes, the Universidad de Talca and the Universidad Catolica de Chile. In each of these three cases the analysis included, both the policies…

  17. [The Chilean Association of Biomedical Journal Editors]. (United States)

    Reyes, H


    On September 29th, 2000, The Chilean Association of Biomedical Journal Editors was founded, sponsored by the "Comisión Nacional de Investigación Científica y Tecnológica (CONICYT)" (the Governmental Agency promoting and funding scientific research and technological development in Chile) and the "Sociedad Médica de Santiago" (Chilean Society of Internal Medicine). The Association adopted the goals of the World Association of Medical Editors (WAME) and therefore it will foster "cooperation and communication among Editors of Chilean biomedical journals; to improve editorial standards, to promote professionalism in medical editing through education, self-criticism and self-regulation; and to encourage research on the principles and practice of medical editing". Twenty nine journals covering a closely similar number of different biomedical sciences, medical specialties, veterinary, dentistry and nursing, became Founding Members of the Association. A Governing Board was elected: President: Humberto Reyes, M.D. (Editor, Revista Médica de Chile); Vice-President: Mariano del Sol, M.D. (Editor, Revista Chilena de Anatomía); Secretary: Anna María Prat (CONICYT); Councilors: Manuel Krauskopff, Ph.D. (Editor, Biological Research) and Maritza Rahal, M.D. (Editor, Revista de Otorrinolaringología y Cirugía de Cabeza y Cuello). The Association will organize a Symposium on Biomedical Journal Editing and will spread information stimulating Chilean biomedical journals to become indexed in international databases and in SciELO-Chile, the main Chilean scientific website (

  18. Chilean model for long-term follow-up of phenylketonuria (PKU

    Directory of Open Access Journals (Sweden)

    Verónica Cornejo


    Full Text Available Chilean newborn screening program began in 1984 through of a covenant between the National Ministry of Health and the Chilean University through its Institute of Nutrition and Food Technology (INTA with the aim of implementing a pilot study for neonatal detection of phenylketonuria (PKU in Santiago’s central area. In 1989 a program for neonatal diagnosis of PKU and congenital hypothyroidism (HC was initiated by INTA along with Santiago´s occidental health ministry rural area, which covered 20% of newborn population. PKU and HC had an incidence of 1:14,640 and 1:2000 living newborns respectively. These findings allowed the establishment of a favorable cost/benefit ratio which validated the implementation of a program with National character. In 1992 the Chilean Ministry of Health ruled the initiation of PKU and HC newborn screening program and by 1998 the coverage across the country was achieved. INTA is the National Reference Center for confirmation and long term treatment for PKU and HC patients. A follow-up program consists of medical, nutritional, neurological and psychological outcome evaluations as well as periodic biochemical testing in order to guarantee normal patient growth and development. To date 184 children have been diagnosed with classic or moderate PKU, all of them follow a strict monitoring program.

  19. [Chilean's nursing knowledge organization and their tendencies]. (United States)

    Parra, Sara Mendoza; Klijin, Tatiana Paravic


    A Quantitative, descriptive and retrospective research that explored the Chilean Nursing knowledge organization an their tendencies. The universe was composed by scientists reports published in the Chilean nursing journals between 1965 and 2003 (N=214). Data were collected by an instrument based on the CIPE's and Nogueira's classification and cienciometría indications. Statistics measures of central tendency analysis was managed with SPSS. Some of the results obtained were: the more frequent study subject's was the professional nursing and the tendency is to be focused at the mature people's health necessities and their risk of being ill. It was found: little theoretical nursing sustenance at the reports. The "Ciencia y Enfermería" is the journal that exhibits the best scientific quality of alls.

  20. Constructing Realities: Bullying Usages in Chilean Discourses

    Directory of Open Access Journals (Sweden)

    Rodrigo Bassaletti-Contreras


    Full Text Available The article reports an exploratory research on the uses given in Chile to the Anglicism bullying. In order to do so, its evolution is reviewed from the early studies in the Nordic countries, to the treatment of the topic in the Chilean context. The focus of this work is based on socioconstructionism and in turn promotes the consideration of the characteristics of the socio-cultural and historical context of knowledge production with a postcolonial intention. To review the constructions on the subject, we selected Chilean videos at the YouTube virtual platform, using as methodology discourse analysis and dense description. In results can be observed two meanings of bullying: (i to refer to any kind of aggression and (ii as a homologous of abuse among schoolchildren. In response, it is realized the discrepancy with the proposed definitions from general academia and those used in the local environment in investigations, interventions, public policy and mass media in Chile.

  1. An overview of Chilean Marine Sciences Journals



    The work provides a global vision of Chilean marine sciences journals, besides the problems that have existed in relation to their edition and publication. In spite of being serious publications with rich scientific content related to the study area, mainly along the coast of the eastern South Pacific, these journals have not reached the expected levels to be considered within the ISI system journals. With the purpose of obtaining an objective appreciation in regard to the presentation format...

  2. Uniparental ancestry markers in Chilean populations

    Directory of Open Access Journals (Sweden)

    Camilla Dutra Vieira-Machado

    Full Text Available Abstract The presence of Native Americans, Europeans, and Africans has led to the development of a multi-ethnic, admixed population in Chile. This study aimed to contribute to the characterization of the uniparental genetic structure of three Chilean regions. Newborns from seven hospitals in Independencia, Providencia, Santiago, Curicó, Cauquenes, Valdívia, and Puerto Montt communes, belonging to the Chilean regions of Santiago, Maule, and Los Lagos, were studied. The presence of Native American mitochondrial DNA (mtDNA haplogroups and two markers present in the non-recombinant region of the Y chromosome, DYS199 and DYS287, indicative of Native American and African ancestry, respectively, was determined. A high Native American matrilineal contribution and a low Native American and African patrilineal contributions were found in all three studied regions. As previously found in Chilean admixed populations, the Native American matrilineal contribution was lower in Santiago than in the other studied regions. However, there was an unexpectedly higher contribution of Native American ancestry in one of the studied communes in Santiago, probably due to the high rate of immigration from other regions of the country. The population genetic sub-structure we detected in Santiago using few uniparental markers requires further confirmation, owing to possible stratification for autosomal and X-chromosome markers.

  3. Changing Rural Paradigms

    DEFF Research Database (Denmark)

    Høst, Jeppe Engset


    paradigm” (OECD 2006) and its implications for ethnological scholars and practitioners of today. In the “new rural paradigm”, bottom-up processes, “place-bound” cultural and historical values are highlighted as essential to local development. This of course empowers the ethnologists, but also put us...... in a position at the very centre of a commodification of “the rural” and rural communities. The article therefore concludes with a discussion of currents trends in regional and rural development and the...

  4. Comparing Sociodemographic Factors Associated with Disability Between Immigrants and the Chilean-Born: Are There Different Stories to Tell?

    Directory of Open Access Journals (Sweden)

    Baltica Cabieses


    Full Text Available This study explored a range of sociodemographic factors associated with disability among international immigrants in Chile, and compared them to the Chilean-born. Secondary data analysis of the Chilean population-based survey CASEN-2006 was conducted (268,873 participants. Main health outcomes: any disability and six different types of disability: visual, hearing, learning, physical, psychiatric and speaking (binary outcomes. Sociodemographic variables: Demographic factors (age, sex, marital status, urban/rural, ethnicity, socioeconomic status (SES: income, education, employment status, and an integrated indicator combining the SES measures through cluster analysis for the immigrant population, material factors (overcrowding, sanitation, housing quality and migration related (country of origin and length of stay. Immigrants reported a significantly lower prevalence of any disability (3.55%, visual (1.00% and physical disability (0.38%. Factors associated with any disability among immigrants were age, low SES or over 20 years duration of residence in Chile; while a range of sociodemographic factors were associated with disability in the Chilean-born. Conditional regression models by age group varied between populations, but SES remained significantly associated with disability across immigrants and the Chilean-born. However, there are no similar patterns of factors associated to different types of disability between the populations under study. Factors associated with disability varied between populations under study, but SES showed a consistent association with any disability in immigrants and the Chilean-born. Types of disability showed different patterns of factors associated to them between populations, which suggest the great complexity of underlying mechanisms related to disability in Chile.

  5. Doctors trading places: the Isolated Practitioner Peer Support Scheme. (United States)

    Moran, John G; Page, Sue L; Birden, Hudson H; Fisher, Louise M; Hancock, Naree J


    We describe the outcomes of a practice exchange in which an isolated general practitioner from a remote region traded work and living arrangements with a rural group practice GP. An exchange can provide an opportunity for mid- and senior-career professionals to refresh their outlook on their careers. Involving the rural medical workforce in practice exchanges can enable the development of peer networks that can improve retention of isolated practitioners in Australia. A fresh experience in a new setting can provide opportunities for practitioners to improve practice management and sharpen their clinical skills. Uprooting families and preparing homes for unfamiliar visitors add stress to doctors and their families on exchange. Patients in isolated practices could feel concerned that they may lose their doctor as a result of an exchange. In this instance, the benefits far outweighed the difficulties.

  6. Reflective Practitioner Account

    Institute of Scientific and Technical Information of China (English)



    This article focus on the reflective account of an English teacher learning and teaching in higher education with the British post-graduate certificate program of the Yunnan Agdculture University.As n practitioner for smny years in English learning and teaching for many years,it reflects in four fields.

  7. 昆明市城乡居民对全科医生需求的调查分析%Investigation on the Needs of Kunming Urban and Rural Residents for General Practitioners

    Institute of Scientific and Technical Information of China (English)

    朱丽萍; 李四真; 苏倩; 陈治; 杨鑫; 李海林


    目的 了解昆明地区社区医疗卫生情况,居民对全科医师的认识,群众对全科医生服务内容和工作方式的需求.为今后完善全科医生服务内容、方法提供依据,改进全科医生培养方法垫定基础.方法 采用调查问卷的方式,对昆明市520名不同年龄、性别、职业的人群进行随机抽样调查.结果 被调查者中,各文化层次的人对全科医生的认识比例为25.8% ~ 48.8%;71.7%更注重全科医生的人文素质,希望他们有较高的责任心、同情心和爱心;72.3%~92.5%认为需要加强全科医生对特殊人群(儿童、老年人、孕妇)的医疗保健;60.2%希望接受24 h开放服务的工作方式.结论 相当一部分群众对社区医院和全科医生缺乏认识,为了更好的开展社区医疗服务工作,应该对群众继续加强进行社区医疗服务工作和全科医生相关知识的宣传教育.%Objective To understand the situation of community health care in Kunming, residents' awareness of general practitioners, general practitioner services, the masses of the content and work, so as to provide the basis for the improvement of GP services requirements and training methods in future. Method The survey questionnaire was used to investigate 520 residents in Kunming with differente age, sex and occupation. RdSUttS Among the respondents, the percentage of awareness of diverse civilizational classes residents on general practitioner were from 25.8% to 48.8% ; 71.7% of residents paid more attention on the humanistic quality of general practitioners and hoped that they had a higher sense of responsibility, compassion and love. 72.3% ~ 92.5% of residents thought that general practitioners need to strengthen the heath care and treatment for special populations ( children, elderly, pregnant women) ; 60.2% wanted to receive 24 hour service work. Conclusions A great part of the residents know little about community hospital and general practitioners, in

  8. The CHilean Automatic Supernova sEarch

    DEFF Research Database (Denmark)

    Hamuy, M.; Pignata, G.; Maza, J.


    The CHilean Automatic Supernova sEarch (CHASE) project began in 2007 with the goal to discover young, nearby southern supernovae in order to (1) better understand the physics of exploding stars and their progenitors, and (2) refine the methods to derive extragalactic distances. During the first...... four years of operation, CHASE has produced more than 130 supernovae, being the most successful project of its type in the southern hemisphere. Here we describe the project and present illustrative examples of CHASE discoveries of particular relevance....

  9. [Ethics code of the Chilean Biological Society]. (United States)

    de Etica, C; Valenzuela, C; Cruz-Coke, R; Ureta, T; Bull, R


    The Chilean Biological Society has approved an ethics code for researchers, elaborated by its Ethic Committee. The text, with 16 articles, undertakes the main ethical problems that researchers must solve, such as institutional, professional or societal ethics, scientific fraud, breaches in collaborative work, relationships between researchers, participation in juries and committees, ethical breaches in scientific publications, scientific responsibility and punishments. This code declares its respect and valorization of all life forms and adheres to international biomedical ethical codes. It declares that all knowledge, created or obtained by researchers is mankind's heritage.

  10. Report on the 2010 Chilean earthquake and tsunami response (United States)



    disaster response strategies and operations of Chilean agencies, including perceived or actual failures in disaster preparation that impacted the medical disaster response; post-disaster health and medical interventions to save lives and limit suffering; and the lessons learned by public health and medical personnel as a result of their experiences. Despite devastating damage to the health care and civic infrastructure, the health care response to the Chilean earthquake appeared highly successful due to several factors. Like other first responders, the medical community had the ability and resourcefulness to respond without centralized control in the early response phase. The health care community maintained patient care under austere conditions, despite many obstacles that could have prevented such care. National and international resources were rapidly mobilized to support the medical response. The Emergency Services Team sought to collect information on all phases of emergency management (preparedness, mitigation, response, and recovery) and determine what worked well and what could be improved upon. The Chileans reported being surprised that they were not as ready for this event as they thought they were. The use of mass care sheltering was limited, given the scope of the disaster, because of the resiliency of the population. The impacts of the earthquake and the tsunami were quite different, as were the needs of urban and rural dwellers, necessitating different response activities. The Volunteer Services Team examined the challenges faced in mobilizing a large number of volunteers to assist in the aftermath of a disaster of this scale. One of the greatest challenges expressed was difficulty in communication; the need for redundancy in communication mechanisms was cited. The flexibility and ability to work autonomously by the frontline volunteers was a significant factor in effective response. It was also important for volunteer leadership to know the emergency plans

  11. Today's students, tomorrow's practitioners

    DEFF Research Database (Denmark)

    Heape, Chris


    There is an inherent dilemma that some research indicates ways and means of doing design practice, in particular how practitioners bring what this paper identifies as informal resources into play, that are seldom reflected in how and what design students are taught or learn. The question is posed...... as to whether today’s design students are in fact equipped to be tomorrow’s practitioners. This paper introduces a range of literature and empirical observations that describe a number of different appreciations of process and practice, from both design and non-design perspectives. This in order to draw up...... an alternative understanding of collaborative design practice as participatory inquiry. The paper suggests that participatory inquiry, as it more fully takes into account the learning driven and relational nature of design practice, could help inform alternative design educational strategies....

  12. Mercury content in Chilean fish and estimated intake levels. (United States)

    Cortes, Sandra; Fortt, Antonia


    The intake of fish products is a major public health concern due to possible methyl mercury exposure, which is especially toxic to the human nervous system. This pilot study (n = 46) was designed to determine mercury concentrations in fish products for national consumption (Chilean jack mackerel, hake, Chilean mussel, tuna) and for export (salmon, Patagonian toothfish, swordfish, southern hake), and to estimate the exposure of the general population. The fish products were collected from markets in Talcahuano, Puerto Montt and Santiago. Samples were analyzed at the National Environmental Center by cold vapor atomic absorption spectrophotometry. Mercury levels in swordfish and one canned tuna sample exceeded levels prescribed by national and international standards. The remaining two export products (Patagonian toothfish, also known as Chilean sea bass, and salmon) complied with international limits, which are more demanding than Chilean regulations. Theoretical estimates of mercury intake varied from 0.08 to 3.8 microg kg(-1) bw day(-1) for high fish consumers, exceeding the provisional tolerable intake for tuna, Chilean seabass, Chilean jack mackerel and swordfish. This group appears to be at the greatest risk from mercury contamination among the Chilean population.

  13. [Attitudes regarding the delivery of formal and informal care: comparison of French and Chilean adolescents]. (United States)

    Pommier, J; Deschamps, J P; Romero, M I; Zubarew, T; Billot, L; Crema, D; Mouchtouris, A


    The representations that youth have of health professionals and young people's demands in terms of the operation and administration of services create an original and complex problematic. Clearly, this originality implies the important differences from one culture to another. For this very reason, it seemed that a comparative study relating the representations and attitudes confronted when care is sought by young people from countries with different cultural contexts would assist in comprehending why adolescents have such particular ways of using--or not using--formal and self-administered health services. An original open-ended response questionnaire was jointly designed and validated by a French and Chilean team. A mutually agreed upon sample of 957 school children, adolescents aged from 14 to 19, participated in the study in France and in Chili. The following correlations were found. In the event of a sleeping problem (or other general worry that is physically manifested), the mother is the privileged confidant, and in the specific case of a relationship or emotional problem, it is usually one of the adolescents' friends. The general practitioner is the favoured professional person in the event of a purely physical problem. When confronted with an emotional problem, one-third of adolescents say that they would not consider going to a consultation. The expectations of the French toward health professionals are more often within the "emotional" arena than those of the Chileans which generally concern the "medical/technical" field. The practice of self-administered care is qualitatively similar but the French prefer taking medication whereas the Chileans prefer the "little home remedies". The use of natural medicine is more widespread among young Chileans, but the types of medicine used are similar, namely herbal teas and other plant-based remedies and homeopathy. These results have a variety of implications, especially in terms of the need for training health

  14. Association between eating behavior scores and obesity in Chilean children


    Amador Paola; Obregón Ana M; Cataldo Rodrigo; Domínguez-Vásquez Patricia; Smalley Susan V; González Andrea; Ho-Urriola Judith A; Santos José L; Weisstaub Gerardo; Hodgson M Isabel


    Abstract Background Inadequate eating behavior and physical inactivity contribute to the current epidemic of childhood obesity. The aim of this study was to assess the association between eating behavior scores and childhood obesity in Chilean children. Design and methods We recruited 126 obese, 44 overweight and 124 normal-weight Chilean children (6-12 years-old; both genders) according to the International Obesity Task Force (IOTF) criteria. Eating behavior scores were calculated using the ...

  15. Wine tourism : a review of the Chilean case


    Kunc, Martin


    Wine tourism has become a thriving niche in global tourism industry with successful cases like Napa Valley in the USA with 19 million visitors per year. However, there are important disparities among wine regions. The paper analyses the case of the Chilean wine tourism, which is one of the regions with less wine tourists although it is very important in global wine industry, and its reasons for its low level of development. Chilean wine industry has been developing its infrastructure in wine ...

  16. Percieved resources as a predictor of satisfaction with food-related life among chilean elderly

    DEFF Research Database (Denmark)

    Lobos, German; Schnettler, B.; Grunert, Klaus G


    Objective: The main objective of this study is to show why perceived resources are a strong predictor of satisfaction with food-related life in Chilean older adults. Design, sampling and participants: A survey was conducted in rural and urban areas in 30 communes of the Maule Region with 785...... participants over 60 years of age who live in their own homes. The Satisfaction with Food-related Life (SWFL) scale was used. Generalized linear models (GLM) were used for the regression analysis. Results: The results led to different considerations: First, older adults’ perceived levels of resources...... are a good reflection of their actual levels of resources. Second, the individuals rated the sum of the perceived resources as ‘highly important’ to explain older adults’ satisfaction with food-related life. Third, SWFL was predicted by satisfaction with economic situation, family importance, quantity...

  17. The impact of Chilean migration on employment in Patagonia. (United States)

    Cariola Sanz, L


    This paper discusses the employment situation of Chilean migrant workers, their impact on labor markets in Patagonia, Argentina, and the government's past and projected responses to this phenomenon. In 1980, Chilean inhabitants of patagonia comprised 11% of the area's population. Chilean migration to patagonia was closely linked to economic activities that began to flourish in the 20th century, such as livestock raising, fruit and vegetable cultivation, and mining for coal and petroleum. No Chilean migrants work in a wide range of sectors. In Patagonia's southern provinces availability and ability to withstand rigorous climate conditions are the main factors which account for the prevalence of Chilean manpower. Chilean migrants do not in general displace local manpower. Legislation and the permeability of the border ensure that most workers enter the country as tourists. Clandestine migration is not an issue. Illegal migrants have provoked negative reactions for several reasons: 1) they comprise a marginal population without formal citizenship; 2) being employed as clandestine workers, they pay no social security, nor do their employers; 3) being illegal, they are obliged to accept lower wages and inferior working conditions which creates unfair competition within labor markets; and 4) as a result of these conditions, xenophobic and endophobic attitudes in relations with Argentine nationalists are reinforced. The government has attempted to solve these problems through various measures. Beginning in 1934, most foreigners entered Argentina with a tourist visa, becoming illegal when they stayed beyond authorized limits. Several measures over the years provided amnesty to illegal migrants. Currently, the law promotes immigration, monitors the admission of foreigners to the country and stipulates their rights and obligations. The law lists 115 articles on immigration promotion and on regulation of the movements of foreigners. Because of the present economic crisis in

  18. Minimun Pension Insurance in the Chilean Pension System Minimun Pension Insurance in the Chilean Pension System

    Directory of Open Access Journals (Sweden)

    Salvador Zurita


    Full Text Available One of the "social" features of the Chilean individual capitalization pension system is the minimum pension scheme. which guarantees its members a minimum pension irrespective of the funds they accumulate, with the only requirement of twenty years of social security tax payments. The purpose of this paper is to estimate the implicit fiscal subsidy, using an option-based approach. We capture the risk associated to the returns on the pension fund account of a worker by modeling its value as a diffusion process and show the correspondence between the minimum pension insurance and a financial put option. Our results are the present value of the minimum pension benefit, equivalent to 3 percent of Chilean GDP for current active and non-active affiliated workers. These estimates are notoriously higher than previous results based on deterministic models, and strongly suggest the importance of explicitly considering the risk associated to pension assets when estimating the cost to the government of the insurance implied by the minimum pension benefit. One of the "social" features of the Chilean individual capitalization pension system is the minimum pension scheme. which guarantees its members a minimum pension irrespective of the funds they accumulate, with the only requirement of twenty years of social security tax payments. The purpose of this paper is to estimate the implicit fiscal subsidy, using an option-based approach. We capture the risk associated to the returns on the pension fund account of a worker by modeling its value as a diffusion process and show the correspondence between the minimum pension insurance and a financial put option. Our results are the present value of the minimum pension benefit, equivalent to 3 percent of Chilean GDP for current active and non-active affiliated workers. These estimates are notoriously higher than previous results based on deterministic models, and strongly suggest the importance of explicitly considering

  19. Training and Exploration of Mental health Service Capacity of Rural General Practitioners%基层全科医生心理卫生服务能力的培训及探索

    Institute of Scientific and Technical Information of China (English)

    邱少娟(通讯作者); 李华


    Objective:Discuss the training path on the all -around doctor mental health service ability of teaching practice .Methods:On the base of general practitioners self -rating symptom scale (SCL-90 scale), chronic psychological guidance , psychological, mental health problems , clinical features , treatment and prevention and control principle of training .Results:Chronic psychological guidance , psychological , mental health problems , clinical characteristics , treatment and control principle of the project , the teacher evaluation and student evaluation results were 67.5%, 70.2%, self-rating symptom scale (SCL-90 scale) student self -assessment results for 25. 9%.Conclusion:(1)The all-around doctor mental health services and improve their ability;(2) The weak psychological measurement knowledge , strengthening medical psychology , psychological measurement knowledge training .%目的:探讨对基层全科医生心理卫生服务能力的教学实践培训路径。方法:对基层全科医生进行症状自评量表( SCL~90量表)、慢性病心理指导、常见心理、精神卫生问题临床特征、处理及防控原则的培训。结果:慢性病心理指导、常见心理、精神卫生问题临床特征、处理及防控原则项目,老师考核和学员自评结果分别为67.5%、70.2%,症状自评量表( SCL~90量表)学员自评结果为25.9%。结论:(1)基层全科医生心理卫生服务能力有所提高;(2)心理测量知识薄弱,应加强医学心理学、心理测量知识培训。

  20. Results of Chilean water markets: Empirical research since 1990 (United States)

    Bauer, Carl J.


    Chile's free-market Water Code turned 20 years old in October 2001. This anniversary was an important milestone for both Chilean and international debates about water policy because Chile has become the world's leading example of the free-market approach to water law and water resources management, the textbook case of treating water rights not merely as private property but also as a fully marketable commodity. The predominant view outside of Chile is that Chilean water markets and the Chilean model of water management have been a success, and this perception has encouraged other countries to follow Chile's lead in water law reform. Much of the debate about Chilean water markets, however, has been based more on theoretical or political beliefs than on empirical study. This paper reverses that emphasis by reviewing the evolution of empirical research about these markets since 1990, when Chile returned to democratic government after 16 years of military rule. During the period since 1990, understanding of how Chilean water markets have worked in practice has gradually improved. There have been two major trends in this research: first, a gradual shift from exaggerated claims of the markets' success toward more balanced assessments of mixed results and, second, a heavy emphasis on the economics of water rights trading with very little attention given to the Water Code's impacts on social equity, river basin management, environmental protection, or resolution of water conflicts. The analysis in this study is qualitative and interdisciplinary, combining law, economics, and institutions.

  1. HIV prevention and low-income Chilean women (United States)



    Socio-cultural factors and HIV-related misinformation contribute to the increasing number of Chilean women living with HIV. In spite of this, and to date, few culturally specific prevention activities have been developed for this population. The goal of the present study was to elicit the perspectives of low-income Chilean women regarding HIV and relevant socio-cultural factors, as a forerunner to the development of a culturally appropriate intervention. As part of a mixed-methods study, fifty low-income Chilean women participated in a survey and twenty were selected to participate in prevention, in-depth interviews. Results show evidence of widespread misinformation and misconceptions related to HIV/AIDS. Machismo and marianismo offer major barriers to prevention programme development. Future HIV prevention should stress partner communication, empowerment and improving the education of women vulnerable to HIV. PMID:18432428

  2. Nursing: What's a Nurse Practitioner? (United States)

    ... nurses, or APNs) have a master's degree in nursing (MS or MSN) and board certification in their ... Nurse Practitioners (NAPNAP) and through local hospitals or nursing schools. Also, many doctors share office space with ...

  3. Nursing: What's a Nurse Practitioner? (United States)

    ... is a big part of the pediatric NP's role. Pediatric and family practice NPs can treat acute ( ... Nurse Practitioners (NAPNAP) and through local hospitals or nursing schools. Also, many doctors share office space with ...

  4. Experiences with a small scale Solar/Wind pilot installation for basic electrification in the chilean altiplano

    Energy Technology Data Exchange (ETDEWEB)

    Sapiain, Raul; Ovalle, Ricardo; Torres, Ariel; Brockmeyer, Ricarda; Schmidt, Reinhold [Centro de Energias Renovables/Universidad de Tarapaca, Arica, (Chile); Meer, Andreas V. [Solar Institute, Juelich (Germany)


    Basic rural electrification programmes are already carried out in the rural areas of northern Chile by local communities and local governments using photovoltaic systems. Solar Home Systems, 12 VDC are installed for individual households while systems for schools, public lighting etc. are realized with bigger systems, 220 VAC. Within a cooperation with the Solar Institute of the Fachhochschule Juelich, Germany, the Renewable Energy Center of the University of Tarapaca designed, installed and evaluated the first solar/wind hybrid installation for basic electrification in northern Chile, realized in Colpitas, a typical small village in the chilean altiplano. The following paper presents results and experiences of this first pilot installation. [Espanol] Ya se estan llevando a cabo programas de electrificacion rural basica en las areas rurales del Norte de Chile por las comunidades y los gobiernos locales, usando sistemas fotovoltaicos. Se instalan Sistemas Domesticos Solares de 12VDC para casas-habitacion individuales, mientras que los sistemas para escuelas, alumbrado publico, etc., se ejecutan con sistemas mas grandes de 220VAC. Con la coperacion del Instituto Solar de la Fachhochschule en Julich, Alemania, el Centro de Energia Renovable de la Universidad de Tarapaca, diseno, instalo y evaluo, la primera instalacion hibrida solar/viento para electrificacion basica en el Norte de Chile, realizado en Colpitas, un pueblo tipico pequeno del altiplano chileno. El siguiete articulo presenta los resultados y experiencias de esta primera instalacion piloto.

  5. A Call for School Counseling Practitioner Research (United States)

    Kaffenberger, Carol J.


    Despite the repeated call to increase the number of practitioner research manuscripts being published in counseling publications, practitioner research accounts for less than five percent of all manuscripts published. This article describes the challenges faced by practitioners seeking to publish their research, defines practitioner research, and…

  6. Supply Management Analysis of the Chilean Navy Acquisition System (United States)


    1. Generic supply chain diagram (from Sanders, 2012) ......................................11 Figure 2. Chilean Navy Logistics Organization...Sanders, 2012). Supply chain management involves the following activities (Monczka et al., 2009, pp. 17–19). • Purchasing or procurement • Inbound will be measured, and how the data obtained will be used (Monczka et al., 2009). Some examples of indicators used inside the military logistics

  7. The 2011 Chilean Student Movement against Neoliberal Educational Policies (United States)

    Bellei, Cristián; Cabalin, Cristian; Orellana, Víctor


    This paper analyses the 2011 Chilean student movement, the most relevant social mobilisation in Chile since the restoration of democracy in 1990. Based on available material and secondary sources, it describes the main features of this student movement, analyses the key components of the students' discourse and its relationship with the Chilean…

  8. Association between eating behavior scores and obesity in Chilean children

    Directory of Open Access Journals (Sweden)

    Amador Paola


    Full Text Available Abstract Background Inadequate eating behavior and physical inactivity contribute to the current epidemic of childhood obesity. The aim of this study was to assess the association between eating behavior scores and childhood obesity in Chilean children. Design and methods We recruited 126 obese, 44 overweight and 124 normal-weight Chilean children (6-12 years-old; both genders according to the International Obesity Task Force (IOTF criteria. Eating behavior scores were calculated using the Child Eating Behavior Questionnaire (CEBQ. Factorial analysis in the culturally-adapted questionnaire for Chilean population was used to confirm the original eight-factor structure of CEBQ. The Cronbach's alpha statistic (>0.7 in most subscales was used to assess internal consistency. Non-parametric methods were used to assess case-control associations. Results Eating behavior scores were strongly associated with childhood obesity in Chilean children. Childhood obesity was directly associated with high scores in the subscales "enjoyment of food" (P Conclusion Our study shows a strong and graded association between specific eating behavior scores and childhood obesity in Chile.

  9. Quality of Chilean Early Childhood Education from an International Perspective. (United States)

    Villalon, Malva; Suzuki, Emy; Herrera, Maria Olivia; Mathiesen, Maria Elena


    Assessed the quality of different types of early childhood care and education programs in Chile according to international standards. Recorded structural and process characteristics observed in the classrooms. Found that Chilean preschool programs showed a minimum level of quality, with a high proportion of centers in the inadequate range.…

  10. Prevalence and risk factors for bruises in Chilean bovine carcasses

    NARCIS (Netherlands)

    Strappini, A.C.; Frankena, K.; Metz, J.H.M.; Kemp, B.


    Records of cattle slaughtered at two Chilean slaughterhouses (SLH1 and SLH2) were used to determine prevalence and risk factors for carcasses with bruises. Bruise prevalence amounted to 12.3% but differed between slaughterhouses (20.8% for SLH1 and 8.6% for SLH2 respectively). Bruise severity grade

  11. Chilean Adolescents' and Parents' Views on Autonomy Development (United States)

    Martínez, M. Loreto; Pérez, J. Carola; Cumsille, Patricio


    This study aims to understand Chilean parents' and adolescents' conceptions of autonomy and whether they hold different expectations for autonomous behaviors by generation and socioeconomic level. A qualitative approach to data collection was used through separate focus groups of parents and adolescents from different socioeconomic condition.…

  12. Respiratory functions in Kalaripayattu practitioners. (United States)

    Chandran, C Kesava; Nair, R Harikumaran; Shashidhar, S


    Kalaripayattu, an ancient traditional martial art form of Kerala, is considered as the basis for all martial arts viz. Karate, Kungfu, etc. physiological studies are more concentrated on Karate, Kungfu and other martial arts due to their global acceptance. Considering the limited knowledge available regarding the physiological profiles of Kalaripayattu practitioners, the present study was taken up for filling the lacunae in the field. Lung function tests were carried out in ten Kalari practitioners. Residual volume was measured by indirect method. Higher lung volumes and flow rates were achieved in Kalari practitioners compared to age and height-matched controls. Better mechanical factors and lower airway resistance influenced during Kalari practice might have benefited in improving hung volumes and flow rates.


    DEFF Research Database (Denmark)

    Robotham, Antony John


    Building in high quality continues to be the driving force of new product development activity in industry. Yet Design for Quality does not appear to attract the attention or interest of many design researchers. If research attention is not paid to Design for Quality, how can we expect to educate...... and train future design practitioners to master this critical dimension of product development?The purpose of this paper is to consider the current status of Design for Quality, explore the skills designers require to be effective practitioners of Design for Quality, and to identify some of the challenges...... the design research community needs to face.The paper argues that Design for Quality provides a robust framework, which can be used by the industrial, research, and educational communities as a platform for improving the skills and capability of the practitioners of Design for Quality.If engineering...

  14. Biofilm models for the practitioner

    DEFF Research Database (Denmark)

    Morgenroth, Eberhard Friedrich; van Loosdrecht, M. C. M.; Wanner, O.


    Even though mathematical biofilm models are extensively used in biofilm research, there has been very little application of these models in the engineering practice so far. However, practitioners would be interested in models that can be used as tools to control plant operation under dynamic...... conditions or to help them handle complex interactions between particle removal, carbon oxidation, nitrification, denitrification and biological phosphorus removal. But even though there is a whole range of biofilm models available, it is difficult for the practitioner to select the appropriate modeling...

  15. Toxicology for the Equine Practitioner. (United States)

    Al-Dissi, Ahmad


    A wide variety of toxins cause diseases in the horse and are investigated routinely by veterinarians and veterinary pathologists to identify the cause of illness and death. A complete investigation involves performing a thorough necropsy and requires macroscopic and microscopic examination of lesions and a variety of laboratory testing to obtain an accurate diagnosis. The identification of gross lesions by equine practitioners is often the first step in formulating a diagnostic plan. This article provides a description of selected common toxins producing detectable gross lesions in horses in North America. The article is useful to equine practitioners and veterinary pathologists investigating a toxicology-related death.

  16. What Is Rural? (United States)

    ... 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 ...

  17. The patient as skilled practitioner

    DEFF Research Database (Denmark)

    Kilbourn, Kyle


    Healthcare is leaking away from the hospital and clinic into everyday life, disrupting work and play. It is no longer confined to a strictly medical sphere. Overwhelmed medical practitioners care for the expanding ranks of chronic dependents. One solution has to been to expand healthcare activities...


    Directory of Open Access Journals (Sweden)



    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.

  19. Clinical reporting: the practitioner's responsibility. (United States)

    Mauser, W W


    Information contained in a clinical report represents new directions in the practice of physical therapy and provides the stimulus for reseach and growth in the profession. The responsibility of the practitioner to share information on problems and solutions generated in the practice of physical therapy is of paramount importance. A clinical report is one method by which this information can be disseminated.

  20. Farm animal practitioners' views on their use and expectations of veterinary diagnostic laboratories. (United States)

    Robinson, P A; Epperson, W B


    Diagnostic sampling of farm animals by private veterinary practitioners can be an important contributing factor towards the discovery of emerging and exotic diseases. This focus group study of farm animal practitioners in Northern Ireland investigated their use and expectations of diagnostic veterinary laboratories, and elicited their opinions on the role of the private practitioner in veterinary surveillance and the protection of rural public health. The veterinarians were enthusiastic users of diagnostic laboratories, and regarded their own role in surveillance as pivotal. They attached great importance to their veterinary public health duties, and called for more collaboration with their medical general practitioner counterparts. The findings of this research can be used to guide future development of veterinary diagnostic services; provide further insights into the mechanics of scanning surveillance; and measure progress towards a 'One Health' approach between veterinarians and physicians in one geographical region of the UK.

  1. Prevalence and risk factors for bruises in Chilean bovine carcasses. (United States)

    Strappini, A C; Frankena, K; Metz, J H M; Gallo, B; Kemp, B


    Records of cattle slaughtered at two Chilean slaughterhouses (SLH1 and SLH2) were used to determine prevalence and risk factors for carcasses with bruises. Bruise prevalence amounted to 12.3% but differed between slaughterhouses (20.8% for SLH1 and 8.6% for SLH2 respectively). Bruise severity grade 1 (mild) was most frequently recorded. The type of the animal, source of animal, the level of fat cover and lairage time were associated with the presence of bruises. Older categories of animals and animals that pass through a market before being moved to the slaughterhouse are more prone to show bruises. The results also indicate that under the reported Chilean circumstances animals that have longer lairage times (over 12 h) have a significantly reduced risk for bruises, except for oxen. Presence of bruises is also significantly associated with increased carcass pH values.

  2. The Chilean Health System: 20 Years of Reforms

    Directory of Open Access Journals (Sweden)

    Manuel Annick


    Full Text Available The Chilean health care system has been intensively reformed in the past 20 years. Reforms under the Pinochet government (1973-1990 aimed mainly at the decentralization of the system and the development of a private sector. Decentralization involved both a deconcentration process and the devolution of primary health care to municipalities. The democratic governments after 1990 chose to preserve the core organization but introduced reforms intended to correct the system's failures and to increase both efficiency and equity. The present article briefly explains the current organization of the Chilean health care system. It also reviews the different reforms introduced in the past 20 years, from the Pinochet regime to the democratic governments. Finally, a brief discussion describes the strengths and weaknesses of the system, as well as the challenges it currently faces.

  3. Genetic structure characterization of Chileans reflects historical immigration patterns. (United States)

    Eyheramendy, Susana; Martinez, Felipe I; Manevy, Federico; Vial, Cecilia; Repetto, Gabriela M


    Identifying the ancestral components of genomes of admixed individuals helps uncovering the genetic basis of diseases and understanding the demographic history of populations. We estimate local ancestry on 313 Chileans and assess the contribution from three continental populations. The distribution of ancestry block-length suggests an average admixing time around 10 generations ago. Sex-chromosome analyses confirm imbalanced contribution of European men and Native-American women. Previously known genes under selection contain SNPs showing large difference in allele frequencies. Furthermore, we show that assessing ancestry is harder at SNPs with higher recombination rates and easier at SNPs with large difference in allele frequencies at the ancestral populations. Two observations, that African ancestry proportions systematically decrease from North to South, and that European ancestry proportions are highest in central regions, show that the genetic structure of Chileans is under the influence of a diffusion process leading to an ancestry gradient related to geography.

  4. Women and changes in the Chilean economy: some questions. (United States)

    Smiaroski, M S


    The author argues that a new development model that encourages greater participation of women in the work force in domestic piecework, temporary work, and subcontracting may further lead to the exploitation of women in Chile. The importance of women in economic development in Chile should be based on building skills, providing support child care services, reorienting women's education, and tax incentives. Chile over the past decade has achieved relatively stable economic growth and increased employment of women. During 1990-93 the growth of women in the work force increased at a rate of 16.8%, while men's presence increased by only 9.8%. The Chilean economy is based on a sophisticated modern sector and a labor-intensive informal sector. The Chilean model of development relies on cheap, flexible labor and a government approval of this model. Increased participation of women in the labor force is usually perceived as increased economic empowerment. A 1994 Oxfam study found that women were being forced into the labor market due to declines in family income and low wages. 46% of men and women received wages that did not cover basic necessities. The Chilean labor market is gender-stratified. Men are paid better than women for the same work. Men are in more permanent positions. Labor laws are either inadequate or violated, particularly for hours of work and overtime pay and conditions of employment and benefits. Traditional female jobs are those that rely on women's natural attributes. These unskilled attributes are rewarded with low wages. Little opportunity is provided for upgrading skills or acquiring new skills. Some women turn down advancement because of a lack of role models. Women have little opportunity to develop their self-image as workers. Poor self-images affect women's work attitudes and motivation. Some firms use competition between women to boost production. Chilean women remain in subordinate roles.

  5. Educational Opportunity and Contentious Politics: The 2011 Chilean Student Movement


    Salinas, Daniel; Fraser, Pablo


    The 2011 Chilean student movement was one of the most massive and original processes of social mobilization in Latin America in the last decade. Led by university students, the movement challenged the longstanding free-market orientation of educational policies in Chile, demanding a more active role for the State in the regulation and supply of education. In this article, we study the main educational and social factors that explain the emergence of the movement. We draw upon social movement ...

  6. A New Liquidity Risk Measure for the Chilean Banking Sector


    Sebastián Becerra; Gregory Claeys; Juan Francisco Martínez


    The objective of this work is to construct an appropriate measure of liquidity risk for Chilean banks. There are already several measures of liquidity risk in the literature. Most of these metrics are based on specific assumptions and expert opinion. In order to overcome the potential problems associated with discretionary assumptions, and to exploit the information available, similar to the work of Drehman and Nikolaou (2012), we propose a metric based on the behavior of banks in the procure...


    Yáñez Sepúlveda, Rodrigo; Barraza, Fernando; Rosales Soto, Giovanni; Báez, Eduardo; Tuesta, Marcelo


    The aim of the study was to characterize the anthropometric profile and somatotype of a sample of 50 players table tennis competitive with an average age 21.6 (± 3.1) years belonging to the Chilean team and institutions of higher education in the region of Valparaiso. The evaluation was conducted under the protocol marking the International Society for the Advancement of Kinanthropometry (ISAK) for the measurement procedure 25 restricted profile variables described by Drinkwater, Norton and Olds. Order to determine the body composition, fat, muscle, bone, skin and tissue residual was considered, using the equations proposed by Kerr. The body shape is characterized through somatotype method proposed by Carter. The sample was divided into 4 groups; Chilean Selection, Traditional Private Universities, State Universities and Private Universities Traditional Nontraditional. Regarding body composition; the Chilean team has the highest values of muscle tissue (45.6 ± 1.7%) and the lowest values of adipose tissue (25.2 ± 1.8%), also presenting lesser value in the Σ 6 skinfolds (mm) . The results showed no significant differences between groups in the aforementioned variables. In general somatotype compared by analyzing SANOVA no significant differences between groups (p = 0.409) was observed. The results show a biotype with such a characterization of endo-mesomorph with average values (4,1-4,9-1,8). This study provides updated data biotypological reference for this sport that can be used for decision-making.

  8. Rural Aging (United States)

    ... 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 ...

  9. Statistical literacy for clinical practitioners

    CERN Document Server

    Holmes, William H


    This textbook on statistics is written for students in medicine, epidemiology, and public health. It builds on the important role evidence-based medicine now plays in the clinical practice of physicians, physician assistants and allied health practitioners. By bringing research design and statistics to the fore, this book can integrate these skills into the curricula of professional programs. Students, particularly practitioners-in-training, will learn statistical skills that are required of today’s clinicians. Practice problems at the end of each chapter and downloadable data sets provided by the authors ensure readers get practical experience that they can then apply to their own work.  Topics covered include:   Functions of Statistics in Clinical Research Common Study Designs Describing Distributions of Categorical and Quantitative Variables Confidence Intervals and Hypothesis Testing Documenting Relationships in Categorical and Quantitative Data Assessing Screening and Diagnostic Tests Comparing Mean...

  10. Faculty development for community practitioners. (United States)

    DeWitt, T G


    Developing the academic skills of the individuals who will serve as educators and role models in the community is critical to pediatric resident education in community settings. The main focus of any faculty development program must be on teaching, although for a subset of individuals, the development of research skills should also be a consideration. The three key elements that must be considered for an effective faculty development program include: (1) creating a culture of mutual respect between full-time and community faculty; (2) basing the program on sound principles of education theory, especially adult learning theory, using appropriately trained faculty; and (3) establishing ongoing institutional financial and philosophical support. Effectively addressing these elements should create a faculty development program that will help the community practitioner become an effective role model and practitioner- preceptor-educator.

  11. Risk perception for paragliding practitioners.


    Paixão, Jairo Antônio da; Tucher, Guilherme


    As an adventure sport, paragliding exposes participants to different levels of life risk. However, the boundary between calculated risk and real risk is a subtle one, depending on the practitioner’s perception. Thus, this study aimed to analyze risk perception of 73 paragliding practitioners. The descriptive-exploratory study method was used. Data was col-lected via a questionnaire validated according to the Delphi technique. Variables were evaluated from a bipolar Likert type scale, ranging ...

  12. Software engineering a practitioner's approach

    CERN Document Server

    Pressman, Roger S


    This indispensable guide to software engineering exploration enables practitioners to navigate the ins and outs of this rapidly changing field. Pressman's fully revised and updated Fourth Edition provides in-depth coverage of every important management and technical topic in software engineering. Moreover, readers will find the inclusion of the hottest developments in the field such as: formal methods and cleanroom software engineering, business process reengineering, and software reengineering.

  13. Measures of Cost Economies in Chilean Banking: 1984-1991 Measures of Cost Economies in Chilean Banking: 1984-1991

    Directory of Open Access Journals (Sweden)

    Bharat B. Nauriyal


    Full Text Available This paper presents measures of cost economies in Chilean banking following the many regulatory and structural changes implemented by Chilean authorities in the aftermath of the 1981-83 financial system crisis. Utilizing panel, and annual cross section monthly data on 37 individual banking institutions in operation over 1984-91, a translogarithmic cost specification is adopted to estimate economies of scale and scope. My findings suggest the presence of persistent and significant economies of scale. Weaker evidence on the presence of economies of scope is also detected. These findings are of additional importance as the estimation methodology adopted overcomes an inherent flaw in most other similar studies that lump together different sizes of financial institutions for a cross sectional analysis over a one or two year period. This paper presents measures of cost economies in Chilean banking following the many regulatory and structural changes implemented by Chilean authorities in the aftermath of the 1981-83 financial system crisis. Utilizing panel, and annual cross section monthly data on 37 individual banking institutions in operation over 1984-91, a translogarithmic cost specification is adopted to estimate economies of scale and scope. My findings suggest the presence of persistent and significant economies of scale. Weaker evidence on the presence of economies of scope is also detected. These findings are of additional importance as the estimation methodology adopted overcomes an inherent flaw in most other similar studies that lump together different sizes of financial institutions for a cross sectional analysis over a one or two year period.

  14. Nurse practitioner prescribing: an international perspective

    Directory of Open Access Journals (Sweden)

    Fong J


    Full Text Available Jacqueline Fong,1,2 Thomas Buckley,2 Andrew Cashin3 1St George Hospital, Kogarah, 2Sydney Nursing School, University of Sydney, Camperdown, NSW, Australia; 3School of Health and Human Sciences, Southern Cross University, Lismore, NSW, Australia Background: Internationally, the delivery of care provided by nurses and midwives has undergone a significant change due to a variety of interrelated factors, including economic circumstances, a diminishing number of medical providers, the unavailability of adequate health care services in underserved and rural areas, and growing specialization among the professions. One solution to the challenges of care delivery has been the introduction of nurse practitioners (NPs and the authorization of NPs to prescribe medicines. Aim: The aim of this paper was to review the current international literature related to NP prescribing and compare the findings to the Australian context. The review focuses on literature from the United States, Canada, Europe, Australia, and New Zealand. Methods: Databases were searched from January 2000 to January 2015. The following keywords: “nurse practitioner”, “advanced nurse”, “advanced practice nurse”, “prescri*”, “Australia”, “United States America”, “UK”, “New Zealand”, “Canada”, “Europe”, “drug prescri*”, “prescri* authority”, and “prescri* legislation” were used. Findings: NPs tend to prescribe in differing contexts of practice to provide care in underserved populations and require good systems literacy to practice across complex systems. The key themes identified internationally related to NP prescribing relate to barriers to prescribing, confidence in prescribing, and the unique role of NPs in prescribing medicines, eg, the high prevalence of prescribing pain medicines in several countries, including Australia. Conclusion: Across all countries reviewed, there appears a need for further research into the organizational and

  15. Preliminary measurements of gamma radiation in Chilean Antarctic Stations

    Energy Technology Data Exchange (ETDEWEB)

    Stuardo B, E. (Comision Chilena de Energia Nuclear, Santiago. Dept. de Aplicaciones Nucleares)


    Natural and artificial gamma radiation, 1 m above the soil, is being investigated in 4 Chilean Antartic Stations. The measurements are performed with different types of TLD detectors. Preliminary results in the Tte. Marsh Station are reported and discussed. An average exposition of 3,5 was found during a 108 days period. This exposition corresponds to an annual dose of about 40 mrad, 8% of the annual dose limit for individual of the public. The presence of low energy artificial radioisotopes was not found.

  16. Chilean Euphorbiaceae species as sources of fuels and raw chemicals

    Energy Technology Data Exchange (ETDEWEB)

    Gnecco, S.; Bartulin, J.; Marticorena, C.; Ramirez, A.


    The potential of some species of Chilean Euphorbiaceae as sources of hydrocarbon-like materials was evaluated. Samples of plants excluding roots, were analyzed for CH/sub 2/Cl/sub 2/ extractives, resins and hydrocarbons. The presence of waxes and natural rubber (cis-1,4-polyisoprene) was confirmed using spectroscopic and chromatographic methods. C/H values for representative fractions were calculated and extracted samples from selected species analyzed for apparent protein contents. Results suggested that at least two species, Euphorbia lactiflua and Euphorbia copiapina might have an industrial potential.

  17. Misconception p value among Chilean and Italian academic psychologists

    Directory of Open Access Journals (Sweden)

    Laura Badenes-Ribera


    Full Text Available The p value misconceptions are based on certain beliefs and attributions about the significance of the results. Thus, they affect the professionals’ decisions and jeopardize the quality of interventions and the accumulation of valid scientific knowledge. We conducted a survey on 164 academic psychologists (134 Italians, 30 Chileans, questioned on this topic. Our findings are consistent with original research and suggest that some participants do not know how to correctly interpret p values. The inverse probability fallacy presents the greatest comprehension problems, followed by the replication fallacy. These results highlight the importance of the statistical re-education of researchers. Recommendations for improving statistical cognition are proposed.

  18. Rural Supremacy


    Shah, Meera


    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...

  19. Worry and bother: factors in rural women's health decision making. (United States)

    McCulloch, B Jan; Jackson, Melanie N G; Lassig, Sara L


    This exploratory study examined older rural women's health decision making. Thirty-three rural women were recruited to participate in semistructured qualitative interviews. Major themes emerged that focused on rural women's comments regarding their concerns about not worrying or bothering their children with personal health matters. Themes were discussed in the context of an ethic of care. Results suggest that it is important for mental health professionals, family physicians, social workers, and other practitioners to be aware of the sense of worry and concern for others that older rural women bring to bear in decision making about personal health issues.

  20. Twenty-five years of serving the health care needs of rural North Carolina. (United States)

    Walker, Franklin


    The Community Practitioner Program seeks to improve access to quality health care for North Carolina's most vulnerable people by providing educational loan repayment grants to primary care physicians, physician assistants, and nurse practitioners in return for their service in rural and underserved communities.

  1. How experienced practitioners gain knowledge. (United States)

    Vaughan, Barbara


    An evolution in nursing in the United Kingdom in the 1970s from rule-bound toward holistic, autonomous practice engendered an examination of nursing's body of knowledge and how it is incorporated into practice. This article describes Barbara Carper's (1978) Fundamental Patterns of Knowing in Nursing (empiric, ethical, aesthetic, and personal knowledge), and links it to three major worldviews of the way in which knowledge is sought (positivism, naturalism, and critical social theory). Carper's model was used in the United Kingdom as the basis for a curriculum of structured reflective practice using workshops, journaling, and clinical supervision. An example from a practitioner's diary demonstrates how Carper's model informs reflection on an interaction with a patient with newly diagnosed cancer.

  2. Group supervision for general practitioners

    DEFF Research Database (Denmark)

    Galina Nielsen, Helena; Sofie Davidsen, Annette; Dalsted, Rikke;


    AIM: Group supervision is a sparsely researched method for professional development in general practice. The aim of this study was to explore general practitioners' (GPs') experiences of the benefits of group supervision for improving the treatment of mental disorders. METHODS: One long...... considered important prerequisites for disclosing and discussing professional problems. CONCLUSION: The results of this study indicate that participation in a supervision group can be beneficial for maintaining and developing GPs' skills in dealing with patients with mental health problems. Group supervision......-established supervision group was studied closely for six months by observing the group sessions, and by interviewing GPs and their supervisors, individually and collectively. The interviews were recorded digitally and transcribed verbatim. The data were analysed using systematic text condensation. RESULTS: The GPs found...

  3. Geographical classification of Chilean wines by an electronic nose

    Directory of Open Access Journals (Sweden)

    Nicolás H Beltrán


    Full Text Available Nicolás H Beltrán, Manuel A Duarte-Mermoud, Ricardo E MuñozDepartment of Electrical Engineering, University of Chile, Santiago, ChileAbstract: This paper discusses the classification of Chilean wines by geographical origin based only on aroma information. The varieties of Cabernet Sauvignon, Merlot, and Carménère analyzed here are produced in four different valleys in the central part of Chile (Colchagua, Maipo, Maule, and Rapel. Aroma information was obtained with a zNoseTM (fast gas chromatograph and the data was analyzed by applying wavelet transform for feature extraction followed by an analysis with support vector machines for classification. Two evaluations of the classification technique were performed; the average percentage of correct classification performed on the validation set was obtained by means of cross-validation against the percentage of correct classification obtained on the test set. This developed technique obtained results on classification rates over 94% in both cases. The geographical origin of a Chilean wine can be resolved rapidly with fast gas chromatography and data processing.Keywords: geographical origin, origin denomination, wine classification, pattern recognition, support vector machines, wavelet analysis, feature extraction

  4. Antimicrobial activity of submerged cultures of Chilean basidiomycetes. (United States)

    Aqueveque, Pedro; Anke, Timm; Saéz, Katia; Silva, Mario; Becerra, José


    This study is part of a screening program aimed at searching for bioactive metabolites from Chilean basidiomycetes. Submerged cultivation of fungal mycelia in liquid media was evaluated for antimicrobial activity. A total of 148 strains were obtained in vitro. The extracts produced from submerged cultures were evaluated against bacteria and fungi. In the primary antimicrobial assay, approximately 60% of the extracts presented positive biological activity. The highest frequencies of active strains were from the orders Agaricales (31.0%), Polyporales (20.6%), Sterales (18.3%), Boletales (11.4%), and Cortinariales (9.1%). Antifungal activity was more pronounced than antibacterial activity. Twelve extracts that exhibited strong antimicrobial activity showed minimum inhibitory concentration (MIC) values of 50 µL/mL against Bacillus brevis and 25∼50 µL/mL against Penicillium notatum and Paecilomyces variotii. The biological activity of some strains did not vary considerably, regardless of the substrate or collection site whereas, for others, it showed marked variations. Differences in antimicrobial activities observed in the different fungal genera suggested that the ability to produce bioactive compounds is not homogenously distributed among basidiomycetes. The information obtained from this study reveals that Chilean basidiomycetes are able to generate small and/or large variations in the normal pathway of compounds production. Thus, it is necessary to evaluate this biological and chemical wealth, which could be an unsuspected reservoir of new and potentially useful molecules.

  5. Chilean management education: rhetoric of pragmatism, consumerism, individualism and elitism

    Directory of Open Access Journals (Sweden)

    Marcela Mandiola Cotroneo

    Full Text Available The aim of this paper is to understand the character and the role of higher education in business in relation to the wider institutional and structural contexts within which they function. Being loyal to that widespread background, business schools in Chile have become efficient providers of appropriate goods and services for their respective clients and consumers, behaving more like corporations and businesses rather than educational institutions. From this perspective, business education's alignment with the wider political and socio-economic shifts associated with the developments of market economies and economic globalization is a necessary reflection. In this paper we will provide an account of our problematization of management education practices in Chile. This practice was pictured as one of the main characters at the forefront of the Chilean neo-liberal revolution during the final years of the last century. In particular, we will unravel more closely the chain of signifiers articulating the meaning of Chilean higher business education. This articulation is recuperated mainly around how those involved in the management education practice talk about (ourthemselves. As well as specialised press writings, some academic accounts and fragments from our own 'ethnographic' involvement are used for this purpose. Particular attention is paid to the social, political and fantasmatic logics (GLYNOS; HOWARTH, 2007 as key elements of our own explanation of this practice, which in turn informs our critical standpoint.

  6. Report on the 2010 Chilean earthquake and tsunami response (United States)



    In July 2010, in an effort to reduce future catastrophic natural disaster losses for California, the American Red Cross coordinated and sent a delegation of 20 multidisciplinary experts on earthquake response and recovery to Chile. The primary goal was to understand how the Chilean society and relevant organizations responded to the magnitude 8.8 Maule earthquake that struck the region on February 27, 2010, as well as how an application of these lessons could better prepare California communities, response partners and state emergency partners for a comparable situation. Similarities in building codes, socioeconomic conditions, and broad extent of the strong shaking make the Chilean earthquake a very close analog to the impact of future great earthquakes on California. To withstand and recover from natural and human-caused disasters, it is essential for citizens and communities to work together to anticipate threats, limit effects, and rapidly restore functionality after a crisis. The delegation was hosted by the Chilean Red Cross and received extensive briefings from both national and local Red Cross officials. During nine days in Chile, the delegation also met with officials at the national, regional, and local government levels. Technical briefings were received from the President’s Emergency Committee, emergency managers from ONEMI (comparable to FEMA), structural engineers, a seismologist, hospital administrators, firefighters, and the United Nations team in Chile. Cities visited include Santiago, Talca, Constitución, Concepción, Talcahuano, Tumbes, and Cauquenes. The American Red Cross Multidisciplinary Team consisted of subject matter experts, who carried out special investigations in five Teams on the (1) science and engineering findings, (2) medical services, (3) emergency services, (4) volunteer management, and (5) executive and management issues (see appendix A for a full list of participants and their titles and teams). While developing this

  7. Knowledge of causes, clinical features and diagnosis of common zoonoses among medical practitioners in Tanzania

    Directory of Open Access Journals (Sweden)

    Mfinanga Godfrey S


    Full Text Available Abstract Background Many factors have been mentioned as contributing to under-diagnosis and under-reporting of zoonotic diseases particularly in the sub-Sahara African region. These include poor disease surveillance coverage, poor diagnostic capacity, the geographical distribution of those most affected and lack of clear strategies to address the plight of zoonotic diseases. The current study investigates the knowledge of medical practitioners of zoonotic diseases as a potential contributing factor to their under-diagnosis and hence under-reporting. Methods The study was designed as a cross-sectional survey. Semi-structured open-ended questionnaire was administered to medical practitioners to establish the knowledge of anthrax, rabies, brucellosis, trypanosomiasis, echinococcosis and bovine tuberculosis in selected health facilities within urban and rural settings in Tanzania between April and May 2005. Frequency data were analyzed using likelihood ratio chi-square in Minitab version 14 to compare practitioners' knowledge of transmission, clinical features and diagnosis of the zoonoses in the two settings. For each analysis, likelihood ratio chi-square p-value of less than 0.05 was considered to be significant. Fisher's exact test was used where expected results were less than five. Results Medical practitioners in rural health facilities had poor knowledge of transmission of sleeping sickness and clinical features of anthrax and rabies in humans compared to their urban counterparts. In both areas the practitioners had poor knowledge of how echinococcosis is transmitted to humans, clinical features of echinococcosis in humans, and diagnosis of bovine tuberculosis in humans. Conclusion Knowledge of medical practitioners of zoonotic diseases could be a contributing factor to their under-diagnosis and under-reporting in Tanzania. Refresher courses on zoonotic diseases should be conducted particularly to practitioners in rural areas. More emphasis

  8. Going Rural

    Institute of Scientific and Technical Information of China (English)


    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

  9. Rural Agrobusiness. (United States)

    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…

  10. Observations on a rural health manpower project. (United States)

    Pinchoff, D M; Ingall, J R; Crage, W D


    The Rural Externship Program was developed by the Lakes Area Regional Medical Program in conjunction with the State University of New York at Buffalo and the health professionals of western New York and northwestern Pennsylvania. It was designed to encourage health science students to practice in a rural area following graduation. This interdisciplinary program provides health science students with an eight-week summer living-working experience in a rural environment, supervised by practitioner-preceptors. The intent is to develop their appreciation of rural health care and life-styles. Since the summer of 1970, 240 students have participated. This paper describes and discusses the project and presents measures of the externs' changes in attitudes toward rural practice which occurred after they participated in the program. A survey of externs who have graduated shows the effect of the program on their decision to locate. Of the 61 externs contacted, 55 percent indicated that they were in rural practice, and 53 percent of the latter indicated that their experience in the Rural Externship Program was an important factor in their decision to practice in a rural area.

  11. A Practitioner View toward Engaged Scholarship (United States)

    Barge, J. Kevin; Jones, Jennifer E.; Kensler, Michael; Polok, Nina; Rianoshek, Richard; Simpson, Jennifer Lyn; Shockley-Zalabak, Pamela


    The stories of four practitioners are presented regarding their involvement with the Aspen conference and their reflections on the essays in this forum. Their stories suggest that the ability for academics and practitioners to co-create engaged scholarship depends on articulating common values and interests, creating a shared language that allows…

  12. Roles of social impact assessment practitioners

    Energy Technology Data Exchange (ETDEWEB)

    Wong, Cecilia H.M., E-mail:; Ho, Wing-chung, E-mail:


    The effectiveness of social impact assessment (SIA) hinges largely on the capabilities and ethics of the practitioners, yet few studies have dedicated to discuss the expectations for these professionals. Recognising this knowledge gap, we employed the systemic review approach to construct a framework of roles of SIA practitioners from literature. Our conceptual framework encompasses eleven roles, namely project manager of SIA, practitioner of SIA methodologies, social researcher, social strategy developer, social impact management consultant, community developer, visionary, public involvement specialist, coordinator, SIA researcher, and educator. Although these roles have been stratified into three overarching categories, the project, community and SIA development, they are indeed interrelated and should be examined together. The significance of this study is threefold. First, it pioneers the study of the roles of SIA practitioners in a focused and systematic manner. Second, it informs practitioners of the expectations of them thereby fostering professionalism. Third, it prepares the public for SIAs by elucidating the functions and values of the assessment. - Highlights: • We adopt systematic review to construct a framework of roles of social impact assessment (SIA) practitioners from literature. • We use three overarching categorises to stratify the eleven roles we proposed. • This work is a novel attempt to study the work as a SIA practitioner and build a foundation for further exploration. • The framework informs practitioners of the expectations on them thus reinforcing professionalism. • The framework also prepares the public for SIAs by elucidating the functions and values of the assessment.

  13. Teaching Qualitative Research to Practitioner-Researchers (United States)

    Cox, Rebecca D.


    Practitioner-researchers are well-positioned to apply qualitative methods to the study of significant problems of educational practice. However, while learning the skills of qualitative inquiry, practitioners may be compelled by forces outside of qualitative research classrooms to think quantitatively. In this article, the author considers two…

  14. Promoting the Priorities of Practitioner Research Engagement (United States)

    Hall, Hazel


    One of the aims of the Library and Information Science Research Coalition is to promote library and information science practitioner research. Successfully meeting this aim should result in greater use of the existing knowledge base and the creation of new knowledge on Library and Information Science (LIS) practice. LIS practitioner engagement in…

  15. PR Educators and Practitioners Identify Professional Standards. (United States)

    Sallot, Lynne M.; Cameron, Glen; Weaver-Lariscy, Ruth-Ann


    Surveys public relations educators nationwide. Finds (1) little consensus about professional standards in public relations among educators and practitioners; and (2) both educators and practitioners held their peers in comparatively low esteem. Offers 10 recommendations to reorient and reemphasize the content of courses. (RS)

  16. Healthcare Practitioners' Personal and Professional Values (United States)

    Moyo, Mpatisi; Goodyear-Smith, Felicity A.; Weller, Jennifer; Robb, Gillian; Shulruf, Boaz


    Personal and professional values of healthcare practitioners influence their clinical decisions. Understanding these values for individuals and across healthcare professions can help improve patient-centred decision-making by individual practitioners and interprofessional teams, respectively. We aimed to identify these values and integrate them…

  17. The Critical Pragmatist as Scholar-Practitioner (United States)

    Bourgeois, Nichole


    The intention of this article is to firmly build a case for the fit of a "new scholarship" known as scholar-practitioner as a leadership perspective grounded by the philosophical and theoretical tenets of critical pragmatism. Using post-formal thought as an approach to establish the fit of scholar-practitioner as a reform initiative and leadership…

  18. [The general practitioner and insomnia]. (United States)

    Cambron, L; Bruwier, G; De Bock, I; Poirrier, R


    A complaint of insomnia has to be analysed, and differentiated from hypochondria and, overall, from hypersomnia. Once confirmed and assessed as acute or chronic, it is often considered a disorder of hyperarousal, that is an imbalance between a central nervous system activating and a central nervous system inhibiting system with subcontinuous overflow from the former. An acute insomnia is less than one month of duration. As a disease, insomnia has to be categorized as a secondary or a primary disorder. Thereafter, it remains to assess the extent of social, psychological and economical interactions. These factors intervene as consequences or perpetuating factors. The capacity to assess the whole situation is really the great strength of the general practitioner who, more than anybody else, is on home ground. Laboratory findings and specialist examination come only as supporting evidence for causal links. A polysomnography realized in a sleep disorder center provides data reinforcing or correcting the diagnosis. From a sound assessment of the disease, the treatment has to be deduced by following a rigorous reasoning, devoid of guilty feelings as they are suggested to patients by mass-media talking, as well as freed from fashionable non medical practices. Today, we know that chronic insomnia is a disease with potential severe consequences and that it does not heal spontaneously.

  19. Level of evidence and geographic origin of articles published in Chilean dental journals.


    Javier Moraga


    The aim of this study is to determine the geographic origin and level of evidence (LE) of articles published in Chilean dental journals during 2012. The target population for the bibliometric study was articles published in exclusively-scientific Chilean dental journals. These variables were analyzed: journal, area, language, country, region, design, scenario, and LE. A total of 120 articles were published in four journals: International Journal of Odontostomatology (IJOS=59), Revista Clínic...

  20. Non-Certified Environment and Geography Subject Expertise in Chilean Rural Educators (United States)

    Salinas-Silva, Victor; Arenas-Martija, Andoni; Margalef-García, Leonor


    In this paper, environmental and geographical subject expertise is explored, based on the notion of expertise as rooted both in subject knowledge and knowledge of teaching and as acquired through experience. The research questions that guided this study focused on the importance of understanding how teachers negotiate their assumptions and what…

  1. Amino acid biogeo- and stereochemistry in coastal Chilean sediments

    DEFF Research Database (Denmark)

    Lomstein, Bente Aagaard; Jørgensen, Bo Barker; Schubert, Carsten J.;


    The spatial distribution of total hydrolysable amino acids (THAA) and amino acid enantiomers (D- and L-forms) was investigated in sediments underlying two contrasting Chilean upwelling regions,: at ~23°S off Antofagasta and at ~36°S off Concepcion. The contribution of amino acids to total organic...... carbon (%TAAC: 7-14%) and total nitrogen (%TAAN: 23-38%) in surface sediments decreased with increasing water depth (from 126 to 1350 m) indicating that organic matter becomes increasingly decomposed in surface sediments at greater water depth. Changes in the ratio between the protein amino acid...... aspartate and its non-protein degradation product β-alanine confirmed this observation. Furthermore, estimates of THAA mineralization showed that sedimentary amino acid reactivity decreased with both increasing water depth as well as progressive degradation status of the organic matter that was incorporated...

  2. Justified Ilegality?: Controlled clientelism by the Chilean administration

    Directory of Open Access Journals (Sweden)

    Marcelo Moriconi Bezerra


    Full Text Available The Chilean civil service is considered one of the most efficient in Latin America. However, different studies describe the informal institutions that operate between the Legislative Power and the bureaucracy to fill positions in the public administration. Although some of these clientelistic practices are against the law, they have been accepted and defended in both the political and scientific spheres. Legality is not considered an important value if certain indexes have a positive development. In this context, it is important to study how corruption and clientelism have been ignored, or hidden, through political discourses and technical reports about the situation of bureaucracy. All of this allows a better understanding of why after 20 years of administrative reforms there are damaging practices which negatively affect democracy that have not been eradicated.

  3. Simple Tool to Evaluate Airtightness in Chilean Homes

    Directory of Open Access Journals (Sweden)

    Alex González Cáceres


    Full Text Available Given the high impact that air leaks have on buildings’ energy expenses, most developed countries have set out norms which regulate their presence in homes. Chile will soon begin this process; however, the airtightness revision strategy in envelopes has not been resolved as of yet. This article presents a tool to Assess Airtightness in Design, EHeD. The software will allow predicting the performance of homes under the regulations which will be set out, aiding designers, builders or owners to make decisions when making changes to improve airtightness. EHeD has been validated through pressurization tests in diverse homes across the country, with results that are in line with expectations, thus validating its calculation model. The methodology considers three stages: determining the main factors that have an impact on the airtightness in Chilean homes, preparing an airtightness database for each component (wall, windows and doors and preparing a calculation model that is integrated in an IT interface.

  4. Chilean prosopis mesocarp flour: phenolic profiling and antioxidant activity. (United States)

    Schmeda-Hirschmann, Guillermo; Quispe, Cristina; Soriano, Maria Del Pilar C; Theoduloz, Cristina; Jiménez-Aspée, Felipe; Pérez, Maria Jorgelina; Cuello, Ana Soledad; Isla, Maria Inés


    In South America, the mesocarp flour of Prosopis species plays a prominent role as a food resource in arid areas. The aim of this work was the characterization of the phenolic antioxidants occurring in the pod mesocarp flour of Chilean Prosopis. Samples were collected in the Copiapo, Huasco and Elqui valleys from the north of Chile. The samples of P. chilensis flour exhibited a total phenolic content ranging between 0.82-2.57 g gallic acid equivalents/100 g fresh flour weight. The highest antioxidant activity, measured by the DPPH assay, was observed for samples from the Huasco valley. HPLC-MS/MS analysis allowed the tentative identification of eight anthocyanins and 13 phenolic compounds including flavonol glycosides, C-glycosyl flavones and ellagic acid derivatives. The antioxidant activity and the phenolic composition in the flour suggest that this ancient South American resource may have potential as a functional food.

  5. Chilean Prosopis Mesocarp Flour: Phenolic Profiling and Antioxidant Activity

    Directory of Open Access Journals (Sweden)

    Guillermo Schmeda-Hirschmann


    Full Text Available In South America, the mesocarp flour of Prosopis species plays a prominent role as a food resource in arid areas. The aim of this work was the characterization of the phenolic antioxidants occurring in the pod mesocarp flour of Chilean Prosopis. Samples were collected in the Copiapo, Huasco and Elqui valleys from the north of Chile. The samples of P. chilensis flour exhibited a total phenolic content ranging between 0.82–2.57 g gallic acid equivalents/100 g fresh flour weight. The highest antioxidant activity, measured by the DPPH assay, was observed for samples from the Huasco valley. HPLC-MS/MS analysis allowed the tentative identification of eight anthocyanins and 13 phenolic compounds including flavonol glycosides, C-glycosyl flavones and ellagic acid derivatives. The antioxidant activity and the phenolic composition in the flour suggest that this ancient South American resource may have potential as a functional food.

  6. Developing core interprofessional competencies for community rehabilitation practitioners: findings from an Australian study. (United States)

    Kendall, E; Muenchberger, H; Catalano, T; Amsters, D; Dorsett, P; Cox, R


    This study aimed to determine the core competencies that underpin the practice of community rehabilitation (CR) practitioners working in a single state in Australia. Using a recursive and consultative methodology designed to build consensus, CR professionals, trainers, educators, and researchers developed a preliminary set of core interprofessional competencies that were considered essential to their practice. Data were collected in four main stages that engaged practitioners and experts in the CR field in the process of identifying, defining, validating, and endorsing a set of competencies. The first stage involved focus groups with 50 senior practitioners in metropolitan, rural/remote, regional, and indigenous communities. The second and third stages involved expert panels consisting of 20 trainers/educators, senior leaders, and scholars who refined, defined and validated the competency areas and developed statements that reflected the data.These statements formed the basis of a survey that was distributed to all current CR practitioners based in this state for endorsement, 40 of whom responded. Ten competencies emerged from this process. Although there are limitations to the application of competencies, they will have significant implications for the future training of CR practitioners who can transcend professional boundaries.

  7. Rural Priority

    Institute of Scientific and Technical Information of China (English)


    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

  8. VOCALS-CUpEx: the Chilean Upwelling Experiment (United States)

    Garreaud, R. D.; Rutllant, J. A.; Muñoz, R. C.; Rahn, D. A.; Ramos, M.; Figueroa, D.


    The VAMOS Ocean-Cloud-Atmosphere-Land Study Regional Experiment (VOCALS-REx) was a major field experiment conducted in spring of 2008 off southern Peru and northern Chile, aimed at better understanding the coupled climate systems of the southeast Pacific. Because of logistical constrains, the coastal area around 30° S was not sampled during VOCALS-REx. This area not only marks the poleward edge of the subtropical stratocumulus cloud regime (thus acting as a source of transient disturbances) but is also one of the most active upwelling centers and source of surface ocean kinetic energy along the Chilean coast. To fill such an observational gap, a small, brief, but highly focused field experiment was conducted in late spring 2009 in the near-shore region around 30° S. The Chilean Upwelling Experiment (CUpEx) was endorsed by VOCALS as a regional component. CUpEx included long-term monitoring, an intensive two-week field campaign and off-shore research flights. Our goal was to obtain an atmospheric/oceanic dataset with enough temporal and spatial coverage to be able to document (a) the mean diurnal cycles of the lower-troposphere and upper-ocean in a region of complex topography and coastline geometry, and (b) the ocean-atmosphere response to the rapid changes in coastal winds from strong, upwelling-favorable equatorward flow (southerly winds) to downwelling-favorable poleward flow (northerly winds). In this paper we describe the measurement platforms and sampling strategy, and provide an observational overview, highlighting some key mean-state and transient features.

  9. Helicobacter pylori infection and gastrointestinal symptoms on Chilean pregnant women

    Directory of Open Access Journals (Sweden)

    Gina Ferrer Poveda


    Full Text Available Objective: the aim of this research was to determine the prevalence of Helicobacter pylori infection on Chilean pregnant women and its relationship with the appearance and severity of hyperemesis and dyspepsia. Methods: quantitative study of prevalence in a transversal cut with variable analysis. The sample was taken from 274 Chilean pregnant women from the Bío Bío province through vein puncture between June and December, 2005. Pregnant women were informed of this study, interviewed and signed an informed consent. The samples were processed using ImmunoComb II Helicobacter pylori IgG kit. Statistical analysis was performed by means of the Statistical Package for Social Sciences (SPSS Program. Results: out of the total number of pregnant women, 68.6% showed infection by Helicobacter pylori. 79.6% of the total sample had symptoms of dyspepsia, and 72.5% of this group presented Helicobacter pylori infection. 12.4% showed pregnancy hyperemesis; among them, 79.4% were infected with Helicobacter pylori. 73.4% of the pregnant women that showed gastric discomfort during the first three months had Helicobacter pylori infection. 53.7% of them continued with gastric discomfort after the first three months; of those, 95.8% were infected. Helicobacter pylori infection was present only in 1.5% of pregnant women without gastric discomfort. Conclusion: both, gastric discomfort of pregnant women and the continuity of severe symptoms of dyspepsia and hyperemesis after the first three months of gestation are significantly correlated with Helicobacter pylori infection.

  10. Bayesian spatiotemporal interpolation of rainfall in the Central Chilean Andes (United States)

    Ossa-Moreno, Juan; Keir, Greg; McIntyre, Neil


    Water availability in the populous and economically significant Central Chilean region is governed by complex interactions between precipitation, temperature, snow and glacier melt, and streamflow. Streamflow prediction at daily time scales depends strongly on accurate estimations of precipitation in this predominantly dry region, particularly during the winter period. This can be difficult as gauged rainfall records are scarce, especially in the higher elevation regions of the Chilean Andes, and topographic influences on rainfall are not well understood. Remotely sensed precipitation and topographic products can be used to construct spatiotemporal multivariate regression models to estimate rainfall at ungauged locations. However, classical estimation methods such as kriging cannot easily accommodate the complicated statistical features of the data, including many 'no rainfall' observations, as well as non-normality, non-stationarity, and temporal autocorrelation. We use a separable space-time model to predict rainfall using the R-INLA package for computationally efficient Bayesian inference, using the gridded CHIRPS satellite-based rainfall dataset and digital elevation models as covariates. We jointly model both the probability of rainfall occurrence on a given day (using a binomial likelihood) as well as amount (using a gamma likelihood or similar). Correlation in space and time is modelled using a Gaussian Markov Random Field (GMRF) with a Matérn spatial covariance function which can evolve over time according to an autoregressive model if desired. It is possible to evaluate the GMRF at relatively coarse temporal resolution to speed up computations, but still produce daily rainfall predictions. We describe the process of model selection and inference using an information criterion approach, which we use to objectively select from competing models with various combinations of temporal smoothing, likelihoods, and autoregressive model orders.

  11. Indo-European and Asian origins for Chilean and Pacific chickens revealed by mtDNA. (United States)

    Gongora, Jaime; Rawlence, Nicolas J; Mobegi, Victor A; Jianlin, Han; Alcalde, Jose A; Matus, Jose T; Hanotte, Olivier; Moran, Chris; Austin, Jeremy J; Ulm, Sean; Anderson, Atholl J; Larson, Greger; Cooper, Alan


    European chickens were introduced into the American continents by the Spanish after their arrival in the 15th century. However, there is ongoing debate as to the presence of pre-Columbian chickens among Amerindians in South America, particularly in relation to Chilean breeds such as the Araucana and Passion Fowl. To understand the origin of these populations, we have generated partial mitochondrial DNA control region sequences from 41 native Chilean specimens and compared them with a previously generated database of approximately 1,000 domestic chicken sequences from across the world as well as published Chilean and Polynesian ancient DNA sequences. The modern Chilean sequences cluster closely with haplotypes predominantly distributed among European, Indian subcontinental, and Southeast Asian chickens, consistent with a European genetic origin. A published, apparently pre-Columbian, Chilean specimen and six pre-European Polynesian specimens also cluster with the same European/Indian subcontinental/Southeast Asian sequences, providing no support for a Polynesian introduction of chickens to South America. In contrast, sequences from two archaeological sites on Easter Island group with an uncommon haplogroup from Indonesia, Japan, and the Philippines [corrected] and may represent a genetic signature of an early Polynesian dispersal. Modeling of the potential marine carbon contribution to the Chilean archaeological specimen casts further doubt on claims for pre-Columbian chickens, and definitive proof will require further analyses of ancient DNA sequences and radiocarbon and stable isotope data from archaeological excavations within both Chile and Polynesia.

  12. Evaluating Qualitative Research for Social Work Practitioners

    Directory of Open Access Journals (Sweden)

    Cynthia A. Lietz


    Full Text Available The field of social work expects practitioners remain well informed regarding research advances in their respective areas. Research studies conducted through the lens of qualitative inquiry provide important contributions to the social work knowledge base. The purpose of this manuscript is to provide practitioners some orientation regarding qualitative research methods and to highlight potential strategies researchers may use to enhance the trustworthiness and quality of their research. Specifically, the concept of trustworthiness is defined in the context of qualitative inquiry and questions social work practitioners can ask when evaluating the quality and applicability of a qualitative research study are provided.

  13. Infection prevention and control practitioners: improving engagement. (United States)

    Aziz, Ann-Marie

    Every healthcare worker plays a vital part in minimising the risk of cross infection. Infection prevention and control (IPC) practitioners have the skills and competencies to assist organisations in improving engagement among staff and play a vital part in achieving this. IPC practitioners have skills in clinical practice, education, research and leadership, and these skills ensure high-quality care for patients and support strategies for engaging staff. This article highlights how IPC practitioners' skills and competencies are required for preventing infection and improving staff engagement. Engaged staff generate positive outcomes for both patients and staff, which is a welcome result for all healthcare organisations.

  14. Reflections on practitioner-researcher collaborative inquiry. (United States)

    Stockton, Rex; Morran, Keith


    We offer comments regarding two articles in this issue, one titled "Bridging the Practitioner-Scientist Gap in Group Psychotherapy Research" and a complementary article providing the results of a survey, entitled "A Survey of Canadian Group Psychotherapist Association Members' Perceptions of Psychotherapy Research." We also make several recommendations for collaborative research between practitioners and scientists, such as the inclusion of clinicians on the research team, practice research networks, and improved approaches to communicating clinically relevant research findings. Also discussed are reflections and recommendations from the authors' experience as scientist-practitioners.

  15. Professional Orientation of Colorado PR Practitioners (United States)

    Lattimore, Dan L.; And Others


    Findings indicate that a majority of public relations practitioners are highly educated, have professional media backgrounds as part of their professional experience, and are paid better than newspaper personnel in Colorado. (RB)

  16. Evaluating Qualitative Research for Social Work Practitioners



    The field of social work expects practitioners remain well informed regarding research advances in their respective areas. Research studies conducted through the lens of qualitative inquiry provide important contributions to the social work knowledge base. The purpose of this manuscript is to provide practitioners some orientation regarding qualitative research methods and to highlight potential strategies researchers may use to enhance the trustworthiness and quality of their research. Speci...

  17. Promoting visibility for the nurse practitioner role. (United States)

    Edmunds, M W


    In promoting greater public awareness of nurse practitioners' contributions to health care, two major strategies may be used. Creating broad-based visibility through the use of the basic media and marketing strategies, and utilizing individual client encounters to educate clients about the NP role are both effective. NPs should assume the initiative in seeking out opportunities to create positive images for the nurse practitioner.

  18. Orthodontic First Aid for General Dental Practitioners. (United States)

    Sodipo, Ibukunoluwa; Birdsall, Joanne


    Orthodontic emergencies occasionally arise and although they can cause discomfort to the patient, they can usually be stabilized by a general dentist and then followed up by the orthodontist. CPD/Clinical Relevance: Patients undergoing orthodontic treatment may initially present to their general dental practitioner with an orthodontic emergency as opposed to their orthodontist. It is therefore important that general dental practitioners are aware of common orthodontic emergencies and their management.

  19. University Teaching of entrepreneurship: a practitioner's analysis


    O'Brien, Owen


    This is a practitioner doctorate aimed at both Universities about to introduce Entrepreneurship as a subject and practitioners who may be turning to teaching what they know building on their business experience. In this Portfolio the transition from Entrepreneur to Lecturer in Entrepreneurship is explored and several approaches were used to support the transition. A Professional Development Memoir offers a review of the life of an entrepreneur through the lens of Meaning Making Systems in ord...

  20. [The nurturing and development of nurse practitioners]. (United States)

    Wang, Man-Hsi; Lin, Wen-Ling


    The role of nurse practitioner has been established because of a shortage of doctors. In May 2007, the first cohort of 582 nurse practitioners were licensed in Taiwan. The post of nurse practitioner in Taiwan is formally moving towards systematization and the most urgent matters in that regard are the sorting out of contentious issues and the establishment of clear job descriptions. Competence in critical thinking and problem-based learning is important and has to be improved with practice. The application of teaching assessment tools such as direct observation procedural skills (DOPS), objective structured clinical examination (OSCE), miniclinical evaluation exercises (Mini-CEX), and 360 degree assessments may contribute to the improvement of nurse practitioners' skills in conducting research, appraising evidence-based nursing literature, and developing teaching strategies and advanced systems by making policy clear, evaluating, auditing and monitoring the clinical competence of nurse practitioners, and incorporating essential findings into hospitals' evaluations of such staff, enabling them all the better to perform their role functions. Obviously, nursing accreditation is necessary in improving the intervention quality of nurse practitioner.

  1. The Wellness Mobile: Bringing Preventative Health Services to Rural Communities. (United States)

    Nilson, Ralph; And Others


    The Wellness Mobile transports medical supplies, equipment, informational materials, and staff to rural Saskatchewan communities to assist them in developing wellness programs that stress disease prevention. Staff from the Wellness Mobile offer health-risk screening and appraisal to community members and work with local practitioners and schools…

  2. Identidades en movimiento: familias chilenas en la fruticultura del Alto Valle de Río Negro, Argentina Identities in movement: chilean families in the fruit production of the Alto Valle de Río Negro, Argentina

    Directory of Open Access Journals (Sweden)

    Verónica Trpin


    Full Text Available Este artículo, basado en el trabajo de campo realizado en áreas rurales del Alto Valle de Río Negro, Argentina, desde el año 1999, tiene como propósito presentar las relaciones en las cuales se insertan hombres y mujeres chilenas que residen y trabajan en "chacras" destinadas a la producción frutícola. Las diferentes actividades en las chacras se organizan según el sexo y la edad, definiéndose una segmentación del mercado de trabajo en la que se ven involucrados los diferentes miembros de la familia. Como desarrollaré, ser trabajadores chilenos en la fruticultura del Alto Valle de Río Negro reproduce una identidad étnica y nacional en el seno de la cotidianeidad familiar y laboral.This article, based on field work conducted in rural areas of the Alto Valle de Río Negro, Argentina, from 1999 on, analyzes the relations in which Chilean men and women who reside and work in small farms destined to fruit production are inserted. The different activities in the small farms are organized according to sex and age, circumscribing a segment of the labor market in which different members of the family are involved. As I will demonstrate, to be a Chilean worker in the fruit growing region of the Alto Valle is to reproduce an ethnic and national identity through work routines mediated by family relations.

  3. Chilean Teachers Begin Exchange Program Visit in Magdalena (United States)


    . Kelly. The Chilean teachers are visiting Magdalena while they are on their Southern Hemisphere summer vacation, and Magdalena's schools are in session. Two Magdalena teachers, Joleen Welborn and Sandra Montoya, will visit San Pedro in June, while they are on summer vacation and the Chilean schools will be in session. Dr. Eduardo Hardy, the AUI/NRAO representative in Chile, will accompany the Chilean teachers on their visit, which has been coordinated by Harrison. "ALMA is a groundbreaking example of the type of international cooperation that marks the future of astronomy. We are especially pleased to sponsor a program that brings together two communities that both enjoy proximity to world-class astronomical research facilities," said Dr. Fred K.Y. Lo, NRAO Director. "While separated by many miles, San Pedro de Atacama and Magdalena have much in common. Both are small communities in high desert environments, and both are next to telescopes where the world's astronomers will be making many exciting discoveries in the coming decades. Bringing these two communities together will advance education and international understanding," Harrison said. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

  4. 42 CFR 440.166 - Nurse practitioner services. (United States)


    ... 42 Public Health 4 2010-10-01 2010-10-01 false Nurse practitioner services. 440.166 Section 440... (CONTINUED) MEDICAL ASSISTANCE PROGRAMS SERVICES: GENERAL PROVISIONS Definitions § 440.166 Nurse practitioner services. (a) Definition of nurse practitioner services. Nurse practitioner services means services...

  5. 42 CFR 441.22 - Nurse practitioner services. (United States)


    ... 42 Public Health 4 2010-10-01 2010-10-01 false Nurse practitioner services. 441.22 Section 441.22... General Provisions § 441.22 Nurse practitioner services. With respect to nurse practitioner services that... State plan must meet the following requirements: (a) Provide that nurse practitioner services...

  6. Practitioner Reflections on Engineering Students' Engagement with e-Learning (United States)

    Chang, Rosemary L.; Richardson, Jennifer C.; Banky, George P.; Coller, Brianno D.; Jaksa, Mark B.; Lindsay, Euan D.; Maier, Holger R.


    This paper reports on an investigation of student engagement with e-learning, using practitioner reflection as a lens. Five e-learning practitioners each provided a case study from their teaching, which was the focus of practitioners' reflective accounts. Each of the practitioners had used e-learning as a way of promoting both learning and…

  7. Waist Circumferences of Chilean Students: Comparison of the CDC-2012 Standard and Proposed Percentile Curves (United States)

    Gómez-Campos, Rossana; Lee Andruske, Cinthya; Hespanhol, Jefferson; Sulla Torres, Jose; Arruda, Miguel; Luarte-Rocha, Cristian; Cossio-Bolaños, Marco Antonio


    The measurement of waist circumference (WC) is considered to be an important means to control overweight and obesity in children and adolescents. The objectives of the study were to (a) compare the WC measurements of Chilean students with the international CDC-2012 standard and other international standards, and (b) propose a specific measurement value for the WC of Chilean students based on age and sex. A total of 3892 students (6 to 18 years old) were assessed. Weight, height, body mass index (BMI), and WC were measured. WC was compared with the CDC-2012 international standard. Percentiles were constructed based on the LMS method. Chilean males had a greater WC during infancy. Subsequently, in late adolescence, males showed values lower than those of the international standards. Chilean females demonstrated values similar to the standards until the age of 12. Subsequently, females showed lower values. The 85th and 95th percentiles were adopted as cutoff points for evaluating overweight and obesity based on age and sex. The WC of Chilean students differs from the CDC-2012 curves. The regional norms proposed are a means to identify children and adolescents with a high risk of suffering from overweight and obesity disorders. PMID:26184250

  8. Waist Circumferences of Chilean Students: Comparison of the CDC-2012 Standard and Proposed Percentile Curves

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    Rossana Gómez-Campos


    Full Text Available The measurement of waist circumference (WC is considered to be an important means to control overweight and obesity in children and adolescents. The objectives of the study were to (a compare the WC measurements of Chilean students with the international CDC-2012 standard and other international standards, and (b propose a specific measurement value for the WC of Chilean students based on age and sex. A total of 3892 students (6 to 18 years old were assessed. Weight, height, body mass index (BMI, and WC were measured. WC was compared with the CDC-2012 international standard. Percentiles were constructed based on the LMS method. Chilean males had a greater WC during infancy. Subsequently, in late adolescence, males showed values lower than those of the international standards. Chilean females demonstrated values similar to the standards until the age of 12. Subsequently, females showed lower values. The 85th and 95th percentiles were adopted as cutoff points for evaluating overweight and obesity based on age and sex. The WC of Chilean students differs from the CDC-2012 curves. The regional norms proposed are a means to identify children and adolescents with a high risk of suffering from overweight and obesity disorders.

  9. [The Dutch College of General Practitioners' practice guideline "Dizziness"; reaction from a general practitioner's perspective

    NARCIS (Netherlands)

    Bosch, W.J.H.M. van den


    The Dutch College of General Practitioners' practice guideline entitled 'Dizziness' concerns a complaint experienced by many people, yet it provides few scientific data to support the recommendations. The standard does, however, provide the general practitioner with some concrete advice: the diagnos

  10. Scholarship, Students, and Practitioners: Bringing Scholarship into the Expectations of Practitioners (United States)

    Balk, David E.


    Increased attention is being given to bridging the gap separating thanatology researchers and practitioners. College undergraduates studying to be human service professionals represent a cohort with a significant stake in bridging this gap. Inculcating in college students expectations as well as expertise to use research as practitioners not only…

  11. General Practitioner Knowledge Levels About Circumcision

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    Levent Cankorkmaz


    Full Text Available Objective: This study was carried out to investigate knowledge levels of general practitioners and their thoughts about circumcision in Middle Anatolia.Materials and Methods: This descriptive and cross-sectional study was carried out with 247 general practitioners working in Sivas. A questionnaire was prepared by the authors using previous reports. Questionnaires were sent to subjects by post. One hundred and seventy eight general practitioners (57 women, 121 men responded and were included in the study. For statistical analysis, Chi-square test was used and p<0.05 value was accepted as significant.Results: 42.1% of subjects believed that circumcision should be performed between 2 and 6 years of age. 2.2% of subjects declared that circumcision could be done at home and 7.3% believed that the location of the operation is not important. 9.6% of subjects believed that the person who performs the circumcision does not have to be a doctor. 21.3% of subjects believed that circumcision could be performed without anesthesia during the newborn period because of undeveloped pain sensation. Conclusion: This study demonstrated that general practitioners, who are the most easily accessible health staff for information about health, do not have updated information about the way to perform circumcision and its necessity. Therefore, it is concluded that education programs about circumcision for general practitioners must be continued and updated.

  12. Paleomagnetism of Permian and Triassic rock, central Chilean Andes (United States)

    Forsythe, Randall D.; Kent, Dennis V.; Mpodozis, Constantino; Davidson, John

    The first paleomagnetic data from Permian and Triassic formations west of the Andean divide are presented. Four formations of Permian or Triassic age in the central Chilean Andes have been investigated: two are located in the coastal ranges, and two are in the main cordillera. Of the formations in the main cordillera (Pastos Blancos and Matahuaico formations), only the Pastos Blancos Formation has yielded characteristic directions. While a fold test is absent, magnetizations are most likely secondary and yield pre-tilt corrected concordant inclinations, but yield declinations discordant 30° clockwise in comparison to the South American apparent polar wander path. Both formations from the coastal ranges (Cifuncho and Pichidangui formations) yielded stable directions. Postfolding magnetizations in the Cifuncho Formation also show declinations discordant 30° clockwise and concordant inclinations. The Pichidangui Formation has two stable components: one of postfolding age is concordant to apparent polar wander path data, and one of probable prefolding (Late Triassic) age is concordant in declination, but discordant in inclination. Further work is needed to better define the prefolding magnetizations in the Pichidangui Formation, but at present these preliminary results are the first paleomagnetic signs of displaced terranes along the Pacific margin of Chile. If correct, the results suggest that the Pichidangui Formation was some 15° of latitude farther south during the Late Triassic and had likely moved northward to its present latitudinal position with respect to cratonic South America by Middle to Late Jurassic.

  13. Peer victimization: Intimidation and victmization in Chilean students

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    Verónica López


    Full Text Available This paper presents the results of a study about peer intimidation and victimization with 1167 school students from 6th, 7th, and 8th grade from the Valparaiso Region of Valparaíso, Chile. The instrument used was the Insebull Battery (Avilés & Elices, 2007. Results show that approximately 9% of students have been victim of peer victimization many times or almost every day during the school year. Psychological victimization was more frequent thanphysical aggression, particularly through virtual communication such as cell-phone messages and e-mails. Participants tend to be groups of male students. Although male students participate more in physical aggression, they also receive more physical and psychological aggression. The most frequent places were inside the classroom and the school yard, when the teacher is not present. Most students inform not knowing, or vaguely knowing, thereasons underlying these aggressions, and do not do anything to deal with them. These results coincide with international studies and allow a better understanding of the characteristics of peer victimization in specific educational contexts within the Chilean school system.

  14. Thinking forensics: Cognitive science for forensic practitioners. (United States)

    Edmond, Gary; Towler, Alice; Growns, Bethany; Ribeiro, Gianni; Found, Bryan; White, David; Ballantyne, Kaye; Searston, Rachel A; Thompson, Matthew B; Tangen, Jason M; Kemp, Richard I; Martire, Kristy


    Human factors and their implications for forensic science have attracted increasing levels of interest across criminal justice communities in recent years. Initial interest centred on cognitive biases, but has since expanded such that knowledge from psychology and cognitive science is slowly infiltrating forensic practices more broadly. This article highlights a series of important findings and insights of relevance to forensic practitioners. These include research on human perception, memory, context information, expertise, decision-making, communication, experience, verification, confidence, and feedback. The aim of this article is to sensitise forensic practitioners (and lawyers and judges) to a range of potentially significant issues, and encourage them to engage with research in these domains so that they may adapt procedures to improve performance, mitigate risks and reduce errors. Doing so will reduce the divide between forensic practitioners and research scientists as well as improve the value and utility of forensic science evidence.

  15. 'I could never have learned this in a lecture': transformative learning in rural health education. (United States)

    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.


    Directory of Open Access Journals (Sweden)

    Manuel Llorca-Jaña


    Full Text Available This paper deals with trade policy and the principal trends in Chilean exports after the return to democracy in 1990. During this period, both exports and imports expanded significantly in Chile. As far as exports are concerned, this boom is mainly due to an effective trade policy of additive regionalism, booming copper prices, export diversification and the economic dynamism of China, the principal beneficiary of Chilean exports. On the negative side, the country is still too dependant on copper and a few other primary products. In addition, nowadays, in relative terms Chile is exporting more copper minerals and less refined copper than it used to do in the 1990s, while Chilean exports remained highly concentrated in a few companies only, many of which belong to foreign nationals.

  17. Reporting quality of papers published in Chilean dental journals. Evaluation period: 2002-2012.

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    Sergio E Uribe


    Full Text Available Aim: To assess the reporting quality of papers published between 2002-2012 in Chilean dental journals. Methods: Bibliometric analysis of research papers published in indexed Chilean dental journals between 2002-2012. Three calibrated examinators (interoperator- Kappa=.83 assessed 205 papers: 150 case-reports, 37 observational studies and 18 clinical trials. Reporting quality was evaluated using CARE for case reports, STROBE for observational studies and CONSORT for clinical trials. Descriptive statistics were conducted. Results: Case-reports reported 35% of the required methodological items; epidemiological research reported 16% of required items for Materials and Methods and 10% for Results. Clinical research reported 29% of required Materials and Methods items and 20% of Results items. Conclusion: Case-report, epidemiological and clinician research papers in Chilean dental journals published during the 2002-2012 period are lacking explicit key methodological items, preventing a proper research replication or clinical application of the results.

  18. HIV prevention and low-income Chilean women: machismo, marianismo and HIV misconceptions. (United States)

    Cianelli, Rosina; Ferrer, Lilian; McElmurry, Beverly J


    Socio-cultural factors and HIV-related misinformation contribute to the increasing number of Chilean women living with HIV. In spite of this, and to date, few culturally specific prevention activities have been developed for this population. The goal of the present study was to elicit the perspectives of low-income Chilean women regarding HIV and relevant socio-cultural factors, as a forerunner to the development of a culturally appropriate intervention. As part of a mixed-methods study, fifty low-income Chilean women participated in a survey and twenty were selected to participate in prevention, in-depth interviews. Results show evidence of widespread misinformation and misconceptions related to HIV/AIDS. Machismo and marianismo offer major barriers to prevention programme development. Future HIV prevention should stress partner communication, empowerment and improving the education of women vulnerable to HIV.

  19. Privatizing Water in the Chilean Andes: The Case of Las Vegas de Chiu-Chiu

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    Manuel Prieto


    Full Text Available The Chilean water model has been described as a textbook example of a free-market water system. This article contributes to the critiques of this model by showing the effect of its implementation in the Atacameño community of Chiu-Chiu, located in the Atacama Desert in the south-central Andes. In this community, the privatization of water rights ignored local water management practices that had produced a high-altitude wetland (known as a vega. This led to the inhabitants’ dispossession of crucial water rights and to wetland degradation. This process belies statements that the Chilean model relies on an unregulated market and instead highlights the state’s role in marginalizing local irrigation practices by reducing the water consumption of the indigenous population while keeping the copper mining industry (the main source of Chilean income and related growing urban populations supplied with water.

  20. Potential heterogeneity in crustacean zooplankton assemblages in southern chilean saline lakes

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    P De los Rios-Escalante

    Full Text Available The Chilean saline lakes are distributed mainly in the Atacama desert in northern Chile and the southern Patagonian plains. The scarce studies are restricted mainly to northern Chilean saline lakes, and these revealed that the main component in these ecosystems are the halophylic copepod Boeckella poopoensis Marsh 1906, or the brine shrimp Artemia franciscana (Kellog, 1906, and both species do not coexist. The present study consisted of field observations in zooplankton assemblages in southern Chilean saline lakes (51-53 ºS. These first observations revealed three different patterns, one saline lake only with A. persimilis (Piccinelli and Prosdocimi, 1968, a second lake only with B. poopensis, and a third lake with A. persimilis, B. poopoensis and unidentified harpacticoid copepod. These results are different in comparison with the observations in the literature that described the non-coexistence between B. poopoensis with brine shrimps. Ecological and biogeographical topics were discussed.

  1. Changes to a CA Programme - Practitioners' Perspectives

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    Elizabeth Wheeler


    Full Text Available This paper examines the perceptions of practitioners of the new directions taken by NZICA with respect to its academic and professional programme requirements to obtain CA Institute membership. The “future viability of any professional body is dependent on continuously attracting new members, ideally the best and the brightest new tertiary graduates”, and this is “undoubtedly the case for New Zealand’s professional accounting body, the New Zealand Institute of Chartered Accountants (NZICA” (Malthus & Fowler 2009, p. 26. In this study, the concurrent triangulation approach to mixed methods described by Creswell (2009 was used to collect data. This approach enabled the results of the two quantitative and qualitative databases to be integrated and compared. It was found that accounting practitioners felt the changes made by NZICA may devalue the brand, while the reduction in liberal papers would result in a narrower degree. Overall, accounting practitioners agreed that three to four years of tertiary accounting education was adequate, a broader four-year course would result in a better-rounded graduates. The reduction in the length of the tertiary programme caused concern that future graduates would be less mature. Accounting practitioners also felt that the changes would harm the credibility of NZICA internationally. However, some accounting practitioners did welcome the fact that the NZICA membership requirements will be more aligned with Institute of Chartered Accountants Australia. Accounting practitioners felt that the new technical modules would offer more flexibility. They believed that the four technical modules should repeat the material taught at university, as long as a balance was maintained between technical and practical skills. They also believed that the changes would result in an increased onus on the employer. Additionally, accounting practitioners agreed that on-the-job training should not replace a tertiary

  2. Advance directives: role of nurse practitioners. (United States)

    Schlenk, J S


    Advance directives are documents that guide end of life decisions. Although advance directives are a fairly recent phenomenon in health care, they are grounded in both legal and ethical principles. Studies show few people have completed advance directives. Persons do not tend to complete advance directives for various reasons. Lack of knowledge has been identified, as well as belief that physicians should initiate the discussion and that the topic is appropriate only for the elderly or those in poor health. Many nurse practitioners practice in primary care settings, which are ideal for discussions about advance directives. Nurse practitioners possess the opportunities and skills to discuss advance directives with their patients.

  3. Care for patients with severe mental illness: the general practitioner's role perspective

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    Groenier Klaas H


    Full Text Available Abstract Background Patients with severe mental illness (SMI experience distress and disabilities in several aspects of life, and they have a higher risk of somatic co-morbidity. Both patients and their family members need the support of an easily accessible primary care system. The willingness of general practitioners and the impeding factors for them to participate in providing care for patients with severe mental illness in the acute and the chronic or residual phase were explored. Methods A questionnaire survey of a sample of Dutch general practitioners spread over the Netherlands was carried out. This comprised 20 questions on the GP's 'Opinion and Task Perspective', 19 questions on 'Treatment and Experiences', and 27 questions on 'Characteristics of the General Practitioner and the Practice Organisation'. Results 186 general practitioners distributed over urban areas (49%, urbanised rural areas (38% and rural areas (15% of the Netherlands participated. The findings were as follows: GPs currently considered themselves as the first contact in the acute psychotic phase. In the chronic or residual phase GPs saw their core task as to diagnose and treat somatic co-morbidity. A majority would be willing to monitor the general health of these patients as well. It appeared that GP trainers and GPs with a smaller practice setting made follow-up appointments and were willing to monitor the self-care of patients with SMI more often than GPs with larger practices. GPs also saw their role as giving support and information to the patient's family. However, they felt a need for recognition of their competencies when working with mental health care specialists. Conclusion GPs were willing to participate in providing care for patients with SMI. They considered themselves responsible for psychotic emergency cases, for monitoring physical health in the chronic phase, and for supporting the relatives of psychotic patients.

  4. Organic carbon in glacial fjords of Chilean Patagonia (United States)

    Pantoja, Silvio; Gutiérrez, Marcelo; Tapia, Fabián; Abarzúa, Leslie; Daneri, Giovanni; Reid, Brian; Díez, Beatriz


    The Southern Ice Field in Chilean Patagonia is the largest (13,000 km2) temperate ice mass in the Southern hemisphere, yearly transporting ca. 40 km3 of freshwater to fjords. This volume of fresh and cold water likely affects adjacent marine ecosystems by changing circulation, productivity, food web dynamics, and the abundance and distribution of planktonic and benthic organisms. We hypothesize that freshwater-driven availability of inorganic nutrient and transport of organic and inorganic suspended matter, as well as microbes, become a controlling factor for productivity in the fjord associated with the Baker river and Jorge Montt glacier. Both appear to be sources of silicic acid, but not of nitrate and particulate organic carbon, especially during summer, when surface PAR and glacier thawing are maximal. In contrast to Baker River, the Jorge Montt glacier is also a source of dissolved organic carbon towards a proglacial fjord and the Baker Channel, indicating that a thorough chemical description of sources (tidewater glacier and glacial river) is needed. Nitrate in fiord waters reaches ca. 15 μM at 25 m depth with no evidence of mixing up during summer. Stable isotope composition of particulate organic nitrogen reaches values as low as 3 per mil in low-salinity waters near both glacier and river. Nitrogen fixation could be depleting δ15N in organic matter, as suggested by the detection at surface waters of nif H genes belonging to diazotrophs near the Montt glacier. As diazotrophs have also been detected in other cold marine waters (e.g. Baltic Sea, Arctic Ocean) as well as glaciers and polar terrestrial waters, there is certainly a potential for both marine and freshwater microbes to contribute and have a significant impact on the Patagonian N and C budgets. Assessing the impact of freshwater on C and N fluxes and the microbial community structure in Patagonian waters will allow understanding future scenarios of rapid glacier melting. This research was funded

  5. Mismatch between classroom furniture and anthropometric measures in Chilean schools. (United States)

    Castellucci, H I; Arezes, P M; Viviani, C A


    Children spend about five hours per day sitting down while doing their school work. Considering this as well as the potential inadequate use of school furniture, it is likely that some anatomical-functional changes and problems in the learning process may occur. The aim of this study was to compare furniture sizes within three different schools with the anthropometric characteristics of Chilean students in the Valparaíso region, in order to evaluate the potential mismatch between them. The sample consisted of 195 volunteer students (94 male, 101 female) of the 8th grade, ranging from 12.5 to 14.5 years of age from 3 different schools. Regarding the methodology, 6 anthropometric measures (Stature, Popliteal height, Buttock-popliteal length, Elbow height while sitting, Hip width, Thigh thickness and Subscapular height) were gathered, as well as 8 dimensions from the school furniture. For the evaluation of classroom furniture a match criterion equation was defined. After considering the existing classroom furniture dimensions in each match criterion equation, the anthropometric characteristics of the considered population were compared in order to determine the mismatch between them. Results indicated that seat height, which should be considered as the starting point for the design of classroom furniture, was appropriate for students' popliteal height in only 14% of the 2 out of the 3 schools, and 28% in the third. Seat to desk height was too high and mismatched 99% of the students in one school and 100% in the others. Therefore, it was possible to conclude that the classroom's furniture was inadequate in almost all the analyzed cases and subjects. It is possible that the high mismatch percentage found between furniture and students' anthropometry can be associated to the fact that the acquisition and selection of the furniture was made without any ergonomic concern or criteria.

  6. Adlerian Counseling: A Practitioner's Approach. Fourth Edition. (United States)

    Sweeney, Thomas J.

    Written with the practitioner in mind, this overview of the theory and practice of Alfred Adler's Individual Psychology explains the dimensions and uses of natural and logical consequences--the twin bases of Adlerian/Individual Psychology. The text takes a practical approach to the topic, and covers a variety of settings (school, home, community,…

  7. Bullying Prevention for Public Health Practitioners

    Centers for Disease Control (CDC) Podcasts


    This podcast discusses bullying as a public health problem, and provides information and resources for public health practitioners.  Created: 1/19/2012 by National Center for Injury Prevention and Control (NCIPC).   Date Released: 1/19/2012.

  8. Integrated Communications and Practitioners' Perceived Needs. (United States)

    Rose, Patricia B.; Miller, Debra A.


    Finds little or no difference in the interest of small market advertising and public relations practitioners in professional courses. Lends support to the idea of a common curriculum (an Integrated Marketing Communications program) to fulfill the educational needs of both groups. (SR)

  9. Violence against General Practitioners in Turkey (United States)

    Aydin, Berna; Kartal, Mehtap; Midik, Ozlem; Buyukakkus, Alper


    We aimed to determine the violence against general practitioners (GPs) through their suggestions on its cause and prevention. This is a descriptive cross-sectional study based on self-administered questionnaire answered by a convenience study population consisting of 522 GPs between November and December 2006. Of the participating GPs, 82.8%…

  10. Informal and Formal Learning of General Practitioners (United States)

    Spaan, Nadia Roos; Dekker, Anne R. J.; van der Velden, Alike W.; de Groot, Esther


    Purpose: The purpose of this study is to understand the influence of formal learning from a web-based training and informal (workplace) learning afterwards on the behaviour of general practitioners (GPs) with respect to prescription of antibiotics. Design/methodology/approach: To obtain insight in various learning processes, semi-structured…

  11. Twice Exceptionality from a Practitioner's Perspective (United States)

    Omdal, Stuart


    The new definition of twice exceptionality by the National Twice-Exceptional Community of Practice (2e CoP) is a tool that will facilitate communication and collaboration for practitioners in the regular classroom, gifted education specialists, administrators, and professors. In this article, the author shares his experiences in several of these…

  12. Informal and formal learning of general practitioners

    NARCIS (Netherlands)

    Spaan, Nadia Roos; Dekker, Anne R. J.; van der Velden, Alike W.; de Groot, Esther


    Purpose The purpose of this study is to understand the influence of formal learning from a web-based training and informal (workplace) learning afterwards on the behaviour of general practitioners (GPs) with respect to prescription of antibiotics. Design/methodology/approach To obtain insight in var

  13. 77 FR 9137 - National Practitioner Data Bank (United States)


    ... liability in a civil action for entities reporting information as required by section 1921 (so long as such... reporting licensure and certification actions taken against a health care practitioner or entity by a State... entity to carry out the reporting activities of Sec. 60.12 due to a Board's failure to comply with...

  14. Social aspects of revitalization of rural areas. Implementation of the rural revival programme in lodzkie voivodeship. Assumptions for sociological research

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    Pamela Jeziorska-Biel


    Full Text Available Essential elements of the process of rural renovation programme are: stimulating activity of local communities, cooperation for development, while preserving social identity, cultural heritage and natural environment. Implementing a rural revival programme in Poland: Sectoral Operational Programme “The Restructuring and Modernisation of the Food Sector and the Development of Rural Areas in 2004-2006” (action 2.3 “Rural renovation and protection and preservation of cultural heritage” evokes criticism. A wide discussion is carried amongst researchers, politicians, social activists, and local government practitioners. The main question remains: “is rural renovation process in Poland conducted in accordance with the rules in European countries or it is only a new formula of rural modernisation with the use of European funds?” The authors are joining the discussion and in the second part of the article they are presenting the assumption of sociological research. The aim of the analysis is to grasp the essence of revitalization of rural areas located in Łódzkie voivodeship, and analyse the question of specificity of rural Revival Programmes. What is the scope and manner of use of local capital? If so, are the results obtained from implementing a rural revival programme in 2004-2006 within the scope of sustainable development? What activities are predominant in the process of project implementation? Is it rural modernisation, revitalization of the rural areas, barrier removal and change in Infrastructure, or creation of social capital and subjectivity of the local community? Has the process of rural renovation in Łódzkie voivodeship got the so called “social face” and if so, to what extent? The major assumption is that rural renovation programme in Łódzkie voivodeship relates more to revitalization material aspects than “spirituality”.

  15. Prevention of unintended pregnancy and HIV/STIs among Latinos in rural communities: perspectives of health care providers. (United States)

    Branch, Meredith; Harvey, S Marie; Zukoski, Ann P; Warren, Jocelyn


    Latino women in the United States are disproportionately at risk for unintended pregnancy, HIV, and sexually transmitted infections (STIs). We conducted nine focus groups with health care practitioners who provide reproductive health care to Latinos in rural areas of the Northwest. From the practitioner perspective, we explored barriers and facilitators to the acquisition and use of contraceptives and to the prevention of HIV/STIs among rural Latinos. Suggestions for improving reproductive health care included Spanish-language resources/materials and convenient contraceptive methods. Findings provide context to the complex issues related to unintended pregnancy and disease prevention among Latinos residing in rural communities.

  16. Research and rural; EGPRN and EURIPA—finding common ground. October 2013, Malta. (United States)

    Roberts, Richard G; Wynn-Jones, John


    The European General Practice Research Network (EGPRN) and the European Rural and Isolated Practitioner Association (EURIPA) convened a historic joint meeting in Malta in October 2013. Speakers reviewed the inadequacies of the current system and conduct of clinical science research and the use and misuse of the resulting findings. Rural communities offer extraordinary opportunities to conduct more holistic, integrative, and relevant research using new methods and data sources. Investigators presented exciting research findings on questions important to the health of those in rural areas. Participants discussed several strategies to enhance the capacity and stature of rural health research and practice. EGPRN and EURIPA pledged to work together to develop rural research courses, joint research projects, and a European Rural Research Agenda based on the most urgent priorities and the European definition of general practice research in rural health care.

  17. You will never again be a Chilean like the others : From diaspora to diasporic practices among Chilean refugees returning from exile

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    Gurid Aga Askeland


    Full Text Available In this paper we focus on repatriation of refugees who came to Norway after the coup d'état in Chile in 1973. The Chilean refugees formed part of a diaspora during exile. The authors’ concern is the returnees' relationship with the diaspora upon return. The purpose of the article is to discuss whether the notion of diaspora may contribute to an understanding of the situation of the returnees. Diaspora is widely used in migration studies, although the concept is not particularly related to studies on refugees and their return. The article is based on interviews with Chilean returnees from Norwegian exile. The authors argue that their situation may be best understood as one of continued diasporic identity and diasporic consciousness.

  18. Vascular Neurology Nurse Practitioner Provision of Telemedicine Consultations

    Directory of Open Access Journals (Sweden)

    Bart M. Demaerschalk


    Full Text Available Objective. The objective was to define and evaluate a role for the Vascular Neurology-Nurse Practitioner (VN-NP in the delivery of telemedicine consultations in partnership with a vascular neurologist. Methods. Prospective stroke alert patients at participating hospitals underwent a two-way audio video telemedicine consultation with a VN-NP at a remotely located stroke center in partnership with a vascular neurologist. Demographic information, National Institutes of Health Stroke Scale (NIHSS scores, diagnoses, CT contraindications to thrombolysis, thrombolysis eligibility, and time interval data were collected. The inter-rater agreement between VN-NP and vascular neurologist assessments was calculated. Results. Ten patients were evaluated. Four were determined to have ischemic stroke, one had a transient ischemic attack, two had intracerebral hemorrhages, and three were stroke mimics. Overall, three patients received thrombolysis. The inter-rater agreement between VN-NP and vascular neurologist assessments were excellent, ranging from 0.9 to 1.0. The duration of VN-NP consultation was 53.2±9.0 minutes, which included the vascular neurologist supervisory evaluation time of 12.0±9.6 minutes. Conclusion. This study illustrated that a stroke center VN-NP, in partnership with a vascular neurologist, could deliver timely telemedicine consultations, accurate diagnoses, and correct treatments in acute stroke patients who presented to remotely located rural emergency departments within a hub and spoke network. VN-NPs may fulfill the role of a telestroke provider.

  19. Optometric practices and practitioners in KwaZulu-Natal, South Africa*

    Directory of Open Access Journals (Sweden)

    K. P. Mashige


    Full Text Available This paper presents findings of a survey of optometric practices and practitioners in the KwaZulu-Natal (KZN province. Questions on demographics of practitioners, equipment, clinical practice andbusiness profile were included in the questionnaire. Also, issues that have the potential to impact on optometric practices were contained in the questionnaire and these include medical aid, advertising, continuous professional development (CPD and emigration. Of the 117 completed questionnaires, 55% were from females and 45% were from male practitioners. The respondents included 55% Indians, 27% Whites, 17% Blacks and 1% Coloureds. The majority of practices were located in urban areas (90% and rural areas (10%, and were mostly independent (67% and franchises (33%. Only a minority of the practices had major diagnostic equipment such as visual field analysers (33% and corneal topographers (7%. A significant proportion of the practitioners reported not routinely performing non-contact tonometry (45% and slit lamp examination (41% respectively. The majority (95% rated patient’s needs as a very important factor in their decision to prescribe an optical device. A significant proportion (38% of the practices had annual patient bases of above 33 000, with 35% having an average of 51-100 new patients per month. A few (5% practices reported gross monthly turnovers of above R400 000, and 27% reported turnovers of less than R60 000. Many (89% derived 41% and above of their total revenue from spectacle lens sales and 11% derived 41% and above from contact lens sales. The majority (92% of practices were contracted to over 60% of the medical aid schemes. Many (68% reported that they were not negatively affected by medical aid fraud committed by their colleagues, however, a significant proportion (32% reported the converse. More than half (54% of the practitioners reported that they used the print media

  20. External Technical Support for School Improvement: Critical Issues from the Chilean Experience (United States)

    Osses, Alejandra; Bellei, Cristián; Valenzuela, Juan Pablo


    To what extent school improvement processes can be initiated and sustained from the outside has been a relevant question for policy-makers seeking to increase quality in education. Since 2008, the Chilean Government is strongly promoting the use of external technical support (ETS) services to support school improvement processes, as part of the…

  1. Chilean Adolescents' and Parents' Views on Autonomy Development (United States)

    Martínez, M. Loreto; Pérez, J. Carola; Cumsille, Patricio


    This study aims to understand Chilean parents' and adolescents' conceptions of autonomy and whether they hold different expectations for autonomous behaviors by generation and socioeconomic level. A qualitative approach to data collection was used through separate focus groups of parents and adolescents from different socioeconomic…

  2. HLA-B*5701 frequency in Chilean HIV-infected patients and in general population

    Directory of Open Access Journals (Sweden)

    Helena Poggi


    Full Text Available It has been demonstrated that HLA-B*5701 screening reduces the risk for hypersensitivity reaction to abacavir in HIV-infected patients. Since B*5701 prevalence varies among different populations, it is important to determine the carrier frequency prior to its use for the screening of HIV-infected patients.The aim of this study was to determine HLA-B*5701 carrier frequency in Chilean general population and HIV-infected patients referred for B*5701 typing. For that purpose 300 blood bank donors and 492 abacavir-naïve HIV-infected patients from Chile were screened for B*5701 by a sequence specific primer PCR.We detected 14/300 (4.7% B*57-positive individuals in the Chilean general population, 11 (3.7% were B*5701 positive, and 3 (1% had another subtype.All were heterozygous,thus a B*5701 allele frequency of 2% was determined.Eleven of 492 (2.2 % HIV-patients carried a B*5701 allele. The difference between these frequencies is probably due to slow progression of HIV infection in HLA-B*5701 carriers, thus less patients would require antiretroviral therapy and B*5701 typing. Considering the usefulness of B*5701 screening, its prevalence in the Chilean general population,and the availability of a validated method,we conclude that HLA-B*5701 typing in Chilean HIV-infected patients about to initiate abacavir treatment is strongly recommended

  3. Bruises in Chilean cattle: their characterization, occurrence and relation with pre-slaughter conditions

    NARCIS (Netherlands)

    Strappini, A.C.


    Bruises on cattle carcass affect the quality of the meat and are indicators of poor welfare conditions. According to the literature the occurrence of bruises is related to pre- slaughter conditions, however their contribution is not clear for Chilean cattle. The aim of this thesis was to provide a b

  4. The Class and Culture-Based Exclusion of the Chilean Neoliberal Educational Reform (United States)

    Cavieres, Eduardo A.


    In this article I analyze the class- and cultural-based exclusion produced by the Chilean neoliberal educational reform, carried out during the period from 1990 to 2010. This educational reform follows the same neoliberal model applied to the economy of the country. Although some indicators improved in relation to coverage and public spending in…

  5. The Long Journey: Perspectives on the Coordination of Chilean Higher Education (United States)

    Salazar, José M.; Leihy, Peodair S.


    It is fairly established that Chilean higher education presents a high level of Habermasian "privatism," as long labeled by José Joaquin Brunner, being among the world's most privatized systems in terms of who pays, who is held to benefit directly from its action and who controls it. Less clear, however, is the contribution of public…

  6. Level of evidence and geographic origin of articles published in Chilean dental journals.

    Directory of Open Access Journals (Sweden)

    Javier Moraga


    Full Text Available The aim of this study is to determine the geographic origin and level of evidence (LE of articles published in Chilean dental journals during 2012. The target population for the bibliometric study was articles published in exclusively-scientific Chilean dental journals. These variables were analyzed: journal, area, language, country, region, design, scenario, and LE. A total of 120 articles were published in four journals: International Journal of Odontostomatology (IJOS=59, Revista Clínica de Periodoncia, Implantología y Rehabilitación Oral (PIRO=28, Journal of Oral Research (JOR=18, and Revista Dental de Chile (RDC=15. From the total, 80.83% were published in Spanish and 70% had a Chilean affiliation. Most publications corresponded to areas of pathology (21 others (20 and prosthodontics (20. None of the articles was Level 1 Evidence, 6.49% was 2b, 14.29% was 2c, 63.64% was 4, and 15.58% was 5. Chilean dental journals mainly publish articles of domestic origin and low LE.

  7. Morphology, anatomy and histology of Doto uva Marcus, 1955 (Opisthobranchia: Nudibranchia) from the Chilean coast

    NARCIS (Netherlands)

    Fischer, M.A.; Velde, van der G.; Roubos, E.W.


    Doto uva Marcus, 1955 is a nudibranch species recorded from the Brazilian and Chilean coast. In spite of its wide distribution, D. uva has been described only superficially, mainly as to the pattern of its coloration, external morphology, radular teeth and reproductive system. Here we substantially

  8. Remaking Education from Below: The Chilean Student Movement as Public Pedagogy (United States)

    Williams, Jo


    This article considers the Chilean student movement and its ten-year struggle for public education as an example of public pedagogy. Secondary and university students, along with the parents, teachers, workers and community members who have supported them, have engaged in the most sustained political activism seen in Chile since the democratic…

  9. The Impact of Powerful Oral Language Lab on Chilean EFL Preservice Teachers (United States)

    Ward, Hsuying Chiou; Andruske, Cynthia Lee


    This exploratory qualitative case study reports the impact of using a public-speaking structure (Powerful Oral Language Lab [POLL]) in teaching preservice Chilean English pedagogy students. It describes how this task-based method of English as a Foreign Language (EFL) teacher training is related to language strategic competence. Twenty students…

  10. Educational Effectiveness in Chilean Secondary Education: Comparing Different "Value Added" Approaches to Evaluate Schools (United States)

    Muñoz-Chereau, B.; Thomas, S. M.


    This article reports an original investigation into school performance measures and the multilevel nature of pupil achievement data in the Chilean school system using a sample of 177,461 students, nested within 7146 classrooms, 2283 secondary schools and 313 municipalities. The data-set comprised Year 10 students' 2006 SIMCE test's results in two…

  11. Eating Disorders among a Community-Based Sample of Chilean Female Adolescents (United States)

    Granillo, M. Teresa; Grogan-Kaylor, Andrew; Delva, Jorge; Castillo, Marcela


    The purpose of this study was to explore the prevalence and correlates of eating disorders among a community-based sample of female Chilean adolescents. Data were collected through structured interviews with 420 female adolescents residing in Santiago, Chile. Approximately 4% of the sample reported ever being diagnosed with an eating disorder.…

  12. [Recommendations for Chilean travelers to the FIFA World Cup 2014 in Brazil]. (United States)

    Perret, Cecilia; Weitzel, Thomas


    This article provides a checklist of precautions and vaccines for Chilean travelers attending the FIFA World Cup 2014 in Brazil. It aims to help physicians to prepare visitors of this mass gathering and summarizes useful hints to avoid infectious diseases considering the circumstances and availabilities in Chile.

  13. The Chilean miracle : patrimonialism in a modern free-market democracy

    NARCIS (Netherlands)

    Peppelenbos, L.P.C.


    International policy institutions claim that Chile's remarkable economic performance testifies to the merits of a neo-liberal development model. This book argues, however, that 'the Chilean miracle' did not result from the adoption ofneoliberalismitself, but from the persis

  14. The Dad in the Che Guevara T-Shirt: Narratives of Chilean English Teachers (United States)

    Menard-Warwick, Julia


    Building on previous critical research regarding student resistance to English Language Teaching (ELT), this paper illustrates Chilean high-school English teachers' use of narrative to make sense of ideological challenges from students. While the government of Chile is promoting English in connection with the nation's export-oriented economic…

  15. Bringing the Schools Back in: The Stratification of Educational Achievement in the Chilean Voucher System (United States)

    Mizala, Alejandra; Torche, Florencia


    This paper analyzes the socioeconomic stratification of achievement in the Chilean voucher system using a census of 4th and 8th graders, a multilevel methodology, and accounting for unobserved selectivity into school sector. Findings indicate that the association between the school's aggregate family socioeconomic status (SES) and test scores is…

  16. Draft Genome of Chilean Honeybee (Apis mellifera) Gut Strain Lactobacillus kunkeei MP2 (United States)

    Olmos, Alejandro; Henríquez-Piskulich, Patricia; Sanchez, Carolina; Rojas-Herrera, Marcelo; Moreno-Pino, Mario; Gómez, Marcela; Rodríguez Da Silva, Rafael; Maracaja-Coutinho, Vinicius; Aldea, Patricia


    Here, we report the first draft genome sequence of Lactobacillus kunkeei strain MP2, isolated from a Chilean honeybee gut. The sequenced genome has a total size of 1.58 Mb distributed into 44 contigs and 1,356 protein-coding sequences. PMID:25301653

  17. 返乡青年职业转换与适应研究--以休闲农业经营者为例%A Study on Career Transition of Returned Rural Youth From Perspective of Multifunctional Agriculture---With Argitourism Practitioners in Fujian Province as an Example

    Institute of Scientific and Technical Information of China (English)

    邱生荣; 范水生; 陈文盛


    以休闲农业较发达的福建省为样本,选取从事该行业的返乡青年为研究对象,进行半结构式深度问卷访谈,访谈的内容包括职业转换的原因,从业经验获取的途径,从业资源支持系统和职业转换的调适。研究结果发现:从事休闲农业的返乡青年普遍向往农村生活,看好休闲农业新的市场机遇,追求回归童年田园记忆与维护家人亲情关系;从事休闲农业经营可以利用原先的从业经验、积累的社会资源和务农经营期间学习、交流所探索出的经验和创新理念;职业生涯转化历程中工作价值观的调整、个人资源有效利用、找寻自己的支持系统,可以减少职业转换的挫折,并有助于工作与生活上的适应。%Multifunctional agriculture theory provides a brand‐new way to develop tradition agricultural policy decisions .The thesis aims at exploring the causes of career change of the home‐coming rural youth who are en‐gaged in agritoursim and their attitude and adjustment towards life after their return .The study takes Fujian ,a province that features plenty of returned rural youth who run agritourism ,as sample space ,from which seven re‐search subjects are chosen for an in‐depth half‐structured questionnaires interview .The contents of the interview range from causes for their career transition ,their access to the experience of agritourism and career resource sus‐taining system to their adjustment to career transition .Through the interview ,the study reveals that the returned rural youth unanimously yearn for the life form of countryside that is reminiscent of their idyllic life in the child‐hood ,which keeps their relationship with their family alive .All of them have a positive attitude towards the new market prospect for agritoursim .Though the prior management experience combined with the accessible social re‐source facilitates their involvement with agritourism

  18. Traditional Knowledge and Formulations of Medicinal Plants Used by the Traditional Medical Practitioners of Bangladesh to Treat Schizophrenia Like Psychosis

    Directory of Open Access Journals (Sweden)

    Md. Nasir Ahmed


    Full Text Available Schizophrenia is a subtle disorder of brain development and plasticity; it affects the most basic human processes of perception, emotion, and judgment. In Bangladesh the traditional medical practitioners of rural and remote areas characterized the schizophrenia as an insanity or a mental problem due to possession by ghosts or evil spirits and they have used various plant species’ to treat such symptoms. The aim of the present study was to conduct an ethnomedicinal plant survey and documentation of the formulations of different plant parts used by the traditional medical practitioners of Rangamati district of Bangladesh for the treatment of schizophrenia like psychosis. It was observed that the traditional medical practitioners used a total of 15 plant species to make 14 formulations. The plants were divided into 13 families, used for treatment of schizophrenia and accompanying symptoms like hallucination, depression, oversleeping or insomnia, deterioration of personal hygiene, forgetfulness, and fear due to evil spirits like genies or ghost. A search of the relevant scientific literatures showed that a number of plants used by the medicinal practitioners have been scientifically validated in their uses and traditional medicinal knowledge has been a means towards the discovery of many modern medicines. Moreover, the antipsychotic drug reserpine, isolated from the dried root of Rauvolfia serpentina species, revolutionized the treatment of schizophrenia. So it is very much possible that formulations of the practitioner, when examined scientifically in their entireties, can form discovery of lead compounds which can be used as safe and effective antipsychotic drug to treat schizophrenia.

  19. Last millenium environmental changes in Lake Bertrand sediments, Chilean Patagonia (United States)

    Sacré, V.; Fagel, N.; Schmidt, S.; Alvarez, D.; Araneda, A.; Urrutia, R.


    'W). The identification of the diatom assemblages and its temporal variability in both lake sediments will help to identify the origin of those silica-rich layers. In addition, further sedimentological analyses are in progress to better characterize the sediment deposition models. This research was funded by Chilean Fondecyt project number 1070508 and Belgian projects (FNRS proposal 1360 2007-2010, ULg CFRA 1060 2009-2010).

  20. Population genetics of the Chilean frog Batrachyla Leptopus (Leptodactylidae

    Directory of Open Access Journals (Sweden)

    J.R. Formas


    Full Text Available Electrophoretic variation of proteins encoded by 14 loci was analyzed in eight (five continental and three insular populations of the Chilean leptodactylid frog Batrachyla leptopus. The overall proportion of polymorphic loci was estimated to be 18.7% and the average number of alleles per locus, 1.2, while observed and expected heterozygosities were 1.7 and 5.1%, respectively. The estimated coefficient of genetic identity was 0.940; the corresponding figure for genetic distance was 0.063. F-statistics analysis showed a total inbreeding coefficient (Fit of 0.855 and high levels of genetic subdivision (Fst = 0.596 as well as of inbreeding within populations (Fis = 0.640. However, there was only a moderate level of genetic differentiation (Fst = 0.181 between the insular group of populations and the continental group.A variação eletroforética de proteínas codificadas por 14 loci foi analisada em oito populações (5 continentais e 3 insulares da rã leptodactilídea chilena Batrachyla leptopus. A proporção geral de loci polimórficos foi estimada como sendo de 18,7% e o número médio de alelos por loco, 1,2, enquanto que as heterozigosidades observada e esperada foram 1,7 e 5,1%, respectivamente. O coeficiente esperado de identidade genética foi 0,940; o número correspondente para a distância genética foi 0,063. A análise estatística F mostrou um coeficiente de endogamia total (Fit de 0,855 e altos níveis de subdivisão genética (Fst = 0,596, assim como de endogamia dentro das populações (Fis = 0,640. Contudo, houve apenas um nível moderado de diferenciação genética (Fst = 0,181 entre o grupo insular de populações e o grupo continental.

  1. Prevalence rates of mental disorders in Chilean prisons.

    Directory of Open Access Journals (Sweden)

    Adrian P Mundt

    Full Text Available OBJECTIVE: High rates of mental disorders have been reported for prison populations worldwide, particularly in low- and middle-income countries (LMICs. The present study aimed to establish prevalence rates of mental disorders in Chilean prisoners. METHOD: A nationwide random sample of 1008 prisoners was assessed in 7 penal institutions throughout Chile. Twelve-month prevalence rates were established using the Composite International Diagnostic Interview (CIDI and compared to the prevalence rates previously published for the general population. RESULTS: Prevalence rates were 12.2% (95% CI, 10.2-14.1 for any substance use disorder, 8.3% (6.6-10.0 for anxiety disorders, 8.1% (6.5-9.8 for affective disorders, 5.7% (4.4-7.1 for intermittent explosive disorders, 2.2% (1.4-3.2 for ADHD of the adult, and 0.8% (0.3-1.3 for non-affective psychoses. Significantly higher prevalence rates among prisoners as compared to the general population in Chile were seen for major depression (6.1% vs. 3.7% males, Z=2.58, p<0.05 and illicit drug use (3.3% vs. 0.6% males with drug abuse, Z=2.04, p<0.05; 2.6% vs. 0.1% females with drug abuse, Z=5.36, p<0.001; 3.4% vs. 1.1% males with drug dependence, Z=3.70; p<0.001. Dysthymia (6.5% vs. 15.6%, Z=-2.39, p<0.05, simple (3.3% vs. 11.5%, Z=-3.13, p<0.001 and social phobias (3.9% vs. 9.7%, Z=2.38, p<0.05 were significantly less frequent in the female prison population than in the general population. One-year prevalence rates of alcohol abuse (2.3% vs. 3.9%; Z=-2.04; p<0.05 and dependence (2.7% vs. 8.2%; Z=-5.24; p<0.001 were less prevalent in the male prison population than in the general population. CONCLUSIONS: Service provision for prison populations in Chile should acknowledge high rates of depression and illicit drug use. Overall prevalence rates are lower than reported in other LMICs. Previous research in prison populations in LMICs might have overestimated prevalence rates of mental disorders.

  2. Unsupervised Tensor Mining for Big Data Practitioners. (United States)

    Papalexakis, Evangelos E; Faloutsos, Christos


    Multiaspect data are ubiquitous in modern Big Data applications. For instance, different aspects of a social network are the different types of communication between people, the time stamp of each interaction, and the location associated to each individual. How can we jointly model all those aspects and leverage the additional information that they introduce to our analysis? Tensors, which are multidimensional extensions of matrices, are a principled and mathematically sound way of modeling such multiaspect data. In this article, our goal is to popularize tensors and tensor decompositions to Big Data practitioners by demonstrating their effectiveness, outlining challenges that pertain to their application in Big Data scenarios, and presenting our recent work that tackles those challenges. We view this work as a step toward a fully automated, unsupervised tensor mining tool that can be easily and broadly adopted by practitioners in academia and industry.

  3. Anabolic steroids: implications for the nurse practitioner. (United States)

    Duncan, D J; Shaw, E B


    Anabolic steroids are being used by athletes in a wide variety of sports in efforts to enhance their athletic performances. Steroid abuse is complex to evaluate due to the highly emotional subject matter and the limitations in researching anabolic steroids. This article has been written to heighten the practitioner's awareness of the problem of "sports doping" with anabolic steroids. It will provide practical information on possible consequences of steroid use and outline essential information to obtain through the history, physical exam and laboratory studies. Intervention strategies based on the three levels of prevention are described. With awareness of the problem of sports doping and knowledge of how to deal with it in primary care, the nurse practitioner can enhance the health care provided to aspiring athletes, athletes and retired athletes.

  4. Orthodontic Implants: Concepts for the Orthodontic Practitioner (United States)

    Elias, Carlos Nelson; de Oliveira Ruellas, Antônio Carlos; Fernandes, Daniel Jogaib


    Orthodontic implants have become a reliable method in orthodontic practice for providing temporary additional anchorage. These devices are useful to control skeletal anchorage in less compliant patients or in cases where absolute anchorage is necessary. There are a great number of advantages in this new approach which include easy insertion, decreased patient discomfort, low price, immediate loading, reduced diameter, versatility in the forces to be used, ease of cleaning, and ease of removal. However, a proper management of the screws by the practitioner is necessary in order to increase the success rate of the technique. The purpose of this paper is to update practitioners on the current concepts of orthodontic implants and orthodontic mechanics. PMID:23209470

  5. [Hyperkalemia - what the general practitioner must know]. (United States)

    Schnyder, Aurelia; Hüsler, Carina; Binet, Isabelle


    Hyperkalemia can be a challenge for the general practitioner as it can prove to be benign as well as life-threatening. From a diagnostic point of view, four possibilities have to be differenciated: a pre-analytical cause, potassium release through cell lysis, a potassium shift, a reduced renal excretion of potassium. The first differential diagnosis can often be carried out by a thorough medical history, in particular the medication intake. Also, the first clinical and laboratory investigations can take place at the general practitioner's clinic. If the hyperkalemia proves to be a true hyperkalemia or cannot be explained by poly-medication and known diseases of the patient, not yet identified renal, endocrine or cardiac diseases should be searched for. If a serious condition is identified as the cause of hyperkalemia the patient should be referred to a specialized clinic.

  6. Orthodontic Implants: Concepts for the Orthodontic Practitioner

    Directory of Open Access Journals (Sweden)

    Carlos Nelson Elias


    Full Text Available Orthodontic implants have become a reliable method in orthodontic practice for providing temporary additional anchorage. These devices are useful to control skeletal anchorage in less compliant patients or in cases where absolute anchorage is necessary. There are a great number of advantages in this new approach which include easy insertion, decreased patient discomfort, low price, immediate loading, reduced diameter, versatility in the forces to be used, ease of cleaning, and ease of removal. However, a proper management of the screws by the practitioner is necessary in order to increase the success rate of the technique. The purpose of this paper is to update practitioners on the current concepts of orthodontic implants and orthodontic mechanics.

  7. Non-technical skills for scrub practitioners. (United States)

    McClelland, Guy


    The non-technical skills of situational awareness and the formation of effective interpersonal relationships are essential to enhance surgical outcomes. However, most scrub practitioners demonstrate only tacit awareness of these skills and develop such qualities on an informal basis. Application of non-technical skills may be assessed formally, using a structured framework, to transform normative behaviour and to strengthen barriers against the latent threats that may result from fallible humans working in inadequate organisational systems.

  8. The Philosophical Practitioner and the Curriculum Space

    DEFF Research Database (Denmark)


    This chapter reviews contemporary debates about tourism and hospitality education to conceptualise a curriculum space framework that can be used to facilitate understanding and decision making. The chapter is conceptual and makes two key contributions: it draws together diverse discourses about...... the balance between higher order knowledge in liberal education and skills-based vocational education required by industry; and it builds upon the Philosophic Practitioner Education to conceptualise a curriculum space that is socially constructed, dynamic and flexible. The proposed framework incorporates...

  9. Downsizings, Mergers, and Acquisitions: Perspectives of Human Resource Development Practitioners (United States)

    Shook, LaVerne; Roth, Gene


    Purpose: This paper seeks to provide perspectives of HR practitioners based on their experiences with mergers, acquisitions, and/or downsizings. Design/methodology/approach: This qualitative study utilized interviews with 13 HR practitioners. Data were analyzed using a constant comparative method. Findings: HR practitioners were not involved in…

  10. 42 CFR 410.75 - Nurse practitioners' services. (United States)


    ... 42 Public Health 2 2010-10-01 2010-10-01 false Nurse practitioners' services. 410.75 Section 410... Nurse practitioners' services. (a) Definition. As used in this section, the term “physician” means a... Medicare Part B coverage of his or her services, a nurse practitioner must be a registered...

  11. The Nature of Learning at Forest School: Practitioners' Perspectives (United States)

    Harris, Frances


    This paper investigates forest school practitioners perceptions of learning at forest school to identify the topics covered, the learning styles, and the philosophies underpinning its delivery, based on interviews with experienced forest school practitioners. Practitioners identified the focus of learning at forest school as social development:…

  12. 9 CFR 107.1 - Veterinary practitioners and animal owners. (United States)


    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Veterinary practitioners and animal... FROM PREPARATION PURSUANT TO AN UNSUSPENDED AND UNREVOKED LICENSE § 107.1 Veterinary practitioners and...)(1) Products prepared by a veterinary practitioner (veterinarian) solely for administration...

  13. Practice management skills for the nurse practitioner. (United States)

    Sportsman, S; Hawley, L J; Pollock, S; Varnell, G


    The faculties of three schools of nursing involved in a collaborative family nurse practitioner (FNP) program designed a study to address issues involved in preparing the nurse practitioner for the challenges of practice management in the clinical environment. The purposes of the study were to (1) identify business concepts necessary to successfully manage a primary care practice; (2) determine which of these concepts should be incorporated into an FNP curriculum; and (3) clarify information to be taught regarding each identified concept. Fifty-four business concepts related to primary care were identified from a literature review. A survey was then developed to assess the extent to which the identified concepts were necessary for an FNP to effectively manage a practice. Seven experts and five FNP faculty responded to the survey. The Content Validity Index (CVI) defined by Lynn (1986) was applied and 20 concepts necessary for an FNP to effectively manage a practice were identified. A focus group that included nurse practitioners (both faculty and nonfaculty) from the three collaborative sites connected by interactive telecommunications determined that all 20 of the identified concepts should be included in an FNP curriculum. Additionally, the focus group clarified relevant information to be taught regarding each identified concept.

  14. Rural-Urban Connections. (United States)

    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…

  15. The Rural Development Dilemma. (United States)

    Swanson, Louis E.


    Progress toward rural development has been hampered by flawed views of rural America; serious limitations to existing social and economic data on sparsely populated areas; treatment of rural America as a geographical entity unconnected to the larger U.S. economy and society; perceived lack of feasible political solution to rural problems; and…

  16. Human Systems Integration (HSI) Practitioner's Guide (United States)

    Zumbado, Jennifer Rochlis


    The NASA/SP-2015-3709, Human Systems Integration (HSI) Practitioner's Guide, also known as the "HSIPG," provides a tool for implementing HSI activities within the NASA systems engineering framework. The HSIPG is written to aid the HSI practitioner engaged in a program or project (P/P), and serves as a knowledge base to allow the practitioner to step into an HSI lead or team member role for NASA missions. Additionally, this HSIPG is written to address the role of HSI in the P/P management and systems engineering communities and aid their understanding of the value added by incorporating good HSI practices into their programs and projects. Through helping to build a community of knowledgeable HSI practitioners, this document also hopes to build advocacy across the Agency for establishing strong, consistent HSI policies and practices. Human Systems Integration (HSI) has been successfully adopted (and adapted) by several federal agencies-most notably the U.S. Department of Defense (DoD) and the Nuclear Regulatory Commission (NRC)-as a methodology for reducing system life cycle costs (LCCs). These cost savings manifest themselves due to reductions in required numbers of personnel, the practice of human-centered design, decreased reliance on specialized skills for operations, shortened training time, efficient logistics and maintenance, and fewer safety-related risks and mishaps due to unintended human/system interactions. The HSI process for NASA establishes how cost savings and mission success can be realized through systems engineering. Every program or project has unique attributes. This HSIPG is not intended to provide one-size-fits-all recommendations for HSI implementation. Rather, HSI processes should be tailored to the size, scope, and goals of individual situations. The instructions and processes identified here are best used as a starting point for implementing human-centered system concepts and designs across programs and projects of varying types, including

  17. Developing a research agenda for cardiovascular disease prevention in high-risk rural communities. (United States)

    Melvin, Cathy L; Corbie-Smith, Giselle; Kumanyika, Shiriki K; Pratt, Charlotte A; Nelson, Cheryl; Walker, Evelyn R; Ammerman, Alice; Ayala, Guadalupe X; Best, Lyle G; Cherrington, Andrea L; Economos, Christina D; Green, Lawrence W; Harman, Jane; Hooker, Steven P; Murray, David M; Perri, Michael G; Ricketts, Thomas C


    The National Institutes of Health convened a workshop to engage researchers and practitioners in dialogue on research issues viewed as either unique or of particular relevance to rural areas, key content areas needed to inform policy and practice in rural settings, and ways rural contexts may influence study design, implementation, assessment of outcomes, and dissemination. Our purpose was to develop a research agenda to address the disproportionate burden of cardiovascular disease (CVD) and related risk factors among populations living in rural areas. Complementary presentations used theoretical and methodological principles to describe research and practice examples from rural settings. Participants created a comprehensive CVD research agenda that identified themes and challenges, and provided 21 recommendations to guide research, practice, and programs in rural areas.

  18. "One of the Most Uniform Races of the Entire World": Creole Eugenics and the Myth of Chilean Racial Homogeneity. (United States)

    Walsh, Sarah


    This article illuminates why Nicolás Palacios's 1904 monograph, Raza chilena: Libro escrito por un Chileno i para los Chilenos [Chilean Race: A Book Written by a Chilean for Chileans], is central to the creation of a myth of Chilean racial homogeneity at the turn of the twentieth century. Placing Palacios in the context of Latin American eugenic discourse, it demonstrates how he selected a specific racial origin story in order to accommodate his belief in racial hierarchy while also depicting race mixing in a positive light. Specifically, the article highlights how the myth of Chilean racial homogeneity elided the difference between the term "mestizo," which was applied to people of mixed racial heritage, and "white." I contend that Palacios sought to differentiate Chileans from other Latin Americans by emphasizing their racial distinctiveness. The article therefore highlights that Latin American eugenics was concerned with the creation of national narratives that historicized particular racial mixtures in order to reify and affirm national differences. As such, it connects to literature regarding the history of eugenics, race, nation, and the creation of whiteness.

  19. Effects of creatine supplementation in taekwondo practitioners

    Directory of Open Access Journals (Sweden)

    Rafael Manjarrez-Montes de Oca


    Full Text Available Introduction: Taekwondo (TKD is a combat sport, which has also been proposed as a fitness program, with a strong anaerobic component. Creatine (Cr supplementation is used to improve both anaerobic exercise performance and body composition. Therefore, Cr supplementation could be beneficial in TKD. Aims: To determine the effect of Cr supplementation (50 mg/kg body wt on body composition, anaerobic power and blood chemistry in young male TKD practitioners. Methods: Ten male TKD practitioners (age [20 ± 2 yr], height [1.69 ± 0.06 m], and mass [67 ± 9.8 kg] participated in a placebo-controlled, double blind, crossover study. Body composition (DEXA, anaerobic power (Wingate Test, blood lactate and blood chemistry were measured before and after supplementation. Differences between data before and after supplementation were calculated for each treatment (Cr and Placebo and were compared using the Wilcoxon signed-rank test. Results: Fat mass (kg decreased after placebo (Mdn [IqR] = -0.75 [-1.44 to 0.03] and increased following Cr intake (0.17 [-0.77 to 1.13] kg (Z = 2.191, p < 0.028, r = 0.49. Serum triglyceride concentration (mg/mL increased after Cr (45.00 [-7.50 to 75.00] and decrease with placebo (-7.00 [-10.75 to 12.00] (Z = 2.090, p < 0.037, r = 0.47. No changes were found in others parameters. Conclusion: Cr supplementation may increase fat mass and serum triglycerides concentration in young male TKD practitioners without improvement in anaerobic power. Cr supplementation appears to be safe, but athletes should be careful when they want to loss fat.

  20. Systems concepts in action a practitioner's toolkit

    CERN Document Server

    Williams, Bob


    Systems Concepts in Action: A Practitioner's Toolkit explores the application of systems ideas to investigate, evaluate, and intervene in complex and messy situations. The text serves as a field guide, with each chapter representing a method for describing and analyzing; learning about; or changing and managing a challenge or set of problems.The book is the first to cover in detail such a wide range of methods from so many different parts of the systems field. The book's Introduction gives an overview of systems thinking, its origins, and its major subfields. In addition, the introductory text

  1. Securing cloud and mobility a practitioner's guide

    CERN Document Server

    Lim, Ian


    Although virtualization is a widely accepted technology, there are few books dedicated to virtualization and security. Filling this need, Securing Cloud and Mobility: A Practitioner's Guide explains how to secure the multifaceted layers of private and public cloud deployments as well as mobility infrastructures. With comprehensive coverage that includes network, server, and endpoint security, it provides a strategic view of the security implications of virtualization and cloud computing. The book begins by deconstructing the terminology of cloud computing. It explains how to establish a secure

  2. Consumer preferences for general practitioner services. (United States)

    Morrison, Mark; Murphy, Tom; Nalder, Craig


    This study focuses on segmenting the market for General Practitioner services in a regional setting. Using factor analysis, five main service attributes are identified. These are clear communication, ongoing doctor-patient relationship, same gender as the patient, provides advice to the patient, and empowers the patient to make his/her own decisions. These service attributes are used as a basis for market segmentation, using both socio-demographic variables and cluster analysis. Four distinct market segments are identified, with varying degrees of viability in terms of target marketing.

  3. Rural Entrepreneurship or Entrepreneurship in the Rural

    DEFF Research Database (Denmark)

    Korsgaard, Steffen; Müller, Sabine; Tanvig, Hanne Wittorff


    ” and “space” from human geography are applied to develop a nuanced understanding of rural entrepreneurship as a spatial phenomenon. Space consists of processes of movement and mobility, while places consist of localized material, social and economic relations. Findings: Two ideal types are developed, namely......Purpose: This article investigates how rural entrepreneurship engages with place and space. It explores the concept of “rural” in rural enterprise, and illustrates the importance of distinguishing between types of rural entrepreneurship. Design/methodology/approach: The constructs of “place...... (i) entrepreneurship in the rural and (ii) rural entrepreneurship. The former represents entrepreneurial activities that have limited embeddedness and enact a profit-oriented and mobile logic of space. The latter represents entrepreneurial activities that leverage local resources to re-connect place...

  4. Psychometric properties of the "Spanish Burnout Inventory" in Chilean professionals working to physical disabled people. (United States)

    Gil-Monte, Pedro R; Olivares Faúndez, Víctor E


    While the most commonly employed burnout measure has been the Maslach Burnout Inventory (MBI), researchers have been troubled by some of the psychometric limitations of this instrument. The aim of this study was to analyze the psychometric properties of the "Spanish Burnout Inventory" (SBI). The psychometric properties were analysed with data from a sample of 277 Chilean professionals working to physical disabled people. The psychometric properties of the SBI were examined through the following analyses: confirmatory factor analysis, reliability Cronbach's alpha, and concurrent validity with the MBI. The hypothesized four factor model obtained an adequate data fit for the sample (chi2(164) = 285.32, p burnout in the Chilean cultural context.

  5. Socioeconomic Status and Internalizing Symptoms in Chilean Children: Does Reserve Capacity Matter? (United States)

    Martinez, Suzanna M; Castillo, Marcela; Lozoff, Betsy; Gahagan, Sheila


    Informed by the reserve capacity model, we examined pathways between socioeconomic status (SES) and internalizing symptoms (IS) in 1119 Chilean 10-year-olds. Mediators included parental disciplinary style and reserve capacity resources (RCR), namely home environment, parent-child engagement, and self-esteem, and conduct problems. Using structural equation modeling, the model was stratified by gender. For boys, the SES-IS relationship was mediated by the home environment and parental disciplinary style. For girls, the SES-IS relationship was mediated by the home environment, parent-child engagement, self-esteem, and conduct problems. Findings suggest different RCR may protect against IS in a sample of Chilean children. PMID:27123471

  6. Responses to electricity liberalization: the regional strategy of a Chilean generator

    Energy Technology Data Exchange (ETDEWEB)

    Sol, P. del [Universidad Catolica de Chile, Santiago (Chile). Dpto. Ingenieria Industrial y de Sistemas


    Chilean reformers joined the new trend toward liberalization of the electricity markets around 1980, 12 years before any other Latin American country. This paper summarizes the main characteristics of the electricity reforms in Chile and other Latin American countries. It then analyzes the strategic response by the electricity generating company Endesa de Chile to these reforms. Endesa completely reformulated its competitive strategy. Its most significant commitments were its investments across Latin America in privatized power plants in Argentina, Peru, Colombia and Brazil. Endesa based its internationalization on its Chilean experience in transferring an inefficient state-owned firm and operating it in the new electrical regulatory framework favorable to market competition. The company's competitive advantage originated to a great extent in that Chile was the first country in Latin America to reform its electrical sector. (author)

  7. Beliefs about children's adjustment in same-sex families: Spanish and Chilean university students. (United States)

    Frias-Navarro, Dolores; Monterde-i-Bort, Hector; Barrientos-Delgado, Jaime; Badenes-Ribera, Laura; Cardenas-Castro, Manuel


    The main purpose of our study is to compare the beliefs of Spanish and Chilean university students about the effects that same-sex parents might have on their children. A total of 491 participants completed the study (208 Spaniards and 283 Chileans). The results indicate a kind of modern and subtle rejection based on hetero-normativity. Furthermore, the results indicated the effects of sex (men have a greater degree of rejection), traditional and sexist opinions linked to a greater rejection of same-sex parents, and the contact variable which inversely correlates with this rejection. The results show that the etiology of homosexual orientation also correlates with rejection of same-sex parents when it is believed that homosexuality is learned or can be changed.

  8. Spanish and Chilean Standardizations of the Personality Assessment Inventory: the Influence of Sex. (United States)

    Ortiz-Tallo, Margarita; Cardenal, Violeta; Ferragut, Marta; Santamaría, Pablo


    There is growing interest in the adaptation of psychological questionnaires in different countries, due to the need for cross-cultural research using the same tests adapted to diverse populations. This paper presents the standardization of the Personality Assessment Inventory (PAI; Morey, 1991, 2007) in Spain and Chile (both Spanish-speaking countries). The Spanish sample was made up of 940 people (461 men and 479 women), and the Chilean sample of 569 people (231 men and 338 women). Results revealed that the Chilean means were higher than those of the Spanish sample at confidence level 99.9%, although the associated effect sizes were generally small to moderate (partial eta-square between 0.008 and 0.187). Sex differences in the variables evaluated were commented on, and the importance of cross-cultural research and the influence of sex on personality and psychopathology variables were discussed.

  9. Office of Rural Health Policy (United States)

    ... Information Hub Rural Health Research Gateway Rural Community Health Gateway White House Rural Council  Eligibility Analyzer Contact Us Subscribe to FORHP weekly announcement for rural health grantees and stakeholders by e-mail Subscribe to ...

  10. Academics and practitioners: nurses as intellectuals. (United States)

    Holmes, Colin A


    Academics and practitioners: nurses as intellectuals In the author's experience, nurse educators working in universities generally accept that they are 'academics', but dismiss suggestions that they are 'intellectuals' because they see it as a pretentious description referring to a small number of academics and aesthetes who inhabit a conceptual world beyond the imaginative capacity of most other people. This paper suggests that the concept of the 'intellectual', if not the word itself, be admitted into nursing discourse through the adoption of a non-élitist Gramscian understanding, similar to the more recently formulated conception of the reflective practitioner. According to the Italian Marxist scholar Antonio Gramsci, intellectuals are those people who develop ways in which to construct the conditions of their own existence, a possibility he believed was open to all. It is suggested that, from a Gramscian perspective, all nurses are intellectuals to varying degrees, and nurse educators should not only be nurturing their own intellectualism but also the potential for intellectualism as it exists within each individual. The ways in which this project are related to Habermasian critical theory are also briefly outlined.

  11. Empathy in female submissive BDSM practitioners. (United States)

    Luo, Siyang; Zhang, Xiao


    The practice of bondage/discipline, dominance/submission, sadism/masochism (BDSM) sometimes is associated with giving and receiving pain. It remains unresolved how BDSM practitioners perceive the pain of other people. This study investigated whether and how the BDSM experience affects human empathy. Experiment 1 measured trait empathy and subjective empathic responses in BDSM practitioners and control respondents. The results revealed lower trait empathy scores and subjective pain intensity ratings in the female submissive group (Subs) compared to controls. Experiment 2 measured participants' neural responses to others' suffering by recording event-related potentials (ERPs) from female Subs and controls while viewing painful and neutral expressions. We found that the differential amplitudes between painful and neutral expressions in the frontal N1 (92-112ms), frontal P2 (132-172ms) and central late LPP (700-1000ms) were reduced in the submissive group versus the control group. These findings suggest that being in the submissive role during BDSM practice weakens female individuals' empathic responses to others' suffering at both the behavioral and neural levels.

  12. ESP Practitioner Professionalization through Apprenticeship of Practice: The Case of Two Iranian ESP Practitioners (United States)

    Ghanbari, Batoul; Rasekh, Abbas Eslami


    English for specific purposes (ESP), the popular catchphrase of presently English language teaching programs, has been investigated from different perspectives. However, there have been occasional forays in to the role of ESP practitioner as one of the most distinctive features in the literature. In addition to fulfilling the usual role of a…

  13. Comparing the Ethical Beliefs of Advertising Agency Practitioners to Corporate Practitioners. (United States)

    Krugman, Dean M.; Ferrell, O. C.

    A survey was conducted of advertising practitioners in advertising agencies and in corporations to determine their beliefs about their own ethics, the ethics of their peers, the ethics of their management, and their opportunities to engage in certain potentially unethical situations. It was hypothesized that no differences exist between the two…

  14. Rural Logistics System Based on Rural Informatization

    Institute of Scientific and Technical Information of China (English)


    Current status of rural informatization construction in China,including the relatively weak rural informatization,asymmetric market information,low level of information sharing,dispersedly allocated resources and no cross point among each other are analyzed.The importance of informatization in rural logistic system is introduced:firstly,decision making of logistics system plan is based on information.Secondly,improvement of the overall efficiency of logistics system is based on information.Thirdly,logistics transmission takes the Internet as the carrier.Necessity of rural logistics system is discussed from five aspects of increasing the employment of farmers,enhancing the income of farmers,reducing the blindness of agricultural production and circulation,sharing the risks of agricultural management,and promoting the rural economic restructuring.According to the above five steps,five countermeasures are posed in order to improve the rural logistics system.The countermeasures cover the aspects of deepening the information awareness of government,establishing a rural informatization system suited to the national condition of China,strengthening the information infrastructure in rural areas,promoting the integration of rural information resources and establishing the training system for agricultural information talents.

  15. The Willingness-to-Pay for General Practitioners in Contractual Service and Influencing Factors among Empty Nesters in Chongqing, China

    Directory of Open Access Journals (Sweden)

    Fei Chen


    Full Text Available Background: In 2012, a pilot health policy of contractual service relations between general practitioners and patients was implemented in China. Due to the decline in body and cognitive function, as well as the lack of family care and narrow social support networks, the demand of health services among the elderly is much higher than that among the general population. This study aims to probe into the empty nesters’ willingness-to-pay for general practitioners using a contractual service policy, investigating empty nesters’ payment levels for the service, and analyze the main factors affecting the willingness of empty-nesters’ general practitioners using contractual service supply cost. Methods: This cross-sectional study adopted a multistage stratified sampling method to survey 865, city empty nesters (six communities in three districts of one city aged 60–85 years. A condition value method was used to infer the distribution of the willingness-to-pay; Cox’s proportional hazards regression model was used to analyze the influencing factors of willingness-to-pay. Results: More than seventy percent (76.6% of the empty nesters in this city were willing to pay general practitioners using contract service in Chongqing. The level of willingness-to-pay for the surveyed empty nesters was 34.1 yuan per year. The median value was 22.1 yuan per year, which was below the Chongqing urban and rural cooperative medical insurance individual funding level (60 yuan per year in 2013. Cox’s proportional hazards regression model analysis showed that the higher the education level was, the worse the self-reported health status would be, accompanied by higher family per capita income, higher satisfaction of community health service, and higher willingness-to-pay empty nesters using a contract service. Women had a higher willingness-to-pay than men. Conclusions: The willingness-to-pay for general practitioners by contractual service is high among city empty

  16. Intercultural journalism: Peruvian and Bolivian representation in the Chilean daily press news


    Browne-Sartori, Rodrigo-Francisco; Baessolo-Stiven, Ricardo-Alberto; Silva-Echeto, Víctor-Manuel


    This article examines the processes through which the massive press generates and represents the cultural discourses of two of the most polemic migrant groups coexisting nowadays in Chile: Peruvians and Bolivians. The representation that the communication media carries out regarding the studied cultures strongly influences the imaginaries of the Chilean audiences. That calls for special concern so as to propose the necessary spaces for intercultural exchange as much in the media as in the soc...

  17. U.S. and Chilean College Students' Reading Practices: A Cross-Cultural Perspective (United States)

    Huang, Suhua; Orellana, Pelusa; Capps, Matthew


    The purpose of this study was to investigate the differences between the amounts of time that U.S. and Chilean students spend on conventional academic reading, extracurricular reading, and Facebook and also to report the types of materials they prefer to read. The study surveyed students in the United States (n = 1,265) and Chile (n = 2,076)…

  18. Democracy and Student Discontent: Chilean Student Protest in the Post-Pinochet Era


    Peter M. M. Cummings


    "Objective indicators suggest that economic and political conditions improved in Chile between the country's democratization in 1990 and 2011. Average incomes increased, poverty rates decreased, and the number of positive reviews of Chilean democratic institutions rose. Despite this progress, massive student-led protest waves in 2006 and 2011 demonstrated high levels of subjective discontent in Chile. This paper proposes a three-part explanation for the paradoxical emergence and escalation of...

  19. Democracy and Student Discontent: Chilean Student Protest in the Post-Pinochet Era


    Peter M. M. Cummings; University of Notre Dame, Indiana


    Objective indicators suggest that economic and political conditions improved in Chile between the country’s democratization in 1990 and 2011. Average incomes increased, poverty rates decreased, and the number of positive reviews of Chilean democratic institutions rose. Despite this progress, massive student-led protest waves in 2006 and 2011 demonstrated high levels of subjective discontent in Chile. This paper proposes a three-part explanation for the paradoxical emergence and escalation of ...

  20. Poetic of memory at Chilean theather: Scenic practice from 1973 to 1990


    Núñez Álvarez, Javiera


    The present article tries to point out the search and creation of Memory Theater in Chile through a scenic journey between 1973 and 1990. The reading of such a process is assumed in the light of theatrical discourse of resistance, the political and poetic conception of memory as praxis historicity of the present. key to puttings in scene the construction of contemporary Chilean theater in the context of the Pinochet regime.

  1. Original footage of the Chilean miners with manganism published in Neurology in 1967. (United States)

    Miranda, Marcelo; Bustamante, M Leonor; Mena, Francisco; Lees, Andrew


    Manganism has captured the imagination of neurologists for more than a century because of its similarities to Parkinson disease and its indirect but seminal role in the "l-dopa miracle." We present unpublished footage of the original case series reported in Neurology® in 1967 by Mena and Cotzias depicting the typical neurologic signs of manganism in 4 Chilean miners and their response to high doses of l-dopa.

  2. Michelle Bachelet’s Government: The Paradoxes of a Chilean President



    The purpose of this article is to explain the contradictions in Michelle Bachelet’s presidency by focusing on the paradoxical nature of presidential power, the limits on the executive in the Chilean constitution, and how those limits affected President Bachelet’s government. At the outset of her presidency, she faced the problem of wanting to promote inclusive policies while simultaneously experiencing political pressure to maintain elite consensus...

  3. Uncommon social trajectories: Chilean low-income adolescents with reading skills

    Directory of Open Access Journals (Sweden)

    Iván Ortiz


    Full Text Available It is generally believed that students from low-income families are less successful at school, as indicated by theories of social reproduction. This article focuses on Chilean students that, in spite of their social background, have performed well in the Programme for International Student Assessment (PISA 2009. Using logistic regression analysis we identify factors associated with academic achievement in reading. Results show that student variables have a greater explanatory value than family and school variables.

  4. The dance of those left behind. Chilean high school students and the possibility of disagreement

    Directory of Open Access Journals (Sweden)

    Irene Depetris Chauvin


    Full Text Available The article examines the high school students’ protest against the neoliberal conception of education during the first period of President Michelle Bachelet government. Specifically, I analyze how the new generation of young Chileans critically uses and produces pop culture — photoblogs, posters, and stencils — in order to express disagreement with the mercantilist approach to education and the very concept of neoliberal freedom and equality.

  5. Polyunsaturated Fatty Acid Composition of Maternal Diet and Erythrocyte Phospholipid Status in Chilean Pregnant Women

    Directory of Open Access Journals (Sweden)

    Karla A. Bascuñán


    Full Text Available Chilean diets are characterized by a low supply of n-3 polyunsaturated fatty acids (n-3 PUFA, which are critical nutrients during pregnancy and lactation, because of their role in brain and visual development. DHA is the most relevant n-3 PUFA in this period. We evaluated the dietary n-3 PUFA intake and erythrocyte phospholipids n-3 PUFA in Chilean pregnant women. Eighty healthy pregnant women (20–36 years old in the 3rd–6th month of pregnancy were included in the study. Dietary assessment was done applying a food frequency questionnaire, and data were analyzed through the Food Processor SQL® software. Fatty acids of erythrocyte phospholipids were assessed by gas-liquid chromatography. Diet composition was high in saturated fat, low in mono- and PUFA, high in n-6 PUFA (linoleic acid and low in n-3 PUFA (alpha-linolenic acid and DHA, with imbalance in the n-6/n-3 PUFA ratio. Similar results were observed for fatty acids from erythrocyte phospholipids. The sample of Chilean pregnant women showed high consumption of saturated fat and low consumption of n-3 PUFA, which is reflected in the low DHA content of erythrocyte phospholipids. Imbalance between n-6/n-3 PUFA could negatively affect fetal development. New strategies are necessary to improve n-3 PUFA intake throughout pregnancy and breast feeding periods. Furthermore, it is necessary to develop dietary interventions to improve the quality of consumed foods with particular emphasis on n-3 PUFA.

  6. Democracy and Student Discontent: Chilean Student Protest in the Post-Pinochet Era

    Directory of Open Access Journals (Sweden)

    Peter M. M. Cummings


    Full Text Available Objective indicators suggest that economic and political conditions improved in Chile between the country’s democratization in 1990 and 2011. Average incomes increased, poverty rates decreased, and the number of positive reviews of Chilean democratic institutions rose. Despite this progress, massive student-led protest waves in 2006 and 2011 demonstrated high levels of subjective discontent in Chile. This paper proposes a three-part explanation for the paradoxical emergence and escalation of the post-Pinochet-era Chilean student protests, and, in so doing, contributes to the broader understanding of social movements and political action. The first two parts of the argument relate to generational change. Firstly, a gap between expectations and capabilities provoked discontent amongst a new generation of Chilean students. Secondly, the new generation’s collective identity as “la generación sin miedo” (the fearless generation motivated the students to turn discontent into political action. Thirdly, government and student actor agency influenced the variance in protest strength between 2005 and 2011.

  7. Rhizobacterial Community Structures Associated with Native Plants Grown in Chilean Extreme Environments. (United States)

    Jorquera, Milko A; Maruyama, Fumito; Ogram, Andrew V; Navarrete, Oscar U; Lagos, Lorena M; Inostroza, Nitza G; Acuña, Jacquelinne J; Rilling, Joaquín I; de La Luz Mora, María


    Chile is topographically and climatically diverse, with a wide array of diverse undisturbed ecosystems that include native plants that are highly adapted to local conditions. However, our understanding of the diversity, activity, and role of rhizobacteria associated with natural vegetation in undisturbed Chilean extreme ecosystems is very poor. In the present study, the combination of denaturing gradient gel electrophoresis and 454-pyrosequencing approaches was used to describe the rhizobacterial community structures of native plants grown in three representative Chilean extreme environments: Atacama Desert (ATA), Andes Mountains (AND), and Antarctic (ANT). Both molecular approaches revealed the presence of Proteobacteria, Bacteroidetes, and Actinobacteria as the dominant phyla in the rhizospheres of native plants. Lower numbers of operational taxonomic units (OTUs) were observed in rhizosphere soils from ATA compared with AND and ANT. Both approaches also showed differences in rhizobacterial community structures between extreme environments and between plant species. The differences among plant species grown in the same environment were attributed to the higher relative abundance of classes Gammaproteobacteria and Alphaproteobacteria. However, further studies are needed to determine which environmental factors regulate the structures of rhizobacterial communities, and how (or if) specific bacterial groups may contribute to the growth and survival of native plants in each Chilean extreme environments.

  8. Use of Electronic Versus Print Textbooks by Chilean Dental Students: A National Survey. (United States)

    Aravena, Pedro Christian; Schulz, Karen; Parra, Annemarie; Perez-Rojas, Francisco; Rosas, Cristian; Cartes-Velásquez, Ricardo


    Electronic textbooks have become available in recent decades as replacements or alternatives for print versions. The aim of this descriptive cross-sectional study was to evaluate the use of electronic versus print textbooks by Chilean dental students. The target population was students from 14 Chilean dental schools. The questionnaire was adapted and translated to Spanish from a previous survey used in a similar study. It consisted of the following variables: preferred type, type used, frequency of use, source, electronic devices used to read, and disposal after use. The use of textbooks was analyzed and compared by gender and course (p≤0.05). The final sample consisted of 3,256 students (21.38±2.5 years of age, 50.8% women). Most of the participants reported using both types of texts, with most (63.9%) preferring print over electronic texts, including significantly more women (pelectronic books on a daily basis (47.3%) or at least twice a week (30.7%). The main source of electronic textbooks was the Internet (43.8%). A personal computer was the most widely used device for reading electronic texts (95.0%), followed by a cell phone (46.4%) and a tablet (24.5%). Overall, these Chilean dental students preferred print over electronic textbooks, despite having available electronic devices.

  9. Content validity and reliability of test of gross motor development in Chilean children

    Directory of Open Access Journals (Sweden)

    Marcelo Cano-Cappellacci


    Full Text Available ABSTRACT OBJECTIVE To validate a Spanish version of the Test of Gross Motor Development (TGMD-2 for the Chilean population. METHODS Descriptive, transversal, non-experimental validity and reliability study. Four translators, three experts and 92 Chilean children, from five to 10 years, students from a primary school in Santiago, Chile, have participated. The Committee of Experts has carried out translation, back-translation and revision processes to determine the translinguistic equivalence and content validity of the test, using the content validity index in 2013. In addition, a pilot implementation was achieved to determine test reliability in Spanish, by using the intraclass correlation coefficient and Bland-Altman method. We evaluated whether the results presented significant differences by replacing the bat with a racket, using T-test. RESULTS We obtained a content validity index higher than 0.80 for language clarity and relevance of the TGMD-2 for children. There were significant differences in the object control subtest when comparing the results with bat and racket. The intraclass correlation coefficient for reliability inter-rater, intra-rater and test-retest reliability was greater than 0.80 in all cases. CONCLUSIONS The TGMD-2 has appropriate content validity to be applied in the Chilean population. The reliability of this test is within the appropriate parameters and its use could be recommended in this population after the establishment of normative data, setting a further precedent for the validation in other Latin American countries.

  10. ICT in Chilean Schools: Students' and Teachers' Access and Use of ICT

    Directory of Open Access Journals (Sweden)

    J. Enrique Hinostroza


    Full Text Available This paper presents the results of the analysis of the data from a national survey of the Chilean educational ICT infrastructure and its use in schools implemented by the Centre for Technology and Education of the Chilean Ministry of Education in 2004. Results show that the context of ICT use in Chilean schools can be characterized as relatively good, insofar as there are no first-order barriers for implementing ICT pedagogy. In this context, students’ ICT use can be categorized based on four factors: communication, productivity, recreation, and communication with teachers. On the other hand, teachers’ ICT use can be categorized using three factors: communication, teaching, and technical. Based on these factors and considering the availability and use of ICT in schools, the question remains how to make this time most effective for improving students’ learning. Additionally, results show that students, on their own, spend a considerable amount of time developing activities described as communication. The question that arises from this finding is how to take advantage of these activities in order to meet teaching and learning aims. Regarding teachers, results open possibilities for redesigning professional development courses by taking advantage of what they already do with ICT.

  11. The management of care: a social and legal function of chilean nursing

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    Paula Ceballos-Vásquez


    Full Text Available Introduction: The objective of this article is to reflect on the implication of the concept of management of nursing, making Latin-American countries that have incorporated the management of care aware of its norms and the chilean experience and the legal aspects that regulate the management of care are specifically presented.Development: To achieve this objective, a bibliographic revision of diverse mainstream magazines, texts and laws related to administration and Management of Care was carried out.Initially, the concept of management is analyzed with the purpose of comprehending why the nursing integrate it in its field of performance. To visualize later how some of the countries of Latin-America have incorporated it in their legal frameworks of management of Care care of nursing, and subsequently the experience of the Chilean chilean nursing with regard to the Management management of Care care is analyzed extensively.Conclusions: As final considerations it is indicated that the Management management of Care care is part of the social function of the nurses, for the daily work they are to perform incorporating the management, it would provide managing competencies and would permit the autonomous caretaking to these professionals. 

  12. [Position paper from the Department of Ethics of the Chilean College of Physicians about conscientious objection]. (United States)

    Salas, Sofía P; Besio, Mauricio; Bórquez Estefó, Gladys; Salinas, Rodrigo A; Valenzuela, Carlos Y; Micolich, Constanza; Novoa Sotta, Fernando; Bernier Villarroel, Lioniel; Montt M, Julio; Misseroni Raddatz, Adelio


    The Chilean bill that regulates abortion for three cases (Bulletin Nº 9895-11) includes the possibility that health professionals may manifest their conscientious objection (CO) to perform this procedure. Due to the broad impact that the issue of C O had, the Ethics Department of the Chilean College of Physicians considered important to review this concept and its ethical and legal basis, especially in the field of sexual and reproductive health. In the present document, we define the practical limit s of CO, both for the proper fulfillment of the medical profession obligations, and for the due respect and non-discrimination that the professional objector deserves. We analyze the denial of some health institutions to perform abortions if it is legalize d, and we end with recommendations adjusted to the Chilean reality. Specifically, we recognize the right to conscientious objection that all physicians who directly participate in a professional act have. But we a lso recognize that physicians have ineludib le obligations towards their patients, including the obligation to inform about the existence of this service, how to access to it and -as set out in our code of ethics- to ensure that another colleague will continue attending the patient.

  13. Evaluation of quality of life in Chilean patients with orthognathic surgery. A cohort study.

    Directory of Open Access Journals (Sweden)

    Macarena Cea-Herrera


    Full Text Available To compare the presurgical and immediate postsurgical quality of life in Chilean patients with orthognathic surgery. Material and Methods: Cohort study. The study included 30 patients (mean age 20.73, 53.33% male who underwent orthognathic surgery primarily for severe skeletal abnormalities, (17 surgeries, 56.7% and moderate skeletal abnormalities (12 surgeries, 40%, from three Chilean hospitals between February and June 2016. Patients were asked to answer the World Health Organization quality of life Bref version questionnaire (WHOQOL-BREF validated in Spanish to measure quality of life (QoL two weeks before and three months after the surgery. Scores for general QoL and for every domain of QoL were described. Variations in the scores of general QoL were analyzed according to sex and severity of orofacial malformation (mild, moderate or severe (t-test p<0.05; STATA 10.0. Results: The average score for QoL according to the WHOQOL-BREF scale was 76.43±13.83 before surgery and 90.5±7.18 three months after surgery (p<0.001. Statistically significant differences according to sex and type of orofacial malformation were found (p<0.01. An increase in the score in all the domains of the WHOQOOL-BREF scale was observed. Conclusion: Orthognathic surgery significantly improved QoL scores in Chilean patients according to the WHOQOL-BREF scale.

  14. National Rural Health Association (United States)

    ... History of Rural Health Globalization Urban Bias Dependency Theory Political Economy History of Rural Health IV: '60s ... Data Grassroots Action Center Policy Documents Legislative and Regulatory Agenda Medicaid News Response to 2013 OIG CAH ...

  15. Should knowledge of classical dance be essential for medical practitioners?

    Directory of Open Access Journals (Sweden)

    Shovana T Narayan


    Full Text Available The medical field is constantly throwing challenges, leading to considerable stress for its practitioners. Medical practitioners are expected to be professional, have up-to-date knowledge and expertise, and the ability to withstand fatigue. Through it all they are expected to remain motivated, respectful and humane, patient and kind, and confident and sensitive. The author demonstrates how learning dance can stimulate creativity, increase motivation and bolster social intelligence in medical practitioners.

  16. The Internet and the medical radiation science practitioner

    Energy Technology Data Exchange (ETDEWEB)

    Shanahan, Madeleine [School of Medical Science, RMIT University, Bundoora, Victoria 3083 (Australia)], E-mail:; Herrington, Anthony; Herrington, Jan [Faculty of Education, University of Wollongong, New South Wales (Australia)


    Purpose: The Internet is an important information source for health practitioners providing immediate access to the most current health and medical information. Factors limiting practitioner access to the Internet have been identified and the literature shows that access to the Internet varies across and within health professions. There is therefore a need for each health profession to investigate practitioner access to the Internet. There has been, however, no identified empirical research investigating medical radiation science (MRS) practitioner access to or use of the Internet. This research sought to establish the professional use of Internet-based tools by Australian MRS practitioners and issues affecting access to the Internet within MRS workplaces. Methods: Qualitative and quantitative approaches were used in this research. These included interviews with 28 MRS practitioners from the four areas of specialisation, namely nuclear medicine, radiation therapy, radiography and sonography and a survey of MRS practitioners. In 2007 a 4-page postal survey was sent to a random sample of 1142 MRS practitioners with a response rate of 32.8%. Results: The Internet is an important information source widely used by MRS practitioners. MRS practitioners search the Internet (87%), access specific web pages (86%), use email (82%) and listservs (39.4%) to update their professional knowledge. It was evident that access to the Internet within the workplace varied within the MRS profession. Whilst the majority (96.4%) of MRS practitioners had some level of access to the Internet in their workplace, factors shown to affect practitioner access were workplace setting (p = 0.000), work environment (p = 0.000), and geographic location (p = 0.025). The majority of clinical workplaces (81%) did not provide practitioners with remote access to electronic resources available in the workplace such as e-journals and databases. Conclusions: This research provides baseline data to the MRS

  17. Rural Education Issues: Rural Administrators Speak Out (United States)

    Williams, Julia; Nierengarten, Gerry


    The purpose of this study was to identify the issues that most affect Minnesota's rural public school administrators as they attempt to fulfill the mandates required from state legislation and communities. A second purpose was to identify exemplary practices valued by individual Minnesota rural schools and districts. Electronic surveys were sent…

  18. Medicare and Rural Health (United States)

    ... 1.9 million rural beneficiaries participated in Medicare Advantage (MA) and other prepaid plans, accounting for 13.4% of MA enrollees. While rural participation is not proportionate to urban participation, strong rural enrollment in ... Medicare Advantage – The ACA reduces the payments to companies providing ...

  19. Rural Health Disparities (United States)

    ... Policy Research Center. The 2014 Update of the Rural-Urban Chartbook . (2008–2011 data.) How does rural life ... Source: Singh, G.K., Siahpush, M. 2014. Widening Rural-Urban Disparities in Life Expectancy, U.S., 1969-2009. American ...

  20. General practitioners' perceptions of COPD treatment

    DEFF Research Database (Denmark)

    Molin, Katrine Rutkær; Egerod, Ingrid; Staun Valentiner, Laura


    BACKGROUND: In Denmark, the treatment of COPD is mainly managed by general practitioners (GPs). Pulmonary rehabilitation (PR) is available to patients with COPD in the local community by GP referral, but in practice, many patients do not participate in rehabilitation. The aim of our study...... was to explore 1) GPs' perceptions of their role and responsibility in the rehabilitation of patients with COPD, and 2) GPs' perceptions of how patients manage their COPD. METHODS: The study was based on a qualitative design with semi-structured key-informant interviews with GPs. Investigator triangulation...... the resources to discuss rehabilitation and follow up on individual plans. CONCLUSION: Our study suggested a potential self-reinforcing problem with the treatment of COPD being mainly focused on medication rather than on PR. Neither GPs nor patients used a proactive approach. Further, GPs were not fully...

  1. General Practitioner Antimicrobial Stewardship Programme Study (GAPS)

    DEFF Research Database (Denmark)

    Avent, Minyon L; Hansen, Malene Plejdrup; Gilks, Charles;


    BACKGROUND: There is a strong link between antibiotic consumption and the rate of antibiotic resistance. In Australia, the vast majority of antibiotics are prescribed by general practitioners, and the most common indication is for acute respiratory infections. The aim of this study is to assess...... have previously been demonstrated to be effective at reducing antibiotic prescribing for acute respiratory infections, are: delayed prescribing; patient decision aids; communication training; commitment to a practice prescribing policy for antibiotics; patient information leaflet; and near patient...... testing with C-reactive protein. In addition, two sub-studies are nested in the main study: (1) point prevalence estimation carriage of bacterial upper respiratory pathogens in practice staff and asymptomatic patients; (2) feasibility of direct measures of antibiotic resistance by nose/throat swabbing...

  2. [Cataract surgery - essentials for the general practitioner]. (United States)

    Amstutz, Ch; Thiel, M A; Kaufmann, Claude


    Age-related cataracts are mainly caused by life-long accumulation of oxidative stress on the lens fibres. Symptoms include reduced visual acuity, requiring more light for reading, and glare. The only treatment that provides a cure for cataracts is surgery. Phacoemulsification represents the preferred method of lens removal. It involves fragmentation of the lens using ultrasound and insertion of an artificial intraocular lens. The preoperative assessment the general practitioner provides to surgeon and anesthesia team has an important share in the low complication rate of the procedure in the event of co-existing systemic disease. Growing patient expectation for spectacle independence following cataract surgery is met to some extent using techniques for astigmatism control and presbyo-pia-correcting intraocular lenses.

  3. Urban AHECs: a comparison with rural AHECs. (United States)

    Gessert, C; Jones, C


    The first generation of projects in the Federal Area Health Education Center (AHEC) Program was funded in 1972. Those AHEC projects, located in predominantly rural areas, focused on problems that resulted from the geographic maldistribution of health professionals, especially primary care physicians. Education programs for health professionals, students, and practitioners were used to influence the geographic distribution of health professionals and to improve access to and quality of health care for underserved populations. In 1976, the Congress redrafted the law authorizing the expenditure of funds for AHECs and emphasized that improving access to health care in urban underserved areas also was to be addressed by the program. During the early years of urban AHEC development, it was not clear which lessons learned from rural AHEC experiences could be applied to urban communities and what would be the best focus for AHEC activities in the complex urban environment. Some said that urban areas were so different from rural areas--in economic, racial, and cultural terms and in the subtlety of barriers to health care--as to make the rural AHEC experience largely irrelevant. Others maintained that basic AHEC principles could be applied, regardless of setting, with changes only in tactics to address the problems of the urban inner city. Now that 18 of the total 53 AHECs nationally are urban, and a decade of experience in developing them has been accumulated, it is appropriate to compare the types of educational interventions supported by AHECs in urban and rural environments and the relative priorities of such programs. In this report we examine the experiences of the California AHEC System, which includes 17 urban and rural centers and the 9 medical schools with which they are affiliated. Although the AHEC Program concept was found to be equally applicable to both urban and rural settings, significant differences in implementation were noted. Those differences were

  4. Trivial Injuries In A Rural Area Of Ambala

    Directory of Open Access Journals (Sweden)

    Singh A.J


    Full Text Available Research question: What are the management practices of a rural community towards trivial injuries sustained by them. Objectives: To study 1. action taken by individuals in the management of trivial injuries, 2.factors related with trivial injuries. Design: Cross sectional study. Setting: Rural area of Haryana. Participants: individuals attending the outpatient department of Community Health Centres, Primary Health Centres, sub-centres, local registered medical practitioners (RMPs. Study variables: Trivial injuries. Outcome Variables: Management- home based or hospitals based. Results: Peripheral parts of the extremities- hands, finger, feet and toes were most commonly affected by trivial injuries. A variety of local applications like tobacco, salt, kerosene, oil, nail polish, turmeric, urine, were used for initial wound care. Conclusion: Rural people of Haryana use a variety of local applications, some not very hygienic, for the immediate management of injuries. Education is required to make them aware of hygienic practices where would care is concerned.

  5. Professional reading and the Medical Radiation Science Practitioner

    Energy Technology Data Exchange (ETDEWEB)

    Shanahan, Madeleine, E-mail: [School of Medical Science, RMIT University, Bundoora, Victoria (Australia); Herrington, Anthony [Head, School of Regional, Remote and eLearning (RRE), Curtin University, Perth (Australia); Herrington, Jan [School of Education, Murdoch University, Perth (Australia)


    Purpose: Updating professional knowledge is a central tenet of Continuing Professional Development (CPD) and professional reading is a common method health practitioners use to update their professional knowledge. This paper reports the level of professional reading by Medical Radiation Science (MRS) practitioners in Australia and examines organisational support for professional reading. Materials and Methods: Survey design was used to collect data from MRS practitioners. A questionnaire was sent to 1142 Australian practitioners, which allowed self-report data to be collected on the length of time practitioners engage in professional reading and the time workplaces allocate to practitioners for professional reading. Results: Of the 362 MRS practitioners who returned the survey, 93.9% engaged in professional reading on a weekly basis. In contrast, only 28.9% of respondents reported that their workplace allocates time for professional reading to practitioners. MRS practitioners employed in universities engaged in higher levels of reading than their colleagues employed in clinical workplaces (p < 0.01) and more university workplaces allocated time for professional reading to their employees than clinical workplaces (p < 0.01). There were no significant differences for clinical practitioners in level of reading across geographic, organisational and professional demographic factors. Significant differences in workplace allocation of time for professional reading in clinical workplaces were evident for health sector (p < 0.01); work environment (p < 0.01); geographic location (p < 0.01) and area of specialisation (p < 0.01). Conclusion: The vast majority of respondent MRS practitioners engage in professional reading to update their professional knowledge. This demonstrates an ongoing commitment at the individual practitioner level for updating professional knowledge. Updating professional knowledge is an organisational as well as an individual practitioner issue. Whilst

  6. The development and evaluation of a small ready-reference library collection for a rural practice: a case study. (United States)

    Gotsick, P S; Friedman, R L; Stith, J B


    A demonstration core collection of twenty-four ready-reference sources and five journals was selected cooperatively by a solo practitioner in rural Menifee County, Kentucky, and the University of Kentucky Medical Center Library Field Librarian to fit the ready-reference and current awareness information needs of a primary care solo rural practice in eastern Kentucky. The collection selections were systematically assessed by the physician to determine their utility in filling the practitioner's information needs with regard to his particular situation in terms of medical experience and level of training, available library and educational resources, and the type of health problems seen in his practice. This assessment showed that the Rural Demonstration Library Collection completely filled the information needs of the physician 66% of the time materials were consulted and filled his immediate information needs either completely or partially 82% of the time the collection was searched. This demonstration has shown that, under a specific set of circumstances, a librarian and a solo rural practitioner can effectively work together in identifying health sciences materials which fit the information needs of a solo rural practitioner. It suggests that cooperation between a librarian and a physician is important in meeting information needs.

  7. The Image of E-Learning: Perceptions about a Chilean University and the E-Learning System in the Context of Chile (United States)

    Farcas, Daniel


    The purpose of this research is to determine the image of a Chilean university, as perceived by those inside and outside of the institution, in contrast with the general image of the e-learning system in Chile. The internal perceptions are those of current students and graduates of this Chilean university, while the external perceptions are those…

  8. Away from the mainstream: medical women in one region of rural New South Wales. (United States)

    Harding, Catherine


    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.

  9. Effects of a nurse practitioner on a multidisciplinary consultation team

    NARCIS (Netherlands)

    van der Sluis, Corry K.; Datema, Linetta; Saan, Ingrid; Stant, Dennis; Dijkstra, Pieter U.


    Effects of a nurse practitioner on a multidisciplinary consultation team. This paper is a report of a study to evaluate the impact on office hours capacity, patient satisfaction, quality of life and costs of including a nurse practitioner in a multidisciplinary consultation team for patients with ha

  10. Learning Style of Students and Practitioners in Five Health Professions. (United States)

    Katz, Noomi; Heimann, Nanci


    An Israeli sample of 378 students and 251 practitioners in occupational therapy (OT), social work, nursing, physical therapy, and clinical psychology completed Kolb's Learning Style Inventory. Findings suggest greater variance in learning style among students. OT students were least abstract. Both OT students and practitioners were predominantly…

  11. Career Practitioners' Conceptions of Social Media in Career Services (United States)

    Kettunen, Jaana; Vuorinen, Raimo; Sampson, James P., Jr.


    This article reports the outcomes of a study, undertaken from a phenomenographic perspective, of career practitioners' conceptions of social media usage in career services. Fifteen Finnish career practitioners--representing comprehensive, secondary and higher education as well as public employment services--were interviewed in focus groups. The…

  12. Supporting Early Childhood Practitioners through Relationship-Based, Reflective Supervision (United States)

    Bernstein, Victor J.; Edwards, Renee C.


    Reflective supervision is a relationship-based practice that supports the professional development of early childhood practitioners. Reflective supervision helps practitioners cope with the intense feelings and stress that are generated when working with at-risk children and families. It allows them to focus on the purpose and goals of the program…

  13. What Cultural Values Influence American Public Relations Practitioners? (United States)

    Vasquez, Gabriel M.; Taylor, Maureen


    Examines the role of culture as a key variable in public relations research and practice. Finds (1) American practitioners continue to practice one-way models of public relations; and (2) public relations practitioners who have collectivistic values tend to practice two-way models of public relations. Discusses implications for theory and…

  14. Language Proficiency Testing and the Expatriate Medical Practitioner in Malawi (United States)

    Kamwendo, Gregory H.


    According to the Medical Council of Malawi, one of the conditions for a licence to be granted to an individual who wants to practise medicine in Malawi is the practitioner's ability to speak and write English fluently. This means that the expatriate medical practitioner is not required by law to demonstrate fluency in Chichewa (the national…

  15. Evidence Valued and Used by Health Promotion Practitioners (United States)

    Li, V.; Carter, S. M.; Rychetnik, L.


    The use of evidence has become a foundational part of health promotion practice. Although there is a general consensus that adopting an evidence-based approach is necessary for practice, disagreement remains about what types of evidence practitioners should use to guide their work. An empirical understanding of how practitioners conceptualize and…

  16. Supporting Novice Usability Practitioners with Usability Engineering Tools


    Howarth, Jonathan Randall


    The usability of an application often plays an important role in determining its success. Accordingly, organizations that develop software have realized the need to integrate usability engineering into their development lifecycles. Although usability practitioners have successfully applied usability engineering processes to increase the usability of user-interaction designs, the literature suggests that usability practitioners experience a number of difficulties that negatively impact the...

  17. Professional Development of HR Practitioners--A Phenomenographic Study (United States)

    Bailey, Moira


    Purpose: The purpose of this paper is an investigation into the experiences of professional development of human resource (HR) practitioners in the North of Scotland, and the use of non-formal learning in that development. Design/methodology/approach: In-depth semi-structured interviews from a purposively selected sample of HR practitioners were…

  18. Making "cents" of the business side of nurse practitioner practice. (United States)

    Luster-Tucker, AtNena


    Nurse practitioners produce excellent patient outcomes and should be allowed to practice to the full extent of their education and training. In addition to clinical skills, nurse practitioners need to understand the business side of practice in order to ensure fair and equitable compensation.

  19. A Practitioner Friendly and Scientifically Robust Training Evaluation Approach (United States)

    Griffin, Richard


    Purpose: This article seeks to review the current state of workplace learning evaluation, to set out the rationale for evaluation along with the barriers that practitioners face when seeking to assess the effectiveness of training and development. Finally, it aims to propose a scientifically robust and practitioner friendly approach to evaluation.…

  20. Understanding Participant and Practitioner Outcomes of Environmental Education (United States)

    West, Sarah E.


    Environmental education can deliver benefits to individuals, society and the environment, but few studies have asked practitioners or participants what they feel these benefits are. This research compares the perspectives of practitioners and participants in environmental education projects, using questionnaires, focus groups and participant…

  1. The organizational and performance effects of nurse practitioner roles

    NARCIS (Netherlands)

    van Offenbeek, MAG; Knip, M


    Background. Most studies evaluating the roles of Nurse Practitioners have compared the care delivered by individual Nurse Practitioners with that provided by other professionals. These studies should be complemented by research focusing on a higher unit of analysis, namely the organization of the ca

  2. Rural Entrepreneurship or Entrepreneurship in the Rural

    DEFF Research Database (Denmark)

    Korsgaard, Steffen; Müller, Sabine; Tanvig, Hanne Wittorff


    Purpose: This article investigates how rural entrepreneurship engages with place and space. It explores the concept of “rural” in rural enterprise, and illustrates the importance of distinguishing between types of rural entrepreneurship. Design/methodology/approach: The constructs of “place” and ...... these processes are enabled and constrained by the immediate context or “place”. The paper weaves space and place in order to show the importance of context for entrepreneurship, which responds to the recent calls for contextualizing entrepreneurship research and theories....

  3. The multicompetent practitioner: a needs analysis in an urban area. (United States)

    Low, G; Weisbord, A


    This study examined the concept of the multicompetent practitioner - the health care worker trained in more than one specialty - as one way of meeting the changing needs of the health care system. Seventy-four hospital administrators, 74 directors of nursing, 14 directors of community health organizations, and 12 private physicians from the Philadelphia metropolitan area were surveyed to explore the feasibility of developing and using multicompetent practitioners at their participating institutions. The results indicated that multicompetent practitioners are already working in some institutions and that there is a willingness to hire this new type of health care worker. How the multicompetent practitioner fits into the institution, the level of education required beyond the original area of skill, and the question of salary were included in the survey. Findings also indicate positive support for the development of multicompetent practitioner training within allied health educational programs.

  4. A nurse practitioner patient care team: implications for pediatric oncology. (United States)

    Golden, Julia Rose


    The role of the pediatric advanced practice registered nurse continues to evolve within the ever-changing field of health care. In response to increased demand for health care services and because of a variety of changes in the health care delivery system, nurse practitioner patient care teams are an emerging trend in acute care settings. Care provided by nurse practitioner teams has been shown to be effective, efficient, and comprehensive. In addition to shorter hospital stays and reduced costs, nurse practitioner teams offer increased quality and continuity of care, and improved patient satisfaction. Nurse practitioner patient care teams are well suited to the field of pediatric oncology, as patients would benefit from care provided by specialized clinicians with a holistic focus. This article provides health care professionals with information about the use of nurse practitioner patient care teams and implications for use in pediatric oncology.

  5. Understanding differences in access and use of healthcare between international immigrants to Chile and the Chilean-born: a repeated cross-sectional population-based study in Chile

    Directory of Open Access Journals (Sweden)

    Cabieses Baltica


    Full Text Available Abstract Introduction International evidence indicates consistently lower rates of access and use of healthcare by international immigrants. Factors associated with this phenomenon vary significantly depending on the context. Some research into the health of immigrants has been conducted in Latin America, mostly from a qualitative perspective. This population-based study is the first quantitative study to explore healthcare provision entitlement and use of healthcare services by immigrants in Chile and compare them to the Chilean-born. Methods Data come from the nationally representative CASEN (Socioeconomic characterization of the population in Chile surveys, conducted in 2006 and 2009. Self-reported immigrants were compared to the Chilean-born, by demographic characteristics (age, sex, urban/rural, household composition, ethnicity, socioeconomic status (SES: education, household income, contractual status, healthcare provision entitlement (public, private, other, none, and use of primary services. Weighted descriptive, stratified and adjusted regression models were used to analyse factors associated with access to and use of healthcare. Results There was an increase in self-reported immigrant status and in household income inequality among immigrants between 2006 and 2009. Over time there was a decrease in the rate of immigrants reporting no healthcare provision and an increase in reporting of private healthcare provision entitlement. Compared to the Chilean-born, immigrants reported higher rates of use of antenatal and gynaecological care, lower use of well-baby care, and no difference in the use of Pap smears or the number of attentions received in the last three months. Immigrants in the bottom income quintile were four times more likely to report no healthcare provision than their equivalent Chilean-born group (with different health needs, i.e. vertical inequity. Disabled immigrants were more likely to have no healthcare provision compared

  6. Understanding differences in access and use of healthcare between international immigrants to Chile and the Chilean-born: a repeated cross-sectional population-based study in Chile (United States)


    Introduction International evidence indicates consistently lower rates of access and use of healthcare by international immigrants. Factors associated with this phenomenon vary significantly depending on the context. Some research into the health of immigrants has been conducted in Latin America, mostly from a qualitative perspective. This population-based study is the first quantitative study to explore healthcare provision entitlement and use of healthcare services by immigrants in Chile and compare them to the Chilean-born. Methods Data come from the nationally representative CASEN (Socioeconomic characterization of the population in Chile) surveys, conducted in 2006 and 2009. Self-reported immigrants were compared to the Chilean-born, by demographic characteristics (age, sex, urban/rural, household composition, ethnicity), socioeconomic status (SES: education, household income, contractual status), healthcare provision entitlement (public, private, other, none), and use of primary services. Weighted descriptive, stratified and adjusted regression models were used to analyse factors associated with access to and use of healthcare. Results There was an increase in self-reported immigrant status and in household income inequality among immigrants between 2006 and 2009. Over time there was a decrease in the rate of immigrants reporting no healthcare provision and an increase in reporting of private healthcare provision entitlement. Compared to the Chilean-born, immigrants reported higher rates of use of antenatal and gynaecological care, lower use of well-baby care, and no difference in the use of Pap smears or the number of attentions received in the last three months. Immigrants in the bottom income quintile were four times more likely to report no healthcare provision than their equivalent Chilean-born group (with different health needs, i.e. vertical inequity). Disabled immigrants were more likely to have no healthcare provision compared to the disabled Chilean

  7. An overview of patients' preference for, and satisfaction with, care provided by general practitioners and nurse practitioners.

    NARCIS (Netherlands)

    Laurant, M.G.H.; Hermens, R.P.M.G.; Braspenning, J.C.C.; Akkermans, R.P.; Sibbald, B.; Grol, R.P.T.M.


    AIM AND OBJECTIVES: To assess patients' views on the care provided by nurse practitioners compared with that provided by general practitioners and to determine factors influencing these views. BACKGROUND: Many countries have sought to shift aspects of primary care provision from doctors to nurses. I

  8. Collaboration of general practitioners and exercise providers in promotion of physical activity a written survey among general practitioners

    NARCIS (Netherlands)

    Leemrijse, C J; de Bakker, D H; Ooms, L; Veenhof, C


    BACKGROUND: General practitioners have an ideal position to motivate inactive patients to increase their physical activity. Most patients are able to exercise in regular local facilities outside the health care setting. The purpose of this study was to get insight into general practitioners percepti

  9. Collaboration of general practitioners and exercise providers in promotion of physical activity a written survey among general practitioners.

    NARCIS (Netherlands)

    Leemrijse, C.J.; Bakker, D.H. de; Ooms, L.; Veenhof, C.


    Background: General practitioners have an ideal position to motivate inactive patients to increase their physical activity. Most patients are able to exercise in regular local facilities outside the health care setting. The purpose of this study was to get insight into general practitioners percepti

  10. Training oncology practitioners in communication skills. (United States)

    Baile, Walter F


    Many practitioners in oncology receive no or little training in how to effectively communicate with patients and families who are dealing with cancer. Moreover medical teachers are not always aware of the pedagogy of teaching communication skills in a way that results in performance improvement in this area. In this paper a method of small group teaching that was used to instruct medical oncology fellows in the essentials of communication using a retreat format that lasted three days is described. The paper covers the theoretical basis for the teaching format as well as the specific components of the workshops. It describes the process of facilitation using a "learner-centered" approach using standardized patients who take on the role of cancer patients along the trajectory of the illness. It discuss the use of small group process to facilitate skills acquisition and other strategies that facilitate learning such as reflective exercises, open role play and parallel process. It concludes with a consideration of the various ways that such workshops can be evaluated.

  11. Mary Grant Seacole: the first nurse practitioner. (United States)

    Messmer, P R; Parchment, Y


    Mary Grant Seacole was born in 1805, in Kingston, Jamaica, to a Jamaican doctress (medicine woman) and a Scottish naval officer. Later Seacole became a doctress, nursing British soldiers during epidemics of cholera, dysentery, and yellow fever in Jamaica, Cuba, and Panama. After refusals by both the British government and Florence Nightingale to be allowed to practice in Scutari, she financed her own way to the scene of the Crimean War and then established the British Hotel to serve both the comfort and medical needs of the wounded soldiers. At night, Seacole worked side by side with Nightingale at Scutari as a volunteer nurse. Seacole's fame grew proportionately after she was seen helping wounded soldiers on the battlefields even while the battles were still raging. Seacole died on May 14, 1881, in London. One hundred years later, many members of the London black community, a few members of the Nurses Association of Jamaica and the Friends of Mary Seacole marched to her grave, honoring her as one of the greatest women of all times. Mary Grant Seacole rose above the barriers of racial prejudice and demonstrated the determinism, compassion, and caring that have became the hallmark of nurse practitioners.

  12. Health care practitioners and dying patients

    Directory of Open Access Journals (Sweden)

    Panagiotis Pentaris


    Full Text Available A full understanding of and a competent approach to dying patients may lead to a more qualitative service delivery, an enhanced quality of life paradigms, and the patients’ wellbeing, all of which remain the ultimate goal of health care practice. The modern world has developed in parallel with secularism and religious diversity. This paper aims to illustrate the secularization process in Britain (with indications of generalized meanings and juxtaposes it with a description of the needs of dying patients regarding the meanings of religion and nonreligion. Although this paper draws on and provides a review of selected theoretical literature, it also addresses a significant challenge: the lack of scientifi c research on the subject. Hence, this paper aims to give an overview of the issues, but not synthesise them. The arguments that are elaborated in the paper are also supported by the author’s current research project in the city of London. The approach here is client oriented, and concerns social and health care. Practitioners ought to become competent, and maintain their competence throughout their professional career. Religious competence seems to have not been at the centre of discussions, regardless of the historical pathway that religious discourse has drawn since the beginnings of humanity. The paper concludes with certain suggestions for future research and inclusive approaches regarding religious matters.

  13. Rural Poverty Rate Edges Downward. (United States)

    Nord, Mark


    Although rural poverty began to decline, 1994-95, many rural households had incomes just above poverty. Rural minorities were especially disadvantaged; racial differences in educational attainment accounted for 20-33% of income gaps. One-quarter of rural children lived in poverty, most in single-parent households. Most rural poor families lived in…

  14. SPOC Experiment: First Results From Seismological Studies Along the Central Chilean Margin (United States)

    Thierer, P. O.; Tilmann, F.; Flueh, E. R.; Kopp, H.; Gossler, J.


    The investigations of the RV SONNE cruise SO161 during the SPOC experiment (Subduction Processes Off Chile) concentrated on the area of the central Chilean margin west off Valparaiso. The main goal of this experiment is to investigate the effects of subducting oceanic seafloor relief on the seismicity of this domain. A marine array of 23 ocean bottom hydrophones and seismometers (OBH/S) was deployed for a period of ten weeks to monitor local earthquakes from this part of the Chilean margin where volcanic structures like the aseismic Juan Fernandez Ridge enter the trench. A strong decrease in dip angle of the subducting plate (flat slab) is observed here, resulting in a segmentation of the margin. The flat slab segment correlates with the absence of Quaternary volcanism and a central valley on the South American plate. It is assumed that a connection between the buoyancy of thickened oceanic crust and the occurrence of shallow subduction earthquakes exists. We present preliminary results of hypocenter determinations, founded on about 300 localisable events based on the OBH/S recordings. The distribution of hypocenters shows a considerable seismic activity within the 15 km - 50 km depth range. The special focus on the transitional domain of the slope allowed us to map in detail the seaward termination of the seismogenic zone. In addition, we used seismological land data, recorded from the Central Chilean Network (CCN) and a number of temporary landstations to supplement the marine data set. Comparative and joint hypocenter analysis from both marine and land data, increases the precision of locations and allows an assessment of systematic errors. We can show the need of both, on- and offshore data sets, to determine offshore earthquake locations with high precision. The seismological investigations are in close collaboration with the active seismic studies carried out during the scope of the SPOC experiment.

  15. Breaking patient confidentiality: comparing Chilean and French viewpoints regarding the conditions of its acceptability

    Directory of Open Access Journals (Sweden)

    Cecilia Olivari


    Full Text Available The study examined the conditions under which lay people and health professionals living in Chile find it acceptable for a physician to break confidentiality to protect the wife of a patient with a sexually transmitted disease (STD. One hundred sixty-nine lay persons, 10 physicians, 17 psychologists, and 11 paramedical professionals indicated the acceptability of breaking confidentiality in 48 scenarios. The scenarios were all possible combinations of five factors: disease severity (severe, lethal; time taken to discuss this with the patient (little time, much time; patient’s intent to inform his spouse about the disease (none, one of these days, immediately; patient’s intent to adopt protective behaviors (no intent, intent; and physician’s decision to consult an STD expert (yes, no, 2 x 2 x 3 x 2 x 2. The study also compared Chilean and French views, using data gathered previously in France. A cluster analysis conducted on the overall set of raw data revealed groups of participants that found breaking confidentiality “always acceptable” (9%, requiring “consultation with an expert” (5%, “depending on the many circumstances” (70%, and “never acceptable” (11%”. Despite clear differences in legislation and official codes of ethics between their two countries, Chilean and French lay people did not differ much in their personal convictions regarding the circumstances in which patient confidentiality can be broken or must not be broken. By contrast, Chilean physicians, in agreement with their code of ethics, were much less supportive than French physicians of complete respect of patient confidentiality in all cases

  16. Oral disorders in Chilean rodeo horses submitted for dental evaluation between 2010 and 2013

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    Sebastián Guerra


    Full Text Available Dental disorders are common in horses. The objetive of the study was determined the frequency of dental problems in Chilean Rodeo Horses and described the most common dental treatments used in Chile. Oral examinations were performed on 456 Chilean rodeo horses and the disorders were observed as follows: Oral soft tissues, 259 horses (56% presented lacerations and/or ulcers. Regarding the first premolar, it was present in 32% of the horses, all maxillary positioned. In canines, 245 (54% were present and overlong tooth. Disorders found in incisors show supererupted (Tooth overlong in 147 (32%; ventral curvature in 116 (25%, nevertheless 102 (22% horses showed no abnormalities. About the diseases found in cheek teeth (premolars and molars, the more prevalent ones was enamel points in 426 (93%, rostral or caudal hooks in 354 (78%, and ramps in 231 (51%. Confidence intervals between all dental diseases found in the study showed no statistical significance when was analyzed for age or gender. When age groups were made, statistical significance appear X² Pearson (p=0,01, were mostly malocclusion type I was the more common in young, mature and geriatric horses. Other disorders such as problems at the time of eruption, development and periodontal disease are statiscally similar X² (p=0,07. About the treatments it is important to mention that in 453 (99% horses received odontoplasty and 147 (32% first premolar extraction. This study shows that Chilean rodeo horses have dental disorders similar to other horse breeds, except by small increase in soft tissue damage and incisors problems.

  17. Memory, Citizenship and the Public Sphere in the Development of the Recent Past in the Chilean Experience

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    Graciela Rubio


    Full Text Available The research gets into to the studies of historical memory by performing a hermeneutic analysis of the discourse of memory and history narratives that the Chilean public discussion has used to develop its dictatorial recent past in the period 1991-2004. Press sources, editorial inserts, interviews with the social and political actors and specially Truth and Reconciliation Reports were reviewed. We reflect on the current oligarchic long and short term frames made for the representation of the public sphere and the citizenship, emphasizing the impossibility of forgiveness as a restorative category of the political community.It consolidates the symbolic weakness of the recovered democracyin recent Chilean history.

  18. Free Trade Agreements and Firm-Product Markups in Chilean Manufacturing

    DEFF Research Database (Denmark)

    Lamorgese, A.R.; Linarello, A.; Warzynski, Frederic Michel Patrick

    In this paper, we use detailed information about firms' product portfolio to study how trade liberalization affects prices, markups and productivity. We document these effects using firm product level data in Chilean manufacturing following two major trade agreements with the EU and the US...... at the firm-product level. On average, adjustment on the profit margin does not appear to play a role. However, for more differentiated products, we find some evidence of an increase in markups, suggesting that firms do not fully pass-through increases in productivity on prices whenever they have enough...

  19. A chromosomal analysis of four species of Chilean Chrysomelinae (Coleoptera, Chrysomelidae

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    Eduard Petitpierre


    Full Text Available Four species of Chilean leaf beetles in the subfamily Chrysomelinae have been cytogenetically analyzed, Blaptea elguetai Petitpierre, 2011, Henicotherus porteri Bréthes, 1929 and Jolivetia obscura (Philippi, 1864 show 2n = 28 chromosomes and a 13 + Xyp male meioformula, and Pataya nitida (Philippi, 1864 has the highest number of 2n = 38 chromosomes. The karyotype of H. porteri is made of mostly small meta/submetacentric chromosomes, and that of Jolivetia obscura displays striking procentric blocks of heterochromatin at pachytene autosomic bivalents using conventional staining. These findings are discussed in relation to previous cytogenetic data and current taxonomy of the subfamily.

  20. Genotypic characterization of Chilean llama (Lama glama) and alpaca (Vicugna pacos) pestivirus isolates. (United States)

    Aguirre, I M; Fuentes, R; Celedón, M O


    Llamas and alpacas are domesticated South American camelids (SACs) important to ancestral population in the Altiplano region, and to different communities worldwide where they have been introduced. These ungulates have shown to be susceptible to several livestock viral pathogens such as members of the Pestivirus genus, in particular Bovine Viral Diarrhea (BVDV), but there is little data available on Pestivirus infections in SACs. In this study we aimed to detect and identify Pestivirus genotypes and subgroups infecting SACs in both wild and confined environments. Samples were collected from 136 llamas and 30 alpacas from different areas in the Chilean Altiplano (wild animals), and from 22 llamas and 26 alpacas diagnosed as Pestivirus positive from the Metropolitana region in Chile (confined animals). Seroneutralization tests showed titers lower than 2 in all 166 samples from Chilean Altiplano. These samples were also negative to BVDV isolation, indicating that these animals have not been exposed to Pestivirus. After reactivation of positive samples from the Metropolitana region, the 5' non-codifying region (5'NCR) and E2 glycoprotein were amplified by RT-PCR from the Pestivirus genome. Viral sequences were pairwise compared and phylogenetic trees were constructed. The 5'NCR analysis showed that all 12 sequenced isolates belonged to BVDV-1. Of particular interest, isolates from eight llama and two alpaca were BVDV-1j and two alpacas were BVDV-1b. In agreement with these results, E2 phylogenetic analysis rendered a similar grouping indicating that all 16 isolates belong to BVDV-1. However, the lower availability of E2 sequences determines the creation of a smaller number of sub-groups than the 5'NCR sequences. Based on the E2 sequences, the 5'NCR BVDV 1j group consisting of all the llamas and 3 alpacas are completely included in the E2 BVDV 1e group. Due to the universal availability of the 5'NCR segment, we propose the classification of these Chilean llamas and

  1. Misconceptions of the p-value among Chilean and Italian Academic Psychologists (United States)

    Badenes-Ribera, Laura; Frias-Navarro, Dolores; Iotti, Bryan; Bonilla-Campos, Amparo; Longobardi, Claudio


    Common misconceptions of p-values are based on certain beliefs and attributions about the significance of the results. Thus, they affect the professionals' decisions and jeopardize the quality of interventions and the accumulation of valid scientific knowledge. We conducted a survey on 164 academic psychologists (134 Italian, 30 Chilean) questioned on this topic. Our findings are consistent with previous research and suggest that some participants do not know how to correctly interpret p-values. The inverse probability fallacy presents the greatest comprehension problems, followed by the replication fallacy. These results highlight the importance of the statistical re-education of researchers. Recommendations for improving statistical cognition are proposed. PMID:27602007

  2. Mano a Mano-Mujer: an effective HIV prevention intervention for Chilean women. (United States)

    Cianelli, Rosina; Ferrer, Lilian; Norr, Kathleen F; Miner, Sarah; Irarrazabal, Lisette; Bernales, Margarita; Peragallo, Nilda; Levy, Judith; Norr, James L; McElmurry, Beverly


    The impact of a professionally facilitated peer group intervention for HIV prevention among 400 low-income Chilean women was examined using a quasiexperimental design. At 3 months postintervention, the intervention group had higher HIV-related knowledge, more positive attitudes toward people living with HIV, fewer perceived condom use barriers, greater self- efficacy, higher HIV reduction behavioral intentions, more communication with partners about safer sex, and decreased depression symptoms. They did not, however, have increased condom use or self-esteem. More attention to gender barriers is needed. This intervention offers a model for reducing HIV for women in Chile and other Latin American countries.

  3. Border dimension of Chilean foreign policies: Immobility and urgency of new dynamics

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    Cristian Ovando Santana


    Full Text Available The following article draws the priorities of border public policy that define the Chilean foreign policy. Through a theoretical framework from the rational–reflective approach of International Relations, we argue that despite of the increasing openness, internationalization of the country, and the emergence of new actors and subnational initiatives; the views and options between the actors of this new area and the definitions of foreign policy not always match. We propose the need to establish mechanisms that settle the positions among regional social–political actors, intermediate agencies and the central level.

  4. Chilean Student Movement of 2011 and their impact on citizen claims from the regionalist margins

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    Javier Ramos Galleguillos


    Full Text Available One of the most significant social conflicts in Chile in 2011, was the student movement, which together with various social actors, promoted the slogan of democracy and quality in public education. Under this argument, this paper aims to analyze and describe how the Chilean Student Movement started in 2011, triggers citizen empowerment against political and economic system in favor of a welfare state transverse to the different social sectors. We explore also the repercussions in this movement for the formulation of new demands from regionalist margins in order to interpret the growing discontent and need oriented organizational break with the inequality gap in Chile.

  5. Upper extremity injury management by non-physician emergency practitioners in rural Uganda: A pilot study

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    Daniel S. Frank


    Conclusions: When compared to the standardised Quick DASH outcomes (no work limitation at 27.5 vs. work limited by injury at 52.6 the non-physician clinicians appear to be performing upper extremity repairs with good outcomes. The key variable to successful repair was the initial injury type. Although accommodations needed to be made to the standard Quick DASH protocol, the tool appears to be usable in non-traditional settings.

  6. Regulating Traditional Chinese Medicine Practitioners and Acupuncturists in Ontario, Canada

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    Glen E. Randall


    Full Text Available In 2006, the Ontario government passed the Traditional Chinese Medicine Act, which granted Traditional Chinese Medicine practitioners and Acupuncturists (TCM/A practitioners self-regulatory status under the Regulated Health Professions Act, 1991. The goal of the legislation was to create a new regulatory college that would set and enforce high standards of care and safety in order to enhance public protection and access to a range of traditional and alternative therapies. In April 2013, the College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario was officially launched. Several factors account for the government’s decision to delegate self-regulatory authority to TCM/A practitioners through the creation of a regulatory college. In particular, the government’s decision seems to have been influenced by lobbying of some practitioners, greater public acceptance of alternative medicines, patient safety concerns related to acupuncture cases in the media, and the precedence of self-regulatory status being granted to these practitioners in other provinces. The degree to which the legislation has achieved its goals is difficult to determine given the short period of time the regulatory college has existed. However, the fact that the college has developed standards of practice to guide TCM/A practitioners and has a process in place to address public complaints is an early indication of movement toward achieving the policy’s goals.

  7. Musculoskeletal Disorders among Dental Practitioners: Does It Affect Practice?

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    Dhanya Muralidharan


    Full Text Available Background. Literature reviews world over have shown a high prevalence of musculoskeletal disorders among dental practitioners. Prevalence of MSD among dental practitioners in India is not well documented. Aim. To determine the prevalence and distribution of MSD among dental practitioners in a city in the southern state of Andhra Pradesh, India. Material and Methods. A cross sectional descriptive study in which a self-administered questionnaire (the Standardized Nordic questionnaire was used to assess the musculoskeletal symptoms among dental practitioners. The recorded data was analyzed with SPSS 13. -value 0.05 was considered to statistically significant. Results. Seventy-three dental practitioners participated in the study of which seventy-eight percent had a prevalence of at least one MSD symptom over the past twelve months. Most common areas affected by MSD in order of magnitude were neck (52%, low back (41%, shoulders (29% and wrist (26%. One third of the practitioners (40% required sick leave from their practice during the preceding twelve months. Conclusions. High prevalence of MSD exists among our dental practitioners affecting the daily practice of more than one third. Further studies are needed to identify the specific risk factors for MSD so as to introduce effective remedial measures.

  8. Exploration of Rural Informatization and Urban-rural Information Fusion

    Institute of Scientific and Technical Information of China (English)


    Based on the status quo of rural informatization and information service,this article conducts analysis and discussion of problems in rural informatization and urban-rural information fusion,using statistics. And corresponding countermeasures are put forward as follows: building rural information platform; strengthening information literacy training in rural areas and cultivating new farmers; making information network serve production and operation to increase jobs and income for farmers; developing rural e-commerce; enhancing network information security and prevention.

  9. General practitioners' management of the long-term sick role. (United States)

    Higgins, Angela; Porter, Sam; O'Halloran, Peter


    In this paper, we use qualitative research techniques to examine the role of general practitioners in the management of the long-term sickness absence. In order to uncover the perspectives of all the main agents affected by the actions of general practitioners, a case study approach focussing on one particular employment sector, the public health service, is adopted. The role of family physicians is viewed from the perspectives of health service managers, occupational health physicians, employees/patients, and general practitioners. Our argument is theoretically framed by Talcott Parsons's model of the medical contribution to the sick role, along with subsequent conceptualisations of the social role and position of physicians. Sixty one semi-structured interviews and three focus group interviews were conducted in three Health and Social Care Trusts in Northern Ireland between 2010 and 2012. There was a consensus among respondents that general practitioners put far more weight on the preferences and needs of their patients than they did on the requirements of employing organisations. This was explained by respondents in terms of the propinquity and longevity of relationships between doctors and their patients, and by the ideology of holistic care and patient advocacy that general practitioners viewed as providing the foundations of their approach to patients. The approach of general practitioners was viewed negatively by managers and occupational health physicians, and more positively by general practitioners and patients. However, there is some evidence that general practitioners would be prepared to forfeit their role as validators of sick leave. Given the imperatives of both state and capital to reduce the financial burden of long-term sickness, this preparedness puts into doubt the continued role of general practitioners as gatekeepers to legitimate long-term sickness absence.

  10. Education for rural people



    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...

  11. The importance of gender of patients and general practitioners in relation to treatment practices for overweight

    DEFF Research Database (Denmark)

    Rohde, Jeanett Friis; Hessner, Marie Vik; Lous, Jørgen


    and treatment practices among Danish general practitioners (GPs), in relation to treatment of overweight, while taking gender of both the patients and practitioners into account. DESIGN: Questionnaire inventory covertly examining attitudes and practices among Danish general practitioners towards treatment...

  12. Assessing scrub practitioner non-technical skills: a literature review. (United States)

    McClelland, Guy


    A review by Catchpole et al (2009) into the causes and types of harm experienced by the surgical patient emphasised the high risk nature of the perioperative period. Investigations into recent failures at NHS organisations have emphasised the relevance of non-technical skills education in improving clinical performance and patient outcomes. However, scrub practitioner non-technical skills are often developed on a tacit basis, making assessment of performance difficult. This literature review identifies strategies that facilitate assessment of non-technical skills during surgery. Recommendations are made that will assist scrub practitioners in using a validated scrub practitioner non-technical skills assessment framework reliably.

  13. Engaging social work practitioners in research: challenges and opportunities. (United States)

    Gitterman, Alex


    Contemporary emphasis on measuring and evaluating observable, behavioral outcomes reflects a major change in the profession toward greater empirical basis for social work practice. This intellectual and methodological shift has created a gap between practitioners and researchers. While social work practitioners definitely should be more knowledgeable and receptive to interventions that have proven to be effective in helping people, social work academics must pay more attention to the realities of social work practitioners who struggle daily with expanding caseloads, ever-increasing time pressures to help clients whose lives are embedded in poverty, unemployment, oppression, racism, homelessness, and violence.

  14. Sharing and expanding academic and practitioner knowledge in health care. (United States)

    Bartunek, Jean; Trullen, Jordi; Bonet, Eduard; Sauquet, Alfonso


    The purpose of this paper is to expand understanding of academic-practitioner knowledge-sharing in the service of enhanced knowledge creation in health care. To this end, we describe the tacit and explicit knowledge of academics and practitioners and how this knowledge exists within their communities of practice. We also discuss benefits of, difficulties with, and some underlying dynamics of academic-practitioner knowledge-sharing. We then propose what might be done, based on appreciation of these dynamics, to foster joint knowledge-sharing and knowledge creation. We illustrate our arguments with examples from health care settings.

  15. An international survey of aquaponics practitioners.

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    David C Love

    Full Text Available Aquaponics, a combination of fish farming and soilless plant farming, is growing in popularity and gaining attention as an important and potentially more sustainable method of food production. The aim of this study was to document and analyze the production methods, experiences, motivations, and demographics of aquaponics practitioners in the United States (US and internationally. The survey was distributed online using a chain sampling method that relied on referrals from initial respondents, with 809 respondents meeting the inclusion criteria. The majority of respondents were from the US (80%, male (78%, and had at least a high school degree (91%. The mean age of respondents was 47±13 years old. Most respondents (52% had three years or less of aquaponics experience. Respondents typically raised tilapia or ornamental fish and a variety of leafy green vegetables, herbs, and fruiting crops. Respondents were most often motivated to become involved in aquaponics to grow their own food, for environmental sustainability reasons, and for personal health reasons. Many respondents employed more than one method to raise crops, and used alternative or environmentally sustainable sources of energy, water, and fish feed. In general, our findings suggest that aquaponics is a dynamic and rapidly growing field with participants who are actively experimenting with and adopting new technologies. Additional research and outreach is needed to evaluate and communicate best practices within the field. This survey is the first large-scale effort to track aquaponics in the US and provides information that can better inform policy, research, and education efforts regarding aquaponics as it matures and possibly evolves into a mainstream form of agriculture.

  16. An international survey of aquaponics practitioners. (United States)

    Love, David C; Fry, Jillian P; Genello, Laura; Hill, Elizabeth S; Frederick, J Adam; Li, Ximin; Semmens, Ken


    Aquaponics, a combination of fish farming and soilless plant farming, is growing in popularity and gaining attention as an important and potentially more sustainable method of food production. The aim of this study was to document and analyze the production methods, experiences, motivations, and demographics of aquaponics practitioners in the United States (US) and internationally. The survey was distributed online using a chain sampling method that relied on referrals from initial respondents, with 809 respondents meeting the inclusion criteria. The majority of respondents were from the US (80%), male (78%), and had at least a high school degree (91%). The mean age of respondents was 47±13 years old. Most respondents (52%) had three years or less of aquaponics experience. Respondents typically raised tilapia or ornamental fish and a variety of leafy green vegetables, herbs, and fruiting crops. Respondents were most often motivated to become involved in aquaponics to grow their own food, for environmental sustainability reasons, and for personal health reasons. Many respondents employed more than one method to raise crops, and used alternative or environmentally sustainable sources of energy, water, and fish feed. In general, our findings suggest that aquaponics is a dynamic and rapidly growing field with participants who are actively experimenting with and adopting new technologies. Additional research and outreach is needed to evaluate and communicate best practices within the field. This survey is the first large-scale effort to track aquaponics in the US and provides information that can better inform policy, research, and education efforts regarding aquaponics as it matures and possibly evolves into a mainstream form of agriculture.

  17. Oral Health in Rural Communities (United States)

    ... Guide Rural Health Topics & States Topics View more Oral Health in Rural Communities Adequate access to oral healthcare ... about oral health programs in my area? What oral health disparities are present in rural America? According to ...

  18. The concept of rural community practice (RCP). (United States)

    Nielsen, N Ole; Evans, Brian; King, Lonnie J


    The need to devote more human resources to veterinary public practice to cope with escalating threats to biological security, public health, and economic prosperity, while also addressing societal value changes, has been widely recognized and supported. Most envisage increasing the numbers of veterinarians in government employment. Why not at least combine this initiative, wherever possible, with far greater involvement of rural practitioners to deliver contractual public-practice services and provide an enhanced community interface? This could make the difference between having a local practice in a community or none at all, as well as promising to be more cost effective. The concept of rural community practice (RCP) envisages combining traditional services provided in a "mixed-animal" veterinary practice with an expanded portfolio of public-practice and communication services that meet the emerging animal, public, and ecosystem health needs of the collective community, not just those of animal owners. These services could include those involving active sentinel surveillance programs for both domestic animal and wildlife diseases; on-farm food safety; bio-security; traceability and export certification and audit programs; disease investigation, including foreign animal diseases; surge capacity emergency response; managing for ecosystem health; and client and community education. An expanded practice team of animal-health professionals and technologists, led by veterinarians, would deliver these services. This RCP approach should have the potential to make rural practice more attractive from economic, lifestyle, and job-satisfaction perspectives; to enhance the visibility and recognition of the profession; and to respond to changing and new societal needs. It also promises to maintain a stable network of veterinary practices in rural communities. In addition, the recognition of veterinary medicine as a public good should provide for consideration of increased

  19. Explanatory models and mental health treatment: is vodou an obstacle to psychiatric treatment in rural Haiti? (United States)

    Khoury, Nayla M; Kaiser, Bonnie N; Keys, Hunter M; Brewster, Aimee-Rika T; Kohrt, Brandon A


    Vodou as an explanatory framework for illness has been considered an impediment to biomedical psychiatric treatment in rural Haiti by some scholars and Haitian professionals. According to this perspective, attribution of mental illness to supernatural possession drives individuals to seek care from houngan-s (Vodou priests) and other folk practitioners, rather than physicians, psychologists, or psychiatrists. This study investigates whether explanatory models of mental illness invoking supernatural causation result in care-seeking from folk practitioners and resistance to biomedical treatment. The study comprised 31 semi-structured interviews with community leaders, traditional healers, religious leaders, and biomedical providers, 10 focus group discussions with community members, community health workers, health promoters, community leaders, and church members; and four in-depth case studies of individuals exhibiting mental illness symptoms conducted in Haiti's Central Plateau. Respondents invoked multiple explanatory models for mental illness and expressed willingness to receive treatment from both traditional and biomedical practitioners. Folk practitioners expressed a desire to collaborate with biomedical providers and often referred patients to hospitals. At the same time, respondents perceived the biomedical system as largely ineffective for treating mental health problems. Explanatory models rooted in Vodou ethnopsychology were not primary barriers to pursuing psychiatric treatment. Rather, structural factors including scarcity of treatment resources and lack of psychiatric training among health practitioners created the greatest impediments to biomedical care for mental health concerns in rural Haiti.

  20. Dietary habits and normal body mass index association in Chilean soldiers

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    Samuel Durán-Agüero


    Full Text Available Introduction: Eating habits of various age and professional groups has been evaluated. However, there is little information on the dietary habits of soldiers. The aim of this study is to associate eating habits with the normal body mass index (BMI in Chilean soldiers from Buin Regiment. Material and Methods: 412 soldiers were evaluated. Food survey and anthropometric evaluation was applied to each soldier. It was considered a normal BMI when the subject was between 18.5-24.9kg/m2, overweight between 25.0-29.9kg/m2 and obesity ≥30.0kg/m2, according to the WHO recommendations. Results: 41.2% of the soldiers show a normal BMI, 43.1% present overweight and 15.7% exhibit obesity. Only 5% meet the dairy and fruit Chilean recommendations, however almost 40% of them consume 1time/day (OR:0.41; IC95%:0.19-0.88 and legume consumption (>1time/week (OR:0.29; IC95%:0.14-0.60. Conclusions: A low consumption of dairy products, fruits, vegetables and legumes is noted, and a high consumption of sweetened beverages. In addition, intake of dairy products and legumes is related with a normal BMI.

  1. Synaptic effects of low molecular weight components from Chilean Black Widow spider venom. (United States)

    Parodi, Jorge; Romero, Fernando


    alpha-Latrotoxin is the principal component of the venom from the euroasiatic Black Widow spider and has been studied for its pharmacological use as a synaptic modulator. Interestingly, smaller molecular weight fractions have been found to be associated with this toxin, but their cellular actions have not been studied in detail. The venom from the Chilean Black Widow spider (Latrodectus mactans) does not produce alpha-latrotoxin, however it does contain several small polypeptides. We have recently demonstrated cellular effects of these peptides at the synaptic level using whole-cell patch clamp techniques. Purified venom from the glands of L. mactans was studied in 12 DIV rat hippocampal neuronal cultures. Venom at a concentration of 10nM was able to decrease neuronal conductance thereby increasing membrane resistance. This effect on the passive properties of the neurons induced a change in action potential kinetics simulating the action of classic potassium channel blockers. These changes produced an increase in spontaneous synaptic activity in rat hippocampal cultures in the presence of the venom in a concentration- and time-dependent manner. These results indicate that venom from Chilean spider L. mactans is capable of increasing cell membrane resistance, prolonging the action potential and generating an increase in synaptic activity demonstrating an interesting pharmacological effect of these low molecular weight fragments.

  2. Associations between different components of fitness and fatness with academic performance in Chilean youths (United States)


    Objectives To analyze the associations between different components of fitness and fatness with academic performance, adjusting the analysis by sex, age, socio-economic status, region and school type in a Chilean sample. Methods Data of fitness, fatness and academic performance was obtained from the Chilean System for the Assessment of Educational Quality test for eighth grade in 2011 and includes a sample of 18,746 subjects (49% females). Partial correlations adjusted by confounders were done to explore association between fitness and fatness components, and between the academic scores. Three unadjusted and adjusted linear regression models were done in order to analyze the associations of variables. Results Fatness has a negative association with academic performance when Body Mass Index (BMI) and Waist to Height Ratio (WHR) are assessed independently. When BMI and WHR are assessed jointly and adjusted by cofounders, WHR is more associated with academic performance than BMI, and only the association of WHR is positive. For fitness components, strength was the variable most associated with the academic performance. Cardiorespiratory capacity was not associated with academic performance if fatness and other fitness components are included in the model. Conclusions Fitness and fatness are associated with academic performance. WHR and strength are more related with academic performance than BMI and cardiorespiratory capacity. PMID:27761345

  3. The Epidemiology of Sleep Quality and Consumption of Stimulant Beverages among Patagonian Chilean College Students

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    Juan Carlos Vélez


    Full Text Available Objectives. (1 To assess sleep patterns and parameters of sleep quality among Chilean college students and (2 to evaluate the extent to which stimulant beverage use and other lifestyle characteristics are associated with poor sleep quality. Methods. A cross-sectional study was conducted among college students in Patagonia, Chile. Students were asked to complete a self-administered questionnaire to provide information about lifestyle and demographic characteristics. The Pittsburgh Sleep Quality Index (PSQI was used to evaluate sleep quality. In addition, students underwent a physical examination to collect anthropometric measurements. Results. More than half of students (51.8% exhibited poor sleep quality. Approximately 45% of study participants reported sleeping six hours or less per night and 9.8% used medications for sleep. In multivariate analysis, current smokers had significantly greater daytime dysfunction due to sleepiness and were more likely to use sleep medicines. Students who reported consumption of any stimulant beverage were 1.81 times as likely to have poor sleep quality compared with those who did not consume stimulant beverages (OR:1.81, 95% CI:1.21–2.00. Conclusions. Poor sleep quality is prevalent among Chilean college students, and stimulant beverage consumption was associated with the increased odds of poor sleep quality in this sample.


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    Inger Sally Padilla


    Full Text Available To study the frequencyof metabolic syndrome, its components and its relationshipwithphysical activityin Chilean immigrants living inRío Gallegos, SantaCruz, Argentina.314 Chilean immigrants (165womenand 149men were interviewed in RioGallegos in2010,with healthy status in medical records(2000.Anthropometry,blood pressurecontrol,blood testto measureglucose,triglycerides andHDL cholesterol weredetermined.Metabolic syndromewasestablished bycriteria of theNCEPATPIII.Themetabolic syndromehad anoverall prevalenceof 28.9% (95%CI: 23.9 to 34.Metabolicsyndromeprevalence was larger in women(32.1%than in men(25.5%.The prevalence ofits componentswere:abdominalobesity56%,low levels ofHDL cholesterol 48.3%, highlevels of triglycerides68.1%,hypertension46.1%and high levels of glucose 72.5%.Inadequate physical activitywas 66.2% (95%CI:60.1 to 71.5.Immigrantshadmorelikelihoodof metabolic syndromeliving in Río Gallegos for 15 yearsormore(β:5.74,95%CI:2,81-11,73,p=0.000and withinadequate physical activity(β:3.36,95%CI:1.57to7.21,p=0.002.The prevalenceof metabolic syndrome inChileanimmigrantsliving in RíoGallegosis higherthan that reportedin Argentina andChile.

  5. Depressed mood and speech in Chilean mothers of 5½-year-old children. (United States)

    Clark, Katy M; Su, Jing; Kaciroti, Niko; Castillo, Marcela; Millan, Rebeca; Rule, Heather; Lozoff, Besty


    Previous research on maternal speech and depression has focused almost exclusively on how depressed mothers talk to their infants and toddlers in the U.S. and U.K., two English-speaking countries. This study considered how depressed Spanish-speaking mothers from a Latin American country talk about their preschool-age children. Five-minute speech samples were provided by 178 Chilean mothers who were asked to talk about their 5½-year-old children to a project psychologist. Maternal depressive symptomatology was measured by the Spanish-language version of the Center for Epidemiologic Studies Depression Scale (CES-D). In multivariate analysis of covariance (MANCOVA), higher maternal depressed mood showed statistically significant associations with the following maternal speech characteristics: more criticisms, less laughter, fewer medium pauses, less positive satisfaction with the child's behavior or characteristics, a rating of a negative overall relationship with the child, and more crying (suggestive trend). A structural equation model confirmed these findings and found an indirect effect between laughter and criticisms: mothers with higher depressed mood who laughed less criticized their children less. The findings illustrate that depressed mood adversely affects how a group of Chilean mothers speak about their children.

  6. Profiling Space Heating Behavior in Chilean Social Housing: Towards Personalization of Energy Efficiency Measures

    Directory of Open Access Journals (Sweden)

    Victor Bunster


    Full Text Available Global increases in the demand for energy are imposing strong pressures over the environment while compromising the capacity of emerging economies to achieve sustainable development. In this context, implementation of effective strategies to reduce consumption in residential buildings has become a priority concern for policy makers as minor changes at the household scale can result in major energy savings. This study aims to contribute to ongoing research on energy consumer profiling by exploring the forecasting capabilities of discrete socio-economic factors that are accessible through social housing allocation systems. Accordingly, survey data gathered by the Chilean Ministry of Social Development was used identify key characteristics that may predict firewood usage for space heating purposes among potential beneficiaries of the Chilean social housing program. The analyzed data evidences strong correlations between general household characteristics and space heating behavior in certain climatic zones, suggesting that personalized delivery of energy efficiency measures can potentially increase the effectiveness of initiatives aimed towards the reduction of current patterns of consumption.

  7. IL28B polymorphisms associated with therapy response? ein inin Chilean chronic hepatitis C patients

    Institute of Scientific and Technical Information of China (English)

    Mauricio Venegas; Rodrigo A Villanueva; Katherine González; Javier Brahm


    AIM: To analyze the association of three IL28B single nucleotide polymorphisms with response to therapy in Chilean patients infected with hepatitis C virus (HCV).((HHCV))).. METHODS: We studied two groups of patients with chronic HHCV infection ((genotype 1)), under standard combined treatment with pegylated interferon plus ribavirin. One group consisted of 50 patients with sustained virological response, whereas the second group consisted of 49 null responders. In order to analyze the IL28B single nucleotide polymorphisms rs12979860, rs12980275 and rs8099917, samples were used for polymerase chain reaction amplification, and the genotyping was performed by restriction fragment length polymorphism. RESULTS: The IL28B rs12979860 CC, rs12980275 AA and rs8099917 TT genotypes were much more frequently found in patients with sustained virological response compared to null responders ((38%, 44% and 50% vs 2%, 8.2% and 8.2%, respectively)). These differences were highly significant in all three cases (P < 0.0001)). CONCLUSION: The three IL28B polymorphisms studied are strongly associated with sustained virological response to therapy in Chilean patients with chronic HHCV ((genotype 1)).

  8. Utilization of therapies for stress management in Chilean clinical dental students.

    Directory of Open Access Journals (Sweden)

    Francisco Pérez


    Full Text Available Dental students suffer greater stress than the rest of the university population. In general, most health students seek little assistance to help them cope with stress. The aim of this study is to evaluate the use of therapies to manage stress in Chilean clinical dental students. A cross-sectional study was conducted nationwide; this report is a secondary data analysis. The study population was dental students in clinical years (4th and 5th of 5 Chilean dental schools: Antofagasta, Valparaíso, Viña del Mar, Concepción, and La Frontera. This paper reports the use of therapies for stress management during the past six months considering four options: medical/psychiatric, psychological, self-medication and alternative. Tabulation and analysis were done in STATA 10/SE. Three hundred thirty-seven students were surveyed, 54.01% were men and 64.99% were in fourth year, with an average age of 22.94±2.04. The 48.07% of students have used any of the four types of therapies; women and fourth-year students use more any form of therapy with 53.30% (p=.037 and 48.86% (p=.694, respectively, than men and fifth year students. About half of the students have used some form of therapy to manage stress in the last six months; of the students that received therapy, the percentage of women was significantly higher.

  9. Association of burnout with stress, coping strategies and vocational satisfaction in Chilean clinical dental students.

    Directory of Open Access Journals (Sweden)

    Francisco Pérez


    Full Text Available Objective: Dental students are particularly affected by stress, which can lead to ‘burnout syndrome’ by association with other psychological factors. The aim of this study was to analyse the effect of perceived stress, coping strategies, and vocational satisfaction on the severity of burnout in Chilean dental students in the clinical years. Method: The study population was comprised of clinical dental students of five Chilean dental schools. The following variables were considered: age, gender, year of study, burnout, coping strategies, perceived stress, and vocational satisfaction. Statistical analysis included descriptive measures, correlation tests, and stepwise multiple regression analysis. Results: The final sample included 244 students. Three (1.23% students did not have burnout in any of its factors and 38 (15.57% had severe levels in all three factors. There was a statistically significant greater ‘emotional exhaustion’ in 4th year students. There was a statistically significant correlation of the three factors of burnout with ‘social withdrawal’ coping strategy, high levels of perceived stress, and low levels of present and future vocational satisfaction. Conclusion: Most students presented moderate and high levels of burnout. This situation is associated with dysfunctional coping strategies, high levels of perceived stress, and low levels of present and future vocational satisfaction.

  10. Review of Literature of the Rural Heritage Tourism Destination

    Directory of Open Access Journals (Sweden)

    Kadi Alaa J.


    Full Text Available Rural heritage tourism destination management is an essential knowledge area that should be investigated to achieve sustainable destination, especially for an emerging destination. The goal of this process is to ensure that these elements are thoroughly inspected and rigidly organized due to the main concepts, theories, methods and approaches mentioning different perspectives to tackle these certain elements. In order to cope with the complexity of the relation between the destination elements and its characteristics and sequence of the maturity of the selected destination, all that needs in-depth knowledge to assist the researchers in developing and improving different types of approaches and tools, and in structuring and assessing the destination. We develop a neat backbone literature review concerning the all aspects of the sustainable rural heritage tourism destination. We review the existing methods, approaches and theories applied on the relative field, and further study the relevant challenges that have been the target of investigation in the academic literature. The paper is intended to be the newest and the most important existing study on the topic of rural heritage emerging tourism destination. The results are particularly relevant to practitioners seeking a better grasp on managing tourism destination as well as achieving sustainability in tourism destinations. As a major finding of the review, the results strongly suggest the need for more practitioner-oriented and industry-driven empirical studies in the area of flexible managerial framework to cope with special and dynamic characteristics of different tourism destinations.

  11. From sea to shining sea: making collaborative rural research work. (United States)

    Moffitt, P M; Mordoch, E; Wells, C; Martin Misener, R; McDonagh, M K; Edge, D S


    Rural researchers collaborate on many levels to collect and analyze data, develop research reports and disseminate findings. While this collaboration is critical, there is a dearth of literature about research team collaboration within all stages of the research process. The purpose of this article is to discuss the research experience of 10 rural researchers scattered across Canada who participated in the study, Health Research: Accessible, Applicable and Useable for Rural Communities and Practitioners. Using focused ethnography, one aim of this study was to discover how research is utilized in rural and remote settings. The necessity of establishing networks to collect and manage data, and jointly analyze 72 qualitative transcripts from different geographical sites led to innovations and unexpected lessons learned. The research design provided significant opportunities to mentor undergraduate, masters and doctoral nursing students and to enhance the development of newly graduated doctoral nurses. These opportunities are crucial in the development of new researchers and in creating ongoing interest in rural health research. In this article, we discuss how the research process evolved, the mentoring process used, the barriers identified related to collaboration across vast distances, and the strategies employed to enhance the study's trustworthiness. We also consider the advantages and challenges of using Elluminate, a web application, as an interactive forum for this qualitative health research.

  12. Applied Thinking for Intelligence Analysis: A Guide for Practitioners

    Directory of Open Access Journals (Sweden)

    Trista M. Bailey


    Full Text Available Book Review -- Applied Thinking for Intelligence Analysis: A Guide for Practitioners by Charles Vandepeer, PhD, Air Power Development Centre, Department of Defence, Canberra, Australia, 2014, 106 pages, ISBN 13: 9781925062045, Reviewed by Trista M. Bailey

  13. The impaired practitioner - scope of the problem and ethical challenges. (United States)

    Dhai, A; Szabo, C P; McQuoid-Mason, D J


    Practitioner impairment occurs when a physical, mental or substance-related disorder interferes with his or her ability to engage in professional activities competently and safely. The Health Professions Council of South Africa makes reporting of impaired colleagues and students mandatory. The ethical dilemma faced by many colleagues on the issue of reporting an impaired practitioner is that of having to choose between protecting the privacy of the practitioner and the safety of patients. However, medicine as a profession with an acknowledged fiduciary relationship has a clear responsibility to assure the public, and all patients, that its practitioners and institutions are trustworthy. An awareness of and sensitivity to physician vulnerability and early detection and prevention of impairment is important.

  14. 49 CFR 1103.20 - Practitioner's fees and related practices. (United States)


    ... charity case, should fees be entirely contingent upon success. (d) Division of fees. Fees for services... prevent injustice, imposition or fraud. (f) Acquiring interest in litigation. The practitioner shall...

  15. Use of online sources of information by dental practitioners

    DEFF Research Database (Denmark)

    Funkhouser, Ellen; Agee, Bonita S; Gordan, Valeria V


    other and to offline users. CONCLUSION: A relatively small proportion of dental practitioners use information from online sources for practice guidance. Variation exists regarding practitioners' use of online source resources and how they rate the value of offline information sources for practice......OBJECTIVE: Estimate the proportion of dental practitioners who use online sources of information for practice guidance. METHODS: From a survey of 657 dental practitioners in The Dental Practice-Based Research Network, four indicators of online use for practice guidance were calculated: read...... journals online, obtained continuing education (CDE) through online sources, rated an online source as most influential, and reported frequently using an online source for guidance. Demographics, journals read, and use of various sources of information for practice guidance in terms of frequency...

  16. [The general practitioner is not in the lead on ADHD]. (United States)

    Damoiseaux, Roger A M J


    The diagnosis of and therapy for ADHD is complex and should be done by experts in this field. In the Netherlands, a new guideline on ADHD for general practitioners has recently been issued. Although there is some room for general practitioners to start medication for this disorder, the main message is to exercise caution in starting medication in general practice. Many children with ADHD have psychiatric comorbidity and proper diagnosis by a specialist is recommended. The main task of the general practitioner is making the right choice concerning when to refer for further diagnosis. Children sometimes show behaviour which, although it is not always what adults want, does not necessarily require psychiatric intervention and this is what a general practitioner can determine.


    Kovalchuk, L I; Prokopchuk, Y V; Naydyonova, O V


    The article presents the experience of postgraduate training of general practitioners--family medicine. Identified current trends, forms and methods of pedagogical innovations that enhance the quality of learning and mastering the practical skills of primary professionals providing care.

  18. Secure software practices among Malaysian software practitioners: An exploratory study (United States)

    Mohamed, Shafinah Farvin Packeer; Baharom, Fauziah; Deraman, Aziz; Yahya, Jamaiah; Mohd, Haslina


    Secure software practices is increasingly gaining much importance among software practitioners and researchers due to the rise of computer crimes in the software industry. It has become as one of the determinant factors for producing high quality software. Even though its importance has been revealed, its current practice in the software industry is still scarce, particularly in Malaysia. Thus, an exploratory study is conducted among software practitioners in Malaysia to study their experiences and practices in the real-world projects. This paper discusses the findings from the study, which involved 93 software practitioners. Structured questionnaire is utilized for data collection purpose whilst statistical methods such as frequency, mean, and cross tabulation are used for data analysis. Outcomes from this study reveal that software practitioners are becoming increasingly aware on the importance of secure software practices, however, they lack of appropriate implementation, which could affect the quality of produced software.

  19. Dutch occupational physicians and general practitioners wish to improve cooperation

    NARCIS (Netherlands)

    Buijs, P.; Amstel, R. van; Dijk, F. van


    Objectives - To investigate cooperation between occupational physicians (OPs) and general practitioners (GPs). Methods - Literature review; structured interviews; questionnaires sent to randomised samples of OPs (n = 232) and GPs (n = 243). Results - Actual cooperation is poor. However, more than 80


    Directory of Open Access Journals (Sweden)

    Marcus Klein


    Full Text Available This article deals with the intellectual evolution and political activities of Carlos Keller Rueff between the early 1920s and the late 1930s. It discusses his development from a German nationalist to a Chilean fascist during the course of this eventful period. In the 1920s Keller, who started his career in the Deutsch-Chilenischer Bund, the umbrella organisation of the German-Chilean community, expressed German National positions. Only at the end of the decade he began to distance himself from his narrow, sectarian German sub-culture and took a broader, national view, a development that coincided with his move from Concepción to Santiago and the failure of his plan to revive the immigration of Germans to Chile. With the book La eterna crisis chilena, published in 1931, he finally emerged as a Chilean nationalist and gained the reputation of an intellectual. One year later, in April 1932, he was, together with Jorge González von Marées, one of the founding members of the Chilean Movimiento Nacional Socialista (MNS. Keller became the movement’s ideologue and its second most prominent leader. This career abruptly ended with the failed nacista coup of 5 September 1938 and the subsequent transformation of the MNS into the Vanguardia Popular Socialista

  1. Variation in implementation of corporate social responsibility practices in emerging economies' firms: A survey of Chilean fruit exporters

    NARCIS (Netherlands)

    Klerkx, L.W.A.; Villalobos, P.; Engler, A.


    As in many sectors in emerging economies, the concept of corporate social responsibility (CSR) has become important for exporting agri-food firms in view of their integration in global supply chains. The purpose of this research was to assess the implementation by Chilean fruit exporters of CSR prac

  2. Filamentous bacteria inhabiting the sheaths of marine Thioploca spp. on the Chilean continental shelf

    DEFF Research Database (Denmark)

    Teske, Andreas; Jørgensen, Bo Barker; Gallardo, Victor A.


    A new component of the benthic Thioploca mat microbial ecosystem on the Chilean continental shelf was detected by epifluorescence microscopy: filamentous, bacterial endobionts of 4-5-μm filament diameter and length sometimes exceeding 1 mm. These filaments were identified as growing within Thiopl...

  3. Modeling the Impacts of National and Institutional Financial Aid Opportunities on Persistence at an Elite Chilean University (United States)

    Horn, Catherine; Santelices, María Verónica; Avendaño, Ximena Catalán


    Much of the recent Chilean educational debate and reform has centered around issues of higher education cost, debt burden, and availability of grants versus loans. This quantitative case study of Pontificia Universidad Católica de Chile sought to understand the longitudinal contributions of combinations of types of financial aid to persistence of…

  4. Inter-subjectivity and Domestication in the Making of a Global Region: Territorialization of Salmon in the Chilean Patagonia.

    NARCIS (Netherlands)

    Blanco, Gustavo; Arce, A.M.G.; Fisher, E.F.


    This article examines transformations in the Chilean Patagonia, a region that has become a world leader in Salmon production for global markets. Employing ethnographic methods, this study examines the possibilities of considering inter-subjectivities in the processes of conforming important regions

  5. Rural clinician scarcity and job preferences of doctors and nurses in India: a discrete choice experiment. (United States)

    Rao, Krishna D; Ryan, Mandy; Shroff, Zubin; Vujicic, Marko; Ramani, Sudha; Berman, Peter


    The scarcity of rural doctors has undermined the ability of health systems in low and middle-income countries like India to provide quality services to rural populations. This study examines job preferences of doctors and nurses to inform what works in terms of rural recruitment strategies. Job acceptance of different strategies was compared to identify policy options for increasing the availability of clinical providers in rural areas. In 2010 a Discrete Choice Experiment was conducted in India. The study sample included final year medical and nursing students, and in-service doctors and nurses serving at Primary Health Centers. Eight job attributes were identified and a D-efficient fractional factorial design was used to construct pairs of job choices. Respondent acceptance of job choices was analyzed using multi-level logistic regression. Location mattered; jobs in areas offering urban amenities had a high likelihood of being accepted. Higher salary had small effect on doctor, but large effect on nurse, acceptance of rural jobs. At five times current salary levels, 13% (31%) of medical students (doctors) were willing to accept rural jobs. At half this level, 61% (52%) of nursing students (nurses) accepted a rural job. The strategy of reserving seats for specialist training in exchange for rural service had a large effect on job acceptance among doctors, nurses and nursing students. For doctors and nurses, properly staffed and equipped health facilities, and housing had small effects on job acceptance. Rural upbringing was not associated with rural job acceptance. Incentivizing doctors for rural service is expensive. A broader strategy of substantial salary increases with improved living, working environment, and education incentives is necessary. For both doctors and nurses, the usual strategies of moderate salary increases, good facility infrastructure, and housing will not be effective. Non-physician clinicians like nurse-practitioners offer an affordable

  6. Humeral retroversion and shoulder rotational mobility in young handball practitioners


    Quadros, Gustavo Aguiar; Döhnert,Marcelo Baptista


    ABSTRACT OBJECTIVE : To evaluate the prevalence of humeral retroversion and rotational mobility (RHH) in young handball practitioners and non-practitioners. METHODS : This is a cross-sectional study performed with two groups: the handball group, with 14 female students practicing handball and the control group, with 13 young participants non-practicing pitch sports. RESULTS : The handball group presented full rotational movement (FRM) hi-gher than the control group in both the dominant should...

  7. CAM practitioners in the Australian health workforce: an underutilized resource

    Directory of Open Access Journals (Sweden)

    Grace Sandra


    Full Text Available Abstract Background CAM practitioners are a valuable but underutilizes resource in Australian health care. Despite increasing public support for complementary and alternative medicine (CAM little is known about the CAM workforce. Apart from the registered professions of chiropractic, osteopathy and Chinese medicine, accurate information about the number of CAM practitioners in the workforce has been difficult to obtain. It appears that many non-registered CAM practitioners, although highly qualified, are not working to their full capacity. Discussion Increasing public endorsement of CAM stands in contrast to the negative attitude toward the CAM workforce by some members of the medical and other health professions and by government policy makers. The marginalisation of the CAM workforce is evident in prejudicial attitudes held by some members of the medical and other health professions and its exclusion from government policy making. Inconsistent educational standards has meant that non-registered CAM practitioners, including highly qualified and competent ones, are frequently overlooked. Legitimising their contribution to the health workforce could alleviate workforce shortages and provide opportunities for redesigned job roles and new multidisciplinary teams. Priorities for better utilisation of the CAM workforce include establishing a guaranteed minimum education standard for more CAM occupation groups through national registration, providing interprofessional education that includes CAM practitioners, developing courses to upgrade CAM practitioners' professional skills in areas of indentified need, and increasing support for CAM research. Summary Marginalisation of the CAM workforce has disadvantaged those qualified and competent CAM practitioners who practise evidence-informed medicine on the basis of many years of university training. Legitimising and expanding the important contribution of CAM practitioners could alleviate projected health

  8. Preventing burnout among general practitioners: is there a possible route?

    DEFF Research Database (Denmark)

    Nielsen, Helena G.; Tulinius, C.


    Stress and burnout among general practitioners (GPs) is a serious problem. Some authors suggest supervision groups or Balint groups as a means of preventing burnout and others address how to treat the condition. This paper reports a case study of a supervision group for Danish GPs which, as well...... as training reflective practice, focuses specifically on the prevention of burnout. The concept of compassion fatigue is extended to cover the circumstances reported by some practitioners in supervision Udgivelsesdato: 2009/9...

  9. 'The edge effect': an exploratory study of some factors affecting referrals to cancer genetic services in rural Wales. (United States)

    Iredale, Rachel; Jones, Lesley; Gray, Jonathon; Deaville, Jenny


    This exploratory study examines the role of rurality in referrals from primary care to the Cancer Genetics Service for Wales (CGSW) through a case study of referrals from Montgomeryshire, a predominantly rural area in mid-Wales located adjacent to the English border. Awareness of CGSW amongst practitioners is low. We found that rurality plays a role in referral behaviour as distance, time travelling and accessibility by car and public transport are all perceived to have an impact on the patient's decision to attend a clinic appointment. Some patients are being referred outside Wales as ease of access to services is considered more important than distance.

  10. Energy for rural India

    NARCIS (Netherlands)

    Urban, Frauke; Benders, René M.J.; Moll, Henri C.


    About 72 million households in rural India do not have access to electricity and rely primarily on traditional biofuels. This research investigates how rural electrification could be achieved in India using different energy sources and what the effects for climate change mitigation could be We use t

  11. Urbanizing rural waters

    NARCIS (Netherlands)

    Hommes, Lena; Boelens, Rutgerd


    This article studies how urbanization processes and associated rural-urban water transfers in the Lima region (Peru) create water control hierarchies that align the municipal drinking water company, hydropower plants and rural communities on unequal positions. By scrutinizing the history of water tr

  12. Rural Credit in Vietnam

    DEFF Research Database (Denmark)

    Barslund, Mikkel Christoffer; Tarp, Finn

    This paper uses a survey of 932 rural households to uncover how the rural credit market operates in four provinces of Vietnam. Households obtain credit through formal and informal lenders, but formal loans are almost entirely for production and asset accumulation. Interest rates fell from 1997...... to credit policy is clearly inappropriate....

  13. Space for action: How practitioners influence environmental assessment

    Energy Technology Data Exchange (ETDEWEB)

    Kågström, Mari, E-mail: [Department of Urban and Rural Development, Swedish University of Agricultural Sciences (Sweden); Richardson, Tim, E-mail: [Department of Landscape Architecture and Spatial Planning, Norwegian University of Life Sciences, Frederik A Dahls vei 15, KA-bygningen, Ås (Norway)


    Highlights: • The concept of ‘space for action’ offers an important new lens on EA practice. • Focuses on the relation between practitioner's understanding and their actions • Environmental assessment practice is decisively shaped by practitioners. • Practitioners may underestimate their potential to make a difference. • Contributes to understanding change in the environmental assessment field. This article contributes to understanding of how change occurs in the field of environmental assessment (EA). It argues that the integration of new issues in EA, such as human health, is significantly influenced by how practitioners' understandings shape their actions, and by what happens when those, possibly different, interpretations of appropriate action are acted out. The concept of space for action is developed as a means of investigating this relation between understanding and action. Frame theory is also used, to develop a sharper focus on how ‘potential spaces for action’ are created, what these imply for (individuals') preferred choices and actions in certain situations, and what happens in practice when these are acted out and ‘actual spaces for action’ are created. This novel approach is then applied in a Swedish case study of transport planning. The analysis reveals the important work done by practitioners, revealing just how EA practice is decisively shaped by practitioners. Analysis of practice using the lens of spaces for action offers an important new perspective in understanding how the field adapts to new challenges.

  14. Cooperative m-learning with nurse practitioner students. (United States)

    Wyatt, Tami H; Krauskopf, Patricia B; Gaylord, Nan M; Ward, Andrew; Huffstutler-Hawkins, Shelley; Goodwin, Linda


    New technologies give nurse academicians the opportunity to incorporate innovative teaching-learning strategies into the nursing curricula. Mobile technology for learning, or m-learning, has considerable potential for the nursing classroom but lacks sufficient empirical evidence to support its use. Based on Mayer's multimedia learning theory, the effect of using cooperative and interactive m-learning techniques in enhancing classroom and clinical learning was explored. The relationship between m-learning and students' learning styles was determined through a multimethod educational research study involving nurse practitioner students at two mid-Atlantic universities. During the 16-month period, nurse practitioner students and their faculty used personal digital assistants (PDAs) to participate in various m-learning activities. Findings from focus group and survey responses concluded that PDAs, specifically the Pocket PC, are useful reference tools in the clinical setting and that all students, regardless of learning style, benefited from using PDAs. It was also demonstrated that connecting students with classmates and other nurse practitioner students at distant universities created a cooperative learning community providing additional support and knowledge acquisition. The authors concluded that in order to successfully prepare nurse practitioner graduates with the skills necessary to function in the present and future health care system, nurse practitioner faculty must be creative and innovative, incorporating various revolutionary technologies into their nurse practitioner curricula.


    Directory of Open Access Journals (Sweden)

    Halimahton Shaari


    Full Text Available This research examines perceptions on the relationship between public relations practitioners and journalists based on four categories of relationship: Satisfaction with contributions made to each other, interdependence, trust and ethical practices. A survey of 48 public relations practitioners and 63 journalists was conducted regarding their perceptions on each other’s profession. Public relations practitioners polled for this survey were from the various government and corporate organisations while the journalists were from the print and electronic media organisations and publishing houses. Generally, the survey indicates some differences and similarities in the perceptions of the two groups with public relations practitioners holding stronger perceptions than the journalists on the various aspects of their relationship. The data suggests that public relations practitioners believe more strongly that the information they provide to the journalists enables the latter to perform more satisfactorily compared to the journalists who think less strongly of the contribution made by the former. The public relations practitioners also seem to think that there is more of a symbiotic relationship between the two groups than the journalists.


    Directory of Open Access Journals (Sweden)

    Elena, SIMA


    Full Text Available The natural and anthropic tourism resources of a certain area generate specific tourism forms, which complete each other within the different destination categories.The rural area in Dobrudja has diversified tourism potential, provided by the contrast of natural environment factors, ranging from the oldest and to the youngest relief units, natural protected areas, spa resources and cultural, historical, religious sites, as well as multicultural local customs and traditions of the rural area. This potential can be used under various kinds in the rural area: cultural tourism, historical tourism, religious tourism, ecotourism, fishing tourism or bird-watching tourism, and other kinds of rural tourism. By linking these tourism resources and tourism forms, tourism routes can result, which together with the local customs, traditions and cuisine may contribute to the social and economic development of Dobrudja's rural area, through sustainable tourism as alternative to seasonal seashore tourism.

  17. Is a practice-based rural research network feasible in Europe? (United States)

    Klemenc-Ketis, Zalika; Kurpas, Donata; Tsiligianni, Ioanna; Petrazzuoli, Ferdinando; Jacquet, Jean-Pierre; Buono, Nicola; Lopez-Abuin, Jose; Lionis, Christos


    Research in family medicine is a well-established entity nationally and internationally, covering all aspects of primary care including remote and isolated practices. However, due to limited capacity and resources in rural family medicine, its potential is not fully exploited yet. An idea to foster European rural primary care research by establishing a practice-based research network has been recently put forward by several members of the European Rural and Isolated Practitioners Association (EURIPA) and the European General Practice Research Network (EGPRN). Two workshops on why, and how to design a practice-based research network among rural family practices in Europe were conducted at two international meetings. This paper revisits the definition of practice-based research in family medicine, reflects on the current situation in Europe regarding the research in rural family practice, and discusses a rationale for practice-based research in rural family medicine. A SWOT analysis was used as the main tool to analyse the current situation in Europe regarding the research in rural family practice at both meetings. The key messages gained from these meetings may be employed by the Wonca Working Party on research, the International Federation of Primary Care Research Network and the EGPRN that seek to introduce a practice-based research approach. The cooperation and collaboration between EURIPA and EGPRN creates a fertile ground to discuss further the prospect of a European practice-based rural family medicine research network, and to draw on the joint experience.

  18. An innovation in Australian dental education: rural, remote and Indigenous pre-graduation placements. (United States)

    Bazen, Jennifer J; Kruger, Estie; Dyson, Kate; Tennant, Marc


    Anticipating the looming crisis in access to dental services in rural and remote areas, the Western Australian Centre for Rural and Remote Oral Health developed an undergraduate rural placement program to provide dental students of The University of Western Australia opportunities for direct experience of rural and remote practice during the final year of the undergraduate curriculum. The Rural, Remote and Indigenous Placement program started in 2002 and, to the end of 2005, had placed 78 final year dental students in supervised clinical practice in rural, remote or Indigenous practice. In this study, the evolution of the program (2002-2005) is described and student evaluation of the program is reported. While involved in the rural placement program, students were assessed by experienced dental practitioners and provided program evaluation. This structured feedback allowed continuous improvement of the program. Data from each year's graduates was also analysed to examine the question of influence of placements on practice location during the first 6 months after graduation. Although it will be many years before the effects of outplacement programs can be specifically attained, the evidence to date indicates that the program may be a valuable tool among the plethora of strategies being investigated to augment Australia's rural oral health workforce.

  19. Perceptions and experiences of allopathic health practitioners on collaboration with traditional health practitioners in post-apartheid South Africa

    Directory of Open Access Journals (Sweden)

    Simon M. Nemutandani


    Full Text Available Background: The indigenous health system was perceived to be a threat to the allopathic health system. It was associated with ‘witchcraft’, and actively discouraged, and repressed through prohibition laws. The introduction of the Traditional Health Practitioners Act No 22 of 2007 brought hope that those centuries of disrespect for traditional health systems would change. The study examined the perceptions and experiences of allopathic health practitioners on collaboration with traditional health practitioners in post-apartheid South Africa.Methods: Qualitative descriptive research methodology was used to collect data from allopathic health practitioners employed by Limpopo’s Department of Health. In-depth focus group discussions and meetings were conducted between January and August 2014. Perceptions and experiences of working with traditional health practitioners were explored. Ethical clearance was obtained from the University of Pretoria and approval from the Department’s Research Committee.Results: Dominant views were that the two health systems were not compatible with respect to the science involved and the source of knowledge. Overall, quality of health care will be compromised if traditional health practitioners are allowed to work in public health facilities.Conclusion: Allopathic health practitioners do not appear ready to work with traditional health practitioners, citing challenges of quality of health care, differences regarding concept of sciences and source of knowledge; and lack of policy on collaboration. Lack of exposure to traditional medicine seems to impede opportunities to accept and work with traditional healers. Exposure and training at undergraduate level regarding the traditional health system is recommended. Policy guidelines on collaborations are urgently required.

  20. Perceptions and experiences of allopathic health practitioners on collaboration with traditional health practitioners in post-apartheid South Africa (United States)

    Hendricks, Stephen J.; Mulaudzi, Mavis F.


    Background The indigenous health system was perceived to be a threat to the allopathic health system. It was associated with ‘witchcraft’, and actively discouraged, and repressed through prohibition laws. The introduction of the Traditional Health Practitioners Act No 22 of 2007 brought hope that those centuries of disrespect for traditional health systems would change. The study examined the perceptions and experiences of allopathic health practitioners on collaboration with traditional health practitioners in post-apartheid South Africa. Methods Qualitative descriptive research methodology was used to collect data from allopathic health practitioners employed by Limpopo’s Department of Health. In-depth focus group discussions and meetings were conducted between January and August 2014. Perceptions and experiences of working with traditional health practitioners were explored. Ethical clearance was obtained from the University of Pretoria and approval from the Department’s Research Committee. Results Dominant views were that the two health systems were not compatible with respect to the science involved and the source of knowledge. Overall, quality of health care will be compromised if traditional health practitioners are allowed to work in public health facilities. Conclusion Allopathic health practitioners do not appear ready to work with traditional health practitioners, citing challenges of quality of health care, differences regarding concept of sciences and source of knowledge; and lack of policy on collaboration. Lack of exposure to traditional medicine seems to impede opportunities to accept and work with traditional healers. Exposure and training at undergraduate level regarding the traditional health system is recommended. Policy guidelines on collaborations are urgently required. PMID:27380856

  1. Knowledge, attitudes and perceptions of HIV/AIDS among traditional birth attendants and herbal practitioners in Lagos State, Nigeria. (United States)

    Omowunmi, Ahmed; Nkiru, Odunukwe; Yekeen, Raheem; Chinyere, Efienemokwu; Muinat, Junaid; Segun, Adesesan; Olasubomi, Ogedengbe; Tekena, Harry; Lateef, Salako


    Recognising the widespread role of traditional birth attendants (TBAs) and herbal practitioners (HPs) in health care at community level in Nigeria, we set out to assess their knowledge, attitudes and practices in relation to HIV infection and prevention. Questionnaires were administered to a convenience sample of 189 participants in 20 local government areas of Lagos State. We found that knowledge of modes of transmission of HIV was less than adequate and included lack of knowledge of the existence of HIV/AIDS amongst some practitioners, claims for the ability to treat HIV/AIDS, failure to name major avenues of transmission and confusion of HIV/AIDS with other conditions. The use of measures to prevent infection of clients and themselves showed that normal standards of infection control are not adhered to. Considering that as many as 60% of children born in Nigeria are delivered by traditional birth attendants and that use of the services of herbal practitioners extends across the entire society in both rural and urban settings, this is seen as reason for concern. It is suggested that better incorporation of TBAs/HPs into the well-developed primary health care system offers not only a way of overcoming the risks of infection posed by traditional health practices but also offers an opportunity to extend the reach of voluntary counselling and testing and prevention of mother-to-child infection programmes. The research has shown the need for appropriate training of TBAs, to enable them to recognise the risk of HIV infection in their own practices and to encourage them to adopt universal precautions against spreading infection. We also recommend that they be more extensively integrated as primary health care workers in VCT and PMTCT programmes in Nigeria. We further suggest that referrals made between the traditional practitioners and professional health care providers can be an effective and successful element of HIV/AIDS prevention and control programmes.

  2. Rural development as economic category




    Is conducted scientific analysis of such concepts as “steady development of village”, “development of rural territories”, “development of rural locality”, “rural development”, “steady economic development”, “economic relations”. Reasonably and the vision of determination of rural development is given from the economic point of view.

  3. Rural Literacy Issues in Alberta. (United States)

    Bell, James H.

    This paper reviews results of a questionnaire distributed to literacy workers in rural Alberta (Canada) to ascertain their views on rural literacy. The questionnaire was designed to identify: (1) distinctive features of the issue of adult illiteracy in rural areas; (2) the strengths of literacy efforts in rural Alberta; (3) the weaknesses of…

  4. The National Practitioner Data Bank: the first 4 years. (United States)

    Oshel, R E; Croft, T; Rodak, J


    The National Practitioner Data Bank became operational September 1, 1990, as a flagging system to identify health care practitioners who may have been involved in incidents of medical incompetence. Query volumes have grown substantially over the Data Bank's first 4 years of operation. The greatest increase has come in the number of voluntary queries. By the end of 1994, the Data Bank had processed more than 4.5 million requests for information on practitioners, more than 1.5 million of which were received in 1994 alone. The proportion of queries for which the Data Bank contains information on the practitioner in question has grown as the Data Bank has come to contain more reports. During 1994, 7.9 percent of queries were matched. The Data Bank contained more than 97,500 reports at the end of 1994. More than 82 percent of the reports concerned malpractice payments. Licensure reports made up the bulk of the rest. Physicians predominate in reports, accounting for slightly more than 76 percent of the total. The remainder are related to dentists (16 percent) and all other types of practitioners (8 percent). Since reporting of adverse actions is mandatory only for physicians and dentists, the proportion of reports attributable to these types of practitioners is higher than it would be if adverse action reporting requirements were uniform for all practitioners. State malpractice payment rates and adverse action rates vary widely, but a State's rate in any given year is highly correlated with its rate in any other year. State malpractice rates are not strongly correlated with adverse action rates, neither are the rates for physicians strongly correlated with those for dentists. There is a weak tendency for States with smaller physician populations to have higher levels of licensure and privileging actions.

  5. Sequence similarities of the capsid gene of Chilean and European isolates of infectious pancreatic necrosis virus point towards a common origin. (United States)

    Mutoloki, Stephen; Evensen, Øystein


    The Chilean salmonid industry was developed by importing breeding materials, a practice still in effect due to deficits in the national supply of roe. Importation of breeding materials is often associated with the transmission of pathogens. The objectives of this study were to compare the infectious pancreatic necrosis virus (IPNV) isolates from Chile to those of European origin and to determine the diversity of the Chilean IPNV. The VP2 genes of IPNV from Chilean fish (whose eggs originated from Scotland, Iceland and Norway) were compared to isolates from fish in Norway and Ireland. The results show that the isolates are identical (97-99%) and cluster into one genogroup. Our findings support previous reports of association between the trade-in breeding materials and transmission of pathogens. Furthermore, our results demonstrate the genotypic diversity of Chilean IPNV isolates. These findings have important implications for IPNV disease diagnosis and control in Chile.

  6. 42 CFR 405.2414 - Nurse practitioner and physician assistant services. (United States)


    ... 42 Public Health 2 2010-10-01 2010-10-01 false Nurse practitioner and physician assistant services... Clinic and Federally Qualified Health Center Services § 405.2414 Nurse practitioner and physician... nurse practitioner, physician assistant, nurse midwife, or specialized nurse practitioner who...

  7. Building consensus on key priorities for rural health care in South Africa using the Delphi technique

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    Marije Versteeg


    Full Text Available Background: South Africa is currently undergoing major health system restructuring in an attempt to improve health outcomes and reduce inequities in access. Such inequities exist between private and public health care and within the public health system itself. Experience shows that rural health care can be disadvantaged in policy formulation despite good intentions. The objective of this study was to identify the major challenges and priority interventions for rural health care provision in South Africa thereby contributing to pro-rural health policy dialogue. Methods: The Delphi technique was used to develop consensus on a list of statements that was generated through interviews and literature review. A panel of rural health practitioners and other stakeholders was asked to indicate their level of agreement with these statements and to rank the top challenges in and interventions required for rural health care. Results: Response rates ranged from 83% in the first round (n=44 to 64% in the final round (n=34. The top five priorities were aligned to three of the WHO health system building blocks: human resources for health (HRH, governance, and finance. Specifically, the panel identified a need to focus on recruitment and support of rural health professionals, the employment of managers with sufficient and appropriate skills, a rural-friendly national HRH plan, and equitable funding formulae. Conclusion: Specific policies and strategies are required to address the greatest rural health care challenges and to ensure improved access to quality health care in rural South Africa. In addition, a change in organisational climate and a concerted effort to make a career in rural health appealing to health care workers and adequate funding for rural health care provision are essential.

  8. Informe rural 2006


    César Falconi; Peter Pfaumann; Nicolás Mateo; Rocío González; Alejandra Palma; José Rente Nascimento; Mark D. Wenner; María Eugenia Kyburz


    Esta edición del Informe Rural contiene siete artículos: La influenza aviar y el sector avícola de América Latina, Biocombustibles y oportunidades para el desarrollo rural, Enfoques sectoriales amplios en desarrollo rural: ¿instrumento viable para mejorar el impacto de la cooperación internacional?, Financiamiento de las cadenas agroalimentarias de valor, Cómo mejorar el clima para los negocios forestales, Avances en el Fondo Regional de Tecnología Agropecuaria (FONTAGRO) y Financiamiento rur...

  9. Environmental influences on physical activity in rural Midwestern adults: a qualitative approach. (United States)

    Chrisman, Matthew; Nothwehr, Faryle; Yang, Ginger; Oleson, Jacob


    Qualitative research can be used to examine multiple factors associated with physical activity and help practitioners identify language used by the rural adult population when discussing this behavior. Three focus groups were conducted among 19 residents of multiple towns in a rural Midwestern county to examine the language and influences on rural physical activity. Focus group members were asked to define physical activity, exercise, community, and neighborhood. They were asked about the activities they engaged in and facilitators and barriers to those activities. A guidebook was developed to capture major themes and common patterns that emerged in the responses to the topics discussed. The data were reviewed for repeated statements and points that were agreed on by multiple participants. Important factors associated with physical activity include the importance of social support and modeling physical activity behavior. Also, the influence of pets and children was important for engaging these adults in physical activity. The focus group members engaged in walking and bicycling in their neighborhood streets and community trails, and desired to see community buildings be open to the public for exercise. This study revealed contextual issues and culturally relevant language for practitioners to use in tailoring physical activity measurement tools or designing interventions for a rural adult population. Social support (specifically, seeing others being active and using pets as motivators for being active) and policy attitudes may be targeted for interventions to increase physical activity in rural adults.

  10. Dispossess to accumulate: reflections on the contradictions of the process of neoliberal modernization of Chilean agriculture

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    Luis Fernando De Matheus e Silva


    Full Text Available The intention of this paper is to present a renewed and critical reading about the contradictions engendered by the neoliberal modernization of the Chilean agriculture. This task is carried out through the lens of the "historical-geographical materialism" developed mainly by the British geographer David Harvey, and also through agrarian studies linked to the critical thinking, especially Marxists. As the main empirical substrate, information and data supplied by documents and studies that have sought to understand the specific case of contemporary capitalist development in Chile as well as its consequences for the countryside and national peasants are used. It is sustained here that the mechanisms of “accumulation by dispossession” were (and still are of critical importance to make Chile a world-wide agricultural and food.

  11. The HLA-A*68:23 allele in the Chilean population. (United States)

    Turner, E V; Dilioglou, S; Arnold, P Y; Palma, J; Rivera, G


    HLA-A*68:23, first described in 2002, has not been widely reported. The studies reported here were performed for support of a collaborative hematopoietic stem cell transplantation program at Luis Calvo Mackenna Hospital for which St. Jude Children's Research Hospital provided human leukocyte antigen (HLA) typing. Family studies performed between 2000 and 2011 included 197 patients and their immediate family members. In a total of 559 individuals, A*68:23 was confirmed by DNA sequencing in eight individuals with no known relationship to each other. A*68:23 positive individuals included six patients, along with one of their parents, and two parents whose children did not inherit A*68:23. The frequency of A*68:23 in this Chilean population is >0.0125. This HLA-A allele appears to fit the description of a well-documented allele in this population studied in Santiago, Chile.

  12. Policy Positions in the Chilean Senate: An Analysis of Coauthorship and Roll Call Data

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    Eduardo Alemán


    Full Text Available This paper examines the policy positions of Chilean senators. The empirical analysis focuses on two different legislative activities: voting and coauthoring bills. The roll call analysis evaluates the degree to which coalitions act as cohesive policy teams on the floor of Congress, whether parties’ positions match conventional ideological rankings, and the dimensionality of voting decisions. The coauthorship analysis provides alternative ideal points to examine similar questions. The findings of the voting analysis reveal a rather unidimensional world with two distinct clusters matching coalitional affiliation, while the analysis of coauthorship illuminates a more complex pattern of associations. Neither roll call votes nor coauthorship patterns, however, reveal substantive fissures within the governing coalition. In comparison, the opposition coalition appears more divided along partisan lines.


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    Andy Hira


    Full Text Available Chile has a remarkable record of historically low levels of corruption. The Chilean state, nonetheless, faces issues of modernization as reflected in current reform efforts. This article offers a sketch of certain features of the Singapore civil service, known by wide reputation as one of the most effective in the world, for consideration as part of this process. The article briefly examines Singapore’s recruitment, evaluation and promotion, and training systems. In comparison with Chile, we find important contrasts including permanent employment, high levels of competition reflecting an embrace of objectively measurable meritocracy, vigorous training, and a strong sense of public mission backed by the ability to develop long-term vision.

  14. Genetic diversity of Chilean and Brazilian alstroemeria species assessed by AFLP analysis. (United States)

    Han, T H; de Jeu, M; van Eck, H; Jacobsen, E


    One to three accessions of 22 Alstroemeria species, an interspecific hybrid (A. aurea x A. inodora), and single accessions of Bomarea salsilla and Leontochir ovallei were evaluated using the AFLP-marker technique to estimate the genetic diversity within the genus Alstroemeria. Three primer combinations generated 716 markers and discriminated all Alstroemeria species. The dendrogram inferred from the AFLP fingerprints supported the conjecture of the generic separation of the Chilean and Brazilian Alstroemeria species. The principal co-ordinate plot showed the separate allocation of the A. ligtu group and the allocation of A. aurea, which has a wide range of geographical distribution and genetic variation, in the middle of other Alstroemeria species. The genetic distances, based on AFLP markers, determined the genomic contribution of the parents to the interspecific hybrid.

  15. [Quality control in Medicine. Position of the Chilean Academy of Medicine]. (United States)

    Goic, A; Segovia, S


    In the last two decades, important changes in medical training and care have occurred in Chile. The number of medical schools has been doubled, exceeding the national availability of professors and qualified training fields. The quality assessment and accreditation of medical training and care is insufficient in Chile. A National Autonomous Corporation of Certification of Medical Specialties, has certified more than 4,000 physicians in 44 specialties. The Chilean Association of Faculties of Medicine has accredited training centers during the last four decades. The National Commission of Undergraduate Training Accreditation, has developed a voluntary system for medical school accreditation. The Academy supports these strategies and considers that accreditation does not threaten institutions or individuals. It is rather a mechanism that identifies strengths and weaknesses of institutions and programs. This will finally result in better quality in medical training and patient care.

  16. The french abysm the chilean conservative and the revolutionary france 1964-1890

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    Francisco Alejandro García Naranjo


    Full Text Available This text aims at building a sight that the Chilean Conservative of the second half of XIX century had upon revolutionary tradition in France. Since the study of the parliamentary speeches and the politics works of conjuncture elaborated by the conservative between 1864 and 1890 as well as the inquest of the magazine “The independent”, members of the conservative party argued courageously with the radical and liberal press house of Chile. It is shown that a conservative mentality in Chile explained the breaking of the current time, secularization of the public life and the spoil of the temporary powers of the Catholic Church since the “pernicious” inluence of the “fatal doctrines” coming from the “Evil France” that had in the reddish the “Liberalism of the bad law” and the “Jacobean Liberalism to its main proponents.

  17. My child and his siblings: women’s experience of first maternity in Chilean stepfamilies

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    J. Carola Pérez Ewert


    Full Text Available This qualitative study shows the perception of a group of Chilean women aged between 29 and 39 years regarding their experience of having their first child when they are members of a simple stepfamily. Sixteen women, whose partners maintain active contact with their child(ren born in previous relationships were interviewed. Results confirm the existence of a process of “becoming a mother” and its course depends on stepchildren’s presence. In addition our more relevant findings show that the specific topics of fears and motivations of having a child depend on the particular stepfamilycontext, and women’s experiences is that this process vary according to the perceived quality of stepmother/stepchildren relationships.

  18. Preliminary Psychometric examination of the Davidson Trauma Scale: A study on chileans adolescent

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    Cristobal Guerra


    Full Text Available Davidson Trauma Scale (DTS measures the frequency and severity of the posttraumatic Stress Disorder pTSD. Since chile has limited data about validity and reliability of instruments to measure pTSD, this study evaluated psychometric properties of the scale in a sample of 130 adolescents between 13 and 18 years (M= 15,78; DT= 1,40. Some of them were traumatized patients and others were from general population. They answered the DTS, a depression and an anxiety scale. The scale obtained adequate internal consistency scores, showed convergent validity (DTS score was associated moderately, directly and significantly with depression and anxiety scores, and discriminated between clinical sample and general population. DTS seems to be a valid and reliable instrument in chilean adolescents.

  19. [The absence of stewardship in the Chilean health authority after the 2004 health reform]. (United States)

    Herrera, Tania; Sánchez, Sergio


    Stewardship is the most important political function of a health system. It is a government responsibility carried out by the health authority. Among other dimensions, it is also a meta-function that includes conduction and regulation. The Health Authority and Management Act, which came about from the health reform of 2004, separated the functions of service provision and stewardship with the aim of strengthening the role of the health authority. However, the current structure of the health system contains overlapping functions between the different entities that leads to lack of coordination and inconsistencies, and a greater weight on individual health actions at the expense of collective ones. Consequently, a properly funded national health strategy to improve the health of the population is missing. Additionally, the components of citizen participation and governance are weak. It is necessary, therefore, to revisit the Chilean health structure in order to develop one that truly enables the exercise of the health authority’s stewardship role.

  20. [Profile of social problem solving and coping profile in anxious and depressed Chileans]. (United States)

    Kramp, Uwe


    According to the Pan American Health Organization and the World Health Organization, in 2020, depression will become the second cause of disability worldwide. In Chile, anxiety and depressive disorders account for almost 28% of the total years of healthy life lost due to illness. This research seeks to explore a profile of social problem solving and coping present in people who suffer from anxious and depressive symptoms. The sample consisted of 1179 analogous Chilean participants (55.9% women), with a mean of 22.23 years (range between 18-48 years). The results suggest statistically significant differences for all social problem solving and coping strategies evaluated. Thus, if anxious or depressive symptoms increase, social problem solving or coping strategies become less adaptive.

  1. Crustacean zooplankton species richness in Chilean lakes and ponds (23°-51°S

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    Patricio De los Ríos-Escalante


    Full Text Available Chilean inland-water ecosystems are characterized by their low species-level biodiversity. This study analyses available data on surface area, maximum depth, conductivity, chlorophyll-α concentration, and zooplankton crustacean species number in lakes and ponds between 23° and 51°S. The study uses multiple regression analysis to identify the potential factors affecting the species number. The partial correlation analysis indicated a direct significant correlation between chlorophyll-α concentration and species number, whereas the multiple regression analysis indicated a direct significant response of species number to latitude and chlorophyll-α concentration. These results agree with findings from comparable ecosystems in Argentina and New Zealand.

  2. Trematodes indicate animal biodiversity in the chilean intertidal and Lake Tanganyika (United States)

    Hechinger, R.F.; Lafferty, K.D.; Kuris, A.M.


    Trematode communities in populations of estuarine snails can reflect surrounding animal diversity, abundance, and trophic interactions. We know less about the potential for trematodes to serve as bioindicators in other habitats. Here, we reanalyze data from 2 published studies concerning trematodes, 1 in the Chilean rocky intertidal zone and the other from the East African rift lake, Lake Tanganyika. Our analyses indicate that trematodes are more common in protected areas and that in both habitats they are directly and positively related to surrounding host abundance. This further supports the notion that trematodes in first intermediate hosts can serve as bioindicators of the condition of free-living animal communities in diverse ecosystems. ?? American Society of Parasitologists 2008.

  3. A new species of Heleobia (Caenogastropoda: Cochliopidae) from the Chilean Altiplano. (United States)

    Collado, Gonzalo A; Valladares, Moisés A; Méndez, Marco A


    Cochliopidae Tryon, 1866 is a diverse family of caenogastropods that lives in a wide variety of aquatic habitats primarily in the New World (Hershler &Thompson 1992). In Chile, the species of the group have been traditionally assigned to the genus Littoridina Souleyet, 1852 using conchological characters (Biese 1944, 1947; Stuardo, 1961; Valdovinos 2006) but according to anatomical studies and phylogenetic analysis the majority of them have been reassigned to the genus Heleobia Stimpson, 1865 (Hershler & Thompson 1992; Collado et al. 2011a; Kroll et al. 2012; Collado et al. 2013; Collado et al. 2016). Here we formally describe a new species of the genus Heleobia from Spring 1 in the Carcote saltpan, Chilean Altiplano, based on molecular and morphological characters. Snails from this locality were previously shown to be distinct based on DNA sequences (Collado et al. 2013; Collado et al. 2016).

  4. Chilean jagged lobster, Projasus bahamondei, in the southeastern Pacific Ocean: current state of knowledge

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    Patricio M Arana


    Full Text Available The Chilean jagged lobster (Projasus bahamondei is a deep-water crustacean (175-550 m occurring in certain areas of the southeastern Pacific Ocean, including the Nazca Ridge, Desventuradas Islands, the Juan Fernandez archipelago and ridge, and the continental slope off the central coast of Chile. This review describes the taxonomic status, geographical and bathymetric distribution, some biological aspects and habitat characteristics of this species. Additionally, both artisanal and industrial exploitation attempts made within the region are detailed, as well as fishing operation results, chemical composition, different elaboration procedures and the destination of the catch. The main objectives of this review are to contribute to the knowledge of P. bahamondei as a component of the deep-sea ecosystem and to highlight its importance as a potential fishery resource.

  5. Psychometric properties of the personal wellbeing index in Brazilian and Chilean adolescents including spirituality and religion

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    Jorge Castellá Sarriera


    Full Text Available This study compared the 7-item Personal Wellbeing Index (PWI with two other versions which include the domains "Spirituality" and "Religion", separately, in a sample of Brazilian (n = 1.047 and Chilean (n = 1.053 adolescents. A comparison of psychometric properties between the PWI versions was carried out through multigroup confirmatory factor analysis showing adequate adjustments (CFI > .95, RMSEA < .08, whereas the item spirituality presented better performance. For the analysis of the differential contribution of each domain to the notion of global satisfaction, a regression on the item Overall Life Satisfaction (OLS was applied using structural equations. It is recommended the inclusion of the item spirituality in the original scale, considering the importance of such domain in both cultures.

  6. Autoimmune pulmonary proteinosis in a Chilean teenager, a rare aetiology of interstitial lung disease. (United States)

    Strickler, Alexis; Boza, Maria Lina; Koppmann, Andres; Gonzalez, Sergio


    Interstitial lung disease (ILD) is rare and encompasses a heterogeneous group of diseases, and is even rarer in children than in adults. ILDs compromise more than 100 different entities, including pulmonary alveolar proteinosis (PAP). There are many causes of PAP in children, including surfactant protein gene mutations (SFTPB, SFTPC, ABCA3, TTF-1), GMCSF receptor mutations and antigranulocyte-macrophage colony-stimulating factor autoantibodies. We report a case of a 13-year-old Chilean girl who presented with an 8-month history of progressive exercise intolerance, fatigability and diminished school performance. Physical examination revealed resting tachypnoea, a few basal bilateral inspiratory crackles, and hypoxaemia on minimal exertion. Clinical suspicion and evaluation, including international collaboration, led to the diagnosis of autoimmune PAP and specific therapy for the condition.

  7. Characterization of Baker Fjord region through its heavy metal content on sediments (Central Chilean Patagonia

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    Ramón Ahumada


    Full Text Available The spatial distribution of heavy metals content (Ba, Cd, Cu, Pb, Sr and Zn in sediments of the Baker Fjord and surrounding channels in the central region of the Chilean fjords (47°45'S, 48°15'S is analyzed. The aim of the study was characterized the patterns of abundance and distribution of these metals in surface sediments. The area corresponds to a poorly studied zone with low human activity. Distribution patterns would be influenced by rainfall conditions (local erosion, fluvial (continental sediments carried by rivers, glacier (glacier flour and estuarine circulation. Cluster analysis allows differentiation among the sampled sites and group with similar characteristics. Finally, the concentrations found were contrasted with average values of metamorphic rocks and show with some certainty that the values found for calendar for this area and the greatest concentrations are the result of natural enrichment.

  8. The complete practitioner: still a work in progress. (United States)

    Barnett, Jeffrey E


    When one is reflecting on a career as a practitioner, a number of important influences, themes, and elements that contribute to being a successful practitioner are evident. The achievement of this success is not a solitary activity. Many role models and mentors serve as important influences and guides for developing as a professional over the course of one's career. Ultimately, the goal is to aspire to become a complete practitioner. This includes being a passionate professional, clinically competent, a psychotherapist and clinician, an active consumer of research findings, ethical, a role model, a mentor, psychologically healthy, an advocate, a leader, a volunteer, an educator, a scholar, a colleague, a business person and entrepreneur, and an innovator and visionary; focusing on diversity and multicultural competence; and having a comprehensive vision of health. Because the goal of being a complete practitioner is aspirational, one never fully masters each of these roles and attributes but remains a work in progress. Yet, the process of endeavoring to become a complete practitioner is rewarding, gratifying, and meaningful. It is a journey well worth taking.

  9. Tuberculosis management practices by private practitioners in Andhra Pradesh, India.

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    Shanta Achanta

    Full Text Available SETTING: Private medical practitioners in Visakhapatnam district, Andhra Pradesh, India. OBJECTIVES: To evaluate self-reported TB diagnostic and treatment practices amongst private medical practitioners against benchmark practices articulated in the International Standards of Tuberculosis Care (ISTC, and factors associated with compliance with ISTC. DESIGN: Cross- sectional survey using semi-structured interviews. RESULTS: Of 296 randomly selected private practitioners, 201 (68% were assessed for compliance to ISTC diagnostic and treatment standards in TB management. Only 11 (6% followed a combination of 6 diagnostic standards together and only 1 followed a combination of all seven treatment standards together. There were 28 (14% private practitioners who complied with a combination of three core ISTC (cough for tuberculosis suspects, sputum smear examination and use of standardized treatment. Higher ISTC compliance was associated with caring for more than 20 TB patients annually, prior sensitization to TB control guidelines, and practice of alternate systems of medicine. CONCLUSION: Few private practitioners in Visakhapatnam, India reported TB diagnostic and treatment practices that met ISTC. Better engagement of the private sector is urgently required to improve TB management practices and to prevent diagnostic delay and drug resistance.

  10. Management of neonatal jaundice varies by practitioner type (United States)

    Mateo, Patrocinio C.; Lee, Kyong-Soon; Barozzino, Matthew; Sgro, Michael


    Abstract Objective To survey current practices among different types of medical practitioners in Ontario to assess if national guidelines for screening and management of neonatal hyperbilirubinemia were being followed. Design An anonymized, cross-sectional survey distributed by mail and e-mail. Setting Ontario. Participants From each group (general practitioners, family medicine practitioners, and pediatricians), 500 participants were randomly selected, and all 390 registered midwives were selected. Main outcome measures Compliance with national guidelines for screening, postdischarge follow-up, and management of newborns with hyperbilirubinemia. Results Of the 1890 potential respondents, 321 (17%) completed the survey. Only 41% of family physicians reported using national guidelines, compared with 75% and 69% of pediatricians and midwives, respectively (P Bilirubin was routinely measured for all newborns before discharge by 42% of family physicians, 63% of pediatricians, and 22% of midwives (P < .001). Newborn follow-up was completed within 72 hours after discharge by 60% of family physicians, 89% of pediatricians, and 100% of midwives. Management of neonatal hyperbilirubinemia differed significantly (P < .001), with 91% of family physicians, 99% of pediatricians, and 79% of midwives correctly managing a case scenario according to the guidelines. Conclusion The management of jaundice varied considerably among the different practitioner types, with pediatricians both most aware of the guidelines and most likely to follow them. Increased knowledge translation efforts are required to promote adherence to the jaundice management guidelines across all practitioner types, but particularly among family physicians. PMID:23946045

  11. A social media self-evaluation checklist for medical practitioners. (United States)

    Visser, Benjamin J; Huiskes, Florian; Korevaar, Daniel A


    Increasing numbers of medical practitioners and medical students are using online social and business-related networking websites such as Facebook, Doc2doc and LinkedIn. These rapidly evolving and growing social media have potential to promote public health by providing powerful instruments for communication and education. However, evidence is emerging from studies, legal cases, and media reports that the use of these new technologies is creating several ethical problems for medical practitioners as well as medical students. Improper online activities may harm not only individual reputations and careers, but also the medical profession as a whole, for example by breach of patient confidentiality, defamation of colleagues and employers, undisclosed conflict of interests that bias the medical practitioner's medical advice, posting of advice/information without an evidence base, and infringement of copyright. We developed a self-evaluation checklist for medical practitioners using social media. The checklist addresses three key elements in the use of social media: personal information and accessibility, connections, and postings. It contains questions specifically formulated to evaluate a medical practitioner's social media profile, to prevent unintended, improper online activities and to promote professional online behaviour.

  12. Alcohol, binge drinking and associated mental health problems in young urban Chileans.

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    Amanda J Mason-Jones

    Full Text Available To explore the link between alcohol use, binge drinking and mental health problems in a representative sample of adolescent and young adult Chileans.Age and sex-adjusted Odds Ratios (OR for four mental wellbeing measures were estimated with separate conditional logistic regression models for adolescents aged 15-20 years, and young adults aged 21-25 years, using population-based estimates of alcohol use prevalence rates from the Chilean National Health Survey 2010.Sixty five per cent of adolescents and 85% of young adults reported drinking alcohol in the last year and of those 83% per cent of adolescents and 86% of young adults reported binge drinking in the previous month. Adolescents who reported binging alcohol were also more likely, compared to young adults, to report being always or almost always depressed (OR 12.97 [95% CI, 1.86-19.54] or to feel very anxious in the last month (OR 9.37 [1.77-19.54]. Adolescent females were more likely to report poor life satisfaction in the previous year than adolescent males (OR 8.50 [1.61-15.78], feel always or almost always depressed (OR 3.41 [1.25-9.58]. Being female was also associated with a self-reported diagnosis of depression for both age groups (adolescents, OR 4.74 [1.49-15.08] and young adults, OR 4.08 [1.65-10.05].Young people in Chile self-report a high prevalence of alcohol use, binge drinking and associated mental health problems. The harms associated with alcohol consumption need to be highlighted through evidence-based prevention programs. Health and education systems need to be strengthened to screen and support young people. Focussing on policy initiatives to limit beverage companies targeting alcohol to young people will also be needed.

  13. Locking, mass flux and topographic response at convergent plate boundaries - the Chilean case (United States)

    Oncken, Onno


    On the long term, convergent plate boundaries have been shown to be controlled by either accretion/underplating or by subduction erosion. Vertical surface motion is coupled to convergence rate - typically with an uplift rate of the coastal area ranging from 0 to +50% of convergence rate in accretive systems, and -20 to +30% in erosive systems. Vertical kinematics, however, are not necessarily linked to horizontal strain mode, i.e. upper plate shortening or extension, in a simple way. This range of kinematic behaviors - as well as their acceleration where forearcs collide with oceanic ridges/plateau - is well expressed along the Chilean plate margin. Towards the short end of the time scale, deformation appears to exhibit a close correlation with the frictional properties and geodetic locking at the plate interface. Corroborating analogue experiments of strain accumulation during multiple earthquake cycles, forearc deformation and uplift focus above the downdip and updip end of seismic coupling and slip and are each related to a particular stage of the seismic cycle, but with opposite trends for both domains. Similarly, barriers separating locked domains along strike appear to accumulate most upper plate faulting interseismically. Hence, locking patters are reflected in topography. From the long-term memory contained in the forearc topography the relief of the Chilean forearc seems to reflect long term stability of the observed heterogeneity of locking at the plate interface. This has fundamental implications for spatial and temporal distribution of seismic hazard. Finally, the nature of locking at the plate interface controlling the above kinematic behavior appears to be strongly controlled by the degree of fluid overpressuring at the plate interface suggesting that the hydraulic system at the interface takes a key role for the forearc response.


    Salgado, Miguel; Sevilla, Iker; Rios, Carolina; Crossley, Jorge; Tejeda, Carlos; Manning, Elizabeth


    Mycobacterium avium subsp. paratuberculosis (MAP) is the etiologic agent of paratuberculosis. The organism causes disease in both domestically managed and wild ruminant species. South American camelids have a long, shared history with indigenous people in the Andes. Over the last few decades, increasing numbers of alpacas were exported to numerous countries outside South America. No paratuberculosis surveillance has been reported for these source herds. In this study, individual fecal samples from 85 adult alpacas were collected from six separate herds in the Chilean Altiplano. A ParaTB mycobacterial growth indicator tube (MGIT) liquid culture of each individual fecal sample, followed by real-time polymerase chain reaction (PCR) protocol was used for confirmation. DNA extracts from a subset of confirmed MAP isolates were subjected to mycobacterial interspersed repetitive units-variable number of tandem repeats (MIRU-VNTR) typing. Fifteen alpaca were fecal culture test-positive. Five false-positive culture samples were negative on PCR analysis for Mycobacterium avium subsp. avium (MAA), Mycobacterium bovis (M. bovis), and the 16 S rDNA gene. Three MAP isolates subset-tested belonged to the same MIRU-VNTR type, showing four repeats for TR292 (locus 1) in contrast to the three repeats typical of the MAP reference strain K10. The number of repeats found in the remaining loci was identical to that of the K10 strain. It is not known how nor when MAP was introduced into the alpaca population in the Chilean Altiplano. The most plausible hypothesis to explain the presence of MAP in these indigenous populations is transmission by contact with infected domestic small ruminant species that may on occasion share pastures or range with alpacas. Isolation of this mycobacterial pathogen from such a remote region suggests that MAP has found its way beyond the confines of intensively managed domestic agriculture premises.

  15. [Evaluation of antimicrobial consumption en 15 Chilean hospitals: Results of a collaborative work, 2013]. (United States)

    Domínguez, Isabel; Rosales, Ruth; Cabello, Ángela; Bavestrello, Luis; Labarca, Jaime


    Surveillance of antimicrobial consumption is a central part in programs of antibiotic stewardship. However, in Chile there are no national data on antibiotic consumption representing a significant number of hospitals by clinical services. In 2013 a survey was sent to multiple Chilean hospitals to evaluate antimicrobial consumption in medical services (MS), surgery services (SS) and critical care units (ICU). We used the standardized methodology recommended by the WHO, using the number of DDD/100 days beds. In the MS and SS beta-lactam and no beta-lactam antibiotics commonly used were evaluated. In the ICU consumption vancomycin, linezolid, imipenem, merope-nem, colistin and tigecycline was evaluated. Fifteen hospitals reported the density of antimicrobial consumption. Ceftriaxone and cloxacillin were the most commonly used antibiotics in general services (average cloxacillin 4,9 DDD/100 bed days in MS and 8,0 DDD/100 in SS; ceftriaxone 13,5 DDD/100 in MS and 16,7 DDD/100 in SS). In the SS there was also a significant consumption of metronidazole (average 14,5 DDD/100 bed days). In the ICU there was an important variability of consumption of selected antibiotics. This study reports the average and range of antibiotic consumption in MS, SS, and ICU from a significant number of hospitals in the country, during 2013. This information allows hospitals to compare their consumption of antibiotics with a significant sample of Chilean hospitals. Analysis of this information should consider a careful interpretation according to the sample shown here and the reality of each hospital.

  16. Molecular characterization and antibiotic resistance of Enterococcus species from gut microbiota of Chilean Altiplano camelids

    Directory of Open Access Journals (Sweden)

    Katheryne Guerrero-Olmos


    Full Text Available Background: Enterococcus is one of the major human pathogens able to acquire multiple antibiotic-resistant markers as well as virulence factors which also colonize remote ecosystems, including wild animals. In this work, we characterized the Enterococcus population colonizing the gut of Chilean Altiplano camelids without foreign human contact. Material and methods: Rectal swabs from 40 llamas and 10 alpacas were seeded in M-Enterococcus agar, and we selected a total of 57 isolates. Species identification was performed by biochemical classical tests, semi-automated WIDER system, mass spectrometry analysis by MALDI-TOF (matrix-assisted laser desorption/ionization with a time-of-flight mass spectrometer, and, finally, nucleotide sequence of internal fragments of the 16S rRNA, rpoB, pheS, and aac(6-I genes. Genetic diversity was measured by pulsed field gel electrophoresis (PFGE-SmaI, whereas the antibiotic susceptibility was determined by the WIDER system. Carriage of virulence factors was explored by polymerase chain reaction (PCR. Results: Our results demonstrated that the most prevalent specie was Enterococcus hirae (82%, followed by other non–Enterococcus faecalis and non–Enterococcus faecium species. Some discrepancies were detected among the identification methods used, and the most reliable were the rpoB, pheS, and aac(6-I nucleotide sequencing. Selected isolates exhibited susceptibility to almost all studied antibiotics, and virulence factors were not detected by PCR. Finally, some predominant clones were characterized by PFGE into a diverse genetic background. Conclusion: Enterococcus species from the Chilean camelids’ gut microbiota were different from those adapted to humans, and they remained free of antibiotic resistance mechanisms as well as virulence factors.

  17. Family and parenting characteristics associated with marijuana use by Chilean adolescents

    Directory of Open Access Journals (Sweden)

    Andrew Grogan-Kaylor


    Full Text Available Cristina B Bares1, Jorge Delva2, Andrew Grogan-Kaylor2, Fernando Andrade31Curtis Research and Training Center, School of Social Work, 2School of Social Work, 3School of Education, University of Michigan, Ann Arbor, MI, USAObjective: Family involvement and several characteristics of parenting have been suggested to be protective factors for adolescent substance use. Some parenting behaviors may have stronger relationships with adolescent behavior while others may have associations with undesirable behavior among youth. Although it is generally acknowledged that families play an important role in the lives of Chilean adolescents, scant research exists on how different family and parenting factors may be associated with marijuana use and related problems in this population which has one of the highest rates of drug use in Latin America.Methods: Using logistic regression and negative binomial regression, we examined whether a large number of family and parenting variables were associated with the possibility of Chilean adolescents ever using marijuana, and with marijuana-related problems. Analyses controlled for a number of demographic and peer-related variables.Results: Controlling for other parenting and family variables, adolescent reports of parental marijuana use showed a significant and positive association with adolescent marijuana use. The multivariate models also revealed that harsh parenting by fathers was the only family variable associated with the number of marijuana-related problems youth experienced. Conclusion: Of all the family and parenting variables studied, perceptions of parental use of marijuana and harsh parenting by fathers were predictors for marijuana use, and the experience of marijuana-related problems. Prevention interventions need to continue emphasizing the critical socializing role that parental behavior plays in their children's development and potential use of marijuana.Keywords: parenting, families, adolescent

  18. Rural-urban Migration, Rural Household Income and Sustainable Development in Rural Areas of China

    Institute of Scientific and Technical Information of China (English)

    Lu Qi; Yang Chunyue; Li Juan


    The objective of this paper is to investigate the rela-tionships among rural-urban migration, rural household income and sustainable development in rural areas of China. The typical case study is done and 288 questionnaires are collected from five villages in Hebei and Guangxi provinces, China. The migration and remittance status, household income and sustainable devel-opment of rural areas are analyzed on the basis of questionnaires. Rural-urban migration is becoming a part of routine life in rural areas. And remittance is an important component in rural house-hold income. Rural-urban migration increases the arable land area per labor, which releases the tight human-land relationship in villages. In total, the migration increases the rural household in-come and accelerates the sustainable development of rural areas.

  19. Physical therapy plus general practitioners' care versus general practitioners' care alone for sciatica: a randomised clinical trial with a 12-month follow-up


    Luijsterburg, Pim; Verhagen, Arianne; Ostelo, Raymond; Hoogen, Hans; Peul, Wilco; Avezaat, Cees; Koes, Bart


    textabstractA randomised clinical trial in primary care with a 12-months follow-up period. About 135 patients with acute sciatica (recruited from May 2003 to November 2004) were randomised in two groups: (1) the intervention group received physical therapy (PT) added to the general practitioners' care, and (2) the control group with general practitioners' care only. To assess the effectiveness of PT additional to general practitioners' care compared to general practitioners' care alone, in pa...

  20. Mozambique - Rural Water Supply (United States)

    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...

  1. Rural Veterans by State (United States)

    Department of Veterans Affairs — This speadsheet contains data from the 2014 American Community Survey and shows the demographic and socioeconomic characteristics of Veterans who live in rural and...

  2. Tourism in Rural Environment

    Directory of Open Access Journals (Sweden)



    Full Text Available Rural tourism is now determined by limited economic opportunities, poor infrastructure, low motivation to possible offers, lack of proper service guarantees. Nearly 500 Romanian villages are already tourist locations, with certain characteristics determined by a heritage item, or complex ones when multiple components lead to various activities. This paper includes a typology of tourist villages in Romania according to the types of practiced tourist activities, insisting on the use of a more comprehensive terminology: tourism in rural environment, participative and creative tourism in rural areas. Tourism becomes a system accepted in the rural environment as a real opportunity for economic development with multiple social consequences. By multiplying tourism potential to meet tourists’ demands, many villages will get tourism valences with various activities in this filed, including environment protection.

  3. "Ruralizing" Presidential Job Advertisements (United States)

    Leist, Jay


    Rural community college presidential job advertisements that focus on geography, politics, and culture can improve the likelihood of a good fit between the senior leader and the institution. (Contains 2 figures.)

  4. Rural Health Information Hub (United States)

    ... be the best treatment. Exploring High Infant and Maternal Mortality Rates in the Rural U.S. with Dr. Ali ... reasons behind the United States’ high infant and maternal mortality rates. A Professor of Global Health at the ...

  5. Rural Health Clinics (RHCs) (United States)

    ... rural healthcare organizations attract healthcare providers by posting job opportunities online by state. Candidates who are interested in ... areas may register with 3RNet to search for job opportunities. The National Health Service Corps (NHSC) provides scholarships ...

  6. Rural road maintenance management


    Johannessen, B.


    This manual summarizes relevant Cambodian government policies regarding rural road maintenance. Chapter 2 defines the various components of road maintenance and describes an effective strategy and organization which addresses the maintenance requirements of rural roads in Cambodia. Chapter 3 is a brief description of the planning, implementation and reporting cycle required in an effective road maintenance management system. Chapter 4 summarizes the contracts management procedures, and finall...

  7. Defining the unique role of the specialist district nurse practitioner. (United States)

    Barrett, Anne; Latham, Dinah; Levermore, Joy


    Due to the reorganization of primary care trusts across the country, certain trusts proposed a reduction in the specialist district nurse practitioner numbers in favour of less qualified community nurses and health care assistants. Such proposals in one PCT were blocked, partly in response to documentation compiled by practitioners at the sharp end of nursing practice. With the new agenda of practice based commissioning, it is imperative that commissioners and management alike are aware of the scope of specialist district nurse practitioners. This is the first of a series of articles looking at specific case histories where the role of the district nurse is highlighted. It is the intention to stress the importance of the clinical expertise and confidence required by the district nurse to care for patients with complex needs in the community.

  8. Managerial perceptions of mentor, lecturer practitioner and link tutor roles. (United States)

    Carnwell, Ros; Baker, Sally-Ann; Bellis, Mike; Murray, Ruth


    Educating pre-registration nurses in clinical practice is a global issue. Within different countries problems exist in educating and supervising students in clinical practice and various models of clinical education are employed. In Wales, United Kingdom, this responsibility is divided between mentors, lecturer practitioners and link tutors. This paper reports on the third phase of a three-phase study in Wales to explore differences between mentors, lecturer practitioners and link tutors, and how they work together to assist students to integrate theory and practice. Four focus group interviews of National Health Service managers and Higher Education managers (n=22) were conducted. Qualitative content analysis revealed four themes: role characteristics and competencies, role differences, role conflict, and future options. The findings suggest a theory-practice continuum along which mentors, lecturer practitioners and link tutors occupy different positions. The article explores these different positions and offers suggestions for future role development.

  9. Value Co-creation in Practitioner-Academia Relationships

    DEFF Research Database (Denmark)

    Nielsen, Rikke Kristine

    This paper addresses the research practice of practicable research by drawing a map of methodological in-roads to doing research with a view to bridging the practitioner-research gap and producing what has been termed as ‘actionable research’ by engaging closely with practitioners in the research...... of both academia and practice as main stakeholders in an industrial Ph.D. project or other projects with the ambition to create value in both camps simultaneously are debated based on the methodological map presented....... process. The map includes three territories and methodological in-roads for doing research in close collaboration with practitioners with a view to mutual value creation and co-construction: Doing research, in/with(in), for and in-between organizations. The methodological reflections in the map...

  10. Mutual Value Co-Creation in Practitioner-Academia Collaboration

    DEFF Research Database (Denmark)

    Nielsen, Rikke Kristine


    This paper addresses the research practice of practicable research by drawing a map of methodological in-roads to doing research with a view to bridging the practitioner-research gap and producing what has been termed as ‘actionable research’ by engaging closely with practitioners in the research...... of both academia and practice as main stakeholders in an industrial Ph.D. project or other projects with the ambition to create value in both camps simultaneously are debated based on the methodological map presented....... process. The map includes three territories and methodological in-roads for doing research in close collaboration with practitioners with a view to mutual value creation and co-construction: Doing research, in/with(in), for and in-between organizations. The methodological reflections in the map...

  11. Referrals from general practitioners to a social services department. (United States)

    Sheppard, M G


    One year's referrals from general practitioners to a social services department were studied. There was a low referral rate and a bias towards women, the elderly and the less affluent. The referrals were predominantly made for practical help with problems of ill health. A high proportion of clients were allocated to non-social work staff, and the social service intervention, generally of short duration, showed a sympathetic response to the practical requests of general practitioners. The limited use of social workers by doctors is considered to be the result of ignorance or scepticism about psychodynamic social work skills. Closer liaison between general practitioners and social workers, and a clearer presentation by social workers of their professional skills, are suggested solutions to this problem.

  12. Creating Quality Online Materials for Specialty Nurse Practitioner Content: Filling a Need for the Graduate Nurse Practitioner. (United States)

    Hoffmann, Rosemary L; Klein, Sara Jo; Rosenzweig, Margaret Q


    Nurse practitioners are entering specialized areas of practice immediately after graduation from nurse practitioner (NP) education and certification and are finding employment in specialized areas such as oncology. Rapidly achieving a knowledge base in this highly specialized area of medicine coupled with the stress of the new nurse practitioner role can lead to a very difficult orientation and transition period. There are several methods to provide specialized education to NPs during their orientation period. Unfortunately, limitations such as a lack of motivated mentors, limited opportunities to practice the desired skill set or a lack of structure in regards to curriculum quality, and the learning needs of the new nurse hinder the NP's transition to practice. In response to either inadequate or non-standardized orientation to the specialty role of the oncology NP (ONP), a web-enhanced educational tool, funded through the National Cancer Institute, was developed for use in the USA: Oncology Nurse Practitioner Web Education Resource (ONc-PoWER). The development of ONc-PoWER was based upon essential education for NPs new to cancer care, adult learning theory, Bloom's Taxonomy, and foundations of quality online education. The five interactive web-based modules provide specialized education for the nurse practitioner new to oncology along with an on-site mentor to assist the NP in applying the course content to clinical practice.

  13. producto turismo rural

    Directory of Open Access Journals (Sweden)

    Blanca García Henche


    Full Text Available El turismo rural lleva un largo periodo establecido en Europa, pero en los últimos años crece su importancia ya que supone un nuevo producto turístico y una fuente de ingresos para la economía rural. Actualmente, los turistas buscan experiencias distintas al tradicional turismo de sol y playa, prefieren un turismo más individualizado y flexible, buscan nuevas formas de alojamiento y muestran un interés creciente por el contacto con la naturaleza. La oferta turística rural ha de adaptarse a las exigencias de esta demanda, lo que implica más flexibilidad y alojamientos y pueblos adaptados a las necesidades emergentes. Se ha de definir el turismo rural como una alternativa de adaptación a los cambios en las necesidades de los consumidores. El presente documento muestra los componentes del turismo rural. Los recursos turísticos son la materia prima, a la que se ha de añadir los servicios. Estos servicios pueden ser básicos o complementarios. Además de los servicios hay que añadir las actividades complementarias e infraestructuras No hay duda de que el turismo rural puede beneficiarse de la aplicación del marketing. El marketing implica entender qué es lo que los consumidores desean y crear productos para satisfacer sus necesidades, además de comercializar el producto correctamente.

  14. Multiple Relationships : Maintaining Professional Identity in Rural Social Work Practice

    Directory of Open Access Journals (Sweden)

    Keith Brownlee


    Full Text Available Working in a rural community locates the professional in a wider social network as community members often expect more from their professionals; not only as service providers, but also as engaged members of the community. This can result in the rural social worker being highly visible both personally and professionally and it can also lead to overlapping relationships. These higher expectations can place stress on the worker in terms of maintaining accepted professional roles and a sense of professional identity. This qualitative study explores the first-hand experiences of a cross-section of service providers in more than a dozen communities within northwestern Ontario and northern Manitoba, Canada. The responses of the participants provide some insight into how rural practitioners maintain their professional identity when working within the unique demands of the rural and remote context. Recurring themes from the interviews suggest that these professionals craft their own informal decision-making processes to address intersecting roles, community gossip, and personal isolation, even while, in some cases, practicing in their home community. The findings provide greater understanding of the pressures and realities of working in small remote towns and the challenges of responding to the expectations and realities of relationships including the expectation of working with friends and family members of friends or colleagues: issues that have not been adequately studied in the literature to date.

  15. Institutional Theory as a Framework for Practitioners of Social Entrepreneurship

    DEFF Research Database (Denmark)

    Agrawal, Anirudh; Hockerts, Kai


    The chapter proposes institutional theory as a framework for reflecting on social entrepreneurship. We advocate institutional theory as a tool for practitioners to reflect upon the legitimacy, survivability and scalability of social enterprises because institutional theory frameworks can reduce...... risks associated with emerging fields such as social entrepreneurship. In order to illustrate our claim, we present four cases of social entrepreneurship and reflect on them through different institutional theory frameworks. At the end of the chapter, we propose a future agenda for practitioners...... interested in social entrepreneurship from an institutional theory perspective....

  16. The Psychiatric Family Nurse Practitioner: A Collaborator in Family Practice


    Cunningham, Patricia D.


    The potential of the psychiatric family nurse practitioner (Psych.F.N.P.) to contribute to family practice through physical care and mental health care exists in the here and now. This role is a synthesis of 2 advanced practice roles, the psychiatric clinical nurse specialist (Psych.C.N.S.) and family nurse practitioner (F.N.P.), both of which continue to have great utility independently. This synthesis is a practical application of concepts that have evolved to meet the changing patterns of ...

  17. Career trends of master's prepared family nurse practitioners. (United States)

    Wilbur, J; Zoeller, L H; Talashek, M; Sullivan, J A


    The purpose of this study was to examine the career trends of family nurse practitioner (FNP) graduates of one master's program. A questionnaire was mailed to all FNPs (N = 113) who graduated 1-11 years earlier; there was a response rate of 83%. The survey revealed that for both first and present jobs the majority were providing direct patient care as a primary care provider or practicing in an indirect role. The study findings indicate that for these graduates there is a long term commitment (demonstrated through continued employment) as well as opportunity to practice in the nurse practitioner role in a direct or indirect capacity.

  18. Toward a narrative-centered curriculum for nurse practitioners. (United States)

    Swenson, M M; Sims, S L


    This paper discusses various alternative and nontraditional teaching strategies currently used in nurse practitioner curricula. These instructional strategies include case-study analysis (Ryan-Wenger & Lee, 1997) and problem-based learning/practice-based learning (Barrows, 1994). We suggest a further evolution, using principles and practices of a narrative pedagogy (Diekelmann, 1995) to allow convergence of these several narratively-focused inductive and interpretive approaches. This combination of ways of learning has led us toward a narrative-centered curriculum for family nurse practitioners (FNPs). Specific ways to use narrative in the FNP curriculum are presented to demonstrate how to take the curriculum beyond traditional ways of teaching and learning.

  19. Grounded theory for radiotherapy practitioners: Informing clinical practice

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    Walsh, N.A., E-mail: Nadia.Walsh@gstt.nhs.u [Medical Physics Department, Guy' s and St Thomas' NHS Foundation Trust, St Thomas' Hospital, London SE1 7EH (United Kingdom)


    Radiotherapy practitioners may be best placed to undertake qualitative research within the context of cancer, due to specialist knowledge of radiation treatment and sensitivity to radiotherapy patient's needs. The grounded theory approach to data collection and analysis is a unique method of identifying a theory directly based on data collected within a clinical context. Research for radiotherapy practitioners is integral to role expansion within the government's directive for evidence-based practice. Due to the paucity of information on qualitative research undertaken by radiotherapy radiographers, this article aims to assess the potential impact of qualitative research on radiotherapy patient and service outcomes.

  20. Urban-rural mental health differences in Great Britain: findings from the National Morbidity Survey. (United States)

    Paykel, E; Abbott, R; Jenkins, R; Brugha, T; Meltzer, H


    Studies of urban-rural differences in prevalence of non-psychotic mental disorder have not given consistent findings. Such differences have received relatively little study in Great Britain. Data from 9777 subjects in the Household Survey of the National Morbidity Survey of Great Britain were analysed for differences between urban, semi-rural, and rural areas. Psychiatric morbidity was assessed by scores on the Revised Clinical Interview Schedule (CIS-R), together with alcohol dependence, drug dependence, and receipt of treatment from general practitioners. Associations with other characteristics were examined by logistic regression. Urban subjects had higher rates than rural of CIS-R morbidity, alcohol dependence, and drug dependence, with semi-rural subjects intermediate. Urban subjects also tended to be members of more deprived social groups, with more adverse living circumstances and greater life stress--factors themselves associated with disorder. Urban-rural differences in alcohol and drug dependence were no longer significant after adjustment for these factors by logistic regression, and differences on CIS-R morbidity were considerably reduced. There were no differences in treatment. There are considerable British urban-rural differences in mental health, which may largely be attributable to more adverse urban social environments.

  1. Spatial access disparities to primary health care in rural and remote Australia. (United States)

    McGrail, Matthew Richard; Humphreys, John Stirling


    Poor spatial access to health care remains a key issue for rural populations worldwide. Whilst geographic information systems (GIS) have enabled the development of more sophisticated access measures, they are yet to be adopted into health policy and workforce planning. This paper provides and tests a new national-level approach to measuring primary health care (PHC) access for rural Australia, suitable for use in macro-level health policy. The new index was constructed using a modified two-step floating catchment area method framework and the smallest available geographic unit. Primary health care spatial access was operationalised using three broad components: availability of PHC (general practitioner) services; proximity of populations to PHC services; and PHC needs of the population. Data used in its measurement were specifically chosen for accuracy, reliability and ongoing availability for small areas. The resultant index reveals spatial disparities of access to PHC across rural Australia. While generally more remote areas experienced poorer access than more populated rural areas, there were numerous exceptions to this generalisation, with some rural areas close to metropolitan areas having very poor access and some increasingly remote areas having relatively good access. This new index provides a geographically-sensitive measure of access, which is readily updateable and enables a fine granulation of access disparities. Such an index can underpin national rural health programmes and policies designed to improve rural workforce recruitment and retention, and, importantly, health service planning and resource allocation decisions designed to improve equity of PHC access.

  2. Lycaenid caterpillars (Lepidoptera, Lycaenidae eating flowers of Dalea pennellii var. chilensis (Fabaceae in the northern Chilean Andes

    Directory of Open Access Journals (Sweden)

    Héctor A. Vargas


    Full Text Available Lycaenid caterpillars (Lepidoptera, Lycaenidae eating flowers of Dalea pennellii var. chilensis (Fabaceae in the northern Chilean Andes. The shrub Dalea pennellii var. chilensis (Fabaceae is reported for the first time as a host plant for three Neotropical Polyommatini (Lepidoptera, Lycaenidae, Polyommatinae: Hemiargus ramon (Dognin, 1887, Leptotes trigemmatus (Butler, 1881 and Nabokovia faga (Dognin, 1895, based on two collections performed in the western slopes of the northern Chilean Andes in two consecutive summers. The relative abundance was always above 90% for N. faga while it was always less than 5% for H. ramon and L. trigemmatus. Furthermore, N. faga was not found on inflorescences of other native Fabaceae examined in the study site. This pattern suggests a close relationship between N. faga and D. pennellii var. chilensis, at least at a local scale.

  3. Workforce issues in rural surgery. (United States)

    Lynge, Dana Christian; Larson, Eric H


    Almost one quarter of America's population and one third of its landmass are defined as rural and served by approximately 20% of the nation's general surgeons. General surgeons are the backbone of the rural health workforce. There is significant maldistribution of general surgeons across regions and different types of rural areas. Rural areas have markedly fewer surgeons per population than the national average. The demography of the rural general surgery workforce differs substantially from the urban general surgery workforce, raising concerns about the extent to which general surgical services can be maintained in rural areas of the United States.

  4. Maternal Stress and Family Constitution: Comparative Study on Chilean, Single-Mother and Nuclear, Low-Income Families


    Olhaberry, Marcia; Pontificia Universidad Católica de Chile; Farkas,Chamarrita


    Studies on maternal stress during child raising have taken into consideration contextual variables to explain it. The socioeconomic level, as well as the family constitution have been relevant variables, associating singleparenting in low-income families with greater levels of maternal stress. Maternal stress levels in Chilean, nuclear and single-mother low income families are studied, considering stress in various dimensions, associated to the maternal role, to the mother-child interactio...

  5. Solar PV-CSP Hybridisation for Baseload Generation : A Techno-economic Analysis for the Chilean Market


    Larchet, Kevin


    The development of high capacity factor solar power plants is an interesting topic, especially when considering the climate and economic conditions of a location such as the Chilean Atacama Desert. The hybridisation of solar photovoltaic (PV) and concentrating solar power (CSP) technologies for such an application is a promising collaboration. The low cost of PV and dispatchability of CSP, integrated with thermal energy storage (TES), has the promise of delivering baseload electricity at a lo...

  6. A statistical approach to disentangle environmental forcings in a lacustrine record: the Lago Chungará case (Chilean Altiplano)


    Giralt, Santiago; Moreno Caballud, Ana; Bao, Roberto; Sáez, Alberto; Prego, R.; Valero-Garcés, Blas L.; Pueyo Mur, Juan José; González-Sampériz, Penélope; Taberner, Conxita


    A high resolution multiproxy study (magnetic susceptibility, x-ray diffraction, XRF scanner, gray-colour values, Total Organic Carbon, Total Inorganic Carbon, Total Carbon and Total Biogenic Silica) of the sedimentary infill of Lago Chungará (northern Chilean Altiplano) was undertaken to unravel the environmental forcings controlling its evolution using a number of different multivariate statistical techniques. Redundancy Analyses enabled us to identify the main provenance of the studied prox...

  7. [Rotavirus Vaccine. Statement of the Consultive Committee of Immunizations on behalf of The Chilean Infectious Diseases Society. March 2006]. (United States)

    Muñoz M, Alma; Abarca V, Katia; Luchsinger F, Vivian; Valenzuela B, M Teresa; Jiménez de la J, Jorge


    The article briefly reviews the epidemiology of rotavirus infection and the scientific information of the rotavirus vaccines: Rotashield, withdrawn from the market due to its association with intussusception, Rotateq currently in an advanced phase of development, and Rotarix, recently licensed in Chile. Considering the available information, the Consultive Committee of Immunizations of the Chilean Society of Infectious Diseases, summarizes its conclusions and makes recommendations for infants vaccination against rotavirus in our country.

  8. 2 × 2 achievement goals profilEs in chilean CompetiTIve and recreational athletes: a first look

    Directory of Open Access Journals (Sweden)

    Lochbaum Marc R.


    Full Text Available Purpose: was to examine the 2 × 2 achievement goal profiles of Chilean young adults regularly participating in competitive and recreational sport. Materials: participants were 108 female and 132 males who were recruited from the Valparaiso and Viña del Mar areas of Chile. Participants completed a valid and reliable measure of the 2 × 2 achievement goals referenced to sport participation. Results: indicated that the entire sample significantly ( p < .05 and very meaningfully (Hedges’ g range 1.13 - 2.91 endorsed the mastery-approach goal more so than the other three achievement goals. Male participants significantly ( p < .05 endorsed both approach goals and the mastery goal contrast more so than the female participants. These differences approached medium in meaningfulness (Hedges’ g range .40 - .46. Significant differences did not exist between competitive and recreational athletes on any of the achievement goals or goal contrasts. Confirming the lack of significant differences were the computed small to negligible in magnitude effect sizes. Conclusions: the present data were a first look into profiling sport participants on the 2 × 2 achievement goals in Chile. Given this sample of Chilean participants endorsed the performance goals far less than found in the sport psychology 2 × 2 achievement goal literature, more research is needed before these results are generalized to Chilean sport participants. Future research must also examine the relationships of antecedents and consequences to the 2 × 2 achievement goals to advance sport psychology in Chile.

  9. Impact of Mano a Mano-Mujer, an HIV prevention intervention, on depressive symptoms among Chilean women. (United States)

    Cianelli, R; Lara, L; Villegas, N; Bernales, M; Ferrer, L; Kaelber, L; Peragallo, N


    Worldwide, and in Chile, the number of women living with HIV is increasing. Depression is considered a factor that interferes with HIV prevention. Depression may reach 41% among low-income Chilean women. Depressed people are less willing to participate in behaviours that protect them against HIV. The aim of this study is to analyze the impact of Mano a Mano-Mujer (MM-M), and HIV prevention intervention, on depressive symptoms among Chilean women. A quasi-experimental design was used for this study. The research was conducted in Santiago, Chile; a total of 400 women participated in the study (intervention group, n=182; control group, n=218). The intervention was guided by the social-cognitive model and the primary health care model. The intervention consists of six 2-h sessions delivered in small groups. Sessions covered: HIV prevention, depression, partner's communication, and substance abuse. Face-to-face interviews were conducted at baseline and at 3-month follow-up. Chilean women who participated in MM-M significantly decreased, at 3 months follow up, their reported depressive symptoms. MM-M provided significant benefits for women's depression symptoms. In this study nurses participated as leaders for the screening of depressive symptoms and as facilitators of community interventions.

  10. The Future of Marketing Education: A Practitioner's Perspective (United States)

    Finch, David; Nadeau, John; O'Reilly, Norm


    Drawing on the marketing literature, as well as the views of both marketing educators and current marketers in Canada, a survey was conducted of marketing practitioners to determine their top priorities for improvement in marketing education, as well as the key challenges in need of attention. An importance-performance analysis was carried out on…

  11. Student Services and the Law: A Handbook for Practitioners. (United States)

    Barr, Margaret J.; And Others

    An overview is provided of issues influencing student affairs practice, designed to assist practitioners in applying legal principles in their daily work. The following chapters are presented in three sections (legal foundations and student affairs practice; key areas of legal responsibility and liability; and strengthening the legal basis of…

  12. Practitioner Talk on Deaf Children's Reading Comprehension: Analysing Multiple Voices (United States)

    Swanwick, Ruth A.; Kitchen, Ruth; Clarke, Paula J.


    This study examined different perspectives of deaf education practitioners on deafness and reading comprehension. This involved a full deaf education support team comprising teachers of the deaf, communication support workers, and deaf instructors from a UK citywide service covering early years, primary and secondary settings. Using a focus group…

  13. Fostering Transformative Practitioners for Critical EAP: Possibilities and Challenges (United States)

    Morgan, Brian


    In this article, I explore the often difficult transfer of theory to practice in respect to promoting the conceptual role of transformative intellectual/practitioner through a pre-service "social issues project" for future EAP and ESL teachers. Following an examination of more established role options in EAP (e.g. technician, reflective…

  14. Nurse Practitioners, Physician Assistants and Certified Nurse Midwives in California. (United States)

    California Univ., San Francisco. Center for California Health Workforce Studies.

    Surveys were mailed to all nurse practitioners (NPs), physician assistants (PAs) and certified nurse midwives (CNMs) registered in California, asking questions about education, labor force participation, specialty, and location and type of practice site, as well as the demographic characteristics of these professionals and their patients. Response…

  15. General Practitioners' Knowledge and Concern about Electromagnetic Fields

    DEFF Research Database (Denmark)

    Berg-Beckhoff, Gabriele; Breckenkamp, Jürgen; Larsen, Pia Veldt


    Our aim is to explore general practitioners' (GPs') knowledge about EMF, and to assess whether different knowledge structures are related to the GPs' concern about EMF. Random samples were drawn from lists of GPs in Germany in 2008. Knowledge about EMF was assessed by seven items. A latent class ...

  16. Taking a Risk to Develop Reflective Skills in Business Practitioners (United States)

    Mackay, Margaret; Tymon, Alex


    Critical reflection can support alternative decision-making in business practice. This paper examines the effectiveness of a risk-based pedagogy to engage practitioners in reflective thinking. Educators adopting a radical pedagogy in professionally accredited programmes face multiple challenges: learners often resist the process of self-reflection…

  17. Building organizational supports for research-minded practitioners. (United States)

    Austin, Michael J; Dal Santo, Teresa S; Lee, Chris


    One of the biggest challenges facing human service organizations is the proliferation of information from inside and outside the agency that needs to be managed if it is to be of use. The concepts of tacit and explicit knowledge can inform an approach to this challenge. Tacit knowledge is stored in the minds of practitioners (often called practice wisdom) and the explicit knowledge is often found in organizational procedure manuals and educational and training materials. Building on this perspective, this analysis provides a preliminary definition of research-minded practitioners by explicating the elements of curiosity, critical reflection, and critical thinking. The organizational implications of developing a cadre of research-minded practitioners include the commitment of top management to support "link officers", evidence request services, research and development units, and service standards. The challenges include the capacity to identify/support research-minded practitioners, promote an organizational culture of evidence-informed practice, redefine staff development and training, redefine job descriptions, and specify the nature of managerial leadership.

  18. Helicobacter pylori in out-patients of a general practitioner

    DEFF Research Database (Denmark)

    Rothenbacher, D; Bode, G; Winz, T


    Data on prevalence and determinants of Helicobacter pylori infection in well-defined populations are scarce. We investigated the prevalence and determinants of active H. pylori infection in a population of out-patients attending a general practitioner in Southern Germany. Infection status...

  19. The effectiveness of psychosocial interventions delivered by general practitioners.

    NARCIS (Netherlands)

    Huibers, M.J.H.; Beurskens, A.J.H.M.; Bleijenberg, G.; Schayck, C.P. van


    BACKGROUND: Many patients visit their general practitioner (GP) because of problems that are psychosocial in origin. However, for many of these problems there is no evidence-based treatment available in primary care, and these patients place time-consuming demands on their GP. Therefore, GPs could b

  20. Culturing Reality: How Organic Chemistry Graduate Students Develop into Practitioners (United States)

    Bhattacharyya, Gautam; Bodner, George M.


    Although one of the presumed aims of graduate training programs is to help students develop into practitioners of their chosen fields, very little is known about how this transition occurs. In the course of studying how graduate students learn to solve organic synthesis problems, we were able to identify some of the key factors in the epistemic…

  1. Operations Management Teaching: Establishing Content and Relevance to Practitioners (United States)

    Doran, Desmond; Hill, Alex; Brown, Steve; Aktas, Emel; Kuula, Markku


    This paper explores the relevance to industry's needs of operations management (OM) teaching in higher education, by researching the content of OM modules delivered by UK academics and comparing the results of this research with the views of business practitioners having had first-hand experience of OM teaching on MBA programmes. To determine…

  2. Linking the Practitioner and Researcher Communities for School Improvement. (United States)

    Huberman, Michael

    To talk about the dissemination of research is to talk about the relationship between theory and practice. A body of empirical and conceptual knowledge has accumulated in an area known as the dissemination and utilization of scientific knowledge. Researchers and practitioners will interact at two points: as the knowledge base is transferred, and…

  3. General practitioner knowledge, skills and attitudes to eating disorders


    Doherty, Sally; McNamee, Lisa


    Given that general practitioners are perfectly placed to detect eating disorders this summer research study aimed to examine general practitioners’ knowledge, skills and attitudes towards eating disorders. The study aimed to compile a national picture of the diagnosis, referral practices, and management of eating disorders in primary care in Ireland.

  4. Hail Prevention Rituals and Ritual Practitioners in Northeast Amdo

    Directory of Open Access Journals (Sweden)

    Rdo rje don grub


    Full Text Available Hail prevention rituals and ser srung 'hail prevention ritual practitioners' in Skya rgya Village (Gcan tsha County, Rma lho Tibetan Autonomous Prefecture, Mtsho sngon Province are described. The origins and history of the ser srung are discussed and their ritual implements and practices are detailed. Tibetan texts related to ser srung are provided with English translations.

  5. Practitioners' Perspectives on the Purpose of Environmental Education (United States)

    Fraser, John; Gupta, Rupanwita; Krasny, Marianne E.


    Since the 1980s, scholars have suggested that environmental education (EE) has a "definitional problem" represented by a multiplicity of perspectives that have critically impacted its discourse, practices, and outcomes. This study sought to investigate how North American EE practitioners from backgrounds ranging from formal and…

  6. How do general practitioners in Denmark promote physical activity?

    DEFF Research Database (Denmark)

    Jørgensen, Tanja K; Nordentoft, Merete; Krogh, Jesper


    The primary objective of this study was to quantify the frequency of advice given on type, frequency, duration, and intensity of exercise during physical activity (PA) promoting sessions by general practitioners. Second, to find GP characteristics associated with high quality of PA counselling....

  7. Role of Danish general practitioners in AIDS prevention

    DEFF Research Database (Denmark)

    Sandbæk, Annelli


    OBJECTIVE: To describe Danish general practitioners' perception of their own role and to register their actual behaviour in the prevention of HIV/AIDS. DESIGN: Data collection was carried out by a) questionnaire and b) prospective registration of consultations dealing with HIV/AIDS in a two...... are taken to strengthen the GPs' role in AIDS prevention. Udgivelsesdato: 1995-Dec...

  8. Design researcher learning through and for collaboration with practitioners

    NARCIS (Netherlands)

    McKenney, Susan; Brand-Gruwel, Saskia


    Design research is a genre of inquiry in which the iterative development of solutions to problems in practice provides the setting for scientific inquiry. To conduct ecologically valid studies that also yield relevant and usable solutions, design research is carried out together with practitioners i

  9. What are the characteristics of the competent general practitioner trainer?

    NARCIS (Netherlands)

    Boendermaker, PM; Schuling, J; Meyboom-de Jong, B; Zwierstra, RP; Metz, JCM


    Background. Increasing attention is being given to the training of doctors to become teachers. This does not apply only to the schooling of teachers in undergraduate medical education: at the postgraduate level, general practitioner trainers (GP-trainers) receive special schooling to prepare them fo

  10. Library Education and the Practitioner: The Sierra Leone Experience. (United States)

    Kargbo, John Abdul


    Examines the past and current educational trends of librarianship in Sierra Leone. Discuses courses offered in the current library school; economic and political issues affecting higher education; the need for full-time faculty; general versus specialized practitioner needs; attitudes of faculty toward working librarians; and professional…

  11. Theorising and Practitioners in HRD: The Role of Abductive Reasoning (United States)

    Gold, Jeff; Walton, John; Cureton, Peter; Anderson, Lisa


    Purpose: The purpose of this paper is to argue that abductive reasoning is a typical but usually unrecognised process used by HRD scholars and practitioners alike. Design/methodology/approach: This is a conceptual paper that explores recent criticism of traditional views of theory-building, based on the privileging of scientific theorising, which…

  12. The Training of Infant Mental Health Practitioners: The Norway Experience (United States)

    Slinning, Kari; Vannebo, Unni Tranaas


    Today the infant mental health field includes a multidisciplinary team of practitioners with very different training and education needs. Implementation research has shown that appropriate training is a key factor for successful outcomes of an intervention and that supervision and coaching are crucial. All professionals who work with young…

  13. Reiki therapy: the benefits to a nurse/Reiki practitioner. (United States)

    Whelan, Kathleen M; Wishnia, Gracie S


    This study evaluates how nurses who gave Reiki therapy perceived the benefit of this therapy on their clients and on themselves concurrently as providers of the therapy. As an adjunct, the study's purpose was to enhance the understanding and credibility of nurse/Reiki practitioners.

  14. Does general practitioner gatekeeping curb health care expenditure?

    NARCIS (Netherlands)

    Delnoij, D.; Merode, G. van; Paulus, A.; Groenewegen, P.


    Objectives: It is generally assumed that health care systems in which specialist and hospital care is only accessible after referral by a general practitioner (GP) have lower total health care costs. In this study, the following questions were addressed: do health care systems with GPs acting as gat

  15. A Gerontology Practitioner Continuing Education Certificate Program: Lessons Learned (United States)

    Englehardt, Jacqueline; Hash, Kristina M.; Mankowski, Mariann; Harper-Dorton, Karen V.; Pilarte, Ann E.


    This article discusses the results of a school of social work survey assessing the geriatric training needs of social workers and other professionals in aging and the need for a gerontology practitioner's continuing education (CE) certificate program. A total of 391 professionals, the majority of whom were social workers, participated in an online…

  16. Child health and general practitioners' management, 1987 - 2001.

    NARCIS (Netherlands)

    Otters, H.; Schellevis, F.


    This contribution compares the presentation and management of childhood morbidity (0-17 years) in general practice in 2001 with that in 1987. In the Netherlands, childhood morbidity presented to the general practitioner (GP) has changed: (infectious) skin problems have become more important. In 2001

  17. Fraction Multiplication and Division Models: A Practitioner Reference Paper (United States)

    Ervin, Heather K.


    It is well documented in literature that rational number is an important area of understanding in mathematics. Therefore, it follows that teachers and students need to have an understanding of rational number and related concepts such as fraction multiplication and division. This practitioner reference paper examines models that are important to…

  18. Bridging the Gap in Knowledge Transfer between Academia and Practitioners (United States)

    Gera, Rajat


    Purpose: The paper intends to identify the causes or gaps in transfer of managerial knowledge between academia and practitioners and to develop a framework that overcomes the gaps through knowledge management, information technology and human resource practices. The paper aims to suggest a strategic approach based on the knowledge transfer cycle.…

  19. Application of Data Collection Techniques by Human Performance Technology Practitioners (United States)

    Duan, Minjing


    By content-analyzing 22 published cases from a variety of professional and academic books and journals, this study examines the status quo of human performance technology (HPT) practitioners' application of five major data collection techniques in their everyday work: questionnaire, interview, focus group, observation, and document collection. The…

  20. Anthelmintic prescribing patterns of a sample of general practitioners from selected areas in the Colombo district of Sri Lanka

    Directory of Open Access Journals (Sweden)

    Gunawardena GSA


    Full Text Available General Practitioners (GPs provide first contact care of children and pregnant mothers in the community. This study ascertained the prescribing pattern of anthelmintics to children and pregnant women by a sample of GPs from the district of Colombo. Two hundred medical practitioners engaged in full-time General Practice (100 urban and 100 rural, were selected randomly. A pre-tested interviewer-administered questionnaire was used to collect data. A total of 183 GPs aged between 26 and 72 years (median 38 participated with 94 coming from urban areas. Seventy percent of the GPs were male. Almost 13% of GPs from urban areas had a Postgraduate degree in comparison to 4.5% from the rural areas ( P < 0.05. Over 50% of GPs had 6-20 years of service and over 30% treated 16-30 patients daily. Seventy-three percent of GPs from rural areas accessed health-related reading material either daily or weekly in contrast to only 40% from urban areas ( P < 0.001. All GPs prescribed anthelmintics to children. Pyrantel pamoate was the preferred anthelmintic used for children by both groups. Approximately 55% and 64% of GPs from urban and rural areas, respectively, prescribed anthelmintics during pregnancy. A majority of GPs prescribed drugs after the first trimester. However, 25% from urban areas gave drugs during any trimester ( P < 0.001. Regression analysis revealed that GPs with postgraduate qualifications, those having frequent access to health-related material and those seeing more than 30 patients daily, prescribed anthelmintics to pregnant women more often. Although routine de-worming of pregnant women and children should occur through government antenatal and well-baby clinics, and through the schools de-worming programme, it may not happen due to various reasons. Thus, GPs play a vital role in achieving good coverage of anthelmintics among children and pregnant women. Making available clear national guidelines on prescribing anthelmintics in Sri Lanka would

  1. Isolated rural general practice as the focus for teaching core clinical rotations to pre-registration medical students

    Directory of Open Access Journals (Sweden)

    Davies Llewellyn M


    Full Text Available Abstract Background Earlier studies have successfully demonstrated that medical students can achieve success in core clinical rotations with long term attachments in small groups to rural general / family practices. Methods In this study, three students from a class of 226 volunteered for this 1-year pilot program, conducted by the University of Queensland in 2004, for medical students in the 3rd year of a 4-year graduate entry medical course. Each student was based with a private solo general practitioner in a different rural town between 170 and 270 km from the nearest teaching hospital. Each was in a relatively isolated rural setting, rated 5 or 6 on the RRMA scale (Rural, Remote, Metropolitan Classification: capital city = 1, other metropolitan = 2, large regional city = 3, most remote community = 7. The rural towns had populations respectively of 500, 2000 and 10,000. One practice also had a General Practice registrar. Only one of the locations had doctors in the same town but outside the teaching practice, while all had other doctors within the same area. All 3 supervisors had hospital admitting rights to a hospital within their town. The core clinical rotations of medicine, surgery, mental health, general practice and rural health were primarily conducted within these rural communities, with the student based in their own consulting room at the general practitioner (GP supervisor's surgery. The primary teacher was the GP supervisor, with additional learning opportunities provided by visiting specialists, teleconferences and university websites. At times, especially during medicine and surgery terms, each student would return to the teaching hospital for additional learning opportunities. Results All students successfully completed the year. There were no statistical differences in marks at summative assessment in each of the five core rotations between the students in this pilot and their peers at the metropolitan or rural hospital based

  2. Rural Science Education Program

    Energy Technology Data Exchange (ETDEWEB)

    Intress, C. [New Mexico Museum of Natural History and Science, Albuquerque, NM (United States)


    The Rural Science Education Project is an outreach program of the New Mexico Museum of Natural History and Science with the goal of helping rural elementary schools improve science teaching and learning by using local natural environmental resources. This program is based on the assumption that rural schools, so often described as disadvantaged in terms of curricular resources, actually provide a science teaching advantage because of their locale. The natural environment of mountains, forests, ponds, desert, or fields offers a context for the study of scientific concepts and skills that appeals to many youngsters. To tap these resources, teachers need access to knowledge about the rural school locality`s natural history. Through a process of active participation in school-based workshops and field site studies, teachers observe and learn about the native flora, fauna, geology, and paleontology of their community. In addition, they are exposed to instructional strategies, activities, and provided with materials which foster experimential learning. This school-museum partnership, now in its fifth year, has aided more than 800 rural teachers` on-going professional development. These educators have, in turn, enhanced science education throughout New Mexico for more than 25,000 students.

  3. Agriculture and Rurality: Beginning the "Final Separation"? (United States)

    Friedland, William H.


    When is a farm a farm? When is rural rural? Has the issue of the rural-urban continuum returned? Decades ago rural sociology worked itself into two blind alleys: rural-urban differences and attempts to define the rural-urban fringe. Although these conceptual problems eventually were exhausted, recent developments in California raise the…

  4. Researching Rural Places: On Social Justice and Rural Education (United States)

    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…

  5. Nurse practitioner care improves renal outcome in patients with CKD. (United States)

    Peeters, Mieke J; van Zuilen, Arjan D; van den Brand, Jan A J G; Bots, Michiel L; van Buren, Marjolijn; Ten Dam, Marc A G J; Kaasjager, Karin A H; Ligtenberg, Gerry; Sijpkens, Yvo W J; Sluiter, Henk E; van de Ven, Peter J G; Vervoort, Gerald; Vleming, Louis-Jean; Blankestijn, Peter J; Wetzels, Jack F M


    Treatment goals for patients with CKD are often unrealized for many reasons, but support by nurse practitioners may improve risk factor levels in these patients. Here, we analyzed renal endpoints of the Multifactorial Approach and Superior Treatment Efficacy in Renal Patients with the Aid of Nurse Practitioners (MASTERPLAN) study after extended follow-up to determine whether strict implementation of current CKD guidelines through the aid of nurse practitioners improves renal outcome. In total, 788 patients with moderate to severe CKD were randomized to receive nurse practitioner support added to physician care (intervention group) or physician care alone (control group). Median follow-up was 5.7 years. Renal outcome was a secondary endpoint of the MASTERPLAN study. We used a composite renal endpoint of death, ESRD, and 50% increase in serum creatinine. Event rates were compared with adjustment for baseline serum creatinine concentration and changes in estimated GFR were determined. During the randomized phase, there were small but significant differences between the groups in BP, proteinuria, LDL cholesterol, and use of aspirin, statins, active vitamin D, and antihypertensive medications, in favor of the intervention group. The intervention reduced the incidence of the composite renal endpoint by 20% (hazard ratio, 0.80; 95% confidence interval, 0.66 to 0.98; P=0.03). In the intervention group, the decrease in estimated GFR was 0.45 ml/min per 1.73 m(2) per year less than in the control group (P=0.01). In conclusion, additional support by nurse practitioners attenuated the decline of kidney function and improved renal outcome in patients with CKD.

  6. Formalized Curiosity: Reflecting on the Librarian Practitioner-Researcher

    Directory of Open Access Journals (Sweden)

    Virginia Wilson


    Full Text Available There’s a well-documented gap between research and practice. A Google search for scholarly articles using the term “research practice gap” yields 2,530 hits as of this writing, while a search using the discovery layer at the University Library, University of Saskatchewan, for the same search termsyields 1,038 hits. There are a large number of articles which explore bridging the research/practice gap. So what will fill that gap in librarianship? Partnerships between LIS scholars and librarians have been suggested,and this can certainly help to mitigate the research/practice gap. Each group has things that the other group needs. Practitioners often have funding barriers, a real or perceived lack of research skills, and uneven access to the research literature. Scholars have less access to certain data that can only be obtained from practice situations, and a partnership with library practitioners can provide greater access to real life locations, users, and situations. As well, a partnership can help ensure that what the scholars are researching is relevant to the practitioners. However, scholar/practitioner partnerships sometimes are not practical, even in our age of social networking. In Canada, forexample, there is a dearth of library schools to cover our vast physical space. Physical proximity can play a role in whether or not a partnership is successful. Timeliness also is a factor. Practitioners sometimes need to “hit the ground running" and get their research done in order to inform practice. The logistics of a partnership can be time-consuming. As well, I am estimating that there are far more library and information professionals than there are university library scholars, so it’s really up to us to fill that gap ourselves in many cases.

  7. Promoting the Mental Well-Being of Older People from Black and Minority Ethnic Communities in United Kingdom Rural Areas: Findings from an Interview Study (United States)

    Manthorpe, Jill; Moriarty, Jo; Stevens, Martin; Hussein, Shereen; Sharif, Nadira


    Drawing from 81 interviews with practitioners in social care and housing with care services in the United Kingdom, this paper explores practice issues in rural areas when supporting the mental health and well-being of older people from Black and minority ethnic groups. The paper begins with a review of the literature which provides evidence that…


    Directory of Open Access Journals (Sweden)

    Vidyarthi SurendraK, Nayak RoopaP, Gupta Sandeep K, Dandekar Rahul H


    Full Text Available Background: India is the third largest producer and exporter of medicinestomost of the countries. The World Medicine Situation Report 2011 states that 65% persons in India do not have access to essential medicines. While, huge unethical prescribing ofdrugs for monetary gains has been a second major cause of rural indebtedness. Aims and Objectives:The primary objective of the study was to compare the Knowledge, Attitude and Practices of Essential Medicines among Medical Practitioners of a Medical College and Private Medical General Practitioners of an urban place, e.g. Perambalur District of South India.Materials and Methods: After ethical approval, thestudy was started, in Dhanalakshmi Srinivasan Medical College and Hospital (DSMCH, Siruvachur-621113, Perambalur, Tamil Nadu. It was a questionnaire based study. The faculties of the DSMCH and Medical Private Practitioner of Perambalur district included as participants in the study. We distributed knowledge, attitude and practice (KAP based 15multiple choice questionson National Essential Medicine List, 2011 (NEML to each healthcare professionals (HCPs to attempt within 15 minutes.Results:Overall, Knowledge, attitude and practices regarding NEML 2011 were 57.06%, 38.36%; 51.16%, 51.82%; 21.73%, 28.7% to HCP from DSMCH and HCP from Perambalur district, respectively. Whereas, 42.2 % HCPs from DSMCH and 44.7 % HCPs from Perambalur district wereprescribed branded and generic drugs both. Conclusion:The result’s data shows that regular awareness programmes should be conducted to update knowledge, change attitude and practices regarding essential medicines to serve the society as best as possible.

  9. About The Rural Development Foundation

    Institute of Scientific and Technical Information of China (English)


    <正>The Rural Development Foundation (RDF) ,founded in 1996,is an Indian nonprofit organization with the mission of providing quality education for underprivileged rural children. RDF founded and continues to operate five schools and one junior college in Andhra

  10. About The Rural Development Foundation

    Institute of Scientific and Technical Information of China (English)


    <正>The Rural Development Foundation ( RDF) ,founded in 1996,is an Indian nonprofit organization with the mission of providin gquality education for underprivileged rural children. RDF founded and continues to operate five schools and one junior college in

  11. About The Rural Development Foundation

    Institute of Scientific and Technical Information of China (English)


    <正>The Rural Development Foundation ( RDF) ,founded in 1996,is an Indian nonprofit organization with the mission of providing quality education for underprivileged rural children. RDF founded and continues to operate five schools

  12. About The Rural Development Foundation

    Institute of Scientific and Technical Information of China (English)


    <正>The Rural Development Foundation ( RDF) ,founded in 1996,is an Indian nonprofit organization with the mission of providing quality education for underprivileged rural children. RDF founded and continues to operate five schools and one junior college in

  13. About The Rural Development Foundation

    Institute of Scientific and Technical Information of China (English)


    <正>The Rural Development Foundation(RDF),founded in1996,is an Indian nonprofit organization with the mission of providingquality education for underprivileged rural children.RDF founded and continues to operate five schools and one junior college in

  14. Car travel time and accessibility by bus to general practitioner services: a study using patient registers and GIS. (United States)

    Lovett, Andrew; Haynes, Robin; Sünnenberg, Gisela; Gale, Susan


    Accessibility to general practitioner (GP) surgeries was investigated in a population study of East Anglia (Cambridgeshire, Norfolk and Suffolk) in the United Kingdom. Information from patient registers was combined with details of general practitioner surgery locations, road network characteristics, bus routes and community transport services, and a geographical information system (GIS) was used to calculate measures of accessibility to surgeries by public and private transport. Outcome measures included car travel times and indicators of the extent to which bus services could be used to visit GP surgeries. These variables were aggregated for wards or parishes and then compared with socio-economic characteristics of the populations living in those areas. The results indicated that only 10% of residents faced a car journey of more than 10 min to a GP. Some 13% of the population could not reach general medical services by daily bus. For 5% of the population, the car journey to the nearest surgery was longer than 10 min and there was no suitable bus service each weekday. In the remoter rural parishes, the lowest levels of personal mobility and the highest health needs indicators were found in the places with no daytime bus service each weekday and no community transport. The overall extent of accessibility problems and the existence of inverse care law effects in some rural localities have implications for the NHS, which aims to provide an equitable service to people wherever they live. The research also demonstrates the potential of patient registers and GIS as research and planning tools, though the practical difficulties of using these data sources and techniques should not be underestimated.

  15. Childhood obesity: parents fail to recognise, general practitioners fail to act. (United States)

    White, A; O'Brien, B; Houlihan, T; Darker, C; O'Shea, B


    General Practitioners (GPs) have an important role to play in recognition of and intervention against childhood obesity in Ireland. Data were collected prospectively on a cohort of children aged 4-14 and their parents (n = 101 pairs) who attended consecutively to a semi-rural group general practice. Parents estimated their child's weight status. Actual weight status was determined for both parent and child using the United States Centres' for Disease Control's BMI-for-age references. 15 (14.9%) of the children and 49 (51.6%) of the parents were overweight or obese. While 71 (95.5%) of normal weight status children were correctly identified, parents showed poor concordance in identifying their children as overweight 2 (18.2%) or obese 0 (0%). BMI was only evidently recorded in the clinical records of 1 out of 15 cases of overweight children identified. With parents failing to recognise childhood obesity, GPs have a responsibility in tackling this problem at a family level.

  16. Childhood obesity: parents fail to recognise, general practitioners fail to act.

    LENUS (Irish Health Repository)

    White, A


    General Practitioners (GPs) have an important role to play in recognition of and intervention against childhood obesity in Ireland. Data were collected prospectively on a cohort of children aged 4-14 and their parents (n = 101 pairs) who attended consecutively to a semi-rural group general practice. Parents estimated their child\\'s weight status. Actual weight status was determined for both parent and child using the United States Centres\\' for Disease Control\\'s BMI-for-age references. 15 (14.9%) of the children and 49 (51.6%) of the parents were overweight or obese. While 71 (95.5%) of normal weight status children were correctly identified, parents showed poor concordance in identifying their children as overweight 2 (18.2%) or obese 0 (0%). BMI was only evidently recorded in the clinical records of 1 out of 15 cases of overweight children identified. With parents failing to recognise childhood obesity, GPs have a responsibility in tackling this problem at a family level.

  17. Organizing Rural Health Care

    DEFF Research Database (Denmark)

    Bunkenborg, Mikkel


    The liberalization of health care in the course of three decades of ‘reform and opening up’ has given people in rural China access to a diverse range of treatment options, but the health care system has also been marred by accusations of price hikes, fake pharmaceuticals, and medical malpractice....... This chapter offers an ethnographic description of health as an issue in a Hebei township and it focuses on a popular and a statist response to the perceived inadequacy of the rural health care system. The revival of religious practices in rural China is obviously motivated by many factors, but in the township...... in question, various forms of healing play a significant role in religious movements and the rising cost of medical services as well as a general distrust of formal medical institutions seem to be part of the reason why people choose to follow spirit mediums and religious movements that offer alternative...

  18. Chilean version of the INECO Frontal Screening (IFS-Ch: Psychometric properties and diagnostic accuracy

    Directory of Open Access Journals (Sweden)

    Josefina Ihnen

    Full Text Available ABSTRACT Objective: This study sought to analyze the psychometric properties and diagnostic accuracy of the Chilean version of the INECO Frontal Screening (IFS-Ch in a sample of dementia patients and control Methods: After adapting the instrument to the Chilean context and obtaining content validity evidence through expert consultation, the IFS-Ch was administered to 31 dementia patients and 30 control subjects together with other executive assessments (Frontal Assessment Battery [FAB], Modified version of the Wisconsin Card Sorting Test [MCST], phonemic verbal fluencies [letters A and P] and semantic verbal fluency [animals] and global cognitive efficiency tests (Mini mental State Examination [MMSE] and Addenbrooke's Cognitive Examination-Revised [ACE-R]. Caregivers of dementia patients and proxies of control subjects were interviewed with instruments measuring dysexecutive symptoms (Dysexecutive Questionnaire [DEX], dementia severity (Clinical Dementia Rating Scale [CDR] and functional status in activities of daily living (Activities of Daily Living Scale [IADL] and Technology-Activities of Daily Living Questionnaire [T-ADLQ]. Convergent and discriminant validity, internal consistency reliability, cut-off points, sensitivity and specificity for the IFS-Ch were estimated. Results: Evidence of content validity was obtained. Evidence of convergent validity was also found showing significant correlations (p<0.05 between the IFS-Ch and the other instruments measuring: executive functions (FAB, r=0.935; categories achieved in the MCST, r=0.791; perseverative errors in the MCST, r= -0.617; animal verbal fluency, r=0.728; A verbal fluency, r=0.681; and P verbal fluency, r=0.783, dysexecutive symptoms in daily living (DEX, r= -0.494, dementia severity (CDR, r= -0.75 and functional status in activities of daily living (T-ADLQ, r= -0.745; IADL, r=0.717. Regarding reliability, a Cronbach's alpha coefficient of 0.905 was obtained. For diagnostic accuracy

  19. February 27, 2010 Chilean Tsunami in Pacific and its Arrival to North East Asia (United States)

    Zaytsev, Andrey; Pelinovsky, EfiM.; Yalciner, Ahmet C.; Ozer, Ceren; Chernov, Anton; Kostenko, Irina; Shevchenko, Georgy


    The outskirts of the fault plane broken by the strong earthquake on February 27, 2010 in Chili with a magnitude 8.8 at the 35km depth of 35.909°S, 72.733°W coordinates generated a moderate size tsunami. The initial amplitude of the tsunami source is not so high because of the major area of the plane was at land. The tsunami waves propagated far distances in South and North directions to East Asia and Wet America coasts. The waves are also recorded by several gauges in Pacific during its propagation and arrival to coastal areas. The recorded and observed amplitudes of tsunami waves are important for the potential effects with the threatening amplitudes. The event also showed that a moderate size tsunami can be effective even if it propagates far distances in any ocean or a marginal sea. The far east coasts of Russia at North East Asia (Sakhalin, Kuriles, Kamchatka) are one of the important source (i.e. November 15, 2006, Kuril Island Tsunami) and target (i.e. February, 27, 2010 Chilean tsunami) areas of the Pacific tsunamis. Many efforts have been spent for establishment of the monitoring system and assessment of tsunamis and development of the mitigation strategies against tsunamis and other hazards in the region. Development of the computer technologies provided the advances in data collection, transfer, and processing. Furthermore it also contributed new developments in computational tools and made the computer modeling to be an efficient tool in tsunami warning systems. In this study the tsunami numerical model NAMI DANCE Nested version is used. NAMI-DANCE solves Nonlinear form of Long Wave (Shallow water) equations (with or without dispersion) using finite difference model in nested grid domains from the source to target areas in multiprocessor hardware environment. It is applied to 2010 Chilean tsunami and its propagation and coastal behavior at far distances near Sakhalin, Kuril and Kamchatka coasts. The main tide gauge records used in this study are from

  20. Slow-slip events hiding in low-coupled areas of the Chilean subduction zone ? (United States)

    Métois, Marianne; Vigny, Christophe; Socquet, Anne


    The recent expansion of dense GPS networks over plate boundaries allows for remarkably precise mapping of interseismic coupling along active faults. The coupling coefficient is linked to the ratio between slipping velocity on the fault during the interseismic period and the long-term plates velocity. The coupling coefficient is a phenomenological parameter representing the kinematic state of the system, but a physical quantitative description of that parameter is needed for seismic hazard assessment. In other words, which amount of coupling or decoupling is needed to allow for earthquake to nucleate, propagate or stop, would be of great help to build rupture scenarios. Here, we investigate the link between coupling and present-day seismicity over the Chilean subduction zone. We combine recent GPS data acquired over the 2000 km long margin (38-18°S) with older data acquired at continental scale to get a nearly continuous picture of the interseismic coupling variations on the interface. We identify at least six zones where the coupling decreases dramatically, dividing individual highly coupled segments. These low-coupled areas often behave as barriers to past megathrust ruptures and experience high rates of seismicity during the interseismic period, including swarm-like sequences. We suggest that in these regions, the subduction interface is a patchwork of small velocity-weakening patches surrounded by velocity-strengthening material that would slide during the interseimic period. This relationship is consistent with observations over other subduction zones, notably in Ecuador where shallow aseismic transients have been observed near low coupled swarm-prone areas (Vallée et al. 2013). However for now, no transient event has been recorded yet all over the Chilean megathrust, preventing clear identification of creeping portions of the interface. Here, we test the hypothesis supposing that, similar to the Ecuador 2010 swarm episode, significant slow-slip events

  1. Adaptation of the spiders to the environment: the case of some Chilean species (United States)

    Canals, Mauricio; Veloso, Claudio; Solís, Rigoberto


    Spiders are small arthropods that have colonized terrestrial environments. These impose three main problems: (i) terrestrial habitats have large fluctuations in temperature and humidity; (ii) the internal concentration of water is higher than the external environment in spiders, which exposes them continually to water loss; and (iii) their small body size determines a large surface/volume ratio, affecting energy exchange and influencing the life strategy. In this review we focus on body design, energetic, thermal selection, and water balance characteristics of some spider species present in Chile and correlate our results with ecological and behavioral information. Preferred temperatures and critical temperatures of Chilean spiders vary among species and individuals and may be adjusted by phenotypic plasticity. For example in the mygalomorph high-altitude spider Paraphysa parvula the preferred temperature is similar to that of the lowland spider Grammostola rosea; but while P. parvula shows phenotypic plasticity, G. rosea does not. The araneomorph spiders Loxosceles laeta and Scytodes globula have greater daily variations in preferred temperatures at twilight and during the night, which are set to the nocturnal activity rhythms of these species. They also present acclimation of the minimum critical temperatures. Dysdera crocata has a low preferred temperature adjusted to its favorite prey, the woodlouse. Spider metabolic rate is low compared to other arthropods, which may be associated with its sit and wait predatory strategy particularly in primitive hunter and weavers. In mygalomorph spiders the respiratory system is highly optimized with high oxygen conductance, for example G. rosea needs only a difference of 0.12–0.16 kPa in the oxygen partial pressure across the air-hemolymph barrier to satisfy its resting oxygen consumption demands. Water loss is a significant stress for spiders. Paraphysa parvula shows an evaporative water loss 10 times more than usual

  2. Juvenile Justice in Rural America. (United States)

    Jankovic, Joanne, Ed.; And Others

    Producing a much-needed organized body of literature about rural juvenile justice, 14 papers (largely from the 1979 National Symposium on Rural Justice) are organized to identify current issues, identify forces causing changes in current systems, review programs responding to rural juvenile justice problems, and provide planning models to aid…

  3. Interdisciplinarity and young rural researchers

    NARCIS (Netherlands)

    Derkzen, P.H.M.; Mustakangas, E.; Gambino, M.; Kucerova, E.


    The European Society for Rural Sociology (ESRS) organised a round table discussion for young rural researchers at the XXI ESRS Congress, 22-26 August, 2005 in Keszthely, Hungary. In the discussion, participants focused on interdisciplinarity in rural research from their own personal points of view b

  4. Planning Schools for Rural Communities. (United States)

    Harmon, Hobart; Howley, Craig; Smith, Charles; Dickens, Ben

    School improvement in rural places cannot succeed without attention to the rural context of learning. Most especially, smaller schools need to be preserved and sustained in rural areas, particularly impoverished communities, for the sake of student achievement and personal development. This school improvement tool suggests the character of a "good…

  5. Social Welfare in Rural Europe. (United States)

    Shucksmith, Mark; And Others


    Literature review on social exclusion and disadvantage in rural Europe suggests that rural poverty arises from unemployment, low wages, and, most significantly, inadequate income in old age. Discusses difficulties in identifying rural incidence of exclusion and disadvantage, as well as the need for such research in light of major ongoing social…

  6. Rural Credit in Vietnam

    DEFF Research Database (Denmark)

    Barslund, Mikkel Christoffer; Tarp, Finn

    This paper uses a survey of 932 rural households to uncover how the rural credit market operates in four provinces of Vietnam. Households obtain credit through formal and informal lenders, but formal loans are almost entirely for production and asset accumulation. Interest rates fell from 1997...... to 2002, reflecting increased market integration; but the determinants of formal and informal credit demand are distinct. Credit rationing depends on education and credit history, but we find no evidence of a bias against women. Regional differences are striking, and a ‘one size fits all’ approach...

  7. Rural energy and development

    Energy Technology Data Exchange (ETDEWEB)

    Stern, R.


    The author discusses the worldwide problem and need for rural electrification to support development. He points out that rural areas will pay high rates to receive such services, but cannot afford the capital cost for conventional services. The author looks at this problem from the point of energy choices, subsides, initial costs, financing, investors, local involvement, and governmental actions. In particular he is concerned with ways to make better use of biofuels, to promote sustainable harvesting, and to encourage development of more modern fuels.

  8. Strategies for reducing visual impairment and blindness in rural and remote areas of Africa

    Directory of Open Access Journals (Sweden)

    Olalekan O. Oduntan


    Full Text Available The prevalence of visual impairment (VI and blindness in Africa is one of the highest in the world; a large proportion of the causes are preventable. The prevalence is particularly high in rural and remote areas, where many of the continent’s inhabitants live. This is of great concern because of the low number and poor distribution of primary eye care practitioners, as well as poor eye care infrastructure services in those areas. Uncorrected refractive errors are a major cause of avoidable VI and blindness, and optometrists play a major role in refractive error correction on the continent. However, as with other healthcare providers in Africa, optometrists are few and tend to be mainly in major cities. This paper highlights possible strategies, in alignment with the Ottawa Charter for Health Promotion, that can reduce VI in rural and remote areas of the continent. The strategies include increasing the eye care workforce, attracting them to rural areas and retaining them there, improving the eye care infrastructure, service improvement such as equitable distribution of eye care practitioners, implementing preventive measures such as vision screening and affordable spectacles, and eye health education such as eye health promotions, school health programmes and eye care awareness campaigns. Such strategies could drastically reduce the prevalence of VI and blindness in rural and remote areas of Africa.

  9. Variation in spirometry utilization between trained general practitioners in practices equipped with a spirometer.

    NARCIS (Netherlands)

    Poels, P.J.E.; Schermer, T.R.J.; Jacobs, A.; Akkermans, R.P.; Hartman, J.; Bottema, B.J.A.M.; Weel, C. van


    OBJECTIVE: To explore spirometry utilization among general practitioners and identify practitioner and practice-related factors associated with spirometry utilization. DESIGN: Multivariate multilevel cross-sectional analysis of a questionnaire survey. SETTING: Some 61 general practices involved in a

  10. Microbial Terroir in Chilean Valleys: Diversity of Non-conventional Yeast (United States)

    Jara, Carla; Laurie, V. Felipe; Mas, Albert; Romero, Jaime


    In this study, the presence of non-conventional yeast associated with vineyards located between latitudes 30°S and 36°S was examined, including the valleys of Limarí, Casablanca, Maipo, Colchagua, Maule, and Itata. The microbial fingerprinting in each valley was examined based on the specific quantification of yeast of enological interest. Grape–berries were sampled to evaluate the presence and load of non-conventional yeast with enological potential, such as Metschnikowia, Hanseniaspora, Torulaspora, Debaryomyces, Meyerozyma, and Rhodotorula. These yeasts were present in all vineyards studied but with varying loads depending on the valley sampled. No identical fingerprints were observed; however, similarities and differences could be observed among the microbial profiles of each valley. A co-variation in the loads of Metschnikowia and Hanseniaspora with latitude was observed, showing high loads in the Casablanca and Itata valleys, which was coincident with the higher relative humidity or rainfall of those areas. Non-conventional yeasts were also isolated and identified after sequencing molecular markers. Potentially good aromatic properties were also screened among the isolates, resulting in the selection of mostly Metschnikowia and Hanseniaspora isolates. Finally, our results suggest that microbial terroir might be affected by climatic conditions such as relative humidity and rainfall, especially impacting the load of non-conventional yeast. In this study, the microbial fingerprint for yeast in Chilean vineyards is reported for the first time revealing an opportunity to study the contribution of this assembly of microorganisms to the final product. PMID:27242693

  11. Understanding Attitudes and Pro-Environmental Behaviors in a Chilean Community

    Directory of Open Access Journals (Sweden)

    Nicolás C. Bronfman


    Full Text Available Environmental protection and restoration are some of the major challenges faced by our society. To address this problem, it is fundamental to understand pro-environmental behaviors in the population, as well as the factors that determine them. There are, however, very few studies conducted in Latin America that are focused in understanding the environmental behavior of its citizens. The main goal of this research was to study the environmental behaviors of a Chilean community and identify the factors that determine them. To that end, a diverse set of environmental behaviors (power and water conservation, environmentally-aware consumer behavior, biodiversity protection, rational automobile use and ecological waste management and sociodemographic and attitudinal factors—based on the VBN model—were evaluated. Survey data was obtained from a statistically representative sample (N = 1537 in Santiago, Chile. Our results suggest that several participants displayed tendencies that favor more responsible environmental behaviors, with high environmental concern, and demonstrating their ample awareness of the consequences of failing to protect the environment. Nevertheless, the highest average scores of environmental behavior were related to low cost behaviors and those that imposed the fewest behavioral restrictions. In global terms, we concluded that the youngest subjects in the lowest socioeconomic group obtained the lowest scores across the pro-environmental behavior spectrum.

  12. Aneurismal subarachnoid hemorrhage in a Chilean population, with emphasis on risk factors

    Directory of Open Access Journals (Sweden)

    A Cifuentes Lucía


    Full Text Available Abstract Background Subarachnoid Hemorrhage (SAH is caused principally by the rupture of intracranial aneurisms. Important risk factors have been described such as age, sex, hypertension (HT and season of the year, among others. The objective is to investigate the demographic characteristics and possible risk factors in a population of Chilean patients. Methods This retrospective study was based on the analysis of 244 clinical records of patients diagnosed with aneurismal SAH who were discharged from the Instituto de Neurocirugía ASENJO in Santiago, Chile. Results The mean age of patients was 49.85 years and the male:female ratio was 1:2.7. The signs and symptoms were not different between sexes; cephalea (85.7% was predominant, followed by loss of consciousness, vomiting/nausea and meningeal signs. Risk factors included sex, age and HT. Concordant with other reports, the incidence of SAH was greatest in spring. Conclusions The demographic characteristics and risk factors observed in patients with aneurismal SAH treated in ASENJO were comparable to those of other populations. We were not able to conclude that tobacco and alcohol consumption were risk factors for this population.

  13. Cold tolerance evaluation in Chilean rice genotypes at the germination stage

    Directory of Open Access Journals (Sweden)

    Gabriel Donoso Ñanculao


    Full Text Available Low temperature is the most important abiotic stress affecting rice (Oryza sativa L. yield in Chile. Rice in Chile is usually planted when the minimum air temperatures are below 12 °C. This temperature is lower than the optimum needed for normal rice germination. Therefore, the aim of this study was to evaluate cold tolerance in 20 experimental lines from the Rice Breeding Program of the Instituto de Investigaciones Agropecuarias (INIA, Chile, at the germination stage. Coleoptile length reduction (CRED, coleoptile length after cold treatment (CLEN, coleoptile length recovery (CREC, and coleoptile regrowth (CREG were evaluated at 13 °C for 4 d using 'Diamante-INIA' as the cold-tolerant control. To find genotypes with cold tolerance (low CRED value and high CLEN, CREC, and CREG values, genotypes were ranked, a biplot of principal components, and cluster analysis were performed. No differences were found among genotypes in the ranking based on CREC value so this trait was not considered. Analysis showed that only three experimental lines had cold tolerance similar to that of 'Diamante-INIA'; all other experimental lines exhibited intermediate to low cold tolerance. These results showed low cold tolerance of some Chilean genotypes at the germination stage, thus confirming the need to evaluate the rest of the germplasm from the Rice Breeding Program.

  14. Towards a cleaner production in developing countries: a case study in a Chilean tannery. (United States)

    Rivela, Beatriz; Méndez, Ranón; Bornhardt, Cristian; Vidal, Gladys


    A Chilean leather tanning industry (tannery) was studied in terms of input/output (I/O) analysis of beamhouse, tanyard and retanning processes. The physical-chemical characterization of 19 streams were investigated. Streams from the beamhouse process and some streams from the retanning process were found to have high organic contents ranging from 2.5 to 18.1 g COD L(-1). The pH ranged between 3.45 and 12.28. Sulphur was found in most of the streams whereas chromium was detected in two wastewaters from the tanyard and in seven streams from the retanning process. Pollution prevention opportunities were evaluated and an appropriate treatment strategy was proposed. The main emphasis was on determining waste reduction measures that can be easily implemented and are not particularly expensive. Measures for reduction at source were proposed to reduce water and chemicals consumption and wastewater pollution. A so-called S(index) strategy was used to evaluate proposals on segregation and specific treatment of the main chromium- and sulphur-containing wastewaters. It was suggested that some streams may be re-used, but it is necessary to apply anaerobic or aerobic treatment first, depending on their organic load. Solid wastes were also evaluated and a proposal for their reduction and disposal was made.

  15. Dense plasmas research in the Chilean Nuclear Energy Commission: past, present and future

    Energy Technology Data Exchange (ETDEWEB)

    Soto, Leopoldo; Silva, Patricio; Moreno, Jose; Zambra, Marcelo; Sylvester, Gustavo; Esaulov, Andrey; Altamirano, Luis [Comision Chilena de Energia Nuclear (CCHEN), Santiago (Chile)]. E-mail:


    A review of the dense transient plasmas researches, developed in the Chilean Nuclear Energy Commission, is presented. A brief summary of the researches done in collaboration with the Pontificia Universidad Catolica de Chile, between 1993 to 1997, is shown. In addition, the program 'Plasma Physics in Small Devices', developed at the Comision Chilena de Energia Nuclear since 1999 is delineated. The diagnostics development and results obtained during three experiments using small pinch devices are shown: a capillary discharge; a Z pinch driven by a small generator; and a low energy plasma focus. The experiments were complemented by magnetohydrodynamics numerical calculations, in order to assist the design and physical interpretation of the experimental data. The diagnostics techniques used in these experiments include current and voltage monitors, multi pinhole camera, plasma image using a ICCD camera gated from 3 to 20 ns, holographic interferometry, and vacuum ultraviolet spectroscopy. Recently, the pulse power generator SPEED 2, a medium energy and large current device (187 kJ, 4 MA, 300 kV, 400 ns, dI/dt{approx}10{sup 13} A/s), has been transferred from the Duesseldorf University to the Comision Chilena de Energia Nuclear. Future experiments, and the perspectives of using this device, are also discussed. (author)

  16. Microbial life in a fjord: metagenomic analysis of a microbial mat in Chilean patagonia.

    Directory of Open Access Journals (Sweden)

    Juan A Ugalde

    Full Text Available The current study describes the taxonomic and functional composition of metagenomic sequences obtained from a filamentous microbial mat isolated from the Comau fjord, located in the northernmost part of the Chilean Patagonia. The taxonomic composition of the microbial community showed a high proportion of members of the Gammaproteobacteria, including a high number of sequences that were recruited to the genomes of Moritella marina MP-1 and Colwelliapsycherythraea 34H, suggesting the presence of populations related to these two psychrophilic bacterial species. Functional analysis of the community indicated a high proportion of genes coding for the transport and metabolism of amino acids, as well as in energy production. Among the energy production functions, we found protein-coding genes for sulfate and nitrate reduction, both processes associated with Gammaproteobacteria-related sequences. This report provides the first examination of the taxonomic composition and genetic diversity associated with these conspicuous microbial mat communities and provides a framework for future microbial studies in the Comau fjord.

  17. Microbial Life in a Fjord: Metagenomic Analysis of a Microbial Mat in Chilean Patagonia (United States)

    Ugalde, Juan A.; Gallardo, Maria J.; Belmar, Camila; Muñoz, Práxedes; Ruiz-Tagle, Nathaly; Ferrada-Fuentes, Sandra; Espinoza, Carola; Allen, Eric E.; Gallardo, Victor A.


    The current study describes the taxonomic and functional composition of metagenomic sequences obtained from a filamentous microbial mat isolated from the Comau fjord, located in the northernmost part of the Chilean Patagonia. The taxonomic composition of the microbial community showed a high proportion of members of the Gammaproteobacteria, including a high number of sequences that were recruited to the genomes of Moritella marina MP-1 and Colwelliapsycherythraea 34H, suggesting the presence of populations related to these two psychrophilic bacterial species. Functional analysis of the community indicated a high proportion of genes coding for the transport and metabolism of amino acids, as well as in energy production. Among the energy production functions, we found protein-coding genes for sulfate and nitrate reduction, both processes associated with Gammaproteobacteria-related sequences. This report provides the first examination of the taxonomic composition and genetic diversity associated with these conspicuous microbial mat communities and provides a framework for future microbial studies in the Comau fjord. PMID:24015199

  18. Lagrangian flow measurements and observations of the 2015 Chilean tsunami in Ventura, CA (United States)

    Kalligeris, Nikos; Skanavis, Vassilios; Tavakkol, Sasan; Ayca, Aykut; Safty, Hoda El; Lynett, Patrick; Synolakis, Costas


    Tsunami-induced coastal currents are spectacular examples of nonlinear and chaotic phenomena. Due to their long periods, tsunamis transport substantial energy into coastal waters, and as this energy interacts with the ubiquitous irregularity of bathymetry, shear and turbulent features appear. The oscillatory character of a tsunami wave train leads to flow reversals, which in principle can spawn persistent turbulent coherent structures (e.g., large vortices or "whirlpools") that can dominate damage and transport potential. However, no quantitative measurements exist to provide physical insight into this kind of turbulent variability, and no motion recordings are available to help elucidate how these vortical structures evolve and terminate. We report our measurements of currents in Ventura Harbor, California, generated by the 2015 Chilean M8.3 earthquake. We measured surface velocities using GPS drifters and image sequences of surface tracers deployed at a channel bifurcation, as the event unfolded. From the maps of the flow field, we find that a tsunami with a near-shore amplitude of 30 cm at 6 m depth produced unexpectedly large currents up to 1.5 m/s, which is a fourfold increase over what simple linear scaling would suggest. Coherent turbulent structures appear throughout the event, across a wide range of scales, often generating the greatest local currents.

  19. Becoming Reflective and Inquiring Teachers: Collaborative Action Research for In-service Chilean Teachers

    Directory of Open Access Journals (Sweden)

    Martine Pellerin


    Full Text Available This article discusses the outcomes of a case study that engaged Chilean in-service teachers in systematic action research (AR as a means of improving their pedagogical practice and effecting changes in their educational context. The study involved six in-service teachers from a region of Chile and two university researchers. The findings show that knowledge of systematic AR provided the teachers with the necessary means to engage in a critical reflection and inquiry process regarding their own practice. The teacher participants also perceived the self-reflective spiral of reflection and action to be crucial in establishing new habits of inquiry and reflection about their own pedagogical actions. The findings support earlier studies (e.g., Price & Valli, 2005; Steven & Kitchen, 2005, 2011 concerning the necessity of including knowledge of systematic AR in teacher preparation programs in order to foster strong habits of inquiry and reflection among preservice teachers. Finally, the study suggests that participation in a systematic reflection and inquiry process contributes to empowering in-service teachers to become agents of pedagogical change through their own actions.

  20. [Antecedents for the teaching of nutrition in the Chilean school system]. (United States)

    Olivares, S; Valiente, S


    This article reports that as part of the research into the Chilean population's understanding, habits, and beliefs about food and analysis was made of food and nutrition knowledge in a sample of 966 elementary and secondary school teachers and 1,050 freshmen students of different schools of the University of Chile in 1979, located in three cities in the north, center, and south of the country. Their knowledge of food and nutrition was tested using a standardized questionnaire. The results of the test were graded according to the percentage of correct answers in six categories. Only 30.6 per cent of the teachers and 17 per cent of the students scored above the acceptable minimum of 50 per cent. It is evident that food and nutrition knowledge of elementary and secondary school teachers and of freshmen students at the University of Chile is insufficient. The relationship between the knowledge variable and other variables in the study shows that this lack is mainly related to environmental factors, independent of formal education. The article offers specific suggestions to be incorporated in the nutrition education curriculum in Chile.