Absurdity:Analysis of Features of the Style of Harold Pinter's Plays

Institute of Scientific and Technical Information of China (English)

南华; 王佳佳

2016-01-01

Absurdity is the most distinctive feature of the early works of Harold Pinter. The nature of absurdity is the purposeless-ness of life without the balance and harmony between men and environment. This paper analyzes the distinctive style of Pinter to mainly analyze the application and reflection of the absurd style of Pinter in his plays, and highlight its expressing forms through the analysis on the plot, characters and languages.

Hombres: Doctor Luis Ángel Arango

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Boletín Cultural y Bibliográfico Banco de la República

1958-02-01

Full Text Available En el documento se realiza la nota de conmemoración  del fallecimiento del Doctor Luis Ángel Arango  Esta nota tiene como fin realizar un homenaje a tan reputado ciudadano colombiano y mienbro de la comunidad de funcionarios del Banco de la República.

Comedy in the seventies: A study of certain plays by Harold Pinter

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A. L. Combrink

1980-05-01

Full Text Available Harold Pinter emerges from a survey of critical responses to his work as being at once the most praised and the most reviled of contemporary British playwrights. The present study is an attempt to shed some light on some of the problems confronting the reader of his works through approaching his plays as exemplars of the contemporary comic vision.

Harold E. Varmus, MD.

Science.gov (United States)

Varmus, H E

1995-06-01

On November 19, 1993, the Senate approved the nomination of Harold E. Varmus, MD, as Director of the National Institutes of Health (NIH). Varmus, who received the 1989 Nobel Prize in Medicine, brought unquestioned credentials as a scientist to the NIH. Despite his limited background as an administrator, Varmus has received high marks from most observers for improving the morale of NIH staffers and implementing streamlined procedures in the grant review process. His tenure has not been free of controversy, however. Many clinical researchers have long felt there is a bias in NIH study sections against patient-oriented research. A recent study sponsored by the Division of Research Grants confirmed the lower success rate of patient-oriented research proposals, but the outcome of these findings remains unclear. Faced with mounting political pressure for a balanced budget, and the resultant reduction of funding to many branches of government, Varmus has been a strong voice for non-targeted investigator initiated research. Interviewed in his office in Building One on the NIH campus in Bethesda, Maryland, Varmus discussed the state of patient oriented research, the evolving role of the NIH in supporting science, and just where the money to pay for it should be found.

La sombra sobre Marvel : reescrituras del horror arquetípico en los cómics del Doctor Extraño.

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Martín, Jorge

2017-01-01

Desde que H.P. Lovecraft sentó las bases del horror cósmico, otros muchos autores y medios han seguido el influjo de esta manifestación de lo fantástico. Entre ellos, el comic book americano también ha tratado de incorporar a sus códigos los terrores arquetípicos imaginados por el autor de Providence. Nuestro estudio pretende analizar un caso paradigmático: el superhéroe de la editorial Marvel conocido como Doctor Extraño, pues las particularidades de este personaje parecen óptimas para la tr...

What Would He Say? Harold O. Rugg and Contemporary Issues in Social Studies Education

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Boyle-Baise, Marilynne; Goodman, Jesse

2009-01-01

The purpose of this paper is to consider the continued saliency of the ideas of Harold O. Rugg, particularly for social studies education. Given the conservative political times in which we work, and the current educational emphases on academic standards, high-stakes standardized testing, and mastery of specified knowledge, and the impact of these…

La formación actual del médico: fortalezas y debilidades The current training of doctors: strengths and weaknesses

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X. Clèries

2009-03-01

Full Text Available Las “Jornadas estatales de estudio y debate sobre el futuro de la formación integral del médico ¿bioingeniería o medicina?” que se realizaron en Barcelona el 8 y 9 de febrero de 2008 fueron el marco para que un grupo de trabajo abordara el tema de las fortalezas y debilidades de la formación actual del médico. Las principales aportaciones se estructuraron en los tres niveles educativos siguientes: pregrado, posgrado y formación continuada. Se destacó la necesidad de una formación integral y psicosocial en la enseñanza de pregrado, la conveniencia de una estructuración troncal de la formación de posgrado para conseguir una mayor transversalidad de la competencia del médico y la contextualización de la formación continuada en el desarrollo profesional de cada médico. El predominio de los conocimientos biomédicos y tecnológicos en la formación actual del médico contrastan con las demandas de carácter psicosocial de una gran parte de la población en el sistema sanitario.The “National Conference for study and debate on the future of the integral training of doctors: bioengineering or medicine?” that were realized in Barcelona on February 8-9th, 2008 it was the context so that a work group was carried out on the topic about strengths and weaknesses of the current training of physicians. The main contributions were structured around three educational levels: undergraduate, postgraduate and continuing education. In the undergraduate level was emphasized the need to achieve an integral and psychosocial education. The postgraduate education should have a core subject in order to acquire a better global understanding of doctors' competences. Continuing medical education in the context of professional development of every physician. The predominance of the biomedical and technological knowledge in the current training of doctors contrasts with psychosocial demands of the population of healthcare system.

Investidura de doctores Honoris Causa de Albert Bandura y José del Castillo Nicolau. Universidad de Salamanca, 17 de julio de 1992

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Sánchez López, Cándido, Candy

1992-01-01

Cincuenta y siete fotografías de la ceremonia de investidura de doctores Honoris Causa de Albert Bandura y José del Castillo Nicolau. Acto celebrado en el Paraninfo de la Universidad de Salamanca el 17 de julio de 1992.

Percepcion de los estudiantes participantes del programa doctoral: planificación e innovación educativa

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María Luisa Collarte Inzuna

2015-03-01

Full Text Available Este artículo pretende recoger la percepción de algunos profesores chilenos participantes del ingreso 2013 al programa de Doctorado en Planificación e Innovación educativa dictado por la Universidad extranjera, Alcalá de Henares. Es un análisis de situación que se realizó a través de un cuestionario y conversaciones personales, se procuró conocer sus motivaciones, dificultades, impacto en sus familias y trabajos. En la línea de formación continua del educador, ser Doctor es el mayor grado académico que se puede obtener, lo que debiese repercutir en la investigación educativa en nuestro país. Este pequeño trabajo podría ser el inicio de una línea de investigación, referente a la calidad de los postgrados en educación, la motivación del profesorado, forma de financiamiento, metodología, evaluación, entre otros. Es importante investigar el por qué la relación entre el mundo académico y la investigación educativa, se percibe tan lejano de parte del educador de aula, y no constituye un real aporte a la calidad de la educación.

Clinicians' autonomy till the bitter end--can we learn from the extraordinary case of Harold Shipman?

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Weel, C. van

2004-01-01

Harold Shipman has attained the dubious reputation of being the greatest mass murderer of modern times. A specific feature of his murders was that these were committed during regular general practice care, over a period of 20 years. There are no grounds to assume that Shipman's case is unique in

La superaci??n del modelo del ??ngel del hogar:

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Hurtado Mu??oz, M??nica

2012-01-01

La Tesis Doctoral titulada "La superaci??n del modelo del "??ngel del hogar". Recuperaci??n de la escritora Leonor Canalejas y Fustegueras (1869-1945)" aborda, en primer lugar, un an??lisis sociol??gico de las circunstancias que rodearon a la mujer espa??ola en el cambio de siglo en el ??mbito social y educativo, en un intento de esclarecer las caracter??sticas propias del contexto en el que la mujer accede a la intelectualidad en general y a la literatura en particular. Esta parte concluye q...

Harold Pinter in Slovene Translation

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Darja Hribar

2004-12-01

Full Text Available This article examines the translation of Harold Pinter’s most notable stylistic peculiarities into Slovene, illustrating its main points with examples taken from his play The Homecoming. The findings demonstrate above all a marked degree of non-observance of the special verbal pattern (special cohesion of the originals, a failure to convey Pinter’s special configuration of meaning (special coherence, and a disregard for internal unifying coincidences. It argues that the Slovene translations of Pinter rely mostly on traditional theories of meaning and of language norms, thus preventing the reproduction of those emotional and psychological actions of Pinter’s characters which are usually not expressed by means of the rhetorical, informative elements of his dialogue, but by its form and sonority, i. e. the length, strength, and level of articulation of verbal expression. This blurs Pinter’s famous logic of emotion, narrows the proverbial openness and conceptual uncertainty of his plays, and limits their potential vitality in translation. Taking into account current drama and theatre translation practices in Slovenia, i.e. the rarity of published drama translation and the dependence on a translated performance text for subsequent theatrical productions, the article argues that in such cases the drama translation should be retrospective, i.e. aiming at a maximum reconstruction of all relevant linguistic, stylistic, and textual properties of the original, leaving expressly subjective interventions in the text to the theatre practitioners.

La superación del modelo del ángel del hogar:

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Hurtado Muñoz, Mónica

2013-01-01

La Tesis Doctoral titulada "La superación del modelo del "ángel del hogar". Recuperación de la escritora Leonor Canalejas y Fustegueras (1869-1945)" aborda, en primer lugar, un análisis sociológico de las circunstancias que rodearon a la mujer española en el cambio de siglo en el ámbito social y educativo, en un intento de esclarecer las características propias del contexto en el que la mujer accede a la intelectualidad en general y a la literatura en particular. Esta parte concluye que la cr...

Ruptura del projecte parental i disposició dels preembrions

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Farnós Amorós, Esther

2010-01-01

La tesi doctoral "Ruptura del projecte parental i disposició dels preembrions" analitza els efectes del consentiment a les tècniques de reproducció assistida prestat en el marc d'un projecte parental. La tesi ofereix una resposta als conflictes que enfronten exesposos o exconvivents en relació al destí dels preembrions sobrants d'un cicle de fecundació "in vitro" iniciat durant la relació. Aquests conflictes constitueixen un grup de casos al voltant del qual no hi ha solucions legislatives qu...

La Redención del Egotismo: James y Proust como Ejercicios Espirituales

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Richard Rorty

2001-09-01

Full Text Available Partiendo de la recomendaciones de Harold Bloom sobre qué leer y por qué, se plantea que la literatura imaginativa, más que la argumentativa, es la manera más eficiente de alcanzar una autonomía intelectual. Una clase de autonomía que lo libera a uno de formas de pensamiento esterotipadas sobre los seres humanos. Luego estos planteamiento se extrapoldan a los escritores James y Proust como ejemplos de creadores de obras liberadoras del egotismo.

Profesor Doctor Fernando Sonnet: In Memoriam

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Alberto José Figueras

2016-07-01

Full Text Available Recuerdo del Profesor Doctor Fernando Sonnet, destacado docente e investigador, en las áreas de economía agraria, economía de empresas y microeconomía, en el Instituto de Economía y Finanzas de la Facultad de Ciencias Económicas, Universidad Nacional de Córdoba.Palabras Clave: Fernando H. Sonnet; Recuerdo; Universidad Nacional de Córdoba.Código JEL: B32. Professor Doctor Fernando Sonnet: In MemoriamAbstractRemembrance of Professor Doctor Fernando Sonnet, a senior lecturer and researcher in the areas of agricultural economics, business economics and microeconomics at the Institute of Economics and Finance at the Faculty of Economics, Universidad Nacional de Córdoba.Keywords: Fernando H. Sonnet; Memory; Universidad Nacional de CórdobaJEL Classification: B32.

New species, redescription and taxonomic notes in the Dichotomius (Luederwaldtinia) batesi (Harold) species-group (Coleoptera: Scarabaeidae: Scarabaeinae).

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Vaz-de-Mello, Fernando Z; Nunes, Rafael V

2016-07-20

This paper deals with taxonomic issues of the Dichotomius (Luederwaldtinia) batesi (Harold) species-group. We describe Dichotomius benesi n. sp. from Panama, and redescribe and designate a lectotype for Dichotomius ocellatopunctatus (Felsche) from Venezuela, both hemi-brachypterous species. We also do brief comments on the taxonomy of this species-group. Dichotomius joelus, previously assigned to this group, is here considered to be a new synonym of D. opacipennis and then to belong to Dichotomius geminatus species-group.

Modern history of surgical management of lung abscess: from Harold Neuhof to current concepts.

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Schweigert, Michael; Dubecz, Attila; Stadlhuber, Rudolf J; Stein, Hubert J

2011-12-01

Harold Neuhof was one of the pioneers of thoracic surgery in the early decades of the last century. Inspired by his preceptor Howard Lilienthal he proposed an entirely new concept for surgery on acute lung abscess. The aim of his one-stage procedure was adequate drainage of the abscess cavity. His approach proved to be the first major breakthrough in the treatment of acute lung abscess. Therapy of pulmonary abscess was again radically changed by the advent of antibiotics in the late 1940s. However, the basic principles of Neuhof's concept still influence modern-day management of putrid lung abscess. Copyright © 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Apuntes para la historia del paludismo en Colombia

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Facultad de Medicina Revista

1943-08-01

Full Text Available La Revista viene publicando trabajos sobre paludismo realizados últimamente, unos bajo los auspicios del Ministerio de Higiene y lso más, del Departamento Tropical de la Facultad de Medicina. En este mismo número aparece el interesante y utilísimo estudio "Biología y distribución geográfica de los mosquitos anofelinos de Colombia", hecho por el doctor Augusto Gast de la Sección de Estudios Especiales y uno de los médicos más enterados en el problema del paludismo. En desarrollo del tema y por sugestión del doctor Gast, apuntamos unos pocos datos que se nos vienen a la mente sobre tentativas de investigación y esbozos de lucha antipalúdica en Colombia.

El doctor Francisco Guerra, bibliófilo

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Sánchez Mariana, Manuel

2007-01-01

Biografía del doctor Francisco Guerra, médico y uno de los bibliófilos más representativos de comienzos del s. XXI, poseedor de una importantísima biblioteca, donada por decisión propia, en el año 2006 a la Biblioteca Histórica de la Universidad Complutense. La biblioteca está compuesta por más de 4000 impresos y manuscritos de una variada seleccion de títulos humanísticos y científicos: clásicos griegos, romanos y españoles, clásicos de economía, descubrimiento de América, crónicas españolas...

Perfil histológico e inmunohistoquímico del desarrollo del mesenquima de la extremidad del embrión y feto

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Gosálbez García, Javier

2016-01-01

El presente trabajo de tesis doctoral se centra en el estudio del mesémquima de la extremidad de embriones y fetos obtenidos de 50 muestras procedentes de abortos recogidas del archivo del Servicio de Anatomía Patológica del H.U.C.A. Tras la clasificación de las muestras según el tamaño y edad de gestación probable, el procesamiento de los tejidos se realizó según la técnica habitual de preparación de muestras para su estudio histológico con microscopio óptico. Las tinciones se realizaron ...

TESIS DOCTORALES Doctoral dissertations

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Esteban Hernández Esteve

2006-07-01

Full Text Available TESIS DOCTORALES Doctoral dissertations María Soledad Campos Lucena: El control de las arcas municipales a través de la rendición de cuentas. La transformación del proceso del Antiguo al Nuevo régimen y la consolidación del modelo liberal: 1745-1914 The control of municipal coffers by means of account rendering. The change from Ancien Régime to the New Regime and the consolidation of liberalism: 1745-1914 Candelaria Castro Pérez: La institución parroquial a través de los registros contables del Señorío episcopal de la Villa de Agüimes. (1500-1860 The parochial institution seen through the account books of the Episcopal domain of the city of Aguimes (1500-1860 José Julián Hernández Borreguero: El Cabildo Catedral de Sevilla: organización y sistema contable. (1625-1650 Administrative and accounting organization of the Seville Cathedral. (1625-1650 Juan Lanero Fernández: El esplendor de la teneduría de libros: la partida doble en los tratados contables ingleses de la dinastia Tudor (1543-1588 Bookkeeping splendor: double-entry in the English accounting treatises at the time of the Tudor dynasty (1543-1588 María Llompart Bibiloni: Un análisis histórico-contable de la Procuración del Real Patrimonio en el Reino de Mallorca, período 1310-1330 An accounting historical análisis of the Royal Exchequer of the Kingdom of Mallorca (1310-1330

Discurso de Posesión del Académico Doctor Zoilo Cuéllar Montoya.

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Zoilo Cuéllar-Montoya

2006-03-01

Debieron pasar casi treinta años hasta que el Profesor Rafael Ucrós Durán fuera electo para presidir la Academia para un primer período, cargo que ocupó del 1º de septiembre de 1932 al 26 de junio de 1934 y, reelegido, junto con la totalidad de su Junta Directiva, continuó en la Presidencia de la Academia de esta fecha hasta el 3 de septiembre de 1936. Veinte años después, el Profesor Jorge E. Cavelier Jiménez, Bogotano de nacimiento, de prosapia gala y cartagenera, se hizo cargo de la Presidencia de la Academia, entre el 26 de octubre de 1956 y el 2 de abril de 1959 cuando, por reelección, continuó en el cargo hasta el 9 de marzo de 1961. Unos pocos años después, el 11 de marzo de 1965, se posesionó el ilustre radiólogo bogotano, el Profesor Gonzalo Esguerra Gómez, en la Presidencia de la Academia. Reelegido en dicho cargo, lo ocupó del 16 de marzo de 1967 al 13 de marzo de 1969. Había pasado un poco más de una década cuando, el 20 de marzo de 1980, el ilustre Profesor Doctor Hernando Groot Liévano, nuestro querido Secretario Perpetuo, ocupaba por primera vez la Presidencia de la Academia, para la cual fue reelecto y se posesionó, nuevamente, el 18 de febrero de 1982, cargo en el cual permaneció hasta el 9 de febrero de 1984...

El doctor Moreno Pérez y el anopheles crucians

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Facultad de Medicina Revista

1943-03-01

Full Text Available En el año de 1933, con ocasión del conflicto del Amazonas, el doctor Ignacio Moreno·Pérez trabajó como médico de sanidad en la hoya del río Caquetá. Prosiguiendo sus estudios sobre paludismo y mosquitos transmisores a que dedicó gran parte de su meritoria vida, practicó una inspección entomológica de las cercanías de Florencia, capital de la comisaria del Caquetá, y encontró una raza en aguas salobres de Anopheles crucians. El hallazgo comunicado por él en el informe de 1934 de la comisión de paludismo del valle del Magdalena, (Estudios de Paludismo en el Valle del Magdalena, Departamento Nacional de Higiene, Sección de Sanidad Rural, Bogotá editorial de "Cromos", 1934, despertó mucho interés y fué objeto de controversias, porque conforme a los estudios de Howard, Dyar y Knab (1917, la localización del Anopheles crucians era casi hiperbórea, por encima del paralelo 25 en la América del Norte y solamente se había logrado ver además en Cuba y Jamaica.

Suicide in doctors and wives of doctors.

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Sakinofsky, I

1980-06-01

This paper re-examines the widespread belief that doctors have a proneness for suicide greater than the general population. The Standardized Mortality Ratio for male physicians is 335 and for single women doctors 257. Doctors' wives have an even greater risk: their SMR is 458. These rates for doctors are higher than for most other professional groups (except pharmacists) and the rate for doctors' wives far exceeds that for wives of other professionals. The intrinsic causes of the physician's high occupational mortality include his knowledge of toxicology and ready access to lethal drugs, so that impulsive suicide is more often successful. Professional stress and overwork, particularly the unrelenting responsibility for decisions upon which the lives of others may depend, have been inculpated. These stresses interact with the decline in the doctors' self-respect and with a personality that is prestige-oriented and independent. Some physicians turn in their frustration to alcohol/and or drugs, accelerating the process of deterioration. The high suicide rate in doctors' wives appears to be the result of unrequited needs for caring and dependency which the doctors' career demands and personality deny them.

Masculinity in the doctor's office: Masculinity, gendered doctor preference and doctor-patient communication.

Science.gov (United States)

Himmelstein, Mary S; Sanchez, Diana T

2016-03-01

Mortality and morbidity data suggest that men have shorter life expectancies than women and outrank women on several leading causes of death. These gendered disparities may be influenced by psychosocial factors like masculinity. Three studies (Total N=546) examined the role of masculinity in men's doctor choices and doctor-patient interactions. In Studies 1 and 2, men completed measures of masculinity, gender bias, and doctor preference. Using structural equation modeling, we tested the direct relationship between masculinity and male doctor preference and the indirect relationship of masculinity on male doctor preference through an association with gendered competence stereotypes. Participants in Study 3 disclosed symptoms in private followed by disclosure to a male or female interviewer in a clinical setting. Using repeated measures analysis of variance (ANOVA), we examined the interaction among symptom reporting, masculinity and doctor gender, controlling for participant comfort. In Study 1, results suggested that masculinity encouraged choice of a male doctor directly and indirectly via beliefs that men make more competent doctors than women; Study 2 directly replicated the results of Study 1. In Study 3, independent of participant comfort, an interaction between interviewer gender and masculinity emerged such that men scoring higher on masculinity reported symptoms less consistently to male interviewers (relative to higher scoring men reporting to female interviewers); the reverse was found for men scoring low on masculinity. Taken together these studies suggest that masculinity may affect men's health by encouraging choice of a male doctor with whom doctor-patient communication may be impaired. Copyright © 2015 Elsevier Inc. All rights reserved.

On the Threshold: Time and the Speaking Subject in Harold Pinter’s Silence

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Beatrice Nori

2017-07-01

Full Text Available The article investigates Harold Pinter’s play Silence from a linguistic and phenomenological point of view. Silence is probably one of the least studied – though one of the most difficult and compelling – of Pinter’s plays. The author iden­tifies the broken syntax and the combi­nation of utterances and silences as indicators of time and space shifts. She claims that the patchwork which appears from the structure of the play depicts the loss of logic, and that the abandonmen­t of chronological time in linguistic terms conveys the subjecti­ve, circular, and illogical elemen­t of the human experience of time. Characters’ bodies and utterances materialize both their own past recollections and their presen­t experiences. The presen­t work may be useful to theatre scholars as an example of drama as a portrayal of philosophical and linguistic theories about time and discourse.

Harold Pinter’s The Dumb Waiter in German: What’s Missing in Translation?

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Renée von Paschen

2012-06-01

Full Text Available Several of Harold Pinter’s works have been adapted as screenplays and filmed. This paper investigates director Robert Altman’s TV movie The Dumb Waiter in comparison with the German dubbed version, Der stumme Diener, as well as the reception of Pinter’s play in German. The translation of Pinter’s dialogue into German involves stylistic aspects, such as Pinter’s dry, concise style, as well as the subliminal wit, sarcasm and irony. Humour is particularly difficult to translate, often involving compensation or transfer from one (cultural context to another. As one of the “comedies of menace”, The Dumb Waiter employs black humour and ironic wit to create threat and dramatic tension. The unknown threat is counterbalanced by “black comic relief”. The lack of a classical German tradition of black comedy problematizes the translation of Pinter’s dialogue, while the limits of audiovisual translation add additional hurdles.

University strategy for doctoral training: the Ghent University Doctoral Schools.

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Bracke, N; Moens, L

2010-01-01

The Doctoral Schools at Ghent University have a three-fold mission: (1) to provide support to doctoral students during their doctoral research, (2) to foster a quality culture in (doctoral) research, (3) to promote the international and social stature and prestige of the doctorate vis-a-vis potential researchers and the potential labour market. The Doctoral Schools offer top-level specialized courses and transferable skills training to doctoral students as part of their doctoral training programme. They establish mechanisms of quality assurance in doctoral research. The Doctoral Schools initialize and support initiatives of internationalization. They also organize information sessions, promotional events and interaction with the labour market, and as such keep a finger on the pulse of external stakeholders.

Why Can't They Keep the Book Longer and Do We Really Need to Charge Fines? Assessing Circulation Policies at the Harold B. Lee Library: A Case Study

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Wilson, Duane

2014-01-01

In response to a charge from the library administration, the Circulation Committee of the Harold B. Lee Library at Brigham Young University designed and implemented a thorough assessment of circulation policies. Using multiple assessment methods including surveys, focus groups, and statistical analysis, the committee determined that the…

Vertebrados marinos del neógeno del suroeste de la Península Ibérica

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Toscano Grande, Antonio

2016-01-01

Esta Tesis Doctoral aborda el estudio de los vertebrados marinos presentes en las formaciones del Mioceno y Plioceno del SO de la Cuenca del Guadalquivir en la provincia de Huelva, sus aspectos evolutivos e implicaciones paleoecológicas. Los resultados obtenidos permiten definir con mayor resolución la evolución de los ecosistemas litorales y marinos del SO de la Península Ibérica durante el Neógeno superior. Durante esta época, las dos principales vías de comunicación entre el océano Atlánti...

Transformaciones del Estado y las nuevas exigencias del control de la corrupción: transparencia fiscal, control administrativo y control social

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Mileski, Helio Saul

2011-01-01

[ES] Tesis doctoral sobre las transformaciones del Estado y las nuevas exigencias del control de la corrupción: transparencia fiscal, control administrativo y control social. [EN] Dissertation on the transformations of the state and the new demands of control of corruption: fiscal transparency, administrative control and social control.

In Memoriam Doctor Marcel Gutiérrez-Correa (1952-2017

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Gretty K. Villena

2017-07-01

Full Text Available El Doctor Marcel Gutiérrez-Correa, gran Maestro, reconocido científico, y Padre de la Biotecnología en el País, fue Profesor Principal del Departamento de Biología en la Facultad de Ciencias de la UNALM. Se graduó de Biólogo en la Universidad Nacional Agraria La Molina (UNALM y obtuvo el grado de Doctor of Philosophy (Ph.D. en Ciencias Agrícolas-Biotecnología por la Gifu University, Japón. Fue Fundador y Director hasta su partida, del Laboratorio de Micología y Biotecnología de la UNALM, dedicando su vida a la investigación científica durante 41 años ininterrumpidos. Fue Académico de Número en la Academia Nacional de Ciencias. Su excelencia académica y científica es equiparable a su calidad humana y grandeza de espíritu. Valoró su condición de Profesor Universitario, como un Título Nobiliario, al que honró hasta el final de sus días. Este artículo está dedicado a la memoria del Profesor Marcel, con eterno agradecimiento, a quién fue mi Maestro y mi referente académico, y quién seguirá siendo a través de mi testimonio y el de sus alumnos, modelo de inspiración para las generaciones futuras.

Doctors on display: the evolution of television's doctors.

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Tapper, Elliot B

2010-10-01

Doctors have been portrayed on television for over 50 years. In that time, their character has undergone significant changes, evolving from caring but infallible supermen with smoldering good looks and impeccable bedside manners to drug-addicted, sex-obsessed antiheroes. This article summarizes the major programs of the genre and explains the pattern of the TV doctors' character changes. Articulated over time in the many permutations of the doctor character is a complex, constant conversation between viewer and viewed representing public attitudes towards doctors, medicine, and science.

[Influence of patients' attitude on doctors' satisfaction with the doctor-patient relationship].

Science.gov (United States)

Xie, Zheng; Qiu, Ze-qi; Zhang, Tuo-hong

2009-04-18

To describe the doctors' satisfaction of the doctor-patient relationship and find out the influencing factors of the patients, gathering evidence to improve the doctor-patient relationship. This study was a cross-sectional study, in which doctors and nurses in 10 hospitals of Beijing, Shandong and Chongqing were surveyed with structured questionnaires and in-depth interviews. The mean score of the doctors' satisfaction of the doctor-patient relationship was 59.97, which was much lower than the patients'. The patients' socio-demographic characteristics, social economic status (SES) and behavior characteristics influence the interaction of the doctors and the patients. The doctors' satisfaction of the doctor-patient relationship was influenced by the patients' trust. The doctors' perspective is helpful to define the tension and the cause of the doctor-patient relationship. The patients' characteristics have important influence on the doctor-patient relationship. It's necessary to take action on the patients to improve the doctor-patient relationship.

Responsabilidad profesional del arquitecto en el marco europeo: propuesta de integración común del seguro de responsabilidad civil

OpenAIRE

Herrera Medina, Víctor

2013-01-01

Es por ello que proponemos esta Tesis Doctoral, que en primer lugar realice un análisis exhaustivo del Estado del Arte actual del marco de la Responsabilidad del arquitecto en Europa, estudiando de forma comparada esta realidad y su evolución en el Continente, para posteriormente proponer una regulación concreta y homogénea a todos los países de la Unión. Este estudio busca, por tanto, realizar ese análisis de la heterogeneidad profesional arquitectónica, con el fin de comprender las diferenc...

Consideraciones acerca de la opinión del profesor Ben Karpman sobre psicodiagnóstico y psicoterapia del criminal

Directory of Open Access Journals (Sweden)

Luis Jaime Sánchez

1938-01-01

Full Text Available Lanzado al público de las ciencias psíquicas por "The Mental Science Publishing", ha aparecido una trascendente monografía del doctor Ben Karpman, profesor de psiquiatría en la Universidad de Howard, sobre examen psicológico del criminal. Atiende al libro que mencionó un particular y básico interés profesional, y este motivo me lleva a examinar con alguna detención la idea conductiva del psiquiatra norteamericano.

Comunidad de escarabajos copronecrófagos (Coleoptera: Scarabaeidae en dos bosques del Chaco Oriental Húmedo, Argentina

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Miryam P. DAMBORSKY

2008-01-01

Full Text Available Se investigó y comparó la estructura de la comunidad de Scarabaeinae en dos ambientes con distinto grado de conservación. Se efectuaron muestreos en un bosque nativo del Parque Provincial Pampa del Indio y en un fragmento de bosque del establecimiento ganadero Los Alisos. Los ejemplares se capturaron con coprotrampas y necrotrampas que permanecieron activas durante 72 horas, en los meses de octubre, noviembre y diciembre de 2006. Se colectaron 769 individuos adultos pertenecientes a seis tribus, 11 géneros y 26 especies. En Los Alisos Ontherus sulcatus Fabricius y Onthophagus hirculus Mannerheim resultaron dominantes. Trichillum sp., Canthon podagricus Harold, Malagoniella sp., Gromphas lacordairei Brullé, y dos especies de Dichotomius Hope fueron exclusivas de este establecimiento. Canthon septemmaculatus Latreille y Coprophanaeus jasius Olivier sólo se colectaron en Pampa del Indio. El número de individuos y la diversidad alcanzaron valores significativamente superiores en Pampa del Indio. En Los Alisos, se constató igual proporción de coprófagos y necrófagos, y una mayoría de especies con hábitos endocópridos y paracóprido En Pampa del Indio, se encontraron más especies de hábitos necrófagos y rodadores. La presente contribución constituye el primer estudio sobre la biodiversidad de Scarabaeinae en el ambiente de bosque de la provincia del Chaco.

¿Debería realizar la tesis doctoral?: una retrospectiva compartida

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González Geraldo, J.L.

2010-01-01

Full Text Available El presente artículo desnuda el proceso de tesis doctoral, a la luz del incipiente Espacio Europeo de Educación Superior (EEES, a través de enfoque en el que el propio autor es, al mismo tiempo, la muestra. A través de tres partes claramente diferenciadas, se expondrán los pasos que conforman el proceso general de investigación de una tesis doctoral para, después, comprobar su disección desde un doble prisma: externo e interno. Las reflexiones que deriven de su lectura deberían de ser de especial interés para futuros doctorandos y directores de tesis, pues muestran el inicio, desarrollo y gestación de una tesis que, objetivamente, puede ser considerada como una buena práctica para comenzar, o al menos plantearse realizar, una tesis doctoral, especialmente, en relación con el ámbito educativo.

Patient-doctor relationship: the practice orientation of doctors in Kano.

Science.gov (United States)

Abiola, T; Udofia, O; Abdullahi, A T

2014-01-01

Attitude and orientation of doctors to the doctor-patient relationship has a direct influence on delivery of high quality health- care. No study to the knowledge of these researchers has so far examined the practice orientation of doctors in Nigeria to this phenomenon. The aims of this study were to determine the orientation of Kano doctors to the practice of doctor-patient relationship and physicians' related-factors. Participants were doctors working in four major hospitals (i.e., two federal-owned and two state-owned) servicing Kano State and its environs. The Patient-Practitioner Orientation Scale (PPOS) and a socio-demographic questionnaire were completed by the 214 participants. The PPOS has 18 items and measures three parameters of a total score and two dimension of "sharing" and "caring". The mean age of participants was 31.72 years (standard deviation = 0.87), with 22% being females, 40.7% have been practicing for ≥ 6 years and about two-third working in federal-owned health institution. The Cronbach's alpha of total PPOS scores was 0.733 and that of two sub-scale scores of "sharing" and "caring" were 0.659 and 0.546 respectively. Most of the doctors' orientation (92.5%) was towards doctor-centered (i.e., paternalistic) care, majority (75.2%) upheld the view of not sharing much information and control with patients, and showing little interest in psychosocial concerns of patients (i.e., 'caring'=93.0%). Respondents' characteristics that were significantly associated with high doctor 'caring' relationship orientation were being ≥ 30-year-old and practicing for ≥ 6 years. Working in State-owned hospitals was also significantly associated with high doctor "sharing" orientation. This paper demonstrated why patient-centered medical interviewing should be given top priority in medical training in Nigeria, and particularly for federal health institutions saddled with production of new doctors and further training for practicing doctors.

Comentario al margen del artículo estenosis malignas del estómago

OpenAIRE

Gaitán Yanguas, Mario

2012-01-01

Leyendo la magnífica contribución que con el título anotado publicaron los doctores Jácome, Gutierrez, Parra, Forero y Medina en la página 214 del volumen 22 de la Revista de la Facultad de Medicina, encontré que dicen los autores que "entre los 301 casos de estenosis malignas del estómago observados en el Instituto Nacional de Cancerología no se encuentra ningún caso" de sarcoma gástrico, y que todos corresponden a carcinomas (escamosos ó glandulares). Sin embargo, existen en los archivos...

The doctor(s) in house: an analysis of the evolution of the television doctor-hero.

Science.gov (United States)

Strauman, Elena C; Goodier, Bethany C

2011-03-01

The medical drama and its central character, the doctor-hero have been a mainstay of popular television. House M.D. offers a new (and problematic) iteration of the doctor-hero. House eschews the generic conventions of the "television doctor" by being neither the idealized television doctor of the past, nor the more recent competent but often fallible physicians in entertainment texts. Instead, his character is a fragmented text which privileges the biomedical over the personal or emotional with the ultimate goal of scientifically uncovering and resolving instances of disease. This article examines the implicit and explicit messages in House M.D. and critically analyzes both the show and its lead character in relation to the traditional medical drama genre that highlights the "doctor-hero" as the central character. While at first House seems to completely violate narrative and generic norms, ultimately the program provides a new form that reinforces the presence of the doctor-hero, but highlights House's character as the central figure who is personally and interpersonally problematic but biomedically effective.

Perfil biográfico del canonista Juan Josef Alfranca y Castellote (1754-1817, rector del colegio de Bolonia

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Astorgano Abajo, Antonio

2009-06-01

Full Text Available Juan Jose Alfranca y Castellote (Zaragoza, 8.III.1754 – Cuevas de Cañart [Teruel], 1817 of nobleman origin, doctor in canon laws by the universities of Zaragoza and Bolonia, wassuccesfully, schoolboy and rector of Saint Clement school for Spaniards in Bolonia (1780,1788, Mayor of crime in the courthouse of Seville, listener and one of the foundersof the Royal Courthouse of Extremadura (1791, and doctoral canon and then ecclesiastical governor of the Teruel diocese during the French invasion (1812. In this essay, the stages of his vital road are highlighted, as well as the features of his personality which are characterized by his uprightness and deep law knowledge and by his reformist and well educated atitude, as he made clear in the cross-examination to the Llerena Perty (1791.Juan José Alfranca y Castellote (Zaragoza, 8.III.54 – ¿Cuevas de Cañart? [Teruel], 1817, de origen infanzón, doctor en Cánones por las universidades de Zaragoza y Bolonia, fue sucesivamente, colegial y rector del Colegio de San Clemente de Españoles de Bolonia (1780-1788, alcalde del crimen de la Audiencia de Sevilla, oidor y uno de los fundadores de la Real Audiencia de Extremadura (1791 y canónigo doctoral y gobernador eclesiástico de la diócesis de Teruel durante la ocupación francesa (1812. En el presente trabajo se ponen de relieve las etapas de su trayectoria vital, así como los rasgos de su personalidad, caracterizada por su rectitud y profundos conocimientos jurídicos, y por su actitud reformista e ilustrada, como puso de manifiesto en el Interrogatorio del Partido de Llerena (1791.

Académico Doctor Francisco Antonio Carmona Marulanda – (1919-2007.

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Zoilo Cuéllar-Montoya

2007-06-01

En el curso de su valiosa vida se le distinguió con la Medalla de Honor al Mérito Administrativo de la Gobernación de Caldas y, en 1966, mereció una Mención de Honor en el Premio Academia Nacional de Medicina. El Doctor Carmona ingresó a la Academia Nacional de Medicina, el 22 de julio de 2004, con el trabajo titulado “Suicidio” y, con posterioridad a su ingreso, propuso al Presidente Cuellar-Montoya la creación de un Grupo para el estudio de la prevención del suicidio, propuesta que éste aceptó inmediatamente. Meses después, de dicho grupo surgió el de Salud Mental de la Academia, que tanta actividad y tantos aportes ha dado, no sólo a la Corporación, sino al país entero: entre el 2005 y el 2006, el Grupo colaboró con la Oficina del Alto Comisionado para la Paz en el aspecto técnico, favoreciendo así los diálogos del Alto Comisionado, Doctor Luís Carlos Restrepo, con los grupos alzados en armas y la preparación de programas para ayudar a la estabilización de dicha reincorporación a la vida civil. Desde su ingreso a la Academia, Carmona fue un fiel y puntual asistente a las sesiones y demás actividades de la Corporación...

The effect of the doctor's sex on the doctor-patient relationship

OpenAIRE

Gray, Judith

1982-01-01

The differences between male and female doctors are investigated, and what patients expect from their doctors is examined. Some conclusions are drawn from the preferences which patients express for male and female doctors and from the different outcomes of male and female doctor-patient interactions.

Building doctoral ecologies

DEFF Research Database (Denmark)

Bengtsen, Søren Smedegaard

2018-01-01

heavily from the support from informal and extra-curricular researcher communities and non-formal support systems even beyond the institution in the private and societal lifeworlds. The chapter describes and analyses such forms of organizational and existential darkness within doctoral education...... and professionalization of doctoral education, with Graduate schools increasing in size and organizational complexity. Paradoxically, we see in contemporary research into doctoral students’ learning experiences that the students do not favour the formalized support systems and supervision, but on the contrary draw most......, and discusses how institutions and doctoral programmes could use such sprawling spaces for learning to build doctoral ecologies and to strengthening existentially based pedagogies within doctoral education....

Contribution of Harold M. Swartz to In Vivo EPR and EPR Dosimetry

International Nuclear Information System (INIS)

Gallez, Bernard

2016-01-01

In 2015, we are celebrating half a century of research in the application of Electron Paramagnetic Resonance (EPR) as a biodosimetry tool to evaluate the dose received by irradiated people. During the EPR Biodose 2015 meeting, a special session was organized to acknowledge the pioneering contribution of Harold M. (Hal) Swartz in the field. The article summarizes his main contribution in physiology and medicine. Four emerging themes have been pursued continuously along his career since its beginning: (1) radiation biology; (2) oxygen and oxidation; (3) measuring physiology in vivo; and (4) application of these measurements in clinical medicine. The common feature among all these different subjects has been the use of magnetic resonance techniques, especially EPR. In this article, you will find an impressionist portrait of Hal Swartz with the description of the 'making of' this pioneer, a time-line perspective on his career with the creation of three National Institutes of Health-funded EPR centers, a topic-oriented perspective on his career with a description of his major contributions to Science, his role as a mentor and his influence on his academic children, his active role as founder of scientific societies and organizer of scientific meetings, and the well-deserved international recognition received so far. (author)

Análisis morfométrico de poblaciones : un estudio cuantitativo de las neuronas del NGLD del talamo del conejo (Oryctolagus cuniculus L.)

OpenAIRE

Carmona Martos, Ramón

2013-01-01

La determinacion del numero forma y distribucion de los elementos que forman parte de una estructura resulta para la histología y la estereologia uno de los problemas mas difíciles de resolver al entender de reconocidos autores tales como weibel y cruz-orive. el estudio que se realiza en esta tesis doctoral sienta las bases para la resolución practica de tal problema mediante un sistemaoperativo conseguido a partir de la conjunción de los aspectos teoricos del temay de una serie de procedi...

Choose your doctorate.

Science.gov (United States)

Jolley, Jeremy

2007-02-01

The development of education options for nurses has been inexorable and it is increasingly the case that senior nurses are considering a doctorate as the logical next step in their educational career. Such individuals need to make important decisions as to whether they should embark on a taught doctorate, professional doctorate or a traditional PhD. Each of these options will necessitate a considerable investment in time and money as well as the sacrifice of quality time and spare time over a significant number of years. A doctorate is not for everyone. Those still reading this text may be asking 'could this possibly be for me'? This paper will try to help the reader decide which if any option to take. It is suggested that nurses will now turn to the doctoral degree as their next adventure in academic study. It is argued that this development is not being controlled by management forces and indeed cannot be controlled by them. This last is chiefly because the move towards doctoral education is led by individuals who choose to study for a doctorate simply because they can. The paper considers what choices are available to nurses who wish to pursue a doctoral programme of study. In particular, this paper considers what new developments in doctoral courses are becoming available and what advantage there may be in studying for one of the newer professional doctorates rather than a traditional PhD. The material here is the result of a review of the literature on recent developments in doctoral education for nurses. The existing provision by UK and other universities was also reviewed, the data being collected by an informal review of universities' advertising material. It is inevitable that some nurses who are already qualified to degree and masters degree will take advantage of the doctoral degree opportunities which now newly present themselves. For nurses in practice, the advantages of the professional doctorate is that it is more structured, enables more peer and

La comunicación del cambio climático: análisis del discurso de los telediarios españoles sobre las cumbres de Cancún y Durban

OpenAIRE

Águila Coghlan, Juan Carlos

2016-01-01

Como parte de los requisitos para optar al grado de Doctor en Comunicación, Cambio Social y Desarrollo, se ha realizado una tesis doctoral cuyo título es “La comunicación del Cambio Climático: Análisis del Discurso de los Telediarios Españoles sobre las Cumbres de Cancún y Durban”. Este estudio se ha desarrollado en cinco partes consistentes en cinco capítulos y cinco anexos La Primera Parte se refiere al Marco Teórico, que en el Capítulo 1 comprende cuatro puntos principales: 1.Comunicación ...

Doctors on display: the evolution of television's doctors

OpenAIRE

Tapper, Elliot B.

2010-01-01

Doctors have been portrayed on television for over 50 years. In that time, their character has undergone significant changes, evolving from caring but infallible supermen with smoldering good looks and impeccable bedside manners to drug-addicted, sex-obsessed antiheroes. This article summarizes the major programs of the genre and explains the pattern of the TV doctors' character changes. Articulated over time in the many permutations of the doctor character is a complex, constant conversation...

Radiographers as doctors: A profile of UK doctoral achievement

International Nuclear Information System (INIS)

Snaith, B.; Harris, M.A.; Harris, R.

2016-01-01

Introduction: Radiography aspires to be a research active profession, but there is limited information regarding the number of individuals with, or studying for, a doctoral award. This study aims to profile UK doctoral radiographers; including their chosen award, approach and employment status. Method: This was a prospective cohort study utilising an electronic survey. No formal database of doctoral radiographers existed therefore a snowball sampling method was adopted. The study sample was radiographers (diagnostic and therapeutic) based in the UK who were registered with the Health and Care Professions Council (HCPC) and who held, or were studying for, a doctoral award. Results: A total of 90 unique responses were received within the timescale. The respondents comprised 58 females (64.4%) and the majority were diagnostic radiographers (n = 71/90; 78.9%). The traditional PhD was the most common award, although increasing numbers were pursuing Education or Professional Doctorates. An overall increase in doctoral studies is observed over time, but was greatest amongst those working in academic institutions, with 63.3% of respondents (n = 57/90) working solely within a university, and a further 10% employed in a clinical–academic role (n = 9/90). Conclusion: This study has demonstrated that radiography is emerging as a research active profession, with increasing numbers of radiographers engaged in study at a doctoral level. This should provide a platform for the future development of academic and clinical research. - Highlights: • 90 radiographers were identified as holding, or studying for, a doctoral award. • The PhD is the most common award. • EdD and professional doctorates are increasing in popularity. • Academic staff were more likely to pursue such research training.

La responsabilidad social corporativa de las marcas globales y sus efectos en la conducta del consumidor: un estudio del sector moda rápida.

OpenAIRE

Rivera Alcamí, José Javier

2015-01-01

La Responsabilidad Social Corporativa de las Marcas Globales y sus Efectos en la Conducta del Consumidor: un Estudio del Sector Moda Rápida. Esta tesis doctoral tiene por objetivo principal, diseñar y contrastar empíricamente un modelo de relaciones causales, que analiza los efectos en la conducta del consumidor de la Responsabilidad Social Corporativa (RSC), de las marcas globales. Los efectos, en la conducta del consumidor, se analizan a partir de la percepción de marca global, y a trav...

Evaluación de tesis doctoral en la escuela de post grado de la UNA - Puno

OpenAIRE

Supo Condori, Felipe

2014-01-01

La investigación titulada "Evaluación de Tesis Doctoral en la Escuela de Post Grado de la Universidad Nacional del Altiplano de Puno" responde a la interrogante de carácter general ¿Cuál es el nivel de calidad de las tesis del Programa de Doctorado sustentadas durante los años 2009 al 2010 en la Escuela de Post Grado de la Universidad Nacional del Altiplano de Puno en relación a los aspectos académicos expresados en la aplicación de la rigurosidad epistemológica y metodológica de la investiga...

Comunidad de escarabajos copronecrófagos (Coleoptera: Scarabaeidae en dos bosques del Chaco Oriental Húmedo, Argentina Copro-necrophagous beetle community (Coleoptera: Scarabaeidae in two forests from Eastern Humid Chaco, Argentina

Directory of Open Access Journals (Sweden)

Miryam P. Damborsky

2008-06-01

Full Text Available Se investigó y comparó la estructura de la comunidad de Scarabaeinae en dos ambientes con distinto grado de conservación. Se efectuaron muestreos en un bosque nativo del Parque Provincial Pampa del Indio y en un fragmento de bosque del establecimiento ganadero Los Alisos. Los ejemplares se capturaron con coprotrampas y necrotrampas que permanecieron activas durante 72 horas, en los meses de octubre, noviembre y diciembre de 2006. Se colectaron 769 individuos adultos pertenecientes a seis tribus, 11 géneros y 26 especies. En Los Alisos Ontherus sulcatus Fabricius y Onthophagus hirculus Mannerheim resultaron dominantes. Trichillum sp., Canthon podagricus Harold, Malagoniella sp., Gromphas lacordairei Brullé, y dos especies de Dichotomius Hope fueron exclusivas de este establecimiento. Canthon septemmaculatus Latreille y Coprophanaeus jasius Olivier sólo se colectaron en Pampa del Indio. El número de individuos y la diversidad alcanzaron valores significativamente superiores en Pampa del Indio. En Los Alisos, se constató igual proporción de coprófagos y necrófagos, y una mayoría de especies con hábitos endocópridos y paracópridos. En Pampa del Indio, se encontraron más especies de hábitos necrófagos y rodadores. La presente contribución constituye el primer estudio sobre la biodiversidad de Scarabaeinae en el ambiente de bosque de la provincia del Chaco.Scarabaeinae community structure was compared in two habitats with different degrees of conservation: a native forest at Pampa del Indio Provincial Park, and a forest fragment at Los Alisos cattle farm. Pitfall traps baited with carrion and cattle dung were left open for 72-hour periods in October, November and December 2006. 769 adults belonging to six tribes, 11 genera and 26 species were captured in all. At Los Alisos, Ontherus sulcatus Fabricius and Onthophagus hirculus Mannerheim were the dominant species. Trichillum sp., Canthon podagricus Harold, Malagoniella sp., Gromphas

[The motivation to become a medical doctor - doctoral students in a formal academic study program compared with those pursuing their doctorate independently].

Science.gov (United States)

Pfeiffer, M; Dimitriadis, K; Holzer, M; Reincke, M; Fischer, M R

2011-04-01

Weight and quality of medical doctoral theses have been discussed in Germany for years. Doctoral study programs in various graduate schools offer opportunities to improve quality of medical doctoral theses. The purpose of this study was to demonstrate distinctions and differences concerning motivation, choice of subject and the dissertation process between doctoral candidates completing the doctoral seminar for doctoral students in the Ludwig-Maximilians-University (LMU) Munich and doctoral candidates doing their doctorate individually. All 4000 medical students of the LMU obtained an online-questionnaire which was completed by 767 students (19 % response rate). The theoretical framework of this study was based upon the Self-Determination-Theory by Deci and Ryan. Doctoral candidates completing the doctoral study program were more intrinsically motivated than doctoral candidates doing their doctorate individually; no difference was found in their extrinsic motivation. In regard to choice of subject and dissertation process the doctoral students in the seminar were distinguished from the individual group by having chosen a more challenging project. They anticipated a demanding dissertation process including conference participation, publishing of papers, etc. Intrinsic motivation correlates positively with choosing a challenging project and a demanding dissertation process. High intrinsic motivation seems to be very important for autonomous scholarly practice. Our results suggest that doctoral study programs have a positive impact on intrinsic motivation and interest in research. © Georg Thieme Verlag KG Stuttgart · New York.

Doctoral Women: Managing Emotions, Managing Doctoral Studies

Science.gov (United States)

Aitchison, Claire; Mowbray, Susan

2013-01-01

This paper explores the experiences of women doctoral students and the role of emotion during doctoral candidature. The paper draws on the concept of emotional labour to examine the two sites of emotional investment students experienced and managed during their studies: writing and family relationships. Emotion is perceived by many dominant…

La traducción del humor del alemán al castellano. Un análisis contrastivo-traductológico de la versión castellana del cómic "Kleines Arschloch" de Walter Moers

OpenAIRE

Ponce Márquez, Nuria

2009-01-01

Los objetivos de esta Tesis Doctoral son:a) Identificar la enorme repercusión del texto origen (TO) en el mercado germanoparlante y anglófono en contraposición a la escasez de éxito comercial del texto meta (TM) en el mercado hispanoparlante. b) Analizar los factores externos a la traducción que pueden haber influido en la escasez de repercusión del TM en el mercado hispanoparlante realizando una consulta a la editorial encargada de su traducción al castellano.

AS OTHERS SEE US·

African Journals Online (AJOL)

artist presents a picture of the profession which most patients would ... feels the Moor's and announces his satisfaction with the words, .... cults I could remember and rather rashly tried to draw conclusions. .... better. A contrast between Jonathan, a doctor by vocation, and the brilliant Harold, who chooses medicine for want of ...

Doctor Ramón Luis Miranda Torres, su relación con las neurociencias

OpenAIRE

Hodelín Tablada,Ricardo

2005-01-01

Objetivo: en el presente trabajo se reseña la relación del doctor Ramón Luis Miranda con las neurociencias, dirigido a destacar su inclinación por estas disciplinas. Desarrollo: conocido en la historiografía médica como el médico de José Martí el apóstol cubano el doctor Ramón Luis Miranda Torres, se destacó en otros aspectos poco divulgados, por lo que opinamos que no se le ha otorgado su verdadera dimensión. Nacido en la ciudad de Matanzas, Cuba, estudió medicina en Francia y desde sus años...

La modernización del Japón

OpenAIRE

rikiwo Shikama

1988-01-01

RESUMEN El autor presenta de forma general una visión del proceso de modernización del Japón. El significado importante de la Revolución Meiji, haciendo alusión al contexto en el cual ésta se desarrolló. Hace un análisis comparativo de la China y Japón derivado de las tesis del doctor Reischaver, catedrático de la universidad de Harvard. Resalta la importancia que tuvo en el proceso de modernización las características específicas del régimen Feudad Japonés, y el alto nivel de alfabet...

Os Doutores da Alegria na unidade de internação pediátrica: experiências da equipe de enfermagem Los Doctores de la Alegría en una unidad pediátrica de internación: experiencias del equipo de enfermería The Clown Doctors in a pediatric unit of internment: experiences of the nursing staff

Directory of Open Access Journals (Sweden)

Roberta Ramos de Oliveira

2008-06-01

Full Text Available O estudo enfoca a experiência da equipe de enfermagem com a atuação dos Doutores da Alegria na unidade de internação pediátrica, tendo como objetivos: descrever os conhecimentos da equipe de enfermagem quanto à atuação dos Doutores da Alegria e analisar as experiências da equipe de enfermagem quanto a esta atuação. O estudo é de natureza qualitativa, e os sujeitos do estudo foram dez membros da equipe de enfermagem. Para a abordagem dos sujeitos, foi utilizada a entrevista não diretiva em grupo. Constata-se que a maioria das depoentes conhece a atuação dos Doutores da Alegria, sendo possível evidenciar reações e benefícios durante a hospitalização da criança, bem como a tríade de relações entre palhaços, mãe acompanhante e equipe de enfermagem. Conclui-se que os palhaços atuam como agentes facilitadores, atentando para o fato de que brincadeiras e brinquedos constituem recursos que podem/devem ser utilizados no contexto hospitalar, acarretando novos significados ao cuidar.El estudio enfoca la experiencia del equipo de enfermería con los Doctores de la Alegría en una unidad pediátrica de internación, teniendo como objetivos: describir el conocimiento del equipo de enfermería cuanto a de la actuación de los Doctores de la Alegría y analizar las experiencias del equipo de enfermería cuanto a ellos. Estudio de naturaleza cualitativa, y los sujetos fueron diez miembros del equipo de enfermería Para el abordaje de los sujetos fue usado entrevista no directiva en grupo. Constatase que la mayoría de los deponentes conocían la actuación de los Doctores de la Alegría, siendo posible evidenciar reacciones y ventajas durante la hospitalización del niño, tan bien como la tríada de relaciones entre los payasos, la madre acompañando y el equipo de enfermería. Se concluye que los payasos actúan como agentes facilitadores, dando atención para el hecho de que trampeas y juguetes constituyen los recursos, de los

Contribution of Harold M. Swartz to In Vivo EPR and EPR Dosimetry.

Science.gov (United States)

Gallez, Bernard

2016-12-01

In 2015, we are celebrating half a century of research in the application of Electron Paramagnetic Resonance (EPR) as a biodosimetry tool to evaluate the dose received by irradiated people. During the EPR Biodose 2015 meeting, a special session was organized to acknowledge the pioneering contribution of Harold M. (Hal) Swartz in the field. The article summarizes his main contribution in physiology and medicine. Four emerging themes have been pursued continuously along his career since its beginning: (1) radiation biology; (2) oxygen and oxidation; (3) measuring physiology in vivo; and (4) application of these measurements in clinical medicine. The common feature among all these different subjects has been the use of magnetic resonance techniques, especially EPR. In this article, you will find an impressionist portrait of Hal Swartz with the description of the 'making of' this pioneer, a time-line perspective on his career with the creation of three National Institutes of Health-funded EPR centers, a topic-oriented perspective on his career with a description of his major contributions to Science, his role as a mentor and his influence on his academic children, his active role as founder of scientific societies and organizer of scientific meetings, and the well-deserved international recognition received so far. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Concepción y estructuras diferentes del doctorado para formar investigadores.

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Edmundo Resenos Díaz

2013-11-01

Full Text Available El Programa de Doctorado en Ciencias, con especialidad en ciencias administrativas, de la Escuela Superior de Comercio y Administración del Instituto Politécnico Nacional (IPN hasta 1995 era de tipo escolarizado, por asignaturas. El tiempo promedio que consumían los alumnos para concluir el  programa y graduarse era de 11 años. En ese año, el IPN autorizó, de manera oficial, establecer el programa reestructurado, nuevo para nuestro ambiente en esa época. Los objetivos principales del programa fueron: a formar investigadores, b incrementar la eficiencia terminal. Los supuestos, hipótesis y estrategias principales que sustentaban la propuesta fueron:   - El grado de Doctor en Ciencias es el nivel más elevado de educación formal que existe en el sistema de educación nacional y del mundo.   - Los aspirantes que ingresan al programa ya son autodidactas, al menos, saben estudiar por cuenta propia, ostentan un grado de maestría, por lo tanto, pueden adquirir por sí mismos todos los conocimientos, los que les falten o necesiten para culminar su formación.   - Los investigadores se forman haciendo investigación, no asistiendo al aula a escuchar profesores doctos que les trasmiten sus conocimientos y experiencias.   - La práctica hace al investigador, no los ejercicios y prácticas escolares diseñadas por la experiencia de diversos profesores, que simulan en aula escenarios de la realidad a investigar.   - El desarrollo de competencias y aptitudes del Doctor en ciencias.   - La calidad se logra con la interdisciplinaridad e interinstitucionalidad nacional.   Los resultados principales han sido: a graduar investigadores con grado de Doctor en Ciencias en un tiempo promedio de 4 años; b el incremento de eficiencia terminal ha sido del 275%, de julio de 1995 a agosto de 2003 se han graduado 46 doctores. Esta autoevaluación del programa de doctorado proporciona evidencias de la contribución a la generación de un nuevo paradigma de

Factores determinantes del rendimiento en el ejercicio de dominadas y efectos del entrenamiento concurrente de fuerza y resistencia

OpenAIRE

Sánchez Moreno, Miguel

2017-01-01

Programa de Doctorado en Actividad Física, Rendimiento Deportivo y Salud En la presente Tesis Doctoral se abordan una serie de problemáticas relacionadas, por una parte, con la mejora del entendimiento sobre aquellos factores que pueden ser determinante para el rendimiento en el ejercicio de dominadas y por otra parte, sobre cuestiones relacionadas con la influencia que puede tener la realización de dos grados de esfuerzo durante el entrenamiento de fuerza del miembro inferior sobre el re...

Doctors in Balzac's work.

Science.gov (United States)

Moulin, Thierry

2013-01-01

Balzac wrote his novels during a time of great literary and scientific change. Romanticism gave way to the school of realism, of which Balzac could be considered the founder. It was via realism, where both the positive and negative aspects of life were depicted, that doctors naturally gained a much more active role in novels. In conjunction with this was the development of science and medicine, which fascinated Balzac, also leading to the significant and prevalent role of doctors in his works. His fascination with the sciences led to him to gain many acquaintances and much knowledge in the medical domain, especially in neuropsychiatry and physiology. His fictional doctors, such as Desplein and Bianchon, thus demonstrate considerable knowledge of pathology, physiology, and neuropsychiatry. The doctors in Balzac's novels can be grouped into four categories: provincial doctors, Parisian doctors, country doctors, and military doctors. They were most often fictitious representations of real individuals (e.g. Guillaume Dupuytren), and often symbolize schools of thought which were in vogue at the time. In addition to the accurate scientific depiction of doctors, it must be noted that his doctors not only played an active role in clinically assessing their patients, but also had a sociological role in assessing society; it is through his doctors that Balzac gave his opinion of the world in which he lived. Copyright © 2013 S. Karger AG, Basel.

Doctors Today

LENUS (Irish Health Repository)

Murphy, JFA

2012-03-01

Doctors’ relationship with patients and their role in society is changing. Until the 1960s doctors concentrated on the welfare of patients with less emphasis placed on patients’ rights1. Over recent decades there has been increasing empowerment of the individual across all facets of society including health care. Doctors continue to be perceived as having expertise and authority over medical science. Patients, however, now hold sway over questions of values or preferences. We all must be aware of this change in the doctor- patient interaction. We need to be more aware of the outcomes that patients view as important. The concept of shared decision-making with the patient is now widely appreciated. The process involves a change in mind set particularly for doctors who trained in an earlier era.

Cost incentives for doctors

DEFF Research Database (Denmark)

Schottmüller, Christoph

2013-01-01

If doctors take the costs of treatment into account when prescribing medication, their objectives differ from their patients' objectives because the patients are insured. This misalignment of interests hampers communication between patient and doctor. Giving cost incentives to doctors increases...... welfare if (i) the doctor's examination technology is sufficiently good or (ii) (marginal) costs of treatment are high enough. If the planner can costlessly choose the extent to which doctors take costs into account, he will opt for less than 100%. Optimal health care systems should implement different...... degrees of cost incentives depending on type of disease and/or doctor....

Informe sobre el manuscrito "Resultados del examen de las primeras 5.000 muestras de higado humano obtenidas en Colombia para estudio de la fiebre amarilla", trabajo original presentado a la Academia Nacional de Medicina por el doctor Augusto Gast-Galvis

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Luis Patiño Camargo

1941-08-01

Full Text Available Señor Presidente, señores Académicos: Por ausencia del académico Profesor Franco, la presidencia me encomendó el estudio de una comunicación presentada a la Academía de Medicina, por el mérito doctor Augusto Gast-Galvis. Cumplo con el deber de rendir el informe reglamentario.

Informe sobre el manuscrito "resultados del examen de las primeras 5.000 muestras de higado humano obtenidas en colombia para estudio de la fiebre amarilla", trabajo original presentado a la academia nacional de medicina por el doctor augusto gast-galvis

OpenAIRE

Patiño Camargo, Luis

2011-01-01

Señor Presidente, señores Académicos: Por ausencia del académico Profesor Franco, la presidencia me encomendó el estudio de una comunicación presentada a la Academía de Medicina, por el mérito doctor Augusto Gast-Galvis. Cumplo con el deber de rendir el informe reglamentario.

Interpersonal perception in the context of doctor-patient relationships: a dyadic analysis of doctor-patient communication.

Science.gov (United States)

Kenny, David A; Veldhuijzen, Wemke; Weijden, Trudy van der; Leblanc, Annie; Lockyer, Jocelyn; Légaré, France; Campbell, Craig

2010-03-01

Doctor-patient communication is an interpersonal process and essential to relationship-centered care. However, in many studies, doctors and patients are studied as if living in separate worlds. This study assessed whether: 1) doctors' perception of their communication skills is congruent with their patients' perception; and 2) patients of a specific doctor agree with each other about their doctor's communication skills. A cross-sectional study was conducted in three provinces in Canada with 91 doctors and their 1749 patients. Doctors and patients independently completed questions on the doctor's communication skills (content and process) after a consultation. Multilevel modeling provided an estimate of the patient and doctor variance components at both the dyad-level and the doctor-level. We computed correlations between patients' and doctors' perceptions at both levels to assess how congruent they were. Consensus among patients of a specific doctor was assessed using intraclass correlation coefficient (ICC). The mean score of the rating of doctor's skills according to patients was 4.58, and according to doctors was 4.37. The dyad-level variance for the patient was .38 and for the doctor was .06. The doctor-level variance for the patient ratings was .01 and for the doctor ratings, .18. The correlation between both the patients' and the doctors' skills' ratings scores at the dyad-level was weak. At the doctor-level, the correlation was not statistically significant. The ICC for patients' ratings was .03 and for the doctors' ratings .76. Overall, this study suggests that doctors and their patients have a very different perspective of the doctors' communication skills occurring during routine clinical encounters. 2009 Elsevier Ltd. All rights reserved.

Re-Imagining Doctoral Education: Professional Doctorates and beyond

Science.gov (United States)

Lee, Alison; Brennan, Marie; Green, Bill

2009-01-01

Portents of the demise of the Professional Doctorate have emerged in some recent policy and institutional circles in Australia, raising questions about the meaning and relevance of the Professional Doctorate in an era of "league tables" and research assessment in Australia. This article argues that such portents, based largely on narrow…

Patient-Doctor relationship. between sign supremacy and sympton exclusion La relación médico paciente: entre la supremacía del signo y la exclusión del síntoma

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Julio Eduardo Hoyos Zuluaga

2001-02-01

Full Text Available This text approaches a central point of the medical act, namely, the construction of a diagnostic judgement starting from the basis of medical semiology: recognition of signs and symptoms. Nevertheless, in our work along with medical doctors, we have observed ever more frequently that there is an objectivation attempt that privileges signs, since supposedly they do not deceive; this latter characteristic is attributed to symptoms from the time of Hipocrates. To demonstrate this a brief historical journey is carried out for the construction of the medical sign, as well as a parallel between this and the linguistic sign, in order to arrive at what we denominate misunderstanding with the patient. We try to point out how the patient’s being, that could be listened in the symptom, is excluded in favor of observation of the sign. El texto aborda un punto central del acto médico, como es el de la construcción de un juicio diagnóstico a partir de la puesta en acción de la propedéutica médica: reconocimiento de signos y síntomas. No obstante, en nuestro trabajo al lado de los médicos, hemos observado cómo cada vez más hay un intento de objetivación en el acto, que privilegia al signo, en tanto se supone que no engaña, carácter que sí se le atribuye al síntoma desde tiempos de Hipócrates. Para demostrar esto se realiza inicialmente un breve recorrido histórico por la construcción del signo médico, así como por un paralelo entre éste y el signo lingüístico, para arribar a lo que denominamos los desencuentros con el paciente. Allí intentamos señalar cómo el ser del paciente que podría escucharse en el síntoma es excluido, en favor a la observación del signo.

Doctors and pharmaceutical industry.

Science.gov (United States)

Beran, Roy G

2009-09-01

The pharmaceutical industry is seen as seducing doctors by providing expensive gifts, subsidising travel and underwriting practice expenses in return for those doctors prescribing products that otherwise they would not use. This paints doctors in a very negative light; suggests doctors are available to the highest bidder; implies doctors do not adequately act as independent agents; and that doctors are driven more by self-interest than by patient needs. Similar practices, in other industries, are accepted as normal business behaviour but it is automatically assumed to be improper if the pharmaceutical industry supports doctors. Should the pharmaceutical industry withdraw educational grants then there would be: fewer scientific meetings; reduced attendance at conferences; limited post graduate education; and a depreciated level of maintenance of professional standards. To suggest that doctors prescribe inappropriately in return for largesse maligns their integrity but where there is no scientific reason to choose between different treatments then there can be little argument against selecting the product manufactured by a company that has invested in the doctor and the question arises as to whether this represents bad medicine? This paper will examine what constitutes non-professional conduct in response to inducements by the pharmaceutical industry. It will review: conflict of interest; relationships between doctors and pharma and the consequences for patients; and the need for critical appraisal before automatically decrying this relationship while accepting that there remain those who do not practice ethical medicine.

Wanted--doctors who care.

Science.gov (United States)

Lovdal, L T; Pearson, R

1989-03-01

A study was conducted to determine what consumers value in doctors' behavior. Results indicate that consumers in the sample population studied prefer doctors who are friendly and caring as well as those who are technically competent. However, these respondents reported less favorable opinions about doctors' friendliness (i.e., affective behavior) than they did about doctors' competence (i.e., instrumental behavior).

Conocimiento didáctico del contenido en la enseñanza del campo eléctrico

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Jaime Duván Reyes Roncancio

2013-12-01

Full Text Available Este artículo presenta resultados de investigación correspondientes a la tesis doctoral en educación en ciencias titulada “Conocimiento Didáctico del Contenido (CDC en profesores de física en formación inicial: el caso de la enseñanza del campo eléctrico”. El enfoque metodológico cualitativo utilizado fundamentó la aplicación de una encuesta y una entrevista semiestructurada, así como el análisis de contenido del plan de aula de un profesor de física en el prácticum. La triangulación de la información obtenida a partir de estos instrumentos permitió constituir el caso de la enseñanza del campo eléctrico desde la caracterización del CDC del profesor de física, proceso en el cual se utiliza como referencia una matriz estilo hipótesis de progresión y el uso de metáforas.

Australian doctors and the visual arts. Part 3. Doctor-artists in Victoria.

Science.gov (United States)

Hamilton, D G

1986-06-09

The contribution of doctors to the visual arts is being discussed in a series of six articles. The first two articles dealt with doctors and the visual arts in New South Wales. In this, the third, doctor-artists in Victoria are discussed.

Caracterización del género Pseudo-nitzschia en la Costa Catalana

OpenAIRE

Quijano-Scheggia, Sonia

2008-01-01

Memoria de tesis doctoral presentada por Sonia Isabel Quijano Scheggia para optar al grado de Doctora por la Universitat Politècnica de Catalunya (UPC), realizada bajo la dirección de la Dra. Esther Garcés i Pieres del Institut de Ciències del Mar (ICM-CSIC).-- 169 pages

El texto narrativo en la clínica psicoanalítica del síntoma de aprendizaje del lenguaje: un análisis estructural

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Gláucia Grohs

2011-01-01

Full Text Available Este artículo presenta datos de uno de los estudios desarrollados en la tesis doctoral "El texto narrativo como intervención terapéutica en problemas del lenguaje escrito en la adolescencia: el análisis estructural del texto narrativo producido en psicoterapia de orientación psicoanalítica". Se demuestra a partir de este análisis la posibilidad de utilizar el texto narrativo como instrumento de intervención y medida de resultados en investigación en psicoterapia en la clínica del adolescente que trata síntomas en el aprendizaje del lenguaje escrito.

Non-EEA-doctors in EEA-countries: doctors or cleaners?

NARCIS (Netherlands)

Herfs, Paul; Kater, L.; Haalboom, J.R.E.

2007-01-01

Background: Migration of non-EEA doctors to EEA-countries has become a common phenomenon. As coordination within the EEA has not yet been established, every EEA-country is re-inventing the wheel of assessment of foreign medical degrees and developing additional programmes for non-EEA doctors. There

La modernización del Japón

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rikiwo Shikama

1988-04-01

Full Text Available RESUMEN El autor presenta de forma general una visión del proceso de modernización del Japón. El significado importante de la Revolución Meiji, haciendo alusión al contexto en el cual ésta se desarrolló. Hace un análisis comparativo de la China y Japón derivado de las tesis del doctor Reischaver, catedrático de la universidad de Harvard. Resalta la importancia que tuvo en el proceso de modernización las características específicas del régimen Feudad Japonés, y el alto nivel de alfabetización, que supuso una mayor capacidad  para absorber y asimilar la cultura occidental.

Conceptos espaciales en una 'political ecology' de extractivismo aurífero, partiendo del caso de Marmato, Colombia

OpenAIRE

Pignolet, Thierry

2017-01-01

Este papel es un trabajo sobre la apropriación de conceptos espaciales en la definición del problema de investigación doctoral (sobre una 'political ecology' de extractivismo aurífero, partiendo del caso de Marmato, en Colombia), en el contexto del Seminario complementario I del Doctorado en ciencias sociales (semestre 2017-2) de la Universidad de Antioquia (UdeA), Colombia.

Leonardo de Vinci, el pregonero del porvenir

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Ernesto Cortés Ahumada

1960-04-01

Full Text Available Marcha de frailes, de chantres, de gonfalonieros, de miembros del Consejo de los Ochenta, de canónigos, de doctores y maestros de teología, de caballeros del capitán Bargello, de trompeteros y maceros. ¡Arre, arre! Adentro: las mandolinas, los tableros de ajedrez, los cuadros excitantes, los dibujos que parecen estallar en aromas y en contactos inefables, las mujeres livianas, los bustos de los dioses paganos, de los héroes , de los filósofos, esculpidos en madera y arcilla.

Talking to Your Doctor

Medline Plus

Full Text Available ... to Your Doctor , National Eye Institute (NEI) Español Aging Planning Your Doctor Visit , NIHSeniorHealth.gov Videos: Talking ... A Guide for Older People , National Institute on Aging (NIA) Talking With Your Doctor Presentation Toolkit , National ...

Mecanismos de regulación del anabolismo lipídico en el tejido adiposo del paciente obeso

OpenAIRE

Ortega Delgado, Francisco José

2012-01-01

La obesidad es uno de los problemas de salud pública más importante. Los estudios de expresión aplicados a los depósitos de grasa en sujetos obesos han aportado importantes indicios sobre la fisiopatología del tejido adiposo. Los datos recogidos en esta tesis doctoral demuestran que la síntesis de grasa (lipogénesis) está disminuida en el tejido adiposo del paciente obeso, y describen el comportamiento de un nuevo factor lipogénicos. Se demuestra además que el tejido adiposo subcutáneo (situa...

How To Talk to Your Doctor (and Get Your Doctor To Talk to You!). An Educational Workshop on Doctor Patient Communication = Como Hablarle a su Doctor (iY que su doctor le hable a usted!). Un seminario educativo sobre la comunicacion entre el doctor y el paciente.

Science.gov (United States)

Baylor Coll. of Medicine, Houston, TX.

This workshop, written in both English and Spanish, focuses on improving communication between physician and patient. In the workshop, the trainers will talk about "building bridges" between patient and doctor by understanding the doctor's role and his/her duty to the patient. According to the workshop, a person's doctor should…

Presentación del Libro: “Juan de Dios Carrasquilla, Hombre de Ciencia”

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Adolfo De Francisco Zea

2004-06-01

conducen, me quedará al menos la satisfacción de haber trabajado tenazmente por hallar la verdad”.

En el libro que presento esta noche, he intentado analizar un tanto la noble personalidad del doctor Carrasquilla; señalar sus constantes esfuerzos por alcanzar la verdad en las diversas empresas en que se comprometió a lo largo de su meritoria existencia; recordar sus aciertos y sus posibles faltas, mencionar su perseverancia en las investigaciones que emprendía, y destacar, además, esa dignidad personal suya que le fue tan característica, que le permitía recibir sin arrogancia las alabanzas y aceptar sin pesadumbre las críticas que fueran razonables.

En la Introducción a la semblanza de su sobresaliente vida digo las siguientes palabras: “Cuando hace algunos años escribía la biografía de mi abuelo el doctor Luis Zea Uribe, me encontré con el Discurso que pronunciara en el sepelio del doctor Juan de Dios Carrasquilla el 15 de julio de 1908. Las palabras del doctor Zea Uribe en esa dolorosa ocasión señalaban dos de las características más sobresalientes del ilustre médico desaparecido: su honestidad y su bondad. A partir de esos días, mi interés se encaminó a descubrir las razones que tuvo el doctor Zea para describir con esas dos hermosas palabras la personalidad del doctor Carrasquilla; quizás porque para mí son vocablos que representan dos virtudes excelsas del hombre: la honestidad que es la esencia del hombre moral, y la bondad que es la sublimación de todas las demás fortalezas del alma.

Intenté en consecuencia aproximarme a todo aquello que pudiera llevarme a descubrir los propósitos del doctor Zea Uribe al pronunciar sus elocuentes palabras; a penetrar con curiosidad, así fuera fugazmente, en la vida y la obra del hombre al que muchos de sus contemporáneos conocieron con el apelativo de “sabio”, para indagar con serenidad y sin pasiones en los aconteceres de su existencia y en sus ejecutorias más notables

Nursing doctoral education in Turkey.

Science.gov (United States)

Yavuz, Meryem

2004-10-01

Quality health care is an issue of concern worldwide, and nursing can and must play a major and global role in transforming the healthcare environment. Doctorally prepared nurses are very much needed in the discipline to further develop and expand the science, as well as to prepare its future educators, scholars, leaders, and policy makers. In 1968, the Master of Science in Nursing Program was initiated in Turkey, followed by the Nursing Doctoral Education Program in 1972. Six University Schools of Nursing provide nursing doctoral education. By the graduating year of 2001, 154 students had graduated with the Doctor of Philosophy in Nursing (Ph.D.), and 206 students were enrolled in related courses. Many countries in the world are systematically building various collaborative models in their nursing doctoral education programs. Turkey would like to play an active role in creating collaborative nursing doctoral education programs with other countries. This paper centres on the structure and model of doctoral education for nurses in Turkey. It touches on doctoral programs around the world; describes in detail nursing doctoral education in Turkey, including its program structure, admission process, course units, assessment strategies and dissertation procedure; and discusses efforts to promote Turkey as a potential partner in international initiatives to improve nursing doctoral education.

Síntesis de nuevos antioxidantes derivados del hidroxitirosol. Interacción con ciclodextrinas

OpenAIRE

Marset Castro, Azucena

2014-01-01

Tesis descargada desde TESEO En la presente Tesis Doctoral se ha llevado a cabo la preparación de derivados funcionales del hidroxitirosol (HT), con objeto de obtener nuevos polifenoles bioactivos de interés en el ámbito de los alimentos funcionales, cosmética o industria farmacéutica. En primer lugar se describe la conversión del HT en ésteres alifáticos de cadena variable; en este contexto, se ha abordado la transesterificación quimioselectiva del hidroxilo alifático del hidroxitirosol c...

Noticias de la Academia de Medicina del Valle, Nueva Junta Directiva 2008-2010.

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Antonio José Montoya Casella

2008-06-01

Con frecuencia la atención médica está acompañada de una tutela, que en muchas oportunidades se responde tardíamente. El mecanismo de la tutela ya hace parte del armamentario médico. El sistema nos ha llevado tanto a enfermos como a doctores a un triste pero real acuerdo “Las EPS no pueden perder, son un negocio que debe fortalecerse económicamente a base del trabajo mal remunerado del médico y de la reiterada insatisfacción del paciente”.

Profesor Doctor. Hernando Groot Lievano. Premio Nacional al Mérito Científico 2001. Modalidad "Vida y Obra"

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Juan Mendoza Vega

2001-12-01

Full Text Available

La Asociación Colombiana para el Avance de la Ciencia, en este primer año del Siglo XXI y del Tercer Milenio de Occidente, otorga el "Premio Nacional al Mérito Científico 2001", en la modalidad "Vida y Obra de un Científico", al destacado médico colombiano doctor Hernando Groot Liévano
Nació el doctor Groot en Bogotá, Colombia, el 25 de Julio de 1917 y recibió su grado de Doctor en Medicina y Cirugía por la Universidad Nacional de Colombia en 1939; obtuvo luego el Master en Salud Pública, Cum Laude, en la Universidad de Harvard (1942 y Diploma de Alta Gerencia en la Universidad de Los Andes de Bogotá (1968.
Su larga trayectoria de investigador se inició en 1935, cuando obtuvo por concurso la posición de "preparador" en la cátedra de Parasitología que regentaba el destacado científico César Uribe Piedrahita; en 1937 hizo su primera publicación, "Frecuencia de los parásitos intestinales en los enfermos del Hospital San Juan de Dios de Bogotá", y desde entonces ha realizado estudios sobre temas relativos a la virología, la microbiología y las enfermedades tropicales, muchas de ellas pioneras en el mundo como la demostración de que el flagelado Trypanosoma rangeli no es patógeno para el ser humano, la identificación de una nueva bacteria (descrita antes solamente en aves y serpientes como patógena para nuestra especie, el hallazgo de una forma antes desconocida del virus de la encefalitis equina venezolana y la demostración de que la vacuna contra la fiebre amarilla deja inmunidad por más de diez años, lo que permitió duplicar el período internacional de validez para esta vacuna.
Demostró también el doctor Groot que muchas de las frecuentes fiebres que sufren las personas en el Alto Magdalena son en realidad episodios de dengue, y estudió con detalle las dos primeras grandes epidemias de esta enfermedad que se presentaron en Colombia...

Doctoral education in the nuclear sector; La formacion de doctores en el sector nuclear

Energy Technology Data Exchange (ETDEWEB)

Minguez, E.

2013-03-01

Doctoral aducation is a major priority for European universities. In the context of the Bologna Process the importance of doctoral education as the third cycle of higher education and the first stage of a young researchers career, and thus in linking the European Higher Education and Research Areas, was first highlighted in the 2003 Berlin Report. The core component of doctoral training is the advancement of knowledge through original research. considering the need for structured doctoral programs and the need for transparent supervision and assessment, we note that the normal workload of the third cycle in most countries would correspond 3-4 years full time. This is spirit of the new Spanish Doctoral Law. Then, universities should ensure that their doctoral programmes promote interdisciplinary training and the development of transferable skills, thus meeting the needs of the wider employment market. We need to achieve and overall increase in the numbers of doctoral candidates taking up research careers as early stage researchers and also increase the employability as a normal way as it is the case of other advance countries. In Spain, universities with doctoral nuclear programmes and the CIEMAT, with the sponsorship of the nuclear sector, a doctoral school in nuclear science and engineering should be created to enhance the research careers of Young students for the future of nuclear activities in Spain. (Author)

The ex-illiterate brain: The critical period, cognitive reserve and HAROLD model

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Maria Vania Silva Nunes

Full Text Available Abstract The lifelong acquisition of cognitive skills shapes the biology of the brain. However, there are critical periods for the best use of the brain to process the acquired information. Objectives: To discuss the critical period of cognitive acquisition, the concept of cognitive reserve and the HAROLD (Hemispheric Asymmetry Reduction in Older adults model. Methods: Seven women who learned how to read and to write after the age of 50 (ex-illiterates and five women with 10 years of regular schooling (controls were submitted to a language recognition test while brain activity was being recorded using magnetoencephalography. Spoken words were delivered binaurally via two plastic tubs terminating in ear inserts, and recordings were made with a whole head magnetometer consisting of 148 magnetometer coils. Results: Both groups performed similarly on the task of identifying target words. Analysis of the number of sources of activity in the left and right hemispheres revealed significant differences between the two groups, showing that ex-illiterate subjects exhibited less brain functional asymmetry during the language task. Conclusions: These results should be interpreted with caution because the groups were small. However, these findings reinforce the concept that poorly educated subjects tend to use the brain for information processing in a different way to subjects with a high educational level or who were schooled at the regular time. Finally, the recruiting of both hemispheres to tackle the language recognition test occurred to a greater degree in the ex-illiterate group where this can be interpreted as a sign of difficulty performing the task.

[Job satisfaction among Norwegian doctors].

Science.gov (United States)

Nylenna, Magne; Aasland, Olaf Gjerløw

2010-05-20

Doctors' job satisfaction has been discussed internationally in recent years based on reports of increasing professional dissatisfaction. We have studied Norwegian doctors' job satisfaction and their general satisfaction with life. A survey was conducted among a representative sample of practicing Norwegian doctors in 2008. The validated 10-item Job Satisfaction Scale was used to assess job satisfaction. 1,072 (65 %) doctors responded. They reported a mean job satisfaction of 5.3 on a scale from 1 (very dissatisfied) to 7 (very satisfied). Job satisfaction increased with increasing age. Private practice specialists reported the highest level of job satisfaction (5.8), and general practitioners reported higher job satisfaction (5.5) than hospital doctors (5.1). Among specialty groups, community doctors scored highest (5.6) and doctors in surgical disciplines lowest (5.0). While long working hours was negatively correlated with job satisfaction, the perception of being professionally updated and having part-time affiliation(s) in addition to a regular job were positively correlated with job satisfaction. 52.9 % of doctors reported a very high general satisfaction. Norwegian doctors have a high level of job satisfaction. Satisfaction with life in general is also high and at least in line with that in the Norwegian population.

Vulnerabilidad y transmisión del sentido en la Bioética del Cuidado : aportaciones de Gabriel Marcel, Viktor Frankl y Elisabeth Kübler-Ross

OpenAIRE

Ruiz Gros, Sandra

2013-01-01

El objetivo de esta tesis doctoral es el análisis de la vulnerabilidad del ser humano en la enfermedad y ante el final de la vida. En estas situaciones, la transmisión del sentido es un problema ético y antropológico. Aquí analizo esa transmisión como acompañamiento, escucha activa, presencia y contacto. Para desarrollar esta investigación he acudido a tres autores que marcan el paso del siglo XIX al XX y de éste al XXI: Gabriel Marcel, Viktor Frankl y Elisabeth Kübler-Ross. Fueron testigos ...

MODIFICACION QUIMICA DEL POLIPROPILENO Y SU POTENCIAL USO COMO AGENTE EXTRACTANTE DE IONES METALICOS.

OpenAIRE

PEREZ AMARO, LUCIA GABRIELA; PEREZ AMARO, LUCIA GABRIELA

2008-01-01

Es de interés en la presente tesis doctoral ampliar el campo de aplicación del polipropileno isotáctico homopolímero (PP) basándose en las propiedades mecánicas, químicas y el bajo costo de producción del polímero. Las excelentes propiedades mecánicas car 176p.

A Qualitative Examination of Challenges Influencing Doctoral Students in an Online Doctoral Program

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Deshpande, Anant

2016-01-01

The main purpose of the study was to investigate the challenges faced by students in completion of an online doctoral program at the University of Liverpool, Online Doctoral Business Administration program. We analyse the responses of 91 doctoral students in an online DBA program. Based on the exploratory qualitative study themes were developed…

Challenges to the Doctoral Journey: a Case of Female Doctoral Students from Ethiopia

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Asamenew Demessie Bireda

2015-11-01

Full Text Available This study aimed to investigate some challenges female doctoral students experience in their doctoral journey. The study used a qualitative design and structured interviews. The theoretical framework that guided the study was that of Urie Bronfenbrenner’s ecosystemic theory. A purposely selected sample of five female doctoral students from the University of South Africa Ethiopia campus participated in the study. The results identified three major areas of concern such as: academic, psychosocial and home/work related. Specifically, female doctoral students reported concerns surrounding quality of supervision support, inadequate academic skill, nature or system of education, stress, motivation, isolation, balancing personal and professional life, relationship problems, home and work related concerns. Hence, universities must provide opportunities and resourceful strategies to meet the challenges posed by women scholars in the doctoral journey.

[Gender patterns in Spanish otolaryngologic doctoral theses].

Science.gov (United States)

Prim-Espada, María Pilar; De Diego-Sastre, Juan Ignacio; Pérez-Fernández, Elia

2010-01-01

In last decades women in Spain have a greater access to postgraduate education. The objective of this study was to perform a gender analysis on the Otolaryngology doctoral theses presented in a 25 year-period. The TESEO data base on doctoral theses was searched for theses on Otorhinolaryngology written between 1981 and 2005. As strategy for the research we employed the terms: 1) Otorrinolaringología (Otorhinolaryngology); 2) Cirugía de garganta, nariz y oídos (Ear, nose and throat surgery); 3) Fisiología de la audición (Physiology of hearing); 4) Fisiología del equilibrio (Physiology of balance); 5) Física de la audición (Physics of hearing); and 6) Bioacústica (Bioacoustics). A total of 450 theses (18.0±8.3 theses/year) were found, of which 129 were written by females (28.6%). There was a gender imbalance among authors, with 5.2±3.4 theses/year for women vs. 12.9±6.6 theses/year for men (p=0.0002). Nevertheless, there was a tendency toward equality in the last 10 years (p=0.001). On the other hand, the PhD student's gender was clearly related to the supervisor's gender (p=0.0001). With respect to the main topics in our area (otology, audiology/vestibular diseases, rhinology and pathology of paranasal sinuses and neck diseases), there were no significant differences between males and females (p=0.231). These results indicate a tendency towards equality in the number of men and women successfully completing doctoral studies in Otolaryngology. However, the PhD student's gender is clearly related to the supervisor's gender. Copyright © 2010 Elsevier España, S.L. All rights reserved.

El desarrollo del pensamiento interpretativo del estudiante universitario desde un enfoque didáctico-matemático

OpenAIRE

Eurico Wongo Gungula; Raquel Diéguez; Eglys Pérez

2016-01-01

Uno de los retos más importantes de la Universidad actual es su adaptación a los cambios que la sociedad le exige, tanto en relación a la mejoría de la calidad del proceso de enseñanza-aprendizaje, como de las investigaciones científicas que realiza. El presente artículo es resultado de la construcción teórica y práctica de una tesis doctoral desarrollada en la dinámica del proceso de formación interpretativa en la Matemática Superior (Gungula, 2014). Su objetivo es contribuir al desarrollo d...

El trabajo como relación social una problematización del modo de construcción del objeto a partir de la sociología del salariado de Pierre Naville

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García López, Jorge

2006-01-01

Esta Tesis Doctoral presenta algunas de las obras e investigaciones de Pierre Naville (1904-1993) en materia de Sociología. Apoyándose en ellas trata de problematizar críticamente el modo de formalización del objeto característico de la Sociología del Trabajo clásica y contemporánea. En la Primera Parte se aborda ésta desde una relectura de algunos de los autores, hitos y escuelas más destacados en los manuales al uso en nuestro país. Estos planteamientos son deconstruidos al hilo de los sign...

A marketing clinical doctorate programs.

Science.gov (United States)

Montoya, Isaac D; Kimball, Olive M

2007-01-01

Over the past decade, clinical doctorate programs in health disciplines have proliferated amid both support and controversy among educators, professional organizations, practitioners, administrators, and third-party payers. Supporters argue that the explosion of new knowledge and increasing sophistication of technology have created a need for advanced practice models to enhance patient care and safety and to reduce costs. Critics argue that necessary technological advances can be incorporated into existing programs and believe that clinical doctorates will increase health care costs, not reduce them. Despite the controversy, many health disciplines have advanced the clinical doctorate (the most recent is the doctor of nursing practice in 2004), with some professions mandating the doctorate as the entry-level degree (i.e., psychology, pharmacy, audiology, and so on). One aspect of the introduction of clinical doctoral degrees has been largely overlooked, and that is the marketing aspect. Because of marketing considerations, some clinical doctorates have been more successfully implemented and accepted than others. Marketing is composed of variables commonly known as "the four P's of marketing": product, price, promotion, and place. This report explores these four P's within the context of clinical doctorates in the health disciplines.

Interventions for improving patients' trust in doctors and groups of doctors.

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Rolfe, Alix; Cash-Gibson, Lucinda; Car, Josip; Sheikh, Aziz; McKinstry, Brian

2014-03-04

Trust is a fundamental component of the patient-doctor relationship and is associated with increased satisfaction, adherence to treatment, and continuity of care. Our 2006 review found little evidence that interventions improve patients' trust in their doctor; therefore an updated search was required to find out if there is further evidence of the effects of interventions that may improve trust in doctors or groups of doctors. To update our earlier review assessing the effects of interventions intended to improve patients' trust in doctors or a group of doctors. In 2003 we searched the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library), MEDLINE, EMBASE, Health Star, PsycINFO, CINAHL, LILACS, African Trials Register, African Health Anthology, Dissertation Abstracts International and the bibliographies of studies selected for inclusion. We also contacted researchers active in the field. We updated and re-ran the searches on available original databases (Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library issue 2, 2013), MEDLINE (OvidSP), EMBASE (OvidSP), PsycINFO (OvidSP), CINAHL (Ebsco)) as well as Proquest Dissertations and Current Contents for the period 2003 to 18 March 2013. Randomised controlled trials (RCTs), quasi-randomised controlled trials, controlled before and after studies, and interrupted time series of interventions (informative, educational, behavioural, organisational) directed at doctors or patients (or carers) where trust was assessed as a primary or secondary outcome. Two review authors independently extracted data and assessed the risk of bias of included studies. Where mentioned, we extracted data on adverse effects. We synthesised data narratively. We included 10 randomised controlled trials (including 7 new trials) involving 11,063 patients. These studies were all undertaken in North America, and all but two involved primary care.  As expected, there was considerable heterogeneity between

introducción del turismo rural

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Isis Alejandra Camargo Toribio

2005-01-01

Full Text Available El presente trabajo forma parte de los resultados obtenidos en la tesis doctoral «Aportaciones metodológicas para la introducción del turismo rural en la República de Cuba. Estudio de caso: zona turística de Viñales». El objetivo principal del mismo es analizar los diferentes recursos naturales y culturales que conforman el patrimonio turístico de una localidad (Viñales, en la República de Cuba, con el fin de apoyar la introducción de la modalidad de turismo rural. Para alcanzar tal propósito se realizaron varias entrevistas a trabajadores del turismo y familias campesinas de la región quienes, con su experiencia y sabiduría popular, contribuyeron a la realización de esta investigación.

Spin doctoring

OpenAIRE

Vozková, Markéta

2011-01-01

1 ABSTRACT The aim of this text is to provide an analysis of the phenomenon of spin doctoring in the Euro-Atlantic area. Spin doctors are educated people in the fields of semiotics, cultural studies, public relations, political communication and especially familiar with the infrastructure and the functioning of the media industry. Critical reflection of manipulative communication techniques puts spin phenomenon in historical perspective and traces its practical use in today's social communica...

Balanç benefici/risc del contingut en polifenols i alcohol del vi: bases científiques dels efectes del consum moderat de vi sobre el sistema cardiovascular

OpenAIRE

Chiva Blanch, Gemma

2013-01-01

[cat] L'objectiu d'aquesta tesi doctoral és avaluar els efectes de les fraccions del vi (alcohòlica i no alcohòlica -principalment polifenols-) sobre els principals factors de risc cardiovascular en 67 homes amb un elevat risc de patir malalties cardiovasculars. Es va realitzar un assaig clínic, aleatoritzat i creuat en el qual tots els participants van rebre en un ordre aleatori les tres intervencions: 30 gr d'alcohol / dia en forma de vi negre, la mateixa quantitat de polifenols en forma de...

Working with doctors and nurses

Science.gov (United States)

... with doctors and nurses Working with doctors and nurses Answering questions, filling out papers, getting poked and ... to pay? What questions will the doctor or nurse ask? top It’s a good idea to know ...

El mundo del libro: enero de 1959

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Agustín Rodríguez Garavito

1959-01-01

Full Text Available El documento presenta las reseñas de los siguientes títulos: Visión breve de Ibero América. Por F. Gil Tovar. El teatro. Enciclopedia de Arte Escénico. Dirección de Guillermo Díaz Plaja. Barcelona y París. Los rollos del mar muerto. Por Millar Burrows. Fondo de Cultura Económica. Trayecto y signo del arte en Colombia. Por F. Gil Tovar. Más allá del existencialismo. Por Ismael Quiles. Editor Luis Miracle. Barcelona. Guia de Tunja por el doctor Emilio Calle, Secretario de la Universidad Pedagógica de Colombia. Siberia. Por Y. Semionov. Editorial Labor S. A. Voces al mundo. Por Emilia Ayarza. El Poseso. Retrato de Edgar Allan Poe. Por Phillip Lindsay.

El humanismo del Che Che's Humanism

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Avelino Fernández Espert

2004-08-01

Full Text Available Los autores, estudiosos de la raigal influencia del pensamiento y la obra del Comandante Dr. Ernesto Guevara de la Serna (Che en Cuba y América, proyectan la estampa humanista de este revolucionario médico, con el empleo de las más trascendentes pinceladas históricas de un amplia hoja de vida en distintas latitudes del mundo. El Che, joven estudiante, médico graduado con prometedoras dotes que sabe ubicar al ser humano y sus valores por encima de un promisorio futuro como científico y profesional de la medicina. El artículo dedica atención especial a sus conceptos sobre el hombre, su vida e historia y a su proverbial apego a una ética revolucionaria de elevado calibre. El artículo contribuye al enriquecimiento de los conocimientos sobre el desarrollo histórico del humanismo médico cubano, al proyectarlo en la figura de uno de sus más míticos modelosThe authors, studious of the extraordinary influence of Commandant and Dr. Ernesto Guevara de la Serna 's thought in Cuba and America, unveil the humanist perspective of this revolutionary doctor, through the most transcendental historical events in this man's life in different latitudes of the world. Che, young student, medicine doctor with promising gifts that knew how to place the human being and his values above his promissory future as scientific and medicine professional. The article dedicates special attention to his concepts about men, as well as his life and history and to his proverbial attachment to valuable revolutionary ethics. The article contributes to the enrichment of knowledge on the historical development of Cuban medical humanism, by reflecting this in the figure of one of its most mythical models

HOMENAJE AL DOCTOR JORGE CAVELIER

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Guillermo Rueda Montaña

1979-06-01

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(Palabras del doctor Guillermo Rueda Montaña, durante el entierro del doctor Jorge Cavelier, el 25 de junio de 1978.

Señores:

Cuentan viejos relatos indígenas, de la "Tierra de los árboles inmensos", que en los grandes bosques se produce un silencio total de muchas horas, cuando cae uno de esos titanes. Varias veces centenario. Como si la tierra y todas sus criaturas recibieran el impacto y el profundo dolor de la caída de un ser aparentemente inmortal. Así nosotros, absortos y asombrados, presenciamos el derrumbe de este otro gigante que proyectó su sombra sobre el Territorio Nacional, y se constituyó por sus ejecutorias, en figura casi mística en la Medicina Colombiana.

Pues fue JORGE CAVELIER el hombre - acción. Si hubiera vivido en el Egipto clásico, habría construído una pirámide, si en los tiempos medioevales, habría emprendido una cruzada o levantado una Catedral.
Tenía una visión muy clara y era capaz de traducirla a fuerza de mandobles si fuere necesario, en una obra de interés común.
La hercúlea conformación de su raza, mezcla de celtas y vikingos, creadora de marinos, de hombres de acción, de grandes capitanes, lo impulsaba a la ejecución.
Cuando se fijaba una meta, siempre orientada hacia el progreso de la comunidad, se lanzaba en procura sin que ningún obstáculo pudiera detener el impulso emocional de su voluntad ejecutiva. Así también, con esa misma garra, se enfrentó a la muerte, a rompe y rasga, sin cuartel, sin concesiones, porque quería vivir, para continuar haciendo.

Esos ojos profundamente azules, que en tantas ocasiones reflejaron la ira, cuando algo o alguien se interponía en el camino de su férrea voluntad, eran también capaces de brillar emocionados cuando se tocaba sus más íntimas fibras de aguda sensibilidad social y
completa solidaridad humana.
Fué intemperante y fue soberbio, pero fue grande en sus prop

Inteligencia emocional y motivación del estudiante universitario

OpenAIRE

Pérez Rojas, Araceli

2012-01-01

Programa de doctorado: Formación del Profesorado [ES] La presente tesis doctoral tiene como objetivo principal analizar la relación que existe entre los tres factores de inteligencia emocional del modelo Salovey y Mayer en el esquema de la Teoría de la Autodeterminación, en concreto con el clima motivacional de orientación hacia la tarea, por lo que estudiaremos la relación que existe entre la inteligencia emocional percibida y la motivación autodeterminada en el contexto de la educación u...

Commentary: Understanding the impact of domestic violence on children, recognizing strengths, and promoting resilience: reflections on Harold and Sellers (2018).

Science.gov (United States)

Osofsky, Joy D

2018-04-01

Violence and abuse in families occurs frequently with significant impact on children of all ages. However, this type of interpersonal violence is often the least disclosed or discussed. Therefore, the Harold and Sellers paper is important to bring attention to the broad range of both behavioral and neuroscience research in this area and the clinical implications for children and adolescents including risk for later psychopathology. The commentary also expands an understanding of the impact and outcomes for very young children exposed to domestic violence. The authors provide a thorough description of the many prevention and intervention programs and approaches to help children exposed to domestic violence. In conclusion, it is essential to recognize that even at times of adversity for children and families, such as when domestic violence occurs, it is important to recognize strengths and support resilience. © 2018 Association for Child and Adolescent Mental Health.

Intolerance and Violence Against Doctors.

Science.gov (United States)

Singh, Meharban

2017-10-01

Intolerance and grouse against doctors is a global phenomenon but India seems to lead the world in violence against doctors. According to World Health Organization, about 8-38% healthcare workers suffer physical violence at some point in their careers. Many more are verbally abused or threatened. Public is almost behaving like health sector terrorists. The spate of increasing attacks on doctors by damaging their property and causing physical injury is not acceptable by any civilized society. The public is becoming increasingly intolerant to a large number of social issues because of poor governance and vote bank politics. There is a need to arrest the development of further distrust between doctors and their patients/relatives, otherwise it will compromise all achievements of medical science and adversely affect healing capabilities of doctors. Rude and aggressive behavior of the patients or their family members, and arrogant and lackadaisical approach of the doctor, adversely affects the doctor-patient relationship and the outcome of the patient. The doctors, hospital administration and government must exercise "zero tolerance" with respect to acts of violence against healthcare professionals. It is possible to reduce the incidence of intolerance against doctors but difficult to eliminate it completely. The healthcare providers should demonstrate greater compassion and empathy with improved communication skills. The hospitals must have adequate infrastructure, facilities and staff to handle emergencies without delay and with due confidence and skills. The security of healthcare providers, especially in sensitive areas, should be improved by having adequate number of security guards, frisking facilities, extensive CCTV network and availability of "Quick response team" to handle unruly mob. In case of any grievances for alleged mismanagement, the public should handle the situation in a civilized manner and seek redressal through Medical Protection Act and legal

Persisting Dreams: The Impact of the Doctoral Socialization Process on Latina Post-Doctoral Career Aspirations

OpenAIRE

Westerband, Yamissette

2016-01-01

Latinas are underrepresented within the professorate and within doctoral programs, particularly within Research Intensive Institutions. This dissertation explores how the doctoral socialization process impacts the pipeline from the Ph.D. to scholarly careers for Latinas in Research universities. Given the low numbers of representation and production at the doctoral level for Latinas, what happens when they do enter Ph.D. programs? Their doctoral experience must be marked in one way or anot...

EN LA ERA DEL CADUCEO DE MERCURIO

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Hernán Urbina Joiro

2010-06-01

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En un momento extraño el bastón de Asclepio, dios de la medicina, fue cambiado por el caduceo de Mercurio, dios del comercio y también de los ladrones.

Distintas tradiciones griegas dicen que Asclepio se servía de un bastón y de la serpiente para sanar enfermos, enseñar y resucitar difuntos1,2 y que cuando volvió a la vida a Hipólito, hijo de Teseo, le había restado tantos muertos a Hades, rey de los infiernos, que el propio Hades fue a querellarse ante Zeus, quien convencido de la amenaza que representaría Asclepio para mantener el orden establecido, lo hirió con un rayo3,4. La vara de Asclepio —Esculapio para los romanos— con una serpiente enrollada simbolizó la sanación mediada por el médico5.

De Hermes —Mercurio para los romanos—, dios griego del comercio, las comunicaciones, la astucia y los ladrones6, la tradición afirma que su caduceo consistía en un bastón de oro con alas y dos serpientes enrolladas, y que le fue regalado por Apolo a cambio de la flauta del dios Pan7. Una práctica anglosajona del siglo XVI, iniciada por el doctor William Butts, médico del rey Enrique VIII, introdujo el caduceo de Mercurio —en lugar de lavara de Asclepio— como símbolo entre médicos británicos8 y de allí pasó a galenos del cuerpo médico del ejército de los Estados Unidos y de diversas otras comunidades médicas. Por cierto, Mrs. Butts aparece en Enrique VIII, de William Shakespeare, como «El doctor Butts, médico del Rey»9.

Evolución del Programa de Control de Tuberculosis en el Servicio Seccional de Salud del Meta

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Pedro Pablo Velásquez Rico

1990-04-01

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La Academia Nacional de Medicina y el Ministerio de Salud patrocinaron en la sede de nuestra Corporación, un Seminario Coordinado por el académico doctor Gilberto Rueda Pérez, para estudiar el estado actual de la Campana contra la Tuberculosis en el país y optimizar las labores que en este caso se adelantan.
Corno reconocimiento y estímulo al trabajo más completo y objetivo de los presentados en este certamen. publicamos el estudio que sobre la lucha anti-tuberculosa en el Meta. realizó la delegación de este Departamento. Médico Coordinador:’ Dr. Velásquez.

Prólogo
Dentro del marco del XII CURSO DE EPIDEMIOLOGIA y CONTROL DE LA TUBERCULOSIS, para médicos, enfermeras y bacteriólogas realizado del 3 al 30 de octubre de 1988, en el Hospital Santa Clara, organizado por la sección de Transmisibles del Ministerio de Salud a cargo del Doctor Guido Chaves Montagno; se llevó también a cabo el XVIII SEMINARIO NACIONAL DE EVALUACION DEL PROGRAMA DE TUBERCULOSIS, en el cual cada Servicio Seccional de Salud presentó un trabajo para concurso, mostrando la evolución del programa del año 1982 a 1987.

Concurso en el cual el primer puesto le fue otorgado al Programa de Control de Tuberculosis del Servicio Seccional de Salud del Meta: este trabajo es el que a continuación se presenta. Quiere el Coordinador del Programa en el Meta, presentar agradecimientos al Ministerio de Salud y al Instituto Nacional de Salud por el gran apoyo que siempre se le ha brindado; lo mismo ljue a todos los funcionarios del Servicio Seccional de Salud, como a los de los diferentes organismos de salud del Departamento y un reconocimiento muy especial a todo el grupo de Tuberculosis del Hospital San Antonio de Villavicencio, donde funciona el Consultorio de Vías Respiratorias; ya que gracias a su activa participación en las diferentes actividades del Programa es quc se

El mundo del libro: Julio de 1958

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Agustín Rodríguez Garavito

1958-07-01

Full Text Available Se presentan las reseñas de las siguientes obras y autores: Italia, Guía para vagabundos -- Por Arciniegas, Germán. -- Editorial Suramericana -- 233 páginas. Por los valores del espíritu -- Por Sánchez, Álvaro -- Ediciones del Instituto de Cultura Hispánica. Editorial A B C -- 303 páginas. Colombia Literaria -- Dos Volúmenes -- Litografía Villegas -- División de Extensión Cultural del Ministerio de Educación -- Compilación y trabajo de J.M. Álvarez D'Orsonville.  Temas de castellano. Por Flórez, Luis -- Publicaciones del Instituto Caro y Cuervo. Palabras a la juventud -- Por el doctor Agustín Nieto Caballero --Editorial A B C -- 229 páginas. Peligro en occidente. Por Gonzalo Restrepo Jaramillo. Panamericanismo Democrático. Por Diego Uribe Vargas -- Ediciones Nuevo Signo. Instituciones de Derecho Tributario -- Por A.D. Gianinni -- Editorial de Derecho Financiero de Madrid. Oro y Tormenta -- Por Juana de Ibarborou -- Editorial Zig Zag -- Santiago de Chile. Setenta sonetos del atardecer.

Skill set development of doctoral and post-doctoral graduates in life sciences.

Science.gov (United States)

Kanwar, R S

2010-01-01

Doctoral and post-doctoral training programs at leading research universities in the USA are highly important in generating the much needed knowledge in science, technology, engineering, and mathematics for keeping rural and urban economies strong and societies healthy and prosperous. In addition, innovative graduate and post doctoral research programs are the driving engines of the success of U.S. economy and have made the U.S. the most successful model of generating new knowledge in the broader areas of life sciences (and agricultural education, research, and extension). We need to do everything in our power to make these training programs innovative, collaborative, independent, and resourceful so that students are trained in different disciplines making them more flexible within a range of challenges and opportunities. The training programs must empower students to solve complex and interdisciplinary problems of the society in 21st century and make our students competitive within a global economic system, to improve the health of the nation's economy. If our land grant schools and institutions of higher learning are not preparing doctoral students to be globally competitive scientists to create new knowledge and technologies to solve complex and interdisciplinary problems of the 21st century, then either we need to redefine the mission of our land grant system or we risk losing our role to serve the public and industry effectively. Doctoral and post doctoral students should be given the needed skills and experiences to prepare them for tenure track faculty jobs at leading US Universities in the 21st century as well as prepare them for the world outside of academia. I would say minimum competency skills are needed as "bare survival skills" for all doctoral students to become successful after obtaining PhD degrees. Today's PhD students will be working in a global but highly competitive, rapidly changing, and complex world. It is no longer enough to be a good

La traducción deficiente, del inglés al español, de obras teóricas sobre las organizaciones: Un obstáculo al conocimiento

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Jorge Ríos Szalay

2009-01-01

Full Text Available En este artículo se argumenta en primer lugar que el lenguaje es elemento vital del método de la ciencia, toda vez que el conocimiento se crea a través del diálogo establecido entre los investigadores fundamentalmente por medio de la palabra escrita, por lo que el rigor o descuido que se tenga en su uso infl uye en el conocimiento mismo. Consecuentemente, se destaca que la traducción del pensamiento de un autor de una lengua a otra es un asunto de la mayor importancia, puesto que puede ser un medio para el avance o para la obstrucción del conocimiento. En segundo término, y como parte central, se argumenta que a menudo las traslaciones de libros de administración y de teoría de la organización del inglés al español son tan deficientes que distorsionan ideas importantes de sus autores, y se ofrecen evidencias de ello a través del análisis de las traducciones de pasajes particularmente importantes de la obra de cinco infl uyentes pensadores: Harold Koontz y Cyril O' Donnell, George Terry, Chester Barnard y Nicos Mouzelis. Finalmente, se analizan en forma somera las principales causas de esta problemática y se esbozan algunas ideas preliminares acerca de lo que se podría hacer con vistas a atenuarla.

Reexamining the Structure of Hemingway's "The Doctor and the Doctor's Wife."

Science.gov (United States)

Mulvey, James

2003-01-01

Considers how Hemingway's "The Doctor and the Doctor's Wife" is a model of Edgar Allan Poe's aesthetic of the short story. Examines this work on many levels. Concludes that great writers, such as Ernest Hemingway, challenge readers to find the clues, to connect the dots, to pay attention to the "little details." (SG)

Coaching doctoral students

DEFF Research Database (Denmark)

Godskesen, Mirjam Irene; Kobayashi, Sofie

2016-01-01

In this paper we focus on individual coaching carried out by an external coach as a new pedagogical element that can impact doctoral students’ sense of progress in doctoral education. The study used a mixed methods approach in that we draw on quantitative and qualitative data from the evaluation...... impact the supervisor – student relationship in a positive way....

Doctors and baldness: a five thousand year old challenge.

Science.gov (United States)

Campo, Daniele; D'Acunzo, Valeria

2016-02-01

The history of trichology follows a thread that continually intersects with that of the history of medicine in general. Even Hippocrates believed that the approach to baldness should be of a medical nature. This confrontation between doctors and hair loss, which has lasted for five thousand years, begins with the invocations of the head physicians in the Egyptian era and ends with the recent institution of postgraduate Master's degrees at Faculties of Medicine and Surgery. The biggest names in medicine concerned themselves with trichology beginning with Hippocrates, who dealt with the topic in his most famous work: the Aphorisms. Even the most celebrated doctors of the Roman era, such as Galen and Pliny the Elder, did not disdain considering hair loss, leaving important scientific contributions before passing on the baton to their distinguished colleagues of the Byzantine Empire. The narrative then flows through the most prestigious institutions of the Middle Ages, such as the Salerno School of Medicine and the Siena Accademia del Fisiocritici where, at the end of the 1600s, the distinguished anatomical describer Marcello Malpighi also taught trichology, and left his contribution to "Hair Science" with a fine description of the hair follicle in the pages of his Opera Posthuma. At the turn of the late Middle Ages and the early modern era, barbers formed the primordial nucleus of surgery and at the same time became the ones to concern themselves with hair loss. In the 1800s, several doctors published the first texts dealing with the anatomy and physiology of the hair and taking into account the principal forms of alopecia, but at the therapeutic level did not yet propose anything scientifically valid. Until a few decades ago trichology still lent itself to various commercial speculations. It was not until the twentieth century that the pathogenetic mechanisms of baldness were clarified in a scientific manner. With this knowledge, the pharmaceutical industry has been

Finding the Right Doctor

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... certified hospital Communicating with Healthcare Professionals for Caregivers Consumer Health Care • Home • Health Insurance Information • Your Healthcare Team Introduction Finding the Right Doctor Talking to Your Doctor Getting a Second ...

El carácter intrínsecamente teatral del mito fáustico

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Carmen Leñero

2015-06-01

Full Text Available Mucho se ha escrito sobre las diferencias (históricas, ideológicas, filosóficas, políticas, estéticas entre los diversos personajes ficticios que han encarnado el mito fáustico. La figura de Fausto ha atravesado la historia moderna desde sus inicios hasta el día de hoy: desde principios del renacimiento, pasando por la ilustración, el romanticismo y existencialismo del siglo xx, y ha “transmigrado” de un género artístico a otro: de la leyenda oral al teatro, del poema a la novela, del ensayo a la pintura o la música, del tablado de títeres a la ópera y el cine. En cada uno de estos ámbitos de ficción, su famoso pacto con el Mal (materializado en otra figura clave del mito: el Diablo cambia de significación, ya sea que se conciba a Fausto como representante de la cultura alemana en particular, de la cultura europea y occidental en general, o incluso del gé- nero humano. Sin ignorar los contextos culturales de las obras en que aparece, en este ensayo exploro los aspectos propiamente “teatrales”, comunes a todas las versiones del mito. Me referiré en especial al Volksbuch o Libro popular del Doctor Faustus, editado por Johann Spies en 1587, a la pieza teatral de Christopher Marlowe (1592, a El drama de títeres, cuya primera representación data de 1746, a las dos partes el poema dramático Fausto de Johann W. von Goethe (de 1808 y de 1832, respectivamente y a la novela de Thomas Mann, Doctor Faustus (1947.

Australian doctors and the visual arts. Part 1. Doctor-artists in New South Wales.

Science.gov (United States)

Hamilton, D G

Since Europeans first settled in Australia their doctors have been interested in the visual arts. Some have been hobby painters and sculptors, a few with great distinction. Some have been gallery supporters and administrators. A few have written art books. Some have been outstanding photographers. Of the larger number of doctors who have collected art, only those are mentioned who have made their collections public or have made important donations to galleries. The subject of Australian doctors and the visual arts will be discussed in six articles in this and following issues of the journal. The first deals with doctor-artists in New South Wales.

The Rise of Professional Doctorates: Case Studies of the Doctorate in Education in China, Iceland and Australia

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Wildy, Helen; Peden, Sanna; Chan, Karyn

2015-01-01

Doctoral education is going through a period of transition. This transition is evident in the many varieties of doctoral degrees currently offered in higher education institutions worldwide, from the traditional research-based Doctor of Philosophy (PhD) to the Professional Doctorate and the New Route PhD. This article reports on a study which…

Healthy Doctors – Sick Medicine

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Olaf Gjerløw Aasland

2015-05-01

Full Text Available Doctors are among the healthiest segments of the population in western countries. Nevertheless, they complain strongly of stress and burnout. Their own explanation is deprofessionalisation: The honourable art of doctoring has been replaced by standardised interventions and production lines; professional autonomy has withered. This view is shared by many medical sociologists who have identified a “golden age of medicine,” or “golden age of doctoring,” starting after World War II and declining around 1970. This article looks at some of the central sociological literature on deprofessionalisation, particularly in a perspective of countervailing powers. It also looks into another rise-and-fall model, proposed by the medical profession itself, where the fall in professional power was generated by the notion that there are no more white spots to explore on the map of medicine. Contemporary doctoring is a case of cognitive dissonance, where the traditional doctor role seems incompatible with modern health care.Keywords: deprofessionalisation, professional autonomy, cognitive dissonance, golden age of doctoring

The development of online doctor reviews in China: an analysis of the largest online doctor review website in China.

Science.gov (United States)

Hao, Haijing

2015-06-01

Since the time of Web 2.0, more and more consumers have used online doctor reviews to rate their doctors or to look for a doctor. This phenomenon has received health care researchers' attention worldwide, and many studies have been conducted on online doctor reviews in the United States and Europe. But no study has yet been done in China. Also, in China, without a mature primary care physician recommendation system, more and more Chinese consumers seek online doctor reviews to look for a good doctor for their health care concerns. This study sought to examine the online doctor review practice in China, including addressing the following questions: (1) How many doctors and specialty areas are available for online review? (2) How many online reviews are there on those doctors? (3) What specialty area doctors are more likely to be reviewed or receive more reviews? (4) Are those reviews positive or negative? This study explores an empirical dataset from Good Doctor website, haodf.com—the earliest and largest online doctor review and online health care community website in China—from 2006 to 2014, to examine the stated research questions by using descriptive statistics, binary logistic regression, and multivariate linear regression. The dataset from the Good Doctor website contained 314,624 doctors across China and among them, 112,873 doctors received 731,543 quantitative reviews and 772,979 qualitative reviews as of April 11, 2014. On average, 37% of the doctors had been reviewed on the Good Doctor website. Gynecology-obstetrics-pediatrics doctors were most likely to be reviewed, with an odds ratio (OR) of 1.497 (95% CI 1.461-1.535), and internal medicine doctors were less likely to be reviewed, with an OR of 0.94 (95% CI 0.921-0.960), relative to the combined small specialty areas. Both traditional Chinese medicine doctors and surgeons were more likely to be reviewed than the combined small specialty areas, with an OR of 1.483 (95% CI 1.442-1.525) and an OR of 1

Didáctica Del Campo Eléctrico: Perspectiva Del Profesor De Física En Formación Inicial

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Jaime Duván Reyes Roncancio

2015-01-01

Full Text Available El artículo presenta resultados de la  tesis doctoral en Educación en Ciencias de la Naturaleza de la Universidad Distrital Francisco José de Caldas,  en donde se establecen características del conocimiento didáctico de contenido sobre la enseñanza del campo eléctrico. La perspectiva metodológica de corte cualitativo permitió  constituir un caso de estudio sobre la didáctica del profesor de física en formación inicial en el contexto de su practica docente. Los resultados se organizan desde narrativas metafóricas  y discuten  lo enfoques didácticos utilizados y que a su vez cuestionan implicaciones curriculares  en la formación  inicial de docentes de física.

Perceptions of doctors on being treated by a doctor just completing the house job.

Science.gov (United States)

Ahmad, Amina; Haque Shaikh, Siraj Ul; Tayyab, Muhammad; Gardezi, Javed Raza

2014-12-01

To determine the percentage of medical teachers and fresh doctors who feel that graduating doctors are competent or incompetent to handle common ailments and to evaluate the reasons for their perceptions. Sequential mixed method. First phase extending from December 2010 to December 2011 and second phase was conducted in March 2014. First phase comprised electronic distribution of questionnaire to 100 medical teachers and fresh doctors working in hospitals attached with 5 private and 5 public sector medical colleges of Lahore and Karachi to rate an average house officer on a frequency scale of 1 - 6 and do self-assessment, in case of a fresh doctor. The second phase included interviews of 20 medical teachers to explore justification for their rating in the survey questionnaire and for triangulation of data. Quantitative data was analyzed through SPSS version 15 to calculate frequencies and percentages and interviews were analyzed through quasi-statistical approach. In survey, 38.36% out of 73 medical teachers and 30% out of 20 medical teachers in interviews confirmed their confidence on consulting fresh doctors for common ailments as opposed to 61.64% and 70% respectively, expressing their dissatisfaction. Self-assessment of fresh doctors indicated that 40% are confident in handling common medical conditions as opposed to 33.3% out of 75 respondents, who are not confident about their clinical skills. Faculty and self-assessment of fresh doctors has a fair overlap, indicating room for further improvement in the house job training program.

Talking to Your Doctor

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Full Text Available ... for the doctor’s contact information and their preferred method of communication. Remember that nurses and pharmacists are also good sources of information. How to Talk to your Doctor Talking With Your Doctor , NIH ...

Working as a doctor when chronically ill or disabled: comments made by doctors responding to UK surveys.

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Smith, Fay; Goldacre, Michael J; Lambert, Trevor W

2016-07-01

To report a qualitative study of themes doctors raised spontaneously, in a large-scale prospective cohort study covering many aspects of their medical careers, when referring to their own chronic illness or disability. Questionnaire survey. UK. Questionnaires were sent one, five and 10 years after graduation to 44,539 doctors who qualified between 1993 and 2012 in the UK: 38,613 questionnaires were returned and 11,859 respondents provided comments made by doctors about their training or work. The comments of 123 doctors about their own chronic illness or disability. Main themes raised included poor support for doctors with chronic illness or disability, delays in and changes to careers (either planned ahead or imposed), the impact of pressure at work, difficulties returning to work after illness, limitations on career choices and inadequate careers advice for doctors with chronic illness or disabilities. More needs to be done to ensure that doctors with chronic illness or disability receive appropriate support. Occupational health guidance should be monitored closely, with more support for ill doctors including adjustments to the job, help if needed with morale and mental health, and advice on career options. Further studies should establish the prevalence of long-term health conditions among doctors.

Talking to Your Doctor

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Full Text Available ... You Talking to Your Doctor Science Education Resources Community Resources Clear Health A–Z Publications List More » ... can play an active role in your health care by talking to your doctor. Clear and honest ...

Talking to Your Doctor

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Full Text Available ... Impact of NIH Research Science, Health, and Public Trust You are here Home » Institutes at NIH » NIH ... Your Doctor Plain Language Science, Health, and Public Trust Talking to Your Doctor Part I: Preparing for ...

Doctoral education in the nuclear sector

International Nuclear Information System (INIS)

Minguez, E.

2013-01-01

Doctoral education is a major priority for European universities. In the context of the Bologna Process the importance of doctoral education as the third cycle of higher education and the first stage of a young researchers career, and thus in linking the European Higher Education and Research Areas, was first highlighted in the 2003 Berlin Report. The core component of doctoral training is the advancement of knowledge through original research. considering the need for structured doctoral programs and the need for transparent supervision and assessment, we note that the normal workload of the third cycle in most countries would correspond 3-4 years full time. This is spirit of the new Spanish Doctoral Law. Then, universities should ensure that their doctoral programmes promote interdisciplinary training and the development of transferable skills, thus meeting the needs of the wider employment market. We need to achieve and overall increase in the numbers of doctoral candidates taking up research careers as early stage researchers and also increase the employability as a normal way as it is the case of other advance countries. In Spain, universities with doctoral nuclear programmes and the CIEMAT, with the sponsorship of the nuclear sector, a doctoral school in nuclear science and engineering should be created to enhance the research careers of Young students for the future of nuclear activities in Spain. (Author)

Diabetes Mellitus: Aptitud clínica del médico de atención primaria Diabetes Mellitus: Clinical aptitude of the doctor of primary care

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Víctor Manuel Gómez-López

2006-03-01

Full Text Available Objetivo: Comparar la aptitud clínica del médico de las Unidades de Medicina Familiar, en la atención de la diabetes mellitus. Material y métodos: Diseño transversal y comparativo. Se aplicó un instrumento de evaluación validado previamente por un grupo de expertos, a 78 médicos familiares que se desempeñan en el primer nivel de atención. Dentro de los indicadores explorados con el instrumento de evaluación se incluyen: I Reconocimiento de factores de riesgo, II Reconocimiento de signos y síntomas, III Utilización e interpretación de recursos de laboratorio y gabinete, IV Integración diagnóstica, V Utilización de medidas terapéuticas y VI Medidas de seguimiento. Para el análisis estadístico, se utilizó la prueba de Kruskall-Wallis y la Ji cuadrada con un nivel de significancia de 0.05 Resultados: El puntaje que correspondió a lo explicable por efectos del azar fue Objective: to compare the clinic aptitude of the doctor in the unities of familiar medicine in the care of the diabetes mellitus. Material and Methods: Transversal and comparative pattern. A evaluation previously validated by a group of experts was apply to 78 specialist in familiar medicine who redeem in the first level of attention. The indicators explored in the evaluation are. I recognition of cause of risk. II recognition of signs and symptoms. III utilization and interpretation of laboratory studies and consultation studies. IV diagnostic integration. V utilization of terapeutic measures and VI following measures. For the statistical analysis, it was used the Kruskall-Wallis and chi-square with a level of important of 0.05 Results: the points to the explainable for effects of chance were of < 24 in global grade. According to the scale used, the 64 % (IC 95 % de 53 a 70 % of the results in the grades was situated in the low scale (49-73. In general it didn´t appear significative differences in the results of clinic aptitude by indicator and academic degree

Riesgo cardiovascular en pacientes de un consultorio médico del policlínico "Ana Betancourt" Cardiovascular risk found in patients from a doctor's office in "Ana Betancourt" polyclinics

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Luis Manuel Hernández Vázquez

2012-12-01

Full Text Available Introducción: la capacidad predictiva del riesgo coronario es superior a la que se establece por la consideración aislada de los factores de riesgo cardiovasculares. Objetivo: determinar la magnitud del riesgo coronario y las prioridades de prevención cardiovascular en pacientes pertenecientes al consultorio médico de la familia No.5, del policlínico "Ana Betancourt", en el municipio Playa. Métodos: investigación descriptiva, de corte transversal realizada entre 2009-2010. El universo de estudio estuvo constituido por las 856 personas mayores de 20 años perteneciente a dicho consultorio. Después de aplicados los criterios de selección, la muestra quedó conformada por 242 pacientes. Se utilizaron los criterios de las Tablas de Predicción del Riesgo Coronario de Framingham, que permiten estimar dicho riesgo a diez años, en las personas con factores de riesgo cardiovascular que aún no han tenido enfermedad coronaria establecida y que requieren intervenciones de cambio de su estilo de vida. Resultados: predominaron los pacientes en la categoría de riesgo coronario moderado, 97 (40,1 %, seguido por los de alto riesgo, 82 (33, 8 % y finalmente, los de bajo riesgo, 63 (26 %. Ninguno de los pacientes estudiados estaba exento de riesgo coronario. Conclusiones: es muy probable, que más de la mitad de la muestra sufra un episodio coronario, mortal o no, durante los próximos diez años. Es urgente aplicar una estrategia de intervención comunitaria, basada en la modificación de los factores de riesgo asociados al estilo de vida, que permita disminuir la actual expresión del riesgo coronario en la población estudiada.Introduction: the predictive capacity of the coronary risk is greater than the prediction set by the individual consideration of the cardiovascular risk factors. Objective: to determine the coronary risk and the cardiovascular prevention priorities in patients from the family doctor's office no.5 in "Ana Betancourt

Eficacia del entrenamiento muscular en el aumento de la fuerza del suelo pélvico

OpenAIRE

González Morán, Janire

2014-01-01

RESUMEN: Introducción: La gimnasia abdominal hipopresiva (GAH) fue creada en los años 80 por el Doctor Marcel Caufriez. Surge como alternativa para tonificar la faja abdominal de las mujeres en el postparto, logrando una disminución de la presión intraabdominal (1). Los ejercicios de Kegel consisten en el fortalecimiento del suelo pélvico mediante contracciones voluntarias (2,3). Objetivo: Comparar la eficacia de los ejercicios Kegel y la Gimnasia Abdominal Hipopresiva en la me...

Tuberculosis y escritura, las dos muertes de El Doctor Centeno

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Flores Ruiz, Eva M.

2005-06-01

Full Text Available Pérez Galdós outlines in El Doctor Centeno (1863 the clinical and literary symptoms of the decline of Spanish romanticism in the mid-nineteenth century brought about by the positivism advocated by the bourgeoisie. This article explores the way in which Galdós, to achieve this, uses Alejandro Miquis, a consumed character who along the narrative experiences a twofold feverish process of romantic origin and nature. In the Madrid of 1863, Miquis is dying of tuberculosis, the same illness that romanticism had elevated to mythic proportions. At the same time, this character strives to renew the drama of his time by writing and offering to the brand new middle class a historical play of unmistakable romantic leanings, which is as anachronistic and moribund as he is. Thus, through his death, the ensuing defiling of his work, and a narrative structure filled with medical and literary winks, Galdós succeeds in expanding the death certificate to the whole romantic culture.En El Doctor Centeno (1883, Pérez Galdós perfila un cuadro clínico-literario del ocaso del romanticismo en la España de mediados del siglo XIX, arrollado por el positivismo que abanderaba la nueva sociedad burguesa. Este artículo explora la forma en que Galdós, a tal fin, se sirve de Alejandro Miquis, personaje consumido a lo largo de la narración por un doble proceso febril de naturaleza y origen románticos. En el Madrid de 1863 y, mientras agoniza de la misma enfermedad que el romanticismo elevara a categoría mítica —la tuberculosis—, Miquis se empeña en renovar el teatro de su época, creando y ofreciendo a la naciente sociedad un drama histórico de clara filiación romántica, tan anacrónico y moribundo como él. Así, mediante su muerte y posterior profanación de su obra, y valiéndose de una estructura plagada de guiños médico-literarios, Galdós acierta a extender el acta de defunción de la cultura romántica.

Talking to Your Doctor

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Full Text Available ... NIH Website NIH Employee Intranet Staff Directory En Español Site Menu Home Health Information Health Info Lines ... Talking With Your Doctor , NIH News in Health Español Talking to Your Doctor , National Eye Institute (NEI) ...

Talking to Your Doctor

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Full Text Available ... Communications & Public Liaison » Clear Communication Clear Communication Clear Communication Health Literacy Clear & Simple Clear Health from NIH Cultural Respect Language Access Talking to Your Doctor Plain Language Science, Health, and Public Trust Talking to Your Doctor ...

Coaching Doctoral Students--A Means to Enhance Progress and Support Self-Organisation in Doctoral Education

Science.gov (United States)

Godskesen, Mirjam; Kobayashi, Sofie

2016-01-01

In this paper we focus on individual coaching carried out by an external coach as a new pedagogical element that can impact doctoral students' sense of progress in doctoral education. The study used a mixed-methods approach in that we draw on quantitative and qualitative data from the evaluation of a project on coaching doctoral students. We…

Inequality and Doctoral Education: Exploring the "Rules" of Doctoral Study through Bourdieu's Notion of Field

Science.gov (United States)

Gopaul, Bryan

2015-01-01

While studies have examined a myriad of issues in doctoral study, much of this research has not employed the tools of major social and cultural thinkers to the dynamics of doctoral education. This paper explores the use of Bourdieu's notion of field to render visible the practices and contexts of doctoral education that produce inequalities across…

Dr Oen Boen Ing Patriot doctor, social activist, and doctor of the poor

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Ravando Lie

2017-05-01

Full Text Available This article examines the efforts and achievements of Oen Boen Ing, a Tionghoa doctor, to improve the quality of health of the poorer inhabitants of Surakarta. Dr Oen played an important role in five different periods: Dutch colonialism, the Japanese occupation, the Indonesian revolution, Soekarno’s regime, and Suharto’s New Order. Known for being a benevolent doctor, activist, and patriot of the revolution during his life-time, Dr Oen also gave medical assistance to the needy, which famously earned him the accolade of “doctor of the poor”. During the Indonesian revolution, Dr Oen assisted the Student Soldiers (Tentara Pelajar and afterwards was appointed the member of Supreme Advisory Council (Dewan Pertimbangan Agung/DPA by Soekarno in 1949. As a benevolent doctor and activist, Dr Oen is remembered for founding the Panti Kosala Hospital which was renamed to perpetuate his name on 30 October 1983, exactly a year after his passing. When he died, thousands of peoples gathered to pay their final respects to the doctor. He was honoured with a ceremony conducted in the Mangkunegaran Palace. Dr Oen’s name will be eternally respected, especially in Surakarta.

Pensamento comunicacional canadense: as contribuições de Innis e McLuhan

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Luiz C. Martino

2009-09-01

Full Text Available Resumo O presente trabalho visa apresentar o pensamento comunicacional canadense. Sustenta a idéia de Harold Innis como pioneiro, entendendo que sua obra, mais do que uma simples teoria, comporta um programa de pesquisa (no sentido de Imre Lakatos. Define o núcleo duro do programa innisiano, como: a a ação da técnica nos processos de comunicação e b a centralidade dos meios de comunicação para entender a organização social. Teses que estão na base de um projeto de incomparável valor epistemológico, visto que constituiriam uma possibilidade para o fundamento do próprio saber comunicacional. Palavras-chave: Pensamento comunicacional canadense; teoria da comunicação; Harold Innis; Marshall McLuhan; Escola de Toronto de Comunicação. Resumen El presente trabajo visa presentar el pensamiento comunicacional canadiense. Sustenta la idea de Harold Innis como pionero, entendiendo que su obra, más que una simple teoría, comporta un programa de investigación (en el sentido de Imre Lakatos. Define el núcleo duro del programa innisiano como: a la acción de la técnica en los procesos de comunicación y b la centralidad de los medios de comunicación para entender la organización social. Tesis que constituyen la base de un proyecto de incomparable valor epistemológico, visto que constituirían una posibilidad para el fundamento del propio saber comunicacional. Palabras-clave: Pensamiento comunicacional canadiense; teoría de la comunicación; Harold Innis; Marshall McLuhan; Toronto School of Communication (Escuela de Comunicación de Toronto. Abstract This article presents the main lines of thought within Canadian Communication. It sustains the thesis of Harold Innis as pioneer, understanding that his work, more than just a simple theory, it admits a research program (such as employed by Imre Lakatos. It defines as the hard core for the Innisian program: a the action of technique on communication processes and b the centrality of

Escuela de formación doctoral de la Universidad de Guantánamo: interfase innovadora e integrada al desarrollo local

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Alberto Turro -Breff

2017-11-01

Full Text Available En la propuesta se sistematiza la experiencia de la Escuela de formación doctoral de la Universidad de Guantánamo (eFD-UG como interfase innovadora e integrada al desarrollo local. Se presenta el diagnóstico conectado a la formación doctoral, se explica el modelo de gestión con el propósito de asegurar la formación de la reserva científica de pregrado y profesionales en la formación doctoral de forma colaborativa y tutelar, así como la superación posdoctoral, se argumentan las acciones y su conexión con las líneas de investigación, proyectos, grupos científicos estudiantiles, reserva científica y los aspirantes, así como los principales resultados y retos en función de las necesidades y demandas del desarrollo local.

Estudio de la contribución del epicardio durante la regeneración del corazón en un modelo de criolesión ventricular en pez cebra

OpenAIRE

González Rosa, Juan Manuel

2013-01-01

Tesis doctoral inédita. Universidad Autónoma de Madrid, Facultad de Ciencias, Departamento de Biología Molecular. Fecha de lectura: 21-06-2013 El corazón del pez cebra regenera completamente después de la amputación del ápex del ventrículo. Aunque este modelo de lesión ha sido útil para la elucidación de ciertos mecanismos, está basado en la eliminación quirúrgica de una porción de un órgano y no en la inducción de un daño tisular real. En este trabajo se ha caracterizado las r...

Cuerpo y palabra: el mito de Fausto según La Fura dels Baus

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Aarón Rodríguez Serrano

2009-01-01

Full Text Available We are going to build a new lecture of the Faust´s original myth based in the La Fura dels Baus trilogy. Our main objective is study how two of the main important theatre codes (word/body are used to build a new postmodern cover of the goethian original.Ofrecemos una lectura de la trilogía que La Fura dels Baus dedicó al mito del Doctor Fausto en clave de análisis textual. Nuestro principal objetivo es observar cómo dos de los códigos tradicionales en la construcción teatral (cuerpo/palabra se deslizan hasta ofrecer una lectura postmoderna del texto original de Goethe.

Talking to Your Doctor

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Full Text Available ... Discovery Into Health ® Impact of NIH Research Science, Health, and Public Trust You are here Home » Institutes at NIH » ... Access Talking to Your Doctor Plain Language Science, Health, and Public Trust Talking to Your Doctor Part I: Preparing ...

Dementia - what to ask your doctor

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What to ask your doctor about dementia; Alzheimer disease - what to ask your doctor; Cognitive impairment - what to ask your doctor ... Alzheimer's Association. Dementia Care Practice Recommendations ... in a Home Setting. Updated 2009. Alz.org. www.alz.org/national/ ...

Seeking and using intention of health information from doctors in social media: The effect of doctor-consumer interaction.

Science.gov (United States)

Wu, Tailai; Deng, Zhaohua; Zhang, Donglan; Buchanan, Paula R; Zha, Dongqing; Wang, Ruoxi

2018-07-01

The aim of this study is to investigate how doctor-consumer interaction in social media influences consumers' health information seeking and usage intention. Based on professional-client interaction theory and expectation confirmation theory, we propose that doctor-consumer interaction can be divided into instrumental interaction and affective interaction. These two types of interaction influence consumers' health information seeking and usage intention through consumer satisfaction and trust towards doctors. To validate our proposed research model, we employed the survey method. The measurement instruments for all constructs were developed based on previous literatures, and 352 valid answers were collected by using these instruments. Our results reveal that consumers' intention to seek health information significantly predicts their intention to use health information from social media. Meanwhile, both consumer satisfaction and trust towards doctors influences consumers' health information seeking and usage intention significantly. With regards to the impact of the interaction between doctors and consumers, the results show that both types of doctor-consumer interaction significantly affect consumer satisfaction and trust towards doctors. The mediation analysis confirms the mediation role of consumer satisfaction and trust towards doctors. Compared with many intentional intervention programs, doctor-consumer interaction can be treated as an effective intervention with low cost to promote consumers' health information seeking and usage. Meanwhile, both instrumental and affective interaction should be highlighted for the best interaction results. At last, consumer satisfaction and trust towards doctors could be considered as the important working mechanisms for the effect of doctor-consumer interaction. Copyright © 2018 Elsevier B.V. All rights reserved.

Gestión del Conocimiento y Cultura investigativa. Una Aproximación Teórica-Crítica

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Lourdes C. Marín

2013-11-01

Full Text Available En el contexto de la sociedad del conocimiento y la era planetaria, las posibilidades del conocimiento son infinitas, dada las complejas interconexiones de orden multicultural en el contexto de una sociedad global. Esta especial característica del mundo de hoy, conduce a interpelar la epistemología y la teoría acerca del conocimiento existente en el campo de las Ciencias Sociales y específicamente, educativas. Este particular desafío epistémico traduce desentrañar las complejidades ontogénicas existentes en el sistema Educación Superior, investigación doctoral, gestión del conocimiento y cultura investigativa. En efecto, la presente investigación se propone generar una reconfiguración teórica-crítica acerca de la gestión del conocimiento y la cultura investigativa en el contexto de los estudios doctorales de la Universidad Pedagógica Experimental Libertador. En estas circunstancias, se asume que el eje articulador de la investigación universitaria de nivel doctoral debe girar en torno a la gestión del conocimiento científico para la construcción colectiva de una cultura investigativa. La investigación se fundamenta en los aportes de la teoría crítica. El objeto de estudio será abordado epistemologicamente con base en el paradigma interpretativo, en el marco del pensamiento transdisciplinario y con método hermenéutico a partir de una investigación de campo de naturaleza interpretativa. Se prevé entrevistar, algunos profesores como a los doctorantes, que se encuentren en la fase de culminación o egresados del subprograma doctoral en las diferentes sedes del país. Para tales fines se aplicarán diversas técnicas propias de la propuesta de investigación cualitativa, así como el método comparativo constante. Finalmente, el proceso de análisis crítico, la interpretación de las categorías emergentes y reflexiones de la investigadora, será el cimiento de un nuevo corpus teórico-crítico acerca de la gestión del

[Murder of the doctor].

Science.gov (United States)

Lorettu, Liliana; Falchi, Lorenzo; Nivoli, Fabrizia L; Milia, Paolo; Nivoli, Giancarlo; Nivoli, Alessandra M

2015-01-01

To examine possible risk factors for the doctor to be killed by the patient in the clinical practice by examining a series of murders that involved physicians. This aim has been achieved through a retrospective review on clinical cases of doctors killed by patients within the period between 1988 and 2013, in Italy. In this period 18 Italian doctors have been killed in the workplace, with a rate of 0.3/100,000. In 7 cases, the murder resulted in the context of doctor-dissatisfaction; in 7 cases the murder was committed by a psychiatric patient; 1 case in the context of a stalking; 3 cases occurred in a workplace which was not safe enough. Four categories of at-risk contexts have been identified. One category includes a murder in the context of a doctor-dissatisfaction, perceived by patient. The second category concerns murders committed by patients suffering from mental illness. A third category includes homicides in a workplace which is not safe. The last category comprises the murder in the context of stalking. These categories identify specific dangerous situations for physicians, in which are highlighted elements that have played a crucial role in the murder and for which special precautions are suggested preventive.

On Doctoral Student Development: Exploring Faculty Mentoring in the Shaping of African American Doctoral Student Success

Science.gov (United States)

Felder, Pamela

2010-01-01

This study examines the influence of faculty mentorship in the shaping of African American doctoral student success. A case analysis framework is used to investigate the belief systems that doctoral students held about their doctoral experience. Data collection involved a one-phase semi-structured interview protocol used to gather information…

Through doctors' eyes: A qualitative study of hospital doctor perspectives on their working conditions.

LENUS (Irish Health Repository)

McGowan, Yvonne

2013-03-11

BACKGROUND: Hospital doctors face significant challenges in the current health care environment, working with staff shortages and cutbacks to health care expenditure, alongside increased demand for health care and increased public expectations. OBJECTIVE: This article analyses challenges faced by junior hospital doctors, providing insight into the experiences of these frontline staff in delivering health services in recessionary times. DESIGN: A qualitative methodology was chosen. METHODS: Semi-structured in-depth interviews were conducted with 20 doctors from urban Irish hospitals. Interviews were recorded via note taking. Full transcripts were analysed thematically using NVivo software. RESULTS: Dominant themes included the following: (1) unrealistic workloads: characterised by staff shortages, extended working hours, irregular and frequently interrupted breaks; (2) fatigue and its impact: the quality of care provided to patients while doctors were sleep-deprived was questioned; however, little reflection was given to any impact this may have had on junior doctors own health; (3) undervalued and disillusioned: insufficient training, intensive workloads and a perceived lack of power to influence change resulted in a sense of detachment among junior doctors. They appeared immune to their surroundings. CONCLUSION: Respondents ascribed little importance to the impact of current working conditions on their own health. They felt their roles were underappreciated and undervalued by policy makers and hospital management. Respondents were concerned with the lack of time and opportunity for training. This study highlighted several \\'red flags\\

[Patients, doctors and the internet].

Science.gov (United States)

Jeannot, Jean Gabriel; Bischoff, Thomas

2015-05-13

The majority of the Swiss population uses the internet to seek information about health. The objective is to be better informed, before or after the consultation. Doctors can advise their information-seeking patients about high quality websites, be it medical portals or websites dedicated to a specific pathology. Doctors should not see the internet as a threat but rather as an opportunity to strengthen the doctor-patient relationship.

Fourth Doctoral Student Assembly

CERN Multimedia

Ingrid Haug

2016-01-01

On 10 May, over 130 PhD students and their supervisors, from both CERN and partner universities, gathered for the 4th Doctoral Student Assembly in the Council Chamber.   The assembly was followed by a poster session, at which eighteen doctoral students presented the outcome of their scientific work. The CERN Doctoral Student Programme currently hosts just over 200 students in applied physics, engineering, computing and science communication/education. The programme has been in place since 1985. It enables students to do their research at CERN for a maximum of three years and to work on a PhD thesis, which they defend at their University. The programme is steered by the TSC committee, which holds two selection committees per year, in June and December. The Doctoral Student Assembly was opened by the Director-General, Fabiola Gianotti, who stressed the importance of the programme in the scientific environment at CERN, emphasising that there is no more rewarding activity than lear...

An analytical comparison of the patient-to-doctor policy and the doctor-to-patient policy in the outpatient clinic

NARCIS (Netherlands)

Hulshof, P.J.H.; Vanberkel, P.T.; Boucherie, Richardus J.; Hans, Elias W.; van Houdenhoven, Mark; van Ommeren, Jan C.W.

Outpatient clinics traditionally organize processes such that the doctor remains in a consultation room, while patients visit for consultation, we call this the Patient-to-Doctor policy. A different approach is the Doctor-to-Patient policy, whereby the doctor travels between multiple consultation

Penumbra: Doctoral support as drama

DEFF Research Database (Denmark)

Wisker, Gina; Robinson, Gill; Bengtsen, Søren Smedegaard

2017-01-01

Much international doctoral learning research focuses on personal, institutional and learning support provided by supervisors, managed relationships,‘nudging’ robust, conceptual, critical, creative work. Other work focuses on stresses experienced in supervisor-student relationships and doctoral...... journeys. Some considers formal and informal learning communities supporting students on research journeys, and roles played by families, friends and others, sometimes o ering encouragement and sometimes added stress. However, little has been explored concerning often uno cial, largely unrecognised...... sanctioned (‘lightside’), and less well recognised often unsanctioned (‘darkside’) on doctoral research and writing learning journey, instigating questions about doctoral student needs, and the range of support provided, both legitimate, well known, less legitimate. This work concentrates on the ‘darkside’....

Psychiatric Prescribers' Experiences With Doctor Shoppers.

Science.gov (United States)

Worley, Julie; Johnson, Mary; Karnik, Niranjan

2015-01-01

Doctor shopping is a primary method of prescription medication diversion. After opioids, benzodiazepines and stimulants are the next most common prescription medications used nonmedically. Studies have shown that patients who engage in doctor shopping find it fun, exciting, and easy to do. There is a lack of research on the prescriber's perspective on the phenomenon of doctor shopping. This study investigates the experiences of prescribers in psychiatry with patients who engage in doctor shopping. Fifteen prescribers including psychiatrists and psychiatric nurse practitioners working in outpatient psychiatry were interviewed to elicit detailed information about their experiences with patients who engage in doctor shopping. Themes found throughout the interview were that psychiatric prescribers' experience with patients who engage in doctor shopping includes (a) detecting red flags, (b) negative emotional responding, (c) addressing the patient and the problem, and (d) inconsistently implementing precautions. When red flags were detected when prescribing controlled drugs, prescribers in psychiatry experienced both their own negative emotional responses such as disappointment and resentment as well as the negative emotions of the patients such as anger and other extreme emotional responses. Psychiatric prescribers responded to patient's doctor shopping in a variety of ways such as changing their practice, discharging the patients or taking steps to not accept certain patients identified as being at risk for doctor shopping, as well as by talking to the patient and trying to offer them help. Despite experiencing doctor shopping, the prescribers inconsistently implemented precautionary measures such as checking prescription drug monitoring programs. © The Author(s) 2015.

Transitions from Military Rule in South America: The Obligational Legitimacy Hypothesis.

Science.gov (United States)

1987-12-01

34will have to make use, [once in power] of some degree or some form of electoral legitimation."󈨅 Finer states, "They seek, in short, to exercise a...political jeito and casuismos (gerrymandering, electoral engineering, etc.) to establish a pro military party, the National Renovating Alliance (ARENA...and Co., 1906. Molineu, Harold. U.S. Policy Toward Latin America. Boulder: Westview Press, 1986. Moro, Comodoro D. Ruben. Historico Del Conflicto Del

La giuridificazione del concetto europeo di pensioni adeguate, sicure e sostenibili = La juridificación del concepto europeo de pensiones adecuadas, seguras y sostenibles

OpenAIRE

Ortiz González-Conde, Francisco Miguel

2016-01-01

La tesis doctoral «La juridificación del concepto europeo de pensiones adecuadas, seguras y sostenibles» aborda el encaje en el ordenamiento jurídico español de la agenda europea de modernización de los sistemas de protección social y en concreto del concepto de pensiones adecuadas, seguras y sostenibles propuesto por el Libro Blanco de Pensiones, el cual, culmina un proceso de casi más de una década en torno a la reforma de los sistemas europeos de pensiones y establecer las pautas a seguir ...

Agency doctorates

International Nuclear Information System (INIS)

1970-01-01

Staff members of the Agency working at the Seibersdorf laboratory are continuing to achieve high academic distinction. Two more - both Austrian - have now been awarded the degree of Doctor of Agriculture. Joachim Kramer, who is 26, graduated from the Hochschule fur Bodenkultur in 1967 with the degree of Diplom-Ingenieur and then started work in the plant breeding and genetics section of the laboratory under the direction of Dr. Knut Mikaelsen. The results of the research work he carried out were accepted as the subject of a thesis for which he has now been granted his doctorate. The doctoral promotion took place on 30 June, at a ceremony attended by Dr. Andre Finkelstein, Deputy Director General for Research and Isotopes. The subject of Dr. Kramer's thesis was a comprehensive study of the mutagenic effects of fast neutrons and gamma rays, and the influence of various modifying factors such as water content, oxygen and metabolic state of seeds at the time of irradiation. This work has contributed significantly to the understanding of the mechanisms by which these two types of ionizing radiation produce mutations in seeds. The knowledge gained will be of great importance in the efficient use of ionizing radiation in practical plant breeding. Paul Wassermann, who is 33 years old, joined the Agency in 1965. He, too, graduated from the Hochschule fur Bodenkultur as Diplom-Ingenieur in agriculture, having graduated with honours previously from the agricultural secondary school at Raumberg, Austria, in 1958. Dr. Wassermann's own words may be used to explain how he came to gain his doctorate. 'In October, 1966, I completed my studies at the Hochschule,' he writes. 'I was employed at the Agency laboratories in Seibersdorf, working in the plant and soils group. Encouraged by the interesting research which was performed there, a thesis entitled 'the Fate of Nitrogen in Submerged Rice Soils' was started, which finally led to the doctor's degree in Agriculture in June this year

The doctoral learning penumbra

DEFF Research Database (Denmark)

Bengtsen, Søren Smedegaard; Robinson, Gill; Wisker, Gina

This paper presents our cross-national research into what we term the ‘doctoral learning penumbra’, which covers the diverse, unnoticed, and often unrecognised forms of help and support that doctoral students draw from during their PhD, and which are vital for completion. Our aim is to better...

Headache - what to ask your doctor

Science.gov (United States)

... Migraine - what to ask your doctor; Tension-type headache - what to ask your doctor; Cluster headache - what to ask your doctor ... How can I tell if the headache I am having is dangerous? What are ... headache ? A migraine headache ? A cluster headache ? What medical ...

Australian doctors and the visual arts. Part 4. Doctors as supporters of art galleries and artists in Victoria.

Science.gov (United States)

Hamilton, D G

1986-07-07

The contribution of doctors to the visual arts is being discussed in a series of six articles. Doctor-artists in New South Wales and Victoria, and doctors as collectors, donors, gallery supporters and writers in New South Wales, have been discussed in earlier articles. This, the fourth article, deals with doctors as supporters of art galleries and artists in Victoria.

African International Doctoral Students in New Zealand: Englishes, Doctoral Writing and Intercultural Supervision

Science.gov (United States)

Doyle, Stephanie; Manathunga, Catherine; Prinsen, Gerard; Tallon, Rachel; Cornforth, Sue

2018-01-01

While the experiences of international doctoral students, especially those from Asian countries, have been well researched, fewer studies have explored the experiences of African students in Southern countries like Australia and Aotearoa/New Zealand. This article reports on doctoral writing and student and supervisor perspectives on English…

[Life conditions of Togolese doctors].

Science.gov (United States)

Koffi-Tessio, Annick Viwalé; Oniankitan, Owonayo; Mijiyawa, Moustafa

2010-09-01

A study has been carried out by Togolese medical doctors in order to determine the perceived and the real life of their profession. The study, which was transversal, has taken in account a sample of 52 medical doctors made on the basis of a cautious choice. Most of these medical doctors (15 general practitioners, 23 specialists and 14 hospitalo-universitaires) work in the medical cares centres of Lomé. A sheet of survey has permitted the collection of demographic data and data relating to the medical studies and career. The 52 medical doctors included in the study (7 women, 45 men) were between 25 and 59 years old; their age of getting their A-level was between 16 and 23 years old, and that of getting the doctorate diploma between 24 and 37. The length of professional experience stands between 8 months and 27 years. The marital status was specified by 47 of the 52 medical doctors: 13 single, one divorced, and 33 married; 5 of the 7 women who took part in the survey were single and without any child. The love of the profession (65%), the social status it confers (37%) and the honour tied to the profession (27%) were the main motives of choosing the profession. The decision of doing medical studies was taken during secondary studies by 45 of the 52 persons. The faculty of medicine of Lomé has been the study frame to general medicine studies of 35 persons (67%). The low payment (83%), the poverty of the patients (83%), the narrowness of the technical platform (79%), the insufficiency of cares structures in paramedical personnel (67%), the insufficiency of continuing education (60%), and the lack or insufficiency of drugs (58%) were the main problems encountered during their professional experience by the people questioned. 22 medical doctors (43%) have estimated that their profession has given them a particular social status. Only 8 medical doctors have found that the real things they have gone trough in the profession matches with the idea they had, while 32 (62

Reinventing The Doctor

Directory of Open Access Journals (Sweden)

Moyez Jiwa

2011-07-01

Full Text Available There has been a seismic shift in the lives of people because of technology. People are far better informed than they were in the 1980s and 1990s. Much of this information is available through the media but even more is available and archived on the internet. The forces pushing the internet into health and health care are strong and unstoppable, ensuring that the internet and the choices it offers must be part of the design of our future health care system. We are no longer content to wait in queues as we live at a faster pace than earlier generations — we don’t not have time to wait for appointments months, weeks or even days in advance. The internet offers the prospect of online consultations in the comfort of your own home. The physical examination will change as new devices are developed to allow the necessary sounds and signals emitted by our malfunctioning bodies to be recorded, interpreted and captured at a remote location. Meanwhile, for those who prefer to see a health care practitioner in person the options to consult practitioners other than doctors who can advise on our health is expanding. The reality is we can’t afford to train or pay for all the doctors we need under the current “doctor-knows-best” system of health care. Patients no longer believe the rhetoric and are already voting with their feet. Pharmacists, nurses and other allied health professionals are beginning to play a much greater role in offering relief from symptoms and monitoring of chronic diseases. Of course, the doctor of the future will still need to offer face-to-face consultations to some people most of the time or most people some of the time. The social role doctors play will continue to be important as humans will always need other humans to personally respond to their distress. As doctors reinvent themselves, the internet and the value of time with patients will be the driving forces that move us into a more sustainable future in health care.

The Criminal Justice Doctorate: A Study of Doctoral Programs in the United States.

Science.gov (United States)

Felkenes, George T.

Graduates of six institutions were surveyed in an effort to develop a profile of doctoral graduates from institutions that have traditionally offered doctoral programs oriented specifically toward the field of criminal justice. A second research objective was to develop an understanding of the attitudes, frustrations, and utilization patterns of…

Feasible utopias in doctoral education

DEFF Research Database (Denmark)

Elliot, Dely; Guccione, Kay; Bengtsen, Søren Smedegaard

-Martek, Chen & McAlpine, 2011). PGRs’ motivation, creativity, resilience and momentum during their long and intense doctoral journey are often strongly sustained by unseen informal structures, social support systems and extra-curricular activities tacitly providing emotional, social, pastoral and academic......Part 1 Abstract Ongoing educational and psycho-social challenges in doctoral education (e.g. psychological distress, attrition and delay in completion) warrant a more comprehensive understanding of the expanded doctoral education context and how the different facets of doctoral support mechanisms......, 2016b; Bengtsen & Barnett, 2017; Bryan & Guccione, 2018; Elliot et al., 2016b, 2016c; Wisker et al., 2017). Yet, there remains a somewhat limited understanding not only of these multifaceted components but how they interact with already existing formal and informal support mechanisms offered...

Reasons for consulting a doctor on the Internet: Web survey of users of an Ask the Doctor service.

Science.gov (United States)

Umefjord, Göran; Petersson, Göran; Hamberg, Katarina

2003-10-22

In 1998 the Swedish noncommercial public health service Infomedica opened an Ask the Doctor service on its Internet portal. At no charge, anyone with Internet access can use this service to ask questions about personal health-related and disease-related matters. To study why individuals choose to consult previously-unknown doctors on the Internet. Between November 1, 2001, and January 31, 2002 a Web survey of the 3622 Ask the Doctor service users, 1036 men (29%) and 2586 (71%) women, was conducted. We excluded 186 queries from users. The results are based on quantitative and qualitative analysis of the answers to the question "Why did you choose to ask a question at Infomedica's 'Ask the Doctor' service?" 1223 surveys were completed (response rate 36 %). Of the participants in the survey 322 (26%) were male and 901 (74%) female. As major reasons for choosing to consult previously-unknown doctors on the Internet participants indicated: convenience (52%), anonymity (36%), "doctors too busy" (21%), difficult to find time to visit a doctor (16%), difficulty to get an appointment (13%), feeling uncomfortable when seeing a doctor (9%), and not being able to afford a doctors' visit (3%). Further motives elicited through a qualitative analysis of free-text answers were: seeking a second opinion, discontent with previous doctors and a wish for a primary evaluation of a medical problem, asking embarrassing or sensitive questions, seeking information on behalf of relatives, preferring written communication, and (from responses by expatriates, travelers, and others) living far away from regular health care. We found that that an Internet based Ask the Doctor service is primarily consulted because it is convenient, but it may also be of value for individuals with needs that regular health care services have not been able to meet.

When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient-doctor relationship.

Science.gov (United States)

Bell, Sigall K; Mejilla, Roanne; Anselmo, Melissa; Darer, Jonathan D; Elmore, Joann G; Leveille, Suzanne; Ngo, Long; Ralston, James D; Delbanco, Tom; Walker, Jan

2017-04-01

Patient advocates and safety experts encourage adoption of transparent health records, but sceptics worry that shared notes may offend patients, erode trust or promote defensive medicine. As electronic health records disseminate, such disparate views fuel policy debates about risks and benefits of sharing visit notes with patients through portals. Presurveys and postsurveys from 99 volunteer doctors at three US sites who participated in OpenNotes and postsurveys from 4592 patients who read at least one note and submitted a survey. Patients read notes to be better informed and because they were curious; about a third read them to check accuracy. In total, 7% (331) of patients reported contacting their doctor's office about their note. Of these, 29% perceived an error, and 85% were satisfied with its resolution. Nearly all patients reported feeling better (37%) or the same (62%) about their doctor. Patients who were older (>63), male, non-white, had fair/poor self-reported health or had less formal education were more likely to report feeling better about their doctor. Among doctors, 26% anticipated documentation errors, and 44% thought patients would disagree with notes. After a year, 53% believed patient satisfaction increased, and 51% thought patients trusted them more. None reported ordering more tests or referrals. Despite concerns about errors, offending language or defensive practice, transparent notes overall did not harm the patient-doctor relationship. Rather, doctors and patients perceived relational benefits. Traditionally more vulnerable populations-non-white, those with poorer self-reported health and those with fewer years of formal education-may be particularly likely to feel better about their doctor after reading their notes. Further informing debate about OpenNotes, the findings suggest transparent records may improve patient satisfaction, trust and safety. Published by the BMJ Publishing Group Limited. For permission to use (where not already

OCTOGESIMO ANIVERSARIO DEL DESCUBRIMIENTO DE LA FIEBRE AMARILLA SELVÁTICA POR EL DOCTOR ROBERTO FRANCO

Directory of Open Access Journals (Sweden)

Carlos Sanmartín Barberi

1989-09-01

Full Text Available

La reunión que hoy nos congrega en esta sesión conjunta tiene por objeto conmemorar una importante efemérides de la medicina universal y tributar homenaje a la memoria de un excepcional galeno de nuestra patria.

Me permitiré leer una breve comunicación que el 8 de octubre del año pasado dirigí al Presidente de nuestra Academia, pues resume el motivo central de esta ceremonia:
“El año próximo venidero se cumplen ochenta de la trascendental comunicación del Dr. Roberto Franco sobre una epidemia febril que estudió en las Minas de Muzo.
Tal investigación constituye uno de los hitos más importantes de la medicina tropical. Las novedosas conclusiones del Dr. Franco, basadas en un juicioso estudio de campo y en una sagaz observación clínica y epidemiológica, fueron puestas en duda y aún negadas en su época. Sólo el tiempo y las investigaciones posteriores dieron razón a su notable afirmación de la existencia de la fiebre amarilla de los bosques.

Me parece que sería justo y oportuno que la Academia celebre tal aniversario de manera apropiada y que se aproveche la ocasión para exaltar la memoria del que fue, sin duda, una de las figuras cimeras de la medicina nacional”.
Tanto la Academia como nuestra Sociedad histórica, a las que me honro en pertenecer, acogieron favorablemente la sugerencia. Me enaltece sobremanera ser yo quien esta noche las representa.

En el número 331 de Noviembre de 1907 de la Revista Médica de Bogotá, órgano de la Academia Nacional de Medicina, se publicó el informe presentado al Presidente del Sindicato de las Minas de Muzo, por la misión encargada de estudiar la epidemia de fiebres observada en la mina en los meses de Marzo y Abril de 1907. Tal documento tiene fecha del 14 de Mayo del mismo año y está suscrito por el Dr. Roberto Franco, quien deja constancia de la invaluable colaboración de dos de sus estudiantes que le acompañaron a Muzo y que fueron los

Influencia del cambio de uso sobre la erosión del suelo, carbono transportado por erosión y stocks de carbono en ambientes semiáridos mediterráneos

OpenAIRE

López Carratalá, Jorge

2014-01-01

A continuación se describen los temas principales que serán abordados en la tesis doctoral futura: - Relevancia del proceso de erosión hídrica en zonas semiáridas mediterráneas. - Influencia de la erosión en la dinámica del carbono. - Relaciones estructura-Erosión hídrica-Carbono. - Pools de carbono asociados con la erosión hídrica - Contribución de la erosión hídrica a la pérdida de carbono. - Cambio en las propiedades básicas del suelo debido al cambio de uso. - Cambios...

Escuela de formación doctoral de la Universidad de Guantánamo, una experiencia para el desarrollo local

Directory of Open Access Journals (Sweden)

Rolando Durand-Rill

2017-11-01

Full Text Available En la propuesta se sistematiza la experiencia de la Universidad de Guantánamo como institución científica, tecnológica y humanista acerca del proyecto de la Escuela de Formación Doctoral desde su fundación, el cual se encamina a elevar la calidad de la preparación de los profesionales expresado en su desempeño.

Palabras del Señor Académico Don Jaime Posada Díaz. Director de la Academia Colombiana de la Lengua y Presidente del Colegio Máximo de las Academias

Directory of Open Access Journals (Sweden)

Victoria Rodriguez

1998-08-01

Full Text Available

Señora Ministra de Salud, doctora María Teresa Forero de Saade; señor Presidente, doctor Gilberto Rueda Pérez; señor Presidente de la Corporación, doctor José Félix Patiño; señores miembros salientes y electos de las Mesas Directivas; señores Presidentes de las Academias y Sociedades que integran el Colegio Máximo; señores Exministros de Estado, miembros del Cuerpo Diplomático; señor Presidente de la Cruz Roja Nacional, doctor Guillermo Rueda Montaña; señores Académicos y Rectores Universitarios, señores profesores, amigos todos:

En razón de la trascendencia de la convocatoria de esta noche y dada la presencia de los miembros de la Junta Directiva, el Colegio Máximo de las Academias ha resuelto que la jornada de esta noche sea la primera reunión plenaria del Colegio en el trimestre inicial de 1998.

Se posesionan hoy el Presidente y la nueva Junta Directiva de la Academia Nacional de Medicina integrada por los doctores José Félix Patiño Restrepo, Presidente; Juan Mendoza-Vega, Vicepresidente; Hernando Groot Liévano, Secretario Perpetuo; Joaquín Silva Silva, Secretario General y Hernando Forero Caballero, Tesorero.

En representación del Colegio Máximo de las Academias Colombianas, les doy una cordial y merecida bienvenida y felicito a la Academia Nacional de Medicina por el afortunado escogimiento.

Simultáneamente me corresponde agradecer al Presidente y a la Junta que terminan, y que en anteriores ocasiones fueron reelegidos, agradecer la activa y provechosa colaboración que prestaron a las tareas del Colegio Máximo los doctores Gilberto Rueda Pérez, Presidente, Roberto de Zubiría, Vicepresidente; Hernando Groot, Secretario Perpetuo; Zoilo Cuéllar, Secretario y Gonzalo López, Tesorero, merecen la gratitud por la buena voluntad creativa que mostraron en todo momento.

Al doctor Gilberto Rueda Pérez le correspondió una gestión de altísimas responsabilidades, no sólo en la �

¿Qué opinan los médicos penitenciarios sobre el control de la infección por el VIH en las prisiones españolas?: Resultados del Estudio del Grupo de Trabajo en Enfermedades Infecciosas de la Sociedad Española de Sanidad Penitenciaria (GEISESP What do prison doctors think about HIV infection control in Spanish prisons?: Results of the study of the Spanish Society of Prison Health Working Group on Infectious Diseases (GEISESP

Directory of Open Access Journals (Sweden)

P. Saiz De la Hoya

2009-10-01

Full Text Available Se presentan los resultados del estudio realizado por el Grupo de Enfermedades Infecciosas de la Sociedad Española de Sanidad Penitenciaria (GEISESP sobre la opinión de los facultativos penitenciarios en cuanto a la conveniencia o no de realizar el control de la infección por el VIH en el medio carcelario y sobre las dificultades, esfuerzos, necesidades y responsabilidades que esta actividad puede suponer. Este estudio se efectuó en el año 2007 utilizando una encuesta diseñada ad hoc remitida a todos los facultativos de 73 centros penitenciarios españoles. Se recibieron 116 cuestionarios válidos, estimándose que los datos obtenidos podían aplicarse al total de la población con un nivel de confianza del 95% y un margen de error del 8%. La mitad de los médicos refirieron prescribir tratamientos antirretrovirales, aunque sólo el 10% decían prescribir combinaciones de rescate. Es de destacar también que sólo la mitad de los médicos se consideran formados adecuadamente para atender pacientes infectados por el VIH, aunque la mayoría afirma haber hecho formación específica de postgrado en esta materia. En general, los médicos consideran que la calidad de la asistencia recibida por los infectados por el VIH en prisión es buena.We present the results of the study carried out by The Spanish Society of Penitentiary Health Working Group on Infectious Diseases (GEISESP on the opinion of prison doctors concerning the suitability of undertaking or not undertaking controls of HIV infection in prisons and about the difficulties, efforts, needs and responsibilities that this activity may involve. This study was carried out in 2007 using an ad hoc survey designed and sent to doctors at 73 prisons in Spain. 116 valid questionnaires were received. It was considered that the data received could be applied to the whole population with a level of trust of 95% and an 8% margin of error. Half the doctors referred to prescribing antiretroviral

Emma Bovary, Hedda Gabler, and Harold Brodkey would not have lived without Charcot: hysteria in novels.

Science.gov (United States)

Kaptein, A A

2014-01-01

Medical humanities is the interdisciplinary field of humanities (literature, philosophy, ethics, history, and religion), social science (anthropology, cultural studies, psychology, and sociology), and the arts (literature, theater, film, and visual arts), and their application to medical education and practice. In this chapter, the concept of 'hysteria' is put into a medical humanities perspective. We review the concept of hysteria concisely. Two novels and one autobiographical story are used as material in order to study how 'hysteria' is represented in literary work. Madame Bovary (Gustave Flaubert), Hedda Gabler (Henrik Ibsen), and A Story in an Almost Classical Mode (Harold Brodkey) were searched for elements that are characteristic of hysteria. Excessive emotion, dramatics, attention-seeking behavior, physical symptoms of unknown and unidentifiable organic causes, self-centered behavior, and flirtatious behavior are the six elements used to operationalize hysteria. It was found that these elements were present in both a quantitative and qualitative manner in the literary works examined. Acknowledging some limitations and suggesting some research areas and clinical implications, we conclude that literary works are useful in analyzing concepts in medicine. Also, more generally, using literary works seems to have a positive impact on readers, healthcare providers, and researchers in the healthcare domain. Studying novels and related literary work contributes to the body of knowledge of medical humanities.

Análisis de las poblaciones de microorganismos fijadores de nitrógeno del suelo aplicando procedimientos metagenómicos

OpenAIRE

Calderoli, Priscila Anabel

2016-01-01

En este trabajo de tesis doctoral se llevó a cabo el análisis de las poblaciones de microorganismos fijadores de nitrógeno del suelo aplicando análisis independientes del cultivo. Se analizaron suelos de la principal región agrícola de la Argentina, la región pampeana.

Does a self-referral counselling program reach doctors in need of help? A comparison with the general Norwegian doctor workforce

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Gude Tore

2007-03-01

Full Text Available Abstract Background Doctors have a relatively high degree of emotional distress, but seek help to a lesser degree and at a later stage than other academic groups. This can be deleterious for themselves and for their patients. Prevention programs have therefore been developed but it is unclear to what extent they reach doctors in need of help. This study describes doctors who participated in a self-referrral, easily accessible, stress relieving, counselling program in Norway, and compares them with a nationwide sample of Norwegian doctors. Methods Two hundred and twenty seven (94% of the doctors, 117 women and 110 men, who came to the resort centre Villa Sana, Modum, Norway, between August 2003 and July 2005, agreed to participate in the study. Socio-demographic data, reasons for and ways of help-seeking, sick-leave, symptoms of depression and anxiety, job stress and burnout were assessed by self-reporting questionnaires. Results Forty-nine percent of the Sana doctors were emotionally exhausted (Maslach compared with 25% of all Norwegian doctors. However, they did not differ on empathy and working capacity, the other two dimensions in Maslach's burnout inventory. Seventy-three percent of the Sana doctors could be in need of treatment for depression or anxiety based on their symptom distress scores, compared with 14% of men and 18% of women doctors in Norway. Twenty-one percent of the Sana doctors had a history of suicidal thoughts, including how to commit the act, as compared to 10% of Norwegian doctors in general. Conclusion Sana doctors displayed a higher degree of emotional exhaustion, symptoms of depression and anxiety as well as job related stress, compared with all Norwegian doctors. This may indicate that the program at Villa Sana to a large extent reaches doctors in need of help. The counselling intervention can help doctors to evaluate their professional and private situation, and, when necessary, enhance motivation for seeking adequate

Best practices in doctoral retention: Mentoring

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Judie L. Brill

2014-06-01

Full Text Available  The aim of this critical literature review is to outline best practices in doctoral retention and the successful approach of one university to improve graduation success by providing effective mentorship for faculty and students alike. The focus of this literature review is on distance learning relationships between faculty and doctoral students, regarding retention, persistence, and mentoring models. Key phrases and words used in the search and focusing on mentoring resulted in over 20,000 sources. The search was narrowed to include only doctoral study and mentoring. Research questions of interest were: Why do high attrition rates exist for doctoral students? What are the barriers to retention? What are the benefits of doctoral mentoring? What programs do institutions have in place to reduce attrition? The researchers found a key factor influencing doctoral student retention and success is effective faculty mentorship. In particular, the design of a mentoring and faculty training program to increase retention and provide for success after graduation is important. This research represents a key area of interest in the retention literature, as institutions continue to search for ways to better support students during their doctoral programs and post-graduation. DOI: 10.18870/hlrc.v4i2.186

EHR adoption among doctors who treat the elderly.

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Yeager, Valerie A; Menachemi, Nir; Brooks, Robert G

2010-12-01

The purpose of this study is to examine Electronic Health Record (EHR) adoption among Florida doctors who treat the elderly. This analysis contributes to the EHR adoption literature by determining if doctors who disproportionately treat the elderly differ from their counterparts with respect to the utilization of an important quality-enhancing health information technology application. This study is based on a primary survey of a large, statewide sample of doctors practising in outpatient settings in Florida. Logistic regression analysis was used to determine whether doctors who treat a high volume of elderly (HVE) patients were different with respect to EHR adoption. Our analyses included responses from 1724 doctors. In multivariate analyses controlling for doctor age, training, computer sophistication, practice size and practice setting, HVE doctors were significantly less likely to adopt EHR. Specifically, compared with their counterparts, HVE doctors were observed to be 26.7% less likely to be utilizing an EHR system (OR=0.733, 95% CI 0.547-0.982). We also found that doctor age is negatively related to EHR adoption, and practice size and doctor computer savvy-ness is positively associated. Despite the fact that EHR adoption has improved in recent years, doctors in Florida who serve the elderly are less likely to adopt EHRs. As long as HVE doctors are adopting EHR systems at slower rates, the elderly patients treated by these doctors will be at a disadvantage with respect to potential benefits offered by this technology. © 2010 Blackwell Publishing Ltd.

Aprendiendo de las consecuencias de los actos: estudio electrofisiológico del hipocampo, corteza prefrontal y núcleo accumbens

OpenAIRE

Jurado Parras, María Teresa

2012-01-01

Programa de Doctorado en Neurociencias La presente Tesis Doctoral se ha centrado en el estudio del papel del hipocampo, la corteza prefrontal medial y el núcleo accumbens en la adquisición del condicionamiento instrumental, del aprendizaje por observación y de la ejecución de tareas instrumentales. Además, se ha estudiado la participación de las sinapsis CA3 ¿ CA1, CA1 ¿ corteza prefrontal medial, corteza prefrontal medial ¿ núcleo accumbens y núcleo accumbens ¿ corteza prefrontal medial e...

Estacionalidad e impacto del turismo en la atención urgente hospitalaria y primaria

OpenAIRE

Mateu Sbert, Josep

2015-01-01

Los servicios de urgencias médicas hospitalarios y de atención primaria son considerados claves en el funcionamiento del sistema sanitario. Modelizar el comportamiento temporal de las visitas urgentes es fundamental para planificar adecuadamente su demanda, especialmente en aquellas regiones donde se producen altas oscilaciones estacionales de población. El objetivo de esta tesis doctoral es estimar el impacto del turismo sobre las series de urgencias médicas de titularidad pública, tanto de ...

Smart strategies for doctors and doctors-in-training: heuristics in medicine.

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Wegwarth, Odette; Gaissmaier, Wolfgang; Gigerenzer, Gerd

2009-08-01

How do doctors make sound decisions when confronted with probabilistic data, time pressures and a heavy workload? One theory that has been embraced by many researchers is based on optimisation, which emphasises the need to integrate all information in order to arrive at sound decisions. This notion makes heuristics, which use less than complete information, appear as second-best strategies. In this article, we challenge this pessimistic view of heuristics. We introduce two medical problems that involve decision making to the reader: one concerns coronary care issues and the other macrolide prescriptions. In both settings, decision-making tools grounded in the principles of optimisation and heuristics, respectively, have been developed to assist doctors in making decisions. We explain the structure of each of these tools and compare their performance in terms of their facilitation of correct predictions. For decisions concerning both the coronary care unit and the prescribing of macrolides, we demonstrate that sacrificing information does not necessarily imply a forfeiting of predictive accuracy, but can sometimes even lead to better decisions. Subsequently, we discuss common misconceptions about heuristics and explain when and why ignoring parts of the available information can lead to the making of more robust predictions. Heuristics are neither good nor bad per se, but, if applied in situations to which they have been adapted, can be helpful companions for doctors and doctors-in-training. This, however, requires that heuristics in medicine be openly discussed, criticised, refined and then taught to doctors-in-training rather than being simply dismissed as harmful or irrelevant. A more uniform use of explicit and accepted heuristics has the potential to reduce variations in diagnoses and to improve medical care for patients.

Which Doctor to Trust: A Recommender System for Identifying the Right Doctors.

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Guo, Li; Jin, Bo; Yao, Cuili; Yang, Haoyu; Huang, Degen; Wang, Fei

2016-07-07

Key opinion leaders (KOLs) are people who can influence public opinion on a certain subject matter. In the field of medical and health informatics, it is critical to identify KOLs on various disease conditions. However, there have been very few studies on this topic. We aimed to develop a recommender system for identifying KOLs for any specific disease with health care data mining. We exploited an unsupervised aggregation approach for integrating various ranking features to identify doctors who have the potential to be KOLs on a range of diseases. We introduce the design, implementation, and deployment details of the recommender system. This system collects the professional footprints of doctors, such as papers in scientific journals, presentation activities, patient advocacy, and media exposure, and uses them as ranking features to identify KOLs. We collected the information of 2,381,750 doctors in China from 3,657,797 medical journal papers they published, together with their profiles, academic publications, and funding. The empirical results demonstrated that our system outperformed several benchmark systems by a significant margin. Moreover, we conducted a case study in a real-world system to verify the applicability of our proposed method. Our results show that doctors' profiles and their academic publications are key data sources for identifying KOLs in the field of medical and health informatics. Moreover, we deployed the recommender system and applied the data service to a recommender system of the China-based Internet technology company NetEase. Patients can obtain authority ranking lists of doctors with this system on any given disease.

Cimientos y categorización de la emancipación. Consolidación del hogar propio.

OpenAIRE

Garcia Masia, Anna

2010-01-01

El presente artículo resume las estrategias de emancipación que resultan del análisis de datos de las encuestas realizadas en 2007 para la tesis doctoral "El proceso de emancipación de los jóvenes desde una perspectiva socioeconómica y del mercado inmobiliario. El caso del Maresme". Se realizan a este nivel análisis estadísticos para discernir diferentes comportamientos, agrupados en tres clasificaciones de jóvenes, y a partir de las cuales se desarrollan diversas estrategias de emancip...

Efectos ecológicos divergentes de anomalías oceanográficas en los ecosistemas terrestres de la costa del Pacífico mexicano /

OpenAIRE

Caso Chávez, Margarita sustentante.

2009-01-01

 tesis que para obtener el grado de Doctor en Ciencias del Mar y Limnología, presenta Margarita Caso Chávez ; asesor Exequiel Ezcurra, aría Adela Monreal Gómez. 80, [23] páginas : ilustraciones. Doctorado en Ciencias del Mar y Limnología UNAM, Instituto de Ciencias del Mar y Limnología, 2009

The Trouble with Doctoral Aspiration Now

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Burford, James

2018-01-01

This article attends to the affective-political dimensions of doctoral aspiration. It considers why doctoral students continue to hope for an 'academic good life' in spite of the depressed and precarious features of the academic present. The article emerges from 2013 research with ten doctoral students in the Arts and Social Sciences, at a…

Vivienda del doctor Eichhorn - Düsseldorf - Alemania Federal

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Schneider-Esleben, P.

1973-04-01

Full Text Available The house, designed in a linear way, comprises the living flat and the basement. The house comprises parents and children's bedrooms, study, bathroom, living room, dining room, kitchen, and a swimming-pool covered with a pergola which limits the building in the north. The living room is extended by means of a hall reaching into the garden. The walls are constructed of brick-work and cement mortar. The roof is flat, in reinforced concrete with concrete edge beams.Se trata de una vivienda de tipo lineal, compuesta de planta noble y sótano, en la que están dispuestos de modo sucesivo: los dormitorios de matrimonio y de niños, un cuarto de trabajo, cuarto de baño, sala de estar, comedor, cocina y una piscina, cubierta por una pérgola, que limita la construcción por el lado norte. La sala de estar se prolonga, perpendicularmente al resto del edificio, mediante un vestíbulo que se extiende hasta el jardín. La construcción se realizó con muros de fábrica de ladrillo y mortero de cemento. La cubierta es plana, de hormigón armado, con vigas de borde también de hormigón.

Los organismos internacionales y su incidencia en el desarrollo latinoamericano: la gravitación del pensamiento y las estrategias del Banco Mundial en las políticas públicas mexicanas

OpenAIRE

Enríquez Pérez, Isaac

2016-01-01

El informe de investigación correspondiente a la Tesis Doctoral titulada Los organismos internacionales y su incidencia en el desarrollo latinoamericano, la gravitación del pensamiento y las estrategias del Banco Mundial en las políticas públicas mexicanas presenta un estudio sobre la relación orgánica suscitada entre las directrices de desarrollo diseñadas y difundidas por los organismos internacionales especialmente por el Banco Mundial y las políticas públicas de una nación subdesarrollada...

Notas clínicas: Un quiste mucoide del ovario derecho de treinta y cuatro libras de peso, extraído con feliz éxito a una anciana de setenta años

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Arturo Durán D.

1933-12-01

servicio de mujeres, salón de caridad, a cargo del doctor Alejandro Bernal Jiménez, del Hospital San José del Líbano, Departamento del Tolima, la enferma L. S., de 70 años de edad natural de Chiquinquirá, hija de Manuel Sánchez y Joaquina Cortés.

Conceptualising Doctoral Writing as an Affective-political Practice

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James Burford

2017-03-01

Full Text Available Aim/Purpose: This article offers a conceptual summary and critique of existing literature on doctoral writing and emotion. The article seeks to intervene in current debates about doctoral writing by re-positioning it as an affective-political practice Background: Over recent decades public interest in the doctorate has expanded as it has become re-framed as a key component of national success in the global knowledge economy. It is within this context that the practice of doctoral writing has crystallised as an object of interest. While researchers have examined the increased regulation, surveillance, and intensification of doctoral writing, often this work is motivated to develop pedagogies that support students to meet these new expectations. At this point, there has been limited attention to what broad changes to the meanings and practices of doctoral writing feel like for students. Methodology: The paper offers a conceptual review that examines the ways in which doctoral writing tends to be understood. A review of literature in the areas of doctoral writing, doctoral emotion, and critical studies of academic labour was undertaken in order to produce a more comprehensive understanding of the political and emotional dynamics of doctoral writing. Contribution: It is intended that this conceptual research paper help researchers attend to the emotional context of doctoral writing in the current university context. Critical studies of academic work and life are identified as a possible platform for the development of future doctoral education research, and the conceptual tool of “affective-politics” is advanced as a novel frame for approaching doctoral writing research.

Panorama de la formación doctoral en enfermería Panorama da formação doutoral em enfermagem Overview of the doctoral education in nursing

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LUZ STELLA BUENO ROBLES

2010-12-01

Full Text Available El nivel de la educación en enfermería ha evolucionado a través del tiempo, como respuesta a la necesidad de formar capital humano capaz de desarrollar conocimiento propio y de promover estrategias innovadoras de cambio en las áreas de ciencia y tecnología. Objetivos: describir el panorama de la formación doctoral en enfermería a escala mundial, latinoamericana y nacional, y reflexionar sobre sus aportes para la disciplina y la sociedad colombiana. Metodología: se desarrolla en tres partes: panorama mundial de la formación doctoral en enfermería, situación actual de los doctorados en Colombia y pertinencia de los doctores de enfermería en Colombia. Resultados y discusión: los hallazgos muestran diferencias entre los desarrollos de la formación doctoral enfermera mundial y latinoamericana y los generados en Colombia. Se destaca el crecimiento de programas en Europa, Asia y Latinoamérica, lo cual es positivo para el desarrollo de la disciplina.O nível da educação em enfermagem tem evoluído através do tempo, como resposta à necessidade de formar capital humano capaz de desenvolver conhecimento próprio e de promover estratégicas inovadoras de mudança nas áreas de ciência e tecnologia. Objetivos: descrever o panorama da formação doutoral em enfermagem a escala mundial, latino-americana e nacional, e refletir sobre seus contributos para a disciplina e a sociedade colombiana. Metodologia: a metodologia está dividida em três partes: panorama mundial da formação doutoral em enfermagem, situação atual dos cursos de doutorados na Colômbia e pertinência dos doutores em enfermagem na Colômbia. Resultados e discussão: os achados mostram diferenças entre os progressos da formação doutoral em enfermagem mundial e latino-americana e aqueles oferecidos na Colômbia. Vale a pena salientar o crescimento de programas na Europa, Ásia e América Latina, o qual é positivo para o desenvolvimento da disciplina.The level of

Do not judge according to appearance: patients' preference of a doctor's face does not influence their assessment of the patient-doctor relationship.

Science.gov (United States)

Lee, Soon-Ho; Chang, Dong-Seon; Kang, O-Seok; Kim, Hwa-Hyun; Kim, Hackjin; Lee, Hyejung; Park, Hi-Joon; Chae, Younbyoung

2012-12-01

The aim of this study was to investigate whether a patient's preference for a doctor's face is associated with better assessments of relational empathy in the patient-doctor relationship after the first clinical consultation. A total of 110 patients enrolled in a traditional Korean medical clinic participated in the study. Patients' preference for doctors' faces was assessed by a two alternative forced choice (2AFC) task, with 60 different pairs of six different Asian male doctors' faces. One of the six doctors then carried out the initial clinical consultation for these patients. The patient-doctor relationship was assessed using the Consultation and Relational Empathy (CARE) measure. The data of all patients' simulated preferences for a doctor's face and their assessment values of a doctor's relational empathy was compared, and no significant correlation was found between both values (r=-0.024, p>0.809). These findings suggest that the perceived empathy in the patient-doctor relationship is not influenced by the patient's preference for a certain doctor's face. The first impression of a doctor is often determined by his appearance and look. However, whether or not the patient particularly prefers a doctor's face does not seem to matter in developing a good patient-doctor relationship.

Análisis de las poblaciones de microorganismos fijadores de nitrógeno del suelo aplicando procedimientos metagenómicos

OpenAIRE

Calderoli, Priscila Anabel

2016-01-01

En este trabajo de tesis doctoral se llevó a cabo el análisis de las poblaciones de microorganismos fijadores de nitrógeno del suelo aplicando análisis independientes del cultivo. Se analizaron suelos de la principal región agrícola de la Argentina, la región pampeana. Facultad de Ciencias Exactas

El valor del silencio humano en la cultura escolar

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J. HUMBERTO MOTTA ÁVILA

2016-01-01

Full Text Available El contenido del presente artículo constituye un apartado del marco teórico de la tesis doctoral del autor, intitulada La actitud de escucha en la conversación pedagógica de aula, indagación que se ubica en el interjuego entre el lenguaje y la cultura, y se focaliza hacia las habilidades comunicativas básicas, profundizando en el fenómeno de la escucha que comparten los sujetos educativos estudiante y docente. El opúsculo se propone poner en escena el alcance de la significación que puede tener el silencio humano en el contexto de la cultura escolar actual, específicamente en la vivencia del aula, marcada por la presencia explícita del ruido y la desescucha; abordar el silencio pedagógico como un acto del lenguaje y como fundamento de la escucha áulica; y mostrar que se hace impostergable la resignificación del silencio humano a través de memes que hagan posible su comprensión y puesta en práctica en la conversación pedagógica de aula y en la comunicación cotidiana de los sujetos educativos.

Work of female rural doctors.

Science.gov (United States)

Wainer, Jo

2004-04-01

To identify the impact of family life on the ways women practice rural medicine and the changes needed to attract women to rural practice. Census of women rural doctors in Victoria in 2000, using a self-completed postal survey. General and specialist practice. Two hundred and seventy-one female general practitioners and 31 female specialists practising in Rural, Remote and Metropolitan Area Classifications 3-7. General practitioners are those doctors with a primary medical degree and without additional specialist qualifications. Interaction of hours and type of work with family responsibilities. Generalist and specialist women rural doctors carry the main responsibility for family care. This is reflected in the number of hours they work in clinical and non-clinical professional practice, availability for on-call and hospital work, and preference for the responsibilities of practice partnership or the flexibility of salaried positions. Most of the doctors had established a satisfactory balance between work and family responsibilities, although a substantial number were overworked in order to provide an income for their families or meet the needs of their communities. Thirty-six percent of female rural general practitioners and 56% of female rural specialists preferred to work fewer hours. Female general practitioners with responsibility for children were more than twice as likely as female general practitioners without children to be in a salaried position and less likely to be a practice partner. The changes needed to attract and retain women in rural practice include a place for everyone in the doctor's family, flexible practice structures, mentoring by women doctors and financial and personal recognition. Women make up less than a quarter of the rural general practice workforce and an even smaller percentage of the specialist rural medical workforce. As a result their experiences are not well articulated in research on rural medical practice and their needs are

Doctor's perception of doctor-patient relationships in emergency departments: What roles do gender and ethnicity play?

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Borde Theda

2008-04-01

Full Text Available Abstract Background Emergency departments continuously provide medical treatment on a walk-in basis. Several studies investigated the patient's perception of the doctor-patient relationship, but few have asked doctors about their views. Furthermore, the influence of the patient's ethnicity and gender on the doctor's perception remains largely unanswered. Methods Based on data collated in three gynaecology (GYN/internal medicine (INT emergency departments in Berlin, Germany, we evaluated the impact of the patient's gender and ethnicity on the doctors' satisfaction with the course of the treatment they provided. Information was gathered from 2.429 short questionnaires completed by doctors and the medical records of the corresponding patients. Results The patient's ethnicity had a significant impact on the doctors' satisfaction with the doctor-patient relationship. Logistic regression analysis showed that the odds ratio (OR for physician satisfaction was significantly lower for patients of Turkish origin (OR = 2.6 INT and 5.5 GYN than for those of German origin. The main reasons stated were problems with communication and a perceived lack of urgency for emergency treatment. The odds ratios for dissatisfaction due to a lack of language skills were 4.48 (INT and 6.22 (GYN, and those due to perceived lack of urgency for emergency treatment were 0.75 (INT and 0.63 (GYN. Sex differences caused minor variation. Conclusion The results show that good communication despite language barriers is crucial in providing medical care that is satisfactory to both patient and doctors, especially in emergency situations. Therefore the use of professional interpreters for improved communication and the training of medical staff for improved intercultural competence are essential for the provision of adequate health care in a multicultural setting.

Doctoral education in a successful ecological niche

DEFF Research Database (Denmark)

Christensen, Mette Krogh; Lund, Ole

2014-01-01

Scholarly communities are dependent on and often measured by their ability to attract and develop doctoral students. Recent literature suggests that most scholarly communities entail ecological niches in which the doctoral students learn the codes and practices of research. In this article, we...... successful doctoral education because it: 1) fleshes out the professional attitude that is necessary for becoming a successful researcher in the department, 2) shapes and adapts the doctoral students’ desires to grasp and identify with the department’s practices, and 3) provides the doctoral students...... explore the microclimate in an ecological niche of doctoral education. Based on a theoretical definition of microclimate as the emotional atmosphere that ties group members together and affects their actions, we conducted a case study that aimed to describe the key features of the microclimate...

The long locum: health propaganda in New Zealand.

Science.gov (United States)

Dow, Derek

2003-03-14

Health Department folklore since the 1950s has attributed the rise of health education in New Zealand almost entirely to the efforts of one man, 'Radio Doctor' Harold Turbott. The historical evidence reveals, however, a more extensive commitment by the Health Department, dating back to its foundation in 1900. This paper examines the evolution of health education in New Zealand and concludes that Turbott's role in its development has been overstated, largely at his own instigation.

Capacidad transactivadora del gen pttg1 y su implicación en tumorigénesis

OpenAIRE

Romero Franco, Ana

2016-01-01

Falta palabras clave Objetivos: Los objetivos planteados en esta tesis doctoral son los que se enumeran a continuación: 1) Estudiar la capacidad moduladora que ejerce el gen pttg1 sobre la expresión de genes relacionados con el microambiente del tumor, en células inmortalizadas de ratón NIH3T3. 2) Estudiar la capacidad transactivadora del gen pttg1 en células tumorales humanas y establecer nexos con su posible implicación biológica en el desarrollo del tumor. 3) Estudiar el efecto en el de...

An Analysis of the Distinction between Deep and Shallow Expert Systems

Science.gov (United States)

1989-08-01

Standards Yorktown Heighta, NY 10500 Gaithersburg, MD 20896 Dr. Saul Amarel Dept. of Computer Science Dr. Harold Bamford CDR Robert Carter Rutgero...Michigan Marina Del Ray, CA 00232 320 Packard Read Ann Arbor, MI 48103 Mr. Colin Sheppard Dr. Diana We.r-e AXC2 Block I Mr. Prasad Tadepalli Department of

Doctors with dyslexia: strategies and support.

Science.gov (United States)

Locke, Rachel; Alexander, Gail; Mann, Richard; Kibble, Sharon; Scallan, Samantha

2017-10-01

Looking beyond dyslexia as an individual doctor's issue requires adjusting a working environment to better serve the needs of doctors with dyslexia. With an increasing number of doctors disclosing dyslexia at medical school, how can educators best provide this support? Our research looks at the impact of dyslexia on clinical practice and the coping strategies used by doctors to minimise the effect. Qualitative data were collected from 14 doctors with dyslexia using semi-structured interviews and by survey. 'In situ' demonstration interviews were conducted in order to understand how dyslexia is managed in the workplace from first-hand experience. Employers and educators who have responsibility for meeting the needs of this group were also consulted. Even in cases of doctors who had a diagnosis, they often did not disclose their dyslexia to their employer. Study participants reported having developed individual ways of coping and devised useful 'workarounds'. Support from employers comes in the form of 'reasonable adjustments', although from our data we cannot be sure that such adjustments contribute to an 'enabling' work environment. Supportive characteristics included the opportunity to shadow others and the time and space to complete paperwork on a busy ward. How can educators best provide support [for doctors with dyslexia]? Doctors with dyslexia need to be helped to feel comfortable enough to disclose. Educators need to challenge any negative assumptions that exist as well as promote understanding about the elements that contribute to a positive working environment. As a result of the research there is now practice available for educators to identify evidence-based strategies and resources. © 2016 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

Epilepsy - what to ask your doctor - adult

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What to ask your doctor about epilepsy - adult; Seizures - what to ask your doctor - adult; Seizure - what to ask your doctor ... call to find more information about driving and epilepsy? What should I discuss with my boss at ...

Open notes: doctors and patients signing on.

Science.gov (United States)

Delbanco, Tom; Walker, Jan; Darer, Jonathan D; Elmore, Joann G; Feldman, Henry J; Leveille, Suzanne G; Ralston, James D; Ross, Stephen E; Vodicka, Elisabeth; Weber, Valerie D

2010-07-20

Few patients read their doctors' notes, despite having the legal right to do so. As information technology makes medical records more accessible and society calls for greater transparency, patients' interest in reading their doctors' notes may increase. Inviting patients to review these notes could improve understanding of their health, foster productive communication, stimulate shared decision making, and ultimately lead to better outcomes. Yet, easy access to doctors' notes could have negative consequences, such as confusing or worrying patients and complicating rather than improving patient-doctor communication. To gain evidence about the feasibility, benefits, and harms of providing patients ready access to electronic doctors' notes, a team of physicians and nurses have embarked on a demonstration and evaluation of a project called OpenNotes. The authors describe the intervention and share what they learned from conversations with doctors and patients during the planning stages. The team anticipates that "open notes" will spread and suggests that over time, if drafted collaboratively and signed by both doctors and patients, they might evolve to become contracts for care.

La emergencia del feminismo en la Argentina: un análisis de las tramas discursivas a comienzos del siglo XX

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Natalia Martínez Prado

2015-03-01

Full Text Available En el presente artículo nos propusimos reconstruir algunos de los sentidos dominantes que adquirieron las primeras prácticas reconocidas como “feministas” a partir de una aproximación a sus (des articulaciones con otras prácticas femeninas. Sosteniendo una concepción anti-esencialista, relacional y radical de la identidad, nuestro análisis se detiene en la lectura de dos corpus textuales de las activistas a comienzos del siglo XX. Analizamos el discurso de las anarquistas desde el periódico: “La Voz de la Mujer” y nos detenemos en la tesis doctoral de Elvira López, defendida en 1901 y titulada: “El movimiento feminista. Primeros trazos del feminismo en Argentina”.

ESTRATEGIA DIDÁCTICA PARA EL PERFECCIONAMIENTO DEL PROCESO DE FORMACIÓN INTERPRETATIVA EN LA MATEMÁTICA SUPERIOR

OpenAIRE

Eurico Wongo Gungula; Raquel Dieguez Batista; Eglys Pérez Ugartemendía

2015-01-01

El presente artículo es síntesis del aporte práctico de una tesis doctoral desarrollada en la dinámica del proceso de formación interpretativa en la Matemática Superior, realizada en la Universidad de Oriente, Cuba, desde Septiembre de 2010 hasta Junio de 2014. Para su implementación en la práctica educativa se diseñó una serie de acciones conducentes al desarrollo del pensamiento interpretativo de los estudiantes universitarios, pautadas esencialmente en la socialización ...

Learning through inter- and intradisciplinary problem solving: using cognitive apprenticeship to analyse doctor-to-doctor consultation.

Science.gov (United States)

Pimmer, Christoph; Pachler, Norbert; Nierle, Julia; Genewein, Urs

2012-12-01

Today's healthcare can be characterised by the increasing importance of specialisation that requires cooperation across disciplines and specialities. In view of the number of educational programmes for interdisciplinary cooperation, surprisingly little is known on how learning arises from interdisciplinary work. In order to analyse the learning and teaching practices of interdisciplinary cooperation, a multiple case study research focused on how consults, i.e., doctor-to-doctor consultations between medical doctors from different disciplines were carried out: semi-structured interviews with doctors of all levels of seniority from two hospital sites in Switzerland were conducted. Starting with a priori constructs based on the 'methods' underpinning cognitive apprenticeship (CA), the transcribed interviews were analysed according to the principles of qualitative content analysis. The research contributes to three debates: (1) socio-cognitive and situated learning, (2) intra- and interdisciplinary learning in clinical settings, and (3), more generally, to cooperation and problem solving. Patient cases, which necessitate the cooperation of doctors in consults across boundaries of clinical specialisms, trigger intra- as well as interdisciplinary learning and offer numerous and varied opportunities for learning by requesting doctors as well as for on-call doctors, in particular those in residence. The relevance of consults for learning can also be verified from the perspective of CA which is commonly used by experts, albeit in varying forms, degrees of frequency and quality, and valued by learners. Through data analysis a model for collaborative problem-solving and help-seeking was developed which shows the interplay of pedagogical 'methods' of CA in informal clinical learning contexts.

Effective doctor-patient communication: an updated examination.

Science.gov (United States)

Matusitz, Jonathan; Spear, Jennifer

2014-01-01

This article examines, in detail, the quality of doctor-patient interaction. Doctor-patient communication is such a powerful indicator of health care quality that it can determine patients' self-management behavior and health outcomes. The medical visit (i.e., the medical encounter) plays a pivotal role in the health care process. In fact, doctor-patient communication is one of the most essential dynamics in health care, affecting the course of patient care and patient compliance with recommendations for care. Unlike many other analyses (that often look at only one or two specific aspects of doctor-patient relationships), this analysis is more encompassing; it looks at doctor-patient communication from multiple perspectives.

Factores implicados en la regulación del desarrollo de las vías del dolor.

OpenAIRE

Valdés Sánchez, Teresa

2015-01-01

En el presente trabajo de tesis doctoral hemos querido investigar aspectos de la regulación de las neuronas sensoriales periféricas que participan en la detección del dolor y, para ello, hemos estudiado la contribución de la neurotrofina BDNF y de la metaloproteasa MT-5 al desarrollo y mantenimiento de esta población sensorial de indudable inetrés biomédico. Los aspectos más destacables de los hallazgos pueden resumirse en: 1) hemos identificado por primera vez la dependencia trófica postnata...

Nuevos métodos de desinfección y limpieza del sistema de conductos radiculares

OpenAIRE

Castelo Baz, Pablo

2012-01-01

La desinfección y limpieza del sistema de conductos radiculares, es considerada una parte esencial en la preparación químico-mecánica del mismo, cuyo fin es poder conseguir el éxito en endodoncia. El fin de esta tesis doctoral es demostrar la utilidad clínica de dos de estos nuevos mecanismos, la irrigación ultrasónica continua por un lado y el láser de diodo por el otro.

Interacciones entre plantas y microorganismos del suelo: Consecuencias para la dinámica de comunidades vegetales

OpenAIRE

Lozano Bernal, Yudi M.

2014-01-01

En esta tesis doctoral pretendemos aclarar aspectos fundamentales relacionados con la interacción entre plantas y microorganismos del suelo y sus consecuencias para la dinámica de las comunidades vegetales. Pretendemos comprobar si las comunidades microbianas están determinando interacciones negativas y/o positivas entre plantas; si tras el abandono de tierras dedicadas al cultivo, las plantas y los microorganismos del suelo siguen patrones sucesionales, y si los microorganismo...

Understanding doctors' ethical challenges as role virtue conflicts.

Science.gov (United States)

McDougall, Rosalind

2013-01-01

This paper argues that doctors' ethical challenges can be usefully conceptualised as role virtue conflicts. The hospital environment requires doctors to be simultaneously good doctors, good team members, good learners and good employees. I articulate a possible set of role virtues for each of these four roles, as a basis for a virtue ethics approach to analysing doctors' ethical challenges. Using one junior doctor's story, I argue that understanding doctors' ethical challenges as role virtue conflicts enables recognition of important moral considerations that are overlooked by other approaches to ethical analysis. © 2011 Blackwell Publishing Ltd.

Sir Harold Delf Gillies, the otolaryngologist and father of modern facial plastic surgery: review of his rhinoplasty case notes.

Science.gov (United States)

Spencer, C R

2015-06-01

Sir Harold Gillies, born in New Zealand, is widely considered a British icon and the father of modern plastic surgery. This article provides an overview of his life and the circumstances which led to him laying the foundations of plastic surgery in Britain in the early twentieth century. A hand search and review of case notes from the Gillies Archives at Queen Mary's Hospital in Sidcup, UK, where he made history, was conducted. Gillies' ongoing legacy was found to also include his influence on the development of his cousin Sir Archibald McIndoe's work. Gillies was a talented sportsman who engaged in charitable activities. Additionally, he was a gifted teacher, with his hospital attracting many young surgeons from around the world. He was found to have expressed genius in both the design and execution of the art and science of surgery. He incepted reconstructive techniques ranging from the world's first gender reassignment operation to facial reanimation procedures for the treatment of facial paralysis. His operative work on ex-servicemen in need of complex rhinoplasty and in particular the inception of the tubed pedicle flap are depicted.

Discurso de Posesión del Doctor Efraím Otero Ruiz

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Efraim Otero Ruiz

1990-12-01

Full Text Available

Señor Expresidente Betancur y señora de Betancur.
Señor Viceministro de Salud.
Señor doctor Jorge Cavelier, Presidente y demás miembros de la Junta Directiva saliente.
Señor Secretario Perpetuo.
Señores Académicos.
Señoras, señores.

Resulta doblemente exultante el poder acceder aquí, esta noche, ‘al sillón de los Presidentes de la Academia Nacional de Medicina: por una parte, por el cálido desafío que significa el tener que suceder, desprevenida y casi que obligatoriamente a un hombre de las cualidades personales y profesionales de Jorge Cavelier Gaviria, de quien ya más autorizadas voces han exaltado sus atributos, y por otra, por ser precisamente en 1990, a los 100 años casi exactos de haber expedido el Gobierno Nacional la Ley de creación de la Academia, centenario que nos hace contemplar hacia atrás su pasado fulgurante y no puede menos de comprometernos gravosamente para el futuro.

Estas dos circunstancias añaden a la solemnidad de este acto consagratorio la responsabilidad de un compromiso que resuena con más urgencia en las paredes venerables de este recinto máximo de las Academias de Colombia.

La distancia de 100 años no solo nos separa cronológicamente de varias generaciones sino que nos hace mirar con un cuidadoso lente retrospectivo la Colombia de hace un siglo. En efecto, cuando se dicta la Ley 71 de 1890 “por la cual se crea la Academia de Medicina Nacional” bajo la presidencia de don Carlos Holguín, el país apenas convalece de la penúltima de sus guerras civiles y estrena una nueva Constitución.

Por eso en el libro de Leyes de 1890, Edición Oficial hecha bajo la dirección del Consejo de Estado y publicada por la Imprenta La Luz de Bogotá, aparecen, al lado de leyes que regulan la construcci

Trans arquitectura : imaginación, invención e individuación del objeto técnico arquitectónico : transferencia tecnológica desde la industria del transporte al proyecto arquitectónico (1900-1973)

OpenAIRE

García-Setién Terol, Diego

2016-01-01

Se presenta la tesis doctoral, titulada ‘TRANS Arquitectura. Imaginación, Invención e individuación del objeto tecnico arquitectónico. Transferencia tecnológica desde la Industria del Transporte al Proyecto de Arquitectura [1900-1973]'’, que aborda la relación entre la Arquitectura y el Objeto Técnico durante la Modernidad.1 La temática de la tesis gravita en torno a la cultura técnica, la cultura material y la historia de la Tecnología del siglo XX. Hipótesis Se sostiene aquí la existencia d...

Did You Hear the One About the Doctor? An Examination of Doctor Jokes Posted on Facebook

OpenAIRE

Davis, Matthew A; Haney, Carol Sue; Weeks, William B; Sirovich, Brenda E; Anthony, Denise L

2014-01-01

Background Social networking sites such as Facebook have become immensely popular in recent years and present a unique opportunity for researchers to eavesdrop on the collective conversation of current societal issues. Objective We sought to explore doctor-related humor by examining doctor jokes posted on Facebook. Methods We performed a cross-sectional study of 33,326 monitored Facebook users, 263 (0.79%) of whom posted a joke that referenced doctors on their Facebook wall during a 6-month o...

Proceedings of Arcom Doctoral Workshop Research Methodology

OpenAIRE

Scott, Lloyd

2018-01-01

Editorial Editorial Welcome to this special doctoral workshop on Research Methodology which forms part of what is now a well-established support mechanism for researchers in the discipline of the Built Environment and more particularly construction management. The ARCOM doctoral series, around now for some seventeen years, has addressed many of the diverse research areas that PhD researchers in the discipline have chosen to focus on in their doctoral journey. This doctoral workshop has as ...

Radon house doctor

International Nuclear Information System (INIS)

Nitschke, I.A.; Brennan, T.; Wadach, J.B.; O'Neil, R.

1986-01-01

The term house doctor may be generalized to include persons skilled in the use of instruments and procedures necessary to identify, diagnose, and correct indoor air quality problems as well as energy, infiltration, and structural problems in houses. A radon house doctor would then be a specialist in radon house problems. Valuable experience in the skills necessary to be developed by radon house doctors has recently been gained in an extensive radon monitoring and mitigation program in upstate New York sponsored by Niagara Mohawk Power Corporation and the New York State Energy Research and Development Authority. These skills, to be described in detail in this paper, include: (i) the use of appropriate instruments, (ii) the evaluation of the symptoms of a radon-sick house, (iii) the diagnostic procedures required to characterize radon sources in houses, (iv) the prescription procedures needed to specify treatment of the problem, (v) the supervision of the implementation of the treatment program, (vi) the check-up procedures required to insure the house cured of radon problems. 31 references, 3 tables

Women who doctor shop for prescription drugs.

Science.gov (United States)

Worley, Julie; Thomas, Sandra P

2014-04-01

Doctor shopping is a term used to describe a form of diversion of prescription drugs when patients visit numerous prescribers to obtain controlled drugs for illicit use. Gender differences exist in regard to prescription drug abuse and methods of diversion. The purpose of this phenomenological study guided by the existential philosophy of Merleau-Ponty was to understand the lived experience of female doctor shoppers. Interviews were conducted with 14 women, which were recorded, transcribed, and analyzed. Included in the findings are figural aspects of the participants' experience of doctor shopping related to the existential grounds of world, time, body, and others. Four themes emerged from the data: (a) feeding the addiction, (b) networking with addicts, (c) playing the system, and (d) baiting the doctors. The findings suggest several measures that nurses can take to reduce the incidence of doctor shopping and to provide better care for female doctor shoppers.

Distinction in Doctoral Education: Using Bourdieu's Tools to Assess the Socialization of Doctoral Students

Science.gov (United States)

Gopaul, Bryan

2011-01-01

This conceptual article uses the tools of Pierre Bourdieu (1977, 1986, 1990) to examine the socialization of doctoral students by suggesting that the processes of doctoral study highlight inequities among students. Using Young's (1990) social justice approach as a framework to complement the ideas of Bourdieu, I demonstrate how aspects of academic…

Child Development and the Coworking of Doctor and Teacher: A Waldorf School Doctor's Perspective.

Science.gov (United States)

Karnow, Gerald F.

This paper draws on the nearly 20 years' experiences of a school doctor working with teachers at the Rudolf Steiner School in New York City to describe general principles of assessing child development in relation to educational progress. The paper contrasts the customary role of school doctors (related to conducting physical examinations for…

URGENT NEED OF A DOCTOR

CERN Multimedia

Medical Service

2001-01-01

IN URGENT NEED OF A DOCTOR GENEVA EMERGENCY SERVICES GENEVA AND VAUD 144 FIRE BRIGAD 118 POLICE 117 CERN FIREMEN 767-44-44 ANTI-POISONS CENTRE Open 24h/24h 01-251-51-51 Patient not fit to be moved, call family doctor, or: GP AT HOME, open 24h/24h 748-49-50 Association Of Geneva Doctors Emergency Doctors at home 07h-23h 322 20 20 Patient fit to be moved: HOPITAL CANTONAL CENTRAL 24 Micheli-du-Crest 372-33-11 ou 382-33-11 EMERGENCIES 382-33-11 ou 372-33-11 CHILDREN'S HOSPITAL 6 rue Willy-Donzé 372-33-11 MATERNITY 32 bvd.de la Cluse 382-68-16 ou 382-33-11 OPHTHALMOLOGY 22 Alcide Jentzer 382-33-11 ou 372-33-11 MEDICAL CENTRE CORNAVIN 1-3 rue du Jura 345 45 50 HOPITAL DE LA TOUR Meyrin EMERGENCIES 719-61-11 URGENCES PEDIATRIQUES 719-61-00 LA TOUR MEDICAL CENTRE 719-74-00 European EmergencyCall 112 FRANCE EMERGENCY SERVICES 15 FIRE BRIGADE 18 POLICE 17 CERN FIREMEN AT HOME 00-41-22-767-44-44 ANTI-POISONS CENTRE Open 24h/24h 04-72-11-69-11 All doctors will...

The Cape doctor 1807-1910: perspectives.

Science.gov (United States)

Phillips, Howard

2004-01-01

This chapter contrasts the Cape doctor in 1807 and in 1910, and finds that, in a whole variety of ways, the differences between the two were not of degree but of kind. Underlying this sea-change was the germ revolution of the late Victorian era, which transformed the Cape doctor out of all recognition, thereby laying important foundations for the development of the twentieth-century South African doctor.

Configuración del paisaje, espacio público y arte público en el Perú

OpenAIRE

Crousse Rastelli, Verónica

2011-01-01

En este artículo se discuten algunos aspectos que fueron materia de estudio en mi tesis doctoral “Reencontrando la espacialidad para el arte público en el Perú”, desarrollada en el doctorado “Espacio público y Regeneración Urbana; arte, teoría y conservación del Patrimonio” de la Universidad de Barcelona, bajo la dirección del Dr. Antoni Remesar. La tesis indaga sobre la construcción del paisaje en el Perú, y en el arte público como elemento configurador de estos paisajes. Ante el análisis de...

Los orígenes del Instituto provincial de higiene de las Canarias orientales y la sanidad municipal (1926-1927: cambios estructurales y asistenciales

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Martín del Castillo, Juan Francisco

2005-12-01

Full Text Available The «Instituto Provincial de Higiene de las Canarias Orientales» is an example of Estatuto Provincial of José Calvo Sotelo (1925. Involved in administrative affaires and economical distributions between the Townhall of Las Palmas de Gran Canaria and Insular Council, its beginning is labour of Doctor Antonio Ortiz de Landázuri, in that moment Health Inspector. In this paper, be described the structure and functions of Hygiene Institute, so the change of technical members of laboratories and stations of previous town health services.

El Instituto Provincial de Higiene de las Canarias Orientales es un ejemplo de la puesta en marcha del Estatuto Provincial de José Calvo Sotelo (1925. Envuelto en medidas administrativas y repartos financieros entre el Ayuntamiento de Las Palmas de Gran Canaria y el Cabildo Insular, su inicio es obra directa del doctor Antonio Ortiz de Landázuri, en aquellos momentos al cargo de la Inspección de Sanidad. En el presente, quedan descritos la estructura y funciones del Instituto de Higiene, además del pase de los miembros facultativos de los laboratorios y estaciones de anteriores servicios municipales del ramo.

Conocimiento del consentimiento informado en servicios quirúrgicos Knowledge of informed consent in surgical services

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Verónica Castillo Pérez

2013-02-01

Full Text Available Introducción: el conocimiento informado constituye un elemento esencial de la relación médico paciente actualmente. Objetivo: diagnosticar el conocimiento que sobre el consentimiento informado tienen los miembros de los servicios quirúrgicos así como los pacientes que en esta etapa de la investigación se le practicó alguna intervención quirúrgica. Método: se realizó un estudio en los servicios quirúrgicos del Hospital Clínico Quirúrgico Docente Dr. León Cuervo Rubio de Pinar del Río en el período de Enero a Marzo del 2012, para ello se encuestaron profesionales de los servicios de cirugía y anestesiología así como a pacientes que fueron intervenidos quirúrgicamente en igual período de tiempo. Con un universo de 73 profesionales médicos y 253 pacientes, con una muestra de 45 médicos e igual cantidad de personal de enfermería así como 220 pacientes Resultados: existe un dominio incompleto del consentimiento informado en los pacientes, en la mayoría de los cirujanos y enfermeros no tienen dominio y no aplican correctamente el mismo, sin embargo habían recibido perfeccionamiento sobre dicho tema. Conclusiones: el reconocimiento de la autonomía del paciente y el proceso provocó un cambio en la relación médico paciente en la práctica de la cirugía. Además de la profundización en el estudio de los principios bioéticos y su aplicación, se hace necesaria la búsqueda de respuestas útiles a los problemas bioéticos en estos servicios que afectan la propia relación médico paciente así como la seguridad que les debemos brindar a los pacientes para respaldar el procedimiento quirúrgico.Introduction: current knowledge of informed consent constitutes an essential element of doctor-patient relationship. Objective: to identify knowledge of informed consent in the members of surgical services and in patients who underwent surgeries during the period of investigation. Method: a study was conducted in the surgical services

Overview of the doctoral education in nursing Panorama de la formación doctoral en enfermería Panorama da formação doutoral em enfermagem

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MEJÍA ROJAS MARÍA ELENA

2010-12-01

Full Text Available

The level of education in nursing has evolved as a response to the need of educating human capital capable of developing personal knowledge and promoting innovative change strategies in the domains of science and technology.

Objectives: describe the overview of the doctoral education in nursing in Latin America, Colombia and the world, and ponder over its contributions to the discipline and the Colombian society.

Methodology: the methodology is divided into three segments: worldwide overview of the doctoral education in nursing, current situation of doctoral programs in Colombia and pertinence of nursing doctors in Colombia.

Results and discussion: findings show differences among the progress made regarding the doctoral education in nursing in the World, Latin America and Colombia. It is worth highlighting the growth of programs in Europe, Asia and Latin America, which is positive to achieve further development of the discipline.

EFECTOS A CORTO Y LARGO PLAZO DEL ESTRES CRONICO SOBRE LA ANSIEDAD, EL MIEDO, Y L APLASTICIDAD SINAPTICA EN LA CORTEZA PREFRONTAL

OpenAIRE

NEGRON OYARZO, SERGIO IGNACIO

2012-01-01

El estrés crónico aumenta la ansiedad y disminuye el recuerdo de la extinción del miedo. En la presente tesis doctoral evaluamos en ratas Sprague-Dawley el efecto a corto y a largo plazo del estrés por restricción de movimiento sobre la ansiedad y el recuerdo de la extinción del miedo condicionado. Encontramos. que el estrés crónico produjo un aumento de la ansiedad y una disminución del recuerdo de la extinción. Tres semanas después del término del estrés, la ansiedad de los animales s...

Taxonomía, zoogeografía y aspectos ecológicos de los cangrejos ermitaños de la familia Diogenidae (Crustacea: Decapoda: Anomura) del Pacífico mexicano /

OpenAIRE

Ayón Parente, Manuel sustentante.

2009-01-01

 tesis que para obtener el grado de Doctor en Ciencias del Mar y Limnología, presenta Manuel Ayón Parente ; asesor Michel Edmond Hendrickx Reners. 465 páginas : ilustraciones. Doctorado en Ciencias del Mar y Limnología UNAM, Instituto de Ciencias del Mar y Limnología, 2009

Female physicist doctoral experiences

OpenAIRE

Katherine P. Dabney; Robert H. Tai

2013-01-01

The underrepresentation of women in physics doctorate programs and in tenured academic positions indicates a need to evaluate what may influence their career choice and persistence. This qualitative paper examines eleven females in physics doctoral programs and professional science positions in order to provide a more thorough understanding of why and how women make career choices based on aspects both inside and outside of school and their subsequent interaction. Results indicate that female...

El paisaje como archivo del territorio

Directory of Open Access Journals (Sweden)

Esther Isabel Prada Llorente

2004-09-01

(1 Este trabajo es una parte seleccionada sobre un aspecto muy concreto, como es la escala territorial, de la tesis doctoral “Sayago, evolución histórica y proyección futura de su estructura territorial” leída en la Escuela Técnica Superior de Arquitectura de Madrid en octubre de 2002. (2 Sayago: Posible relación con yacimientos mineros de época celta derivando de la palabra céltica Salliacum. Sus formas medievales serían: Saliago, Salago, Salagu y Sayago (cfr. MARTÍN VISO, 1996. De sayo, sayal, capa o “sagum” celtibérico y lusitano de color pardo, buriel o vellorí de las ovejas llamadas negras. Se pagaban como tributos por los vencidos celtíberos a las tribus romanas. Con el “paño sayal” se confeccionaron (hasta finales del s.XIX, principios del XX, todas las prendas externas de la indumentaria sayaguesa (cfr. Del Brío Mateos, 1998. (3 Escuadro: Topónimo de origen romanizador posiblemente referido a algún tipo de parcelación romana (Informante: Juan Vicent, prehistoriador del C.S.I.C. “Ex-cuadro” o “fuera del cuadro”, según la tradición popular este poblamiento hubiera surgido a raíz de los acompañamientos que las tropas romanas necesitaban para su abastecimiento en todos los aspectos, dejando fuera del recinto en otro lugar, al conjunto de herreros, artesanos, prostitutas, etc. que constituían dicho acompañamiento

Hybrid Doctoral Program: Innovative Practices and Partnerships

Science.gov (United States)

Alvich, Dori; Manning, JoAnn; McCormick, Kathy; Campbell, Robert

2012-01-01

This paper reflects on how one mid-Atlantic University innovatively incorporated technology into the development of a hybrid doctoral program in educational leadership. The paper describes a hybrid doctoral degree program using a rigorous design; challenges of reworking a traditional syllabus of record to a hybrid doctoral program; the perceptions…

Cultural and musical activity among Norwegian doctors.

Science.gov (United States)

Nylenna, Magne; Aasland, Olaf Gjerløw

2013-06-25

The cultural and musical activity of Norwegian doctors was studied in 1993. We wished to re-examine their cultural and musical activity, analyse the development and study the correlation with satisfaction, health and other leisure activities. In the autumn of 2010, a survey was undertaken among a representative sample of economically active Norwegian doctors. The survey asked the same questions as in 1993, and the responses were also compared to the population studies conducted by Statistics Norway. We also used a cultural index that we have developed ourselves. Altogether 1,019 doctors (70%) responded to the survey. They reported a higher level of cultural activity in 2010 than in 1993, measured in terms of reading of non-medical literature and visits to the cinema, theatre and concerts. The doctors engaged in musical activity of their own especially frequently: 58% reported to be able to play an instrument, and 21% reported to play on a regular basis, which is more than among other academic professions. We found a significant correlation between the doctors' level of cultural activity and their job satisfaction, general satisfaction, self-reported health and physical activity. The doctors who engage most frequently in cultural activities are thus most satisfied with their work and with life in general. Furthermore, they also have better self-reported health. Norwegian doctors give priority to cultural and musical activities. The assertion that doctors are particularly fond of music is more than just a myth.

Will Medical Technology Deskill Doctors?

Science.gov (United States)

Lu, Jingyan

2016-01-01

This paper discusses the impact of medical technology on health care in light of the fact that doctors are becoming more reliant on technology for obtaining patient information, making diagnoses and in carrying out treatments. Evidence has shown that technology can negatively affect doctor-patient communications, physical examination skills, and…

Doctorate Program Trains Industrial Chemists.

Science.gov (United States)

Chemical and Engineering News, 1982

1982-01-01

The University of Texas (Dallas) has initiated a new Ph.D. program specifically to train chemists for doctoral level work in industry (Doctor of Chemistry). Participants will complete three research practica (at an industrial site and in two laboratory settings) instead of the traditional dissertation, emphasizing breadth and flexibility in…

Did you hear the one about the doctor? An examination of doctor jokes posted on Facebook.

Science.gov (United States)

Davis, Matthew A; Haney, Carol Sue; Weeks, William B; Sirovich, Brenda E; Anthony, Denise L

2014-02-13

Social networking sites such as Facebook have become immensely popular in recent years and present a unique opportunity for researchers to eavesdrop on the collective conversation of current societal issues. We sought to explore doctor-related humor by examining doctor jokes posted on Facebook. We performed a cross-sectional study of 33,326 monitored Facebook users, 263 (0.79%) of whom posted a joke that referenced doctors on their Facebook wall during a 6-month observation period (December 15, 2010 to June 16, 2011). We compared characteristics of so-called jokers to nonjokers and identified the characteristics of jokes that predicted joke success measured by having elicited at least one electronic laugh (eg, an LOL or "laughing out loud") as well as the total number of Facebook "likes" the joke received. Jokers told 156 unique doctor jokes and were the same age as nonjokers but had larger social networks (median Facebook friends 227 vs 132, PFacebook likes (rate ratio [RR] 2.36, 95% CI 0.97-5.74). This study provides insight into the use of social networking sites for research pertaining to health and medicine, including the world of doctor-related humor.

For People with Osteoporosis: How to Find a Doctor

Science.gov (United States)

... With Osteoporosis: How to Find a Doctor For People With Osteoporosis: How to Find a Doctor Isabel ... a doctor with expertise in osteoporosis. For many people, finding a doctor who is knowledgeable about osteoporosis ...

Cholesterol - what to ask your doctor

Science.gov (United States)

... your doctor; What to ask your doctor about cholesterol ... What is my cholesterol level? What should my cholesterol level be? What are HDL ("good") cholesterol and LDL ("bad") cholesterol? Does my cholesterol ...

OCTOGESIMO ANIVERSARIO DEL DESCUBRIMIENTO DE LA FIEBRE AMARILLA SELVÁTICA POR EL DOCTOR ROBERTO FRANCO

OpenAIRE

Carlos Sanmartín Barberi

1989-01-01

La reunión que hoy nos congrega en esta sesión conjunta tiene por objeto conmemorar una importante efemérides de la medicina universal y tributar homenaje a la memoria de un excepcional galeno de nuestra patria.

Me permitiré leer una breve comunicación que el 8 de octubre del año pasado dirigí al Presidente de nuestra Academia, pues resume el motivo central de esta ceremonia:
“El año próximo venidero se cumplen ochenta de la trascendental comunicación del...

Women, Men and the Doctorate.

Science.gov (United States)

Centra, John A; Kuykendall, Nancy M.

This study describes the current status and professional development of a sample of women doctorates and compares them to a sample of men who have attained the same educational status. Chapters cover the sample and procedures used; employment patterns; doctorates in academe; publications, income, and job satisfaction; marriage and family life;…

Doctoral Education

DEFF Research Database (Denmark)

Ridder, Hanne Mette Ochsner

2015-01-01

Doctoral education covers the “third cycle” of degrees following the bachelor’s and the master’s degree. The education of researchers is necessary for developing music therapy as a scientific discipline and calls for a certain research culture that not only brings knowledge on research...... with an integration of science and practice. This leads to a description of the principles of problem-based learning as a social constructive approach, problematization, self-directed learning and learning community. The chapter is concluded with an example of a model of doctoral education, the Aalborg model, where...... the coursework, supervision, and curriculum is based on problem-based learning. About the book: 'International Perspectives in Music Therapy Education and Training: Adapting to a Changing World,' the first anthology of its kind, edited by Professor Karen Goodman, brings noted educators from Brazil, Canada...

"Seeing a doctor is just like having a date": a qualitative study on doctor shopping among overactive bladder patients in Hong Kong.

Science.gov (United States)

Siu, Judy Yuen-Man

2014-02-06

Although having a regular primary care provider is noted to be beneficial to health, doctor shopping has been documented as a common treatment seeking behavior among chronically ill patients in different countries. However, little research has been conducted into the reasons behind doctor shopping behavior among patients with overactive bladder, and even less into how this behavior relates to these patients' illness and social experiences, perceptions, and cultural practices. Therefore, this study examines overactive bladder patients to investigate the reasons behind doctor shopping behavior. My study takes a qualitative approach, conducting 30 semi-structured individual interviews, with 30 overactive bladder patients in Hong Kong. My study found six primary themes that influenced doctor shopping behavior: lack of perceived need, convenience, work-provided medical insurance, unpleasant experiences with doctors, searching for a match doctor, and switching between biomedicine and traditional Chinese medicine. Besides the perceptual factors, participants' social environment, illness experiences, personal cultural preference, and cultural beliefs also intertwined to generate their doctor shopping behavior. Due to the low perceived need for a regular personal primary care physician, environmental factors such as time, locational convenience, and work-provided medical insurance became decisive in doctor shopping behavior. Patients' unpleasant illness experiences, stemming from a lack of understanding among many primary care doctors about overactive bladder, contributed to participants' sense of mismatch with these doctors, which induced them to shop for another doctor. Overactive bladder is a chronic bladder condition with very limited treatment outcome. Although patients with overactive bladder often require specialty urology treatment, it is usually beneficial for the patients to receive continuous, coordinated, comprehensive, and patient-centered support from their

Changing organisational routines in doctoral education: an intervention to infuse social justice into a social welfare curriculum

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Shapiro, Valerie B.

2015-02-01

Full Text Available This paper describes one effort to infuse a social justice framework into a social work doctoral education programme in a prominent research university of the United States. The “Social Justice in Doctoral Education” (SJDE Project identified Social Justice Learning Objectives (SJLOs in the categories of scholarship, teaching, and service. Doctoral students were surveyed in 2010 to determine the extent to which the SJLOs were being systematically facilitated by their doctoral programme. The forms that guide and shape the milestones of doctoral education at that institution were revised in 2011 in an attempt to create new opportunities for social justice learning. A second survey of doctoral students in 2013 resulted in two findings. First, doctoral students reported using the SJLOs to guide their education. Second, a pre/post comparison of student perceptions indicated an increase in opportunities for social justice learning through doctoral education. This case study provides preliminary support for the modification of organisational routines to expand social justice education in social work.En este artículo se describe el esfuerzo para infundir un marco de justicia social en un programa doctoral de trabajo social dentro de una universidad prominente de investigación de los Estados Unidos. El proyecto de investigación “Justicia Social en la Educación Doctoral” (SJDE identificó los Objetivos de Aprendizaje de la Justicia Social (SJLOs en una serie de categorías de la investigación científica, como la enseñanza y el servicio. Los estudiantes de doctorado respondieron a una encuesta en 2010 para determinar el grado en el que los SJLOs se facilitaban sistemáticamente en el programa de doctorado. En 2011 se revisaron los formularios que guían y dan forma a los hitos de la educación doctoral en esa institución, en un intento de crear nuevas oportunidades para la justicia social de aprendizaje. En 2013, una encuesta seguimiento a

Las sociedades cazadoras-recolectoras del Paleolítico superior final pirenaico. Territorios económicos y sociales

OpenAIRE

Sánchez de la Torre, Marta

2015-01-01

La presente tesis doctoral es una aproximación, a través del estudio de las materias primas líticas, al conocimiento socio-cultural de los grupos de cazadores – recolectores que al fin del Paleolítico superior se asentaron en el Pirineo centro-oriental. Se trata de un trabajo orientado a la consecución de un corpus de datos sobre las estrategias de adquisición y gestión de recursos líticos empleadas por los mencionados grupos y al conocimiento del tipo de relación que tuvieron estas co...

Doctoral Program Selection Using Pairwise Comparisons.

Science.gov (United States)

Tadisina, Suresh K.; Bhasin, Vijay

1989-01-01

The application of a pairwise comparison methodology (Saaty's Analytic Hierarchy Process) to the doctoral program selection process is illustrated. A hierarchy for structuring and facilitating the doctoral program selection decision is described. (Author/MLW)

Durero y los Hieroglyphica. Tres estampas y una pintura. Némesis (La Gran Fortuna. La Justicia. Melancolía I. Cristo ante los Doctores

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González de Zárate, Jesús María

2006-03-01

Full Text Available The present study attempts to analyze several prints by Albrecht Dürer, as well as his painting Christ among the Doctors, in relation to the well-known Hieroglyphica of Horapollo, which we published in Spanish in 1991 (Akal. Erwin Panofsky analyzed the works of the German artist, but he apparently did not take into consideration certain iconographic details. Durer, following the advice of his protector Pirckheimer, elaborated the drawings for Horapollo’s Hieroglyphica, published by Professor George Boas. This visual and semantic vocabulary, of great importance in the History of Art from the Renaissance onward, and specifically in Durer’s graphic art, is evident in the carvings for the Triumphal Arch of Maximilian (1515, studied by Panofsky.

El presente estudio trata de analizar algunas estampas de Alberto Durero, así como su pintura Cristo ante los doctores, en función de los conocidos Hieroglyphica de Horapollo que publicamos en edición castellana en el año 1991 (Akal. El análisis de la obra artística del maestro alemán fue realizado por Erwin Panofsky, pero algunos detalles iconográficos, al parecer, no se tuvieron en cuenta. Durero, bajo el consejo de su protector Pirckheimer elaboró los dibujos de los Hieroglyphica de Horapollo que han sido editados por el profesor americano Georges Boas. Este vocabulario visual y semántico, que tanto incidió en la Historia del Arte en la época Moderna, y más concretamente en el arte gráfico del maestro alemán, se demuestra en las entalladuras del Arco de Triunfo de Maximiliano de 1515 que estudiara Panofsky. Son algunas creaciones artísticas muy relevantes del maestro pintor-grabador, las que encierran de igual modo esta lectura, las que tratamos de analizar en el comentario que presentamos.

Doctor and pharmacy shopping for controlled substances.

Science.gov (United States)

Peirce, Gretchen L; Smith, Michael J; Abate, Marie A; Halverson, Joel

2012-06-01

Prescription drug abuse is a major health concern nationwide, with West Virginia having one of the highest prescription drug death rates in the United States. Studies are lacking that compare living subjects with persons who died from drug overdose for evidence of doctor and pharmacy shopping for controlled substances. The study objectives were to compare deceased and living subjects in West Virginia for evidence of prior doctor and pharmacy shopping for controlled substances and to identify factors associated with drug-related death. A secondary data study was conducted using controlled substance, Schedule II-IV, prescription data from the West Virginia Controlled Substance Monitoring Program and drug-related death data compiled by the Forensic Drug Database between July 2005 and December 2007. A case-control design compared deceased subjects 18 years and older whose death was drug related with living subjects for prior doctor and pharmacy shopping. Logistic regression identified factors related to the odds of drug-related death. A significantly greater proportion of deceased subjects were doctor shoppers (25.21% vs. 3.58%) and pharmacy shoppers (17.48% vs. 1.30%) than living subjects. Approximately 20.23% of doctor shoppers were also pharmacy shoppers, and 55.60% of pharmacy shoppers were doctor shoppers. Younger age, greater number of prescriptions dispensed, exposure to opioids and benzodiazepines, and doctor and pharmacy shopping were factors with greater odds of drug-related death. Doctor and pharmacy shopping involving controlled substances were identified, and shopping behavior was associated with drug-related death. Prescription monitoring programs may be useful in identifying potential shoppers at the point of care.

Investigación perfil en competencias y habilidades del empresario bogotano: trabajo de campo

OpenAIRE

Granada Forero, José Andrés; Lara Salinas, Karen Eliana

2013-01-01

Este documento corresponde al trabajo de campo para la investigación doctoral de Luis Alberto Estrada titulado “Perfil en competencias del empresario bogotano”. El objetivo que el equipo de investigación definió fue concretar las habilidades y competencias que acompañan a los emprendedores y fundadores de empresa en la primera década del siglo XXI. Para ello, se tomó una base de datos de la Cámara de Comercio de Bogotá, la cual contiene la información comercial de las empresas de la ciudad...

Angina - what to ask your doctor

Science.gov (United States)

What to ask your doctor about angina and heart disease; Coronary artery disease - what to ask your doctor ... the signs and symptoms that I am having angina? Will I always have the same symptoms? What ...

Australian doctors and the visual arts. Part 2. Doctors as collectors, donors, gallery supporters and writers in New South Wales.

Science.gov (United States)

Hamilton, D G

1986-04-28

The contribution of doctors to the visual arts if being discussed in a series of six articles. The first article dealt with doctor-artists in new South Wales. In this, the second, doctors are discussed as collectors, donors, gallery supporters and writers in this State.

Children and their parents assessing the doctor-patient interaction: a rating system for doctors' communication skills.

Science.gov (United States)

Crossley, Jim; Eiser, Christine; Davies, Helena A

2005-08-01

Only a patient and his or her family can judge many of the most important aspects of the doctor-patient interaction. This study evaluates the feasibility and reliability of children and their families assessing the quality of paediatricians' interactions using a rating instrument developed specifically for this purpose. A reliability analysis using generalisability theory on the ratings from 352 doctor-patient interactions across different speciality clinics. Ratings were normally distributed. They were highest for 'overall' performance, and lowest for giving time to discuss the families' agenda. An appropriate sample of adults' ratings provided a reliable score (G = 0.7 with 15 raters), but children's ratings were too idiosyncratic to be reproducible (G = 0.36 with 15 raters). CONCLUSIONS AND FURTHER WORK: Accompanying adults can provide reliable ratings of doctors' interactions with children. Because an adult is usually present at the consultation their ratings provide a highly feasible and authentic approach. Sampling doctors' interactions from different clinics and with patients of both genders provides a universal picture of performance. The method is ideal to measure performance for in-training assessment or revalidation. Further work is in progress to evaluate the educational impact of feeding ratings back to the doctors being assessed, and their use in a range of clinical contexts.

"Seeing a doctor is just like having a date": a qualitative study on doctor shopping among overactive bladder patients in Hong Kong

Science.gov (United States)

2014-01-01

Background Although having a regular primary care provider is noted to be beneficial to health, doctor shopping has been documented as a common treatment seeking behavior among chronically ill patients in different countries. However, little research has been conducted into the reasons behind doctor shopping behavior among patients with overactive bladder, and even less into how this behavior relates to these patients’ illness and social experiences, perceptions, and cultural practices. Therefore, this study examines overactive bladder patients to investigate the reasons behind doctor shopping behavior. Methods My study takes a qualitative approach, conducting 30 semi-structured individual interviews, with 30 overactive bladder patients in Hong Kong. Results My study found six primary themes that influenced doctor shopping behavior: lack of perceived need, convenience, work-provided medical insurance, unpleasant experiences with doctors, searching for a match doctor, and switching between biomedicine and traditional Chinese medicine. Besides the perceptual factors, participants’ social environment, illness experiences, personal cultural preference, and cultural beliefs also intertwined to generate their doctor shopping behavior. Due to the low perceived need for a regular personal primary care physician, environmental factors such as time, locational convenience, and work-provided medical insurance became decisive in doctor shopping behavior. Patients’ unpleasant illness experiences, stemming from a lack of understanding among many primary care doctors about overactive bladder, contributed to participants’ sense of mismatch with these doctors, which induced them to shop for another doctor. Conclusions Overactive bladder is a chronic bladder condition with very limited treatment outcome. Although patients with overactive bladder often require specialty urology treatment, it is usually beneficial for the patients to receive continuous, coordinated

Consideraciones alrededor del Libro del Almismo, el Libro del Pensar.

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MartaLucía Tamayo Fernandez

1999-12-01

Full Text Available

La doctora MarthaLucía Tamayo comparte muchas inquietudes alrededor del Libro del Almismo, el Libro del Pensar; de dónde salió ese nombre; de juntar en medicina y en genética a tres escritores como lo son Jorge Luis Borges, Macedonio Fernández y Julio Cortázar. Su conferencia dice así:

El término almismo fue ideado por Macedonio Fernández porque defendía mucho el ensimismamiento y el pensamiento hacia el interior, mirar hacia adentro; cada uno somos un “sí mismo” que nos hace diferentes aunque al mismo tiempo podemos ser iguales. Todos tenemos esa parte interior que la medicina debe trabajar y que no puede olvidar.

“El Libro del Almismo, el libro del pensar” nos lleva a replantear y a repensar un poco la medicina que queremos, una medicina vuelta a pensar.

Quiero contarles la historia de cómo se llegó a este libro y por qué y para qué se sigue trabajando en estos temas: Después de mi internado y de un trabajo un poco triste de rural, volví al Instituto de Genética y a la Universidad Javeriana en donde encontré al doctor Bernal y un espacio que estaba buscando para esa medicina diferente que quería, con un grupo de personas que me permitía no sólo ver la medicina sino ver muchas otras cosas más; había espacio para la literatura, para Mafalda, para hablar de niños, de locos, había incluso tiempo para hablar de medicina dentro del golf, de carros antiguos y de todo eso fui aprendiendo.

Eso era lo que estaba buscando. Una medicina que diera espacios diferentes, que fuera más humanizada. Rápidamente me ubiqué y me quedé! No me arrepiento en lo absoluto de haberme quedado porque fue, ha sido y sigue siendo, una experiencia enriquecedora, de muchas vivencias importantes. Sabía exactamente dónde estaba y sabía que había que seguir rápido y había que trabajar muchos aspectos de esa medicina que estábamos buscando y de esa genética especial.

Rápidamente empezamos a trabajar

Patient perception of smartphone usage by doctors

Directory of Open Access Journals (Sweden)

Kerry G

2017-03-01

Full Text Available Georgina Kerry,1 Shyam Gokani,2 Dara Rasasingam,2 Alexander Zargaran,3 Javier Ash,2 Aaina Mittal2 1College of Medical and Dental Sciences, University of Birmingham, Birmingham, 2Faculty of Medicine, Imperial College London, London, 3Faculty of Medicine, St George’s University of London, London, UK Abstract: Technological advancements have revolutionized modern medicine and smartphones are now ubiquitous among health care professionals. The ability to look up information promptly is invaluable to doctors and medical students alike, but there is an additional contiguous benefit to patients. Queries can be answered more accurately through fingertip access to evidence-based medicine, and physicians have instant access to emergency care protocols. However, is consideration always extended to the patient’s perception of the use of smartphones by doctors? Do patients know why we use smartphones to assist us in their care? What do they think when they see a doctor using a smartphone?An independent question, conducted within a wider service evaluation (ethical approval not required, full verbal and written electronic consent provided by all patients at St. Mary’s Hospital, London, indicated that although the majority (91.0% of patients owned a smartphone, many (61.6% did not agree that the use of smartphones at work by doctors is professional. This highlights the potential for damage to the doctor–patient relationship. There is a risk that these patients will disconnect with care services with possible detriment to their health. Additionally, it is notable that a larger proportion of those patients aged >70 years found the use of smartphones by doctors at work unprofessional, compared with patients aged <70 years.Adequate communication between the doctor and patient is critical in ensuring that doctors can make use of modern technology to provide the best possible care and that patients are comfortable with this and do not feel isolated or

Modelos organizativos basados en el conocimiento. Desde la gerencia de la información a la gestión del conocimiento

OpenAIRE

Olmedo Narbona, Antonio

2011-01-01

Esta tesis doctoral estudia la evolución de los modelos de gestión del conocimiento, analizando la relación entre el modelo EFQM y los modelos organizativos basados en el conocimiento. Como aplicación práctica se propone el desarrollo de un modelo organizativo basado en el conocimiento para los Centros del Profesorado, unidades administrativas de la Junta de Andalucía.

Doctor Guillermo García López (1905-1956, gran diabetólogo cubano Doctor Guillermo García López (1905-1956, a great cuban diabetologist

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Dagoberto Álvarez Aldana

2004-08-01

Full Text Available Con esta breve semblanza pretendemos esbozar algunos datos biográficos del profesor Guillermo García López (1905-1956 notable, pero casi desconocido galeno, y resaltar su labor profesional en el campo asistencial, docente y científico en nuestro país, que lo avalan como uno de los más importantes diabetólogos cubanos. Consultamos la bibliografía médica de la época, archivos, expedientes y otras fuentes para la realización de esta investigación. El doctor Guillermo García López aportó más de 50 contribuciones médicas, las cuales se publicaron en prestigiosas revistas dentro y fuera de Cuba. Sobresalió por sus estudios sobre la diabetes infantil, como se le llamaba en aquellos años, las mejores combinaciones de insulinitas, el uso de insulina NPH, las hormonas adrenocorticotrópicas (ACTH y la cortisona, entre otros.With this brief biographical profile we intend to outline some data on professor Guillermo García López (1905-1956, an outstanding but almost unknown doctor, and to highlight his professional work in the assistance, teaching and scientific field in our country, that makes him one of the most important Cuban diabetologists. We consulted the medical bibliography of that time, archives, records and other sources as part of this research. Doctor Guillermo García López made more than 50 medical contributions that were published in prestigious journals in Cuba and abroad. He stood out for his studies on infantile diabetes, as it was called in those years, the best insulin combinations, the use of NPH insulin, adrenocorticotropic hormones (ACTH and cortisone, among others.

SIMPOSIO "ASPECTOS MÉDICOS DE LA ERUPCIÓN DEL NEVADO DEL RUIZ". CONCLUSIONES PRELIMINARES

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Academia Nacional de Medicina

1986-12-01

Full Text Available

El Comité Organizador del Simposio "' Aspéctos Medicos de la Erupción Volcanica del Nevado del Ruiz". confor­mado por los doctores Pablo Gomez Martinez, Jose Felix Patino, Valentin Malagón, German Fernandez. Ivan Munera y Luis Jorge Perez, se permite informar a la opinion publica, las conclusiones preliminares a las que ha llegado despues de haber analizado todas las ponencias presentadas por las personas y entidades que atendieron sobrevivientes de la catastrofe de noviembre de 1985.

1. Aspectos geológicos

Colombia está situada en el area denominada Cinturón de Fuego, que envuelve el Oceano Pacifico y en su conformación geográfica se encuentran 30 volcanes, situados en su mayorla en la Cordillera Central. De estos, 11 están en mayor o menor actividad y 7 tienen historia de erupciones. Las capas geol6ógicas sobre las cuales se extiende el pals presentan zonas de elevada sismicidad

Las caracterlsticas de la erupción del Nevado del Ruiz permiten clasificarlo como un volcan de tipo "'Pliniano- explosivo". que puede emitir enorme cantidad de gases y fragmentos sólidos a grandes velocidades y altas tempe­raturas, como tambien lodo caliente, con deshielo de las nieves perpetuas cuyo resultado es Ia formación del "lahar" que sepultó las poblaciones y cubrió extensas zonas de terreno. Estas erupciones se presentan de manera intermitente y su comportamiento es impredecible. Existe siempre la posibilidad de erupciones late­rales que aumentan su peligro y radio de acción.

El "lahar" fue una avalancha de lodo que cubrió a la poblacion de Armero; lo componían materiales inorgánicos provenientes del volcan, mezclados con los materiales orgánicos presentes en las tierras fertiles dedicadas a la agricultura y la ganadería. Estudios microbiológicos demostraron la presencia de una rica flora bacteriana y de hongos...

El método de los elementos de contorno en los problemas de mecánica del suelo

OpenAIRE

Alarcón Álvarez, Enrique; Dominguez Abascal, José; Fraile de Lerma, Alberto

2000-01-01

La preparación de estas notas ha llevado, al más veterano de los autores, a rememorar sus primeros tanteos con los métodos numéricos. Tratando de desarrollar su tesis doctoral sobre efectos dinámicos en puentes de ferrocarril, descubrió, en 1968, en la biblioteca del Laboratorio de Transporte (donde el profesor ]iménez Salas era Director) las Actas de la reunión ASTM en las que Quilan y Sung proponían la asimilación del comportamiento dinámico del semiespacio elástico a un sistema con u...

Estrategia didáctica para el perfeccionamiento del proceso de formación interpretativa en la matemática superior

OpenAIRE

Wongo Gungula, Eurico; Dieguez Batista, Raquel; Pérez Ugartemendía, Eglys

2015-01-01

El presente artículo es síntesis del aporte práctico de una tesis doctoral desarrollada en la dinámica del proceso de formación interpretativa en la Matemática Superior, realizada en la Universidad de Oriente, Cuba, desde Septiembre de 2010 hasta Junio de 2014. Para su implementación en la práctica educativa se diseñó una serie de acciones conducentes al desarrollo del pensamiento interpretativo de los estudiantes universitarios, pautadas esencialmente en la socialización de procedimientos de...

Seguimiento longitudinal de la masa ósea en mujeres postmenopáusicas en función de los polimorfismo BSMI y APAI del gen del receptor de la vitamina D (VDR)

OpenAIRE

Pedrera Canal, María

2015-01-01

La Osteoporosis es una condición poligénica que está determinada por la influencia de diversos genes, cada uno de los cuales tiene un efecto modesto sobre la masa ósea. El objetivo del presente trabajo de tesis doctoral fue determinar como los polimorfismos del gen receptor de la vitamina D (BsmI y ApaI) están asociados con la densidad mineral ósea (DMO), los valores de DMO en mujeres osteoporóticas y la respuesta al tratamiento en mujeres osteoporóticas postmenopáusicas españolas. Un total d...

Talking to Your Doctor (For Teens)

Science.gov (United States)

... problems , weight concerns, depression, suicidal thoughts , and even body odor . You should be able to talk to your doctor about everything, but that's easier said than done. Being examined and questioned about your body can also be intimidating, especially when the doctor ...

Burnout and Doctors: Prevalence, Prevention and Intervention

Science.gov (United States)

Kumar, Shailesh

2016-01-01

Doctors are exposed to high levels of stress in the course of their profession and are particularly susceptible to experiencing burnout. Burnout has far-reaching implications on doctors; patients and the healthcare system. Doctors experiencing burnout are reported to be at a higher risk of making poor decisions; display hostile attitude toward patients; make more medical errors; and have difficult relationships with co-workers. Burnout among doctors also increases risk of depression; anxiety; sleep disturbances; fatigue; alcohol and drug misuse; marital dysfunction; premature retirement and perhaps most seriously suicide. Sources of stress in medical practice may range from the emotions arising in the context of patient care to the environment in which doctors practice. The extent of burnout may vary depending on the practice setting; speciality and changing work environment. Understanding dynamic risk factors associated with burnout may help us develop strategies for preventing and treating burnout. Some of these strategies will be reviewed in this paper. PMID:27417625

Burnout and Doctors: Prevalence, Prevention and Intervention

Directory of Open Access Journals (Sweden)

Shailesh Kumar

2016-06-01

Full Text Available Doctors are exposed to high levels of stress in the course of their profession and are particularly susceptible to experiencing burnout. Burnout has far-reaching implications on doctors; patients and the healthcare system. Doctors experiencing burnout are reported to be at a higher risk of making poor decisions; display hostile attitude toward patients; make more medical errors; and have difficult relationships with co-workers. Burnout among doctors also increases risk of depression; anxiety; sleep disturbances; fatigue; alcohol and drug misuse; marital dysfunction; premature retirement and perhaps most seriously suicide. Sources of stress in medical practice may range from the emotions arising in the context of patient care to the environment in which doctors practice. The extent of burnout may vary depending on the practice setting; speciality and changing work environment. Understanding dynamic risk factors associated with burnout may help us develop strategies for preventing and treating burnout. Some of these strategies will be reviewed in this paper.

El Dibujo como Herramienta Integral al Servicio del conocimiento en diversos Marcos Disciplinares: Su vigencia y necesidad hoy.

OpenAIRE

García Góngora, Víctor Manuel

2017-01-01

Esta Tesis Doctoral pretende dilucidar mediante obras y experiencias del autor, bibliografía y referencias externas, la vigencia del dibujo en una actualidad dominada por métodos digitales que se ha vuelto escéptica sobre su “utilidad” real y que desgraciadamente se está viendo marginada en planes de estudio y desarrollo profesional. La situación ha llegado a tal grado que el dibujo, incluso en disciplinas como las bellas artes y la arquitectur...

[Physician's role in "medical drama" pitfall? Reflection of stereotypical images of doctors in context of contemporary doctor's series].

Science.gov (United States)

Köhler, M; Grabsch, C; Zellner, M; Noll-Hussong, M

2014-04-17

In contemporary U.S. doctor's series, the characters are usually represented by good-looking or typical character actors. The aim of our pilot study was to investigate whether the long-term impact of this format on German television viewers could have an influence on the choice of doctor in Germany. Two different groups of people anticipating TV consumption patterns were questioned: a first group of younger adults who knew theTV series was asked to judge their doctor choice using a web-based survey tool with respect to three criteria (sympathy, expertise and own treatment preference). The second group of adults beyond the 40th year of life who need not know theTV series were shown photos of the serial figures. Study participants should select the "doctor" of which they would most likely want to be treated and this based on two predetermined reasons (sympathy or expertise). Our results indicate that stereotypical images of doctors found high approval only in the first group of people, while the participants in the second group decided in majorityfora more realistic representation of average appearance.

The Professional Doctorate in Nursing: A Position Paper

Science.gov (United States)

Newman, Margaret A.

1975-01-01

The need for family-centered health care could be met by nurses now if they had a professional doctorate and the recognition and authority that go with it. The author distinguishes between an academic doctorate (Preparation for scholars) and a professional doctorate (a practice degree). (Author/BP)

Richard W. Ziolkowski Receives Honorary Doctorate

DEFF Research Database (Denmark)

Breinbjerg, Olav

2012-01-01

At the annual Commemoration of the Technical University of Denmark (DTU) on April 27, 2012, Prof. Richard W. Ziolkowski, University of Arizona (UoA), received DTU's highest academic degree, the Honorary Doctor degree: Doctor Technices Honoris Causa (Figure 1). Prof. Ziolkowski has been a close...

IN URGENT NEED OF A DOCTOR

CERN Multimedia

Medical Service

2001-01-01

IN URGENT NEED OF A DOCTOR GENEVA EMERGENCY SERVICES GENEVA AND VAUD 144 FIRE BRIGADE 118 POLICE 117 CERN FIREMEN 767-44-44 ANTI-POISONS CENTRE Open 24h/24h 01-251-51-51 Patient not fit to be moved, call family doctor, or: GP AT HOME, open 24h/24h 748-49-50 Association Of Geneva Doctors Emergency Doctors at home 07h-23h 322 20 20 Patient fit to be moved: HOPITAL CANTONAL CENTRAL 24 Micheli-du-Crest 372-33-11 ou 382-33-11 EMERGENCIES 382-33-11 ou 372-33-11 CHILDREN'S HOSPITAL 6 rue Willy-Donzé 372-33-11 MATERNITY 32 bvd.de la Cluse 382-68-16 ou 382-33-11 OPHTHALMOLOGY 22 Alcide Jentzer 382-33-11 ou 372-33-11 MEDICAL CENTRE CORNAVIN 1-3 rue du Jura 345 45 50 HOPITAL DE LA TOUR Meyrin EMERGENCIES 719-61-11 URGENCES PEDIATRIQUES 719-61-00 LA TOUR MEDICAL CENTRE 719-74-00 European Emergency Call 112 FRANCE EMERGENCY SERVICES 15 FIRE BRIGADE 18 POLICE 17 CERN FIREMEN AT HOME 00-41-22-767-44-44 ANTI-POISONS CENTRE Open 24h/24h 04-72-11-69-11 All doctors ...

Aplicación de modelos de transferencia radiativa para el control operativo del programa BSRN (Baseline Surface Radiation Network) del Centro de Investigación Atmosférica de Izaña

OpenAIRE

García Cabrera, Rosa Delia

2012-01-01

Esta nota técnica se basa en la tesis doctoral de la autora realizada en el marco del Convenio de colaboración entre la Universidad de Valladolid y AEMET para el "Establecimiento de metodologías y sistemas de control de calidad para los programas de fotometría, radiometría, ozono y aerosoles atmosféricos en el marco del programa de Vigilancia atmosférica global de la Organización meteorológica mundial". Esta tesis aborda el análisis de las tres componentes de la radiación solar (global, di...

Reasons for Consulting a Doctor on the Internet: Web Survey of Users of an Ask the Doctor Service

OpenAIRE

Umefjord, Göran; Petersson, Göran; Hamberg, Katarina

2003-01-01

Background In 1998 the Swedish noncommercial public health service Infomedica opened an Ask the Doctor service on its Internet portal. At no charge, anyone with Internet access can use this service to ask questions about personal health-related and disease-related matters. Objective To study why individuals choose to consult previously-unknown doctors on the Internet. Methods Between November 1, 2001, and January 31, 2002 a Web survey of the 3622 Ask the Doctor service users, 1036 men (29%) a...

Un caso de hernia diafragmatica (Agenesia parcial del hemídiafragma izquierdo plastia del díafragma con pulmón atelectásico

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Alfonso Bonilla Naar

1951-06-01

Full Text Available Hospital de la Misericordia. Servicio del doctor Martínez. Sala Rosa. C. J. P. E. 10 años. N. El Charquito (Soacha. F. de L .Septi~tnbre 12 de 1950. F. de S. Noviembre 5 de 1950. D. Preliminar, neumonía. C. de ingreso. Consulta porque desde hace dos días tiene dolor abdominal difuso, vómito, estreñimiento, anorexia y fiebre (vomitó un Ascaris. Se trata del primer caso operado en nuestro medio de una hernia diafragmática (por agenesia y vale anotar que según Meyer (1 quien cita a Sagal, hasta 1.933 sólo se conocian doce casos. Harrington (2 cita 12 casos en la Mayo Clinic. Hasta ahora, el defecto del diafragma se había cerrado con faciaperirrenal o con músculo (gran dorsal. En este caso se ensayó con éxito una plastia con un lóbulo pulmonar atelectásico. (Original.

State Level Review of Doctoral Programs in Texas.

Science.gov (United States)

Whittington, Nil

Review of doctoral degree programs in Texas public colleges and universities is discussed. Attention is directed to review procedures and strengths and weaknesses in the state's doctoral programs in educational psychology, counseling and guidance, and student personnel services. Doctoral programs were reviewed because of their high cost and a…

El desarrollo del pensamiento interpretativo del estudiante universitario desde un enfoque didáctico-matemático

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Eurico Wongo Gungula

2016-05-01

Full Text Available Uno de los retos más importantes de la Universidad actual es su adaptación a los cambios que la sociedad le exige, tanto en relación a la mejoría de la calidad del proceso de enseñanza-aprendizaje, como de las investigaciones científicas que realiza. El presente artículo es resultado de la construcción teórica y práctica de una tesis doctoral desarrollada en la dinámica del proceso de formación interpretativa en la Matemática Superior (Gungula, 2014. Su objetivo es contribuir al desarrollo del pensamiento interpretativo del estudiante universitario desde un enfoque didáctico-matemático, dadas las inconsistencias analíticas e interpretativas que se aprecian en los estudiantes angolanos que ingresan a la Educación Superior contemporánea. La estructura y la articulación del procedimiento metodológico seguido en su construcción son consecuentes con el Enfoque Holístico Configuracional y las propuestas de De Guzmán (2007, Fuentes (2009 y Matos y Cruz (2011. Además, la concepción metodológica que emerge del sistema de relaciones que se establece entre dichas construcciones es coherente con los subprocesos y eslabones requeridos para el desarrollo del pensamiento lógico e interpretativo del estudiante universitario. La sinergia de la estrategia didáctica propuesta como vía de instrumentación de la construcción teórica en la práctica educativa emerge de la pertinencia formativa de su aplicabilidad en el perfeccionamiento del proceso de enseñanza-aprendizaje de la Matemática en la Educación Superior. Los resultados derivados de su aplicación práctica, así como de las valoraciones emitidas por los expertos, evidencian la pertinencia científica y metodológica de la construcción teórica y práctica realizada para el proceso de desarrollo del pensamiento interpretativo del estudiante universitario.

Doctoral Education in Nursing: Future Directions

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Downs, Florence S.

1978-01-01

Problems that confront nursing education and the quality of doctoral preparation are discussed in this article and include the steep rise in requests from nurses for admission into doctoral programs and tight university budgets; other concerns are the development of scholars and sharing research findings. (TA)

Doctor - patient relationship La relación médico-paciente

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Jaime Bedoya Restrepo

1994-03-01

Full Text Available

Llama la atención el inusitado interés que en los últimos tiempos ha despertado el aspecto ético del ejercicio de la medicina. Este interés, no obstante, parece más centrado en los aspectos legales y sólo tangencialmente en el dilema moral que se origina en muchas de las actuaciones de los médicos. 

La relación médico-paciente se puede entender como de tipo contractual, fundamentada en la confianza

y el respeto mutuos, condicionada por la necesidad de ayuda por parte del enfermo y suministrada ésta por un profesional competente.

Some brief considerations are made concerning doctor-patient relationship with emphasis on informed consent and on respect for the autonomy of the patient.

El pensamiento de los primeros administrativistas españoles y su plasmación enla estructura de la administración del estado

OpenAIRE

González Leonor, María del Carmen

2004-01-01

El objeto del presente trabajo de investigación lo constituye el proceso de formación del modelo de Estado español decimonónico. Elementos esenciales de este proceso son los individuos que lo formularon teóricamente. De ahí la importancia del estudio de sus figuras. Para explicar este proceso se ha divido en varias etapas que se corresponden con cada uno de los capítulos de esta tesis doctoral, realizando un recorrido desde los últimos años del reinado de Femando VII, momento en el cual los a...

Looking Back at Doctoral Education in South Africa

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Herman, Chaya

2017-01-01

This article provides a quantitative picture of doctoral education in South Africa up to 2010, from the time the first doctorate was awarded in 1899. It identifies the different institutional profiles and emphases of doctoral graduation in South African universities at various periods of time in the context of economic, political and social…

Quantitative Preparation in Doctoral Education Programs: A Mixed-Methods Study of Doctoral Student Perspectives on their Quantitative Training

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Sarah L Ferguson

2017-07-01

Full Text Available Aim/Purpose: The purpose of the current study is to explore student perceptions of their own doctoral-level education and quantitative proficiency. Background: The challenges of preparing doctoral students in education have been discussed in the literature, but largely from the perspective of university faculty and program administrators. The current study directly explores the student voice on this issue. Methodology: Utilizing a sequential explanatory mixed-methods research design, the present study seeks to better understand doctoral-level education students’ perceptions of their quantitative methods training at a large public university in the southwestern United States. Findings: Results from both phases present the need for more application and consistency in doctoral-level quantitative courses. Additionally, there was a consistent theme of internal motivation in the responses, suggesting students perceive their quantitative training to be valuable beyond their personal interest in the topic. Recommendations for Practitioners: Quantitative methods instructors should emphasize practice in their quantitative courses and consider providing additional support for students through the inclusion of lab sections, tutoring, and/or differentiation. Pre-testing statistical ability at the start of a course is also suggested to better meet student needs. Impact on Society: The ultimate goal of quantitative methods in doctoral education is to produce high-quality educational researchers who are prepared to apply their knowledge to problems and research in education. Results of the present study can inform faculty and administrator decisions in doctoral education to best support this goal. Future Research: Using the student perspectives presented in the present study, future researchers should continue to explore effective instructional strategies and curriculum design within education doctoral programs. The inclusion of student voice can strengthen

Criterio profesional acerca del error médico

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Elisa Gálvez Cabrera

1998-02-01

Full Text Available Se demuestra el desconocimiento que de determinados aspectos de la ética médica existe en los profesionales de la salud, a pesar de la extraordinaria importancia que éstos tienen. Se diseña un modelo de encuesta que se aplica a diferentes médicos que brindan asistencia en la atención primaria y secundaria del municipio Plaza de la Revolución en la Ciudad de La Habana; se obtiene resultados que corroboran nuestra hipótesis: sólo la tercera parte de los médicos encuestados, a pesar de sus años de experiencia y de la alta calificación en general de la muestra seleccionada, responde satisfactoriamente la encuesta. Se ofrecen otras conclusiones en el análisis de los resultados del trabajo que resultan de gran interésIt is demonstrated the lack of knowledge existing among health profesionals about certain aspects of medical ethics, in spite of their extraordinary importance. A survey model is designed and applied to different doctors working at the primary and secondary health care level at the municipality of Plaza de la Revolución, in Havana City. The results obtained corroborate our hypothesis: just one third of the doctors who participated in the survey, despite their years of experience and the high qualification in general of the sample, answered satisfactorily. Other interesting conclusions derived from the analysis of the results are offered

Stress in doctors and dentists who teach.

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Rutter, Harry; Herzberg, Joe; Paice, Elisabeth

2002-06-01

To explore the relationship between a teaching role and stress in doctors and dentists who teach. Medline, PubMed, BIDS database for social sciences literature, and the ERIC database for educational literature were searched using the key words 'stress' or 'burnout' with the terms doctor, physician, dentist, teacher, lecturer, academic staff, and university staff. Other books and journals known to the authors were also used. Many studies have shown high levels of stress in doctors, dentists, teachers, and lecturers. A large number of factors are implicated, including low autonomy, work overload, and lack of congruence between power and responsibility. Doctors and dentists who take on a teaching role in addition to their clinical role may increase their levels of stress, but there is also evidence that this dual role may reduce job-related stress. Working as a doctor or dentist may entail higher levels of stress than are experienced by the general population. In some situations adding in the role of teacher reduces this stress, but more research is needed to explain this finding.

Epilepsy - what to ask your doctor - child

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What to ask your doctor about epilepsy - child; Seizures - what to ask your doctor - child ... should I discuss with my child's teachers about epilepsy? Will my child need to take medicines during ...

The Plight of the Woman Doctoral Student

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Holmstrom, Engin Inel; Holmstrom, Robert W.

1974-01-01

This study investigated factors underlying discrimination against woman doctoral students. Analyses revealed that faculty attitudes and behavior toward woman doctoral students contributed significantly to their emotional stresses and self-doubts. (Author/NE)

Surviving the Doctoral Years

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Scott P. Kerlin

1995-11-01

Full Text Available This article probes the implications of neo-conservative public education policies for the future of the academic profession through a detailed examination of critical issues shaping contemporary doctoral education in U.S. and Canadian universities. Institutional and social factors such as financial retrenchment, declining support for affirmative action, downward economic mobility, a weak academic labor market for tenure-track faculty, professional ethics in graduate education, and backlash against women's progress form the backdrop for analysis of the author's survey of current doctoral students' opinions about funding, support, the job market, and quality of learning experiences.

Attracting and retaining doctors in rural Nepal.

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Shankar, P R

2010-01-01

In Nepal, a number of private sector medical schools have opened recently; although sufficient numbers of doctors are graduating there continues to be a doctor shortage in rural areas. This article analysed the rural doctor shortage in Nepal and reviewed the international literature for strategies that may be suitable for use in Nepal. Original research articles, reviews, magazine articles and project reports dealing with Nepal and other developing countries during the period 1995 to 2010 were sourced via Google, Google Scholar and Pubmed. Full text access was obtained via WHO's HINARI database. The health workforce in Nepal is unevenly distributed resulting in doctor shortages in rural areas. The recent introduction of mandatory rural service for scholarship students was aimed to reduce the loss of medical graduates to developed nations. High tuition fees in private medical schools and low Government wages prevent recent graduates from taking up rural positions, and those who do face many challenges. Potential corrective strategies include community-based medical education, selecting rural-background medical students, and providing a partial or complete tuition fee waiver for medical students who commit to rural service. Traditional healers and paramedical staff can also be trained for and authorized to provide rural health care. A range of strategies developed elsewhere could be used in Nepal, especially community-oriented medical education that involves rural doctors in training medical students. The reimbursement of tuition fees, assistance with relocation, and provision of opportunities for academic and professional advancement for rural doctors should also be considered. Government investment in improving working conditions in rural Nepal would assist rural communities to attract and retain doctors.

Concussion - what to ask your doctor - child

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What to ask your doctor about concussion - child; Mild brain injury - what to ask your doctor - child ... What type of symptoms or problems will my child have? Will my child have problems thinking or ...

La evolución del paisaje fluvial en la confluencia de los ríos Tajo y Jarama

OpenAIRE

Berrocal Menárguez, Ana Belén

2013-01-01

La tesis doctoral que se presenta realiza un análisis de la evolución del paisaje fluvial de las riberas de los ríos Tajo y Jarama en el entorno de Aranjuez desde una perspectiva múltiple. Contempla y conjuga aspectos naturales, tales como los hidrológicos, geomorfológicos y ecológicos; también culturales, como la regulación hidrológica y la gestión del agua, las intervenciones en cauce y márgenes, la evolución de la propiedad y los cambios de usos del suelo, fundamentalmente. Este análisis h...

[The virtuous doctor in cinema: the final examination].

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Figueroa, Gustavo

2014-10-01

The virtuous doctor has subscribed an oath and by subscribing to this solemn promise, he is committed to live in accordance with the purposes, obligations and virtues established in the medical profession. Cinematic art has shown only a superficial interest in complex aspects of medical profession. An exception is Ingmar Bergman's film "Wild Strawberries", where Professor Isak Borg, a widowed 76-year-old physician, is to be awarded the Doctor Jubilaris degree, 50 years after he received his doctorate at Lund University. During the trip, Isak is forced by a nightmare to reevaluate his professional life as not being a virtuous doctor.

Skills and Competences of a Doctor of Engineering

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Michael H. W. Hoffmann

2011-12-01

Full Text Available Not only in Europe but also on other continents, it is felt that a reform of the doctoral phase in tertiary education is necessary. To make this reform a success, it is necessary to first define the skills and competences of a doctor in general and of a doctor of engineering in particular to dispose of measurable criteria for the outcomes of the reform. These criteria are intended to foster not only an academic career but also careers in industry and administration, i.e. to support the careers of future chief executives. It is also presented how these skills and competences are seen by industrial companies as well as by the young Doctors of Engineering. Finally, it is discussed how existing methods might be reformed to further improve the doctoral phase at and in cooperation with universities.

El efecto del entorno en la emisión de fluorescencia . Modelos teóricos y aplicaciones analíticas

OpenAIRE

Delgado Camón, Mª Arantzazu

2012-01-01

En esta Tesis Doctoral se abordan aspectos teóricos y prácticos de la fluorescencia molecular, en medio líquido y sólido, que pueden resumirse en: 1.- Estudio y utilización del efecto del entorno molecular en la intensidad de fluorescencia, que se refiere a cómo las interacciones no covalentes que sufre un fluoróforo en presencia de un analito y un disolvente afectan a su emisión y a la utilización de esos cambios para obtener información analítica del entorno. Para ello se ha desarrollad...

Newborn jaundice - what to ask your doctor

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Jaundice - what to ask your doctor; What to ask your doctor about newborn jaundice ... What causes jaundice in a newborn child? How common is newborn jaundice? Will the jaundice harm my child? What are the ...

Doctors' health: obstacles and enablers to returning to work.

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Cohen, D; Rhydderch, M; Reading, P; Williams, S

2015-08-01

For doctors returning to work after absence due to ill-health or performance concerns, the obstacles can seem insurmountable. Doctors' perspectives of these obstacles have been investigated. To support them more effectively, the perspectives of organizations that interact with such doctors should also be considered. To explore the obstacles and enablers to doctors' return to work after long-term absence from the perspective of key organizations involved in assessment and support. We identified organizations operating in the field of doctors' health, well-being and performance. We conducted semi-structured, 30-45 min telephone interviews with representatives of the organizations, exploring problems that they had encountered that were experienced by doctors with health or performance concerns returning to work after absence of a month or longer. We analysed our field notes using theoretical analysis. We conducted 11 telephone interviews. Data analysis identified four key themes of obstacles and enablers to returning to work: 'communication', 'return to work', 'finance and funding' and 'relationships and engagement'. Sub-themes relating to the organization and the individual also emerged. Organizations responsible for supporting doctors back to work reported poor communication as a significant obstacle to doctors returning to work after illness. They also reported differences between specialities, employing organizations, occupational health departments and human resources in terms of knowledge and expertise in supporting doctors with complex issues. Clear communication channels, care pathways and support processes, such as workplace advocates, were perceived as strong enablers to return to work for doctors after long-term absence. © The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

The quality of doctoral nursing education in South Africa

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Siedine K. Coetzee

2015-07-01

Full Text Available Background: The number of doctoral programmes in nursing has multiplied rapidly throughout the world. This has led to widespread concern about nursing doctoral education, specifically with regard to the quality of curricula and faculty, as well as to the availability of appropriate institutional resources. In South Africa, no study of these issues has been conducted at a national level. Objective: To explore and describe the quality of nursing doctoral education in South Africa from the perspectives of deans, faculty, doctoral graduates and students. Method: A cross-sectional survey design was used. All deans (N = 15; n = 12, faculty (N = 50; n = 26, doctoral graduates (N = 43; n = 26 and students (N = 106; n = 63 at South African nursing schools that offer a nursing doctoral programme (N = 16; n = 15 were invited to participate. Data were collected by means of structured email-mediated Quality of Nursing Doctoral Education surveys. Results: Overall, the graduate participants scored their programme quality most positively of all the groups and faculty scored it most negatively. All of the groups rated the quality of their doctoral programmes as good, but certain problems related to the quality of resources, students and faculty were identified. Conclusion: These evaluations, by the people directly involved in the programmes, demonstrated significant differences amongst the groups and thus provide valuable baseline data for building strategies to improve the quality of doctoral nursing education in South Africa.

Patient‑doctor relationship: The practice orientation of doctors in Kano

African Journals Online (AJOL)

2013-08-19

Aug 19, 2013 ... relationship borders mainly on patients' satisfaction[12‑16] from either the .... Female. 47 (22.0). Marital status. Single. 87 (40.7). Married. 127 (59.3) ... doctors' place of work was only statistically significant in the “sharing” ...

Performance and palliative care: a drama module for medical students.

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Jeffrey, Ewan James; Goddard, Jen; Jeffrey, David

2012-12-01

This paper describes an innovative 2 weeks module for medical students facilitated by drama educators and a palliative medicine doctor. The module incorporates drama, end-of-life care, teamwork and reflective practice. The module contents, practical aspects of drama teaching and learning outcomes are discussed. Various themes emerged from a study of Harold Pinter's play, The Caretaker, which were relevant to clinical practice: silence, power, communication, uncertainty and unanswered questions. Drama teaching may be one way of enhancing students' confidence, increasing self- awareness, developing ethical thinking and fostering teamworking.

Is networking different with doctors working part-time? Differences in social networks of part-time and full-time doctors.

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Heiligers, Phil J M; de Jong, Judith D; Groenewegen, Peter P; Hingstman, Lammert; Völker, Beate; Spreeuwenberg, Peter

2008-10-04

Part-time working is a growing phenomenon in medicine, which is expected to influence informal networks at work differently compared to full-time working. The opportunity to meet and build up social capital at work has offered a basis for theoretical arguments. Twenty-eight teams of medical specialists in the Netherlands, including 226 individuals participated in this study. Interviews with team representatives and individual questionnaires were used. Data were gathered on three types of networks: relationships of consulting, communication and trust. For analyses, network and multilevel applications were used. Differences between individual doctors and between teams were both analysed, taking the dependency structure of the data into account, because networks of individual doctors are not independent. Teams were divided into teams with and without doctors working part-time. Contrary to expectations we found no impact of part-time working on the size of personal networks, neither at the individual nor at the team level. The same was found regarding efficient reachability. Whereas we expected part-time doctors to choose their relations as efficiently as possible, we even found the opposite in intended relationships of trust, implying that efficiency in reaching each other was higher for full-time doctors. But we found as expected that in mixed teams with part-time doctors the frequency of regular communication was less compared to full-time teams. Furthermore, as expected the strength of the intended relationships of trust of part-time and full-time doctors was equally high. From these findings we can conclude that part-time doctors are not aiming at efficiency by limiting the size of networks or by efficient reachability, because they want to contact their colleagues directly in order to prevent from communication errors. On the other hand, together with the growth of teams, we found this strategy, focussed on reaching all colleagues, was diminishing. And our data

Critical and Creative Thinking Nexus: Learning Experiences of Doctoral Students

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Brodin, Eva M.

2016-01-01

Critical and creative thinking constitute important learning outcomes at doctoral level across the world. While the literature on doctoral education illuminates this matter through the lens of experienced senior researchers, the doctoral students' own perspective is missing. Based upon interviews with 14 doctoral students from four disciplines at…

Encouraging formative assessments of leadership for foundation doctors.

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Hadley, Lindsay; Black, David; Welch, Jan; Reynolds, Peter; Penlington, Clare

2015-08-01

Clinical leadership is considered essential for maintaining and improving patient care and safety in the UK, and is incorporated in the curriculum for all trainee doctors. Despite the growing focus on the importance of leadership, and the introduction of the Medical Leadership Competency Framework (MLCF) in the UK, leadership education for doctors in training is still in its infancy. Assessment is focused on clinical skills, and trainee doctors receive very little formal feedback on their leadership competencies. In this article we describe the approach taken by Health Education Kent, Sussex and Surrey (HEKSS) to raise the profile of leadership amongst doctors in training in the South Thames Foundation School (STFS). An annual structured formative assessment in leadership for each trainee has been introduced, supported by leadership education for both trainees and their supervisors in HEKSS trusts. We analysed over 500 of these assessments from the academic year 2012/13 for foundation doctors in HEKSS trusts, in order to assess the quality of the feedback. From the analysis, potential indicators of more effective formative assessments were identified. These may be helpful in improving the leadership education programme for future years. There is a wealth of evidence to highlight the importance and value of formative assessments; however, particularly for foundation doctors, these have typically been focused on assessing clinical capabilities. This HEKSS initiative encourages doctors to recognise leadership opportunities at the beginning of their careers, seeks to help them understand the importance of acquiring leadership skills and provides structured feedback to help them improve. Leadership education for doctors in training is still in its infancy. © 2015 John Wiley & Sons Ltd.

Convertirse en madre. Etnografía del tiempo de gestación: reseña

OpenAIRE

Bogino Larrambebere, Mercedes

2011-01-01

Reseña de la obra de Elixabete Imaz "Convertirse en madre. Etnografía del tiempo de gestación", publicada por Cátedra, Instituto de la Mujer, Universitat de Valencia, 2010. 420 p. ISBN: 978–84–376–2685–7 Este libro nace de una investigación etnográfica emprendida por Elixabete Imaz para su proyecto de tesis doctoral “Mujeres gestantes, madres en gestación”, bajo la orientación académica de Teresa del Valle. Las protagonistas de este estudio son mujeres que experimentan el tránsito...

Doctor's Orders

Institute of Scientific and Technical Information of China (English)

VALERIE SARTOR

2010-01-01

@@ "To become a doctor is like becoming a bomb expert:It takes a long time to learn this skill; you must use care and intuition; and you must understand that your work has grave consequences for those around you,"said Amgalan Gamazhapov,an advanced medical student who studies traditional Chinese and Mongolian medicine at the Inner Mongolia Medical University.

Doctor-Shopping Behavior among Patients with Eye Floaters

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Gow-Lieng Tseng

2015-07-01

Full Text Available Patients suffering from eye floaters often resort to consulting more than one ophthalmologist. The purpose of this study, using the Health Belief Model (HBM, was to identify the factors that influence doctor-shopping behavior among patients with eye floaters. In this cross-sectional survey, 175 outpatients who presented floaters symptoms were enrolled. Data from 143 patients (77 first time visitors and 66 doctor-shoppers who completed the questionnaire were analyzed. Descriptive and logistic regression analyses were performed. We found that women and non-myopia patients were significantly related with frequent attendance and doctor switching. Though the HBM has performed well in a number of health behaviors studies, but most of the conceptual constructors of HBM did not show significant differences between the first time visitors and true doctor-shoppers in this study. Motivation was the only significant category affecting doctor-shopping behavior of patients with eye floaters.

Doctor-Shopping Behavior among Patients with Eye Floaters.

Science.gov (United States)

Tseng, Gow-Lieng; Chen, Cheng-Yu

2015-07-13

Patients suffering from eye floaters often resort to consulting more than one ophthalmologist. The purpose of this study, using the Health Belief Model (HBM), was to identify the factors that influence doctor-shopping behavior among patients with eye floaters. In this cross-sectional survey, 175 outpatients who presented floaters symptoms were enrolled. Data from 143 patients (77 first time visitors and 66 doctor-shoppers) who completed the questionnaire were analyzed. Descriptive and logistic regression analyses were performed. We found that women and non-myopia patients were significantly related with frequent attendance and doctor switching. Though the HBM has performed well in a number of health behaviors studies, but most of the conceptual constructors of HBM did not show significant differences between the first time visitors and true doctor-shoppers in this study. Motivation was the only significant category affecting doctor-shopping behavior of patients with eye floaters.

Find a Doctor

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... Manager Book Appointments Getting Care When on Active Duty Getting Care When Traveling What's Covered Health Care Dental Care ... Manager Book Appointments Getting Care When on Active Duty Getting Care When Traveling Bread Crumbs Home Find a Doctor ...

Una momia en el salón. Los museos anatómicos domésticos del doctor Velasco (1854-1874

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Sánchez Gómez, Luis Ángel

2015-12-01

Full Text Available In this article we examine the two anatomical museums organized by Dr. Pedro González Velasco in his own homes in nineteenth-century Madrid. We analyze the circumstances that made possible the formation of the centers, which were related to the study and teaching of anatomy and to some Velasco’s political projects of regeneration and modernization of Spanish Medicine. We explore its collections (of anatomy, teratology, zoology, ethnography and “curiosities” and we try to show how Velasco used his museums with both teaching and sociopolitical objectives. Finally, it is clear that without the formation of these little museums it would not have been possible for Velasco the construction of his great Anthropological Museum, in 1875, which now houses the National Museum of Anthropology.El artículo estudia los museos anatómicos organizados por el doctor Pedro González Velasco en dos de sus domicilios particulares en el Madrid decimonónico. Se revisan las circunstancias que hacen posible su creación, vinculadas tanto con el estudio y la docencia de la anatomía como con los proyectos políticos de regeneración y modernización de la Medicina española que trata de poner en marcha su propietario. Se comentan sus singulares colecciones (de anatomía, teratología, zoología, etnografía y curiosidades diversas y se analiza la proyección docente y sociopolítica de ambos centros, sin cuya existencia no hubiera sido posible que Velasco construyera poco después su gran Museo Antropológico, sede del actual Museo Nacional de Antropología en Madrid.

Influencia de la adición al suelo de residuos de almazara en el comportamiento de herbicidas utilizados en el cultivo del olivar

OpenAIRE

Cabrera Mesa, Alegría

2009-01-01

Texto completo descargado del CSIC En este trabajo de tesis doctoral se han estudiado los procesos de adsorción-desorción, disipación y lixiviación de cuatro herbicidas utilizados ampliamente en el cultivo del olivar (diurón, terbutilazina, MCPA y amitrol) en dos suelos con distintas características, un suelo arcillo limoso, procedente de Mengíbar (Jaén) y otro suelo clasificado como franco arenoso de Coria del Río (Sevilla), así como la influencia que la adición de residuos de almazara (a...

[Doctoral thesis projects for medical students? Retrospective estimation of the fraction of successfully completed medical doctoral thesis projects at Witten/Herdecke University].

Science.gov (United States)

Scharfenberg, Janna; Schaper, Katharina; Krummenauer, Frank

2014-01-01

The German "Dr med" plays a specific role in doctoral thesis settings since students may start the underlying doctoral project during their studies at medical school. If a Medical Faculty principally encourages this approach, then it should support the students in performing the respective projects as efficiently as possible. Consequently, it must be ensured that students are able to implement and complete a doctoral project in parallel to their studies. As a characteristic efficiency feature of these "Dr med" initiatives, the proportion of doctoral projects successfully completed shortly after graduating from medical school is proposed and illustrated. The proposed characteristic can be estimated by the time period between the state examination (date of completion of the qualifying medical examination) and the doctoral examination. Completion of the doctoral project "during their medical studies" was then characterised by a doctoral examination no later than 12 months after the qualifying medical state examination. To illustrate the estimation and interpretation of this characteristic, it was retrospectively estimated on the basis of the full sample of all doctorates successfully completed between July 2009 and June 2012 at the Department of Human Medicine at the Faculty of Health of the University of Witten/Herdecke. During the period of investigation defined, a total number of 56 doctoral examinations were documented, 30 % of which were completed within 12 months after the qualifying medical state examination (95% confidence interval 19 to 44 %). The median duration between state and doctoral examination was 27 months. The proportion of doctoral projects completed parallel to the medical studies increased during the investigation period from 14 % in the first year (July 2009 till June 2010) to 40 % in the third year (July 2011 till June 2012). Only about a third of all "Dr med" projects at the Witten/Herdecke Faculty of Health were completed during or close to

Australian doctors and the visual arts. Part 5. Doctor-artists in South Australia, Tasmania, Western Australia and Queensland.

Science.gov (United States)

Hamilton, D G

1986-11-17

The contributions of Australian doctors to the visual arts are being described in a series of six articles. Work from doctors in New South Wales and Victoria has been covered previously. Now activities in South Australia, Tasmania, Western Australia, Queensland and the Northern Territory are presented.

El médico del trabajo en el control del uso de equipos de protección individual y los problemas de la salud derivados

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Susana Lastras González

2008-09-01

Full Text Available En este trabajo proporcionaremos la información disponible sobre los equipos de protección individual (EPIs como parte importante de nuestra labor como médicos del trabajo. Todos los trabajadores están expuestos a una serie de riesgos, la mayor parte de ellos prevenibles de forma colectiva, pero en algunas ocasiones, estas medidas no llegan a ser del todo eficaces por lo que son necesarios equipos de protección individual. Estos equipos están destinados a ser llevados o sujetados por los trabajadores para protegerles de los riesgos que puedan amenazar su seguridad o su salud en el ámbito del trabajo, pero sin embargo, son capaces por sí mismos de crear efectos indeseables en la salud de los trabajadores, derivados de su uso. Por este motivo, los médicos del trabajo deben vigilar la salud de los trabajadores, valorando sus factores personales que puedan dificultar el uso de EPIs, informar y formar a los trabajadores sobre todo lo relativo al uso de los mismos, elegir el EPI adecuado para cada trabajador y, sobretodo, realizar un seguimiento para detectar posibles efectos indeseables del uso de EPIs y así evitar la no utilización y, por tanto, la ineficacia del EPI.In this study will provide information on personal protective equipment (PPE as an important part of our work as doctors work. All workers are exposed to a number of risks, most of them preventable in a collective manner, but in some cases, these measures do not become fully effective it is necessary protective equipment. These teams are intended to be carried or restrained by workers to protect them from risks that may threaten their safety or health in the workplace, but nevertheless they are capable of creating their own effects on the health of workers, derived from its use. For this reason, doctors should monitor the work of health workers, assessing their personal factors that might hinder the use of PPE, inform and train workers on all matters relating to the use of

La comunicación en la formación del profesional de arte

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MSc. Marivel Jurado Ronquillo

2016-04-01

Full Text Available La comunicación desempeña un papel fundamental en la formación de cualquier profesional universitario, pero reviste una vital importancia en la formación del especialista de arte, pues el mismo debe combinar los lenguajes pedagógicos y artísticos para lograr un proceso de enseñanza aprendizaje desde una visión comunicativa. Para el desarrollo del mismo se ha utilizado una metodología cualitativa con predominio del método análisis de documento que permitió reflexionar desde la teoría sobre el tema y asumir posiciones. Los fun­damentos teóricos que se exponen en el mismo constituye el sustento de un trabajo de investigación doctoral que se desarrolla en la actualidad en la Universidad de Guayaquil. Ecuador.

Gender variations in specialties among medical doctors working in ...

African Journals Online (AJOL)

Background: Gender variations exist in the choice of specialties among ... as it affects the distribution of doctors in public health institutions and patient care. ... For female doctors,pediatrics was the topmost specialty (25%) followed by ... Keywords: Gender variation,Specialties,Doctors,Public healthcare,Health workforce ...

Legitimidad judicial en la garantía de los derechos sociales: especial referencia a la ejecución penal en eol estado del Maranhão

OpenAIRE

Tamer, Sergio Víctor

2014-01-01

[ES]El trabajo presentado como Tesis Doctoral se propone, como punto de partida, el examen de los fundamentos del Estado social y democrático de Derecho y la adopción de sus principios constitucionales e históricos, como fuente del Derecho. Son principios que legitiman el Poder Judicial, como uno de los órganos soberanos del Estado, en garantizar los derechos sociales constitucionalmente exigibles, inclusive en las cárceles. La investigación cubre tres aspectos: 1. El desarroll...

The Doctorate in Chemistry. Carnegie Essays on the Doctorate: Chemistry.

Science.gov (United States)

Breslow, Ronald

The Carnegie Foundation commissioned a collection of essays as part of the Carnegie Initiative on the Doctorate (CID). Essays and essayists represent six disciplines that are part of the CID: chemistry, education, English, history, mathematics, and neuroscience. Intended to engender conversation about the conceptual foundation of doctoral…

Doctors and romance: not only of interest to Mills and Boon readers.

Science.gov (United States)

Callister, Paul; Badkar, Juthika; Didham, Robert

2009-06-01

Internationally there is a growing demand for health services. Skilled health workers, including doctors, have a high degree of international mobility and New Zealand (NZ) stands out internationally in terms of the significant flows of doctors in and out of the country. Through changes in training of doctors in NZ and migration flows, there have been major shifts in the composition of the medical workforce in NZ since the mid-1980s. Studies of the changing nature of the medical workforce often focus on gender and migration separately as well as only considering doctors as individuals. The aim of this exploratory study is to examine the living arrangements of doctors, the composition of migrant doctors who are coming to NZ, and to understand the educational and employment status of the partners of doctors. This study is a descriptive analysis primarily using census data from 1986 through to 2006 and immigration data collected by the Department of Labour. Half of the female medical doctors approved for residence through the Skilled/Business stream migrated independently, while for male doctors less than athird came to NZ independently. Male migrant doctors were more likely to be partnered. Census data showed that people with medical backgrounds tend to partner with each other. However, these relationships are changing, as more women become doctors. In 1986 about 14% of male doctors had a nurse or midwife as a partner and nearly 9% had a doctor partner. By 2006 the proportion of partners of male doctors who were also doctors had risen to 16%, higher than the 9% who were nurses. For female doctors the changes are more dramatic. In 1986, 42% of female doctors in relationships had a doctor as a partner. By 2006, female doctors had increased substantially, but the percentage with a doctor partner had dropped to under athird. Well-qualified couples where one or both are doctors, have a greater propensityto live in main urban areas. Through official reports and extensive

Doctor Down

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N.V. Nagornaya

2013-09-01

Full Text Available The article presents the biographical data of John Langdon Down, his invaluable contribution to the development of rehabilitation programs for children with Down syndrome. The basis of these programs was the socialization of people with intellectual disabilities. In doctor Down’s rehabilitation center there were used methods, including health care, education, physical education, the formation of correct behavior.

Doctoral Dissertation Defences: Performing Ambiguity between Ceremony and Assessment

NARCIS (Netherlands)

van der Heide, Arjen; Rufas, Alix; Supper, Alexandra

2016-01-01

Dissertation defenses are ambiguous affairs, which mark both the end of a long process of doctoral education and the inauguration of a doctoral candidate into a body of experts. At Maastricht University (and other Dutch universities), the decision to award a doctoral degree is made on the basis of

Life Satisfaction and Frequency of Doctor Visits

Science.gov (United States)

Kim, Eric S.; Park, Nansook; Sun, Jennifer K.; Smith, Jacqui; Peterson, Christopher

2015-01-01

Objective Identifying positive psychological factors that reduce health care use may lead to innovative efforts that help build a more sustainable and high quality health care system. Prospective studies indicate that life satisfaction is associated with good health behaviors, enhanced health, and longer life, but little information is available about the association between life satisfaction and health care use. We tested whether higher life satisfaction was prospectively associated with fewer doctor visits. We also examined potential interactions between life satisfaction and health behaviors. Methods Participants were 6,379 adults from the Health and Retirement Study, a prospective and nationally representative panel study of American adults over the age of 50. Participants were tracked for four years. We analyzed the data using a generalized linear model with a gamma distribution and log link. Results Higher life satisfaction was associated with fewer doctor visits. On a six-point life satisfaction scale, each unit increase in life satisfaction was associated with an 11% decrease in doctor visits—after adjusting for sociodemographic factors (RR = 0.89, 95% CI = 0.86 to 0.93). The most satisfied respondents (N=1,121; 17.58%) made 44% fewer doctor visits than the least satisfied (N=182; 2.85%). The association between higher life satisfaction and reduced doctor visits remained even after adjusting for baseline health and a wide range of sociodemographic, psychosocial, and health-related covariates (RR = 0.96, 95% CI = 0.93 to 0.99). Conclusions Higher life satisfaction is associated with fewer doctor visits, which may have important implications for reducing health care costs. PMID:24336427

Life satisfaction and frequency of doctor visits.

Science.gov (United States)

Kim, Eric S; Park, Nansook; Sun, Jennifer K; Smith, Jacqui; Peterson, Christopher

2014-01-01

Identifying positive psychological factors that reduce health care use may lead to innovative efforts that help build a more sustainable and high-quality health care system. Prospective studies indicate that life satisfaction is associated with good health behaviors, enhanced health, and longer life, but little information about the association between life satisfaction and health care use is available. We tested whether higher life satisfaction was prospectively associated with fewer doctor visits. We also examined potential interactions between life satisfaction and health behaviors. Participants were 6379 adults from the Health and Retirement Study, a prospective and nationally representative panel study of American adults older than 50 years. Participants were tracked for 4 years. We analyzed the data using a generalized linear model with a gamma distribution and log link. Higher life satisfaction was associated with fewer doctor visits. On a 6-point life satisfaction scale, each unit increase in life satisfaction was associated with an 11% decrease in doctor visits--after adjusting for sociodemographic factors (relative risk = 0.89, 95% confidence interval = 0.86-0.93). The most satisfied respondents (n = 1121; 17.58%) made 44% fewer doctor visits than did the least satisfied (n = 182; 2.85%). The association between higher life satisfaction and reduced doctor visits remained even after adjusting for baseline health and a wide range of sociodemographic, psychosocial, and health-related covariates (relative risk = 0.96, 95% confidence interval = 0.93-0.99). Higher life satisfaction is associated with fewer doctor visits, which may have important implications for reducing health care costs.

IDRC Doctoral Research Awards 2018 | IDRC - International ...

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

2018-05-30

May 30, 2018 ... You must be enrolled at a Canadian university at the doctoral level ... IDRC Doctoral Research Awards are intended to promote the capacity and growth of ... including academic training, local language capacity, professional ... funding opportunity to support Canadian-African research teams studying Ebola.

Differential growth in doctor-patient communications skills

NARCIS (Netherlands)

M van Es, Judith; Wieringa-de Waard, Margreet; Visser, Mechteld R. M.

2013-01-01

Although doctor-patient communication is considered a core competency for medical doctors, the effect of training has not been unequivocally established. Moreover, knowledge about the variance in the growth of different skills and whether certain patterns in growth can be detected could help us to

Diarrhea - what to ask your doctor - child

Science.gov (United States)

What to ask your doctor about diarrhea - child; Loose stools - what to ask your doctor - child ... FOODS What foods can make my child's diarrhea worse? How should I prepare the foods for my child? If my child is still breastfeeding or bottle feeding, do I ...

The feminisation of Canadian medicine and its impact upon doctor productivity.

Science.gov (United States)

Weizblit, Nataly; Noble, Jason; Baerlocher, Mark Otto

2009-05-01

We examined the differences in work patterns between female and male doctors in Canada to gain insight into the effect of an increased number of female doctors on overall doctor productivity. Data on the practice profiles of female and male doctors across Canada were extracted from the 2007 National Physician Survey. A doctor productivity measure, 'work hours per week per population' (WHPWPP), was created, based on the number of weekly doctor hours spent providing direct patient care per 100,000 citizens. The predicted WHPWPP was calculated for a hypothetical time-point when the female and male doctor populations reach equilibrium. The differences in current and predicted WHPWPP were then analysed. Female medical students currently (2007) outnumber male medical students (at 57.8% of the medical student population). The percentage of practising doctors who are women is highest in the fields of paediatrics, obstetrics and gynaecology, psychiatry and family practice. Female doctors work an average of 47.5 hours per week (giving 30.0 hours of direct patient care), compared with 53.8 hours worked by male doctors (35.0 hours of direct patient care) (P work less on call hours per week and see fewer patients while on-call. Female doctors are also more likely to take parental leave or a leave of absence (P work patterns described in the present study persist, an overall decrease in doctor productivity is to be anticipated.

Alto a la tuberculosis en mi generación: Un llamado a un mundo libre de tuberculosis. Podcast del Día Mundial de la Tuberculosis del 2013 (Stop TB in My Lifetime: A Call for a World Free of TBWorld TB Day 2013)

Centers for Disease Control (CDC) Podcasts

En este podcast el doctor Kenneth Castro, Director de la División de Eliminación de la Tuberculosis, habla sobre el Día Mundial de la Tuberculosis, así como del tema y eslogan de este año.

The social gradient in doctor-patient communication

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Verlinde Evelyn

2012-03-01

Full Text Available Abstract Objective In recent years, the importance of social differences in the physician-patient relationship has frequently been the subject of research. A 2002 review synthesised the evidence on this topic. Considering the increasing importance of social inequalities in health care, an actualization of this review seemed appropriate. Methods A systematic search of literature published between 1965 and 2011 on the social gradient in doctor-patient communication. In this review social class was determined by patient's income, education or occupation. Results Twenty original research papers and meta-analyses were included. Social differences in doctor-patient communication were described according to the following classification: verbal behaviour including instrumental and affective behaviour, non-verbal behaviour and patient-centred behaviour. Conclusion This review indicates that the literature on the social gradient in doctor-patient communication that was published in the last decade, addresses new issues and themes. Firstly, most of the found studies emphasize the importance of the reciprocity of communication. Secondly, there seems to be a growing interest in patient's perception of doctor-patient communication. Practice implications By increasing the doctors' awareness of the communicative differences and by empowering patients to express concerns and preferences, a more effective communication could be established.

Barriers facing junior doctors in rural practice.

Science.gov (United States)

Smith, Deborah M

2005-01-01

Early postgraduate, or junior doctors, are still required to practise in rural and remote communities, and they continue to face numerous issues and difficulties. Within the hospital setting, exposure to rural practice appears to be very limited during internship, and also to some extent, during the second postgraduate year and beyond. This is a major issue for those required to undertake country relieving, rural terms or who will be bonded to rural and remote practice for several years after internship. This research investigated the current issues and difficulties faced by junior doctors, required to undertake rural and remote practice in Queensland, Australia. An exploratory study was undertaken. Primary data were collected through semi-structured interviews held with key stakeholders. Stakeholders included: directors of clinical training; medical educators; junior doctors; rural practitioners; academic rural practitioners; and medical administrators. Of the 23 people approached, a total of 19 agreed to be interviewed. The response rate was 82.6%. Similar to the issues identified in the literature, there are currently a number of barriers influencing the ability of junior doctors to practise competently and confidently when undertaking practice in rural and remote communities. Minimal clinical experience, lack of supervision and on-site support, inadequate orientation and uninformed expectations, limited access to relevant education, and the influence of isolation, results in an overall lack of preparation both professionally and personally. When asked, respondents supported the identification of core skills and knowledge, and integration of these and other issues affecting rural practice, into their hospital-based programs. Current hospital-based education and training programs were not adequately preparing junior doctors for rural and remote practice. It was commented that orientation and education, with a rural emphasis, could assist junior doctors in their

The complex thinking and prospect of actions of future doctors

Directory of Open Access Journals (Sweden)

Patrícia Segtowich

2011-12-01

Full Text Available This paper aims at discussing prospects of actions manifested by future doctors in the beginning of their doctoral training. The research started through my involvement in the ambit of doctoral education in the curriculum component Epistemological Basis of Research on Education in Science and Mathematics, offered in the Postgraduate Course in Science and Mathematics Education, at Federal University of Pori (UFPA in 2010 academic year. At these meetings, the teachers trainers requested the doctoral students, in pairs, to elaborate three questions about the following positioning: "HOW DO I SEE MYSELF AS A DOCTOR?" These questions were discussed by all the doctoral students and subsequently reduced to five to be answered by all individually. The responses to this questionnaire provided the data for this research. The answers revealed that doctoral students are not tied to methodologies or unique processes, this positioning being demonstrated through prospects of performance in ways that were diverse and interactive

Stress and wellbeing of junior doctors in Australia: a comparison with American doctors and population norms

OpenAIRE

Soares, Deanne S.; Chan, Lewis

2016-01-01

Background Stress in doctors adversely affects decision-making, memory, information-recall and attention, thereby negatively impacting upon the provision of safe and high quality patient care. As such, stress in doctors has been subject to increasing scientific scrutiny and has amassed greater public awareness in recent years. The aims of this study are to describe stress levels and the psychological wellbeing of current junior medical officers (JMOs), and to compare this to their predecessor...

[Effect of doctor-patient communication education on oral clinical practice].

Science.gov (United States)

Wang, Yi; Tang, Yu; He, Yan; Zhu, Ya-qin

2012-08-01

To evaluate the effect of doctor-patient communication education on dental clinical practice. The process of 61 dental interns' clinical practice was divided into two stages. The dental interns were taught with traditional teaching method in the first stage. Doctor-patient communication and communication skill training were added to the second stage. Scale of medical student's doctor-patient communication behavior was used to evaluate the dental interns' behavior by themselves after two stages. The SEGUE frame work was used to evaluate the dental interns' behavior by teachers after two stages. All statistical analysis was performed using SPSS 13.0 software package. The result of scale of medical student's doctor-patient communication behavior was analyzed using Fisher exact test or Chi-square test. The score of the SEGUE frame work was analyzed using Student's t test. The result of Scale of medical student's doctor-patient communication behavior showed only 37.71% of dental interns could establish good doctor-patient relationship in the first stage. After doctor-patient communication and communication skill training, the percentage became 75.4%. The result of the SEGUE frame work showed the score was raised from 16.066±3.308 to 21.867±2.456, and a significant difference was found between the two stages. Doctor-Patient communication education can improve dental interns' communication skills and help to establish a good doctor-patient relationship.

Papel del sistema cannabinoide endógeno en el alcoholismo: implicaciones fisiológicas y terapéuticas

OpenAIRE

Rubio Gómez, Marina

2011-01-01

Numerosas evidencias (genéticas, bioquímicas y farmacológicas) relacionan al sistema cannabinoide en ciertas áreas del cerebro con el desarrollo del alcoholismo. Sin embargo, existen diferentes aspectos de esta relación que no han sido aún completamente esclarecidos. En base a esta idea se ha definido la hipótesis central de esta tesis doctoral, que pretende de forma global profundizar en las bases bioquímicas y farmacológicas que sustentan que el sistema cannabinoide tiene una función en los...

Doctor of Professional Counseling: The Next Step

Science.gov (United States)

Southern, Stephen; Cade, Rochelle; Locke, Don W.

2012-01-01

Professional doctorates have been established in the allied health professions by clinicians seeking the highest levels of independent practice. Allied health professional doctorates include nursing practice (DNP), occupational therapy (OTD), psychology (PsyD), social work (DSW), and marriage and family therapy (DMFT). Lessons learned from the…

Do doctors need statistics? Doctors' use of and attitudes to probability and statistics.

Science.gov (United States)

Swift, Louise; Miles, Susan; Price, Gill M; Shepstone, Lee; Leinster, Sam J

2009-07-10

There is little published evidence on what doctors do in their work that requires probability and statistics, yet the General Medical Council (GMC) requires new doctors to have these skills. This study investigated doctors' use of and attitudes to probability and statistics with a view to informing undergraduate teaching.An email questionnaire was sent to 473 clinicians with an affiliation to the University of East Anglia's Medical School.Of 130 respondents approximately 90 per cent of doctors who performed each of the following activities found probability and statistics useful for that activity: accessing clinical guidelines and evidence summaries, explaining levels of risk to patients, assessing medical marketing and advertising material, interpreting the results of a screening test, reading research publications for general professional interest, and using research publications to explore non-standard treatment and management options.Seventy-nine per cent (103/130, 95 per cent CI 71 per cent, 86 per cent) of participants considered probability and statistics important in their work. Sixty-three per cent (78/124, 95 per cent CI 54 per cent, 71 per cent) said that there were activities that they could do better or start doing if they had an improved understanding of these areas and 74 of these participants elaborated on this. Themes highlighted by participants included: being better able to critically evaluate other people's research; becoming more research-active, having a better understanding of risk; and being better able to explain things to, or teach, other people.Our results can be used to inform how probability and statistics should be taught to medical undergraduates and should encourage today's medical students of the subjects' relevance to their future careers. Copyright 2009 John Wiley & Sons, Ltd.

El problema del control de la Tuberculosis en Colombia

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Gilberto Rueda P.

1979-10-01

Full Text Available

Bogotá, Noviembre de 1.978
Señor Presidente de la Academia
Doctor CésarAugusto Pantoja
E. S. D.
Señor Presidente:

La Comisión con la cual Ud. ha tenido a bien honrarnos, ha analizado el problema del control de la Tuberculosis en Colombia en la siguiente forma:
Resúmen: La TBC en Colombia como en todos, los países del tercer mundo constituye problema prioritario de salud pública.
Los datos oficiales colombianos determinan 50.000 pacientes activos en tratamiento y 12.000 casos nuevos bacteriólogicamente diagnosticados por año.
Se han denunciado numerosos casos de TBC exrrapulmonar no diagnosticables bacteriológicamente.
La vacunación BCC, de acuerdo con cifras oficiales, cubre el 780/0 de la población infantil globalmente, pero solamente el 300/0 de los menores de 1 año y el 430/0 de los menores de 4 años, lo cual es claramente insuficiente.
El descubrimiento de casos a base únicamente del recurso bacteriológico debe ser basado en una infraestructura humana y técnica prácticamente perfecta para que éste recurso cumpla un efecto que no sea contraproducente.
El tratamiento utilizado en Colombia, recomendado por la OMS se hace a base de drogas bacteriostáticas de bajo costo, utilizadas por períodos prolongados que van de 1 año a 18 meses y que provocan un abandono del 230/0 según cifras oficiales.

La Unión Internacional contra la Tuberculosis con la aquiescencia de la OMS ha estudiado esquemas modernos de tratamiento con las llamadas "drogas esenciales" bacteriolíticas que, en períodos breves (6 a 9 meses curan más del 950/0 de los pacientes. El Seminario Nacional de TBC (Bogotá - abril/78 recomendó la introducción de estas drogas para uso general en el país.
Se hace un resumen de los principales esquemas recomendados.

The master degree: A critical transition in STEM doctoral education

Science.gov (United States)

Lange, Sheila Edwards

The need to broaden participation in the nation's science, technology, engineering, and mathematics (STEM) undergraduate and graduate programs is currently a matter of national urgency. The small number of women and underrepresented minorities (URM) earning doctoral degrees in STEM is particularly troubling given significant increases in the number of students earning master's degrees since 1990. In the decade between 1990 and 2000, the total number of master's recipients increased by 42%. During this same time period, the number of women earning master's degrees increased by 56%, African Americans increased by 132%, American Indians by 101%, Hispanics by 146%, and Asian Americans by 117% (Syverson, 2003). Growth in underrepresented group education at the master's level raises questions about the relationship between master's and doctoral education. Secondary data analysis of the Survey of Earned Doctorates (SED) was used to examine institutional pathways to the doctorate in STEM disciplines and transitions from master's to doctoral programs by race and gender. While the study revealed no significant gender differences in pathways, compared to White and Asian American students, URM students take significantly different pathways to the doctorate. URM students are significantly more likely to earn the bachelor's, master's, and doctoral degrees at three different institutions. Their path is significantly more likely to include earning a master's degree en route to the doctorate. Further, URM students are more likely to experience transition between the master's and doctoral degrees, and the transitions are not limited to those who earn master's degrees at master's-only institutions. These findings suggest that earning a master's degree is more often a stepping stone to the doctorate for URM students. Master's degree programs, therefore, have the potential to be a valuable resource for policymakers and graduate programs seeking to increase the diversity of URM students

Obstacles to Success--Doctoral Student Attrition in South Africa

Science.gov (United States)

Herman, Chaya

2011-01-01

The article explores doctoral attrition in South Africa, investigating and comparing the attributions of attrition of doctoral students and PhD programme leaders. The article is based on secondary data analysis of two large studies on doctoral education in South Africa. The main point of the article is that the different understandings of the…

The hundredth Gentner Doctoral Student has started at CERN

CERN Multimedia

CERN Bulletin

2016-01-01

Almost ten years after the start of the programme in 2007, the hundredth Gentner Doctoral Student started his PhD at CERN.   The hundredth Gentner Doctoral Student, Christian Zimmer, in front of the AEgIS detector in the AD hall, where he will spend a significant portion of the next 3 years. In 2007, the German Gentner Doctoral Student Programme was established at CERN, named in honour of the celebrated nuclear physicist Wolfgang Gentner, President of the CERN Council from 1972-74. On 1 July 2016, the 100th Gentner Doctoral Student, Christian Zimmer, started his PhD at CERN, where he will work on setting up the sympathetic laser cooling of antiprotons at the AEgIS experiment. CERN’s Doctoral Student Programme has been running for many years, with 200 students currently enrolled. The Gentner programme is fully integrated into the general CERN Doctoral Student Programme, but is entirely funded by the German Federal Ministry of Education and Research (BMBF). The programme sponsors 30 to 40...

Exploring a shared leadership perspective for NHS doctors.

Science.gov (United States)

Willcocks, Stephen George; Wibberley, Gemma

2015-01-01

The purpose of this paper is to explore involving doctors in shared leadership. It examines the policies that have led to the focus on shared leadership and the implications for practice. This is a conceptual paper, examining policy developments and key literature to understand the move towards shared leadership. It focuses on UK NHS, and in particular doctors, although the concepts will be relevant to other disciplines in healthcare, and healthcare systems in other countries. This paper suggests that the shared-leadership approach for doctors has potential given the nature of clinical practice, the inherently collaborative nature of healthcare and the demands of new healthcare organisations. Health policy reform, generally, will mean that all doctors need to be engaged with leadership, albeit, perhaps, at different levels, and with different degrees of formality. Leadership will remain an important precondition for the success of the reforms. This is likely to be the case for other countries involved in healthcare reform. To highlight the benefits and barriers to shared leadership for doctors. Offers an alternative to traditional approaches to leadership.

Agency doctorates

Energy Technology Data Exchange (ETDEWEB)

NONE

1970-07-01

Mr. Wen-chuan Li of China has become the first student to obtain a doctor's degree as a result of research work carried out in the Agency. Mr. Li, who is 33, graduated as a Bachelor of Agriculture at Taiwan Provincial Chung-hsing University in 1960 and in 1966 was granted a fellowship to study mutations in plant breeding at the Agency's Seibersdorf Laboratory near Vienna, under the direction of Dr. Knut Mikaelsen, a professor of the University of Bergen. The Hochschule fur Bodenkultur of Vienna accepted the research as being suitable for a thesis and have now granted the degree of Doctor of Agriculture. The subject of the thesis was modifying factors influencing the mutagenic effects of alkylating agents as compared with ionizing radiations in barley. Alkylating agents are involved in the use of chemicals as a means of changing the characteristics of seeds to bring about changes aimed at improving the quality of crops. Mr. Li's work is regarded as a significant contribution to the understanding of the mechanics by which mutations are induced, to the efficient use of chemicals and ionizing radiations in practical applications, and to the efforts of the Agency in collaboration with the Food and Agriculture Organization to benefit food supplies. Mr. Li has now completed his fellowship with the Agency and has been appointed an Assistant Professor in Plant Breeding at Taiwan Provincial Chung-hsing University. The photograph, taken in the plastic hot house at Seibersdorf, shows him studying rice plants grown from seeds subjected to irradiation. Another noteworthy achievement is that of Mr. Karl-Franz Lacina, a security guard at the Agency's headquarters. At the age of 50 he has been accorded the degree of Doctor of Philosophy at Vienna University, the result of six years' work in his leisure time. The major subject was Arabic, with French and philosophy as supporting subject. (author)

Agency doctorates

International Nuclear Information System (INIS)

1970-01-01

Mr. Wen-chuan Li of China has become the first student to obtain a doctor's degree as a result of research work carried out in the Agency. Mr. Li, who is 33, graduated as a Bachelor of Agriculture at Taiwan Provincial Chung-hsing University in 1960 and in 1966 was granted a fellowship to study mutations in plant breeding at the Agency's Seibersdorf Laboratory near Vienna, under the direction of Dr. Knut Mikaelsen, a professor of the University of Bergen. The Hochschule fur Bodenkultur of Vienna accepted the research as being suitable for a thesis and have now granted the degree of Doctor of Agriculture. The subject of the thesis was modifying factors influencing the mutagenic effects of alkylating agents as compared with ionizing radiations in barley. Alkylating agents are involved in the use of chemicals as a means of changing the characteristics of seeds to bring about changes aimed at improving the quality of crops. Mr. Li's work is regarded as a significant contribution to the understanding of the mechanics by which mutations are induced, to the efficient use of chemicals and ionizing radiations in practical applications, and to the efforts of the Agency in collaboration with the Food and Agriculture Organization to benefit food supplies. Mr. Li has now completed his fellowship with the Agency and has been appointed an Assistant Professor in Plant Breeding at Taiwan Provincial Chung-hsing University. The photograph, taken in the plastic hot house at Seibersdorf, shows him studying rice plants grown from seeds subjected to irradiation. Another noteworthy achievement is that of Mr. Karl-Franz Lacina, a security guard at the Agency's headquarters. At the age of 50 he has been accorded the degree of Doctor of Philosophy at Vienna University, the result of six years' work in his leisure time. The major subject was Arabic, with French and philosophy as supporting subject. (author)

Talking to Your Doctor

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Talking With Your Doctor: MedlinePlus Health Topic

Science.gov (United States)

... Doctor (For Teens) (Nemours Foundation) Also in Spanish Working with doctors and nurses (Department of Health and Human Services, Office on Women's Health) Seniors Living with Multiple Health Problems: What Older Adults ...

Perspectives of Nurses Pursuing Doctoral Degrees in Georgia: Implications for Recruitment.

Science.gov (United States)

Wheeler, Rebecca McCombs; Eichelberger, Lisa Wright

2017-08-01

Increasing the number of nurses with doctorates is a goal of the nursing profession. The Georgia Nursing Leadership Coalition developed a survey to understand the perspectives of nurses pursuing doctoral degrees in Georgia to improve recruitment and retention strategies. A 26-item online survey was distributed to all students enrolled in Georgia-based doctoral programs in nursing in spring 2014. One hundred fifty responses were received (54% response rate). Most students first seriously considered doctoral education during their master's programs or more than 5 years into practice. For most, obtaining a doctoral degree was a personal life goal. Work-life balance was the most significant barrier. Recruitment of nurses to doctoral programs should focus on messaging, timing, and highlighting the unique aspects of programs. Schools should work to reduce barriers. Understanding students' perspectives of doctoral education in nursing can improve recruitment strategies and increase the number of nurses graduating with doctorates in Georgia. [J Nurs Educ. 2017;56(8):466-470.]. Copyright 2017, SLACK Incorporated.

Importance and benefits of the doctoral thesis for medical graduates

Science.gov (United States)

Giesler, Marianne; Boeker, Martin; Fabry, Götz; Biller, Silke

2016-01-01

Introduction: The majority of medical graduates in Germany complete a doctorate, even though a doctoral degree is not necessary for the practice of medicine. So far, little is known about doctoral candidates’ view on the individual benefit a doctoral thesis has for them. Consequently, this is the subject of the present investigation. Method: Data from surveys with graduates of the five medical faculties of Baden-Württemberg from the graduation years 2007/2008 (N=514) and 2010/2011 (N=598) were analysed. Results: One and a half years after graduating 53% of those interviewed had completed their doctorate. When asked about their motivation for writing a doctoral thesis, participants answered most frequently “a doctorate is usual” (85%) and “improvement of job opportunities” (75%), 36% said that an academic career has been their primary motive. Less than 10% responded that they used their doctoral thesis as a means to apply for a job. The proportion of graduates working in health care is equally large among those who have completed a thesis and those who have not. Graduates who pursued a thesis due to scientific interest are also currently more interested in an academic career and recognise more opportunities for research. An implicit benefit of a medical thesis emerged with regard to the self-assessment of scientific competences as those who completed a doctorate rated their scientific competencies higher than those who have not. Discussion: Although for the majority of physicians research interest is not the primary motivation for completing a doctorate, they might nevertheless achieve some academic competencies. For graduates pursuing an academic career the benefit of completing a medical thesis is more obvious. PMID:26958656

Importance and benefits of the doctoral thesis for medical graduates.

Science.gov (United States)

Giesler, Marianne; Boeker, Martin; Fabry, Götz; Biller, Silke

2016-01-01

The majority of medical graduates in Germany complete a doctorate, even though a doctoral degree is not necessary for the practice of medicine. So far, little is known about doctoral candidates' view on the individual benefit a doctoral thesis has for them. Consequently, this is the subject of the present investigation. Data from surveys with graduates of the five medical faculties of Baden-Württemberg from the graduation years 2007/2008 (N=514) and 2010/2011 (N=598) were analysed. One and a half years after graduating 53% of those interviewed had completed their doctorate. When asked about their motivation for writing a doctoral thesis, participants answered most frequently "a doctorate is usual" (85%) and "improvement of job opportunities" (75%), 36% said that an academic career has been their primary motive. Less than 10% responded that they used their doctoral thesis as a means to apply for a job. The proportion of graduates working in health care is equally large among those who have completed a thesis and those who have not. Graduates who pursued a thesis due to scientific interest are also currently more interested in an academic career and recognise more opportunities for research. An implicit benefit of a medical thesis emerged with regard to the self-assessment of scientific competences as those who completed a doctorate rated their scientific competencies higher than those who have not. Although for the majority of physicians research interest is not the primary motivation for completing a doctorate, they might nevertheless achieve some academic competencies. For graduates pursuing an academic career the benefit of completing a medical thesis is more obvious.

Importance and benefits of the doctoral thesis for medical graduates

Directory of Open Access Journals (Sweden)

Giesler, Marianne

2016-02-01

Full Text Available Introduction: The majority of medical graduates in Germany complete a doctorate, even though a doctoral degree is not necessary for the practice of medicine. So far, little is known about doctoral candidates’ view on the individual benefit a doctoral thesis has for them. Consequently, this is the subject of the present investigation.Method: Data from surveys with graduates of the five medical faculties of Baden-Württemberg from the graduation years 2007/2008 (N=514 and 2010/2011 (N=598 were analysed.Results: One and a half years after graduating 53% of those interviewed had completed their doctorate. When asked about their motivation for writing a doctoral thesis, participants answered most frequently “a doctorate is usual” (85% and “improvement of job opportunities” (75%, 36% said that an academic career has been their primary motive. Less than 10% responded that they used their doctoral thesis as a means to apply for a job. The proportion of graduates working in health care is equally large among those who have completed a thesis and those who have not. Graduates who pursued a thesis due to scientific interest are also currently more interested in an academic career and recognise more opportunities for research. An implicit benefit of a medical thesis emerged with regard to the self-assessment of scientific competences as those who completed a doctorate rated their scientific competencies higher than those who have not.Discussion: Although for the majority of physicians research interest is not the primary motivation for completing a doctorate, they might nevertheless achieve some academic competencies. For graduates pursuing an academic career the benefit of completing a medical thesis is more obvious.

Doctor-patient dialogue--basic aspect of medical consultation.

Science.gov (United States)

Murariu-Brujbu, Isabella Cristina; Macovei, Luana Andreea

2013-01-01

Family medicine is the specialty that provides ongoing primary medical care and improves the health status of the individual, of the family and of the community through preventive, educational, therapeutic and rehabilitation measures. The family doctor often makes the interdisciplinary synthesis, in a flexible manner, either alone or in most cases with interdisciplinary consultation. In the latter case, the family doctor initiates the team work and makes the final evaluation by using the longitudinal follow-up of the disease. The doctor-patient encounter represents the "confrontation" with the greatest moral weight, due to the complexity of the values involved, the status of the doctor in a society, and patient's involvement in decision making. The patient is a person who should be treated with respect, honesty, professionalism and loyalty, whatever the clinical status, severity of illness, mental competence or incompetence. A focus, on an international scale, is represented by the characteristics of a good doctor, family physician included, as the latter is the first link in the network of health services. Each model of consultation varies in a more or less subtle way in priorities assignment, and suggests slight differences regarding the role played by doctor and patient in their collaboration. The qualities of a good family physician include not only the strictly professional competences, that also apply to other medical specialties, but also duties, such as, clearly explaining to patients issues concerning their health, informing them about all the possible preventive measures of diseases, making a diagnosis, initiating and supervising a therapy. Medical responsibility lies at the crossroads between medical science and the conscience of the doctor.

Work hours and sleep/wake behavior of Australian hospital doctors.

Science.gov (United States)

Ferguson, Sally A; Thomas, Matthew J W; Dorrian, Jillian; Jay, Sarah M; Weissenfeld, Adrian; Dawson, Drew

2010-07-01

The objective of the study was to describe the work and sleep patterns of doctors working in Australian hospitals. Specifically, the aim was to examine the influence of work-related factors, such as hospital type, seniority, and specialty on work hours and their impact on sleep. A total of 635 work periods from 78 doctors were analyzed together with associated sleep history. Work and sleep diary information was validated against an objective measure of sleep/wake activity to provide the first comprehensive database linking work and sleep for individual hospital doctors in Australia. Doctors in large and small facilities had fewer days without work than those doctors working in medium-sized facilities. There were no significant differences in the total hours worked across these three categories of seniority; however, mid-career and senior doctors worked more overnight and weekend on-call periods than junior doctors. With respect to sleep, although higher work hours were related to less sleep, short sleeps (work) were observed at all levels of prior work history (including no work). In this population of Australian hospital doctors, total hours worked do impact sleep, but the pattern of work, together with other nonwork factors are also important mediators.

Doctors' voices in patients' narratives: coping with emotions in storytelling.

Science.gov (United States)

Lucius-Hoene, Gabriele; Thiele, Ulrike; Breuning, Martina; Haug, Stephanie

2012-09-01

To understand doctors' impacts on the emotional coping of patients, their stories about encounters with doctors are used. These accounts reflect meaning-making processes and biographically contextualized experiences. We investigate how patients characterize their doctors by voicing them in their stories, thus assigning them functions in their coping process. 394 narrated scenes with reported speech of doctors were extracted from interviews with 26 patients with type 2 diabetes and 30 with chronic pain. Constructed speech acts were investigated by means of positioning and narrative analysis, and assigned into thematic categories by a bottom-up coding procedure. Patients use narratives as coping strategies when confronted with illness and their encounters with doctors by constructing them in a supportive and face-saving way. In correspondence with the variance of illness conditions, differing moral problems in dealing with doctors arise. Different evaluative stances towards the same events within interviews show that positionings are not fixed, but vary according to contexts and purposes. Our narrative approach deepens the standardized and predominantly cognitive statements of questionnaires in research on doctor-patient relations by individualized emotional and biographical aspects of patients' perspective. Doctors should be trained to become aware of their impact in patients' coping processes.

Talking to Your Doctor

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Full Text Available ... Trials and You Talking to Your Doctor Science Education Resources Community Resources Clear Health A–Z Publications List More » Search Health Topics Quick Links MedlinePlus ...

Drivers and Interpretations of Doctoral Education Today: National Comparisons

DEFF Research Database (Denmark)

Andres, Lesley; Bengtsen, Søren Smedegaard; Castano, Liliana Del Pilar Gallego

2015-01-01

In the last decade, doctoral education has undergone a sea change with several global trends increasingly apparent. Drivers of change include massification and professionalization of doctoral education and the introduction of quality assurance systems. The impact of these drivers, and the forms...... that they take, however, are dependent on doctoral education within a given national context. This paper is frontline in that it contributes to the literature on doctoral education by examining the ways in which these global trends and drivers are being taken up in policies and practices by various countries. We...... do so by comparing recent changes in each of the following countries: Canada, Colombia, Denmark, Finland, the UK, and the USA. Each country case is based on national education policies, policy reports on doctoral education (e.g., OECD and EU policy texts), and related materials. We use the same...

Ear tube surgery - what to ask your doctor

Science.gov (United States)

What to ask your doctor about ear tube surgery; Tympanostomy - what to ask your doctor; Myringotomy - what ... other treatments? What are the risks of the surgery? Is it safe to wait before getting ear ...

High blood pressure - what to ask your doctor

Science.gov (United States)

What to ask your doctor about high blood pressure; Hypertension - what to ask your doctor ... problems? What medicines am I taking to treat high blood pressure? Do they have any side effects? What should ...

IN URGENT NEED OF A DOCTOR

CERN Multimedia

Medical Service

2002-01-01

GENEVA EMERGENCY SERVICES GENEVA AND VAUD 144 FIRE BRIGADE 118 POLICE 117 CERN FIREMEN 767-44-44 ANTI-POISONS CENTRE Open 24h/24h 01-251-51-51 Patient not fit to be moved, call family doctor, or: GP AT HOME, open 24h/24h 748-49-50 Association Of Geneva Doctors Emergency Doctors at home 07h-23h 322 20 20 Patient fit to be moved: HOPITAL CANTONAL CENTRAL 24 Micheli-du-Crest 372-33-11 ou 382-33-11 EMERGENCIES 382-33-11 ou 372-33-11 CHILDREN'S HOSPITAL 6 rue Willy-Donzé 372-33-11 MATERNITY 32 bvd.de la Cluse 382-68-16 ou 382-33-11 OPHTHALMOLOGY 22 Alcide Jentzer 382-33-11 ou 372-33-11 MEDICAL CENTRE CORNAVIN 1-3 rue du Jura 345 45 50 HOPITAL DE LA TOUR Meyrin EMERGENCIES 719-61-11 URGENCES PEDIATRIQUES 719-61-00 LA TOUR MEDICAL CENTRE 719-74-00 European Emergency Call 112 FRANCE EMERGENCY SERVICES 15 FIRE BRIGADE 18 POLICE 17 CERN FIREMEN AT HOME 00-41-22-767-44-44 ANTI-POISONS CENTRE Open 24h/24h 04-72-11-69-11 All doctors will come to your home. Cal...

The hospital doctor of today - still continuously on duty.

Science.gov (United States)

Hertzberg, Tuva Kolstad; Skirbekk, Helge; Tyssen, Reidar; Aasland, Olaf Gjerløw; Rø, Karin Isaksson

2016-10-01

Norwegian hospital doctors emphasise the value of working hard and efficiently and of a high degree of attendance in the workplace. This helps establish social norms that guide behaviour within the professional culture. It is important to examine what consequences these values may entail when the doctor also needs to cater to his or her own needs. We conducted eight focus-group interviews and three individual interviews among a total of 48 senior consultants and specialty registrars working in the areas of surgery, psychiatry and internal medicine. Total N = 48; 56  % women. The interviews were analysed with the aid of systematic text condensation. When Norwegian hospital doctors wish to appear as good doctors, they see that this entails consequences for the interrelationships with colleagues, the management and the work-life balance. Conflicts of interest arose between senior consultants and specialty registrars. Management initiatives to deal with absence, adaptation of the job to the life stage of each individual doctor and increased management involvement among doctors were among the measures proposed. Better mutual knowledge between doctors and management with regard to each other’s values and responsibilities could constitute key premises for structural changes, for example in terms of better planning of leaves of absence and opportunities for adaptation of work schedules to the life stage of the persons concerned.

The clinicide phenomenon: an exploration of medical murder.

Science.gov (United States)

Kaplan, Robert

2007-08-01

The aim of this paper is to explore the phenomenon of clinicide. The study of medical killers is barely in its infancy. Clinicide is the unnatural death of multiple patients in the course of treatment by a doctor. Serial medical killing is a relatively new phenomenon. The role model is Dr Marcel Petiot, the worst serial killer in French history. More recently, Dr Harold Shipman was Britain's worst serial killer and in the United States and Zimbabwe, Dr Michael Swango killed 60 patients. A number of doctors have such high patient death rates that it cannot be ignored. At some level, these doctors have an awareness of what they are doing, countered by an overweening refusal to acknowledge the implications or desist from further treatment. Treatment killer offences usually occur on the basis of serial mental illness, but may include the contentious area of euthanasia killing. Doctors have frequently been accomplices in state repression, brutality and genocide in direct contravention to their sanctioned role to relieve suffering and save life. They have become mass murderers on an exponential scale, making any comparison with a doctor killing his own patients almost risible. Many clinicidal doctors have extreme narcissistic personalities, a grandiose view of their own capability and inability to accept that they could be criticized or need assistance from other doctors. Such doctors develop a God-complex, getting a vicarious thrill out of ending suffering and by determining when a person dies.

Who are the job seekers? : Explaining unemployment among doctoral recipients

NARCIS (Netherlands)

Yerkes, M.; Van de Schoot, R.; Sonneveld, H.

2012-01-01

Despite increased attention for doctoral education in recent years, one particular phenomenon has received little attention—the unemployment of doctoral candidates following graduation. While the unemployment of doctoral recipients is relatively low in comparison to the general popula-tion, the

Calidad del material erosionado por el viento en suelos de Argentina

OpenAIRE

Aimar, Silvia Beatriz

2016-01-01

Tesis (Doctor en Ciencias Agropecuarias)--UNC- Facultad de Ciencias Agropecuarias, 2016. La erosión eólica es un importante proceso de degradación de suelos de ambientes áridos y semiáridos del mundo, sobre cuyas magnitudes, y particularmente su calidad, existe poca información. Por esta razón, el objetivo de este trabajo fue determinar la cantidad y la calidad de los materiales erosionados por el viento, en suelos de ambientes semiáridos de Argentin...

Interference with the clinical independence of doctors in hospitals faced with a shortage of resources: what should doctors do?

Science.gov (United States)

McQuoid-Mason, D J

2014-11-01

In the face of interference with their clinical independence in hospitals with a shortage of resources, what should doctors do? The question can be answered by considering: (i) the constitutional right to healthcare and emergency treatment; (ii) the common-law position regarding unlawful homicide and the doctrine of 'superior orders'; (iii) the ethical rules of the Health Professions Council of South Africa; and (iv) whether there is any protection for doctors who refuse to carry out unprofessional, unethical or unlawful directives from their superiors. While this article focuses on the public sector, some of the legal principles, where relevant, apply equally to doctors in the private sector.

'Covering doctors' standing in for unavailable colleagues: What is ...

African Journals Online (AJOL)

2018-01-19

Jan 19, 2018 ... [1] In terms of contract, a doctor 'undertakes to treat a patient with the required skill and care, and a patient undertakes to pay their fees'.[1] Under the law of delict, once a doctor begins to provide care to a person or instructs other healthcare personnel on how to treat such a person, the doctor is regarded as ...

First district sanitary doctor of Katerynoslav

OpenAIRE

M.P. Chaban; Z.I. Shevtsova; V.V. Gaponov

2017-01-01

The life and professional activity of Vasyl Tymofiiovych Skrylnikov — a famous doctor-hygienist, scientist, and public figure have been represented. V.T. Skrylnikov contributed to the development of sanitary-prophylaxis direction in zemstvo medicine in Katerynoslav province in the second half of the 19th century; he was the first district sanitary doctor in Katerynoslav. The scientist actively studied medical features of natural agents, namely Tymofiivska clay. He successfully worked at Slovi...

Estudio del perfil proteico de tejido y secretoma de la arteria coronaria humana en la enfermedad aterosclerótica

OpenAIRE

Cuesta Marina, Fernando de la

2010-01-01

El objetivo principal de la presente Tesis Doctoral es el estudio del perfil proteico de las capas íntima y media de la arteria coronaria aterosclerótica humana, la evaluación de las proteínas alteradas en estas capas en la coronaria, con el desarrollo de la aterosclerosis, así como la caracterización del secretoma de la coronaria aterosclerótica y la evaluación de las proteínas específicamente secretadas por esta arteria, con respecto a otras arterias humanas no afectadas.

The Relationships between Doctoral Students’ Perceptions of Supervision and Burnout

Directory of Open Access Journals (Sweden)

Solveig Cornér

2017-06-01

Full Text Available Aim/Purpose: Both the quality and the quantity of doctoral supervision have been identified as central determinants of the doctoral journey. However, there is a gap in our understanding of how supervision activities are associated with lack of wellbeing, such as burnout, and also to completion of the studies among doctoral students. Background:\tThe study explored doctoral students’ perceptions of different aspects of supervision including the primary sources, frequency, expressed satisfaction and their interrelation with experienced stress, exhaustion and cynicism. Methodology: Altogether 248 doctoral students from three Finnish universities representing social sciences, arts and humanities, and natural and life sciences responded to an adapted version of a Doctoral Experience Survey. A combination of several measures was used to investigate the students’ experiences of supervision and burnout. Contribution:\tThe results showed that students benefit from having several and different kinds of supervision activities. Various sources contribute not only to experiences of the doctoral journey and burnout, but also to the completion of the studies. Findings: Experienced lack of satisfaction with supervision and equality within the researcher community and a low frequency of supervision were related to experiences of burnout. Experiences of burnout were connected to students’ attrition intentions. Attrition intentions were related to source of supervision, the form of thesis, and inadequate supervision frequency. Frequency was related to both experience of burnout and likelihood of attrition. Recommendations for Practitioners: A recommendation developed from this research is to assist doctoral students with sufficient support, especially equality within the scholarly community and frequency of supervision. Further, greater emphasis could be put on group supervision and other collective forms of supervision. It is important that doctoral

Desarrollo de una metodología para la medición de la rugosidad superficial del suelo

OpenAIRE

García Moreno, Rosario

2011-01-01

El objetivo de la presente tesis doctoral ha sido el desarrollo de una metodología fiable, fácil de usar y de bajo coste par ala toma de datos e interpretación de la rugosidad superficial del suelo. Sobre la base de los resultados publicados en la bibliografía se desarrollaron tres prototipos para la toma de datos de la rugosidad superficial del suelo. El primero basado en la metodología de láser sin contacto, el segundo tipo perfilométro de varillas, y un tercero, basado en el análisis de so...

Prescription habits of dispensing and non-dispensing doctors in Zimbabwe

DEFF Research Database (Denmark)

Trap, Birna; Hansen, Ebba Holme; Hogerzeil, Hans V

2002-01-01

, race, place of education, location of practice and patients seen per day showed that dispensing by doctors was associated with less clinically and economically appropriate prescribing. These findings suggest that the quality of health care--as related to drug use, patient safety and treatment cost......The number of dispensing doctors has increased in the last decade, but the implication of this trend on the quality of health care and drug use is unknown. We present a comparative drug utilization study of 29 dispensing doctors and 28 non-dispensing doctors in Zimbabwe based on standard indicators...... developed by the World Health Organization. Dispensing doctors prescribed significantly more drugs per patient than non-dispensing doctors (2.3 versus 1.7), injected more patients (28.4% versus 9.5%), and prescribed more antibiotics (0.72 versus 0.54) and mixtures (0.43 versus 0.25) per encounter...

Disorganized junior doctors fail the MRCP (UK).

Science.gov (United States)

Stanley, Adrian G; Khan, Khalid M; Hussain, Walayat; Tweed, Michael

2006-02-01

Career progression during undergraduate and early postgraduate years is currently determined by successfully passing examinations. Both academic factors (secondary school examination results, learning style and training opportunities) and non-academic factors (maturity, ethnic origin, gender and motivation) have been identified as predicting examination outcome. Few studies have examined organization skills. Disorganized medical students are more likely to perform poorly in end-of-year examinations but this observation has not been examined in junior doctors. This study asked whether organization skills relate to examination outcome amongst junior doctors taking the clinical Part II examination for the Membership of the Royal College of Physicians (Practical Assessment of Clinical Examination Skills). The study was conducted prospectively at four consecutive clinical courses that provided clinical teaching and practice to prepare trainees for the examination. Arrival time at registration for the course was the chosen surrogate for organization skills. Trainees were advised that they should arrive promptly at 8.00 a.m. for registration and it was explained that the course would start at 8.30 a.m. Recorded arrival times were compared with the pass lists published by the Royal College of Physicians. The mean arrival time was 8.17 a.m. A total of 81 doctors (53.3%) passed the examination with a mean arrival time of 8.14 a.m. However, 71 doctors failed the exam and arrived, on average, six minutes later than doctors who passed (p?=?0.006). Better-prepared junior doctors were more likely to pass the final examination. Arriving on time represents a composite of several skills involved in the planning of appropriate travel arrangements and is therefore a valid marker of organization skills and preparation. This novel study has shown that good time-keeping skills are positively associated with examination outcome.

Decision-making of older patients in context of the doctor-patient relationship: a typology ranging from "self-determined" to "doctor-trusting" patients.

Science.gov (United States)

Wrede-Sach, Jennifer; Voigt, Isabel; Diederichs-Egidi, Heike; Hummers-Pradier, Eva; Dierks, Marie-Luise; Junius-Walker, Ulrike

2013-01-01

Background. This qualitative study aims to gain insight into the perceptions and experiences of older patients with regard to sharing health care decisions with their general practitioners. Patients and Methods. Thirty-four general practice patients (≥70 years) were asked about their preferences and experiences concerning shared decision making with their doctors using qualitative semistructured interviews. All interviews were analysed according to principles of content analysis. The resulting categories were then arranged into a classification grid to develop a typology of preferences for participating in decision-making processes. Results. Older patients generally preferred to make decisions concerning everyday life rather than medical decisions, which they preferred to leave to their doctors. We characterised eight different patient types based on four interdependent positions (self-determination, adherence, information seeking, and trust). Experiences of a good doctor-patient relationship were associated with trust, reliance on the doctor for information and decision making, and adherence. Conclusion. Owing to the varied patient decision-making types, it is not easy for doctors to anticipate the desired level of patient involvement. However, the decision matter and the self-determination of patients provide good starting points in preparing the ground for shared decision making. A good relationship with the doctor facilitates satisfying decision-making experiences.

Quality of doctoral nursing education in the United Kingdom: exploring the views of doctoral students and staff based on a cross-sectional questionnaire survey.

Science.gov (United States)

McKenna, Hugh; Keeney, Sinead; Kim, Mi Ja; Park, Chang Gi

2014-07-01

To evaluate the quality of doctoral education in nursing in the United Kingdom. In recent decades, doctoral education programmes in nursing are increasing worldwide. There are many reasons for this and concerns have been raised regarding the quality of provision in and across countries. To date, the quality of doctoral education on a global level has not been reported in the literature. This United Kingdom study is part of a seven country investigation into the quality of doctoral education in nursing (Australia, Japan, Korea, South Africa, Thailand, United Kingdom and United States of America). A quantitative study using a cross-sectional comparative survey design. An online survey was administered to collect the views of doctoral students and staff members on four domains: programme, faculty/staff, resource and evaluation. The study was carried out between 2010-2012. In most cases, staff perceived these more positively than students and the differences in perception were often statistically significant. Interestingly, many students rated the quality of supervision as excellent, whereas no staff member rated supervision this highly. The crucial importance of resources was confirmed in the path analysis of the four Quality of Doctoral Nursing Education domains. This demonstrates that investment in resources is much more cost-effective than investment in the other domains in relation to improving the overall quality of doctoral education in nursing. This study has wide-ranging implications for how the quality of doctoral education is monitored and enhanced. © 2013 John Wiley & Sons Ltd.

Unequal Socialization: Interrogating the Chicano/Latino(a) Doctoral Education Experience

Science.gov (United States)

Ramirez, Elvia

2017-01-01

This article examines the experiences of Chicano/Latino(a) doctoral students at a research-intensive doctorate-granting institution. Based on in-depth qualitative interviews with 24 Chicano/Latino(a) doctoral students across social science, humanities, education, and science disciplines, this qualitative investigation analyzed how disciplinary…

Parcours de doctorants, parcours de combattants ?

Directory of Open Access Journals (Sweden)

Marie Redon

2008-09-01

Full Text Available Chaque année, quelques 10 000 thèses de doctorat sont soutenues en France, toutes disciplines confondues, et le pays compterait environ 74 500 doctorants. Nombreux sont donc celles et ceux qui se lancent dans l’aventure de la thèse, avec courage et détermination…Le phénomène de macrocéphalie à la française se retrouve dans la formation de ces milliers de doctorants puisque l’académie de Paris est celle qui en accueille le plus : 1/4 des doctorants y prépare sa thèse, au sein d’une université ...

When may doctors give nurses telephonic treatment instructions?

African Journals Online (AJOL)

When is it legal for doctors to give nurses telephonic treatment instructions? ... telemedicine? Telemedicine is defined as 'the practice of medicine, from a distance, ... [6] Therefore, if in such circumstances the doctors cannot reach the patients in ...

Protest of doctors: a basic human right or an ethical dilemma.

Science.gov (United States)

Abbasi, Imran Naeem

2014-03-10

Peaceful protests and strikes are a basic human right as stated in the United Nations' universal declaration on human rights. But for doctors, their proximity to life and death and the social contract between a doctor and a patient are stated as the reasons why doctors are valued more than the ordinary beings. In Pakistan, strikes by doctors were carried out to protest against lack of service structure, security and low pay. This paper discusses the moral and ethical concerns pertaining to the strikes by medical doctors in the context of Pakistan. The author has carefully tried to balance the discussion about moral repercussions of strikes on patients versus the circumstances of doctors working in public sector hospitals of a developing country that may lead to strikes. Doctors are envisaged as highly respectable due to their direct link with human lives. Under Hippocrates oath, care of the patient is a contractual obligation for the doctors and is superior to all other responsibilities. From utilitarian perspective, doctors' strikes are justifiable only if there is evidence of long term benefits to the doctors, patients and an improvement in service delivery. Despite that, it is hard to justify such benefits against the risks to the patients. Harms that may incur to the patients include: prolongation of sufferings, irreversible damage to health, delay in treatment, death, loss of work and waste of financial resources.In a system of socialized medicine, government owing to greater control over resources and important managerial decisions should assume greater responsibility and do justice to all stakeholders including doctors as well as patients. If a doctor is underpaid, has limited options for career growth and is forced to work excessively, then not only quality of medical care and ability to act in the best interests of patients is adversely affected, it may also lead to brain drain. There is no single best answer against or in favor of doctors' industrial

El concepto ciencia en la hipótesis del diseño inteligente, según la sentencia Tammy Kitzmiller et al. vs. Dover Area School District

OpenAIRE

Claramonte Sanz, Vicente

2010-01-01

PLANTEAMIENTO. La presente tesis doctoral propone una discusión crítica sobre si la hipótesis del diseño inteligente puede ser calificada, desde un punto de vista técnico-filosófico, como un discurso científico, o por el contrario pseudocientífico. Los parámetros de la discusión caen dentro del área de Filosofía de la Ciencia y subárea de Filosofía de la Biología, tratando de señalar las inconsistencias teóricas y empíricas del antievolucionismo, en el marco del debate entre evolucionismo y c...

How do workplaces, working practices and colleagues affect UK doctors' career decisions? A qualitative study of junior doctors' career decision making in the UK.

Science.gov (United States)

Spooner, Sharon; Pearson, Emma; Gibson, Jonathan; Checkland, Kath

2017-10-25

This study draws on an in-depth investigation of factors that influenced the career decisions of junior doctors. Junior doctors in the UK can choose to enter specialty training (ST) programmes within 2 years of becoming doctors. Their specialty choices contribute to shaping the balance of the future medical workforce, with views on general practice (GP) careers of particular interest because of current recruitment difficulties. This paper examines how experiences of medical work and perceptions about specialty training shape junior doctors' career decisions. Twenty doctors in the second year of a Foundation Training Programme in England were recruited. Purposive sampling was used to achieve a diverse sample from respondents to an online survey. Narrative interviewing techniques encouraged doctors to reflect on how experiences during medical school and in medical workplaces had influenced their preferences and perceptions of different specialties. They also spoke about personal aspirations, work priorities and their wider future.Junior doctors' decisions were informed by knowledge about the requirements of ST programmes and direct observation of the pressures under which ST doctors worked. When they encountered negative attitudes towards a specialty they had intended to choose, some became defensive while others kept silent. Achievement of an acceptable work-life balance was a central objective that could override other preferences.Events linked with specific specialties influenced doctors' attitudes towards them. For example, findings confirmed that while early, positive experiences of GP work could increase its attractiveness, negative experiences in GP settings had the opposite effect. Junior doctors' preferences and perceptions about medical work are influenced by multiple intrinsic and extrinsic factors and experiences. This paper highlights the importance of understanding how perceptions are formed and preferences are developed, as a basis for generating

Arab doctors, evolving society and corruption: a medical student's perspective.

Science.gov (United States)

Alamri, Yassar

2015-01-01

Doctors, especially junior doctors, face immense pressure in their day-to-day work. As a result, the rates of depression and anxiety are particularly high in this demanding profession. The pressure, which is compounded by constantly being under societal scrutiny, can unfortunately drive the doctor to breaking point. However, we can help doctors deal with these pressures in a more meaningful way if we make them aware of their wider environment (within a social paradigm) and the implications of their actions.

Talking to Your Doctor

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Exercise: When to Check with Your Doctor First

Science.gov (United States)

... check with your doctor before you start to exercise. By Mayo Clinic Staff Regular exercise can help you control your weight, reduce your ... talk to your doctor before starting a new exercise routine. Although moderate physical activity such as brisk ...

Doctor-patient communication: a review of the literature

NARCIS (Netherlands)

Ong, L. M.; de Haes, J. C.; Hoos, A. M.; Lammes, F. B.

1995-01-01

Communication can be seen as the main ingredient in medical care. In reviewing doctor-patient communication, the following topics are addressed: (1) different purposes of medical communication; (2) analysis of doctor-patient communication; (3) specific communicative behaviors; (4) the influence of

Which doctors and with what problems contact a specialist service for doctors? A cross sectional investigation

Directory of Open Access Journals (Sweden)

von der Tann Matthias

2007-08-01

Full Text Available Abstract Background In the United Kingdom, specialist treatment and intervention services for doctors are underdeveloped. The MedNet programme, created in 1997 and funded by the London Deanery, aims to fill this gap by providing a self-referral, face-to-face, psychotherapeutic assessment service for doctors in London and South-East England. MedNet was designed to be a low-threshold service, targeting doctors without formal psychiatric problems. The aim of this study was to delineate the characteristics of doctors utilising the service, to describe their psychological morbidity, and to determine if early intervention is achieved. Methods A cross-sectional study including all consecutive self-referred doctors (n = 121, 50% male presenting in 2002–2004 was conducted. Measures included standardised and bespoke questionnaires both self-report and clinician completed. The multi-dimensional evaluation included: demographics, CORE (CORE-OM, CORE-Workplace and CORE-A an instrument designed to evaluate the psychological difficulties of patients referred to outpatient services, Brief Symptom Inventory to quantify caseness and formal psychiatric illness, and Maslach Burnout Inventory. Results The most prevalent presenting problems included depression, anxiety, interpersonal, self-esteem and work-related issues. However, only 9% of the cohort were identified as severely distressed psychiatrically using this measure. In approximately 50% of the sample, problems first presented in the preceding year. About 25% were on sick leave at the time of consultation, while 50% took little or no leave in the prior 12 months. A total of 42% were considered to be at some risk of suicide, with more than 25% considered to have a moderate to severe risk. There were no significant gender differences in type of morbidity, severity or days off sick. Conclusion Doctors displayed high levels of distress as reflected in the significant proportion of those who were at some risk of

Doctor-patient-child communication: a (re)view of the literature.

NARCIS (Netherlands)

Tates, K.; Meeuwesen, L.

2001-01-01

Studies on doctor-patient communication focus predominantly on dyadic interactions between adults; even when the patient is a child, the research focus is usually on doctor-parent interaction. The aim of this review study is to evaluate the state of the art of research into doctor-parent-child

IMPLICACIONES FILOSÓFICAS CONTEMPORÁNEAS EN BIOLOGÍA SOBRE LA DIDÁCTICA DE LA BIOLOGÍA: ESTADO DEL ARTE EN CONSTRUCCIÓN

OpenAIRE

Germán Chaves

2015-01-01

El presente escrito muestra los resultados parciales de la construcción de un estado del arte referido a las relaciones entre la Filosofía de la Biología y su didáctica  como un potencializador de la enseñanza de la misma que hacen parte de una investigación doctoral. Lo anterior a partir de los avances en la revisión bibliográfica, los cuales son parte esencial en  la construcción del estado del arte de la investigación, en la que se resalta el papel de la Filosofía de las Ciencias en su ens...

Estudios florísticos y ecológicos sobre las algas de agua dulce de turberas de Tierra del Fuego

OpenAIRE

Mataloni, María Gabriela

1994-01-01

En esta Tesis Doctoral se realizan diversas investigaciones florísticas y ecológicas sobre las algas de turberas de Sphagnum de la provincia de Tierra Fuego. Para ello se condijeron básicamente dos trabajos. en la primera parte se estudiaron ocho ojos de agua pertenecientes a siete turberas ubicadas en el sur de Tierra del Fuego. En cada una de ellas se muestrearon tanto el fitoplancton del agua libre como las algas que viven asociadas a Sphagnum a lo largo de un gradiente ambiental caracteri...

The path of patient loyalty and the role of doctor reputation.

Science.gov (United States)

Torres, Eduardo; Vasquez-Parraga, Arturo Z; Barra, Cristobal

2009-01-01

Patient loyalty to doctors is relevant to medical services in which doctor-patient relationships are central and for which competition has increased in recent years. This study aims at understanding the process whereby patients develop loyalty to their doctor and doctor reputation has a moderating role. Based on a randomization of subjects, the study offers and tests an explanation chain representing key variables determining patient loyalty: patient commitment, trust and satisfaction, and doctor reputation. Primary data was collected using a structured questionnaire from a quota sample of regular patients in a large city in South America. The patients most committed to their doctor are more loyal to them. In turn, commitment is determined by patient trust, which is determined by patient satisfaction. Doctor reputation positively influences both patient trust and satisfaction. The explanation chain not only gives an account of how patient loyalty is formed; it also identifies a path health professionals can follow to secure patient loyalty.

Estudio y optimización de los sistemas de intercambio de calor en generación termoeléctrica aplicada al aprovechamiento del calor residual

OpenAIRE

Aranguren Garacochea, Patricia

2015-01-01

La presente tesis doctoral estudia el aprovechamiento del calor residual mediante generación termoeléctrica para la obtención de potencia eléctrica generada gracias al efecto Seebeck. Dos son las aproximaciones empleadas, la simulación computacional, empleando variables obtenidas experimentalmente y la experimentación de escenarios reales. Ambas dos han obtenido valores muy prometedores para la generación eléctrica a través de los gases residuales. Con el desarrollo de esta tesis doctoral,...

'Addressed to you not as a smoker… but as a doctor': doctor-targeted cigarette advertisements in JAMA.

Science.gov (United States)

Jackler, Robert K; Ayoub, Noel F

2018-07-01

During the mid-20th century tobacco companies placed advertisements in medical journals to entice physicians to smoke their brand and, more importantly, to recommend it to their patients. They have been little studied, in part because advertising sections in medical journals are almost universally discarded before binding. This study aimed to define the themes and techniques used in doctor-targeted tobacco advertisements that appeared in American medical journals in the mid-20th century and determine the motivations and tactics of the tobacco industry in engaging the medical profession in this way. Doctor-targeted tobacco advertisements from JAMA and the New York State Medical Journal appearing between 1936 and 1953 were studied. These were obtained from the New York Academy of Medicine and the UCSF Truth database of tobacco industry documents. Content analysis of advertising slogans and imagery was conducted. Using internal tobacco industry documents, we examined the relationship between tobacco advertisers and medical journals. Among the 519 doctor-targeted advertisements, 13 brands were represented, with two (Philip Morris and Camel) accounting for 84%. Correspondence between tobacco advertisers and medical journal editors reveals the potent influence of revenue to the sponsoring society and personal compensation derived from consulting arrangements. Content analysis of the advertisements revealed much flattery of doctors and arguments professing the harmlessness of the company's brand. Analysis of doctor-targeted tobacco advertisements in American medical journals from 1936 to 1953 suggest that tobacco companies targeted physicians as a potential sales force to assuage the public's fear of health risks and to recruit them as allies against negative publicity. Tobacco companies also appeared to try, through the substantial advertising revenue passed by journals to their parent medical societies, to temper any possible opposition by organized medicine. © 2018

Talking to Your Doctor

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Full Text Available ... concerns before your appointment. Consider bringing a close friend or family member with you. Take notes about what the doctor says, or ask a friend or family member to take notes for you. ...

Talking to Your Doctor

Medline Plus

Full Text Available ... your appointment. Consider bringing a close friend or family member with you. Take notes about what the doctor says, or ask a friend or family member to take notes for you. Learn how ...

The doctor as businessman: the changing politics of a cultural icon.

Science.gov (United States)

Stone, D A

1997-04-01

From just after the Civil War, when medicine began to professionalize, until the late 1970s, doctors and policy makers believed that clinical judgment should not be influenced by the financial interests of doctors. Physicians were highly entrepreneurial, and organized medicine fought to preserve their entrepreneurial interests, but the moral norm that justified their autonomy from state regulation was a strict separation of clinical judgment and pecuniary interests. Under managed care, the old norm is reversed. A good doctor takes financial considerations into account in making clinical decisions. Theoretically, doctors should consider measures of cost to society, but in practice, the payment systems of managed care plans induce doctors to consider the impact of each clinical decision on their own income. Because doctors share the risks of insuring patients with managed care plans, they have the same incentives as insurers to avoid patients who are expensively sick. The new cultural image of doctors as entrepreneurs masks their considerable loss of clinical autonomy under managed care. It also serves to persuade doctors to accept managed care arrangements and to persuade insurance consumers and patients to accept reduced benefits from employers and the government.

Focusing on Doctoral Students' Experiences of Engagement in Thesis Work

Science.gov (United States)

Vekkaila, Jenna; Pyhältö, Kirsi; Lonka, Kirsti

2013-01-01

Little is known about what inspires students to be involved in their doctoral process and stay persistent when facing challenges. This study explored the nature of students' engagement in the doctoral work. Altogether, 21 behavioural sciences doctoral students from one top-level research community were interviewed. The interview data were…

[Corruption risks in relations between doctor and patient ].

Science.gov (United States)

Kolwitz, Marcin; Gąsiorowski, Jakub

2014-01-01

The article describes the problem of corruption occurring in the relationship between doctor and patient. The doctor-patient relationship, including the provision of health services, is one of several potential areas of corruption in the health care system. Among the reasons for the existence of corruption in these relationships are the need to obtain better healthcare for the patient, and higher earnings in the case of a doctor. Indications of corruption are utilitarian (action for personal advantage without ethical aspects), but may also be (actually or in the patient's opinion) the only way to obtain services and save health and even life. Corruption between the doctor and the patient can be limited by better organization of the health care system, including the financing of benefits and education of medical personnel and patients, as well as traditional legal measures, such as prevention or the application of criminal sanctions.

A peer-led teaching initiative for foundation doctors.

Science.gov (United States)

Ramsden, Sophie; Abidogun, Abiola; Stringer, Emma; Mahgoub, Sara; Kastrissianakis, Artemis; Baker, Paul

2015-08-01

Peer teaching has been used informally throughout the history of medical education. Formal studies within the medical student and allied health care professional communities have found it to be a popular, and highly effective, method of teaching. Newly qualified doctors are currently an underused resource in terms of teaching one another. A committee, made up of newly qualified doctors and postgraduate education staff, was established. Using only a few resources, this committee organised regular, peer-led tutorials and used educational needs assessment tools, such as questionnaires, to make improvements to early postgraduate training. A realistic and well-received intervention to improve the teaching of newly qualified doctors, which is feasible in the modern, busy health care setting. Other institutions may find this method and its resources valuable. Newly qualified doctors are currently an underused resource in terms of teaching one another. © 2015 John Wiley & Sons Ltd.

The ‘torn curriculum’ in globalised doctoral education

DEFF Research Database (Denmark)

Bengtsen, Søren Smedegaard

of future researchers, mainly through doctoral education, has become of heightened interest. In this process several global trends and related drivers of such changes can be identified, e.g. professionalization and quality assurance of doctoral education, and researcher mobility. With the European...... for students during the PhD – when at the same time political fractions state that “[o]verregulation of doctoral programs should be avoided” as doctoral education is seen as “a source for human capital for research but is also an extremely important part of the research itself” (Gudmundsson, 2008, p. 77). Also...... the PhD to not only international disciplinary arenas, but also to a world beyond the campus made manifest through a culturally diverse and existentially enhanced PhD process and learning environment. I argue that we should acknowledge that globalisation does not only make possible ‘standardisation...

Breaking bad news: doctors' skills in communicating with patients.

Science.gov (United States)

Ferreira da Silveira, Francisco José; Botelho, Camila Carvalho; Valadão, Carolina Cirino

2017-01-01

Breaking bad news is one of doctors' duties and it requires them to have some skills, given that this situation is difficult and distressful for patients and their families. Moreover, it is also an uncomfortable condition for doctors. The aim of this study was to evaluate doctors' capacity to break bad news, ascertain which specialties are best prepared for doing this and assess the importance of including this topic within undergraduate courses. Observational cross-sectional quantitative study conducted at a university hospital in Belo Horizonte (MG), Brazil. This study used a questionnaire based on the SPIKES protocol, which was answered by 121 doctors at this university hospital. This questionnaire investigated their attitudes, posture, behavior and fears relating to breaking bad news. The majority of the doctors did not have problems regarding the concept of bad news. Nevertheless, their abilities diverged depending on the stage of the protocol and on their specialty and length of time since graduation. Generally, doctors who had graduated more than ten years before this survey felt more comfortable and confident, and thus transmitted the bad news in a better conducted manner. Much needs to be improved regarding this technique. Therefore, inclusion of this topic in undergraduate courses is necessary and proposals should be put forward and verified.

Diagnosing the doctors' departure: survey on sources of dissatisfaction among Irish junior doctors.

LENUS (Irish Health Repository)

Bruce-Brand, R

2012-01-01

There has been a significant decline in the number of applications for non-consultant hospital doctor (NCHD) posts in Ireland over the last 18 months. We conducted an online, anonymous survey of Irish NCHDs to establish levels of satisfaction, sources of dissatisfaction and the major reasons for junior doctors seeking work abroad. 522 NCHDs took the survey, including 64 (12.3%) currently working outside of the Republic. 219 (45.8%) were slightly dissatisfied and 142 (29.7%) were extremely dissatisfied with practising medicine in Ireland. Major sources of dissatisfaction included the state of the health care system, staffing cover for leave and illness, the dearth of consultant posts and the need to move around Ireland. The most important reason for NCHDs wishing to leave was to seek better training and career opportunities abroad.

Mrs Hitler and her doctor.

Science.gov (United States)

Macleod, Sandy

2005-12-01

The doctor who attended the mother of Adolf Hitler in her terminal illness has been blamed as a cause of the Holocaust. The medical details recorded of this professional relationship are presented and discussed. Dr Bloch's medical care of Mrs Hitler was consistent with the prevailing medical practice of the management of fungating breast carcinoma. Indeed, the general practitioner's care and attention of the family appear to have been astute and supportive. There is nothing to suggest that Dr Bloch's medical care was other than competent. Doctors who have the (mis)fortune to professionally attend major figures of history may be unfairly viewed, despite their appropriate and adequate care.

[The importance of master's degree and doctorate degree in general surgery].

Science.gov (United States)

Montalvo-Javé, Eduardo Esteban; Mendoza-Barrera, Germán Eduardo; Valderrama-Treviño, Alan Isaac; Alcántara-Medina, Stefany; Macías-Huerta, Nain Abraham; Tapia-Jurado, Jesús

2016-01-01

The Doctor of Philosophy is the highest academic degree that can be obtained in universities. Graduate Education Program in Medicine in Mexico is divided into 2 major categories: Medical Specialty and Master studies/Doctor of Philosophy. The objective of this study was to demonstrate the importance of master's degrees and Doctor of Philosophy in general surgery. A literature search in PubMed and Medline among others, from 1970 to 2015 with subsequent analysis of the literature reviews found. The physicians who conducted doctoral studies stand out as leaders in research, teaching and academic activities. Dual training with a doctorate medical specialty is a significant predictor for active participation in research projects within the best educational institutions. It is important to study a PhD in the education of doctors specialising in surgery, who show more training in teaching, research and development of academic activities. Currently, although there is a little proportion of students who do not finish the doctoral program, the ones who do are expected to play an important role in the future of medical scientific staff. It has been shown that most doctors with Doctor of Philosophy have wide range of career options. The importance of doctoral studies in the formation of general surgery is due to various reasons; the main one being comprehensively training physician scientists who can develop in clinical, teaching and research. Copyright © 2015 Academia Mexicana de Cirugía A.C. Published by Masson Doyma México S.A. All rights reserved.

Paisaje y urbanismo en la región del río Mopán (Petén, Guatemala) durante el período Clásico maya: el caso de La Blanca y su entorno

OpenAIRE

Ruiz García, Juan

2017-01-01

La presente tesis doctoral aborda la cuestión del paisaje de las Tierras Bajas mayas y su relación con el urbanismo durante el final del período Clásico (ss. VII - X) a través del caso del sitio arqueológico de La Blanca, situado en el departamento de Petén, Guatemala. El carácter geográfico y espacial del tema de investigación ha requerido del enfoque teórico y metodológico que desarrolla la arqueología del paisaje. Esta parte de la disciplina arqueológica es la que puede abordar las cuestio...

SELF-REPORTED HEALTH, ILLNESS AND SELF-CARE AMONG DOCTORS OF MEERUT

Directory of Open Access Journals (Sweden)

Rahul Bansal

2012-01-01

Full Text Available Abstract: This document provides insight on lifestyle and healthcare status of doctors based on key findings from a survey conducted in Meerut City, (U.P. India. Objectives: 1.To study the lifestyle pattern among the doctors of Allopathy and Ayurveda & teachers of local private Medical college, local private Dental college. 2. To study the (self-reported prevalence of common non-communicable diseases in the same. 3. To know the pattern of healthy lifestyle practices adopted by the doctors. Material & Methods: The Cross-sectional study was conducted with the help of a pre-designed and pre-tested questionnaire which was filled by the faculty of local private Medical College, Dental college, Ayurvedic doctors and local practicing doctors of allopathy and Ayurveda. Verbal consent was implied. A purposive sample of 240 doctors [60 each from Medical and Dental colleges and 60 each from allopathy private practitioners (p.p.allo. and ayurvedic private practitioners (p.p.ayur.] were given the questionnaire-and response rate was 84%. The data was entered in Microsoft excel 2007 to know the frequency of the various lifestyle pattern. Results: 47.5% of the doctors had raised B.M.I. (Body Mass Index- more than 25; 21% of the doctors were smokers, 10% were current drinkers and 32% were hypertensive. Only 2.5% were found to be diabetic in our study. About 52% of the doctors exercised regularly. 32.5% were trained for yoga. Conclusion:This study implies that a large proportion of doctors themselves do not follow the healthy lifestyle and are having lifestyle diseases like obesity, hypertension etc. Interestingly, there was not much difference between doctors doing private practice or teaching in Medical/Dental College.

Creating pedagogical spaces for developing doctor professional identity.

Science.gov (United States)

Clandinin, D Jean; Cave, Marie-Therese

2008-08-01

Working with doctors to develop their identities as technically skilled as well as caring, compassionate and ethical practitioners is a challenge in medical education. One way of resolving this derives from a narrative reflective practice approach to working with residents. We examine the use of such an approach. This paper draws on a 2006 study carried out with four family medicine residents into the potential of writing, sharing and inquiring into parallel charts in order to help develop doctor identity. Each resident wrote 10 parallel charts over 10 weeks. All residents met bi-weekly as a group with two researchers to narratively inquire into the stories told in their charts. One parallel chart and the ensuing group inquiry about the chart are described. In the narrative reflective practice process, one resident tells of working with a patient and, through writing, sharing and inquiry, integrates her practice and how she learned to be a doctor in one cultural setting into another cultural setting; another resident affirms her relational way of practising medicine, and a third resident begins to see the complexity of attending to patients' experiences. The process shows the importance of creating pedagogical spaces to allow doctors to tell and retell, through narrative inquiry, their stories of their experiences. This pedagogical approach creates spaces for doctors to individually develop their own stories by which to live as doctors through narrative reflection on their interwoven personal, professional and cultural stories as they are shaped by, and enacted within, their professional contexts.

Talking to Your Doctor

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Talking to Your Doctor

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Full Text Available ... Simple Clear Health from NIH Cultural Respect Language Access Talking to Your Doctor Plain Language Science, Health, ... to take notes for you. Learn how to access your medical records, so you can keep track ...

Talking to Your Doctor

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Talking to Your Doctor

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Full Text Available ... honest communication between you and your physician can help you both make smart choices about your health. ... recovery. Here are a few tips that can help you talk to your doctor and make the ...

Talking to Your Doctor

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Full Text Available ... Research Trials and You Talking to Your Doctor Science Education Resources Community Resources Clear Health A–Z ... Matters NIH Record Research & Training Medical Research Initiatives Science Highlights Science Education Research in NIH Labs & Clinics ...

Secado del orujo en lecho fluidizado-móvil

OpenAIRE

Torrecilla Velasco, José Santiago

2000-01-01

El objetivo fundamental de la presente Tesis Doctoral es validar y optimar un secadero basado en la combinación de dos tipos de contactores como son el lecho fluidizado y el móvil. Para ello se han realizado experimentos de secado de orujo empleando primero contactores por separado (fijo, móvil y fluidizado) se ha estudiado la combinación de los lechos fluidizado y móvil. Desde el punto de vista económico y de calidad del orujo seco se ha demostrado que el secadero más adecuado para realizar ...

The role of clinic visits: perceptions of doctors | Couper | South ...

African Journals Online (AJOL)

A range of important themes emerged from the interviews, relating to the intended function of the clinics and their resources, the operationalisation of doctors' visits, the varied roles that doctors play in clinics and the importance of teamwork and support. Doctors working full time in the clinics shared a more positive view.

WINNICOTT Y HEIDEGGER: LA APERTURA DEL MUNDO Y EL CO-ESTAR // WINNICOTT AND HEIDEGGER: OPENING UP OF WORLD AND CO-BEING

Directory of Open Access Journals (Sweden)

Julieta Bareiro

2013-06-01

Full Text Available Este trabajo integra la investigación de la tesis doctoral defendida en la Facultad de Psicología (UBA y tiene por propósito establecer un diálogo entre Winnicott y Heidegger respecto de la apertura del mundo y los otros. En efecto, ambos pensadores desde sus respectivas disciplinas han reflexionado sobre la experiencia del ser y el existir. Winnicott desde el ámbito de la clínica psicoanalítica y Heidegger desde la fenomenología hermenéutica. El hecho de que la apertura del mundo en el filósofo alemán sea compartida, permite una mayor comprensión del rol materno en el proceso del desarrollo del niño winnicottiano. A partir de la afirmación de que el Dasein es esencialmente ser con otros, co-estar, (Mitsein y que los otros son ahí con el Dasein, es posible pensar que el desarrollo de la subjetividad winnicottiana tiene el rasgo de la co-existencia. // This work integrates the research of the doctoral thesis defended at the Faculty of Psychology (UBA and aims to establish a dialogue between Winnicott and Heidegger regarding the opening up of world and the others. Indeed, both thinkers, from their respective disciplines, have thought about the experience of being and existing. Winnicott from the field of psychoanalytic clinic and Heidegger from the hermeneutic phenomenology. The fact that opening up of world in the German philosopher is shared allows a better understanding of the maternal role in the Winnicottian child development process. From the statement that Dasein is essentially being with others, co-being, (Mitsein and that others are there with the Dasein, it is conceivable that the development of the Winnicottian subjectivity has the trait of coexistence.

La formación personal del futuro profesor: Un estudio desde el enfoque radical e inclusivo y la ontología del lenguaje

OpenAIRE

Campusano Varas, Rosa Inés

2016-01-01

Tesis doctoral inédita leída en la Universidad Autónoma de Madrid, Facultad de Formación de Profesorado y Educación, Departamento de Didáctica y Teoría de la Educación. Fecha de lectura: 19 de febrero de 2016 Esta investigación analiza la formación del profesorado en Chile desde una perspectiva de la persona, y la necesidad de repensar los programas de formación inicial tomando en consideración los actuales requerimientos sociales, que nos indican que las competencias técnicas de los...

How doctors view and use social media: a national survey.

Science.gov (United States)

Brown, James; Ryan, Christopher; Harris, Anthony

2014-12-02

Doctors are uncertain of their ethical and legal obligations when communicating with patients online. Professional guidelines for patient-doctor interaction online have been written with limited quantitative data about doctors' current usage and attitudes toward the medium. Further research into these trends will help to inform more focused policy and guidelines for doctors communicating with patients online. The intent of the study was to provide the first national profile of Australian doctors' attitudes toward and use of online social media. The study involved a quantitative, cross-sectional online survey of Australian doctors using a random sample from a large representative database. Of the 1500 doctors approached, 187 participated (12.47%). Most participants used social media privately, with only one-quarter not using any social media websites at all (48/187, 25.7%). One in five participants (30/155, 19.4%) had received a "friend request" from a patient. There was limited use of online communication in clinical practice: only 30.5% (57/187) had communicated with a patient through email and fewer than half (89/185, 48.1%) could offer their patients electronic forms of information if that were the patients' preference. Three in five participants (110/181, 60.8%) reported not being uncomfortable about interacting with patients who had accessed personal information about them online, prior to the consultation. Most of the participants (119/181, 65.8%) were hesitant to immerse themselves more fully in social media and online communication due to worries about public access and legal concerns. Doctors have different practices and views regarding whether or how to communicate appropriately with patients on the Internet, despite online and social media becoming an increasingly common feature of clinical practice. Additional training would assist doctors in protecting their personal information online, integrating online communication in patient care, and guidance on

Asthma management in pregnancy: young female doctors knowledge and practice

International Nuclear Information System (INIS)

Younis, M.; Anwar, S.; Aneela, I.; Saeed, M.S.

2012-01-01

Background: Optimal asthma control in pregnant women is very much essential for the good health of both mother and the fetus. Maternal and fetal complications occur due to poor control of asthma. There are concerns that management of bronchial asthma in pregnant women should be optimal by the health professionals. Objective: The aim of the study was to evaluate the knowledge and practices of young female doctors about the bronchial asthma management in pregnancy. Study Design: Randomized evidence based. Study Setting: Punjab Public Service Commission (PPSC) interviews for women medical officers and female doctors working in different medical units and chest unit of Mayo Hospital a tertiary care hospital affiliated with King Edward Medical University, Lahore. Materials and Methods: A questionnaire based survey of knowledge and practices of one hundred and one female doctors in the management of bronchial asthma was made. Amongst these, 32 doctors were FCPS 1 in medicine and gynecology. Remaining 69 doctors were in the pipeline and they have completed one year house job in different specialties. The case scenario was Asthma management approach during pregnancy in a stable patient of moderate severity. Inclusion Criteria 1. All those female doctors who have completed one year house job. 2. Female doctors working in gynecology, medicine, surgery and allied specialties. Results: Overall 14 (13.6%) doctors (5 (35.7%) PGs and 9 (64.3%) Non PGs) have the standard prescription of inhaled corticosteroids with long acting inhaled B2 agonists and montelukast as controller medication and short acting inhaled B2 agonist as needed as reliever medication according to the standard guidelines. Conclusion: The majority of young female doctors had the suboptimal knowledge and practice of asthma management in pregnancy. We suggest initiating the training programs to optimize their knowledge and practices. (author)

"Tough Love and Tears": Learning Doctoral Writing in the Sciences

Science.gov (United States)

Aitchison, Claire; Catterall, Janice; Ross, Pauline; Burgin, Shelley

2012-01-01

Contemporary changes to the doctorate mean student researchers are likely to be expected to write differently, write more and more often, and yet, despite a growing interest in doctoral education, we still know relatively little about the teaching and learning practices of students and supervisors vis-a-vis doctoral writing. This paper draws from…

Las fábricas de la charla en Chile: apuntes preliminares sobre la materialidad y la subjetividad del trabajo en los call centers

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Areli Escobar Salazar

2013-06-01

Full Text Available Este artículo expone los resultados preliminares de la investigación doctoral en Antropología, orientada a conocer la materialidad y la subjetividad del trabajo de los call centers en Chile. Un salario definido por metas inalcanzables, el maltrato, el cansancio de nuevo tipo, la doble extracción del valor productivo y reproductivo de las mujeres trabajadoras y su entorno familiar, la explotación de las capacidades subjetivas, entre otros aspectos, dan cuenta de las nuevas formas que asume la precarización del trabajo. Las fábricas de la charla en Chile son un claro ejemplo de las formas que asume la organización del trabajo en el escenario laboral contemporáneo.

El Descubrimiento del Origen Carencial del Bocio por Boussingault

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J. Lavollay

1987-04-01

Full Text Available

(Tomado de: MEDICAMENT A. Revista de estudios y trabajos profesionales de ciencias médicas. Director: Prof. Dr. Pedro Laín Entralgo. Año XII, No. 262, Madrid, Nov. 13, 1954, págs. 315-318.

Nota Preliminar

No hace mucho visité en su laboratorio al profesor Lavollay, uno de los mejores bioquímicos de Francia como es bien sabido, y un gran amigo de España. Me leyó entonces unas páginas de Boussingault, su antecesor en la cátedra del Conservatorio de Artes y Oficios de París, sobre el origen del bocio, altamente interesantes. Le animé a que las publicara, y amablemente puso a nuestra disposición el adjunto artículo, que ha traducido el doctor don Antonio Salces.

Boussingault (1802-1887, discípulo de la Escuela de Minería de Saint-Etienne (Francia, fue muy joven llamado a dirigir una explotación minera inglesa en Nueva Granada. Durante la sublevación de nuestras colonias estuvo agregado al Estado Mayor de Bolívar con el grado de coronel.

El mismo año que realizó la encuesta que cuenta Lavollay, hizo su ascensión al Chimborazo, muy conocida entre nosotros.

Vuelto a Francia, ocupó una cátedra de Química en Lyon, y pronto la del Conservatorio de Artes y Oficios de París, que desempeñó hasta su muerte.

Son notabilísimos sus trabajos sobre Química, Física y Meteorología aplicables a la Agricultura y a la Fisiología vegetal.

(Nota del profesor J. Ma. del Corral.

J.B. Boussingault, que con el tiempo llegaría a ser uno de los fundadores de la química agrícola, ha contado (1 cómo tuvo que ocuparse del bocio cuando, siendo joven ingeniero, vivía en América del Sur.

“El ministro de la Guerra del Gobierno colombiano, después de exponerme los inconvenientes que para el servicio militar ofrecía el bocio, me encargó de investigar el origen de éste. Me permit

[Doctor-patient relationship in the context of a changing society].

Science.gov (United States)

Siebzehner, Miriam Ines; Balik, Chaya; Matalon, Andre

2008-12-01

During the 20th century doctors gained a special status in the medical system, which is about to change as a consequence of a change in the doctor-patient relationship and in the characteristics of the labor market in health care. Some changes correspond with the adoption of business terms within the medical system. The doctor is represented as a supplier of services, while the patient is a consumer. From patient-centered care, the doctor-patient relationship changed to a costumer-supplier of services, as is the case in other fields of the consumer society. This article analyzes the changes in the patterns of the doctor-patient interactions in the light of the changes in society over the last decades such as: the creation of regulations and laws on patients' rights; the establishment of organizations that represent the sick, the distribution of knowledge and information by means of mass communication, changes in the status of the doctors, the academization of other health professionals and changes in the management of health care to a more financially viable approach to the costs of health.

[RELATIONSHIP BETWEEN JUNIOR AND SENIOR DOCTORS: A BUBERIAN MODEL].

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Pougnet, Richard; Pougnet, Laurence

2016-01-01

Doctors in training work in services under the supervision of senior doctors. These professional relationships may lead to frustrations, or ill-being at work. Indeed doctors are often very busy with care and can hardly communicate. The purpose of this article is to propose ways to think in its ethical dimension this relationship, by learning from Martin Buber's ideas. He thought a philosophy of relationship in two word pairs: I-Thou and I-It. This thought can be useful in the context of the médical relationship and mentorship. Indeed we can see our colleague as a person or only as a caregiver. We offer a relationship model according to buberian thought, between junior and senior doctor caring about the same patients.

Medical doctors in healthcare leadership: theoretical and practical challenges.

Science.gov (United States)

Denis, Jean-Louis; van Gestel, Nicolette

2016-05-24

While healthcare systems vary in their structure and available resources, it is widely recognized that medical doctors play a key role in their adaptation and performance. In this article, we examine recent government and organizational policies in two different health systems that aim to develop clinical leadership among the medical profession. Clinical leadership refers to the engagement and guiding role of physicians in health system improvement. Three dimensions are defined to conduct our analysis of engaging medical doctors in healthcare leadership: the position and status of medical doctors within the system; the broader institutional context of governmental and organizational policies to engage medical doctors in clinical leadership roles; and the main factors that may facilitate or limit achievements. Our aim in this study is exploratory. We selected two contrasting cases according to their level of institutional pluralism: one national health insurance system, Canada, and one etatist social insurance system, the Netherlands. We documented the institutional dynamics of medical doctors' engagement and leadership through secondary sources, such as government websites, key policy reports, and scholarly literature on health policies in both countries. Initiatives across Canadian provinces signal that the medical profession and governments search for alternatives to involve doctors in health system improvement beyond the limitations imposed by their fundamental social contract and formal labour relations. These initiatives suggest an emerging trend toward more joint collaboration between governments and medical associations. In the Dutch system, organizational and legal attempts for integration over the past decades do not yet fit well with the ideas and interests of medical doctors. The engagement of medical doctors requires additional initiatives that are closer to their professional values and interests and that depart from an overly focus on top down

Medical Doctors Perceptions of Genetically Modified Foods

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Hasan Savas

2014-12-01

Full Text Available Aim: Recombinant DNA and with similar technical changes made on genes or transferred isolated gene the living organisms have been named genetically modified organisms (GMOs. Thanks to advances in genetic technology, the advancement of enzyme and fermentation techniques result obtained by the use of GMOs in food industry products of genetically modified (GM foods are named. In this study, GM foods about the possible harmful effects have information and community advice on this matter to be medical doctors on this issue perceptions, knowledge, attitudes and behaviors aimed to measure.Material and Method: The study was made on including 200 medical doctors aged 23-65, 118 men (59%, 82 women (41%. In the statistical analysis based on the responses of medical doctors, against GM food risk perception, knowledge, attitudes and behaviors were assessed. Results: 80.5% of the participants’ think that GM foods are harmful. 22% of the participants were expressed that their knowledge are ‘’good’’ and ‘’very good’’ about GM food. While 38% of the participants use internet and 23.5% of the participants  use media, only 4.5% of the participants use medical schools as a source of sufficient information about GM foods. Discussion: While the risk perception of medical doctors about GM foods is high, the knowledge on this issue is observed low. Though the consumption and the prevelance of GM foods are increasing, medical doctors should have more information about this issue to enlighten and guide the community.

Bacterial contamination of medical doctors' white coats as ...

African Journals Online (AJOL)

Keywords: Medical doctors, White coats, Bacteria, Hospital, Infection, Healthcare. INTRODUCTION. Hospital environment have been reported to be strong ... the hospital environment to the perception of a .... impact on the number of isolates present on the sleeve. ..... healthcare setting to safeguard both the doctors and their ...

Informe que el auxiliar encargado del puesto de "electrocardiografia" del laboratorio de fisiología presenta al profesor del curso, doctor Alfonso Esguerra Gómez

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Mario Gaitán Yanguas

1943-01-01

poco a poco en todos los secretos de su Curso hasta que nos hizo sentir la necesidad de seguir adelante por nuestra propia cuenta; puso a nuestra disposición un magnífico Laboratorio muy bien dotado y mejor organizado; echó las bases y nos impulsó a la búsqueda de lo que según él debe ser el verdadero objeto del curso de Fisiología: hacer un texto que sea nuestro, que se aplique a nuestra raza, para no tener que acudir a datos de investigaciones extranjeras.

Talking to Your Doctor

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Full Text Available ... Lines Health Services Locator HealthCare.gov NIH Clinical Research Trials and You Talking to Your Doctor Science ... More » Quick Links NIH News in Health NIH Research Matters NIH Record Research & Training Medical Research Initiatives ...

Talking to Your Doctor

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Full Text Available ... can play an active role in your health care by talking to your doctor. Clear and honest ... Institute on Aging (NIA) Cancer Communication in Cancer Care , National Cancer Institute (NCI) Español Complementary and Integrative ...

The Doctor and Society*

African Journals Online (AJOL)

the pressure of his own discipline he should be an edu- cated person in the ... found and multiform influence on social norms and human .destiny. The paths of ... This broad approach is fundamental to a sound doctor- patient relationship.

Impact of doctors' resistance on success of drug utilization review system.

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Choi, Jong Soo; Yun, Seong Hyeon; Kim, Dongsoo; Park, Seung Woo

2014-04-01

The drug utilization review (DUR) system, which checks any conflict event of medications, contributes to improve patient safety. One of the important barriers in its adoption is doctors' resistance. This study aimed to analyze the impacts of doctors' resistance on the success of the DUR system. This study adopted an augmented the DeLone and McLean Information System (D&M IS) Success Model (2003), which used doctors' resistance as a socio-technological measure. This study framework is the same as that of the D&M IS Success Model in that it is based on qualities, such as system, information, and services. The major difference is that this study excluded the variable 'use' because it was not statistically significant for mandatory systems. A survey of doctors who used computers to enter prescriptions was conducted at a Korean tertiary hospital in February 2012. This study is very meaningful in that it is the first study to explore the success factors of the DUR system associated with doctors' resistance. Doctors' resistance to the DUR system was not statistically associated with user usefulness, whereas it affected user satisfaction. The results indicate that doctors still complain of discomfort in using the DUR system in the outpatient clinical setting, even though they admit that it contributes to patient safety. To mitigate doctors' resistance and raise user satisfaction, more opinions from doctors regarding the DUR system have to be considered and have to be reflected in the system.

El humedal sur del Lago Pátzcuaro (México) : balance hídrico, hidroquímica y funcionalidad= Lake Pátzcuaro south wetland (México): hydrological balance, hydrochemical and functionality

OpenAIRE

Rendón López, Martha Beatriz

2015-01-01

El presente trabajo de tesis doctoral tiene como objetivos generales: a) Determinar el balance hídrico del humedal identificando los elementos hidrológicos que intervienen y su respuesta ante las variaciones temporales. b) Caracterizar la hidroquímica de las aguas superficiales del humedal y analizar su variación espacial en base a los principales impactos que sufre. c) Explorar la capacidad de retención de nutrientes y materia orgánica que son transportados a través del humedal. ...

La formación investigativa en la fundación Universitaria del Área Andina entrevista a Phd Eduardo Mora Bejarano

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Gloria Marlen Aldana de Becerra

2018-05-01

Full Text Available El propósito de la presente entrevista es evidenciar la gestión de la formación investigativa que se viene realizando en la Fundación Universitaria del Área Andina -sede Bogotá (Colombia, bajo la dirección del doctor Eduardo Mora Bejarano. Desde el entendido que la investigación, como formación y/o como producción de conocimiento, contribuye a potenciar las capacidades de los profesionales para incursionar activamente en la sociedad, la Fundación Universitaria del Área Andina le ha atribuido valor relevante, lo cual ha requerido implementar diferentes estrategias como el fortalecimiento a grupos y semilleros de investigación.

Doctors' service orientation in public, private, and foreign hospitals.

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Andaleeb, Syed Saad; Siddiqui, Nazlee; Khandakar, Shahjahan

2007-01-01

The purpose of this study is to propose a doctors' service orientation (DSO) scale and uses it to compare the services received in public, private and foreign hospitals in a developing country from the patient's perspective. The scale was derived from the service quality literature and qualitative research. A questionnaire was designed next. Data were collected from patients who had used the services of doctors in a hospital. The scale demonstrated appropriate psychometric properties. Two clear patterns emerge from the study results: on 10 out of 12 measures of doctors' service orientation, there was no significant difference in their perceived behaviors between public and private hospitals and foreign doctors were "always" rated significantly higher. This study focused on one major city because of time and resource constraints. The findings are thus not generalizable to hospitals across the country. Also, because of translation and retranslation issues, the scale ought to be further tested for wider use. The scale may be used periodically in a comprehensive quality assurance program to exhort doctors to become more service oriented and to improve their performance over time.

The Gritty: Grit and Non-traditional Doctoral Student Success

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Ted M. Cross

2014-07-01

Full Text Available As higher education is changing to reach larger numbers of students via online modalities, the issue of student attrition and other measures of student success become increasingly important. While research has focused largely on undergraduate online students, less has been done in the area of online non-traditional doctoral student success, particularly from the student trait perspective. The concept of grit, passion and persistence for long-term goals, has been identified as an important element of the successful attainment of long-term goals. As doctoral education is a long-term goal the purpose of this study was to examine the impact of doctoral student grit scores on student success. Success was measured by examining current student GPA and other factors. Significant relationships were found between grit and current student GPA, grit and the average number of hours students spent on their program of study weekly, and grit and age. The results of this research maybe important for informing how doctoral education is structured and how students might be better prepared for doctoral work.

Doctoral learning: a case for a cohort model of supervision and support

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Naydene de Lange

2011-01-01

Full Text Available We document the efforts of the faculty of education of a large research-oriented university in supporting doctoral learning. The development of a space for doctoral learning is in line with the need to develop a community of researchers in South Africa. We describe the historical origins of this cohort model of doctoral supervision and support, draw on literature around doctoral learning, and analyse a cohort of doctoral students' evaluation of the seminarsoverthree years. The findings indicate that the model has great value in developing scholarship and reflective practice in candidates, in providing support and supervision, and in sustaining students towards the completion of their doctorates.

Doctoral Student Learning Patterns: Learning about Active Knowledge Creation or Passive Production

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Vekkaila, Jenna; Pyhältö, Kirsi

2016-01-01

Doctoral studies are about learning to create new knowledge and to become a researcher. Yet surprisingly little is known about the individual learning patterns of doctoral students. The study aims to explore learning patterns among natural science doctoral students. The participants included 19 doctoral students from a top-level natural science…

Reflections on Doctoral Education in Chemistry. Carnegie Essays on the Doctorate: Chemistry.

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Kwiram, Alvin L.

The Carnegie Foundation commissioned a collection of essays as part of the Carnegie Initiative on the Doctorate (CID). Essays and essayists represent six disciplines that are part of the CID: chemistry, education, English, history, mathematics, and neuroscience. Intended to engender conversation about the conceptual foundation of doctoral…

Caracterización del biodiesel y análisis de su influencia en las propiedades físico-químicas de los materiales afectados por su uso en automoción

OpenAIRE

Martínez López, María Iris

2012-01-01

En el desarrollo de esta Tesis Doctoral se ha analizado la compatibilidad del biodiesel comercial con el motor diesel, para lo cual se han realizado los siguientes estudios: 1. Estudio fisico-químico inicial del biodiesel y de sus mezclas. El biodiesel es un combustible renovable derivado de aceites o grasas de origen vegetal o animal. El prefijo bio- hace referencia a su naturaleza renovable y biológica en contraste con el combustible diesel tradicional derivado del petroleo; ...

Talking to Your Doctor

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Full Text Available ... Info Lines Health Services Locator HealthCare.gov NIH Clinical Research Trials and You Talking to Your Doctor Science ... Labs & Clinics Training Opportunities Library Resources Research Resources Clinical Research Resources Safety, Regulation and Guidance More » Quick Links ...

Talking to Your Doctor

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Full Text Available ... Repayment More » Search the NIH Guide Quick Links RePORT eRA Commons NIH Common Fund NIH and the ... if you feel embarrassed or shy. Have an open dialogue with your doctor — ask questions to make ...

Signature Pedagogy in California State University Educational Doctorates

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Slater, Charles; Brown-Welty, Sharon; Cohn, Kathleen; Rodriguez, Jesus

2009-01-01

The purpose of this paper is to examine signature pedagogies for the education doctorate. Three California State University campuses that have started new Ed.D. programs examine practices that distinguish the education doctoral experience from other professions. Embedded field work, the professional seminar, and the research and writing support…

Doctoral Advising or Mentoring? Effects on Student Outcomes

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Lunsford, Laura

2012-01-01

This study investigated the extent to which doctoral advisors provided mentoring to their students and if mentor support influenced doctoral student outcomes. Survey results from 477 respondents, across disciplines at two universities, indicated that most students believed mentoring was important and over half of them received mentoring support…

Assessment of Examinations in Computer Science Doctoral Education

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Straub, Jeremy

2014-01-01

This article surveys the examination requirements for attaining degree candidate (candidacy) status in computer science doctoral programs at all of the computer science doctoral granting institutions in the United States. It presents a framework for program examination requirement categorization, and categorizes these programs by the type or types…

Diabetes and oral health: doctors' knowledge, perception and practices.

Science.gov (United States)

Al-Habashneh, Rola; Barghout, Nicola; Humbert, Lewis; Khader, Yousef; Alwaeli, Hayder

2010-10-01

To assess Jordanian doctors' knowledge of the connection between diabetes and oral health and assess their willingness to advise their diabetic patients to seek dental treatment and determine the associated factors. Data were collected from 164 doctors practising in Jordan using a structured questionnaire. Chi-squared test and regression analyses were conducted to reveal factors influencing the awareness, perception and knowledge of health care professionals regarding diabetes and oral health. Of the respondents, 70% had heard of the link between diabetes and oral health. The majority agreed that diabetes increased the tendency to have periodontitis but only half advised their diabetic patients to consult a dentist concerning their oral health. Only a third of doctors agreed that oral health was an issue in controlling diabetes. Books, magazines and pamphlets were the main source of information with the rate of 58%, medical journals and medical curriculum were the second and third sources, respectively. General medical practitioners were less informed than specialized doctors about the relationship between oral health and diabetes. Factors that significantly predicted doctors would advise dental visits were: (1) being a specialist (P = 0.037); (2) having positive knowledge about the association between diabetes and oral health (P = 0.02, P = 0.007 and P = 0.004, respectively). There is limited knowledge of the relationships between oral health and diabetes. The more knowledgeable doctors are, the more likely they are to make dental referrals. Screening and referral by health professionals may benefit diabetic patients by improving access to dental care. Therefore, there is a need to educate doctors about oral health and diabetes. © 2010 Blackwell Publishing Ltd.

The role of doctors in provision of support for primary health care ...

African Journals Online (AJOL)

South African Family Practice ... Twelve clinics reported that doctors spent time teaching staff during the visit. ... During focus group discussions, both doctors and nurses stated that doctors' visits were generally helpful, but both groups felt strongly that the time spent in the clinic during visits was too short, and that the doctor ...

De la calle a la red: videoactivismo en el contexto de las protestas en contra del mundial de fútbol en Río de Janeiro (2014)

OpenAIRE

Nunes de Sousa, Ana Lúcia

2017-01-01

En finales de mayo del 2013, Río de Janeiro vivía un momento de intensificación de las luchas sociales, en virtud de la realización de mega-eventos como Copa de las Confederaciones de Fútbol, Jornada Mundial de la Juventud, etc. En esta investigación doctoral, se propuso comprender el desarrollo de la práctica videoactivista, en Río de Janeiro, el contexto de las protestas en contra del Mundial de Fútbol del 2014. La investigación tiene como objetivos específicos reflexionar acerca de los pro...

First district sanitary doctor of Katerynoslav

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M.P. Chaban

2017-02-01

Full Text Available The life and professional activity of Vasyl Tymofiiovych Skrylnikov — a famous doctor-hygienist, scientist, and public figure have been represented. V.T. Skrylnikov contributed to the development of sanitary-prophylaxis direction in zemstvo medicine in Katerynoslav province in the second half of the 19th century; he was the first district sanitary doctor in Katerynoslav. The scientist actively studied medical features of natural agents, namely Tymofiivska clay. He successfully worked at Sloviansk resort, was the editor of a local newspaper. V.T. Skrylnikov is an author of many works on balneotherapy.

Symbolism in Harold Pinter's The Caretaker,and Taha Salem's Madina That Al-Jather Al-Takibi A Comparative Study

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Nadia Ali Akbar

2017-03-01

Full Text Available The twentieth century represents a new shift in the understanding of the circumstances which effect the state of man. New moralities, new values and new estimations were created. Two World Wars brought not only hardships and damages, but also an enlargement in the scope and perception of artists. It is worth nothing that symbolism forms an indispensable part in the theatre of the Absurd. Harold Pinter was an English playwright, screenwriter, actor, director, political, activist, and poet. He was among the most influential British playwrights of modern times, and in 2005 he was awarded the Noble Prize for literature. Pinter's plays must be read many times in order to realize the extent of the symbolism that he uses. In The Caretaker 1959; it is a three act play, he uses the symbols to reflect that the modern world is in a state of absurdity and mess, and man as a part of his world becomes a real reflection of this absurdity and mess in all its kinds. Modern man loses his belief and certainty in such things as love, charity, and understanding as Pinter argues that every man encounters violence in some way or other. All this is clearly represented by the three characters in The Caretaker especially Davies. Taha Salem is another Iraqi playwright who was utilized or assimilated different event grade techniques to convey certain social aims. Madina Taht Al-Jather Al-Takibi. (A City Under A Cubic Root is a play with some awareness of the Absurd drama. This awareness is mainly materialized in the overuse of symbolism which is one of the basic aspects of the theatre of the Absurd.