Travel itinerary uncertainty and the pre-travel consultation--a pilot study.

Science.gov (United States)

Flaherty, Gerard; Md Nor, Muhammad Najmi

2016-01-01

Risk assessment relies on the accuracy of the information provided by the traveller. A questionnaire was administered to 83 consecutive travellers attending a travel medicine clinic. The majority of travellers was uncertain about destinations within countries, transportation or type of accommodation. Most travellers were uncertain if they would be visiting malaria regions. The degree of uncertainty about itinerary potentially impacts on the ability of the travel medicine specialist to perform an adequate risk assessment, select appropriate vaccinations and prescribe malaria prophylaxis. This study reveals high levels of traveller uncertainty about their itinerary which may potentially reduce the effectiveness of their pre-travel consultation. © The Author 2016. Published by Oxford University Press on behalf of International society of travel medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Does professional-centred training improve consultation outcomes?

DEFF Research Database (Denmark)

Parkin, Tracey; Barnard, K.; Cradock, S.

2006-01-01

discussed and decisions made. Patients also completed the Health Care Climate Questionnaire (HCCQ). Pre-training results were fed back to the professionals to provide an objective measure of current practice. Training day one comprised 10 minutes' observation of videoed consultations of each professional......This study aimed to examine whether professional-centred training improves consultation outcomes. Using a pre- and post-data collection design. Immediately after consultations, professionals and patients completed a consultation review sheet which was coded for the level of agreement on issues...... in order to identify strengths and training needs. Each professional identified key areas of their consultation that they felt needed further development. Training day two centred on goal setting and negotiating agendas as these were identified as priority areas requiring more skills. Data from 110...

Pre-travel consultation: evaluation of primary care physician practice in the Franche-Comté region.

Science.gov (United States)

Piotte, Emeline; Bellanger, Anne-Pauline; Piton, Gaël; Millon, Laurence; Marguet, Philippe

2013-01-01

Primary care physicians (PCP) are first in line to provide adequate pre-travel medical advice. Little data are available on the content of pre-travel PCP consultations in France. We undertook an observational survey to assess the level of specific knowledge among PCPs on health advice, vaccinations, and malaria prophylaxis. Standardized questionnaires were sent to a random sample of 400 PCPs practicing in the Franche-Comté regions (eastern France) who were asked to complete and return it on a voluntary and anonymous basis. The questionnaire requested sociodemographic details, practice-related characteristics, and proposed three clinical situations with multiple choice questions (MCQ). To identify factors associated with a higher level of specific knowledge in travel medicine, results were studied by uni- and multivariate analyses. An overall score was calculated based on the MCQ answers and a motivation score was calculated based on parameters such as frequency and developments in pre-travel consulting at the practice, PCPs' personal experience as travelers, and the formal agreement of PCPs to administer yellow fever vaccination. The response rate was 37.5%, with 150 questionnaires returned completed and suitable for analysis. After multivariate logistic regression, the three variables associated with a higher score were: proximity of a vaccination center (p = 0.001), motivation score (p = 0.004), and absence of request for expert advice on malaria prophylaxis (p = 0.007). PCPs play an important role in travel medicine. This study showed that their high level of knowledge in travel medicine was mostly linked to their motivation to practice in this specialized discipline. © 2013 International Society of Travel Medicine.

Pre-return-to-work medical consultation for low back pain workers. Good practice recommendations based on systematic review and expert consensus.

Science.gov (United States)

Petit, A; Rozenberg, S; Fassier, J B; Rousseau, S; Mairiaux, P; Roquelaure, Y

2015-10-01

The pre-return-to-work medical consultation during sick leave for low back pain (LBP) aims at assessing the worker's ability to resume working without risk for his/her health, and anticipating any difficulties inherent to returning to work and job retention. This article summarizes the good practices guidelines proposed by the French Society of Occupational Medicine (SFMT) and the French National Health Authority (HAS), and published in October 2013. Good practices guidelines developed by a multidisciplinary and independent task force (24 experts) and peer review committee (50 experts) based on a literature review from 1990 to 2012, according to the HAS methodology. According to the labour regulations, workers can request a medical consultation with their occupational physician at any time. The pre-return-to-work consultation precedes the effective return-to-work and can be requested by the employee regardless of their sick leave duration. It must be scheduled early enough to: (i) deliver reassuring information regarding risks to the lower back and managing LBP; (ii) evaluate prognostic factors of chronicity and prolonged disability in relations to LBP and its physical, social and occupational consequences in order to implement the necessary conditions for returning to work; (iii) support and promote staying at work by taking into account all medical, social and occupational aspects of the situation and ensure proper coordination between the different actors. A better understanding of the pre-return-to-work consultation would improve collaboration and coordination of actions to facilitate resuming work and job retention for patients with LBP. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

El derecho a la consulta de los pueblos indígenas en Chile: Avances y desafíos (2009-2012

Directory of Open Access Journals (Sweden)

Alexandra Tomaselli

2014-09-01

Full Text Available En 2008, bajo la presidencia de Michelle Bachelet, el Convenio N.169 de la Organización Internacional de Trabajo (OIT fue, por fin, ratificado por Chile. La entrada en vigor del Convenio N.169 el año siguiente aumentó especialmente el debate acerca del derecho a la consulta reconocido en el artículo 6 del Convenio con diversas consecuencias. A nivel legislativo, la adopción de un reglamento fue debatido por las organizaciones indígenas por reducir el alcance del derecho a la consulta. A nivel administrativo, las oficinas de la Comisión Nacional de Desarrollo Indígena (CONADI realizaron diversas consultas. Al mismo tiempo, algunas Cortes de Apelaciones empezaron a aplicar este mismo derecho en unos Recursos de Protección presentados por comunidades indígenas. Por lo tanto, este artículo examina cómo se ha reconocido y aplicado el derecho a la consulta en Chile en los últimos tres años (2009–2012 a nivel legislativo, administrativo y jurisprudencial a través el análisis de las fuentes normativas, de los actos y reglamentos administrativos y de unos de los fallos más importante en materia. English: In 2008, under the presidency of Michelle Bachelet, the International Labour Organization (ILO Convention No.169 was finally ratified by Chile. Its entry into force the year after particularly fuelled the debate on the right to consultation recognized in article 6 of the Convention 169. This caused different consequences. At legal level, the adoption of a decree was contested by indigenous organizations to reduce the impact of the right to. At administrative level, some regional offices of 'Comisión Nacional de Desarrollo Indígena '(CONADI realized some consultations. During the same period, some Court of Appeals started to apply the right to consultation in 'Amparo 'cases brought before the courts by the indigenous communities. Thus, this article tackles how the right to consultation has been recognized and applied in Chile in the

Routine Immunization Consultant Program in Nigeria: A Qualitative Review of a Country-Driven Management Approach for Health Systems Strengthening.

Science.gov (United States)

O'Connell, Meghan; Wonodi, Chizoba

2016-03-01

Since 2002, the Nigerian government has deployed consultants to states to provide technical assistance for routine immunization (RI). RI consultants are expected to play a role in supportive supervision of health facility staff, capacity building, advocacy, and monitoring and evaluation. We conducted a retrospective review of the RI consultant program's strengths and weaknesses in 7 states and at the national level from June to September 2014 using semi-structured interviews and online surveys. Participants included RI consultants, RI program leaders, and implementers purposively drawn from national, state, and local government levels. Thematic analysis was used to analyze qualitative data from the interviews, which were triangulated with results from the quantitative surveys. At the time of data collection, 23 of 36 states and the federal capital territory had an RI consultant. Of the 7 states visited during the study, only 3 states had present and visibly working consultants. We conducted 84 interviews with 101 participants across the 7 states and conducted data analysis on 70 interviews (with 82 individuals) that had complete data. Among the full sample of interview respondents (N = 101), most (66%) were men with an average age of 49 years (±5.6), and the majority were technical officers (63%) but a range of other roles were also represented, including consultants (22%), directors (13%), and health workers (2%). Fifteen consultants and 44 program leaders completed the online surveys. Interview data from the 3 states with active RI consultants indicated that the consultants' main contribution was supportive supervision at the local level, particularly for collecting and using RI data for decision making. They also acted as effective advocates for RI funding. In states without an RI consultant, gaps were highlighted in data management capacity and in monitoring of RI funds. Program design strengths: the broad terms of reference and autonomy of the consultants

78 FR 48342 - Consultation Agreements: Proposed Changes to Consultation Procedures

Science.gov (United States)

2013-08-08

... clarify the high priority enforcement cases when OSHA may initiate a non-programmed inspection at those.... OSHA-2010-0010] RIN 1218-AC32 Consultation Agreements: Proposed Changes to Consultation Procedures AGENCY: Occupational Safety and Health Administration (OSHA), Labor. ACTION: Withdrawal of proposed rule...

Secret Message Decryption: Group Consulting Projects Using Matrices and Linear Programming

Science.gov (United States)

Gurski, Katharine F.

2009-01-01

We describe two short group projects for finite mathematics students that incorporate matrices and linear programming into fictional consulting requests presented as a letter to the students. The students are required to use mathematics to decrypt secret messages in one project involving matrix multiplication and inversion. The second project…

Indígenas Antropólogos e o Espetáculo da Alteridade

Directory of Open Access Journals (Sweden)

Felipe Sotto Maior Cruz

2017-08-01

Full Text Available No presente artigo, apresento uma reflexão sobre a entrada de estudantes indígenas nas universidades brasileiras, enfatizando, a partir de minha experiência enquanto indígena antropólogo, o contexto dessa inserção em pós-graduações de antropologia. O meu foco de análise é a problemática que envolve a histórica invisibilidade indígena e os desafios de afirmação do protagonismo indígena nas academias frente às políticas de enunciação consolidadas nas práticas universitárias e à imagética nacional em torno da figura do “índio”.  Palavras-Chave: indígenas antropólogos, indígenas na universidade, educação indígena, indigenismo, relações interétnicas. Indigenous Anthropologists and the Spectacle of Otherness Abstract In this article I ponder on the access of indigenous students to Brazilian universities. From my own experience as an indigenous anthropologist, I focus on the context in which indigenous students are admitted to graduate programs in anthropology. I analyze the Indians' historical invisibility and the challenges they face to consolidate their roles in academy vis-à-vis the politics of enunciation that are deeply rooted in university practices and in the national imagery about the "Indian." Key Words: Indigenous anthropologists, University Indians, indigenous education, indigenism, interethnic relations. Indígenas Antropólogos y el Espectáculo de la Alteridad Resumen En el presente artículo presento una reflexión sobre la entrada de estudiantes indígenas en las universidades brasileñas, enfatizando, a partir de mi experiencia como indígena antropólogo, el contexto de esa inserción en los posgrados de antropología. Mi foco de análisis es la problemática que envuelve la histórica invisibilidad indígena y los desafíos de afirmación del protagonismo indígena en la academia frente a las políticas de enunciación consolidadas en las prácticas universitarias y la imagen nacional en

The chemical stockpile intergovernmental consultation program: Lessons for HLW public involvement

International Nuclear Information System (INIS)

Feldman, D.L.

1991-01-01

This paper assesses the appropriateness of the US Army's Chemical Stockpile Disposal Program's (CSDP) Intergovernmental Consultation and Coordination Boards (ICCBs) as models for incorporating public concerns in the future siting of HLW repositories by DOE. ICCB structure, function, and implementation are examined, along with other issues relevant to the HLW context. 27 refs

A Qualitative Investigation into the Experience of Neuro-Linguistic Programming Certification Training among Japanese Career Consultants

Science.gov (United States)

Kotera, Yasuhiro

2018-01-01

Although the application of neuro-linguistic programming (NLP) has been reported worldwide, its scientific investigation is limited. Career consulting is one of the fields where NLP has been increasingly applied in Japan. This study explored why career consultants undertake NLP training, and what they find most useful to their practice. Thematic…

Medication education and consultation at a senior dining program for independently living seniors.

Science.gov (United States)

Schmiedt, Dean; Ellingson, Jody

2010-08-01

To determine if pharmacist involvement within a senior dining program benefits diners by addressing their medication-related questions, using educational sessions, and providing individual consultations. Catholic Charities Senior Dining sites in central Minnesota. Pharmacists went to three senior dining sites, providing educational sessions and individual consultations to independently living senior diners. Pharmacists developed a program, in a nontraditional setting, that used educational sessions and individual consultations to assist seniors with their medication-related questions. The number of diner questions, significant issues raised, issues addressed, and level of diner satisfaction. Pharmacists made 36 visits from January to December 2009. During those visits they presented educational talks to 3,089 diners, and 12.4% of all diners spoke individually with pharmacists. Pharmacists addressed 581 questions or concerns from 384 diners. Significant issues were noted in 25.8% of individual consultations (144 questions). The most common significant issues included: adverse drug reactions (59), indications without treatment (27), and drug interactions (23). Nonopioid analgesics, antilipemics, and antihypertensive medications were most commonly involved in significant issues. Satisfaction surveys were strongly positive, with 97% indicating pharmacists had addressed their medication-related concern; only 3% did not reply. Almost half (42.7%) of satisfaction surveys indicated the diner would change something as a result of meeting with the pharmacist. Pharmacist availability in a nontraditional setting can assist seniors with addressing potentially significant medication-related issues. Independently living seniors will seek out information from a pharmacist in a convenient setting.

Educacion y salud indígena: preámbulo a un futuro ciudadano.

Directory of Open Access Journals (Sweden)

Edgar Merchán Hamann

2012-03-01

Full Text Available Los autores se refieren a la presencia de estudiantes indígenas en las universidades brasileñas, que constituye objeto de críticas y debates. Los indicadores de salud en las comunidades indígenas muestran las desventajas e inequidades acumuladas al cabo de siglos de exclusión. Delante de este cuadro, los autores hacen un contraste entre las estrategias posíbles de “perdón y olvido “ o de “justicia y reparación”. De la formulación de políticas de protección y garantía de derechos hasta su efectivación, hay un recorrido complejo y, a veces, azaroso. Siempre habrá presiones y, ocasionalmente, abusos y distorciones que son habilmente aprovechados por los enemigos de la política pública y defensores del Estado mínimo. Los autores creen que deben ser fomentados y creados espacios de diálogo para la realización de debates que contribuyan a superar las grandes dicotomías y tensiones dialécticas entre: aculturación versus preservación; etnología tradicional versus antropología en la multiculturalidad; etnopolítica versus resistencia étnica; reconocimiento versus reificación excluyente; identidad hegemónica de nación versus identidades colectivas particulares, entre otros.

Has the inclusion of a longitudinally integrated communication skills program improved consultation skills in medical students? A pilot study.

Science.gov (United States)

Shah, Sameena; Andrades, Marie; Basir, Fasia; Jaleel, Anila; Azam, Iqbal; Islam, Muhammad; Ahmed, Rashida

2016-01-01

Evidence highlights a lack of communication skills in doctors leading to dysfunctional consultations. To address this deficit, a private medical college instituted curricular reforms with inclusion of a longitudinal communication skills program. A pilot study was undertaken to evaluate the effectiveness of this program by comparing the consultation skills of medical students of this college with a medical college without a communication skills program. A 4-station Objective Structured Clinical Examination (OSCE) was conducted in the third and final year. Mann-Whitney U-test was used to compare the difference in the distribution between OSCE stations total and construct scores. At the end of the third year, 21 (31.34%), students of the study site (medical college 1 [college with integrated longitudinal communication skills program]) and 31 (46.26%) students from the comparison site (medical college 2 [comparable college without communication skills program]) consented. Medical college 1 achieved a significantly higher overall mean total station score of 68.0% (standard deviation [SD] =13.5) versus 57.2% (SD = 15.4) (P skills in an undergraduate curriculum positively impacted consultation skills. Community-based training and faculty development are required to develop effective patient-centered consultation skills.

Can wide consultation help with setting priorities for large-scale biodiversity monitoring programs?

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Frédéric Boivin

Full Text Available Climate and other global change phenomena affecting biodiversity require monitoring to track ecosystem changes and guide policy and management actions. Designing a biodiversity monitoring program is a difficult task that requires making decisions that often lack consensus due to budgetary constrains. As monitoring programs require long-term investment, they also require strong and continuing support from all interested parties. As such, stakeholder consultation is key to identify priorities and make sound design decisions that have as much support as possible. Here, we present the results of a consultation conducted to serve as an aid for designing a large-scale biodiversity monitoring program for the province of Québec (Canada. The consultation took the form of a survey with 13 discrete choices involving tradeoffs in respect to design priorities and 10 demographic questions (e.g., age, profession. The survey was sent to thousands of individuals having expected interests and knowledge about biodiversity and was completed by 621 participants. Overall, consensuses were few and it appeared difficult to create a design fulfilling the priorities of the majority. Most participants wanted 1 a monitoring design covering the entire territory and focusing on natural habitats; 2 a focus on species related to ecosystem services, on threatened and on invasive species. The only demographic characteristic that was related to the type of prioritization was the declared level of knowledge in biodiversity (null to high, but even then the influence was quite small.

Can wide consultation help with setting priorities for large-scale biodiversity monitoring programs?

Science.gov (United States)

Boivin, Frédéric; Simard, Anouk; Peres-Neto, Pedro

2014-01-01

Climate and other global change phenomena affecting biodiversity require monitoring to track ecosystem changes and guide policy and management actions. Designing a biodiversity monitoring program is a difficult task that requires making decisions that often lack consensus due to budgetary constrains. As monitoring programs require long-term investment, they also require strong and continuing support from all interested parties. As such, stakeholder consultation is key to identify priorities and make sound design decisions that have as much support as possible. Here, we present the results of a consultation conducted to serve as an aid for designing a large-scale biodiversity monitoring program for the province of Québec (Canada). The consultation took the form of a survey with 13 discrete choices involving tradeoffs in respect to design priorities and 10 demographic questions (e.g., age, profession). The survey was sent to thousands of individuals having expected interests and knowledge about biodiversity and was completed by 621 participants. Overall, consensuses were few and it appeared difficult to create a design fulfilling the priorities of the majority. Most participants wanted 1) a monitoring design covering the entire territory and focusing on natural habitats; 2) a focus on species related to ecosystem services, on threatened and on invasive species. The only demographic characteristic that was related to the type of prioritization was the declared level of knowledge in biodiversity (null to high), but even then the influence was quite small.

Le cas de l'Inde

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

pwust

approche de l'Inde en matière de collaboration internationale. Enfin, la cinquième .... L'Inde n'adhère pas non plus à une définition uniforme de l'aide au développement. Ce que ..... commerce (OMC) et défendu l'inviolabilité du droit international.

Implementing Experiential Action Learning in International Management Education: The Global Business Strategic (GLOBUSTRAT) Consulting Program

Science.gov (United States)

Kamath, Shyam; Agrawal, Jagdish; Krickx, Guido

2008-01-01

This paper discusses the theoretical foundations and implementation challenges and outcomes of a unique "hands-on" global consulting program that is integrated into an international EMBA program for mid-career and senior American and European managers. It details the challenges for the integration of experiential action learning, double-loop…

Disruptive Innovation: Implementation of Electronic Consultations in a Veterans Affairs Health Care System.

Science.gov (United States)

Gupte, Gouri; Vimalananda, Varsha; Simon, Steven R; DeVito, Katerina; Clark, Justice; Orlander, Jay D

2016-02-12

reflected a request for specialist input to a generalist's question in diagnosis or management in the ambulatory setting, we identified creative uses of e-consults, including requests for face-to-face appointments and documentation of pre-operative chart reviews; moreover, 7.00% (360/5141) of the e-consults originated from our sub-acute and chronic care inpatient units. In interviews, requesting providers reported high utility and usability. Specialists recognized the value of e-consults but expressed concerns about additional workload. The e-consult mechanism is frequently utilized for its initial intended purpose. It has also been adopted for unexpected clinical and administrative uses, developing into a "disruptive innovation" and highlighting existing gaps in mechanisms for provider communication. Further investigation is needed to characterize optimal utilization of e-consults within specialty and the medical center, and what features of the e-consult program, other than volume, represent valid measures of access and quality care.

En ny flugt ind i skoven

DEFF Research Database (Denmark)

Haarder, Jon Helt

2008-01-01

Thure Erik Lund: IND. (Inn). Oversat fra norsk af Sara Koch. 192 sider, 199 kr. Gyldendal. UDKOMMER I DAG. Fire stjerner......Thure Erik Lund: IND. (Inn). Oversat fra norsk af Sara Koch. 192 sider, 199 kr. Gyldendal. UDKOMMER I DAG. Fire stjerner...

Post-Travel Consultations in a Regional Hub City Hospital, Japan.

Science.gov (United States)

Yaita, Kenichiro; Sakai, Yoshiro; Iwahashi, Jun; Masunaga, Kenji; Hamada, Nobuyuki; Watanabe, Hiroshi

2016-01-01

To clarify the characteristics of post-travel consultation services in Japan, particularly in the provinces, we analyzed our post-travel patients in the travel clinic of Kurume University Hospital located in Kurume City (a regional hub City in southwestern Japan). Sixty post-travel patients visited our clinic between April 2008 and October 2014 and participated in this study: 55 were Japanese and five were foreign. We summarized and compared the characteristics of the patients after dividing the Japanese participants into long-term travelers (>14 days) and short-term travelers (≤14 days). The foreign travelers were described in a separate analysis. Of the 55 Japanese travelers, the mean age (± standard deviation) was 37.3 ± 16.3 years, and 36 patients (65%) were men. Southeast Asia was the major destination (30/55, 55%), and business was stated as the major reason for travel (16/55, 29%). Post-exposure rabies prophylaxis (16/55, 29%) was the most common purpose for the consultations. There were 34 participants (62%) who were classified as short-term travelers. Fewer of the short-term travelers stated receiving pre-travel consultations compared with long-term travelers (11% vs. 79%, p=0.0002). The five foreign travelers included one dengue fever patient and two malaria patients. Most post-travel Japanese patients visited our clinic were short-term travelers who had not received any pre-travel consultation. One of the most common complaints, post-exposure rabies prophylaxis, could have been avoided to some extent by appropriate pre-travel consultations. The results of this study suggest that pre-travel consultations should therefore be encouraged for both long- and short-term travelers.

Online health consultation: examining uses of an interactive cancer communication tool by low-income women with breast cancer.

Science.gov (United States)

Lu, Hsueh-Yi; Shaw, Bret R; Gustafson, David H

2011-07-01

To examine how psychosocial variables predicted use of an online health consultation service among low-income breast cancer patients and in turn how using this service affected these same psychosocial outcomes. This retrospective study included 231 recently diagnosed, low-income (at or below 250% of the federal poverty level) breast cancer patients provided a free computer with 16 weeks of access to the Internet-based 'Ask an Expert' service offered as part of the Comprehensive Health Enhancement Support System (CHESS) "Living with Breast Cancer" program. The use activity included a total of 502 messages submitted to the online health consultation service. The data included five psychosocial variables: information seeking, social support, health self efficacy, participation in health care, and doctor-patient relationship, were collected at both the pre-test and 16-week post-test after using the service. Correlation tests were conducted to examine the relationship between pre- and post-test, and use activity. A multiple regression model was formed for each of five psychosocial variables to examine how use activity of the consultation service was associated with various psychosocial measurements. In total, 865 distinct consulting queries from 502 messages were identified as measurement of patients' use activities (3.74 consulting queries per participant). Use activity had significant negative relationships with pre-test scores across all five psychosocial variables. The regression models found significant positive main effects (use activity) associated with three of these psychosocial variables: health self efficacy, participation in health care and doctor-patient relationship. Use activity of the online consultation service did not have significant relationships with the dependent variables of information seeking and perceived social support. Low-income breast cancer patients sought out information from an online cancer information expert. Patients with more

Doctor-patient communication: a comparison between telemedicine consultation and face-to-face consultation.

Science.gov (United States)

Liu, Xiao; Sawada, Yoshie; Takizawa, Takako; Sato, Hiroko; Sato, Mahito; Sakamoto, Hironosuke; Utsugi, Toshihiro; Sato, Kunio; Sumino, Hiroyuki; Okamura, Shinichi; Sakamaki, Tetsuo

2007-01-01

The objective of this study was to compare doctor-patient communications in clinical consultations via telemedicine technology to doctor-patient communications in face-to-face clinical consultations. Five doctors who had been practicing internal medicine for 8 to 18 years, and twenty patients were enrolled in this study; neither doctors nor patients had previous experience of telemedicine. The patients received both a telemedicine consultation and a face-to-face consultation. Three measures--video observation, medical record volume, and participants' satisfaction--were used for the assessment. It was found that the time spent on the telemedicine consultation was substantially longer than the time spent on the face-to-face consultation. No statistically significant differences were found in the number of either closed or open-ended questions asked by doctors between both types of consultation. Empathy-utterances, praise-utterances, and facilitation-utterances were, however, seen less in the telemedicine consultations than in the face-to-face consultations. The volume of the medical records was statistically smaller in the telemedicine consultations than in the face-to-face consultations. Patients were satisfied with the telemedicine consultation, but doctors were dissatisfied with it and felt hampered by the communication barriers. This study suggests that new training programs are needed for doctors to develop improved communication skills and the ability to express empathy in telemedicine consultations.

A experiência do professor orientador de estudante indígena em enfermagem La experiencia del profesor orientador del estudiante indígena en enfermería The experience of a faculty mentor to indigenous nursing student

Directory of Open Access Journals (Sweden)

Ivania Vera

2011-01-01

Full Text Available O Programa Permanente de Acompanhamento dos Estudantes Indígenas (PPAEIND visa a atender estudantes indígenas do Estado de Mato Grosso (MT que ingressarem na Universidade Federal de Mato Grosso (UFMT em cursos de Graduação por meio de processo seletivo específico e diferenciado. O programa prevê o Professor Orientador como elo do indígena com a universidade e os alunos não indígenas. Este é um relato de experiência do Professor Orientador no Curso de Enfermagem no Campus de Rondonópolis onde foram preenchidas duas vagas por alunos indígenas em 2007. A experiência para atuar como Professor Orientador teve como desafio a diversidade cultural em relação aos saberes do cuidado. A comunicação terapêutica foi um instrumento efetivo no processo.El Programa Permanente de Acompañamiento de los Estudiantes Indígenas (PPAEIND tiene por objetivo atender a estudiantes indígenas del Estado de Mato Grosso (MT que ingresen a la Universidad Federal de Mato Grosso (UFMT en cursos de Pregrado por medio de un proceso de selección específico y diferenciado. El programa considera al Profesor Orientador como el elo del indígena con la universidad y los alumnos no indígenas. Éste es un relato de experiência del Profesor Orientador en el Curso de Enfermería en el Campus de Rondonópolis donde ocuparon dos vacantes alumnos indígenas en el 2007. La experiencia para actuar como Profesor Orientador tuvo como desafío la diversidad cultural en relación a los saberes del cuidado. La comunicación terapéutica fue un instrumento efectivo en el proceso.The Permanent Program for Monitoring of Indian Students (PPAEIND aims to serve indigenous students in the State of Mato Grosso (MT who join the Federal University of Mato Grosso (UFMT in undergraduate courses, through special and differential selection process. The program provides a Faculty Mentor as a link between the university's indigenous and non-indigenous students. This is an experience

Derecho a la consulta y participación de los pueblos indígenas, la experiencia constitucional en los casos de México y Chile

OpenAIRE

Rea Granados, Sergio Alejandro

2015-01-01

En este artículo se analiza la importancia y los retos de la constitucionalización de los derechos a la consulta previa y la participación de los pueblos indígenas en los casos de México y Chile. This article analyses the importance and challenges of rights to previous consultation and participation of indigenous peoples in the Constitution of Mexico and Chile.

Etnoeducación Indígena Intercultural en el Caribe Colombiano

Directory of Open Access Journals (Sweden)

Clemente Mendoza Castro

2015-10-01

Full Text Available El ensayo resume un avance del proyecto “Estudios etnoeducativos y curriculares en el Caribe colombiano”, tiene el propósito de reflexionar sobre la etnoeducación en Colombia como aporte a la educación desde las prácticas pedagógicas de los etnoeducadores indígenas. Se analiza la historia de la etnoeducación indígena en Colombia y a manera de ejemplo sintetiza las experiencias etnoinvestigativas que se desarrollan en las escuelas indígenas de la Sierra Nevada de Santa Marta, La Guajira y el Atlántico, visibilizando la visión que tienen los maestros indígenas de etnoeducación y currículo, prácticas pedagógicas, etnoinvestigación, formando la aproximación de un programa etnoeducativo curricular pensado desde la realidad social e intercultural en el Caribe colombiano. Se propone con argumentación la aproximación a un modelo curricular integrado desde la etnoeducación indígena intercultural para el Caribe colombiano.AbstractThis essay summarizes an advance of the project Ethnoeducational and curricular studies in the Colombian Caribbean, and its purpose is to reflect on the ethnoeducation in Colombia as a contribution to the education from pedagogical practices of native ethnoeducators. The history of the native ethnoeducation in Colombia is analyzed and ethnoresearch experiences carried out in the native schools at Sierra Nevada de Santa Marta, Guajira and Atlántico are synthesized making evident teachers’ view on ethnoeducation and curriculum, pedagogical practices, ethnoresearch, and training. This is an approximation to an ethnoeducational and curricular program thought from the social and intercultural reality in the Colombian Caribbean. The approximation to a curricular integrated model from the intercultural native ethnoeducation for the Colombian Caribbean it is proposed with arguments.

Indflydelse. Hvide evangelister er inde i varmen

DEFF Research Database (Denmark)

Olsen, Gorm Rye

2016-01-01

ANALYSE De hvide evangelister bar Trump ind i Det Hvide Hus. Det vil få stor betydning for USA's udenrigspolitik.......ANALYSE De hvide evangelister bar Trump ind i Det Hvide Hus. Det vil få stor betydning for USA's udenrigspolitik....

Inde | Page 52 | CRDI - Centre de recherches pour le ...

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

Accueil · Asie du sud. Inde. Inde. Read more about Genetically Modified Organisms : Public Knowledge, Attitudes and Perceptions (India). Langue English. Read more about Connaissances, attitudes et perceptions de la population à l'égard des OGM en Inde. Langue French. Read more about Toward Détente in Media ...

Inde | Page 35 | CRDI - Centre de recherches pour le ...

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

Accueil · Asie du sud. Inde. Inde. Read more about Mondialisation de l'innovation : manifestation, déterminants et conséquences dans les économies émergentes de la Chine et de l'Inde. Langue French. Read more about Shifting Cultivation : Promoting Innovative Policy and Development Options in the Eastern Himalayas.

Indústria do conhecimento: uma poderosa engrenagem

OpenAIRE

Miguelote, Vera Regina da Silva; Camargo Jr, Kenneth Rochel de

2010-01-01

O artigo aborda a articulação da indústria farmacêutica à indústria do conhecimento, por meio de poderosas estratégias de marketing. Com o objetivo de legitimar cientificamente seus produtos, a indústria interfere na produção de conhecimento médico. Configurando uma engrenagem de direcionamento de interesses econômicos, financia pesquisas na área de medicamentos, enviesa seus resultados e incentiva a produção e publicação de artigos científicos. Trata-se de uma engrenagem que ameaça important...

"Peer2Peer" - A university program for knowledge transfer and consultation in dealing with psychosocial crises in med-school and medical career.

Science.gov (United States)

Vajda, Christian

2016-01-01

Medical students are exposed to various psychosocial problems and challenges. Specific consultations services and programs can support them. "Peer2Peer" is such a consultation program and was implemented at the Medical University of Graz. It focusses on crisis intervention, psychosocial stress management, junior mentoring as well as student education in this field. Besides, it also offers student tutors of the program practical skills trainings. The program was restructured in winter term 2014/15. On the one hand, "Peer2Peer" gives insights into topics such as the current state of research concerning the students' psychological strain and psychosocial crises in acutely stressful situations and preventive approaches for coping with these kinds of situations on the other hand. These aspects are taught by means of elective courses, lectures and workshops. Furthermore, "Peer2Peer" provides consultation services by student tutors who give face-to-face advice if required. These tutors receive ongoing training in organizational and professional issues. Since the summer term of 2015, 119 students have been trained (via lectures and elective courses), while 61 contacts (short consultation) and 33 contacts (full consultation) have been supervisied. In total, two psychotherapeutic and one psychosocial follow ups were recommended. There are seven students who participate as tutors in the program. The "Peer2Peer" program is intended to enable a low-threshold access for medical students facing psychosocial crises situations and to help them in dealing with stress and learning problems. An increase in support contacts from the summer term of 2015 to the winter term of 2015/16 can be considered a success. A first evaluation of the different components of the program started in the winter semester of 2015/16. The student tutors have not only acquired practical skills in dealing with students in crises situations but also various organizational skills.

Dora Mayer, los indígenas y la nación peruana a inicios del siglo XX

Directory of Open Access Journals (Sweden)

Zegarra Flórez, Margarita

2009-06-01

Full Text Available This article analyses the expositions that the journalist Dora Mayer did regarding the “indigenous question” and the Peruvian nation, in a stage of deep social conflicts that take place in a context of economic modernization sustained on pre-modern labor relationships and indigenous oppression. We reconstructed her vision on how the relation between the components of the Peruvian Nation had to be, her critics towards indigenous exclusion and her warnings on the repercussions that the latter one had. The main purpose is to think about the impact of the double formation on critical conscience of the public opinion, as well as on civic education of the indigenous people that Dora Mayer did in El Deber Pro- Indígena (1912-1917.

En el artículo se abordan los planteamientos que la periodista Dora Mayer hiciera sobre la “cuestión indígena” y la nación peruana, en una etapa de profundos conflictos sociales surgidos en un entorno de modernización económica sustentada sobre relaciones laborales premodernas y opresión indígena. Reconstruimos su visión sobre cómo debía ser la relación entre los componentes de la nación peruana, sus críticas a la exclusión indígena y sus advertencias sobre las repercusiones disociadoras que ésta última tenía. El propósito central es reflexionar sobre el impacto de la doble labor de formación de conciencia crítica de la opinión pública y de educación cívica de los indígenas, que llevó a cabo Dora Mayer desde El Deber Pro-Indígena (1912-1917.

A Solid Foundation: Key Capacities of Construction Pre-Apprenticeship Programs

Science.gov (United States)

Helmer, Matt; Blair, Amy; Gerber, Allison

2012-01-01

This publication shares research from site visits conducted to construction pre-apprenticeship programs in Baltimore, Hartford, Milwaukee and Portland (OR). Findings from the site visits, which included interviews and focus groups with pre-apprenticeship program staff, public officials, philanthropic leaders, construction industry leaders and…

Learning to consult with computers.

Science.gov (United States)

Liaw, S T; Marty, J J

2001-07-01

To develop and evaluate a strategy to teach skills and issues associated with computers in the consultation. An overview lecture plus a workshop before and a workshop after practice placements, during the 10-week general practice (GP) term in the 5th year of the University of Melbourne medical course. Pre- and post-intervention study using a mix of qualitative and quantitative methods within a strategic evaluation framework. Self-reported attitudes and skills with clinical applications before, during and after the intervention. Most students had significant general computer experience but little in the medical area. They found the workshops relevant, interesting and easy to follow. The role-play approach facilitated students' learning of relevant communication and consulting skills and an appreciation of issues associated with using the information technology tools in simulated clinical situations to augment and complement their consulting skills. The workshops and exposure to GP systems were associated with an increase in the use of clinical software, more realistic expectations of existing clinical and medical record software and an understanding of the barriers to the use of computers in the consultation. The educational intervention assisted students to develop and express an understanding of the importance of consulting and communication skills in teaching and learning about medical informatics tools, hardware and software design, workplace issues and the impact of clinical computer systems on the consultation and patient care.

Desigualdades na mortalidade por suicídio entre indígenas e não indígenas no estado do Amazonas, Brasil

Directory of Open Access Journals (Sweden)

Maximiliano Loiola Ponte de Souza

2013-12-01

Full Text Available OBJETIVO: Analisar as taxas e algumas características da mortalidade por suicídio entre indígenas e não indígenas no Amazonas. MÉTODO: Estudo de coorte retrospectiva, em que os dados de óbito foram obtidos no Sistema de Informações sobre Mortalidade e os populacionais no Instituto Brasileiro de Geografia e Estatística. Foram utilizados todos os registros de suicídio do período de 2006-2010 e a interpolação geométrica anual para a estimação das subpopulações. RESULTADOS: Ocorreram 688 suicídios no Amazonas, dos quais 19,0% em indígenas. A taxa ajustada de mortalidade por suicídio (TAMS nos indígenas, de 18,4/100 mil, foi 4,4 vezes superior a dos não indígenas. A TAMS em indígenas aumentou 1,6 vez em 2010 em relação a 2006. Nos municípios de Tabatinga e São Gabriel da Cachoeira, as TAMS foram muito altas, 75,8 e 41,9/100 mil, respectivamente. CONCLUSÕES: Evidenciou-se o comportamento desigual das taxas de mortalidade por suicídio entre indígenas e não indígenas, expondo não só sua importância local, como também sua invisibilidade como problema de saúde pública, principalmente entre jovens 15 e 24 anos.

Travel-associated infection presenting in Europe (2008-12): an analysis of EuroTravNet longitudinal, surveillance data, and evaluation of the effect of the pre-travel consultation.

Science.gov (United States)

Schlagenhauf, Patricia; Weld, Leisa; Goorhuis, Abraham; Gautret, Philippe; Weber, Rainer; von Sonnenburg, Frank; Lopez-Vélez, Rogelio; Jensenius, Mogens; Cramer, Jakob P; Field, Vanessa K; Odolini, Silvia; Gkrania-Klotsas, Effrossyni; Chappuis, Francois; Malvy, Denis; van Genderen, Perry J J; Mockenhaupt, Frank; Jauréguiberry, Stéphane; Smith, Catherine; Beeching, Nicholas J; Ursing, Johan; Rapp, Christophe; Parola, Philippe; Grobusch, Martin P

2015-01-01

Travel is important in the acquisition and dissemination of infection. We aimed to assess European surveillance data for travel-related illness to profile imported infections, track trends, identify risk groups, and assess the usefulness of pre-travel advice. We analysed travel-associated morbidity in ill travellers presenting at EuroTravNet sites during the 5-year period of 2008-12. We calculated proportionate morbidity per 1000 ill travellers and made comparisons over time and between subgroups. We did 5-year trend analyses (2008-12) by testing differences in proportions between subgroups using Pearson's χ(2) test. We assessed the effect of the pre-travel consultation on infection acquisition and outcome by use of proportionate morbidity ratios. The top diagnoses in 32 136 patients, ranked by proportionate morbidity, were malaria and acute diarrhoea, both with high proportionate morbidity (>60). Dengue, giardiasis, and insect bites had high proportionate morbidity (>30) as well. 5-year analyses showed increases in vector borne infections with significant peaks in 2010; examples were increased Plasmodium falciparum malaria (χ(2)=37·57, ptravel consultation was associated with significantly lower proportionate morbidity ratios for P falciparum malaria and also for acute hepatitis and HIV/AIDS. The pattern of travel-related infections presenting in Europe is complex. Trend analyses can inform on emerging infection threats. Pre-travel consultation is associated with reduced malaria proportionate morbidity ratios and less severe illness. These findings support the importance and effectiveness of pre-travel advice on malaria prevention, but cast doubt on the effectiveness of current strategies to prevent travel-related diarrhoea. European Centre for Disease Prevention and Control, University Hospital Institute Méditerranée Infection, US Centers for Disease Control and Prevention, and the International Society of Travel Medicine. Copyright © 2015 Elsevier Ltd

HIV Pre-exposure Prophylaxis Program Implementation Using Intervention Mapping.

Science.gov (United States)

Flash, Charlene A; Frost, Elizabeth L T; Giordano, Thomas P; Amico, K Rivet; Cully, Jeffrey A; Markham, Christine M

2018-04-01

HIV pre-exposure prophylaxis has been proven to be an effective tool in HIV prevention. However, numerous barriers still exist in pre-exposure prophylaxis implementation. The framework of Intervention Mapping was used from August 2016 to October 2017 to describe the process of adoption, implementation, and maintenance of an HIV prevention program from 2012 through 2017 in Houston, Texas, that is nested within a county health system HIV clinic. Using the tasks outlined in the Intervention Mapping framework, potential program implementers were identified, outcomes and performance objectives established, matrices of change objectives created, and methods and practical applications formed. Results include the formation of three matrices that document program outcomes, change agents involved in the process, and the determinants needed to facilitate program adoption, implementation, and maintenance. Key features that facilitated successful program adoption and implementation were obtaining leadership buy-in, leveraging existing resources, systematic evaluation of operations, ongoing education for both clinical and nonclinical staff, and attention to emergent issues during launch. The utilization of Intervention Mapping to delineate the program planning steps can provide a model for pre-exposure prophylaxis implementation in other settings. Copyright © 2018. Published by Elsevier Inc.

Has the inclusion of a longitudinally integrated communication skills program improved consultation skills in medical students? A pilot study

Directory of Open Access Journals (Sweden)

Sameena Shah

2016-01-01

Full Text Available Background: Evidence highlights a lack of communication skills in doctors leading to dysfunctional consultations. To address this deficit, a private medical college instituted curricular reforms with inclusion of a longitudinal communication skills program. A pilot study was undertaken to evaluate the effectiveness of this program by comparing the consultation skills of medical students of this college with a medical college without a communication skills program. Methods: A 4-station Objective Structured Clinical Examination (OSCE was conducted in the third and final year. Mann-Whitney U-test was used to compare the difference in the distribution between OSCE stations total and construct scores. Results: At the end of the third year, 21 (31.34%, students of the study site (medical college 1 [college with integrated longitudinal communication skills program] and 31 (46.26% students from the comparison site (medical college 2 [comparable college without communication skills program] consented. Medical college 1 achieved a significantly higher overall mean total station score of 68.0% (standard deviation [SD] =13.5 versus 57.2% (SD = 15.4 (P < 0.001. Significantly higher mean scores were achieved on three stations. At the end of the final year, 19 students (29.3% from medical college 1 and 22 (34% students from medical college 2 consented. The difference in overall mean total station score reduced from 9.2% to 7.1% (70.2 (SD = 13.7 versus 63.1 (SD = 15.2 (P = 0.004. The mean scores of both colleges decreased in "Patient presenting with Hepatitis C Report" station (P values 0.004 and 0.775 and in "Patient Request for Faith Healing Therapy in Diabetes Mellitus" station (P values 0.0046 and 0.036, respectively. Conclusion: Longitudinal communication skills in an undergraduate curriculum positively impacted consultation skills. Community-based training and faculty development are required to develop effective patient-centered consultation skills.

21 CFR 312.22 - General principles of the IND submission.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 5 2010-04-01 2010-04-01 false General principles of the IND submission. 312.22... (IND) § 312.22 General principles of the IND submission. (a) FDA's primary objectives in reviewing an... likelihood that the investigations will yield data capable of meeting statutory standards for marketing...

Children's Kindergarten Outcomes and Program Quality in the North Carolina Pre-Kindergarten Program: 2013-2014 Statewide Evaluation

Science.gov (United States)

Peisner-Feinberg, Ellen S.; Schaaf, Jennifer M.; Hildebrandt, Lisa M.; Pan, Yi; Warnaar, Bethany L.

2015-01-01

The 2013-2014 North Carolina Pre-Kindergarten (NC Pre-K) Evaluation study was designed to examine the longitudinal outcomes through kindergarten for children who attended the Pre-K program, along with comparisons to previous cohorts of program attendees. A sample of 561 children was included in the study, with data gathered at the beginning and…

The importance of pre-planning for large hydrostatic test programs

Energy Technology Data Exchange (ETDEWEB)

Bennett, Andrew Keith [WorleyParsons Calgary, Calgary, AB (Canada); Wong, Everett Clementi [Enbridge Pipelines Inc., Edmonton, AB (Canada)

2010-07-01

During the design phase of a pipeline project, large hydrostatic test programs are required to locate and secure water sources. Many companies complete hydrostatic test planning through high level desktop analysis, however this technique can result in important unplanned costs and schedule delays. The aim of this paper is to assess the cost benefits of pre-planning large hydrostatic test programs versus the costs of unplanned delays in the execution of hydrostatic testing. This comparison was based on the successful application of pre-planning of 57 mainline hydrostatic tests in the construction of the Line 4 Extension and Alberta Clipper Expansion oil pipelines by Enbridge Pipelines Inc. Results showed that costs of delays and uncertainty during construction far outweigh the costs of pre-planning. This study highlighted that pre-planning for large hydrostatic test programs should be carried out in the execution of large pipeline projects to ensure success.

International telemedicine consultations for neurodevelopmental disabilities.

Science.gov (United States)

Pearl, Phillip L; Sable, Craig; Evans, Sarah; Knight, Joseph; Cunningham, Parker; Lotrecchiano, Gaetano R; Gropman, Andrea; Stuart, Sheela; Glass, Penny; Conway, Anne; Ramadan, Issam; Paiva, Tania; Batshaw, Mark L; Packer, Roger J

2014-06-01

A telemedicine program was developed between the Children's National Medical Center (CNMC) in Washington, DC, and the Sheikh Khalifa Bin Zayed Foundation in the United Arab Emirates (UAE). A needs assessment and a curriculum of on-site training conferences were devised preparatory to an ongoing telemedicine consultation program for children with neurodevelopmental disabilities in the underserved eastern region of the UAE. Weekly telemedicine consultations are provided by a multidisciplinary faculty. Patients are presented in the UAE with their therapists and families. Real-time (video over Internet protocol; average connection, 768 kilobits/s) telemedicine conferences are held weekly following previews of medical records. A full consultation report follows each telemedicine session. Between February 29, 2012 and June 26, 2013, 48 weekly 1-h live interactive telemedicine consultations were conducted on 48 patients (28 males, 20 females; age range, 8 months-22 years; median age, 5.4 years). The primary diagnoses were cerebral palsy, neurogenetic disorders, autism, neuromuscular disorders, congenital anomalies, global developmental delay, systemic disease, and epilepsy. Common comorbidities were cognitive impairment, communication disorders, and behavioral disorders. Specific recommendations included imaging and DNA studies, antiseizure management, spasticity management including botulinum toxin protocols, and specific therapy modalities including taping techniques, customized body vests, and speech/language and behavioral therapy. Improved outcomes reported were in clinician satisfaction, achievement of therapy goals for patients, and requests for ongoing sessions. Weekly telemedicine sessions coupled with triannual training conferences were successfully implemented in a clinical program dedicated to patients with neurodevelopmental disabilities by the Center for Neuroscience at CNMC and the UAE government. International consultations in neurodevelopmental

An Australian Indigenous community-led suicide intervention skills training program: community consultation findings.

Science.gov (United States)

Nasir, Bushra; Kisely, Steve; Hides, Leanne; Ranmuthugala, Geetha; Brennan-Olsen, Sharon; Nicholson, Geoffrey C; Gill, Neeraj S; Hayman, Noel; Kondalsamy-Chennakesavan, Srinivas; Toombs, Maree

2017-06-13

Little is known of the appropriateness of existing gatekeeper suicide prevention programs for Indigenous communities. Despite the high rates of Indigenous suicide in Australia, especially among Indigenous youth, it is unclear how effective existing suicide prevention programs are in providing appropriate management of Indigenous people at risk of suicide. In-depth, semi-structured interviews and focus groups were conducted with Indigenous communities in rural and regional areas of Southern Queensland. Thematic analysis was performed on the gathered information. Existing programs were time-intensive and included content irrelevant to Indigenous people. There was inconsistency in the content and delivery of gatekeeper training. Programs were also not sustainable for rural and regional Indigenous communities. Appropriate programs should be practical, relevant, and sustainable across all Indigenous communities, with a focus on the social, emotional, cultural and spiritual underpinnings of community wellbeing. Programs need to be developed in thorough consultation with Indigenous communities. Indigenous-led suicide intervention training programs are needed to mitigate the increasing rates of suicide experienced by Indigenous peoples living in rural and remote locations.

IndElec: A Software for Analyzing Party Systems and Electoral Systems

Directory of Open Access Journals (Sweden)

Francisco Ocaña

2011-08-01

Full Text Available IndElec is a software addressed to compute a wide range of indices from electoral data, which are intended to analyze both party systems and electoral systems in political studies. Further, IndElec can calculate such indices from electoral data at several levels of aggregation, even when the acronyms of some political parties change across districts. As the amount of information provided by IndElec may be considerable, this software also aids the user in the analysis of electoral data through three capabilities. First, IndElec automatically elaborates preliminary descriptive statistical reports of computed indices. Second, IndElec saves the computed information into text files in data matrix format, which can be directly loaded by any statistical software to facilitate more sophisticated statistical studies. Third, IndElec provides results in several file formats (text, CSV, HTML, R to facilitate their visualization and management by using a wide range of application softwares (word processors, spreadsheets, web browsers, etc.. Finally, a graphical user interface is provided for IndElec to manage calculation processes, but no visualization facility is available in this environment. In fact, both the inputs and outputs for IndElec are arranged in files with the aforementioned formats.

Strangers at the Benchside: Research Ethics Consultation

Science.gov (United States)

Cho, Mildred K.; Tobin, Sara L.; Greely, Henry T.; McCormick, Jennifer; Boyce, Angie; Magnus, David

2008-01-01

Institutional ethics consultation services for biomedical scientists have begun to proliferate, especially for clinical researchers. We discuss several models of ethics consultation and describe a team-based approach used at Stanford University in the context of these models. As research ethics consultation services expand, there are many unresolved questions that need to be addressed, including what the scope, composition, and purpose of such services should be, whether core competencies for consultants can and should be defined, and how conflicts of interest should be mitigated. We make preliminary recommendations for the structure and process of research ethics consultation, based on our initial experiences in a pilot program. PMID:18570086

Derechos Humanos en Poblaciones Indígenas

OpenAIRE

Tuy, María del Carmen

2017-01-01

El tema que se me ha solicitado, Derechos Humanos en Poblaciones Indígenas, para Guatemala, puedo decir que es un tema del momento, ya que recientemente se firmó El Acuerdo de Paz Firme y Duradera, en donde en los diferentes acuerdos fueron tomados en gran parte los derechos de los Pueblos Indígenas, en este caso del pueblo Maya, Garífuna y Xinca

Haciendo desarrollo a lo indígena Proyectos de desarrollo en comunidades indígenas del Chaco salteño, Argentina

Directory of Open Access Journals (Sweden)

Natalia Castelnuovo Biraben

2014-01-01

Full Text Available A partir de una perspectiva etnográfica del proceso de implementación de un programa de desarrollo en comunidades indígenas, en el presente artículo nos proponemos dejar al descubierto los conflictos emergentes entre la Carta de cooperación firmada por el Estado argentino y el Banco Interamericano de Desarrollo, en cuanto es, por un lado, expresión de una episteme de la dominación y, por el otro, de una microfísica de la resistencia cotidiana desplegada por el Consejo de Caciques de los Siete Pueblos. El poder de negociación de la organización indígena la constituyó en broker de desarrollo, al implementar los distintos proyectos “a lo indígena”. El análisis de este proceso nos permite reflexionar acerca de las relaciones que pautan a las organizaciones indígenas con el Estado argentino y con los organismos de financiamiento internacional.

"Peer2Peer" – A university program for knowledge transfer and consultation in dealing with psychosocial crises in med-school and medical career

Directory of Open Access Journals (Sweden)

Vajda, Christian

2016-08-01

Full Text Available Objective: Medical students are exposed to various psychosocial problems and challenges. Specific consultations services and programs can support them.“Peer2Peer” is such a consultation program and was implemented at the Medical University of Graz. It focusses on crisis intervention, psychosocial stress management, junior mentoring as well as student education in this field. Besides, it also offers student tutors of the program practical skills trainings. The program was restructured in winter term 2014/15.Methods: On the one hand, “Peer2Peer” gives insights into topics such as the current state of research concerning the students’ psychological strain and psychosocial crises in acutely stressful situations and preventive approaches for coping with these kinds of situations on the other hand. These aspects are taught by means of elective courses, lectures and workshops. Furthermore, “Peer2Peer” provides consultation services by student tutors who give face-to-face advice if required. These tutors receive ongoing training in organizational and professional issues.Results: Since the summer term of 2015, 119 students have been trained (via lectures and elective courses, while 61 contacts (short consultation and 33 contacts (full consultation have been supervisied. In total, two psychotherapeutic and one psychosocial follow ups were recommended. There are seven students who participate as tutors in the program.Conclusions: The “Peer2Peer” program is intended to enable a low-threshold access for medical students facing psychosocial crises situations and to help them in dealing with stress and learning problems. An increase in support contacts from the summer term of 2015 to the winter term of 2015/16 can be considered a success. A first evaluation of the different components of the program started in the winter semester of 2015/16. The student tutors have not only acquired practical skills in dealing with students in crises

La participación de las comunidades indígenas migrantes en el marco del Consejo Consultivo Indígena en León, Guanajuato

Directory of Open Access Journals (Sweden)

Yolanda de León-de Santiago

2016-01-01

Full Text Available En México, a lo largo de la historia, se ha ignorado el aporte de los pueblos indígenas y se ha omitido su punto de vista para la toma de decisiones en asuntos que los atañe, no fue sino hasta el levantamiento Zapatista que la cuestión indígena despertó interés. En el estado de Guanajuato, la población indígena es menor en comparación con otros estados y, sin embargo, está conformada por un mosaico de culturas, algunas nativas y otras migrantes. A pesar de esto, la presencia de población indígena fue reconocida hasta el año 2004. El objetivo de este artículo es primeramente visibilizar la presencia de comunidades de indígenas migrantes en la ciu - dad de León, Guanajuato, y en segundo lugar, hacer un análisis de su participación ciudadana en el marco del Consejo Consultivo Indígena, como un mecanismo institucionalizado de atención para este segmento de la población.

The Organizational Communication Consulting Spectrum.

Science.gov (United States)

Tubbs, Stewart L.

Surveys of businesses and business managers indicate that developing communication skills within organizations is a priority. Communication consulting exists over a wide spectrum of activities that include guest speaking, conducting workshops, and conducting management training programs. These three processes can include a "canned program" that…

Mother-infant consultation during drug treatment: Research and innovative clinical practice

Directory of Open Access Journals (Sweden)

Lester Barry M

2008-02-01

Full Text Available Abstract Background This paper details a model for consulting with mothers and infants, and drug treatment staff used in a residential drug treatment program and relevant to other treatment settings. The role of parent-infant consultation based on the Neonatal Network Neurobehavioral Scale (NNNS was evaluated. Methods A sequential cohort model was used to assign participants to 1. NNNS consultation versus 2. standard care. The effects of NNNS consultation were evaluated using the Parenting Stress Index and NNNS summary scores. Results Participants in the NNNS consultation condition had significantly less stress overall, and less stress related to infant behavior than participants in standard care. There were no differences in infant behavior on the NNNS Summary scores. Conclusion The implications for NNNS consultation in drug treatment programs is outlined. The importance of prevention/intervention to establish satisfactory mother-infant interaction in recovery programs which include a central parenting component is indicated.

Longer-term impact of cardiology e-consults.

Science.gov (United States)

Wasfy, Jason H; Rao, Sandhya K; Kalwani, Neil; Chittle, Melissa D; Richardson, Calvin A; Gallen, Kathleen M; Isselbacher, Eric M; Kimball, Alexandra B; Ferris, Timothy G

2016-03-01

Cardiac e-consults may be an effective way to deliver value-oriented outpatient cardiology care in an accountable care organization. Initial results of cardiac e-consults have demonstrated high satisfaction among both patients and referring providers, no known adverse events, and low rates of diagnostic testing. Nevertheless, differences between e-consults and traditional consults, effects of e-consults on traditional consult volume, and whether patients seek traditional consults after e-consults are unknown. We established a cardiac e-consult program on January 13, 2014. We then conducted detailed medical record reviews of all patients with e-consults to detect any adverse clinical events and detect subsequent traditional visits to cardiologists. We also performed 2 comparisons. First, we compared age, gender, and referral reason for e-consults vs traditional consults. Second, we compared changes in volume of referrals to cardiology vs other medical specialties that did not have e-consults. From January 13 to December 31, 2014, 1,642 traditional referrals and 165 e-consults were requested. The proportion of e-consults of all evaluations requested over that period was 9.1%. Gender balance was similar among traditional consults and e-consults (44.8% male for e-consults vs 45.0% for traditional consults, P = .981). E-consult patients were younger than traditional consult patients (55.3 vs 60.4 years, P cardiology visit during the follow-up period. E-consults are an effective and safe mechanism to enhance value in outpatient cardiology care, with low rates of bounceback to traditional consults. E-consults can account for nearly one-tenth of total outpatient consultation volume at 1 year within an accountable care organization and are associated with a reduction in traditional referrals to cardiologists. Copyright © 2015 Elsevier Inc. All rights reserved.

Qualification of contractor/consultant instructors

International Nuclear Information System (INIS)

Hanson, H.D.

1985-01-01

Following a brief discussion of the role of consultant instructors in Public Service Electric and Gas Company's training organization, the qualification process is presented. Consultant instructors are provided with information regarding supervision of the trainees and the instructional process and procedures required. Each individual must have his or her instructional capability, supervisory skills and technical competence verified and documented prior to conducting training independently. Concluding comments describe the overall satisfactory experience with this program

Jeroky Mbaekua - aspectos da etnoarte indígena.

Directory of Open Access Journals (Sweden)

Oseias de Oliveira

2015-06-01

Full Text Available A idéia de arte compartilhada na cultura ocidental tradicionalmente tem sido entendida a partir de elementos conceituais e categorizações que não podem ser aplicados na cultura indígena. Assim, considerar a arte indígena significa observar sua complexidade, de forma a perpassar todas as instâncias da vida desses sujeitos. Desta forma, o texto busca discutir aspectos da etnoarte indígena que não é focada em uma noção de arte centralizada e homogeneizadora mas, sim atenta à uma perspectiva que busca contemplar melhor o seu modo de construção de símbolos, significados e representações culturais.

Representantes y representaciones indígenas en el altiplano occidental de Guatemala

OpenAIRE

Celigueta, Gemma

2014-01-01

Este artículo se pregunta por la relación entre una representación política indígena y las representaciones existentes sobre dicho grupo. En concreto, demuestra la relación entre el concurso de Reina indígena del municipio de Quetzaltenango y la representación política indígena en la municipalidad. Además, los avatares del concurso permiten adentrarnos en el movimiento indígena de la segunda mitad del siglo XX. Un movimiento que plantea una redefinición de lo indígena y de su papel en las nac...

Final report for the Pre-Freshman Enrichment Program (PREP)

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-03-01

This project reflected cooperation across the disciplines in the physical sciences, engineering, mathematics and computer science. The University of the Pacific served as the center for this pre-college program. The idea was to use this link as a pilot program.

Pre-Travel Medical Preparation of Business and Occupational Travelers

Science.gov (United States)

Khan, Nomana M.; Jentes, Emily S.; Brown, Clive; Han, Pauline; Rao, Sowmya R.; Kozarsky, Phyllis; Hagmann, Stefan H.F.; LaRocque, Regina C.; Ryan, Edward T.

2016-01-01

Objectives: The aim of the study was to understand more about pre-travel preparations and itineraries of business and occupational travelers. Methods: De-identified data from 18 Global TravEpiNet clinics from January 2009 to December 2012 were analyzed. Results: Of 23,534 travelers, 61% were non-occupational and 39% occupational. Business travelers were more likely to be men, had short times to departure and shorter trip durations, and commonly refused influenza, meningococcal, and hepatitis B vaccines. Most business travelers indicated that employers suggested the pre-travel health consultation, whereas non-occupational travelers sought consultations because of travel health concerns. Conclusions: Sub-groups of occupational travelers have characteristic profiles, with business travelers being particularly distinct. Employers play a role in encouraging business travelers to seek pre-travel consultations. Such consultations, even if scheduled immediately before travel, can identify vaccination gaps and increase coverage. PMID:26479857

External Reviews, Internal Influences: Consultations and the Undergraduate Neuroscience Curriculum

OpenAIRE

Wiertelak, Eric P.

2012-01-01

In 2007 FUN established the FUN Program and Department Consultations Service, or FUN-PDCS. Since that founding, the service has provided numerous consultation recommendations to undergraduate programs seeking assistance with external program reviews, designing and improving courses and many other programmatic needs. FUN-PDCS, like FUN, is primarily a grassroots organization and draws on the expertise of the FUN membership to aid programs in their more personalized pursuit of the FUN mission: ...

iConnect CKD - Virtual Medical Consulting: a web-based Chronic Kidney Disease, Hypertension and Diabetes Integrated Care Program.

Science.gov (United States)

Katz, Ivor J; Pirabhahar, Saiyini; Williamson, Paula; Raghunath, Vishwas; Brennan, Frank; O'Sullivan, Anthony; Youssef, George; Lane, Cathie; Jacobson, Gary; Feldman, Peter; Kelly, John

2017-05-04

Chronic kidney disease (CKD) patients overwhelm specialist services and can potentially be managed in the primary care (PC). Opportunistic screening of high risk (HR) patients and follow-up in PC is the most sustainable model of care. A 'virtual consultation' (VC) model instead of traditional face to face (F2F) consultations was used, aiming to assess efficacy and safety of the model. Seventy patients were recruited from PC sites and hospital clinics, and followed for one year. The HR patients (eGFR 30 mg/mmol/L) were randomised to either VC or F2F. Patients were monitored 6 monthly by a Clinical Nurse Specialist (CNS). The specialist team provided virtual or clinical support and included a Nephrologist, Endocrinologist, Cardiologist and Renal 'Palliative' Supportive Care. Sixty one (87%) patients were virtually tracked or consulted with 14 (23%) being HR. At 12 months there was no difference in outcomes between VC and F2F patients. All patients were successfully monitored. GPs reported high level of satisfaction and supported the model, but found software integration challenging. Patients found the system attractive and felt well managed. Specialist consults occurred within a week and if a second specialist opinion was required it took another two weeks. The program demonstrated safe, expedited and efficient follow up with a clinical and web based program. Support from the GPs and patients was encouraging, despite logistical issues. Ongoing evaluation of VC services will continue and feasibility to larger networks and more chronic diseases remains the long term goal. This article is protected by copyright. All rights reserved.

Evaluation of Pre-Departure English Training Program

Directory of Open Access Journals (Sweden)

Ali Saukah

2016-02-01

Full Text Available The program evaluation reported in this article covers three batches of participants, from 1996 through 1997, sponsored by the Directorate General of Higher Education projects to prepare faculty members of teacher training institutions for overseas studies. The result outcomes could be achieved when the initial English competence requirred for participating in the program was at least at the Pre-Advanced level. The criterion validity of the TOEFL-Equivalent test developed by the program was assured, and the test could, therefore, be used as a good predictor of the International TOEFL. Other recommendations are also given for the improvement of the planning and implementation of the program in the future

[Characteristics associated with pre travel medical consultation in tourists visiting Cuzco, Peru].

Science.gov (United States)

Mejia, Christian R; Cvetkovic-Vega, Aleksandar; Cruz, Briggite; Cárdenas, Matlin M; Quiñones-Laveriano, Dante M; Rodríguez-Morales, Alfonso J

2016-02-01

International tourism is increasing. Preventive Medicine remains important, especially the Pre-Travel Consultation (PTC). To determinate, the characteristics of tourists associated with PTC in tourists at Cuzco, Peru. A cross-sectional, analytical study, a secondary analysis of data from a database generated by survey of foreign tourists who visited Cuzco, in the waiting room of the airport was performed. The main variable was to have had a PTC at the tourist's country of residence, the area of residence was categorized according to health/risk of acquiring infectious diseases as traveler's diarrhea during their stay. These and other variables were analyzed and statistical association with generalized linear models were done. Of the 1827 tourists, 875 (48%) were men, with a median age of 33 years (range 18-88 years); 42% had a PTC. In the multivariate analysis, it was found that a PTC lower frequency was associated with male gender (aPR: 0.84; 95% CI: 0.75-0.94), and a higher frequency was associated with have born (aPR: 1.77; 95% CI: 1.39-2.27) and reside in an area of low risk of acquiring infectious diseases (aPR: 1.95; 95% CI: 1.26-3.00), adjusted for the history of a disease. Sex, region of birth and residence of tourists (as risk of acquiring infectious diseases) are associated with having a PTC. These findings may serve the health and government attending tourists who come to our country.

Vitalidad etnolingüística, medios de comunicación e identidad étnica. Un estudio con grupos indígenas de Chiapas

OpenAIRE

Viladot Presas, Maria Àngels; Gasiorek, Jessica; Esteban, Moisès; Giles, Howard

2011-01-01

Aquest estudi representa la primera exploració de l'ús de la televisió i la selecció de programes per part de grups d'indígenes a Chiapas. Més concretament, s'examina com els membres d'aquests grups seleccionen canals i programes específics dels mitjans de comunicació per raons d'etnicitat, i com això té a veure amb estratègies de mobilitat social. Les dades de 173 indígenes estudiants de la universitat Intercultural de Chiapas van indicar que per a 77 membres d'aquesta mostra, veure la telev...

A descriptive report of management strategies used by chiropractors, as reviewed by a single independent chiropractic consultant in the Australian workers compensation system

Directory of Open Access Journals (Sweden)

de Luca Katie

2009-11-01

Full Text Available Abstract Background In New South Wales, Australia, an injured worker enters the workers compensation system with the case often managed by a pre-determined insurer. The goal of the treating practitioner is to facilitate the claimant to return to suitable duties and progress to their pre-injury status, job and quality of life. Currently, there is very little documentation on the management of injured workers by chiropractors in the Australian healthcare setting. This study aims to examine treatment protocols and recommendations given to chiropractic practitioners by one independent chiropractic reviewer in the state of New South Wales, and to discuss management strategies recommended for the injured worker. Methods A total of 146 consecutive Independent Chiropractic Consultant reports were collated into a database. Pain information and management recommendations made by the Independent Chiropractic Consultant were tabulated and analysed for trends. The data formulated from the reports is purely descriptive in nature. Results The Independent Chiropractic Consultant determined the current treatment plan to be "reasonable" (80.1% or "unreasonable" (23.6%. The consultant recommended to "phase out" treatment in 74.6% of cases, with an average of six remaining treatments. In eight cases treatment was unreasonable with no further treatment; in five cases treatment was reasonable with no further treatment. In 78.6% of cases, injured workers were to be discharged from treatment and 21.4% were to be reassessed for the need of a further treatment plan. Additional recommendations for treatment included an active care program (95.2%, general fitness program (77.4%, flexibility/range of movement exercises (54.1%, referral to a chronic pain specialist (50.7% and work hardening program (22.6%. Conclusion It is essential chiropractic practitioners perform 'reasonably necessary treatment' to reduce dependency on passive treatment, increase compliance to active

Inde | Page 34 | CRDI - Centre de recherches pour le ...

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

Accueil · Asie du sud. Inde. Inde. Read more about Reasoned Approach to Setting Priorities in Health. Langue English. Read more about Nanotechnology in South Asia : Building Capabilities and Governing the Technology in South Asia. Langue English. Read more about La nanotechnologie en Asie du Sud : renforcement ...

"How long does it take?" A mixed methods evaluation of computer-related work in GP consultations.

Science.gov (United States)

Hayward, James; Buckingham, Susan; Thomson, Fionagh; Milne, Heather; Sheikh, Aziz; Fernando, Bernard; Cresswell, Kathrin; Williams, Robin; Pinnock, Hilary

2015-12-24

Systematic reviews have suggested that time spent on computer-related tasks increases consultation length. However, these reviews pre-date the current ubiquitous use of computers in U.K. general practice. As part of a U.K. national study of the influence of information technology (IT) on the interaction between patients and healthcare professionals during consultations, we explored how IT functions affected time allocation and styles of computer use during general practitioner (GP) consultations. We drew on multichannel video recording of consultations and measured consultation phases and the duration of computer-related tasks. We related measures of actual time to GP's interpretation of computer use elicited in qualitative interviews. Our sample included recordings of 112 consultations from 6 GPs in three practices. The computer was used for about one-third of the greater consultation. However, its use was concentrated pre- and post- the patient consultation. The workflow of consultation was exemplified through six computer use cases. Most functionality was accepted and accommodated within the consultation, though disruptive and time-consuming tasks were generally delegated to administrative staff. Recognised styles of computer use (minimal, block and conversational) were apparent, but applied very flexibly by GPs according to the nature of the consultation. In contrast to earlier reports, contemporary computer use does not appear to have lengthened consultations. GPs adopted different styles of computer use in different consultations, challenging classifications that seek to stereotype GP computer use. Designing systems that support this versatility require an understanding of the fluid application of computer use within consultation structure.

Public consultation: regulatory requirement or business principle?

International Nuclear Information System (INIS)

Seeley, R.

1999-01-01

A summary is included of knowledge and experiences related to planning and implementing a public consultation program over a number of years in Shell Canada's Athabasca Oil Sands development. This project consists of three major sub- projects with a total estimated capital investment of $4 billion. The three sub- projects are: the Muskeg River Mine, the Scotford Upgrader, and the Corridor Pipeline. The facilities will produce 150,000 bbl/day of synthetic crude for over 25 years and are targeted to begin production in late 2002. From the title of the paper, although public consultation is required under environmental legislation, many companies are adopting a more pro-active approach to public consultation and participation as a business principle. This commitment to engage in and dialogue with stakeholders must be open, transparent and long term, not just during the regulatory process. Successful consultation begins with the prerequisites: senior management commitment, buy-in from the project or operating team that the process adds value, and the ability to listen and make changes. A consultation program is not a short term activity, but is rather an ongoing process linked to a business or operating principle. It requires long term resources and follow through on agreements and commitments made to stakeholders and communities

Public consultation: regulatory requirement or business principle?

Energy Technology Data Exchange (ETDEWEB)

Seeley, R. [Shell Canada Oil Sands, Calgary, AB (Canada)

1999-07-01

A summary is included of knowledge and experiences related to planning and implementing a public consultation program over a number of years in Shell Canada's Athabasca Oil Sands development. This project consists of three major sub- projects with a total estimated capital investment of $4 billion. The three sub- projects are: the Muskeg River Mine, the Scotford Upgrader, and the Corridor Pipeline. The facilities will produce 150,000 bbl/day of synthetic crude for over 25 years and are targeted to begin production in late 2002. From the title of the paper, although public consultation is required under environmental legislation, many companies are adopting a more pro-active approach to public consultation and participation as a business principle. This commitment to engage in and dialogue with stakeholders must be open, transparent and long term, not just during the regulatory process. Successful consultation begins with the prerequisites: senior management commitment, buy-in from the project or operating team that the process adds value, and the ability to listen and make changes. A consultation program is not a short term activity, but is rather an ongoing process linked to a business or operating principle. It requires long term resources and follow through on agreements and commitments made to stakeholders and communities.

Indústria cultural e meio rural

Directory of Open Access Journals (Sweden)

VALDIR CASTRO OLIVEIRA

2012-06-01

Full Text Available Resumo – Este estudo discute de que maneira a indústria cultural interpela, nomeia e ressignifica as práticas sociais, políticas e culturais do meio rural através de contínuos deslocamentos semânticos dos quais emerge um rural idealizado e sem contradições. A nossa hipótese é a de que estas práticas discursivas são hegemonicamente determinadas e pautadas pelos interesses diretos ou conectados ao agronegócio e pelas suas potencialidades de consumo de bens materiais e simbólicos. Em conseqüência, definem também o conteúdo e as estéticas expressivas dos dispositivos comunicacionais voltados para o meio rural. Palavras-chaves – 1. Indústria cultural, 2. Comunicação Rural, 3. Indústria cultural e práticas discursivas para o meio rural. [1] Professor do Programa de Pós-Graduação em Comunicação e Informação para a Saúde. Fiocruz/ICICT. Rio de Janeiro. Endereço eletrônico: valdirco@yahoo.com.br

Educación indígena

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Martha Rodríguez

2015-01-01

Full Text Available La sociedad ecuatoriana es multicultural y pluricultural. La educación de los indígenas debe ser la mayor prioridad.Ellos tienen que recuperar su espacio natural y ser dueños de su propio destino... y de los medios de comunicación.Describe el artículo como se concebía la educación desde la Colonia., la independencia y cuál fue el trato que se dio a los indígenas, los modelos educativos que se aplicaron, la educación formal, la educación bilingüe, los proyectos autogestionarios, la educación bilingüe intercultural.

An indigoidine biosynthetic gene cluster from Streptomyces chromofuscus ATCC 49982 contains an unusual IndB homologue.

Science.gov (United States)

Yu, Dayu; Xu, Fuchao; Valiente, Jonathan; Wang, Siyuan; Zhan, Jixun

2013-01-01

A putative indigoidine biosynthetic gene cluster was located in the genome of Streptomyces chromofuscus ATCC 49982. The silent 9.4-kb gene cluster consists of five open reading frames, named orf1, Sc-indC, Sc-indA, Sc-indB, and orf2, respectively. Sc-IndC was functionally characterized as an indigoidine synthase through heterologous expression of the enzyme in both Streptomyces coelicolor CH999 and Escherichia coli BAP1. The yield of indigoidine in E. coli BAP1 reached 2.78 g/l under the optimized conditions. The predicted protein product of Sc-indB is unusual and much larger than any other reported IndB-like protein. The N-terminal portion of this enzyme resembles IdgB and the C-terminal portion is a hypothetical protein. Sc-IndA and/or Sc-IndB were co-expressed with Sc-IndC in E. coli BAP1, which demonstrated the involvement of Sc-IndB, but not Sc-IndA, in the biosynthetic pathway of indigoidine. The yield of indigoidine was dramatically increased by 41.4 % (3.93 g/l) when Sc-IndB was co-expressed with Sc-IndC in E. coli BAP1. Indigoidine is more stable at low temperatures.

Agricultural biogas. Intermediate assessment - Biogas Mission. The Energivie Program - Projects of development of farm-based methanization. Site selection, Visits of installations, Consultation of installers

International Nuclear Information System (INIS)

Maurer, Michel

2005-06-01

A first document presents Alsace pilot projects: technical and economic recalls, site pre-selection, project leader, description of the mobilisation of lipid co-substrates (interest of fats, modalities), regulatory context (for biogas production, electric energy supply and digestate use). It also presents installer companies which have been consulted for these projects. Another document proposes technical and economical analyses of proposals made by installers, and an analysis of deadlocking points for these pilot projects. Technical, economic, and environmental elements, as well as those dealing with installation management, costs and construction delays to be provided by the consulted company are indicated and commented

Indústrias criativas: definição, limites e possibilidades

OpenAIRE

Bendassolli,Pedro F.; Wood Jr.,Thomaz; Kirschbaum,Charles; Cunha,Miguel Pina e

2009-01-01

O termo "indústrias criativas" surgiu nos anos 1990, para designar setores nos quais a criatividade é uma dimensão essencial do negócio. As indústrias criativas compreendem, entre outras, as atividades relacionadas ao cinema, ao teatro, à música e às artes plásticas. Neste artigo introdutório, mostramos o surgimento do termo no âmbito de políticas públicas de desenvolvimento econômico, analisamos a literatura científica sobre as indústrias criativas e procuramos sistematizar as diferentes def...

Mechanism of Developmental Change in the PLAY Project Home Consultation Program: Evidence from a Randomized Control Trial

Science.gov (United States)

Mahoney, Gerald; Solomon, Richard

2016-01-01

This investigation is a secondary analysis of data from a randomized control trial of the PLAY Home Consultation Intervention Program which was conducted with 112 preschool children with Autism Spectrum Disorders and their parents (Solomon et al. in "J Dev Behav Pediatr" 35:475-485, 2014). Subjects were randomly assigned to either a…

Aproximações do Movimento Indígena e os conflitos socioambientais: processos de resistência e violência a partir do olhar indígena

Directory of Open Access Journals (Sweden)

Maria da Graça Luderitz Hoefel

2013-12-01

Full Text Available Esta pesquisa documental busca identificar e analisar – a partir do olhar indígena – os processos de resistência, organização do Movimento Indígena e violência no contexto dos conflitos socioambientais indígenas, entre 2005 e 2012, vivenciados pelos povos Atikum, Kariri-Xocó, Potiguara, Pataxó Hã-Hã-Hãe e Truká, situados na região Nordeste do Brasil. Foram analisados 90 documentos aos quais aplicouse a matriz de análise de Hoefel et al. (2011. Nota-se que as cinco etnias enfrentam conflitos socioambientais semelhantes. Os assassinatos, atentados e perseguições às lideranças indígenas representam 43% do total de formas de violência identificadas, seguida pela apropriação de terras indígenas, que alcança 36%. A luta pelo território e a luta contra a violência – especialmente os homicídios e atentados – são as duas principais bandeiras de luta identificadas. Com relação às estratégias, o estudo indica que o acionamento do poder público (Executivo, Legislativo e Judiciário, as ocupações e denúncias na mídia caracterizam-se como as estratégias centrais adotadas nos processos de luta dos povos indígenas. Observa-se que a maioria dos conflitos são travados entre os povos indígenas e os grandes proprietários de terras, sinalizando, em verdade, uma disputa entre modelos de desenvolvimento e de sociedades absolutamente distintas. Nesse sentido, ressalta-se que a priorização da produção de commodities e de grandes obras de infraestrutura tem conduzido o Brasil a um processo paradoxal que, por um lado, favorece o crescimento do PIB e, por outro, aprofunda os conflitos socioambientais indígenas, acirra a violência e induz à redução de direitos constitucionais historicamente conquistados por estes povos.

Pluralismo jurídico: derecho indígena y justicia nacional

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Leonello Bertini Chiriboga

2013-06-01

Full Text Available A partir de bases doctrinarias y normativas se analizan los avances y retrocesos de la jurisprudencia chilena en relación al reconocimiento de la costumbreindígena, la justiciabilidad del derecho propio indígena y la aplicación de un enfoque de pluralismo jurídico. Existen algunos avances en la jurisprudencia –a partir de la vigencia del Convenio 169 de la OIT– en el reconocimiento del derecho de propiedad ancestral al agua; derechos de uso, aprovechamiento y protección de tierras, recursos naturales y ecosistemas que conforman el hábitat territorial indígena; y derecho a la consulta acorde a la especificidad étnica de los pueblos indígenas. Sin embargo, en general, la jurisprudencia chilena salvaguarda la hegemonía del derecho estatal y los principios que lo estructuran, tanto en materia penal, donde excepcionalmente se aplica la costumbre como eximente o atenuante de responsabilidad penal, como en materia civil, donde se recogen tímidamente las normas y principios contenidos en la Ley Indígena y el Convenio 169 respecto del derecho de propiedad y posesión de las tierras de los pueblos indígenas. Por último, son inexistentes los casos de reconocimiento cierto de la potestad jurisdiccional de las autoridades indígenas para resolver los conflictos propios de su comunidad.

Convergence and accommodation development is pre-programmed in premature infants

Science.gov (United States)

Horwood, Anna M; Toor, Sonia S; Riddell, Patricia M

2015-01-01

Purpose This study investigated whether vergence and accommodation development in pre-term infants is pre-programmed or is driven by experience. Methods 32 healthy infants, born at mean 34 weeks gestation (range 31.2-36 weeks) were compared with 45 healthy full-term infants (mean 40.0 weeks) over a 6 month period, starting at 4-6 weeks post-natally. Simultaneous accommodation and convergence to a detailed target were measured using a Plusoptix PowerRefII infra-red photorefractor as a target moved between 0.33m and 2m. Stimulus/response gains and responses at 0.33m and 2m were compared by both corrected (gestational) age and chronological (post-natal) age. Results When compared by their corrected age, pre-term and full-term infants showed few significant differences in vergence and accommodation responses after 6-7 weeks of age. However, when compared by chronological age, pre-term infants’ responses were more variable, with significantly reduced vergence gains, reduced vergence response at 0.33m, reduced accommodation gain, and increased accommodation at 2m, compared to full-term infants between 8-13 weeks after birth. Conclusions When matched by corrected age, vergence and accommodation in pre-term infants show few differences from full-term infants’ responses. Maturation appears pre-programmed and is not advanced by visual experience. Longer periods of immature visual responses might leave pre-term infants more at risk of development of oculomotor deficits such as strabismus. PMID:26275135

Service Learning In Physics: The Consultant Model

Science.gov (United States)

Guerra, David

2005-04-01

Each year thousands of students across the country and across the academic disciplines participate in service learning. Unfortunately, with no clear model for integrating community service into the physics curriculum, there are very few physics students engaged in service learning. To overcome this shortfall, a consultant based service-learning program has been developed and successfully implemented at Saint Anselm College (SAC). As consultants, students in upper level physics courses apply their problem solving skills in the service of others. Most recently, SAC students provided technical and managerial support to a group from Girl's Inc., a national empowerment program for girls in high-risk, underserved areas, who were participating in the national FIRST Lego League Robotics competition. In their role as consultants the SAC students provided technical information through brainstorming sessions and helped the girls stay on task with project management techniques, like milestone charting. This consultant model of service-learning, provides technical support to groups that may not have a great deal of resources and gives physics students a way to improve their interpersonal skills, test their technical expertise, and better define the marketable skill set they are developing through the physics curriculum.

Promoting Diversity in STEM through Active Recruiting and Mentoring: The Pre-Major in Astronomy Program (Pre-MAP) at the University of Washington

Science.gov (United States)

Schwieterman, Edward; Binder, Breanna; Tremmel, Michael; Garofali, Kristen; Agol, Eric; Meadows, Victoria

2015-11-01

The Pre-Major in Astronomy Program (Pre-MAP) is a research and mentoring program for underclassmen and transfer students offered by the University of Washington Astronomy Department since 2005. The primary goal of Pre-MAP is to recruit and retain students from groups traditionally underrepresented in science, technology, engineering, and mathematics (STEM) through early exposure to research. The Pre-MAP seminar is the core component of the program and offers instruction in computing skills, data manipulation, science writing, statistical analysis, and scientific speaking and presentation skills. Students choose research projects proposed by faculty, post-docs and graduate students in areas related to astrophysics, planetary science, and astrobiology. Pre-MAP has been successful in retaining underrepresented students in STEM fields relative to the broader UW population, and we've found these students are more likely to graduate and excel academically than their peers. As of spring 2015, more than one hundred students have taken the Pre-MAP seminar, and both internal and external evaluations have shown that all groups of participating students report an increased interest in astronomy and science careers at the end of the seminar. Several former Pre-MAP students have obtained or are pursuing doctoral and master’s degrees in STEM fields; many more work at NASA centers, teaching colleges, or as engineers or data analysts. Pre- MAP student research has produced dozens of publications in peer-reviewed research journals. This talk will provide an overview of the program: the structure of the seminar, examples of projects completed by students, cohort-building activities outside the seminar, funding sources, recruitment strategies, and the aggregate demographic and achievement data of our students. It is our hope that similar programs may be adopted successfully at other institutions.

76 FR 27859 - 8(a) Business Development Program Regulation Changes; Tribal Consultation

Science.gov (United States)

2011-05-13

... the same tribe, ANC, NHO or CDC will submit identical data describing the benefits provided by the tribe, ANC, NHO or CDC. II. Tribal Consultation Meetings The purpose of these tribal consultation...

Psychiatric Consultation at Your Fingertips: Descriptive Analysis of Electronic Consultation From Primary Care to Psychiatry.

Science.gov (United States)

Lowenstein, Margaret; Bamgbose, Olusinmi; Gleason, Nathaniel; Feldman, Mitchell D

2017-08-04

Mental health problems are commonly encountered in primary care, with primary care providers (PCPs) experiencing challenges referring patients to specialty mental health care. Electronic consultation (eConsult) is one model that has been shown to improve timely access to subspecialty care in a number of medical subspecialties. eConsults generally involve a PCP-initiated referral for specialty consultation for a clinical question that is outside their expertise but may not require an in-person evaluation. Our aim was to describe the implementation of eConsults for psychiatry in a large academic health system. We performed a content analysis of the first 50 eConsults to psychiatry after program implementation. For each question and response, we coded consults as pertaining to diagnosis and/or management as well as categories of medication choice, drug side effects or interactions, and queries about referrals and navigating the health care system. We also performed a chart review to evaluate the timeliness of psychiatrist responses and PCP implementation of recommendations. Depression was the most common consult template selected by PCPs (20/50, 40%), followed by the generic template (12/50, 24%) and anxiety (8/50, 16%). Most questions (49/50, 98%) pertained primarily to management, particularly for medications. Psychiatrists commented on both diagnosis (28/50, 56%) and management (50/50, 100%), responded in an average of 1.4 days, and recommended in-person consultation for 26% (13/50) of patients. PCPs implemented psychiatrist recommendations 76% (38/50) of the time. For the majority of patients, psychiatrists provided strategies for ongoing management in primary care without an in-person evaluation, and PCPs implemented most psychiatrist recommendations. eConsults show promise as one means of supporting PCPs to deliver mental health care to patients with common psychiatric disorders. ©Margaret Lowenstein, Olusinmi Bamgbose, Nathaniel Gleason, Mitchell D Feldman

Cardiac EASE (Ensuring Access and Speedy Evaluation) – the impact of a single-point-of-entry multidisciplinary outpatient cardiology consultation program on wait times in Canada

Science.gov (United States)

Bungard, Tammy J; Smigorowsky, Marcie J; Lalonde, Lucille D; Hogan, Terry; Doliszny, Katharine M; Gebreyesus, Ghirmay; Garg, Sipi; Archer, Stephen L

2009-01-01

BACKGROUND: Universal access to health care is valued in Canada but increasing wait times for services (eg, cardiology consultation) raise safety questions. Observations suggest that deficiencies in the process of care contribute to wait times. Consequently, an outpatient clinic was designed for Ensuring Access and Speedy Evaluation (Cardiac EASE) in a university group practice, providing cardiac consultative services for northern Alberta. Cardiac EASE has two components: a single-point-of-entry intake service (prospective testing using physician-approved algorithms and previsit triage) and a multidisciplinary clinic (staffed by cardiologists, nurse practitioners and doctoral-trained pharmacists). OBJECTIVES: It was hypothesized that Cardiac EASE would reduce the time to initial consultation and a definitive diagnosis, and also increase the referral capacity. METHODS: The primary and secondary outcomes were time from referral to initial consultation, and time to achieve a definitive diagnosis and management plan, respectively. A conventionally managed historical control group (three-month pre-EASE period in 2003) was compared with the EASE group (2004 to 2006). The conventional referral mechanism continued concurrently with EASE. RESULTS: A comparison between pre-EASE (n=311) and EASE (n=3096) revealed no difference in the mean (± SD) age (60±16 years), sex (55% and 52% men, respectively) or reason for referral, including chest pain (31% and 40%, respectively) and arrhythmia (27% and 29%, respectively). Cardiac EASE reduced the time to initial cardiac consultation (from 71±45 days to 33±19 days) and time to a definitive diagnosis (from 120±86 days to 51±58 days) (P<0.0001). The annual number of new referrals increased from 1512 in 2002 to 2574 in 2006 due to growth in the Cardiac EASE clinic. The number of patients seen through the conventional referral mechanism and their wait times remained constant during the study period. CONCLUSIONS: Cardiac EASE reduced

Improving Histopathology Laboratory Productivity: Process Consultancy and A3 Problem Solving

Directory of Open Access Journals (Sweden)

Kutsal YÖRÜKOĞLU

2017-01-01

Full Text Available Objective: The ISO 17020 quality program has been run in our pathology laboratory for four years to establish an action plan for correction and prevention of identified errors. In this study, we aimed to evaluate the errors that we could not identify through ISO 17020 and/or solve by means of process consulting. Process consulting is carefully intervening in a group or team to help it to accomplish its goals. Material and Method: The A3 problem solving process was run under the leadership of a ‘workflow, IT and consultancy manager’. An action team was established consisting of technical staff. A root cause analysis was applied for target conditions, and the 6-S method was implemented for solution proposals. Applicable proposals were activated and the results were rated by six-sigma analysis. Non-applicable proposals were reported to the laboratory administrator. Results: A mislabelling error was the most complained issue triggering all pre-analytical errors. There were 21 non-value added steps grouped in 8 main targets on the fish bone graphic (transporting, recording, moving, individual, waiting, over-processing, over-transaction and errors. Unnecessary redundant requests, missing slides, archiving issues, redundant activities, and mislabelling errors were proposed to be solved by improving visibility and fixing spaghetti problems. Spatial re-organization, organizational marking, re-defining some operations, and labeling activities raised the six sigma score from 24% to 68% for all phases. Operational transactions such as implementation of a pathology laboratory system was suggested for long-term improvement. Conclusion: Laboratory management is a complex process. Quality control is an effective method to improve productivity. Systematic checking in a quality program may not always find and/or solve the problems. External observation may reveal crucial indicators about the system failures providing very simple solutions.

Improving Histopathology Laboratory Productivity: Process Consultancy and A3 Problem Solving.

Science.gov (United States)

Yörükoğlu, Kutsal; Özer, Erdener; Alptekin, Birsen; Öcal, Cem

2017-01-01

The ISO 17020 quality program has been run in our pathology laboratory for four years to establish an action plan for correction and prevention of identified errors. In this study, we aimed to evaluate the errors that we could not identify through ISO 17020 and/or solve by means of process consulting. Process consulting is carefully intervening in a group or team to help it to accomplish its goals. The A3 problem solving process was run under the leadership of a 'workflow, IT and consultancy manager'. An action team was established consisting of technical staff. A root cause analysis was applied for target conditions, and the 6-S method was implemented for solution proposals. Applicable proposals were activated and the results were rated by six-sigma analysis. Non-applicable proposals were reported to the laboratory administrator. A mislabelling error was the most complained issue triggering all pre-analytical errors. There were 21 non-value added steps grouped in 8 main targets on the fish bone graphic (transporting, recording, moving, individual, waiting, over-processing, over-transaction and errors). Unnecessary redundant requests, missing slides, archiving issues, redundant activities, and mislabelling errors were proposed to be solved by improving visibility and fixing spaghetti problems. Spatial re-organization, organizational marking, re-defining some operations, and labeling activities raised the six sigma score from 24% to 68% for all phases. Operational transactions such as implementation of a pathology laboratory system was suggested for long-term improvement. Laboratory management is a complex process. Quality control is an effective method to improve productivity. Systematic checking in a quality program may not always find and/or solve the problems. External observation may reveal crucial indicators about the system failures providing very simple solutions.

Consulting Basics for the Teacher-Turned-Technology Consultant.

Science.gov (United States)

Stager, Sue; Green, Kathy

1988-01-01

Discusses the role of educational technology consultants who may be classroom teachers with no formal training in consulting. Consulting models are described, including content-oriented and process-oriented approaches; Schein's process facilitator model is examined; and Kurpius' consulting model is explained and expanded. (LRW)

Saúde reprodutiva e mulheres indígenas do Alto Rio Negro

Directory of Open Access Journals (Sweden)

Marta Azevedo

Full Text Available O presente artigo descreve e analisa as concepções próprias das mulheres indígenas do Alto Rio Negro sobre saúde reprodutiva, relacionando-as a indicadores de fecundidade. As informações qualitativas apontam para um conhecimento detalhado e complexo que as mulheres indígenas dessa região possuem sobre seu corpo e os cuidados com sua saúde. Os níveis e padrões etários da fecundidade estão relacionados com a etnia das mulheres, portanto, aos sistemas tradicionais de cuidados com a saúde desses povos. A pesquisa foi desenvolvida entre 1997 e 2003, na região de Iauaretê, Terra Indígena Alto Rio Negro (AM, e teve como primeira fonte de dados o Censo Indígena Autônomo do Rio Negro - CIARN-, levado a efeito pela Federação das Organizações Indígenas do Rio Negro - FOIRN - em 1992.

Quality and Characteristics of the North Carolina Pre-Kindergarten Program: 2011-2012 Statewide Evaluation

Science.gov (United States)

Peisner-Feinberg, Ellen; Schaaf, Jennifer; Hildebrandt, Lisa; LaForett, Dore

2013-01-01

The North Carolina Pre-Kindergarten Program (NC Pre-K) is a state-funded initiative for at-risk 4-year-olds, designed to provide a high quality, classroom-based educational program during the year prior to kindergarten entry. Children are eligible for NC Pre-K based on age, family income (at or below 75% of state median income), and other risk…

Situación de salud y nutrición de niños indígenas y niños no indígenas de la Amazonia peruana

Directory of Open Access Journals (Sweden)

Adrián Díaz

2015-07-01

Full Text Available OBJETIVO: Evaluar el estado nutricional de los menores de 5 años, indígenas y no indígenas, de dos provincias de la Amazonia peruana. MÉTODOS: Estudio descriptivo y transversal representativo de familias con niños menores de cinco años residentes en las provincias de Bagua y Condorcanqui en Perú. El estudio incluyó entrevista a la madre o cuidador del(os niño(s, evaluación antropométrica, hemoglobina en sangre capilar, búsqueda de parásitos intestinales en los niños menores de 5 años, acceso a los servicios de salud, antecedentes de infecciones respiratorias agudas y enfermedades diarreicas agudas, condición socioeconómica y consumo de sal inadecuadamente yodada. Mediante métodos lineares generalizados se identificaron los determinantes de la desnutrición crónica y anemia infantil en cada población de estudio. RESULTADOS: Se evaluaron 986 familias y 1 372 niños. La prevalencia de desnutrición crónica fue mayor en la población indígena respecto de la no indígena (56,2% versus 21,9%, igual que la anemia (51,3% versus 40,9%. Los determinantes de la desnutrición crónica fueron diferentes en ambas poblaciones. En indígenas, prevaleció la edad mayor a 36 meses (OR 2,21; IC95% 1,61-3, 04 y vivienda inadecuada (OR 2,9; IC95% 1,19-7,11, mientras que en los no indígenas, la pobreza extrema (OR 2,31; IC95% 1,50 - 3,55 y el parto institucional (OR 3,1; IC95% 2,00-4,83. CONCLUSIONES: Existen marcadas brechas entre la población indígena y la población no indígena respecto de las condiciones de vida, acceso a servicios de salud y estado nutricional de menores de 5 años. Se requiere asignar particular atención a la población indígena a fin de adecuar las modalidades de entrega de los programas y servicios que ofrece el Estado en dichos contextos.

SOME INDICATORS OF CONSULTATIVE SERVICES DEVELOPMENT IN SERBIA

Directory of Open Access Journals (Sweden)

Vesna PARAUSIC

2012-01-01

Full Text Available Transition process and Serbia's entering into the European Union is possible to hasten by adequate and timely consultative services, before all during the programs and methodologies creation for conducting the enterprises' restructuring processes. In such conditions, the consultative organizations help the enterprises in accomplishing their goals, solving problems in business and management, identifying and using new possibilities, increasing their knowledge and applying suggested changes in the practice. Consulting is a result of manager need for integrated and complex business information. To obtain the transfer of consultant knowledge and manager skills development, a certain conditions must be fulfilled. First of all, business integrity and consultant competence are the most important. Business integrity, i.e. consultant ethics contributes image and reputation and is important competitiveness factor on consultant services market. Regarding actual consulting trends in countries within our region, as well as developmental level of consulting in EU countries, the market of consultative services in Serbia has not significantly changed in previous period (as we saw, the acknowledgement of it was got also by empirical research. The owners and managers of enterprises still do not feel a need for external services, in order to solve business problems. Having in mind a level and quality of demand, neither a supply of consultative services had not reached satisfactory level.

“How long does it take?” A mixed methods evaluation of computer-related work in GP consultations

Directory of Open Access Journals (Sweden)

James Hayward

2015-12-01

Full Text Available Background Systematic reviews have suggested that time spent on computerrelated tasks increases consultation length. However, these reviews pre-date the current ubiquitous use of computers in U.K. general practice.Objective As part of a U.K. national study of the influence of information technology (IT on the interaction between patients and healthcare professionals during consultations, we explored how IT functions affected time allocation and styles of computer use during general practitioner (GP consultations.Methods We drew on multichannel video recording of consultations and measured consultation phases and the duration of computer-related tasks. We related measures of actual time to GP’s interpretation of computer use elicited in qualitative interviews.Results Our sample included recordings of 112 consultations from 6 GPs in three practices. The computer was used for about one-third of the greater consultation. However, its use was concentrated pre- and post- the patient consultation. The workflow of consultation was exemplified through six computer use cases. Most functionality was accepted and accommodated within the consultation, though disruptive and time-consuming tasks were generally delegated to administrative staff. Recognised styles of computer use (minimal, block and conversational were apparent, but applied very flexibly by GPs according to the nature of the consultation.Conclusions In contrast to earlier reports, contemporary computer use does not appear to have lengthened consultations. GPs adopted different styles of computer use in different consultations, challenging classifications that seek to stereotype GP computer use. Designing systems that support this versatility require an understanding of the fluid application of computer use within consultation structure.

Estrutura de Mercado e Estratégia: Um Estudo na Indústria Brasileira de Baterias Automotivas

Directory of Open Access Journals (Sweden)

Jaiane Aparecida Pereira

2016-04-01

Full Text Available Dadas as configurações da indústria e os grupos estratégicos, diferentes estratégias são requeridas por parte das empresas para responder à estrutura de mercado. Especialmente ao se considerar oligopólios competitivos, muitos estudos focam nas grandes empresas do núcleo desses setores. Entende-se que a compreensão das estratégias das firmas que atuam às margens das grandes oligopolistas, ou seja, na “franja” desses mercados, também é relevante, pois a escolha estratégica e o desempenho das empresas na “franja” interferem na dinâmica de todo o setor. Com base no paradigma Estrutura-Conduta-Desempenho da Organização Industrial, o presente trabalho tem por objetivo revelar como as estratégias das firmas na “franja” estão alinhadas à estrutura de mercado de baterias automotivas para reposição. Para tanto, foi realizada pesquisa qualitativa descritiva, por meio de entrevistas semiestruturadas com diretores de quatro firmas fabricantes de baterias para reposição. Os resultados apontam para a importância da estrutura da indústria nesse mercado. Além da necessidade de estratégias não preço para dar suporte a concorrência por preço, típica de empresas na “franja” de oligopólios competitivos, observa-se uma combinação de diferentes estratégias, indicando grande complexidade na definição de estratégias. Assim, a concorrência por preço é suportada, em grande parte, por estratégias de não preço, tais como de inovação e de qualidade. Ademais, a regulação ambiental tem importante papel nas condições de base da oferta e na conduta das empresas, o que indica novas possibilidade de concorrência e desempenho nesse setor.

Effects of Using Licensed Practical Nurses to Assist with Telephone Consultation Management

National Research Council Canada - National Science Library

Wiley, Jennifer L

2006-01-01

.... The study compared means of pre- and post-implementation provider overall job satisfaction, provider satisfaction with the telephone consult process, average daily hours providers spent on telephone...

La participación de las comunidades indígenas migrantes en el marco del Consejo Consultivo Indígena en León, Guanajuato

OpenAIRE

Yolanda de León-de Santiago; Antonino Santiago-Isidro

2016-01-01

En México, a lo largo de la historia, se ha ignorado el aporte de los pueblos indígenas y se ha omitido su punto de vista para la toma de decisiones en asuntos que los atañe, no fue sino hasta el levantamiento Zapatista que la cuestión indígena despertó interés. En el estado de Guanajuato, la población indígena es menor en comparación con otros estados y, sin embargo, está conformada por un mosaico de culturas, algunas nativas y otras migrantes. A pesar de esto, la presencia de poblac...

Water pollution - control of pollution regulations: water pollution from abandoned mines; pre-notification of mine abandonment consultation paper and draft regulations

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-02-01

The paper contains proposals to specify the content of the pre-abandonment notices which UK mine operators will be required to give in the future. The proposals are designed to enhance the Environment Agency`s ability to tackle water pollution from abandoned mines. They set out the precise contents of the notification, which mine operators will have to send to the Agency at least six months in advance of any intended abandonment. The regulations will cover coal and non-coal mines. Estimated compliance costs to business have been drawn up following consultation with the Department of Trade and Industry, the Health and Safety Executive, the Coal Authority and the Environment Agency. The regulations are due in late spring 1998.

Effects of a Play-Based Teacher Consultation (PBTC) Program on Interpersonal Skills of Elementary School Teachers in the Classroom

Science.gov (United States)

Carlson, Sarah E.

2011-01-01

The purpose of this study was to examine the effectiveness of a play-based teacher consultation (PBTC) program on individual teachers' interpersonal classroom behaviors and teacher-child relationships. The research questions addressed the application of child-centered play therapy principles and PBTC increasing teacher responsiveness, decreasing…

Genetic consultation embedded in a gynecologic oncology clinic improves compliance with guideline-based care.

Science.gov (United States)

Senter, Leigha; O'Malley, David M; Backes, Floor J; Copeland, Larry J; Fowler, Jeffery M; Salani, Ritu; Cohn, David E

2017-10-01

Analyze the impact of embedding genetic counseling services in gynecologic oncology on clinician referral and patient uptake of cancer genetics services. Data were reviewed for a total of 737 newly diagnosed epithelial ovarian cancer patients seen in gynecologic oncology at a large academic medical center including 401 from 11/2011-7/2014 (a time when cancer genetics services were provided as an off-site consultation). These data were compared to data from 8/2014-9/2016 (n=336), when the model changed to the genetics embedded model (GEM), incorporating a cancer genetic counselor on-site in the gynecologic oncology clinic. A statistically significant difference in proportion of patients referred pre- and post-GEM was observed (21% vs. 44%, pgenetics consultation and post-GEM 82% were scheduled (pgenetics was also statistically significant (3.92months pre-GEM vs. 0.79months post-GEM, pgenetics consultation (2.52months pre-GEM vs. 1.67months post-GEM, pgenetic counselor on the same day as the referral. Providing cancer genetics services on-site in gynecologic oncology and modifying the process by which patients are referred and scheduled significantly increases referral to cancer genetics and timely completion of genetics consultation, improving compliance with guideline-based care. Practice changes are critical given the impact of genetic test results on treatment and familial cancer risks. Copyright © 2017 Elsevier Inc. All rights reserved.

Gestão de Custos, Preços e Resultados: um Estudo em Indústrias Conserveiras do Rio Grande do Sul.

Directory of Open Access Journals (Sweden)

Daniele Penteado Gonçalves Braga

2010-08-01

Full Text Available O objetivo do estudo é analisar as questões relacionadas à gestão dos estoques, do capital de giro, do processo de formação de preços, e da gestão de custos em indústrias conserveiras do estado do Rio Grande do Sul. As práticas de gestão pesquisadas têm sido abordadas com frequência pela literatura na forma de instrumentos da eficiência e eficácia empresarial. A pesquisa, realizada no ano de 2008, envolveu um estudo empírico com as oito empresas conserveiras do estado do Rio Grande do Sul cujo faturamento anual situa-se acima de R$ 12 milhões. Para coleta de dados, utilizou-se de entrevista estruturada, realizada com os gestores financeiros das empresas, cuja análise foi desenvolvida com o uso técnicas estatísticas descritivas e de correlação entre variáveis. Os principais resultados indicam que: (a a maioria das empresas forma os estoques de insumos para períodos de curto prazo, dadas as limitações de capital de giro e de endividamento; (b a maioria delas usa sistema de custos ou alguma forma de estrutura de custos, com tradicionais técnicas de mensuração e gestão dos custos do processo produtivo; (c o principal método utilizado na formação do preço de venda é o mark-up, aplicado sobre o custo total de produção; (d as correlações mais significativas e relevantes foram observadas entre os métodos de custeio utilizados e a adoção do conceito de margem de contribuição, assim como dos métodos de custeio com a técnica do ponto de equilíbrio; (e foram identificadas diversas inconsistências conceituais nas respostas dos gestores, revelando suas limitações de formação.

El laberinto de la autonomía indígena en el Ecuador: las circunscripciones territoriales indígenas en la Amazonía Central, 2010-2012

OpenAIRE

Ortiz-T., Pablo

2014-01-01

¿Cuáles son los avatares y desencuentros presentes en el proceso de constitución de las Circunscripciones Territoriales Indígenas (CTIs) en relación a la vigencia del derecho a la autodeterminación y autogestión territorial de las nacionalidades indígenas en el Ecuador? Para responder a dicha interrogante, el artículo considera el reconocimiento al derecho a la autonomía y autodeterminación de las nacionalidades y pueblos indígenas en Ecuador. Posteriormente, analiza el alcance...

Consultation and the TADS Experience. Occasional Paper Number 1.

Science.gov (United States)

Trohanis, Pascal L.; And Others

During the past 10 years, the Technical Assistance Development System's (TADS) staff and advisory board members along with 500 other people have provided consultation services to model demonstration programs and state education agencies that help young handicapped children and their families. Consultants are usually located through a sponsor or…

40 CFR 93.105 - Consultation.

Science.gov (United States)

2010-07-01

... Implementation Plans of Transportation Plans, Programs, and Projects Developed, Funded or Approved Under Title 23... EPA with MPOs, State departments of transportation, and DOT in developing applicable implementation...) through (e) of this section. Public consultation procedures will be developed in accordance with the...

Open pre-schools at integrated health services - A program theory

Directory of Open Access Journals (Sweden)

Agneta Abrahamsson

2013-04-01

Full Text Available Introduction: Family centres in Sweden are integrated services that reach all prospective parents and parents with children up to their sixth year, because of the co-location of the health service with the social service and the open pre-school. The personnel on the multi-professional site work together to meet the needs of the target group. The article explores a program theory focused on the open pre-schools at family centres.Method: A multi-case design is used and the sample consists of open pre-schools at six family centres. The hypothesis is based on previous research and evaluation data. It guides the data collection which is collected and analysed stepwise. Both parents and personnel are interviewed individually and in groups at each centre.Findings: The hypothesis was expanded to a program theory. The compliance of the professionals was the most significant element that explained why the open access service facilitated positive parenting. The professionals act in a compliant manner to meet the needs of the children and parents as well as in creating good conditions for social networking and learning amongst the parents. Conclusion: The compliance of the professionals in this program theory of open pre-schools at family centres can be a standard in integrated and open access services, whereas the organisation form can vary. The best way of increasing the number of integrative services is to support and encourage professionals that prefer to work in a compliant manner.

Open pre-schools at integrated health services - A program theory

Directory of Open Access Journals (Sweden)

Agneta Abrahamsson

2013-04-01

Full Text Available Introduction: Family centres in Sweden are integrated services that reach all prospective parents and parents with children up to their sixth year, because of the co-location of the health service with the social service and the open pre-school. The personnel on the multi-professional site work together to meet the needs of the target group. The article explores a program theory focused on the open pre-schools at family centres. Method: A multi-case design is used and the sample consists of open pre-schools at six family centres. The hypothesis is based on previous research and evaluation data. It guides the data collection which is collected and analysed stepwise. Both parents and personnel are interviewed individually and in groups at each centre. Findings: The hypothesis was expanded to a program theory. The compliance of the professionals was the most significant element that explained why the open access service facilitated positive parenting. The professionals act in a compliant manner to meet the needs of the children and parents as well as in creating good conditions for social networking and learning amongst the parents. Conclusion: The compliance of the professionals in this program theory of open pre-schools at family centres can be a standard in integrated and open access services, whereas the organisation form can vary. The best way of increasing the number of integrative services is to support and encourage professionals that prefer to work in a compliant manner.

Measuring Pre-Kindergarten Teachers' Perceptions: Compliance with the High/Scope Program

Science.gov (United States)

Palenzuela, Silvia M.

2004-01-01

The research study examined the relationship between pre-kindergarten teachers' age and years of experience with their perceptions and their actual compliance with the norms of the High/Scope Pre-kindergarten Program. Teachers' perceptions of satisfaction with the supervisory relationship were measured by the Early Childhood Job Satisfaction…

Men's Adultery as Sickness: Metaphor, Gender Categories and the Discursive Construction of Gender Differences on Japanese Television Consultation Programs

Science.gov (United States)

Saft, Scott; Ohara, Yumiko

2009-01-01

This article describes how Japanese TV programs adopting a consultation framework construct different realities for women and men concerning a specific social phenomenon, namely adultery. To do so, two perspectives, the theory of metaphor promoted by George Lakoff and membership category analysis, are combined toward a discursive analysis which…

The Effect of TMPT Program on Pre-School Children's Social Problem Solving Skills

Science.gov (United States)

Gur, Cagla; Kocak, Nurcan

2018-01-01

Purpose: Starting Thinking Training at an early age is important. However, few studies were found regarding Thinking Training programs for pre-school children and the contributions of these programs to children's social problem-solving. In this context, the TMPT Program was developed for pre-school children and the effect of the program on 5-6…

La educación indígena en el Estado de México

OpenAIRE

Eduardo Andrés SANDOVAL-FORERO; Bernardino Jaciel Montoya Arce

2013-01-01

El artículo analiza de manera general el contexto nacional de la educación convencional indígena y de manera particular la educación indígena en el Estado de México a través de la información estadística del XIII Censo de Población y Vivienda 2010 y de los datos de la Dirección General de Educación Indígena. El examen de las cifras nacional y estatal evidencia en términos relativos un acceso restringido para los indígenas a la educación oficial, lo que demuestra mayor falta de ...

The effects of musical training on movement pre-programming and re-programming abilities: an event-related potential investigation.

Science.gov (United States)

Anatürk, Melis; Jentzsch, Ines

2015-03-01

Two response precuing experiments were conducted to investigate effects of musical skill level on the ability to pre- and re-programme simple movements. Participants successfully used advance information to prepare forthcoming responses and showed response slowing when precue information was invalid rather than valid. This slowing was, however, only observed for partially invalid but not fully invalid precues. Musicians were generally faster than non-musicians, but no group differences in the efficiency of movement pre-programming or re-programming were observed. Interestingly, only musicians exhibited a significant foreperiod lateralized readiness potential (LRP) when response hand was pre-specified or full advance information was provided. These LRP findings suggest increased effector-specific motor preparation in musicians than non-musicians. However, here the levels of effector-specific preparation did not predict preparatory advantages observed in behaviour. In sum, combining the response precuing and ERP paradigms serves a valuable tool to examine influences of musical training on movement pre- or re-programming processes. Copyright © 2015 Elsevier B.V. All rights reserved.

Promoting Inclusivity in STEM through Active Recruiting and Mentoring: The Pre-Major in Astronomy Program (Pre-MAP) at the University of Washington

Science.gov (United States)

Schwieterman, Edward; Binder, Breanna A.; Pre-Major in Astronomy Program

2016-01-01

The Pre-Major in Astronomy Program (Pre-MAP) is a research and mentoring program for entering undergraduate students offered by the University of Washington Astronomy Department since 2005. The primary goal of Pre-MAP is to recruit and retain students from groups traditionally underrepresented in science, technology, engineering, and mathematics (STEM) through early exposure to guided research projects. The Pre-MAP seminar is the core component of the program and offers instruction in computing skills, data manipulation, science writing, statistical analysis, and scientific speaking and presentation skills. Students choose research projects proposed by faculty, post-docs and graduate students in areas related to astrophysics, planetary science, and astrobiology. Pre-MAP has been successful in retaining underrepresented students in STEM fields relative to the broader UW population, and we've found these students are more likely to graduate and excel academically than their peers. As of fall 2015, more than one hundred students have taken the Pre-MAP seminar, and both internal and external evaluations have shown that all groups of participating students report an increased interest in astronomy and science careers at the end of the seminar. This talk will provide an overview of the program and the structure of the core seminar. In particular, the talk will focus on additions and revisions to the seminar course over the last few years, such as the introduction of a public speaking coach, career and internship modules, and the formalization of external lab tours.

A formação do professor indígena

Directory of Open Access Journals (Sweden)

Vanessa Nunes Ramos

2014-03-01

Full Text Available O artigo aborda a temática Formação do Professor Indígena e teve como objetivo destacar os desafios e avanços no processo de formação docente no Estado de Mato Grosso. A pesquisa teve uma análise qualitativa, baseada na pesquisa bibliográfica. Concluiu-se que o professor indígena tem como função principal contribuir para a formação integral de sua comunidade, atuando para além da sala de aula, ele contribui com o desenvolvimento econômico, político, social e cultural da comunidade. Palavras-chave: educação; formação do professor indígena; cultura.

Integrating Faith-Based Organizations into State-Funded Pre-K Programs: Resolving Constitutional Conflict. Pre-K Policy Brief Series

Science.gov (United States)

Goldman, Dan; Boylan, Ellen

2010-01-01

This policy brief addresses federal and state constitutional issues that arise when faith-based organizations participate in state prekindergarten (pre-k) programs and recommends safeguards to ensure that public funding of those programs complies with constitutional principles respecting the separation of church and state and freedom of religion.…

Regulatory considerations concerning IND radiopharmaceutical drug products

International Nuclear Information System (INIS)

Nissel, M.

1985-01-01

The Food and Drug Administration is charged by the Food, Drug, and Cosmetic Act, as presently amended, to assure that any drug introduced into interstate commerce is safe and effective for the purposes for which it is labeled. A radiopharmaceutical is, by definition, a new drug unless there is in effect an approved New Drug Application (NDA) for it. Before the data for the NDA are compiled, investigative studies have to be done. Before such studies can be performed in humans, an exemption from the Act is necessary. This exemption, technically the Claimed Exemption for an Investigational New Drug, is termed the IND. Both the scientific and the administrative requirements for an IND are discussed. For radiopharmaceutical drug products (RDP's), the radiation hazards, as well as the pharmacological ones, must be documented. Should the early studies demonstrate a potential for efficacy in a certain condition or disease state, an investigative protocol for an extended clinical trial is presented. The necessary requirements for Institutional Review Board (IRB) approval and consent forms are discussed. For certain research purposes, uniquely for radioactive drugs, an IND is not required for certain specific studies; the requirements for such a research study, conducted under the auspices of an approved radioactive drug research committee, are outlined

La educación indígena en el Estado de México

OpenAIRE

Eduardo Andrés SANDOVAL-FORERO

2013-01-01

El artículo analiza de manera general el contexto nacional de la educación convencional indígena y de manera particular la educación indígena en el Estado de México a través de la información estadística del XIII Censo de Población y Vivienda 2010 y de los datos de la Dirección General de Educación Indígena. El examen de las cifras nacional y estatal evidencia en términos relativos un acceso restringido para los indígenas a la educación oficial, lo que demuestra mayor falta de oportunidades y...

Indústria 4.0 / Status Report Marc de referència sobre la Indústria 4.0 octubre 2016

OpenAIRE

Fonseca Casas, Pau

2016-01-01

L¿objecte d¿aquest document és donar a conèixer els elements de la Indústria 4.0 als enginyers, al teixit industrial català i a la societat, podent ser utilitzat com a instrument que faciliti el debat i la construcció d'un discurs normalitzat al voltant de la mateixa. Existeix el debat sobre fins a quin punt el màrqueting de la Indústria 4.0 va per davant de la realitat o a l¿inrevés. En qualsevol cas, l¿objectiu de la Comissió i4.0 d¿Enginyers de Catalunya és contribuir a l¿establiment de ba...

Client/consultant model services agreement

CERN Document Server

International Federation of Consulting Engineers

2006-01-01

The terms of the Client Consultant Model Services agreement (The White Book) have been prepared by the Fédération Internationale des Ingénieurs-Conseils (FIDIC) and are recommended for general use for the purposes of pre-investment and feasibility studies, designs and administration of construction and project management, where proposals for such services are invited on an international basis. They are equally adaptable for domestic agreements. - See more at: http://fidic.org/books/clientconsultant-model-services-agreement-4th-ed-2006-white-book#sthash.3Uxy5qT3.dpuf

MULTIMEDIA VIDEO-CONSULTATIONS USING IN FORMING INFORMATIVE COMPETENCE OF FUTURE ECONOMISTS

Directory of Open Access Journals (Sweden)

M. Sherman

2014-04-01

Full Text Available In the article modern presentations in relation to a structure and semantic filling of components of informative competence of future economists are analysed, placed in professional sources. The necessity of development of program tools of evident and consultative purpose, suitable for the high-quality capture by future economists by new program tools of educational and professional purpose in the conditions of the limited time, is grounded. By comparison of basic possibilities of freely expandable computer tools of creation of videos-consultations the program tool of creation of dynamic videos-consultations proper to the subject of the educational discipline «Informative systems and technologies» is select, which is foreseen by the curriculum of professional preparation of future economists. The separate standards of videos-consultations are developed and experimental verification of functioning of these program tools is carried out. In the process of pedagogical experiment were explored and compared the generalized indexes of educational progress – middle mark and coefficient of quality of educational progress of students on the most difficult themes of discipline the «Informative systems and technologies» in control and experimental groups. In the process of statistical data analysis, got as a result of pedagogical experiment, the indexes of descriptive statistics and criterion were calculated, what conclusions in relation to efficiency and fitness of the developed videos-consultations to the use in the system of forming of informative competence of future economists are formulated on the basis of.

As práticas corporais e a educação do corpo indígena: a contribuição do esporte nos jogos dos povos indígenas

Directory of Open Access Journals (Sweden)

Arthur José Medeiros de Almeida

2010-12-01

Full Text Available No presente estudo procurou-se analisar a relação entre o esporte e a educação do corpo indígena no contexto dos Jogos dos Povos Indígenas. O objetivo foi o de entender o significado do evento em relação ao sentido de educação do corpo indígena. Para tanto, realizou-se uma investigação com base nos pressupostos metodológicos das Ciências Sociais, combinando-se consulta a documentos com a o trabalho de campo, que ocorreu durante a IX edição dos Jogos dos Povos Indígenas. Nesse ínterim, a reflexão e a interpretação mostraram que o evento adquire conotação de espetáculo e que práticas corporais tradicionais assumem características do esporte de alto rendimento, podendo contribuir para o surgimento de outro habitus e modificar a relação dos indígenas com o uso de seu corpo.

Comparison of skin sensory thresholds using pre-programmed or single-frequency transcutaneous electrical nerve stimulation.

Science.gov (United States)

Kang, Jong Ho

2015-12-01

[Purpose] The purpose of the present study was to compare the sensory thresholds of healthy subjects using pre-programmed or single-frequency transcutaneous electrical nerve stimulation. [Subjects] Ninety healthy adult subjects were randomly assigned to pre-programmed or single-frequency stimulation groups, each consisting of 45 participants. [Methods] Sensory thresholds were measured in the participants' forearms using von Frey filaments before and after pre-programmed or single-frequency transcutaneous electrical nerve stimulation, and the result in values were analyzed. [Results] Significant increases in sensory threshold after stimulation were observed in both groups. However, there were no significant differences between the two groups in sensory thresholds after stimulation or in the magnitude of threshold increases following stimulation. [Conclusion] Our results show that there are no differences between sensory threshold increases induced by pre-programmed and single-frequency transcutaneous electrical nerve stimulation.

Program Performance Assessment System (PPAS). External reviewers' report of the consultants' meeting on analytical quality control services

International Nuclear Information System (INIS)

2001-01-01

In reviewing the recommendations of previous Consultants' Meetings concerning the AQCS program, it is apparent that there has been a clear and consistent agreement on what the objectives of the AQCS activities should be. The mission statement as given in the Agency's 'Blue Book 1997-1998' states 'To assist analytical laboratories in Member States in maintaining/improving the quality of their analytical measurements, to achieve internationally acceptable levels of quality assurance and to develop and supply appropriate reference standards to achieve these objectives'. In concert with this mission statement, the consultants have endorsed an elaboration of these objectives for both the Agency' s laboratories and Member State laboratories as outlined in the 1994 Consultants' Report (KONA, HI, USA) which includes: the improvement of the reliability of results for the intended purposes; the enhancement of the comparability of results from one measurement laboratory to another; the attainment of compatibility of results in physical and chemical sciences with specific coverage of international standards for food and agriculture, human health, environment, industry, earth sciences, radiation safety, and safeguards activities; the demonstration of quality measurement systems sufficient for laboratory/analyst accreditation or acceptance, and; the establishment of traceability of radioactivity measurements and chemical analyses to the international SI system of measurements

Process Consultation: Its Role in Organization Development.

Science.gov (United States)

Schein, Edgar H.

This volume focuses on the process by which the consultant builds readiness for organizational development (OD) programs, actually conducts training, and works with the key individuals of an organization as part of an OD program. Part I describes in some detail the human processes in organizations--communication, functional roles of group members,…

Pre-Service Music Teachers' Metaphorical Perceptions of the Concept of a Music Teaching Program

Science.gov (United States)

Kiliç, Deniz Beste Çevik

2017-01-01

This study was intended to reveal pre-service music teachers' perceptions of the concept of a "music teaching program" with the use of metaphors. Its sample included 130 pre-service music teachers in the Music Teaching Program of Fine Arts Teaching Department in Balikesir University's Education Faculty. The study data were collected by…

Montessori Public School Pre-K Programs and the School Readiness of Low-Income Black and Latino Children.

Science.gov (United States)

Ansari, Arya; Winsler, Adam

2014-11-01

Within the United States, there are a variety of early education models and curricula aimed at promoting young children's pre-academic, social, and behavioral skills. This study, using data from the Miami School Readiness Project (MSRP; Winsler et al., 2008, 2012), examined the school readiness gains of low-income Latino ( n = 7,045) and Black children ( n = 6,700) enrolled in two different types of Title-1 public school pre-K programs: those in programs using the Montessori curricula and those in more conventional programs using the High/Scope curricula with a literacy supplement. Parents and teachers reported on children's socio-emotional and behavioral skills with the Devereux Early Childhood Assessment (DECA), while children's pre-academic skills (cognitive, motor, and language) were assessed directly with the Learning Accomplishment Profile Diagnostic (LAP-D) at the beginning and end of their four-year-old pre-K year. All children, regardless of curricula, demonstrated gains across pre-academic, socio-emotional, and behavioral skills throughout the pre-K year; however, all children did not benefit equally from Montessori programs. Latino children in Montessori programs began the year at most risk in pre-academic and behavioral skills, yet exhibited the greatest gains across these domains and ended the year scoring above national averages. Conversely, Black children exhibited healthy gains in Montessori, but demonstrated slightly greater gains when attending more conventional pre-K programs. Findings have implications for tailoring early childhood education programs for Latino and Black children from low-income communities.

International Consultation and Training on Group Work in South Asia

Science.gov (United States)

Ibrahim, Farah A.

2015-01-01

This article presents a consultation and training for faculty and graduate students in South Asia under the auspices of the United Nations' Transfer of Knowledge Through Expatriate Nationals (TOKTEN) Program. It describes the development of a consultation relationship and training on group work. Needs assessments focusing on both cultural…

An empirical study of multidimensional fidelity of COMPASS consultation.

Science.gov (United States)

Wong, Venus; Ruble, Lisa A; McGrew, John H; Yu, Yue

2018-06-01

Consultation is essential to the daily practice of school psychologists (National Association of School Psychologist, 2010). Successful consultation requires fidelity at both the consultant (implementation) and consultee (intervention) levels. We applied a multidimensional, multilevel conception of fidelity (Dunst, Trivette, & Raab, 2013) to a consultative intervention called the Collaborative Model for Promoting Competence and Success (COMPASS) for students with autism. The study provided 3 main findings. First, multidimensional, multilevel fidelity is a stable construct and increases over time with consultation support. Second, mediation analyses revealed that implementation-level fidelity components had distant, indirect effects on student Individualized Education Program (IEP) outcomes. Third, 3 fidelity components correlated with IEP outcomes: teacher coaching responsiveness at the implementation level, and teacher quality of delivery and student responsiveness at the intervention levels. Implications and future directions are discussed. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Los dererchos humanos de las etnias indígenas en colombia

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Javier Ignacio Niño Cubillos

2005-01-01

Full Text Available El análisis de los mecanismos de protección de los derechos humanos de los pueblos indígenas exige un desarrollo epistemológico que permita reconocer su carácter pluriétnico y multicultural. Invita a una reflexión de las posturas occidentales del individualismo liberal y de los derechos colectivos en relación con los DH. Este desarrollo normativo parte de un momento histórico específico y plantea el carácter ambiguo de la globalización, ya que la homogenización cultural necesaria para la permeabilidad de los mercados factura la emergencia de los pueblos indígenas en defensa de sus identidades Este escenario se ilustra desde distintas aristas del caso colombiano, comenzando con el limbo legal de la Jurisdicción Especial Indígena hasta la manera diferenciada como las comunidades indígenas responden al conflicto armado o demandan políticas públicas que garanticen sus derechos

Sport Psychology Service Provision: Preferences for Consultant Characteristics and Mode of Delivery among Elite Malaysian Athletes.

Science.gov (United States)

Ponnusamy, Vellapandian; Grove, J Robert

2014-09-01

Factors relevant to the working alliance between athletes and sport psychology consultants were investigated in a sample of elite Malaysian athletes (n = 217). The athletes represented a variety of team and individual sports, and they provided information about the perceived importance of seven consultant characteristics/behaviors as well as seven program delivery options. At a full-sample level, general preferences were expressed for consultants to lead a physically active lifestyle, regularly attend training sessions and competitions, and have prior experience as an athlete or coach. General preferences were also expressed for program content to be determined by the coach or consultant, and for regular, small doses of mental skills training to be delivered in a face-to-face context throughout the year. At a sub-group level, team sport athletes had stronger preferences than individual sport athletes for program delivery on a group/team basis, while individual sport athletes had stronger preferences than team sport athletes for having a role in determining program content. Findings are discussed in relation to dominant value themes within Malaysian society and the reinforcement of these themes within specific sport subcultures. Key pointsConsultant characteristics and program delivery methods have an impact on the effectiveness of sport psychology services.Preferred consultant characteristics and preferred methods of delivery may be affected by cultural and subcultural values.Elite Malaysian athletes prefer consultants to lead a physically active lifestyle; to regularly attend training/competition; and to have prior experience as an athlete or coach.Elite Malaysian athletes also prefer that the coach or consultant determine program content, and that mental skills training take place in a face-to-face context throughout the year.

Sport Psychology Service Provision: Preferences for Consultant Characteristics and Mode of Delivery among Elite Malaysian Athletes

Science.gov (United States)

Ponnusamy, Vellapandian; Grove, J. Robert

2014-01-01

Factors relevant to the working alliance between athletes and sport psychology consultants were investigated in a sample of elite Malaysian athletes (n = 217). The athletes represented a variety of team and individual sports, and they provided information about the perceived importance of seven consultant characteristics/behaviors as well as seven program delivery options. At a full-sample level, general preferences were expressed for consultants to lead a physically active lifestyle, regularly attend training sessions and competitions, and have prior experience as an athlete or coach. General preferences were also expressed for program content to be determined by the coach or consultant, and for regular, small doses of mental skills training to be delivered in a face-to-face context throughout the year. At a sub-group level, team sport athletes had stronger preferences than individual sport athletes for program delivery on a group/team basis, while individual sport athletes had stronger preferences than team sport athletes for having a role in determining program content. Findings are discussed in relation to dominant value themes within Malaysian society and the reinforcement of these themes within specific sport subcultures. Key points Consultant characteristics and program delivery methods have an impact on the effectiveness of sport psychology services. Preferred consultant characteristics and preferred methods of delivery may be affected by cultural and subcultural values. Elite Malaysian athletes prefer consultants to lead a physically active lifestyle; to regularly attend training/competition; and to have prior experience as an athlete or coach. Elite Malaysian athletes also prefer that the coach or consultant determine program content, and that mental skills training take place in a face-to-face context throughout the year. PMID:25177193

The Contemporary Consultant

DEFF Research Database (Denmark)

Olson, Thomas; Poulfelt, Flemming; Greiner, Larry

This book complements The handbook of Management Consulting: The Contemporary Consultant: Insights from Leading Experts, 1e but can also be studied separately. The book consists of 20 cases including Harvard and Stanford cases. The cases present the broad range of topics that are pertinent to cur...... current management issues facing consulting firms. These cases, together with the handbook, will prepare consultants and other business managers for a successful future in a highly competitive consulting environment.......This book complements The handbook of Management Consulting: The Contemporary Consultant: Insights from Leading Experts, 1e but can also be studied separately. The book consists of 20 cases including Harvard and Stanford cases. The cases present the broad range of topics that are pertinent...... to current management consulting. Each of the four parts of the text presents a cogent introduction by the editors, delineating topics that are critical for today's consultants to understand. The cases represent major practice areas of consulting and afford new insights into change processes and other...

Ces-VP: consultation expert system for vector programming of nuclear codes

International Nuclear Information System (INIS)

Fujisaki, Masahide; Makino, Mitsuhiro; Ishiguro, Misako

1988-08-01

Ces-VP is a prototype rule-based expert system for consulting the vector programming, based on the knowledge of vectorization of nuclear codes at JAERI during these 10 years. Experts in vectorization can restructure nuclear codes with high performance on vector processors, since they have know-how for choosing the best technique among a lot of techniques that were acquired from the experience of vectorization in the past. Frequency in trial and error will be reduced if a beginner can easily use the know-how of experts. In this report, at first the contents of Ces-VP and its intention are shown. Then, the method for acquiring the know-how of vectorization and the method for making rules from the know-how are described. The outline of Ces-VP implemented on Fujitsu expert tool ESHELL is described. Finally, the availability of Ces-VP is evaluated from the data gathered from practical use and its present problems are discussed. (author)

Access to Investigational Drugs: FDA Expanded Access Programs or "Right-to-Try" Legislation?

Science.gov (United States)

Holbein, M E Blair; Berglund, Jelena P; Weatherwax, Kevin; Gerber, David E; Adamo, Joan E

2015-10-01

The Food and Drug Administration Expanded Access (EA) program and "Right-to-Try" legislation aim to provide seriously ill patients who have no other comparable treatment options to gain access to investigational drugs and biological agents. Physicians and institutions need to understand these programs to respond to questions and requests for access. FDA EA programs and state and federal legislative efforts to provide investigational products to patients by circumventing FDA regulations were summarized and compared. The FDA EA program includes Single Patient-Investigational New Drug (SP-IND), Emergency SP-IND, Intermediate Sized Population IND, and Treatment IND. Approval rates for all categories exceed 99%. Approval requires FDA and Institutional Review Board (IRB) approval, and cooperation of the pharmaceutical partner is essential. "Right-to-Try" legislation bypasses some of these steps, but provides no regulatory or safety oversight. The FDA EA program is a reasonable option for patients for whom all other therapeutic interventions have failed. The SP-IND not only provides patient access to new drugs, but also maintains a balance between immediacy and necessary patient protection. Rather than circumventing existing FDA regulations through proposed legislation, it seems more judicious to provide the knowledge and means to meet the EA requirements. © 2015 Wiley Periodicals, Inc.

Narrativas Maxakali: possibilidades para o ensino de cultura e história indígena

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Pablo Luiz de Oliveira Lima

2013-09-01

Full Text Available O povo Maxakali enfrentou a colonização e resiste, até os dias de hoje, com a força de seus hábitos culturais. As narrativas indígenas são fontes ricas para o ensino de história, desde que trabalhadas adequadamente, respeitando a alteridade cultural, os diferentes conjuntos de valores, crenças e organização social dos povos indígenas. Este trabalho propõe um diálogo entre narrativas indígenas e teorias sobre a narrativa histórica. A presença de narrativas indígenas no ensino de História está relacionada às mudanças que ocorreram no ensino dessa disciplina a partir da década de 1980, com a instituição dos direitos indígenas constitucionais, novos parâmetros curriculares e uma legislação que tornou obrigatório o ensino de história e cultura indígenas na educação básica brasileira (Lei nº 11.645/08. A utilização de narrativas indígenas no ensino de história, além de levar os alunos a compreenderem melhor as culturas indígenas, pode leválos a percepções ampliadas sobre a sua própria cultura.

Developing pre-service science teachers' pedagogical content knowledge by using training program

Science.gov (United States)

Udomkan, Watinee; Suwannoi, Paisan

2018-01-01

A training program was developed for enhancing pre-service science teachers' pedagogical content knowledge (PCK). The pre-service science teachers are able to: understand science curriculum, knowledge of assessment in science, knowledge of students' understanding of science, instructional strategies and orientations towards science teaching, which is conceptualized as PCK [5]. This study examined the preservice science teachers' understandings and their practices which include five pre-service science teachers' PCK. In this study, the participants demonstrated their PCK through the process of the training program by writing content representations (CoRes), preparing the lesson plans, micro-teaching, and actual teaching respectively. All pre-service science teachers' performs were collected by classroom observations. Then, they were interviewed. The results showed that the pre-service science teachers progressively developed knowledge components of PCK. Micro-teaching is the key activities for developing PCK. However, they had some difficulties in their classroom teaching. They required of sufficient ability to design appropriate instructional strategies and assessment activities for teaching. Blending content and pedagogy is also a matter of great concern. The implication of this study was that science educators can enhance pre-service science teachers' PCK by fostering their better understandings of the instructional strategies, assessment activities and blending between content and pedagogy in their classroom.

Community-based home-care program for the management of pre-eclampsia: an alternative.

OpenAIRE

Helewa, M; Heaman, M; Robinson, M A; Thompson, L

1993-01-01

OBJECTIVE: To evaluate the safety, acceptability and cost of a community-based home-care program for the management of mild pre-eclampsia. DESIGN: A descriptive study of outcomes between Apr. 1, 1985, and Dec. 31, 1989. SETTING: St. Boniface General Hospital, Winnipeg. PATIENTS: Urban Winnipeg residents between 27 and 40 weeks' gestation with mild pre-eclampsia who demonstrated acceptance and compliance with home-care management; 321 patients of 1330 were enrolled in the program. INTERVENTION...

Ampliando el canon investigador sobre la participación política de los pueblos indígenas en América Latina

Directory of Open Access Journals (Sweden)

Manuel Ignacio Martínez

2011-04-01

Full Text Available Abstract: Expanding the research agenda about the political participation of the indigenous peoples in Latin AmericaThe article proposes to expand the research on the participation of indigenous peoples in Latin America in order to broaden the focus that has traditionally centred on social movements and the electoral scope to one that also examines the adoption of decisions and the management of public matters. The arguments are presented through an analysis of the legacy of the indigenous movements of the 1990s in Latin America, the current political context in Latin America and the actual state of the rights of indigenous peoples. It is argued that this vein of proposed research is useful in constructing a roadmap to guide the implementation of indigenous peoples’ rights that, in the case of participation, include the right to consultation, free and informed prior consent and participation in the complete cycle of public politics.El artículo propone extender las investigaciones sobre la participación de los pueblos indígenas en América Latina para ampliar el enfoque tradicional centrado en movimientos sociales y el ámbito electoral a uno que examine también la adopción de decisiones en la gestión de los asuntos públicos. Los argumentos se exponen mediante un análisis del legado de las movilizaciones indígenas de la década de 1990 en América Latina, el contexto político latinoamericano actual y la situación de los derechos de los pueblos indígenas. Se plantea que la veta de investigación propuesta es conveniente de abordar enmarcándola en una gramática de implementación de los derechos de los pueblos indígenas que, en el caso de la dimensión participativa, incluye los derechos a la consulta, el consentimiento libre, previo e informado y la participación en el ciclo completo de las políticas públicas.

National machine guarding program: Part 2. Safety management in small metal fabrication enterprises

Science.gov (United States)

Yamin, Samuel C.; Brosseau, Lisa M.; Xi, Min; Gordon, Robert; Most, Ivan G.; Stanley, Rodney

2015-01-01

Background Small manufacturing businesses often lack important safety programs. Many reasons have been set forth on why this has remained a persistent problem. Methods The National Machine Guarding Program (NMGP) was a nationwide intervention conducted in partnership with two workers' compensation insurers. Insurance safety consultants collected baseline data in 221 business using a 33‐question safety management audit. Audits were completed during an interview with the business owner or manager. Results Most measures of safety management improved with an increasing number of employees. This trend was particularly strong for lockout/tagout. However, size was only significant for businesses without a safety committee. Establishments with a safety committee scored higher (55% vs. 36%) on the safety management audit compared with those lacking a committee (P management programs were frequently absent. A safety committee appears to be a more important factor than business size in accounting for differences in outcome measures. Am. J. Ind. Med. 58:1184–1193, 2015. © 2015 The Authors. American Journal of Industrial Medicine Published by Wiley Periodicals, Inc. PMID:26345591

Behind the wheel: community consultation informs adaptation of safe-transport program for older drivers.

Science.gov (United States)

Coxon, Kristy; Keay, Lisa

2015-12-09

Safe-transport is important to well-being in later life but balancing safety and independence for older drivers can be challenging. While self-regulation is a promising tool to promote road safety, more research is required to optimise programs. Qualitative research was used to inform the choice and adaptation of a safe-transport education program for older drivers. Three focus groups were conducted with older drivers living in northwest Sydney to explore four key areas related to driving in later life including aged-based licensing, stopping or limiting driving, barriers to driving cessation and alternative modes of transportation. Data were analysed using content analysis. Four categories emerged from the data; bad press for older drivers, COMPETENCE not age, call for fairness in licensing regulations, and hanging up the keys: It's complicated! Two key issues being (1) older drivers wanted to drive for as long as possible but (2) were not prepared for driving cessation; guided the choice and adaption of the Knowledge Enhances Your Safety (KEYS) program. This program was adapted for the Australian context and focus group findings raised the need for practical solutions, including transport alternatives, to be added. Targeted messages were developed from the data using the Precaution Adoption Process Model (PAPM), allowing the education to be tailored to the individual's stage of behaviour change. Adapting our program based on insights gained from community consultation should ensure the program is sensitive to the needs, skills and preferences of older drivers.

Image Processing of Welding Procedure Specification and Pre-process program development for Finite Element Modelling

International Nuclear Information System (INIS)

Kim, K. S.; Lee, H. J.

2009-11-01

PRE-WELD program, which generates automatically the input file for the finite element analysis on the 2D butt welding at the dissimilar metal weld part, was developed. This program is pre-process program of the FEM code for analyzing the residual stress at the welding parts. Even if the users have not the detail knowledge for the FEM modelling, the users can make the ABAQUS INPUT easily by inputting the shape data of welding part, the weld current and voltage of welding parameters. By using PRE-WELD program, we can save the time and the effort greatly for preparing the ABAQUS INPUT for the residual stress analysis at the welding parts, and make the exact input without the human error

Description of a multi-university education and collaborative care child psychiatry access program: New York State's CAP PC.

Science.gov (United States)

Kaye, D L; Fornari, V; Scharf, M; Fremont, W; Zuckerbrot, R; Foley, C; Hargrave, T; Smith, B A; Wallace, J; Blakeslee, G; Petras, J; Sengupta, S; Singarayer, J; Cogswell, A; Bhatia, I; Jensen, P

2017-09-01

Although, child mental health problems are widespread, few get adequate treatment, and there is a severe shortage of child psychiatrists. To address this public health need many states have adopted collaborative care programs to assist primary care to better assess and manage pediatric mental health concerns. This report adds to the small literature on collaborative care programs and describes one large program that covers most of New York state. CAP PC, a component program of New York State's Office of Mental Health (OMH) Project TEACH, has provided education and consultation support to primary care providers covering most of New York state since 2010. The program is uniquely a five medical school collaboration with hubs at each that share one toll free number and work together to provide education and consultation support services to PCPs. The program developed a clinical communications record to track information about all consultations which forms the basis of much of this report. 2-week surveys following consultations, annual surveys, and pre- and post-educational program evaluations have also been used to measure the success of the program. CAP PC has grown over the 6years of the program and has provided 8013 phone consultations to over 1500 PCPs. The program synergistically provided 17,523 CME credits of educational programming to 1200 PCPs. PCP users of the program report very high levels of satisfaction and self reported growth in confidence. CAP PC demonstrates that large-scale collaborative consultation models for primary care are feasible to implement, popular with PCPs, and can be sustained. The program supports increased access to child mental health services in primary care and provides child psychiatric expertise for patients who would otherwise have none. Copyright © 2017. Published by Elsevier Inc.

Quality and Characteristics of the North Carolina Pre-Kindergarten Program: 2011-2012 Statewide Evaluation. Executive Summary

Science.gov (United States)

Peisner-Feinberg, Ellen; Schaaf, Jennifer; Hildebrandt, Lisa; LaForett, Dore

2013-01-01

The North Carolina Pre-Kindergarten Program (NC Pre-K) is a state-funded initiative for at-risk 4-year-olds, designed to provide a high quality, classroom-based educational program during the year prior to kindergarten entry. Children are eligible for NC Pre-K based on age, family income (at or below 75% of state median income), and other risk…

Tuberculosis in indigenous children in the Brazilian Amazon Tuberculosis en niños indígenas en el Amazonas Brasileño Tuberculose em crianças indígenas da Amazônia brasileira

Directory of Open Access Journals (Sweden)

Caroline Gava

2013-02-01

Full Text Available OBJECTIVE: Assess the epidemiological aspects of tuberculosis in Brazilian indigenous children and actions to control it. METHODS: An epidemiological study was performed with 356 children from 0 to 14 years of age in Rondônia State, Amazon, Brazil, during the period 1997-2006. Cases of TB reported to the Notifiable Diseases Surveillance System were divided into indigenous and non-indigenous categories and analyzed according to sex, age group, place of residence, clinical form, diagnostic tests and treatment outcome. A descriptive analysis of cases and hypothesis test (χ² was carried out to verify if there were differences in the proportions of illness between the groups investigated. RESULTS: A total of 356 TB cases were identified (125 indigenous, 231 non-indigenous of which 51.4% of the cases were in males. In the indigenous group, 60.8% of the cases presented in children aged 0-4 years old. The incidence mean was much higher among indigenous; in 2001, 1,047.9 cases/100,000 inhabitants were reported in children aged OBJETIVO: Evaluar los aspectos epidemiológicos de la tuberculosis en niños indígenas brasileños y las acciones para su control. MÉTODOS: Estudio epidemiológico con [356] niños de 0 a 14 años de edad, en Rondonia, Amazonas, Brasil, de 1997 a 2006. Los casos registrados en el Sistema de Información de Agravios de Notificación, se clasificaron en indígenas y no indígenas, y se analizaron según sexo, grupo etario, lugar de residencia, forma clínica, exámenes diagnósticos y resultado del tratamiento. Se realizó análisis descriptivo de los casos y prueba de hipótesis (χ² para verificar si hubo diferencias en las proporciones de la enfermedad entre los grupos investigados. RESULTADOS: Se identificaron 356 casos de tuberculosis (125 indígenas y 231 no indígenas, de los cuales, 51,4% en niños varones. En los indígenas, 60,8% de los casos fueron notificados en OBJETIVO: Avaliar os aspectos epidemiológicos da

Access to Investigational Drugs: FDA Expanded Access Programs or “Right‐to‐Try” Legislation?

Science.gov (United States)

Berglund, Jelena P.; Weatherwax, Kevin; Gerber, David E.; Adamo, Joan E.

2015-01-01

Abstract Purpose The Food and Drug Administration Expanded Access (EA) program and “Right‐to‐Try” legislation aim to provide seriously ill patients who have no other comparable treatment options to gain access to investigational drugs and biological agents. Physicians and institutions need to understand these programs to respond to questions and requests for access. Methods FDA EA programs and state and federal legislative efforts to provide investigational products to patients by circumventing FDA regulations were summarized and compared. Results The FDA EA program includes Single Patient‐Investigational New Drug (SP‐IND), Emergency SP‐IND, Intermediate Sized Population IND, and Treatment IND. Approval rates for all categories exceed 99%. Approval requires FDA and Institutional Review Board (IRB) approval, and cooperation of the pharmaceutical partner is essential. “Right‐to‐Try” legislation bypasses some of these steps, but provides no regulatory or safety oversight. Conclusion The FDA EA program is a reasonable option for patients for whom all other therapeutic interventions have failed. The SP‐IND not only provides patient access to new drugs, but also maintains a balance between immediacy and necessary patient protection. Rather than circumventing existing FDA regulations through proposed legislation, it seems more judicious to provide the knowledge and means to meet the EA requirements. PMID:25588691

Las organizaciones indígenas peruanas, pioneras de la educación intercultural bilingüe

Directory of Open Access Journals (Sweden)

Alfredo Rodríguez Torres

2017-01-01

Full Text Available El artículo aborda de manera introductoria el problema de la educación básica de los pueblos indígenas amazónicos en el Perú y las iniciativas de las organizaciones indígenas amazónicas articuladas en la AIDESEP (Asociación Interétnica de Desarrollo de la Selva Peruana para el desarrollo de la educación superior indígena intercultural; sobre todo en las experiencias de formación inicial de maestros indígenas y de profesionales de la salud con un currículo intercultural y bilingüe desde la visión del “otro indígena”. El Estado peruano tardó años en asumir la formación de maestros interculturales bilingües y abordar la educación intercultural bilingüe (EIB como política pública, pero ambas con un enfoque tradicional y funcional que mantiene la colonialidad, aun así las organizaciones indígenas siguen aportando y apostando por una EIB desde la visión de los pueblos indígenas.

Effects of School Counselors' Cognitive Behavioral Consultation on Irrational and Efficacy Beliefs of Elementary School Teachers

Science.gov (United States)

Warren, Jeffrey M.; Gerler, Edwin R., Jr.

2013-01-01

Consultation is an indirect service frequently offered as part of comprehensive school counseling programs. This study explored the efficacy of a specific model of consultation, rational emotive-social behavior consultation (RE-SBC). Elementary school teachers participated in face-to-face and online consultation groups aimed at influencing…

Juventud indígena en el Totonacapan Veracruzano

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Ariel García Martínez

2012-01-01

Full Text Available El artículo pretende dar a conocer la especificidad de la juventud indígena de Totonacapan, su incorporación a la sociedad adulta y su interacción a través de un comparativo que toma como punto de partida la integración de los poblados pertenecientes a la sierra de Papantla, en el norte del estado de Veracruz, con el resto de la sociedad nacional. El trabajo intenta reconstruir el surgimiento de los “jóvenes indígenas” totonacos como producto de la interacción con su propia cultura y la cultura nacional en las cuatro últimas décadas.

Effects of a Technology-Friendly Education Program on Pre-Service Teachers' Perceptions and Learning Styles

Science.gov (United States)

Kim, Dong-Joong; Choi, Sang-Ho

2016-01-01

A technology-friendly teacher education program can make pre-service teachers more comfortable with using technology from laggard to innovator and change their learning styles in which they prefer the use of technology in teaching. It is investigated how a technology-friendly mathematics education program, which provided 49 pre-service teachers an…

A Home-Based Palliative Care Consult Service for Veterans.

Science.gov (United States)

Golden, Adam G; Antoni, Charles; Gammonley, Denise

2016-11-01

We describe the development and implementation of a home-based palliative care consult service for Veterans with advanced illness. A retrospective chart review was performed on 73 Veterans who received a home-based palliative care consult. Nearly one-third were 80 years of age or older, and nearly one-third had a palliative diagnosis of cancer. The most common interventions of the consult team included discussion of advance directives, completion of a "do not resuscitate" form, reduction/stoppage of at least 1 medication, explanation of diagnosis, referral to home-based primary care program, referral to hospice, and assessment/support for caregiver stress. The home-based consult service was therefore able to address clinical and psychosocial issues that can demonstrate a direct benefit to Veterans, families, and referring clinicians. © The Author(s) 2015.

Estudiantes no indígenas que ingresaron a la Licenciatura en Educación Indígena, sus actitudes y expectativas

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MA. GUADALUPE MILLÁN DENA

2013-01-01

cumplían con el perfil de ingreso. Ello impactó en la modificación improvisada de la práctica docente de los asesores, en la búsqueda de nuevas estrategias didácticas y en la reestructuración de los programas. Primordialmente, se analizan las expectativas de formación y del campo laboral que los estudiantes no indígenas tenían cuando ingresan a la licenciatura. Uno de los aspectos más notorios con el ingreso de los alumnos “mestizos”, y que propició la realización de este trabajo, fue la actitud excluyente hacia los alumnos indígenas, que contrastaba con el discurso que expresaban.

Multidisciplinary, Nurse-Led Psychiatric Consultation in Nursing Homes: A Pilot Study in Clinical Practice.

Science.gov (United States)

Koekkoek, Bauke; van Baarsen, Carlijn; Steenbeek, Mirella

2016-07-01

To determine the effects of multidisciplinary, nurse-led psychiatric consultation on behavioral problems of nursing home residents. Residents often suffer from psychiatric symptoms, while staff psychiatric expertise varies. A pre-post study was conducted in seven homes using the Neuropsychiatric Inventory Nursing Home version (NPI-NH). In 71 consultations during 18 months, 56-75% of residents suffered from agitation/aggression, depression, anxiety, and disinhibition. Post-intervention (n = 54), frequency, and severity of psychiatric symptoms were significantly and clinically meaningfully reduced. Also, staff suffered from less work stress. Nurse-led psychiatric consultation is valuable to both nursing home residents and staff. © 2015 Wiley Periodicals, Inc.

Proyecto Vidas Paralelas Indígena: revelando el pueblo Fulni-ô de Pernambuco, Brasil

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Eva Aurélia Melo SANTOS

2012-03-01

Full Text Available Este relato de experiencia se refiere al grupo étnico Fulni-ô, que habita la comunidad de Xixia-clá en el municipio de Águas Belas, a 300 km de Recife, Estado de Pernambuco, Brasil. Con respecto a su historia, se relata la unión con la tribu Carijós, y el declinio en el uso de la lengua ancestral, el Yaathê, del Saúde Indígena Tempus - Actas de Saúde Coletiva Revista Tempus Actas de Saúde Coletiva 58 tronco linguístico Macro-Jê. Se hace hincapié en el conflito de tierras, pues fue realizada una división en lotes que dejó a los indígenas un espacio muy limitado, siendo la ciudad fundada en territorio indígena. Se describe el liderazgo del Cacique y del Pajé, y la discusión en comunidad de los asuntos que interesan a los indígenas. A pesar de que todos ellos declaran profesar la religión católica, conocimientos ancestrales son trasmitidos y la ceremonia del Ouricury es muy concurrida. Se describe la atención a la salud, que cuenta con un puesto de salud, en donde trabajan indígenas en cargos compatibles con la educación en los niveles fundamental y medio. Los cargos de nivel superior son ocupados por no indígenas. El saneamiento básico aún está en proceso de implantación. La atención básica depende del Programa de Salud de la Familia Indígena (PSFI.

Development and preliminary evaluation of a rehabilitation consult for survivors of head and neck cancer: an intervention mapping protocol.

Science.gov (United States)

McEwen, Sara E; Davis, Aileen M; Jones, Jennifer M; Martino, Rosemary; Poon, Ian; Rodriguez, Ana Maria; Ringash, Jolie

2015-01-09

Evidence suggests that rehabilitation interventions can improve function and quality of life in survivors of head and neck cancer (HNC), but there is a lack of coordinated, integrated services, and those offered are inconsistent. To address these gaps, we will develop and conduct preliminary evaluation of a rehabilitation consult, built on the theoretical foundations of goal setting and self-management, and composed of a brief functional evaluation, a resource compendium, and collaborative goal-setting and action planning processes. The development of the rehabilitation consult will be guided by intervention mapping, which consists of six steps: 1. Needs assessment; 2. Definition of program objectives; 3. Selection of theory-based intervention methods; 4. Production and pretesting; 5. Adoption, implementation and sustainability planning; 6. Process and effect evaluation. Within the intervention mapping framework, an iterative process of constructing drafts and mini-evaluations with consumers and experts will be used, modifying the rehabilitation consult intervention until a version suitable for formal evaluation is established. The rehabilitation consult will then be evaluated using a prospective, mixed method, single group design with 30 survivors of head and neck cancer. Outcomes will be assessed pre- and post-intervention and at 6-month follow-up. Survivors of head and neck cancer have among the most complex rehabilitation needs of all cancer patients. The rehabilitation consult is expected to improve knowledge and uptake of rehabilitation resources and strategies in survivors of head and neck cancer and thereby improve long-term function and quality of life. If the rehabilitation consult is effective in cancer patients with such high and diverse needs, this project will produce a toolkit that will be adaptable for other types of cancer in other jurisdictions.

Indígenas en la universidad brasileña: sueño, esperanza o pesadilla?

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Josinaldo da SILVA

2012-03-01

Full Text Available Pensar en la presencia de indígenas en la enseñanza superior era, hasta hace poco tiempo, una utopía. Este artículo enfoca discusiones sobre la efectivación de las políticas de acciones afirmativas para indígenas en las universidades brasileñas, que son recientes no porque la población indígena no se haya manifestado, sino porque el país no tenía abertura para tal diálogo. La diversidade en la universidad ha contribuído para el diálogo y el entendimiento. Se narra que, para competir para los cupos, los candidatos indígenas necesitan comprobar su indianidad y firmar un término de compromiso con la comunidad indígena que los nomina. Ese proceso de identificación es complicado porque, ocasionalmente, debido a intercambio de favores, parientes de hacendados y políticos --ya privilegiados socialmente-- acaban utilizando los cupos. Los indígenas siempre estudiaron en escuelas públicas en situación precaria. Los autores relatan los problemas relacionados con la llegada a Brasilia y las dificultades generadas por la distancia de las aldeas. También se narran las experiencias de la convivencia en el ambiente universitario de la Universidad de Brasília, en dónde en algunos casos, la clase ignora y segrega a los estudiantes indígenas, y en otros, los docentes los ignoran o hasta se manifiestan contrarios a su presencia. Se cuestiona el papel de la Fundación Nacional del Indio (FUNAI. Aun frente a estas dificultades, los primeros indígenas comienzan a graduarse. Con orgullo y manteniendo vivas sus tradiciones, se espera el replanteamiento de la medicina occidental como complementaria a la medicina tradicional.

Justicia indígena en tiempos multiculturales: El caso del juzgado indígenas de Cuetzalan, Puebla en México

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Adriana Terven Salinas

2014-12-01

Full Text Available A partir del reconocimiento constitucional de la diversidad cultural en México, las relaciones entre el Estado y los pueblos indígenas parecen tomar un cauce distinto a como habían venido configurándose, basadas en relaciones de poder y discriminación. No obstante, detrás del discurso multicultural se siguen reproduciendo representaciones sociales que otrora fueron legitimadas por las políticas indigenistas planteando retos para el cabal reconocimiento de derechos culturales. El presente artículo pretende evidenciar desde la experiencia del juzgado indígena de Cuetzalan, Puebla, cómo el proyecto estatal mantiene una misma intención: asegurar la permanencia del modelo monocultural de Estado, así como atender los nuevos imperativos internacionales de reforma estructural.

A resident's rotation in consultation psychiatry. A maturational experience.

Science.gov (United States)

Granet, R B; Perry, S W; Talbott, J A

1980-12-01

The authors emphasize the importance of a consultation psychiatry experience in the maturation of the young psychiatrist by examining some of the processes operational in both community and hospital consultation work, performed by the senior author during his fourth year of residency. Such experiences can provide opportunities for developing psychiatric skills not emphasized elsewhere, including the adoption of an active therapeutic stance, the application of the psychodynamic theory to the consultation system itself, and teaching without the use of jargon. In addition the experience as consultant facilitates the transition from residency to the outside world, not only through attitudinal changes achieved by exposure to less structured settings, a change in the supervisory model, and a solidification of identity as a physician and psychiatrist, but also by providing the resident the opportunity to begin de-cathecting from the training program.

A Randomized Clinical Trial of Allopregnanolone for the Treatment of Severe Traumatic Brain Injury

Science.gov (United States)

2010-10-01

by four outside reviewers: Kia Shahlaie, M.D., Ph.D. (University of California, San Francisco ), Anne-Marie Guerguerian, M.D. (University of Toronto...of the Pre-IND Package described below and the UC Davis IRB filing. Pre-IND Meeting Information Package and IND. Medkura Pharmaceutical and Camargo ... Camargo a Pre-IND meeting information document was developed which will serve as the basis for the IND filing that will be made after the Pre-IND meeting

Prévalence et caractéristiques des effets indésirables des antihypertenseurs chez les patients suivis en ambulatoire au Centre Hospitalier Universitaire Yalgado Ouédraogo

Science.gov (United States)

Millogo, Georges Rosario Christian; Zongo, Ragomzingba Frank Edgard; Benao, Anita; Youl, Estelle Noëla Hoho; Bassoleth, Blaise Alexandre Bazona; Ouédraogo, Moussa; Zabsonré, Patrice; Guissou, Innocent Pierre

2018-01-01

La prise en charge médicamenteuse de l'hypertension artérielle (HTA) entraine des effets indésirables qui peuvent être gênants et ainsi influencer l'observance du patient. Nous avons étudié ces effets indésirables dans le service de cardiologie du Centre hospitalier universitaire Yalgado Ouédraogo afin de déterminer leurs fréquences et leurs caractéristiques. Il s'agissait d'une étude transversale de juillet à septembre 2015 chez les patients suivis en ambulatoire pour HTA. Les données ont été obtenues à partir de l'interrogatoire, des carnets de suivi des patients et des fiches de consultations. Au total 278 patients ont été inclus. La population d'étude incluait 69,1% de femmes. L'âge moyen était de 52,2 ans avec des extrêmes de 23 et 86 ans. Quatre vingt et sept virgule huit pourcent (87,8%) vivaient en milieu urbain. Le tabagisme, la dyslipidémie et les antécédents familiaux d'HTA représentaient respectivement 9%, 35,6% et 57,2%. Au plan thérapeutique, 43,2% étaient sous monothérapie, 35,6% sous bithérapie à l'initiation du traitement. Les inhibiteurs calciques (59,7%) étaient la classe thérapeutique la plus utilisée. La prévalence globale des effets indésirables était de 60,1%. Les inhibiteurs calciques étaient impliqués dans 53,6% suivis des diurétiques (48,6%) dans la survenue de l'effet indésirable. La prévalence spécifique par molécule était 28,1% pour l'amlodipine et 24,5% pour l'hydrochlorothiazide. La diurèse excessive (13,7%), la toux (12,9%) et les vertiges (11,5%) étaient les effets indésirables les plus fréquemment évoqués par les patients. Le système nerveux central et périphérique et le système ostéo-musculaire étaient les systèmes les plus atteints. Les effets indésirables sont un déterminant majeur de l'adhésion aux traitements antihypertenseur, car leur impact sur la vie quotidienne des patients peut s'avérer significatif. PMID:29875965

Pre-freshman enrichment program [University of New Haven

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-06-01

The Connecticut Pre-Engineering Program, Inc. (CPEP), is a collaboration of school districts, businesses, colleges, universities, government and community organizations whose mission and program efforts are aimed at increasing the pool of African-American, Hispanic, Native-American Indian, Asian American, Women and other under-represented minority students who pursue mathematics, science, engineering and other technological based college study and careers. CPEP provides enrichment programs and activities throughout the year in New Haven. Since 1987, CPEP has sponsored summer enrichment programs designed to motivate and stimulate middle school and high school students to pursue careers in mathematics, science, engineering and other technology related fields. Through the Summer Enrichment Program, CPEP has been able to better prepare under-represented and urban students with skills that will facilitate their accessing colleges and professionals careers. The essential premise of the program design and academic content is that targeted students must be taught and nurtured as to develop their self-confidence and personal ambitions so that they can seriously plan for and commit to college-level studies. The program stresses multi-disciplinary hands-on science and mathematics experience, group learning and research, and career exploration and academic guidance. Students study under the direction of school teachers and role model undergraduate students. Weekly field trips to industrial sites, science centers and the shoreline are included in this program.

Avoidable surgical consultations in women with a positive screening mammogram: Experience from a southern region of the Dutch breast screening programme

International Nuclear Information System (INIS)

Schreutelkamp, J.L.; Kwee, R.M.; Booij, M. de; Adriaensen, M.E.A.P.M.

2014-01-01

Introduction: According to current Dutch guidelines, all women with a positive screening mammogram are referred for a full hospital assessment, which includes surgical consultation and radiological assessment. Surgical consultation may be unnecessary for many patients. Our objective was to determine how often surgical consultations can be avoided by radiological pre-assessment. Materials and methods: All women with a positive screening mammogram, referred to our radiology department between 2002 and 2007, were included (n = 1014). Percentage of women that was downstaged to BI-RADS category 1 or 2 by radiological pre-assessment was calculated. Negative predictive value (NPV) for malignancy was estimated from the in-hospital follow-up, which was available up to September 2012. Results: 423 of 1014 women (42%) were downstaged to BI-RADS category 1 or 2 by radiological pre-assessment. During follow-up, 8 of these 423 women (2%) developed a malignancy in the same breast. At least 6 of these malignancies were located at a different location as the original screening findings which led to the initial referral. The estimated NPV for malignancy was 99.5% (95%CI, 98.3–99.9). Conclusion: By referring women with a positive screening mammogram to the radiology department for pre-assessment, a surgical consultation was avoided in 42%, with an estimated NPV of 99.5% for malignancy

Small Business & Consultancy: Exploration of an Experiment with Student Consultants

NARCIS (Netherlands)

I. Hollaender

2007-01-01

In this paper I’ll discuss the first outcomes of an explorative research concerning the consultancy projects of a consultancy-based learning programme (Minor Consultancy 2006 - 2007, half-year bachelor programme University of Applied Sciences, Hogeschool Utrecht, The Netherlands). In order to

Testamentos de indígenas americanos: siglos XVI - XVII

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Pablo Rodríguez

2006-06-01

Full Text Available Este artigo pretende explicar o significado e as características dos testamentos indígenas registrados em diferentes regiões da América espanhola. A fonte principal do estudo são coleções documentais de testamentos publicadas no México, na Colômbia e no Chile. Também utiliza os estudos historiográficos que, com base nesses documentos, foram realizados no Equador e no Peru. O artigo abre uma nova janela à compreensão dos complexos processos econômicos, sociais e culturais vividos pelos povos indígenas a partir da conquista.

Revueltas indígenas en el Perú tardocolonial

OpenAIRE

Sala i Vila, Núria

1989-01-01

La hipótesis inicial que encauzó la investigación fue la búsqueda de un nexo entre la Gran Rebelión de 1780-81, aquélla que estalló en el Cuzco en 1814 y las luchas independentistas iniciadas a partir de 1820 con la llegada de las tropas del general San Martín al virreinato peruano. Consideré que el movimiento de Túpac Amaru no fue el final de un ciclo o etapa de lucha propiamente indígena y en consecuencia traté de demostrar la persistencia de respuestas violentas indígenas en la sociedad co...

Buen vivir y pueblos indígenas en Colombia

OpenAIRE

Rosa, Oscar David Montero de la

2017-01-01

ResumenA partir de la Constitución Política de 1991, Colombia se reconoce como un país multiétnico y pluricultural. Los 102 Pueblos Indígenas existentes en el país tienen como principios de lucha el Territorio, la Cultura, la Autonomía y la Unidad. Hoy el movimiento indígena colombiano, es un referente consolidado, a pesar del exterminio físico y cultural. Actualmente 36 pueblos están en riesgo de extinción, a raíz de las políticas estatales, el conflicto armado interno y el desarrollo occide...

Reciprocal Distancing: A Systems Model of Interpersonal Processes in Cross-Cultural Consultation.

Science.gov (United States)

Maital, Sharone L.

2000-01-01

A longitudinal consultation project with teachers in an early education program for Ethiopian immigrant children in Israel is presented to illustrate the application of the reciprocal distancing model in cross-cultural consultation. Evidence for disengagement as well as joining of teachers and challenging children despite frustration and…

Improving teaching on the basis of student evaluation: integrative teaching consultation.

Science.gov (United States)

Wibbecke, Gerald; Kahmann, Janine; Pignotti, Tanja; Altenberger, Leander; Kadmon, Martina

2015-01-01

Due to the development of medical education in the past decade the role of teachers has changed and requires higher didactic competence. Student evaluation of teaching alone does not lead to considerable improvement of teaching quality. We present the concept of "Integrative Teaching Consultation", which comprises both the teacher's reflection and own objectives to improve their teaching as well as data from students ratings. Teachers in collaboration with a teaching consultant reflect on their teaching ability and set themselves improvement goals. Then the consultant himself observes a teaching session and subsequently analyses the respective student evaluation in order to give meaningful feedback to the teacher. The combination of student feedback with professional consultation elements can initiate and maintain improvements in teaching. Teaching consultation complements existing faculty development programs and increases the benefit of student evaluations.

Corporeidade indígena sob o ângulo da praxeologia

OpenAIRE

Soares, Artemis

2011-01-01

Neste estudo procumaos discutir a cororeidade indígena sob vários ângulos, incluindo a visão da praxiologia motriz. Sabemos que poucos estudos têm sido feitos sobre o corpo do indígena brasileiro e que estes muitas vezes nada propõem de novo, já que não conseguem ultrapassar certos limites, impostos pela sua própria condição de herdeiro de um pensamento que se propõe ser universalista. Alguns estudos sugerem novos elementos conceituais a serem desenvolvidos nas pesquisas de campo com popul...

Estratégias para Criação da Indústria Aeroespacial Brasileira

OpenAIRE

dos Santos, Isabel Cristina; Neto, João Amato

2007-01-01

A criação da indústria aeroespacial brasileira - defesa, aeronáutica e espaço - situa-se no processo de formação da indústria nacional, quando, na década de 1930, o modelo econômico fundamentado na produção agrícola é substituído, lenta e gradualmente pela produção industrial. Para prover recursos humanos, técnicos e tecnológicos necessários para atender as necessidades do modelo industrial que se formaria a partir de então, foram criadas algumas das principais indústrias e serviços de infra-...

Desigualdades na mortalidade por suicídio entre indígenas e não indígenas no estado do Amazonas, Brasil

OpenAIRE

Souza, Maximiliano Loiola Ponte de; Orellana, Jesem Douglas Yamall

2013-01-01

OBJETIVO: Analisar as taxas e algumas características da mortalidade por suicídio entre indígenas e não indígenas no Amazonas. MÉTODO: Estudo de coorte retrospectiva, em que os dados de óbito foram obtidos no Sistema de Informações sobre Mortalidade e os populacionais no Instituto Brasileiro de Geografia e Estatística. Foram utilizados todos os registros de suicídio do período de 2006-2010 e a interpolação geométrica anual para a estimação das subpopulações. RESULTADOS: Ocorreram 688 suicídio...

75 FR 54064 - Consultation Agreements: Proposed Changes to Consultation Procedures

Science.gov (United States)

2010-09-03

... State consultants performing worksite visits. Following the successful completion of an on-site... all types of complaints in a similar fashion. As a result, OSHA does not need to distinguish between...) * * * (2) The Consultant shall terminate an onsite consultative visit already in progress where one of the...

Attracting Child Psychiatrists to a Televideo Consultation Service: The TeleLink Experience.

Science.gov (United States)

Volpe, Tiziana; Boydell, Katherine M; Pignatiello, Antonio

2013-01-01

Objective. Identify aspects of psychiatry work that are rewarding, as well as those that are challenging, from the perspective of psychiatrists and residents participating in televideo consultation services. Method. A web-based survey was distributed to psychiatrists within the Division of Child Psychiatry at the University of Toronto. Also, semistructured interviews were conducted with six child psychiatrists providing services to a telepsychiatry program. Finally, a focus group interview was held with four psychiatry residents. Results. Child psychiatrists are very comfortable conducting assessments via televideo. Factors identified as being important in the decision to participate in telepsychiatry include assisting underserved communities, supportive administrative staff, enhanced rural provider capacity, financial incentives, and convenience. The study's qualitative phase identified four themes in the decision to participate in telepsychiatry: (1) organizational, (2) shared values, (3) innovation, and (4) the consultation model. Conclusion. The success of televideo consultation programs in attracting child psychiatrists to provide consultation services to underresourced communities makes an important contribution to psychiatric workforce shortages. Understanding what aspects of telepsychiatry are most appreciated by consulting psychiatrists and residents offers useful strategies to telepsychiatry administrators and medical school educators seeking to attract, train, and retain psychiatry practitioners.

Attracting Child Psychiatrists to a Televideo Consultation Service: The TeleLink Experience

Directory of Open Access Journals (Sweden)

Tiziana Volpe

2013-01-01

Full Text Available Objective. Identify aspects of psychiatry work that are rewarding, as well as those that are challenging, from the perspective of psychiatrists and residents participating in televideo consultation services. Method. A web-based survey was distributed to psychiatrists within the Division of Child Psychiatry at the University of Toronto. Also, semistructured interviews were conducted with six child psychiatrists providing services to a telepsychiatry program. Finally, a focus group interview was held with four psychiatry residents. Results. Child psychiatrists are very comfortable conducting assessments via televideo. Factors identified as being important in the decision to participate in telepsychiatry include assisting underserved communities, supportive administrative staff, enhanced rural provider capacity, financial incentives, and convenience. The study’s qualitative phase identified four themes in the decision to participate in telepsychiatry: (1 organizational, (2 shared values, (3 innovation, and (4 the consultation model. Conclusion. The success of televideo consultation programs in attracting child psychiatrists to provide consultation services to underresourced communities makes an important contribution to psychiatric workforce shortages. Understanding what aspects of telepsychiatry are most appreciated by consulting psychiatrists and residents offers useful strategies to telepsychiatry administrators and medical school educators seeking to attract, train, and retain psychiatry practitioners.

Analysis of Parent, Teacher, and Consultant Speech Exchanges and Educational Outcomes of Students With Autism During COMPASS Consultation.

Science.gov (United States)

Ruble, Lisa; Birdwhistell, Jessie; Toland, Michael D; McGrew, John H

2011-01-01

The significant increase in the numbers of students with autism combined with the need for better trained teachers (National Research Council, 2001) call for research on the effectiveness of alternative methods, such as consultation, that have the potential to improve service delivery. Data from 2 randomized controlled single-blind trials indicate that an autism-specific consultation planning framework known as the collaborative model for promoting competence and success (COMPASS) is effective in increasing child Individual Education Programs (IEP) outcomes (Ruble, Dal-rymple, & McGrew, 2010; Ruble, McGrew, & Toland, 2011). In this study, we describe the verbal interactions, defined as speech acts and speech act exchanges that take place during COMPASS consultation, and examine the associations between speech exchanges and child outcomes. We applied the Psychosocial Processes Coding Scheme (Leaper, 1991) to code speech acts. Speech act exchanges were overwhelmingly affiliative, failed to show statistically significant relationships with child IEP outcomes and teacher adherence, but did correlate positively with IEP quality.

Development and Evaluation of a Novel Survey Tool Assessing Inpatient Consult Service Performance.

Science.gov (United States)

Miloslavsky, Eli M; Chang, Yuchiao

2017-12-01

Subspecialty consultation in inpatient medicine is increasing, and enhancing performance of consultation services may have a broad-reaching impact. Multisource feedback is an important tool in assessing competence and improving performance. A mechanism for primary team resident feedback on performance of consult services has not been described. We developed and evaluated an instrument designed to assess internal medicine (IM) subspecialty inpatient consult service performance. We hypothesized that the instrument would be feasible to administer and provide important information to fellowship directors. The instrument was administered in 2015 and 2016 at a single academic center. All IM residents were invited to evaluate 10 IM subspecialty consult services on 4 items and an overall satisfaction rating. The instrument allowed for free-text feedback to fellows. Program directors completed another survey assessing the impact of the consult service evaluation. A total of 113 residents responded (47 in 2015 and 66 in 2016, for a combined response rate of 35%). Each of the 4 items measured (communication, professionalism, teaching, and pushback) correlated significantly with the overall satisfaction rating in univariate and multivariate analyses. There were no differences in ratings across postgraduate year or year of administration. There was considerable variation in ratings among the services evaluated. The 7 program directors who provided feedback found the survey useful and made programmatic changes following evaluation implementation. A primary team resident evaluation of inpatient medicine subspecialty consult services is feasible, provides valuable information, and is associated with changes in consult service structure and curricula.

Psychiatric Consultation and Substance Use Disorders

Directory of Open Access Journals (Sweden)

Sheila Specker

2009-01-01

Full Text Available Background A substantial number of patients in general hospitals will evince substance abuse problems but a majority is unlikely to be adequately identified in the referral-consultation process. This failure may preclude patients from receiving effective interventions for substance use disorders. Objectives 1. To evaluate all referred patients for possible substance use disorders. 2. To ascertain the degree of convergence between patients referred for chemical problems and the corresponding DSM diagnosis. 3. To compare demographic data for substance abusing patients and referrals not so classified. 4. To evaluate conditions concomitant with substance use disorders. Method Consecutive one-year referrals (524 to consultation-liaison psychiatric services were scrutinized for chemically-related problems by psychiatric consultants. Results Of the referrals, 176 met criteria for substance use disorders (SUD (57% alcohol; 25% other drugs; 18% both alcohol and other drugs. Persons diagnosed with SUD tended to be younger, male, non-Caucasian, unmarried, and unemployed. They were more likely to be depressed, have liver and other gastrointestinal problems, and to have experienced traumatic events; they also tended to have current financial difficulties. Most were referred for SUD evaluation by personnel in general medicine and family practice. Following psychiatric consultation, SUD designated patients were referred mainly to substance abuse treatment programs. The only variable related to recommended inpatient versus outpatient services for individuals with SUD was the Global Assessment of Functioning Axis (GAF with persons having lower estimated functioning more likely to be referred for inpatient interventions. Conclusions These data are similar to the results of past studies in this area. Unlike previous investigations in the domain of consultative-liaison psychiatry, financial stressors and specific consultant recommendations were included in data

Psychiatric Consultation and Substance Use Disorders

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Sheila Specker

2009-11-01

Full Text Available Background: A substantial number of patients in general hospitals will evince substance abuse problems but a majority is unlikely to be adequately identified in the referral-consultation process. This failure may preclude patients from receiving effective interventions for substance use disorders. Objectives: 1. To evaluate all referred patients for possible substance use disorders. 2. To ascertain the degree of convergence between patients referred for chemical problems and the corresponding DSM diagnosis. 3. To compare demographic data for substance abusing patients and referrals not so classified. 4. To evaluate conditions concomitant with substance use disorders. Method: Consecutive one-year referrals (524 to consultation-liaison psychiatric services were scrutinized for chemically-related problems by psychiatric consultants. Results: Of the referrals, 176 met criteria for substance use disorders (SUD (57% alcohol; 25% other drugs; 18% both alcohol and other drugs. Persons diagnosed with SUD tended to be younger, male, non-Caucasian, unmarried, and unemployed. They were more likely to be depressed, have liver and other gastrointestinal problems, and to have experienced traumatic events; they also tended to have current financial difficulties. Most were referred for SUD evaluation by personnel in general medicine and family practice. Following psychiatric consultation, SUD designated patients were referred mainly to substance abuse treatment programs. The only variable related to recommended inpatient versus outpatient services for individuals with SUD was the Global Assessment of Functioning Axis (GAF with persons having lower estimated functioning more likely to be referred for inpatient interventions. Conclusions: These data are similar to the results of past studies in this area. Unlike previous investigations in the domain of consultative-liaison psychiatry, financial stressors and specific consultant recommendations were included in

Artes indígenas, patrimônio cultural e mercado

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Ilana Seltzer Goldstein

2016-11-01

Full Text Available O sistema das artes vem se tornando cada vez mais internacional, com a formação de redes e fluxos. Entretanto, as criações populares e indígenas costumam ser ignoradas ou relegadas a segundo plano. A dicotomia arte versus artesanato é uma das estratégias de hierarquização desse sistema. O presente artigo aborda duas maneiras pelas quais as formas expressivas dos povos indígenas vêm sendo inseridas na sociedade envolvente: sua paulatina circulação no sistema das artes e seu recente reconhecimento como patrimônio cultural. A maioria dos dados é trazida da Austrália, país em que, a partir dos anos 1970, formou-se uma rede impressionante de fomento às artes indígenas, compreendendo premiações, alas especiais em museus, cooperativas de artistas e galerias comerciais nas grandes cidades. Nas páginas finais são abordados também exemplos brasileiros.

Improving teaching on the basis of student evaluation: Integrative teaching consultation

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Wibbecke, Gerald

2015-02-01

Full Text Available Objective: Due to the development of medical education in the past decade the role of teachers has changed and requires higher didactic competence. Student evaluation of teaching alone does not lead to considerable improvement of teaching quality. We present the concept of "Integrative Teaching Consultation", which comprises both the teacher’s reflection and own objectives to improve their teaching as well as data from students ratings.Methods: Teachers in collaboration with a teaching consultant reflect on their teaching ability and set themselves improvement goals. Then the consultant himself observes a teaching session and subsequently analyses the respective student evaluation in order to give meaningful feedback to the teacher.Results: The combination of student feedback with professional consultation elements can initiate and maintain improvements in teaching. Conclusion: Teaching consultation complements existing faculty development programs and increases the benefit of student evaluations.

Narrativas sobre la conducta suicida en pueblos indígenas colombianos, 1993-2013

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Zulma C. Urrego-Mendoza

2017-09-01

Full Text Available Objetivo: comprender la conducta suicida que ha afectado a los pueblos indígenas de Colombia y sus procesos de determinación social, durante el periodo 1993-2013. Metodología: a partir de fuentes orales y de prensa escrita, esta investigación cualitativa fue desarrollada desde el paradigma hermenéutico-interpretativo, empleando análisis narrativo. Resultados: se evidencian manifestaciones de conducta suicida en pueblos indígenas no solo como acciones recientes, sino remitidas a hechos históricos, especialmente durante la Colonia, cuando el suicidio colectivo se empleó como repertorio de resistencia frente a la invasión y opresión. Actualmente, la emergencia de la conducta suicida en estos pueblos responde a problemas estructurales, a procesos sociales impuestos que se contraponen con las cosmovisiones indígenas, alterando sus concepciones de vida y de interacción con el territorio. Discusión: para los pueblos indígenas de Colombia, la interpretación más cercana a este problema está asociada con la exacerbación de seres y existencias espirituales que alteran el orden del territorio, desatados a partir de procesos perturbadores foráneos, tales como la presencia de actores armados, empresas transnacionales, colonos, violencia directa y estructural sobre indígenas y despojo territorial. Conclusiones: la conducta suicida en los pueblos indígenas de Colombia debe comprenderse y abordarse como el emergente de procesos estructurales destructivos de los modos de vida propios, que aseguran el buen vivir individual y colectivo de los pobladores originarios, y se ven coartados por la irrupción violenta de la sociedad mayoritaria en sus territorios.

CONSULT-I Reading. Cincinnati Project. Final Report.

Science.gov (United States)

Newman, Anabel; And Others

A study examined the effectiveness of the spring-semester 1993 implementation of the CONSULT-I(R) program, which uses artificial intelligence with statistical pattern recognition in constructing a diagnosis and recommending treatment of reading difficulties. Eight classroom teachers and two Gifted and Talented coordinators at South Avondale…

Benchmarking e a indústria do conhecimento: um estudo de caso

OpenAIRE

Maciel Filho, Adalberto Rego; Aquino, Miriam Cunha de; Sales, Nayade Kennedy

2016-01-01

Resumo Estudo de caso das Bibliotecas Indústria do Conhecimento (IDCs) do sistema do Serviço Social da Indústria-Sesi localizadas em Alagoas (25), Paraíba (10),Pernambuco (18), Rio Grande do Norte (10), especificamente as IDCs Públicas, objetivando analisar o seu desempenho e apresentar oportunidades para incremento de frequência utilizando benchmarking. Inclui revisão de literatura de projetos nacionais de uso de benchmarking, bem como estudos e considerações sobre esse processo. Para anális...

A inserção externa da indústria brasileira de defesa: 1975-2010

OpenAIRE

Moraes, Rodrigo Fracalossi de

2012-01-01

O texto analisa o histórico da inserção externa da indústria brasileira de defesa e o papel que o mercado externo desempenhou - e pode vir a desempenhar - para esta indústria. Demonstra-se que, para um país no qual as aquisições internas de equipamentos militares são relativamente baixas como o Brasil, as exportações desempenham papel essencial à manutenção de uma indústria de defesa economicamente viável - ou seja, que possa produzir itens com custos unitários não muito elevados e seja capaz...

Image intelligence online consulting: A flexible and remote access to strategic information applied to verification of declaration

International Nuclear Information System (INIS)

Chassy, A.F. de; Denizot, L.

2001-01-01

Commercial satellite imagery is giving International Institutions specialized Information Departments access to a great source of valuable intelligence. High resolution and multiple sensors have also led to a growing complexity of interpretation that calls for a greater need of consulting, verification and training in the field in order to make it eligible as an operational source of verification. Responding to this need, Fleximage is extending its Image Intelligence (IMINT) training program to include a fully operational and flexible online consulting and training program. Image Intelligence (IMINT) Online Program, a new approach to acquiring IMINT expertise, supported by Internet technologies, and managed by a professional team of experts and technical staff. Fleximage has developed a virtual learning environment on the Internet for acquiring IMINT expertise. Called the IMINT Online Program, this dynamic learning environment provides complete flexibility and personalization of the process for acquiring expertise. The IMINT online program includes two services: Online Consulting and Online Training. The Online Consulting service is designed for the technical staff of an organization who are already operational in the field of image intelligence. Online Consulting enables these staff members to acquire pertinent expertise online that can be directly applied to their professional activity, such as IAEA verification tasks. The IMINT virtual Consulting and Training services indicated above are made possible thanks to the latest in Internet-based technologies including: multimedia CD-ROM, Internet technologies, rich media content (Audio, Video and Flash), application sharing, platform Maintenance Tools, secured connections and authentication, knowledge database technologies. IMINT Online Program operates owing to: specialized experts in fields relating to IMINT. These experts carry out the tasks of consultants, coaches, occasional speakers, and course content designers

Mentoring Alternative Certification Teachers: Implementing an Online Collaborative Consultation Community

Science.gov (United States)

Dukes, Lyman, III; Jones, Brett D.

2007-01-01

Online discussion boards have the potential to provide significant support to beginning teachers; thus, we designed an online collaborative consultation community to provide mentor support to university students enrolled in an alternative certification program. The results suggest that although students in alternative certification programs will…

Derechos humanos de los pueblos indígenas: Panorama colombiano

OpenAIRE

Omar Huertas; Danilo Ortíz

2009-01-01

La crisis de los derechos humanos que sufre Latinoamérica se ve reflejada en la cantidad significativa de pueblos indígenas, que pertenecen a estos países, sometidos a procesos de discriminación, despojo, neoliberalismo económico y globalización. Estas circunstancias han condenado a estas comunidades al subdesarrollo y a una grave situación que pone en riesgo su existencia. En el presente artículo se hará unanálisis de la situación de los derechos de la población indígena en Colombia, teniend...

Pre-Service and In-Service Teachers' Experiences of Learning to Program in an Object-Oriented Language

Science.gov (United States)

Govender, I.; Grayson, D. J.

2008-01-01

This paper presents the results of an investigation into the various ways in which pre-service and in-service teachers experience learning to program in an object-oriented language. Both groups of teachers were enrolled in university courses. In most cases, the pre-service teachers were learning to program for the first time, while the in-service…

Educación, Identidad y Derechos como estrategias de desarrollo de los Pueblos Indígenas. II Decenio de los Pueblos Indígenas 2005-2015.

OpenAIRE

Gehrig, Rainer; Muñoz Sánchez, Práxedes

2015-01-01

A continuación presentamos en resumen los contenidos del libro en sus 15 capítulos divididos en tres partes temáticas. Estas deben entenderse como círculos concéntricos con sus solapamientos. Son como tres grandes hilos conductores de los capítulos desarrollados en esta publicación que abarca diferentes perspectivas: 1. Educación y cooperación como reto de Desarrollo comunitario en contextos indígenas; 2. Identidad cultural y Derechos de los Pueblos indígenas y 3. Interculturalidad, Evangeliz...

Developing social marketed individual preconception care consultations: Which consumer preferences should it meet?

NARCIS (Netherlands)

S.F. van Voorst (Sabine); C.A. Ten Kate (Chantal A.); L.C. de Jong-Potjer (L.); E.A.P. Steegers (Eric); S. Denktaş (Semiha)

2017-01-01

textabstractAims: Preconception care (PCC) is care that aims to improve the health of offspring by addressing risk factors in the pre-pregnancy period. Consultations are recognized as a method to promote perinatal health. However, prospective parents underutilize PCC services. Uptake can improve if

Effects of Web-Mediated Teacher Professional Development on the Language and Literacy Skills of Children Enrolled in Pre-Kindergarten Programs

Science.gov (United States)

Downer, Jason; Pianta, Robert; Fan, Xitao; Hamre, Bridget; Mashburn, Andrew; Justice, Laura

2012-01-01

As early education grows in the United States, in-service professional development in key instructional and interaction skills is a core component of capacity-building in early childhood education. In this paper, we describe results from an evaluation of the effects of MyTeachingPartner, a web-based system of professional development, on language and literacy development during pre-kindergarten for 1338 children in 161 teachers’ classrooms. High levels of support for teachers’ implementation of language/literacy activities showed modest but significant effects for improving early language and literacy for children in classrooms in which English was the dominant language spoken by the students and teachers. The combination of web-based supports, including video-based consultation and web-based video teaching exemplars, was more effective at improving children’s literacy and language skills than was only making available to teachers a set of instructional materials and detailed lesson guides. These results suggest the importance of targeted, practice-focused supports for teachers in designing professional development systems for effective teaching in early childhood programs. PMID:23144591

A indústria têxtil na região nordeste: gargalos, potencialidades e desafios

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Fernando Luiz Emerenciano Viana

2008-10-01

Full Text Available Este trabalho apresenta uma avaliação da competitividade da Indústria Têxtil na Região Nordeste, bem como uma relação de gargalos, potencialidades e desafios. As observações foram feitas a partir de pesquisa bibliográfica e documental. Foram realizadas análises da indústria têxtil no âmbito brasileiro e mais detalhadamente no campo de atuação nordestino. Os estados do Ceará, Bahia, Paraíba e Rio Grande do Norte destacaram-se na produção e no número de empregos no setor. Questões logísticas ligadas à integração e adensamento da cadeia produtiva a partir da articulação com a indústria de confecções, infra-estrutura e modernização tecnológica são apontadas como temas recorrentes ao alavancamento da Indústria na Região.

Economic Evaluation of Pediatric Telemedicine Consultations to Rural Emergency Departments.

Science.gov (United States)

Yang, Nikki H; Dharmar, Madan; Yoo, Byung-Kwang; Leigh, J Paul; Kuppermann, Nathan; Romano, Patrick S; Nesbitt, Thomas S; Marcin, James P

2015-08-01

Comprehensive economic evaluations have not been conducted on telemedicine consultations to children in rural emergency departments (EDs). We conducted an economic evaluation to estimate the cost, effectiveness, and return on investment (ROI) of telemedicine consultations provided to health care providers of acutely ill and injured children in rural EDs compared with telephone consultations from a health care payer prospective. We built a decision model with parameters from primary programmatic data, national data, and the literature. We performed a base-case cost-effectiveness analysis (CEA), a probabilistic CEA with Monte Carlo simulation, and ROI estimation when CEA suggested cost-saving. The CEA was based on program effectiveness, derived from transfer decisions following telemedicine and telephone consultations. The average cost for a telemedicine consultation was $3641 per child/ED/year in 2013 US dollars. Telemedicine consultations resulted in 31% fewer patient transfers compared with telephone consultations and a cost reduction of $4662 per child/ED/year. Our probabilistic CEA demonstrated telemedicine consultations were less costly than telephone consultations in 57% of simulation iterations. The ROI was calculated to be 1.28 ($4662/$3641) from the base-case analysis and estimated to be 1.96 from the probabilistic analysis, suggesting a $1.96 return for each dollar invested in telemedicine. Treating 10 acutely ill and injured children at each rural ED with telemedicine resulted in an annual cost-savings of $46,620 per ED. Telephone and telemedicine consultations were not randomly assigned, potentially resulting in biased results. From a health care payer perspective, telemedicine consultations to health care providers of acutely ill and injured children presenting to rural EDs are cost-saving (base-case and more than half of Monte Carlo simulation iterations) or cost-effective compared with telephone consultations. © The Author(s) 2015.

Consultation Models Revisited

International Nuclear Information System (INIS)

Fawaz, S.; Khan, Zulfiquar A.; Mossa, Samir Y.

2006-01-01

A new definition is proposed for analyzing the consultation in the primary health care, integrating other models of consultation and provides a framework by which general practitioners can apply the principles of consultation using communication skills to reconcile the respective agenda and autonomy of both doctor and patient into a negotiated agreed plan, which includes both management of health problems and health promotion. Achieving success of consultations depends on time and mutual cooperation between patient and doctor showed by doctor-patient relationship. (author)

It Takes a Toll on Pre-Service Teachers and Programs: Case Studies of Teacher Candidates Who Withdrew from a Teacher Education Program

Science.gov (United States)

Lin, Pei-Ying; Childs, Ruth A.; Zhang, Jingshun

2016-01-01

Previous studies have examined patterns of withdrawal from initial teacher education (ITE) programs and have found that pre-service teachers are more likely to withdraw if they are male or older than the typical pre-service teacher. This study presents case studies based on semi-structured interviews with older male pre-service teachers who…

On becoming a consultant: A study exploring the journey to consultant practice

International Nuclear Information System (INIS)

Henwood, S.; Booth, L.

2016-01-01

Background: This paper reports a qualitative study exploring the establishment of non-medical consultant roles in Radiography. Given the difficulties reported in recruiting and retaining staff in these posts, we hope this paper offers a historical documentation of those consultants who were some of the first in post, sharing their stories of how they obtained and transitioned into their roles. Methods: This paper is part of a two year case study exploring the leadership domain of consultant practice. The focus of this paper is a reflection, by the consultants, of their journey to becoming a consultant; a documentation of some of the practical issues in establishing the roles; and the transition to higher levels of practice. Eight consultant radiographers participated in the initial interviews (two consultants withdrew from the study subsequent to this). In-depth iterative interviewing was used to explore and record individual stories and experiences. Findings: The consultants shared their perceptions of being in post, including their own motivation to progress to a new role, how prepared they felt initially, the lack of role models, the lack of clarity surrounding the role and a perception of ‘being on display’. Conclusions: The paper offers insight into the journey of these consultants and some of the common characteristics they share. These characteristics give some indication of what motivated them to step into higher level roles, in particular the need to drive change and improvement. The paper also offers suggestions for how the transition into the role could be more effectively supported. - Highlights: • Identifies characteristics thought to contribute to effective consultant practice. • A desire to change practice is a major motivator in applying for a consultant post. • The consultant role was a natural evolution for some, not a desired career pathway. • There is recognition that the initial consultants were pioneers for the profession. �

Relocation consequences on an ophthalmology consultation service from an inpatient to outpatient facility

Directory of Open Access Journals (Sweden)

Singh JS

2015-10-01

Full Text Available Jorawer S Singh,1 Vincent M Imbrogno,2 Mary K Howard,3 Amandip S Cheema,3 Ausra D Selvadurai,4 Surbhi Bansal5 1Department of Ophthalmology, George Washington University, Washington, DC, 2Contemporary Ophthalmology of Erie, Erie, PA, 3Department of Ophthalmology, University at Buffalo, Buffalo, NY, 4OcuSight Eye Care Center, Rochester, NY, 5Department of Ophthalmology, Virginia Commonwealth University, Richmond, VA, USA Importance: This study shows that relocation of an academic ophthalmology residency program from an inpatient to an outpatient setting in western New York does not affect the consult volume but affects management patterns and follow-up rates.Objective: To investigate the effects on the ophthalmology consultation service of an academic program with relocation from a Regional Level-1 Trauma center to an outpatient facility.Design: Consultation notes from 3 years before and 3 years after the University at Buffalo’s (UB Department of Ophthalmology relocation from a Regional Level-1 Trauma center (Erie County Medical Center to an outpatient facility (Ross Eye Institute were obtained from hospital electronic medical records and analyzed.Setting: Hospitalized care and institutional practice.Participants: All inpatient or Emergency Room Ophthalmology consultation patients from the Department of Ophthalmology at UB from 2004 to 2010 (1,379 patients.Exposures: None, this was a retrospective chart review.Main outcome measures: Patient demographics, reason for consult, diagnoses, and ophthalmic procedures performed by the UB Department of Ophthalmology before and after its relocation.Results: Relocation to the outpatient facility did not affect consult volume (P=0.15. The number of consults focusing on ophthalmic conditions, as a percentage of the yearly total, rose 460% (P=0.0001, while systemic condition consults with ocular manifestations fell 83% (P=0.0001. Consults for ocular trauma decreased 65% (P=0.0034. Consults ending with a

Jóvenes indígenas y relatos sobre escolaridades en la Universidad Pedagógica Nacional

Directory of Open Access Journals (Sweden)

Gabriela Czarny

2016-04-01

Full Text Available El texto pretende contribuir a la comprensión de los entrecruzamientosy las complejidades presentes bajo categorías homogeneizantescomo la de “jóvenes estudiantes indígenas” en la educación superior.En particular, en torno de la presencia indígena en la UniversidadPedagógica Nacional, Ajusco, (UPN, Ajusco en la ciudad de México,en donde opera desde 1982 el programa de Educación Indígena, marcavisible de lo étnico en la universidad. Retomo los textos de autoríade jóvenes indígenas, producidos durante un ejercicio colectivo conellos en la universidad, en los que identifico heterogeneidades en susadscripciones comunitarias, como así también en los modos de autopresentarsey definirse. Como parte del análisis considero algunos delos debates que atraviesan este campo de estudio, entre ellos, el conceptode indígena migrante al interior del país, el modo de caracterizara los indígenas y las comunidades en las ciudades, y los sentidos -entensión para los jóvenes-, que adquiere la educación superior. Se tratade ubicar en la agenda educativa, la comprensión de que estos temasresultan retos académicos, sociales y políticos para la transformaciónde las sociedades multiétnicas como las latinoamericanas, así comopara las instituciones de educación superior que reciben cada vez másestudiantes indígenas con diversas adscripciones socioculturales, étnicas,lingüísticas.

Organization of diagnostic and therapy consulting practice in the US

International Nuclear Information System (INIS)

Kowalski, M.

2003-01-01

Full text: Following topics will be discussed. Role of the Medical Physicist in diagnostic/therapy. Difference in educational background of currently practicing medical physicists. QA programs. Calibrations of beams, dosemeters, chambers. Standard labs. Importance of professional organizations. Importance of professional certifications. Setting up a private consulting practice in the US. Importance of paperwork, is a 'bureaucracy'a problem? Comparing advantages and disadvantage of working as physicist for a consulting group and for health care institution

Discrepancies between Patients' Preferences and Educational Programs on Oral Anticoagulant Therapy: A Survey in Community Pharmacies and Hospital Consultations.

Directory of Open Access Journals (Sweden)

Diane Macquart de Terline

Full Text Available Oral anticoagulation therapy is increasingly used for the prevention and treatment of thromboembolic complications in various clinical situations. Nowadays, education programs for patients treated with anticoagulants constitute an integrated component of their management. However, such programs are usually based on the healthcare providers' perceptions of what patients should know, rather than on patients' preferences.To investigate patients' viewpoints on educational needs and preferred modalities of information delivery.We conducted an observational study based on a self-administered questionnaire. To explore several profiles of patients, the study was designed for enrolling patients in two settings: during outpatient consultations in a cardiology department (Saint Antoine Hospital, Paris, France and in community pharmacies throughout France.Of the 371 patients who completed the questionnaire, 187 (50.4% were recruited during an outpatient consultation and 184 (49.6% were recruited in community pharmacies. 84.1% of patients were receiving a vitamin K antagonist and 15.6% a direct oral anticoagulant. Patients ranked 16 of 21 (76.2% questionnaire items on information about their treatment as important or essential; information on adverse effects of treatment was the highest ranked domain (mean score 2.38, 95% CI 2.30-2.46. Pharmacists (1.69, 1.58-1.80, nurses (1.05, 0.95-1.16, and patient associations (0.36, 0.29-0.44, along with group sessions (0.85, 0.75-0.95, the internet (0.77, 0.67-0.88, and delivery of material at the patient's home (1.26, 1.14-1.38, were ranked poorly in terms of delivering educational material.This study revealed substantial discrepancies between patient preferences and current educational programs. These findings should be useful for tailoring future educational programs that are better adapted to patients, with a potential associated enhancement of their effectiveness.

El estatuto legal y social de las lenguas en la educación indígena mexicana

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Dalia Ruiz Ávila

2002-01-01

Full Text Available En este documento se propicia una reflexión acerca de la forma en que la inmersión de las lenguas indígenas en preceptos de carácter legal y social confiere una dinámica particular a la realización de la educación formal destinada a amplios sectores de la población mexicana. Las interrogantes que se plantean a lo largo de la exposición son: ¿Cómo se traduce lo asentado en el plano jurídico en relación con el indígena en el marco de la educación indígena?, y ¿cómo se introduce la representación social del indígena en la educación formal diseñada para ellos? Para un acercamiento a las respuestas se indaga en los documentos oficiales que abordan el tema, en la revisión de datos censales y en algunos elementos teórico-metodológicos de la educación, las ciencias del lenguaje y la antropología. Las premisas de las cuales se parte son: 1 el auge de los movimientos indígenas ha golpeado a la hegemonía de las posiciones multiculturales y asimilacionistas; 2 los pueblos indígenas se han instalado como actores sociales en los escenarios políticos, y 3 la cuestión indígena no es un problema marginal. Exige una reforma del Estado y la participación de la sociedad civil. Un análisis fundamentado en la categoría de formación imaginaria propuesta por Michel Pécheux1 permite un acercamiento a la caracterización del sujeto indígena por sí mismo; del otro, sea o no indígena y del referente; es decir, de lengua y cultura. De éste se desprende que es necesaria una reformulación del estatuto legal, que sea acorde con los requerimientos de los diversos grupos indígenas, con el reconocimiento a la diversidad cultural.

Notas sobre a indústria do entretenimento musical e identidade no Brasil

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Simone Pereira de Sá

2008-09-01

Full Text Available O artigo aborda questões ligadas à indústria de música de massa no Brasil, articuladas à identidade e à crítica jornalística. Abstract: The article focus on questions about the massive musical industry on Brazil, articulated to identity and journalism criticism. Palavras-chave: indústria cultural; música massiva; identidade; crítica jornalística Key-words: cultural industry; massive music; identity; journalistic criticism

Conducta suicida en pueblos indígenas: una revisión del estado del arte

OpenAIRE

Vargas-Espíndola, Alejandra; Villamizar-Guerrero, Juliet Catherine; Puerto-López, Jhon Sebastián; Rojas-Villamizar, Manuel Ricardo; Ramírez-Montes, Omar Santiago; Urrego-Mendoza, Zulma Consuelo

2017-01-01

Resumen Introducción. Se realizó una revisión documental en bases de datos sobre conducta suicida en pueblos indígenas, tipo estado del arte, que la identificara como un problema de salud pública. Objetivo. Sistematizar el estado del conocimiento que se construye sobre la conducta suicida en pueblos indígenas, a partir de artículos e informes de investigación publicados hasta 2014. Materiales y métodos. Revisión documental de 149 documentos publicados sobre conducta suicida en pueblos indí...

The Effect of the Strictness of Consultation Requirements on Fraud Consultation

NARCIS (Netherlands)

Gold, A.H.; Knechel, W.R.; Wallage, P.

2012-01-01

We investigate how the strictness of a requirement to consult on potential client fraud affects auditors' propensity to consult with firm experts. We consider two specific forms of guidance about fraud consultations: (1) strict, i.e., mandatory and binding; and (2) lenient, i.e., advisory and

A presença feminina nas indústrias de lingerie na cidade de Franca

OpenAIRE

Pereira, Mayara C. Freitas; Bueno, Cléria M. L. Bittar Pucci

2008-01-01

Dados recentes nos comprovam que as indústrias de lingerie têm apresentado considerável crescimento na cidade de Franca/SP, cuja história sempre se pautou pela indústria do calçado. Devido à crise no setor calçadista, sobretudo em razão da intensificação da concorrência com a indústria dos países asiáticos, muitas grandes fábricas de calçados foram fechadas e, com a dispensa de mão-de-obra, houve um processo de reorganização da estrutura fabril, protagonizado, em especial, por aqueles que bus...

CONSULT-I Reading. Ohio Project. Final Report.

Science.gov (United States)

Newman, Anabel; And Others

A study examined the effectiveness of the 1991-1992 implementation of the CONSULT-I(R) program (which uses artificial intelligence with statistical pattern recognition in constructing a diagnosis and recommending treatment of reading difficulties) at five cities in Ohio (Akron, Cincinnati, Cleveland, Columbus, and Toledo). A total of 30 teachers…

Inpatient Consultative Dermatology.

Science.gov (United States)

Biesbroeck, Lauren K; Shinohara, Michi M

2015-11-01

Dermatology consultation can improve diagnostic accuracy in the hospitalized patient with cutaneous disease. Dermatology consultation can streamline and improve treatment plans, and potentially lead to cost savings. Dermatology consultants can be a valuable resource for education for trainees, patients, and families. Inpatient consultative dermatology spans a breadth of conditions, including inflammatory dermatoses,infectious processes, adverse medication reactions, and neoplastic disorders, many of which can be diagnosed based on dermatologic examination alone, but when necessary, bedside skin biopsies can contribute important diagnostic information. Copyright © 2015 Elsevier Inc. All rights reserved.

Initiation of a medical toxicology consult service at a tertiary care children's hospital.

Science.gov (United States)

Wang, George Sam; Monte, Andrew; Hatten, Benjamin; Brent, Jeffrey; Buchanan, Jennie; Heard, Kennon J

2015-05-01

Currently, only 10% of board-certified medical toxicologists are pediatricians. Yet over half of poison center calls involve children toxicology consultation is not common at children's hospitals. In collaboration with executive staff from Department of Pediatrics and Emergency Medicine, regional poison center, and our toxicology fellowship, we established a toxicology consulting service at our tertiary-care children's hospital. There were 139 consultations, and the service generated 13 consultations in the first month; median of 11 consultations per month thereafter (range 8-16). The service increased pediatric cases seen by the fellowship program from 30 to 94. The transition to a consult service required a culture change. Historically, call center advice was the mainstay of consulting practice and the medical staff was not accustomed to the availability of bedside medical toxicology consultations. However, after promotion of the service and full attending and fellowship coverage, consultations increased. In collaboration with toxicologists from different departments, a consultation service can be rapidly established. The service filled a clinical need that was disproportionately utilized for high acuity patients, immediately utilized by the medical staff and provided a robust pediatric population for the toxicology fellowship.

A Indústria de Defesa, Inovação e Competitividade

OpenAIRE

Fernandes, Vítor Ramon

2007-01-01

O presente artigo pretende contribuir para um melhor conhecimento da indústria de defesa, no sentido de se entender de que forma a inovação e a transferência de tecnologia concorrem para o aumento da competitividade da economia. Após uma análise dos principais desenvolvimentos nesta indústria no pós-Guerra Fria, apresentam-se e analisam-se algumas medidas existentes para o desenvolvimento de uma estratégia para o caso português, que permita beneficiar da inserção...

Virological failure and HIV-1 drug resistance mutations among naive and antiretroviral pre-treated patients entering the ESTHER program of Calmette Hospital in Cambodia.

Directory of Open Access Journals (Sweden)

Hubert Barennes

Full Text Available INTRODUCTION: In resource limited settings, patients entering an antiretroviral therapy (ART program comprise ART naive and ART pre-treated patients who may show differential virological outcomes. METHODS: This retrospective study, conducted in 2010-2012 in the HIV clinic of Calmette Hospital located in Phnom Penh (Cambodia assessed virological failure (VF rates and patterns of drug resistance of naive and pre-treated patients. Naive and ART pre-treated patients were included when a Viral Load (VL was performed during the first year of ART for naive subjects or at the first consultation for pre-treated individuals. Patients showing Virological failure (VF (>1,000 copies/ml underwent HIV DR genotyping testing. Interpretation of drug resistance mutations was done according to 2013 version 23 ANRS algorithms. RESULTS: On a total of 209 patients, 164 (78.4% were naive and 45 (21.5% were ART pre-treated. Their median initial CD4 counts were 74 cells/mm3 (IQR: 30-194 and 279 cells/mm3 (IQR: 103-455 (p<0.001, respectively. Twenty seven patients (12.9% exhibited VF (95% CI: 8.6-18.2%, including 10 naive (10/164, 6.0% and 17 pre-treated (17/45, 37.8% patients (p<0.001. Among these viremic patients, twenty-two (81.4% were sequenced in reverse transcriptase and protease coding regions. Overall, 19 (86.3% harbored ≥1 drug resistance mutations (DRMs whereas 3 (all belonging to pre-treated patients harbored wild-types viruses. The most frequent DRMs were M184V (86.3%, K103N (45.5% and thymidine analog mutations (TAMs (40.9%. Two (13.3% pre-treated patients harbored viruses that showed a multi-nucleos(tide resistance including Q151M, K65R, E33A/D, E44A/D mutations. CONCLUSION: In Cambodia, VF rates were low for naive patients but the emergence of DRMs to NNRTI and 3TC occurred relatively quickly in this subgroup. In pre-treated patients, VF rates were much higher and TAMs were relatively common. HIV genotypic assays before ART initiation and for ART pre

Effect of a comprehensive health education program on pre-hospital delay intentions in high-risk stroke population and caregivers.

Science.gov (United States)

Yang, Li; Zhao, Qiuli; Zhu, Xuemei; Shen, Xiaoying; Zhu, Yulan; Yang, Liu; Gao, Wei; Li, Minghui

2017-08-01

Many factors influence pre-hospital delays in the event of stroke. This study aimed to develop and evaluate a comprehensive educational program for decreasing pre-hospital delays in high-risk stroke population. We enrolled 220 high-risk stroke population and caregivers from six urban communities in Harbin from May 2013 to May 2015, and randomly divided them into intervention and control groups. We implemented a comprehensive educational program (intervention group), comprising public lectures, instructional brochures, case videos, simulations, and role-playing from May 2013 to May 2015. We delivered conventional oral education in the control group. We compared stroke pre-hospital delay behavioral intention (SPDBI), pre-hospital stroke symptom coping test (PSSCT), and stroke pre-symptoms alert test (SPSAT) results between the groups before and 6, 12, and 18 months after health intervention. There were significant differences between before and after intervention (P educational program was significantly effective in decreasing SPDBI, improving knowledge, enhancing stroke pre-symptoms alert, and reducing the possibility of pre-hospital delays.

Infraestructura y calidad educativa entre los pueblos indígenas originarios sonorenses

Directory of Open Access Journals (Sweden)

José Ángel Vera-Noriega

2016-01-01

Full Text Available El objetivo del artículo se centra en el análisis de la percepción entre los pueblos indígenas originarios de Sonora sobre la infraestructura y calidad educativa para la formación de sus descendientes. Participaron 1.329 personas con un promedio de 50 años de edad y desviación estándar de 16 años, 928 mujeres y 401 hombres. Los resultados indican la prevalencia de una percepción de falta de infraestructura para mejorar la calidad educativa de los niños y jóvenes indígenas. Además, se encontraron diferencias entre los siete pueblos indígenas con respecto a la problemática educativa. Los grupos que mejor están ubicados, en cuanto a acceso educativo, son aquellos que exhiben mayor desplazamiento de su lengua materna.

Image intelligence online consulting: A flexible and remote access to strategic information applied to verification of declaration

International Nuclear Information System (INIS)

Chassy, A.F. de; Denizot, L.

2001-01-01

Commercial satellite imagery is giving International Institutions specialized Information Departments access to a great source of valuable intelligence. High resolution and multiple sensors have also led to a growing complexity of interpretation that calls for a greater need of consulting, verification and training in the field in order to make it eligible as an operational source of verification. Responding to this need, Fleximage is extending its Image intelligence (IMINT) training program to include a fully operational and flexible online consulting and training program. Image Intelligence (IMINT) Online Program, a new approach to acquiring IMINT expertise, supported by Internet technologies, and managed by a professional team of experts and technical staff. Fleximage has developed a virtual learning environment on the Internet for acquiring IMINT expertise. Called the IMINT Online Program, this dynamic learning environment provides complete flexibility and personalization of the process for acquiring expertise. The IMINT online program includes two services: Online Consulting and Online Training. The Online Consulting service is designed for the technical staff of an organization who are already operational in the field of image intelligence. Online Consulting enables these staff members to acquire pertinent expertise online that can be directly applied to their professional activity, such as IAEA verification tasks. The Online Training service is designed for the technical staff of an organization who are relatively new to the field of image intelligence. These staff members need to build expertise within a formal training program. Online Training is a flexible and structured program for acquiring IMINT expertise online

Socioeconomic status and age at menarche in indigenous and non-indigenous Chilean adolescents Nivel socioeconómico y edad de la menarquia en adolescentes chilenas indígenas y no indígenas

Directory of Open Access Journals (Sweden)

Hugo Amigo

2012-05-01

Full Text Available The objective was to analyze the relationship between socioeconomic status and age at menarche among indigenous and non-indigenous girls in the Araucanía Region of Chile, controlling for nutritional status and mother's age at menarche. A total of 8,624 randomly selected girls from 168 schools were screened, resulting in the selection of 207 indigenous and 200 non-indigenous girls who had recently experienced menarche. Age at menarche was 149.6±10.7 months in the indigenous group and 146.6±10.8 months in the non-indigenous group. Among the non-indigenous, the analysis showed no significant association between age at menarche and socioeconomic status. In the indigenous group, age at menarche among girls with low socioeconomic status was 5.4 months later than among those with higher socioeconomic status. There were no differences in nutritional status according to socioeconomic level. Obesity was associated with earlier menarche. Menarche occurred earlier than in previous generations. An inverse relationship between socioeconomic status and age at menarche was seen in the indigenous group only; low socioeconomic status was associated with delayed menarche, regardless of nutritional status or mother's age at menarche.El objetivo fue analizar la relación entre nivel socioeconómico y edad de menarquia en adolescentes indígenas y no indígenas de la Región de la Araucanía, Chile, controlando el efecto del estado nutricional, y la edad de menarquia de las madres. Se estudiaron 8.624 niñas de 168 escuelas elegidas aleatoriamente, seleccionando 207 indígenas y 200 no indígenas que habían tenido recientemente la menarquia. La edad de menarquia ocurrió a los 149,6±10,7 meses en indígenas y a los 146,6±10,8 meses en no indígenas. En el grupo no indígena, hubo una relación significativa entre edad de menarquia y nivel socioeconómico. En el grupo indígena, edad de menarquia del nivel socioeconómico bajo fue de 5,4 meses más tarde que el

Sports chronobiology consultation: from the lab to the arena.

Science.gov (United States)

Postolache, Teodor T; Hung, Tsung-Min; Rosenthal, Richard N; Soriano, Joseph J; Montes, Fernando; Stiller, John W

2005-04-01

This final article, coauthored by a chronobiology consultant, a sports psychologist who applied a chronobiology-based program to an Olympic national team, a clinical neurologist, a performance data analyst, a training-conditioning coach from a major league baseball team who applied chronobiology principles to major league pitchers, and a substance abuse expert, discusses practical aspects of a sports chronobiology consultation, including the goals and current arsenal of available interventions. Short vignettes of actual cases are presented for edification, and references are made to appropriate reviews found elsewhere in this issue.

Development and Implementation of an Inpatient Otolaryngology Consultation Service at an Academic Medical Center.

Science.gov (United States)

Huddle, Matthew G; London, Nyall R; Stewart, C Matthew

2018-02-01

To design and implement a formal otolaryngology inpatient consultation service that improves satisfaction of consulting services, increases educational opportunities, improves the quality of patient care, and ensures sustainability after implementation. This was a retrospective cohort study in a large academic medical center encompassing all inpatient otolaryngology service consultations from July 2005 to June 2014. Staged interventions included adding fellow coverage (July 2007 onward), intermittent hospitalist coverage (July 2010 onward), and a physician assistant (October 2011 onward). Billing data were collected for incidences of new patient and subsequent consultation charges. The 2-year preimplementation period (July 2005-June 2007) was compared with the postimplementation periods, divided into 2-year blocks (July 2007-June 2013). Outcome measures of patient encounters and work relative value units were compared between pre- and postimplementation blocks. Total encounters increased from 321 preimplementation to 1211, 1347, and 1073 in postimplementation groups ( P < 0.001). Total work relative value units increased from 515 preimplementation to 2090, 1934, and 1273 in postimplementation groups ( P < 0.001). A formal inpatient consultation service was designed with supervisory oversight by non-Accreditation Council for Graduate Medical Education fellows and then expanded to include intermittent hospitalist management, followed by the addition of a dedicated physician assistant. These additions have led to the formation of a sustainable consultation service that supports the mission of high-quality care and service to consulting teams.

Ostomy Home Skills Program

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Full Text Available ... Verification, Review, and Consultation Program for Hospitals Trauma Systems Consultation Program Trauma Education Achieving Zero Preventable Deaths Conference Publications and Posters ...

Feeling Heard & Understood in the Hospital Environment: Benchmarking Communication Quality Among Patients with Advanced Cancer Before and After Palliative Care Consultation.

Science.gov (United States)

Ingersoll, Luke T; Saeed, Fahad; Ladwig, Susan; Norton, Sally A; Anderson, Wendy; Alexander, Stewart C; Gramling, Robert

2018-05-02

Maximizing value in palliative care requires continued development and standardization of communication quality indicators. To describe the basic epidemiology of a newly-adopted patient-centered communication quality indicator for hospitalized palliative care patie9nts with advanced cancer. Cross-sectional analysis of 207 advanced cancer patients who received palliative care consultation at two medical centers in the United States. Participants completed the Heard & Understood quality indicator immediately before and the day following the initial palliative care consultation: "Over the past two days ["24 hours" for the post-consultation version], how much have you felt heard and understood by the doctors, nurses and hospital staff? Completely/Quite a Bit/Moderately/Slightly/Not at All". We categorized "Completely" as indicating ideal quality. Approximately one-third indicated ideal Heard & Understood quality before palliative care consultation. Age, financial security, emotional distress, preferences for comfort-longevity tradeoffs at end-of-life, and prognosis expectations were associated with pre-consultation quality. Among those with less-than-ideal quality at baseline, 56% rated feeling more Heard & Understood the day following palliative care consultation. The greatest pre-post improvement was among people who had unformed end-of-life treatment preferences or who reported having "no idea" about their prognosis at baseline. Most patients felt incompletely heard and understood at the time of referral to palliative care consultation and more than half improved following consultation. Feeling heard and understood is an important quality indicator sensitive to interventions to improve care and key variations in the patient experience. Copyright © 2018. Published by Elsevier Inc.

Development and face validation of strategies for improving consultation skills

OpenAIRE

Lefroy, J; Thomas, A; Harrison, C; Williams, S; O'Mahony, F; Gay, S; Kinston, R; McKinley, RK

2014-01-01

While formative workplace based assessment can improve learners' skills, it often does not because the procedures used do not facilitate feedback which is sufficiently specific to scaffold improvement. Provision of pre-formulated strategies to address predicted learning needs has potential to improve the quality and automate the provision of written feedback. To systematically develop, validate and maximise the utility of a comprehensive list of strategies for improvement of consultation skil...

Exploring the research domain of consultant practice: Experiences of consultant radiographers

International Nuclear Information System (INIS)

Harris, R.; Paterson, A.

2016-01-01

Aim: This paper reports on one part of a larger study. The aim of the overall study was to explore what the core domain of research means to consultant radiographers in clinical practice and to identify the key factors that facilitate or hinder research activity by this staff group. Design and method: Grounded theory research methodology was employed. This second part of the study involved telephone interviews with twenty five consultant radiographers. Results: Results indicate there are variations across clinical specialties as to the amount and level of research undertaken by consultant radiographers. The principal barriers revealed were: lack of time; excessive clinical workload; lack of skills and confidence to undertake research; poor research culture; and lack of support. The main facilitators noted were: dedicated time, research training and up-skilling; mutually beneficial collaborations; managerial understanding of the research domain of the role; and research focussed on clinical demand. Conclusion: Fulfilling the clinical role is imperative and integral to the profession at consultant level; however, if it is undertaken to the detriment of the other domains then these practitioners may not be operating at ‘consultant’ level. Overall improvements must be made to ensure that the consultant radiographer role is delivering on current expectations and is safeguarded for the future of the next generation of radiographers. - Highlights: • Consultant radiographers undertake research but have concerns about their research skills. • Research aims to improve practice and patients' experiences. • Relatively few consultant radiographers publish their work regularly. • Consultant radiographers allocate little protected time for research due to clinical demands.

Exploring the research domain of consultant practice: Perceptions and opinions of consultant radiographers

International Nuclear Information System (INIS)

Harris, R.; Paterson, A.

2016-01-01

Aim: This paper reports on one part of a larger study. The aim was to explore what the core domain of research means to consultant radiographers in clinical practice and to identify the key factors that facilitate or hinder research activity by this staff group. Design and method: Grounded theory research methodology was employed. This first part of the study involved electronic questionnaires being sent to all those known in consultant radiographer posts in the United Kingdom. Results: Results indicate there are variations across clinical specialties as to the amount and level of research undertaken by consultant radiographers, and not all agreed that research should be a core domain of consultant practice. Main facilitators to research were noted as: time; skills and knowledge of the researcher; a well defined research question. Main barriers to research were noted as: lack of allocated time; lack of skills/experience; clinical workload. Conclusion: Research is one of the four core domains of consultant allied health professional and nursing roles but, as yet, it is not fully embedded into those of all consultant radiographers. Many consultant radiographers appear to spend more of their time on the ‘clinical expert’ element of their role at the expense of the research domain. This study concludes that there is an urgent need for consultant radiographers to understand that research is one of the four core domains and to recognise the need to embed research into their clinical practice. - Highlights: • Consultant radiographers undertake research but have concerns about their research skills. • Research aims to improve practice and patients' experiences. • Relatively few consultant radiographers publish their work routinely. • Consultant radiographers allocate little protected time for research due to clinical demands. • Almost half of the consultant radiographers feel research should not be a core part of their roles.

Mental Health Consultation Among Ontario's Immigrant Populations.

Science.gov (United States)

Islam, Farah; Khanlou, Nazilla; Macpherson, Alison; Tamim, Hala

2017-11-16

To determine the prevalence rates and characteristics of past-year mental health consultation for Ontario's adult (18 + years old) immigrant populations. The Canadian Community Health Survey (CCHS) 2012 was used to calculate the prevalence rates of past-year mental health consultation by service provider type. Characteristics associated with mental health consultation were determined by carrying out multivariable logistic regression analysis on merged CCHS 2008-2012 data. Adult immigrant populations in Ontario (n = 3995) had lower estimated prevalence rates of past-year mental health consultation across all service provider types compared to Canadian-born populations (n = 14,644). Amongst those who reported past-year mental health consultation, 57.89% of Ontario immigrants contacted their primary care physician, which was significantly higher than the proportion who consulted their family doctor from Canadian-born populations (45.31%). The factors of gender, age, racial/ethnic background, education level, working status, food insecurity status, self-perceived health status, smoking status, alcohol drinking status, years since immigration, and age at time of immigration were significantly associated with past-year mental health consultation for immigrant populations. Ontario's adult immigrant populations most commonly consult their family doctor for mental health care. Potential exists for expanding the mental health care role of primary care physicians as well as efforts to increase accessibility of specialized mental health services. Integrated, coordinated care where primary care physicians, specialized mental health professionals, social workers, and community educators, etc. working together in a sort of "one-stop-shop" may be the most effective way to mitigate gaps in the mental health care system. In order to effectively tailor mental health policy, programming, and promotion to suit the needs of immigrant populations initiatives that focus on

A presença feminina nas indústrias de lingerie na cidade de Franca

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Mayara C. Freitas Pereira

2008-12-01

Full Text Available Dados recentes nos comprovam que as indústrias de lingerie têm apresentado considerável crescimento na cidade de Franca/SP, cuja história sempre se pautou pela indústria do calçado. Devido à crise no setor calçadista, sobretudo em razão da intensificação da concorrência com a indústria dos países asiáticos, muitas grandes fábricas de calçados foram fechadas e, com a dispensa de mão-de-obra, houve um processo de reorganização da estrutura fabril, protagonizado, em especial, por aqueles que buscavam nova inserção no mercado de trabalho. Diante deste quadro nasce uma nova vocação empresarial comandada basicamente por mulheres, e que está abrindo postos de trabalho para outras mulheres - a indústria de lingerie, que vem crescendo notoriamente. Partimos de um pressuposto inicial de que muitas destas mulheres, hoje à frente da incipiente indústria de lingerie, tiveram alguma experiência pregressa nas indústrias calçadistas, que empregam expressiva mão-de-obra feminina, sobretudo nos setores de apara e corte de couro, pintura e embalagem, sem contar os serviços do terceiro setor em que a presença feminina é, em qualquer circunstância, relevante. Já por estarem num ambiente econômico-industrial relacionado à moda, a transposição do calçado para a lingerie, em que pese as diferenças óbvias, representou para estas mulheres um reajuste em suas antigas qualificações como industriárias do calçado. Este estudo, em andamento, tem como fito levantar dados a respeito do histórico dessa incipiente indústria, e, através do relato dessas mulheres, conhecer suas trajetórias de vida e as experiências que trouxeram para essa nova realidade. Intenta também reconhecer quais foram as estratégias utilizadas para se reorganizarem nos espaços produtivos, que, em alguns casos é a própria casa, além de conhecer e identificar outras experiências que se articulam, no mundo do trabalho.

Accompanied consultations in occupational health.

Science.gov (United States)

Hobson, J; Hobson, H; Sharp, R

2016-04-01

Accompanied consultations are often reported as difficult by occupational physicians but have not been studied in the occupational health setting. To collect information about accompanied consultations and the impact of the companion on the consultation. We collected data on all accompanied consultations by two occupational physicians working in a private sector occupational health service over the course of 16 months. Accompanied consultations were matched to non-accompanied consultations for comparison. We collected data on 108 accompanied consultations. Accompanied consultations were more likely to be connected with ill health retirement (P Occupational health practitioners may benefit from better understanding of accompanied consultations and guidance on their management. © 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.

A report on the green plan consultations

International Nuclear Information System (INIS)

1990-08-01

This document is a summary of what Canadians who participated in the consultations had to say about environmental issues and concerns; the solutions, roles and responsibilities, and priorities for action. It is based on detailed reports from 41 information sessions and 17 consultation workshops held across Canada. It is based on some 3,000 pages of comments and suggestions, an analysis of 4,500 question response forms, and written submissions from more than 1,000 individuals and organizations. The report is organized into two sections: improving decision making; and, action on environmental issues. The first section deals with science, education, enforcement, decision-making processes and partnerships. The second section deals with specific environmental issues identified in the consultation document, such as global warming and toxic substances, and other publicly identified issues, including energy and land use. Suggestions for further consideration represent possible policy, program and legislative elements of 'The Green Plan'. They are intended as a basis for a more focused debate which will help in the establishment of priorities

Consultant management estimating tool.

Science.gov (United States)

2012-04-01

The New York State Department of Transportation (NYSDOT) Consultant Management Bureaus primary responsibilities are to negotiate staffing hours/resources with : engineering design consultants, and to monitor the consultant's costs. Currently the C...

Information Needs Expressed During Patient-Oriented Oncology Consultations: Quantity, Variation, and Barriers.

Science.gov (United States)

Ahamad, Anesa; Wallner, Paul; Salenius, Sharon; Ross, Rudi; Fernandez, Eduardo

2018-02-12

High-quality oncology consultation includes patient-oriented communication tailored to patients' individualized needs. Common methods used in studies to increase question-asking are prompt lists and coaching pre-consultations. However, our patients were encouraged to ask questions by the physician during their visit. We aimed to estimate the quantity, nature, and variation of their questions when they were invited to ask by their oncologist. During radiotherapy consultations from 2012 to 2016, patient's questions were deliberately elicited and physician-transcribed. We derived mean and median number of questions per patient, variance by patient factors, and a taxonomy of subjects using thematic analysis. Three hundred ninety-six patients asked 2386 questions, median asked per patient = 6 (interquartile range = 4). We found significant variance with age (mean = 6.9 questions for  10% of patients and 40 topics were asked by < 10% of patients. With median of 6 questions, it is practicable to routinely elicit and address individualized information needs. Potential barriers may be older and underinsured patients. The wide variety of topics, often pertaining to individuals' case, suggests that cancer clinicians should take time-out during consultation to elicit patients' questions to accomplish best-practice communication.

Tendencias de Educación Indígena en Latinoamérica.

Directory of Open Access Journals (Sweden)

Teresa Durán Pérez

Full Text Available En esta ponencia se revisan Ias principales corrientes de pensamiento que en los últimos veinte años han ido surgiendo en torna a la educación que, al interior de las sociedades nacionales. deben recibir y protagonizar Ias generaciones jóvenes de los pueblos indígenas de América. Estas corrientes de pensamiento han sido expuestas por estudiosos, mayormente de la cultura y lenguas vernáculas, vinculados de distinto modo al sistema regular de educación, y por dirigentes de organizaciones indígenas.  Explicita o implícitamente estas corrientes incluyen concepciones acerca de los pueblos indígenas: definiciones de sus propias  participaciones  en   el  proceso;  justificaciones   de  las proposiciones  que  exponen; dificultades encontradas en el proceso de aplicar los programas propuestos: evoluciones y proyecciones que este tipo  de educación étnicamente diferenciada supone.

Ostomy Home Skills Program

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Full Text Available ... in Trauma Surgery Advanced Trauma Life Support Verification, Review, and Consultation Program for Hospitals Trauma Systems Consultation Program Trauma Education Achieving Zero Preventable Deaths ...

Avaliação da eficiência energética em uma indústria de painéis compensado

OpenAIRE

Silva, Dimas Agostinho da

2013-01-01

Este trabalho trata do perfil e do uso de energia em uma indústria de painéis compensado no Brasil. O seu objetivo geral é corroborar para a melhoria da competitividade da indústria de compensado nacional. Especificamente visou conhecer o perfil do consumo energético na indústria, avaliar possibilidade de ganhos de eficiência no componente energético do processo produtivo e disponibilizar modelos matemáticos de consumo energético aplicado às indústrias de painéis compensado. O trabalho foi de...

Management Consulting for Technological Modernization and Industry of the Future

Directory of Open Access Journals (Sweden)

Leonid Davidovich Gitelman

2017-03-01

Full Text Available The article presents the results of the authors’ study based on the hypothesis that aaddressing the multidimensional highly complex tasks of technological modernization and new industry against the background of a wave of breakthrough innovations is only possible within the framework of proactive management. Its methodological, instrumental and competence basis results from «smart» partnership of regional science, education, and business. In this case, the management сconsulting of a new type, being fundamentally different from the traditional one, plays the role of the partnership coordinator. These differences are expressed in specific intellectual logistics and organizational architecture of consulting projects, close connection to universities, innovation centres and various research structures of the region as well as the high specialization, which is reached by the involvement of the virtual teams of cross-disciplinary experts in the developments, the flexible products designed on the basis of the modular principle. In this regard, the study presents a number of new scientific results proving the hypothesis. The paper substantiates the approach to the organization and methodology of consulting activities for complex, rapidly developing systems which requires expanding the range of competencies and scope of the interaction of various actors — carriers of interdisciplinary knowledge. In accordance with this approach, the authors introduce the concept of integratory consulting for advanced development that offers a package of intellectual services for addressing challenges of the future. We have developed the methodology of the integrated system of research, consultations, training and transforming action that makes it possible to generate pre-emptive actions amid crisis, risk and threats. The article has proposed and tested an organizational mechanism of cooperation between parties (science, education, business involved in smart

Criatividade e inovação empresarial nas indústrias criativas

OpenAIRE

Sousa, Fernando; Nunes, Florbela; Monteiro, Ileana Pardal

2015-01-01

O presente artigo visa demonstrar que a relação de influência entre a atitude dos empresários face à criatividade e as práticas de inovação empresarial é mais forte no setor que envolve as indústrias criativas. Para o efeito foi inquirida uma amostra constituída por 454 empresários, em que 94 pertenciam às indústrias criativas, responsáveis por microempresas e PME portuguesas, através de um inventário de práticas empresariais inovadoras, elaborado a partir do formulário de candidatura à rede ...

Improving the Diagnosis of Legionella Pneumonia within a Healthcare System through a Systematic Consultation and Testing Program.

Science.gov (United States)

Decker, Brooke K; Harris, Patricia L; Muder, Robert R; Hong, Jae H; Singh, Nina; Sonel, Ali F; Clancy, Cornelius J

2016-08-01

Legionella testing is not recommended for all patients with pneumonia, but rather for particular patient subgroups. As a result, the overall incidence of Legionella pneumonia may be underestimated. To determine the incidence of Legionella pneumonia in a veteran population in an endemic area after introduction of a systematic infectious diseases consultation and testing program. In response to a 2011-2012 outbreak, the VA Pittsburgh Healthcare System mandated infectious diseases consultations and testing for Legionella by urine antigen and sputum culture in all patients with pneumonia. Between January 2013 and December 2015, 1,579 cases of pneumonia were identified. The incidence of pneumonia was 788/100,000 veterans per year, including 352/100,000 veterans per year and 436/100,000 veterans per year with community-associated pneumonia (CAP) and health care-associated pneumonia, respectively. Ninety-eight percent of patients with suspected pneumonia were tested for Legionella by at least one method. Legionella accounted for 1% of pneumonia cases (n = 16), including 1.7% (12/706) and 0.6% (4/873) of CAP and health care-associated pneumonia, respectively. The yearly incidences of Legionella pneumonia and Legionella CAP were 7.99 and 5.99/100,000 veterans, respectively. The sensitivities of urine antigen and sputum culture were 81% and 60%, respectively; the specificity of urine antigen was >99.97%. Urine antigen testing and Legionella cultures increased by 65% and 330%, respectively, after introduction of our program. Systematic testing of veterans in an endemic area revealed a higher incidence of Legionella pneumonia and CAP than previously reported. Widespread urine antigen testing was not limited by false positivity.

From Solution Shop to Boutique Consulting? Capturing Recent Developments on the German Consulting Marke

Directory of Open Access Journals (Sweden)

Jörg Jasper DÖTSCH

2016-12-01

Full Text Available Digitalization, globalization, new technologies and shorter product life cycles are only a few keywords underlining the fact that companies are under increasing pressure for faster adaptation, innovation and hence applying a higher knowledge intensity. We assume that these conditions require an increasingly important role of consulting companies, because they seem to be the intermediaries needed to bridge the faster growing gaps between existing business models, organizational structures and accelerating market change. Market pressure is growing on the market for consultant companies as well. New technologies and digitalization should influence both the structure of the consultancy market and the business models of consultancies. Christensen suggested a trend from Dzsolution shop” to Dzboutique consulting.” To track current developments, we concentrate on the German consulting market as one of the most important consultant markets worldwide and explore changes of the last two years based on various studies. Processes of change seem to be both substantially driven by digitalization and to reflect change on the non-consultancy markets. A high willingness to switch among providers documents a high pressure on performance. The impact of digitalisation seem• to be observable in structural and qualitative change. With regard to the German consulting market and the latest available data we cannot validate a tendency from a dominance of “solution shop” consultancies to “boutique” consultancy services.

Pre-Travel Medical Preparation of Business and Occupational Travelers: An Analysis of the Global TravEpiNet Consortium, 2009 to 2012.

Science.gov (United States)

Khan, Nomana M; Jentes, Emily S; Brown, Clive; Han, Pauline; Rao, Sowmya R; Kozarsky, Phyllis; Hagmann, Stefan H F; LaRocque, Regina C; Ryan, Edward T

2016-01-01

The aim of the study was to understand more about pre-travel preparations and itineraries of business and occupational travelers. De-identified data from 18 Global TravEpiNet clinics from January 2009 to December 2012 were analyzed. Of 23,534 travelers, 61% were non-occupational and 39% occupational. Business travelers were more likely to be men, had short times to departure and shorter trip durations, and commonly refused influenza, meningococcal, and hepatitis B vaccines. Most business travelers indicated that employers suggested the pre-travel health consultation, whereas non-occupational travelers sought consultations because of travel health concerns. Sub-groups of occupational travelers have characteristic profiles, with business travelers being particularly distinct. Employers play a role in encouraging business travelers to seek pre-travel consultations. Such consultations, even if scheduled immediately before travel, can identify vaccination gaps and increase coverage.

Early geriatric consultation increases adherence to TQIP Geriatric Trauma Management Guidelines.

Science.gov (United States)

Southerland, Lauren T; Gure, Tanya R; Ruter, Daniel I; Li, Michael M; Evans, David C

2017-08-01

The American College of Surgeons' Trauma Quality Improvement Program (TQIP) Geriatric Trauma Management Guidelines recommend geriatric consultation for injured older adults. However it is not known how or whether geriatric consultation improves compliance to these quality measures. This study is a retrospective chart review of our institutional trauma databank. Adherence to quality measures was compared before and after implementation of specific triggers for geriatric consultation. Secondary analyses evaluated adherence by service: trauma service (Trauma) or a trauma service with early geriatric consultation (GeriTrauma). The average age of the 245 patients was 76.7 years, 47% were women, and mean Injury Severity Score was 9.5 (SD ±8.1). Implementation of the GeriTrauma collaborative increased geriatric consultation rates from 2% to 48% but had minimal effect on overall adherence to TQIP quality measures. A secondary analysis comparing those in the post implementation group who received geriatric consultation (n = 94) to those who did not (n = 103) demonstrated higher rates of delirium diagnosis (36.2% vs 14.6%, P quality indicators is needed. Copyright © 2017 Elsevier Inc. All rights reserved.

Pueblos indígenas, democracia y representación: los casos de Bolivia y Guatemala

OpenAIRE

Iguanzo, Isabel

2011-01-01

[ES] Este trabajo descriptivo estudia la representación de los intereses de los indígenas en la Cámara Baja en Bolivia (2006) y Guatemala (2008) a través de la distinción de actitudes y comportamiento, entre los que se consideran indígenas y no indígenas. El texto se sostiene en el análisis de las encuestas realizadas por Barómetro de las Américas del Proyecto de Opinión publica de América Latina (LAPOP) y las entrevistas a legisladores del Proyecto Elites Parlamentarias en América Latina. La...

Child consultation patterns in general practice comparing "high" and "low" consulting families.

OpenAIRE

Campion, P D; Gabriel, J

1984-01-01

All children's consultations with their general practitioner over a 12 month period in a small urban practice were analysed. Overall consultation rates ranged from 2.2 per child a year for 8 to 11 year olds, to 6.8 for those under 2. Families were grouped according to their average rate of new consultation for children, standardised for age. Families with higher consulting rates scored higher on an index of economic disadvantage, with mothers who scored higher on a test of "tendency to consul...

de las mujeres indígenas migrantes

Directory of Open Access Journals (Sweden)

Elizabeth Maier

2006-01-01

falta de tiempo y energía para realizar estos derechos a plenitud, por el otro. El artículo examina la influencia de las nuevas condiciones de vida y trabajo del mercado global en la relación de género y los procesos de sujetivización y ciudadanización de mujeres indígenas inmigrantes.

Tuberculosis en la población indígena del Perú 2008 Tuberculosis in the indigenous population of Peru 2008

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Dante R. Culqui

2010-03-01

Full Text Available Objetivos. Identificar a los pobladores indígenas afectados por tuberculosis (TB en el Perú durante el año 2008. Materiales y métodos. Estudio observacional, descriptivo, realizado de agosto a diciembre de 2009, que incluyó a los pacientes indígenas afectados por tuberculosis que ingresaron al programa durante el año 2008, de las 25 regiones del Perú; los cuales se presentan en tablas y gráficos elaborados en SPSS 16.0 y Excell 2007. Resultados. Se identificó a 702 indígenas con tuberculosis. El grupo étnico que presenta la mayor cantidad de pacientes con TB son los quechuas (417/702; 59,4%, los indígenas amazónicos (201/702; 28,6% de los cuales los grupos étnicos que presenta más del 60% de indígenas con TB, son los Ashaninka (Campas, Shipibo y Matsiguenga. En tercer lugar se encuentran los indígenas aymaras quienes presentaron (84/702; 11,97% de todos los pacientes diagnosticados con TB. Es importante mencionar que la distribución de los casos de tuberculosis multidrogoresistente involucra a cinco departamentos (nueve casos con TB MDR, siendo mayor el número de casos de TB MDR antes tratado 6/9, encontrándose sólo tres casos de TB MDR nuevos, pertenecientes al grupo indígena quechua. Conclusiones. Se han reportado altas tasas de incidencia en población indígena, lo que hace necesario investigaciones más profundas que garanticen la adecuada recolección de información por grupos étnicos a fin de contar con una evidencia de mayor jerarquía acerca de la situación de la tuberculosis en población indígena del Perú.Objective. To identify the indigenous inhabitants affected by tuberculosis (TB in Peru during the year 2008. Material and methods. Descriptive observational study, performed from August to December 2009, including all indigenous patients affected by tuberculosis that were including in the Control Program during the year 2008 in the 25 regions of Peru. Results. We identified 702 indigenous patients with

Evaluation of the AECB's process of consultation with employees of its licensees

International Nuclear Information System (INIS)

Hart, D.; Eedy, W.; Hostovsky, C.; Burt, A.J.; Maghy, R.

1986-03-01

The study involved a review of public consultation methods used by various Federal Government agencies. These were then compared to the existing AECB programs to evaluate potential improvements. These were also referred to in later surveys of employees at licensed facilities to determine their perceived appropriateness. The majority of employees were both aware of AECB and correctly understood its function. Both of these aspects increased as a function of union membership, age, income, male sex and ARW status. However, the use of AECB consultative documents declined with union membership and increased with membership in professional associations. Satisfaction with the AECB consultative process was fairly low. Workers tended to be more satisfied with other agencies or safety associations. Feelings of job safety were greatest among those who received consultative documents or read AECB press releases. Feelings of safety also increased with age, education, income and professional association membership, but declined with union membership. Unionized employees expressed a desire for more consultation with AECB. Recommendations to improve the process of consultation are included

Educação Escolar Indígena - A prática docente dos Guarani Mbya

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Janaína Aline dos Santos e Souza

2017-12-01

Full Text Available Este trabalho, vinculado a pesquisa de Mestrado em andamento, propõe o seguinte problema de pesquisa: o que o professorado indígena Guarani Mbya entende ser sua prática docente? Parte-se do pressuposto de que a educação escolar indígena, mais precisamente a partir de 1970, começa a ser ressignificada pelos próprios movimentos e organizações indígenas – reestruturando uma instituição tipicamente não-indígena, norteada até então por princípios de catequização, civilização, integração e preservação –, e que sua reconstrução junto aos projetos de futuro de cada etnia se constitui potencialmente como inovação educacional, superando seu caráter colonialista. Esta pesquisa pretende verificar se a visão que os professores e professoras indígenas têm de suas práticas se fundamenta ou não no modo de transmissão dos saberes tradicionais de sua cultura. No primeiro caso, tais práticas estariam inscritas na luta por reconhecimento e seriam adaptadas à atividade escolar. No entanto, as práticas docentes podem também ser mera reprodução do modelo de ensino escolar predominante, originalmente não-indígena, ainda que se trate oficialmente de uma escola diferenciada. Para examinar essas alternativas, vêm sendo realizadas entrevistas e observação direta na Escola Estadual IndígenaGwyra Pepo, localizada na região de Parelheiros, no município de São Paulo. As informações recolhidas serão analisadas por meio das bases teóricas das pesquisas antropológicas sobre os Guarani e sociológicas sobre inovação educacional, bem como pelo recurso às produções da etnologia ameríndia a respeito da educação escolar indígena

Skills for Effective Consultation.

Science.gov (United States)

Dustin, Dick; Ehly, Stewart

1984-01-01

Discusses counselor skills that promote effective consultation. Reviews research on effective school consultation and presents a five-stage model which involves phasing in, problem identification, implementation, evaluation, and termination. Provides recommendations for the process and products of consultation. (JAC)

High School Pre-Engineering Programs: Do They Contribute to College Retention?

Science.gov (United States)

Cole, Belinda; High, Karen; Weinland, Kathryn

2013-01-01

The study examines the retention of students in the College of Engineering, Architecture and Technology at Oklahoma State University that enter college with a defined course sequence in a pre-engineering program from a regional career technology center as compared with the retention rates of university engineering students for the same time…

Wipro Consulting Services: Building an Effective Global Configuration in Business and IT Consulting Industry

OpenAIRE

Joseph Lampel; Ajay Bhalla; Kaivalya Vishnu

2010-01-01

The Wipro Consulting Services (WCS) case charts the evolution of the consulting initiative within Wipro Technologies; the strategic choices the management made during this evolution and the challenges facing the firm once it consolidated the various consulting initiatives to set up Wipro Consulting Services in 2008. The case deals with several questions facing the leadership team, such as the competencies to develop to move up the value chain in delivering consulting services and the extent t...

Reglamentos indígenas en áreas protegidas de Bolivia: el caso del Pilón Lajas

Directory of Open Access Journals (Sweden)

José Francisco Márquez Guerra

2016-01-01

Full Text Available Durante los últimos años, los enfoques de planificación ecorregional de los programas de conservación han jugado un papel destacado en la configuración y gestión de los territorios indígenas en superposición o colindancia con las Áreas Protegidas en la Amazonía boliviana. Esto se evidencia en el apoyo técnico, jurídico y financiero brindado por las grandes ONG a los procesos participativos para la concepción, implementación y aplicación de instrumentos de gestión territorial y de recursos naturales indígenas como los estatutos y reglamentos comunitarios, entre otros. A partir de un trabajo etnográfico sobre las comunidades de la Reserva de Biosfera y Tierra Comunitaria de Origen Pilón Lajas, este texto describe cómo, en medio de estos procesos de juridificación de las instituciones indígenas, los actores de la conservación pretenden contribuir a la compatibilidad entre los estatutos y reglamentos indígenas y los instrumentos de gestión del Área Protegida. Encontramos que en esta operación de traducción de los objetivos de la conservación a la realidad local se movilizan dos conceptos de legitimación atribuidos a la condición indígena: la ancestralidad y la territorialidad. Los resultados muestran que con la utilización del primero, los actores de la conservación recrean una identidad ecológica para los indígenas, mientras que con el segundo recrean un espacio indígena con vocación de conservación. Se discute si los instrumentos resultantes de la compatibilización toman en cuenta la cosmología y el modo de existencia indígena en relación con los seres no humanos y el espacio.

Violência e apagamento da voz indígena no Brasil - O caso Yanomami

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Priscila Maria de Barros Borges

2016-03-01

Full Text Available O presente texto apresenta discussão sobre a lacuna na História Oficial brasileira que corresponde à voz indígena, ainda hoje silenciada. Pretende demonstrar que este silenciamento foi/é construído através de violências de várias ordens ao longo da constituição de nossa historiografia. Na atualidade as diversas minorias têm promovido um movimento de contar sua própria versão da História, através da publicação de livros e produção de documentários. Entre os povos indígenas não é diferente, exemplo disso é o livro A queda do céu, assinado pelo xamã e líder yanomami Davi Kopenawa em parceria com o antropólogo Bruce Albert. A obra A queda do céu, é aqui brevemente interpretada à luz dos conceitos de memória e testemunho, dando destaque à necessidade de que a voz indígena seja disseminada e ouvida, principalmente entre a sociedade não-indígena.

European Consulting Survey 2012 : The Future of European Management Consulting Firms' Business Models

OpenAIRE

Kreutzer, Markus; Menz, Markus

2012-01-01

This study report provides European management consulting firms' assessment of trends and currently prevailing business models in the industry. It depicts the different threats and opportunities that consulting firms with different business models, consulting foci, sizes, leverage ratios, international orientations, and geographical footprints face; it also reveals these firms' adaptation strategies. Based on an analysis of a survey of 311 consulting firms from 26 European countries, the repo...

Los derechos culturales con especial referencia a la cosmovisión de los indígenas Bribris de Talamanca

OpenAIRE

Vargas Urbina, Lilliam Marbelli

2014-01-01

En los territorios indígenas de Costa Rica existen ocho grupos socioculturales indígenas distintos: Bribris, Cabécares, Ngäbe, Térrabas, Borucas, Huetares, Malekus y Chorotegas, que habitan en 24 territorios y hablan en 6 idiomas indígenas. La mayoría viven en las áreas rurales o periféricas a los territorios, principalmente en las provincias de Puntarenas y Limón. Directamente en el cantón de Talamanca de esta última provincia vive el 60% de la población indígena del país y su localiza...

Migraciones indígenas a las ciudades de México y Tijuana

OpenAIRE

Velasco Ortiz, Laura

2007-01-01

Este artículo revisa la literatura sobre la migración de poblaciones indígenas a las ciudades de México y Tijuana durante la segunda mitad del siglo XX, con objeto de sistematizar los supuestos y hallazgos de investigaciones realizadas en torno al proceso de integración de los indígenas al medio urbano. El primer apartado presenta la revisión de la literatura sobre la Ciudad de México y algunos trabajos importantes sobre otras ciudades como Oaxaca y Guadalajara, todo lo cual se organiza en fo...

A Technology Program that Rescues Spacecraft

Science.gov (United States)

Deutsch, Leslie J.; Lesh, J. R.

2004-03-01

There has never been a long-duration deep space mission that did not have unexpected problems during operations. JPL's Interplanetary Network Directorate (IND) Technology Program was created to develop new and improved methods of communication, navigation, and operations. A side benefit of the program is that it maintains a cadre of human talent and experimental systems that can be brought to bear on unexpected problems that may occur during mission operations. Solutions fall into four categories: applying new technology during operations to enhance science performance, developing new operational strategies, providing domain experts to help find solutions, and providing special facilities to trouble-shoot problems. These are illustrated here using five specific examples of spacecraft anomalies that have been solved using, at least in part, expertise or facilities from the IND Technology Program: Mariner 10, Voyager, Galileo, SOHO, and Cassini/Huygens. In this era of careful cost management, and emphasis on returns-on-investment, it is important to recognize this crucial additional benefit from such technology program investments.

Bioethics Consultations and Resources

OpenAIRE

Thomas, Jennie

2011-01-01

Making difficult healthcare decisions is often helped by consultation with a bioethics committee. This article reviews the main bioethics principles, when it is appropriate and how to call a bioethics consult, ethical concerns, and members of the consult team. Bioethics resources are included.

Cultura indígina e identidade nacional

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Maria Vitória Silva Paiva

2016-12-01

Full Text Available A ideia de uma identidade nacional foi sendo construída; não havia, inicialmente, um Brasil como hoje conhecemos. Essa noção começa a se solidificar entre os anos de 1940 a 1950. As pessoas se identificavam pelo local onde nasciam, onde sua família estava enraizada, não pela sua nacionalidade. A história do país foi e é construída por um processo contínuo de inclusão-exclusão, o que faz com que diferentes grupos sociais e identitários continuem num processo de busca pela sua afirmação, em especial os indígenas e a população afro-brasileira. A metodologia utilizada na construção deste artigo foi a pesquisa bibliográfica e a pesquisa de campo, tanto atuando como psicóloga no grupo de saúde mental que existe dentro da aldeia Jaraguá, em São Paulo, como nas visitas às aldeias Guarani de Paraty, Rio de Janeiro, e entrevistas com três indígenas, das etnias Guarani, Pitaguary e Tibiriça.

NAGC Pre-K-Grade 12 Gifted Education Programming Standards: A Guide to Planning and Implementing High-Quality Services

Science.gov (United States)

Johnsen, Susan K., Ed.

2012-01-01

The new Pre-K-Grade 12 Gifted Education Programming Standards should be part of every school district's repertoire of standards to ensure that the learning needs of advanced students are being met. "NAGC Pre-K-Grade 12 Gifted Education Programming Standards: A Guide to Planning and Implementing High-Quality Services" details six standards that…

Estado nutricional del hierro en niños de comunidades indígenas de Cali, Colombia

OpenAIRE

Bolaños-Gallardo, María Victoria; Flórez Echeverry, Ofelia; Bermúdez Escobar, Amparo; Hernández Sampayo, Luzmila; Salcedo-Cifuentes, Mercedes

2014-01-01

Introducción: Los escolares son susceptibles a padecer anemia y deficiencia de micronutrientes. No hay reportes del estado del hierro en indígenas del sector urbano. Objetivo: Establecer el estado del hierro en niños de 5 a 14 años de edad de seis comunidades indígenas residentes en la ciudad de Cali-Colombia. Sujetos y métodos: Se estudiaron 62 niños indígenas de 5 a 14 años de edad, sin antecedentes febriles. Se les midió hemoglobina, hematocrito, volumen corpuscular medio, ferritina y tran...

Gobernabilidad y pobreza: proyectos productivos para mujeres indígenas mazahuas del Estado de México

OpenAIRE

Siboney Pineda Ruiz

2006-01-01

Bajo el enfoque de gobernabilidad, este estudio es el resultado de una investigación sobre el sitio que ocupan las mujeres indígenas en las políticas públicas de desarrollo. Al menos en los discursos, las mujeres indígenas son imprescindible en las políticas de combate a la pobreza, tanto en el ámbito internacional como en las políticas sociales, nacionales y estatales en México. Esta investigación realizada en la región central de México donde habita el grupo indígena mazahua, muestra que la...

[Psychiatric consultations for nursing-home residents: aspects and course of such consultations].

Science.gov (United States)

Steenbeek, M; van Baarsen, C; Koekkoek, B

2012-01-01

Psychiatric symptoms occur frequently in nursing-home residents. The psychiatric expertise and support available to residents vary from one nursing home to another. International studies show that psychiatric consultations can be effective, but in the Netherlands very little research has been done on this topic. To list the types of psychiatric problems and symptoms for which consultations are requested and to determine whether a psychiatric consultation can have positive results for nursing-home residents and staff. The psychiatric consultations requested were tabulated and were analysed. Details of 71 psychiatric consultations were recorded. The percentage of women (average age 74 years) was slightly higher than the percentage of men. More than 75% of the patients suffered from agitation/aggression or irritability, 65% suffered from depression, 63% from anxiety and 56% from dysinhibition. A post-intervention assessment was performed in 54 patients (76%). In this group psychiatric symptoms were found to be greatly reduced, with regard to both frequency and severity. In addition, nursing staff seemed to suffer less of the stress and strain in their work. The patients for whom a consultation was requested seemed to suffer from serious psychiatric symptoms and were often aggressive. It was possible to achieve substantial progress as a result of a simple intervention. A possible explanation for this effect is probably the nature of the psychiatric consultation used; it was structured, multi-disciplinary and time-consuming. However, since no control group was involved, it is impossible to say with certainty that the reduction in symptoms can be attributed solely to the consultation.

Using employee experts to offer an interprofessional diabetes risk reduction program to fellow employees.

Science.gov (United States)

Lenz, Thomas L; Gillespie, Nicole D; Skrabal, Maryann Z; Faulkner, Michele A; Skradski, Jessica J; Ferguson, Liz A; Pagenkemper, Joni J; Moore, Geri A; Jorgensen, Diane

2013-03-01

A recent increase in the incidence of diabetes and pre-diabetes is causing many employers to spend more of their healthcare benefit budgets to manage the conditions. A self-insured university in the USA has implemented an interprofessional diabetes mellitus risk reduction program using its own employee faculty and staff experts to help fellow employees manage their diabetes and pre-diabetes. The interprofessional team consists of five pharmacists, a dietitian, an exercise physiologist, a health educator and a licensed mental health practitioner. In addition, the participant's physician serves as a consultant to the program, as does a human resources healthcare benefits specialist and a wellness coordinator. The volunteer program takes place at the worksite during regular business hours and is free of charge to the employees. The faculty and staff delivering the program justify the cost of their time through an interprofessional educational model that the program will soon provide to university students.

Intermedicalidade e protagonismo: a atuação dos agentes indígenas de saúde Munduruku da Terra Indígena Kwatá-Laranjal, Amazonas, Brasil

Directory of Open Access Journals (Sweden)

Daniel Scopel

2015-12-01

Full Text Available Resumo O artigo sintetiza resultados de pesquisa etnográfica sobre a atuação dos agentes indígenas de saúde (AIS na Terra Indígena (TI Kwatá-Laranjal, Município de Borba, Amazonas, Brasil. Visa a contribuir para a compreensão do papel dos AIS frente à expansão do modelo médico hegemônico em contexto de pluralidade médica. A análise inclui dados de observação participante e entrevistas realizadas de 2009 a 2011. Entrevistas semiestruturadas foram realizadas com objetivo de registrar narrativas sobre a rotina, experiências e dificuldades no trabalho. Concluímos que a atuação dos AIS é essencial para a atenção primária, e seu papel transcende atividades estritamente técnicas. O AIS Munduruku ocupa posição central na articulação entre saberes indígenas e biomédicos em contextos de intermedicalidade e emerge como um novo ator político em contextos interétnicos.

Test Review for Preschool-Wide Evaluation Tool (PreSET) Manual: Assessing Universal Program-Wide Positive Behavior Support in Early Childhood

Science.gov (United States)

Rodriguez, Billie Jo

2013-01-01

The Preschool-Wide Evaluation Tool (PreSET; Steed & Pomerleau, 2012) is published by Paul H. Brookes Publishing Company in Baltimore, MD. The PreSET purports to measure universal and program-wide features of early childhood programs' implementation fidelity of program-wide positive behavior intervention and support (PW-PBIS) and is,…

3 CFR - Tribal Consultation

Science.gov (United States)

2010-01-01

.... Recommendations for improving the plans and making the tribal consultation process more effective, if any, should... 3 The President 1 2010-01-01 2010-01-01 false Tribal Consultation Presidential Documents Other Presidential Documents Memorandum of November 5, 2009 Tribal Consultation Memorandum for the Heads of Executive...

MTU-pre-service teacher enhancement program. Final report, September 1992--May 1995

Energy Technology Data Exchange (ETDEWEB)

Anderson, C.S.; Yarroch, W.J.

1996-01-01

The MTU Pre-Service Teacher Enhancement Program was a two year extended project designed to introduce a select group of science and engineering undergraduate students, with good {open_quotes}people skills,{close_quotes} to the teaching profession. Participants were paid for their time spent with area teacher/mentors and were involved in a variety of in school activities, projects and observations to illustrate the teaching profession. They were encouraged to consider the teaching profession as a future career option. The student participants, however, were under no obligation to enter the Teacher Education Program at the conclusion of the program.

76 FR 12273 - 8(a) Business Development Program Regulation Changes; Tribal Consultation

Science.gov (United States)

2011-03-07

... utilizing the data. SBA expects that two Participants owned by the same tribe, ANC, NHO or CDC will submit identical data describing the benefits provided by the tribe, ANC, NHO or CDC. II. Tribal Consultation...

Web-based system for radiological protection programs: a repository for research, consultation and information

Energy Technology Data Exchange (ETDEWEB)

Levy, Denise S.; Sordi, Gian Maria A.A., E-mail: gmsordi@ipen.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

2014-07-01

In order to establish a Radiation Protection Plan or a Radiation Emergency Plan, Brazilian facilities should take into account all procedures based on national and international guidelines and recommendations. This information can be found in several documents published by different organizations over the past decades: the International Commission on Radiological Protection (ICRP), International Atomic Energy Agency (IAEA) and Comissao Nacional de Energia Nuclear (CNEN). Therefore, this project aims the informatization of the radiological protection programs in a single system in order to offer unified programs and inter-related information in Portuguese, providing Brazilian facilities a complete repository for research, consultation and information, combining computer technology and radiological protection in order to enhance the best benefits from information technology. This research work includes programs about: (1) Monitoring of Workplace (Monitoring for External Radiation, Monitoring for Surface Contamination, Monitoring for Air Contamination) and (2) Individual Monitoring (Monitoring of External Exposure and Monitoring of Internal Exposure, Monitoring for Skin and Clothing). WEB platform tools and functionalities were developed according to target public needs, regarding new possibilities of media, mobile access, and information sharing. The servers processing power added to the technology of relational databases allow to integrate information from different sources, enabling complex queries with reduced response time. Moreover, taking into account this is a pioneer project with the prospect of long-term use, the challenge involves the combination of multiple computer technologies that allows a robust, effective and flexible system, which can be easily adapted to future technological innovations. (author)

Web-based system for radiological protection programs: a repository for research, consultation and information

International Nuclear Information System (INIS)

Levy, Denise S.; Sordi, Gian Maria A.A.

2014-01-01

In order to establish a Radiation Protection Plan or a Radiation Emergency Plan, Brazilian facilities should take into account all procedures based on national and international guidelines and recommendations. This information can be found in several documents published by different organizations over the past decades: the International Commission on Radiological Protection (ICRP), International Atomic Energy Agency (IAEA) and Comissao Nacional de Energia Nuclear (CNEN). Therefore, this project aims the informatization of the radiological protection programs in a single system in order to offer unified programs and inter-related information in Portuguese, providing Brazilian facilities a complete repository for research, consultation and information, combining computer technology and radiological protection in order to enhance the best benefits from information technology. This research work includes programs about: (1) Monitoring of Workplace (Monitoring for External Radiation, Monitoring for Surface Contamination, Monitoring for Air Contamination) and (2) Individual Monitoring (Monitoring of External Exposure and Monitoring of Internal Exposure, Monitoring for Skin and Clothing). WEB platform tools and functionalities were developed according to target public needs, regarding new possibilities of media, mobile access, and information sharing. The servers processing power added to the technology of relational databases allow to integrate information from different sources, enabling complex queries with reduced response time. Moreover, taking into account this is a pioneer project with the prospect of long-term use, the challenge involves the combination of multiple computer technologies that allows a robust, effective and flexible system, which can be easily adapted to future technological innovations. (author)

Occupational therapy consultation for case managers in community mental health: exploring strategies to improve job satisfaction and self-efficacy.

Science.gov (United States)

Chapleau, Ann; Seroczynski, A D; Meyers, Susan; Lamb, Kristen; Haynes, Susan

2011-01-01

The purpose of this study was 2-fold: (1) to examine to what extent case managers' job satisfaction and self-efficacy were impacted by the addition of an occupational therapy consultation model and (2) to identify factors that both positively and negatively impacted the occupational therapy consultation services. The study was conducted at a mental health community support program in a local homeless center. In a 2-year study, a mixed-methods design was used to study changes over time in job satisfaction and perceived self-efficacy among 14 case managers who received ongoing occupational therapy consultation. Job satisfaction and self-efficacy data were obtained using standardized questionnaires. Qualitative data related to factors impacting the consultation program were obtained using open-ended written questions, focus groups, and individual interviews. Statistically significant differences in job satisfaction and perceptions of self-efficacy were found 18 months into the study, when case managers were more actively seeking occupational therapy consultation services and were reporting improved client outcomes from occupational therapy intervention. In addition, themes related to both positive and negative factors impacting the occupational therapy consultation program were identified and provided useful data for development of future consultation services. IMPLICATION FOR CASE MANAGEMENT PRACTICE: Results suggest that ongoing training and professional support for case managers who are paraprofessionals and/or new to mental health practice may improve job satisfaction and efficacy. Occupational therapy consultation may be helpful in developing services for health promotion, including self-care management, cognitive assessments, activity-based programming, and home safety evaluation and modification. In addition, new graduates and paraprofessional case managers working with clients who are high utilizers of services may benefit from smaller caseloads and support

Patient satisfaction with TB care clinical consultations in Kampala: a cross sectional study.

Science.gov (United States)

Ssengooba, Willy; Kirenga, Bruce; Muwonge, Catherine; Kyaligonza, Steven; Kasozi, Samuel; Mugabe, Frank; Boeree, Martin; Joloba, Moses; Okwera, Alphonse

2016-12-01

Patient satisfaction towards care during encounter with clinicians is key for better treatment outcomes. We assessed patient satisfaction with TB clinical care consultations in Kampala, Uganda. This was a facility-based cross sectional study done between September 2012 and February 2013 using qualitative method of data collection. Participants consecutively completed a pre-tested structured satisfaction questionnaire. A criteria of the rating as good; >75% was considered acceptable, (50-75%) as more effort is needed and patient satisfaction, were: time spent with clinician (85.4%), explanation of what was done (87.6%), technical skills (91.6%), personal manner of the clinician seen (91.6%). Factors for low satisfaction were; waiting time before getting an appointment (61.8%), convenience of location of consultation office (53.4%), getting through to the office by phone (21.3%) and length of time waiting at the office (61.2%). Tuberculosis patients in Kampala are satisfied with TB clinical care consultations. Addressing factors with low patient satisfaction may significantly impact on treatment outcome.

Client Perceptions of Occupational Health and Safety Management System Assistance Provided by OSHA On-Site Consultation: Results of a Survey of Colorado Small Business Consultation Clients.

Science.gov (United States)

Autenrieth, Daniel A; Brazile, William J; Gilkey, David P; Reynolds, Stephen J; June, Cathy; Sandfort, Del

2015-01-01

The Occupational Safety and Health Administration (OSHA) On-Site Consultation Service provides assistance establishing occupational health and safety management systems (OHSMS) to small businesses. The Safety and Health Program Assessment Worksheet (Revised OSHA Form 33) is the instrument used by consultants to assess an organization's OHSMS and provide feedback on how to improve a system. A survey was developed to determine the usefulness of the Revised OSHA Form 33 from the perspective of Colorado OSHA consultation clients. One hundred and seven clients who had received consultation services within a six-year period responded to the survey. The vast majority of respondents indicated that the Revised OSHA Form 33 accurately reflected their OHSMS and that information provided on the Revised OSHA Form 33 was helpful for improving their systems. Specific outcomes reported by the respondents included increased safety awareness, reduced injuries, and improved morale. The results indicate that the OHSMS assistance provided by OSHA consultation is beneficial for clients and that the Revised OSHA Form 33 can be an effective tool for assessing and communicating OHSMS results to business management. Detailed comments and suggestions provided on the Revised OSHA Form 33 are helpful for clients to improve their OHSMS.

Factors influencing common diagnoses made during first-opinion small-animal consultations in the United Kingdom.

Science.gov (United States)

Robinson, N J; Dean, R S; Cobb, M; Brennan, M L

2016-09-01

It is currently unclear how frequently a diagnosis is made during small-animal consultations or how much of a role making a diagnosis plays in veterinary decision-making. Understanding more about the diagnostic process will help direct future research towards areas relevant to practicing veterinary surgeons. The aim of this study was to determine the frequency with which a diagnosis was made, classify the types of diagnosis made (and the factors influencing these) and determine which specific diagnoses were made for health problems discussed during small-animal consultations. Data were gathered during real-time direct observation of small-animal consultations in eight practices in the United Kingdom. Data collected included characteristics of the consultation (e.g. consultation type), patient (e.g. breed), and each problem discussed (e.g. new or pre-existing problem). Each problem discussed was classified into one of the following diagnosis types: definitive; working; presumed; open; previous. A three-level multivariable logistic-regression model was developed, with problem (Level 1) nested within patient (Level 2) nested within consulting veterinary surgeon (Level 3). Problems without a previous diagnosis, in cats and dogs only, were included in the model, which had a binary outcome variable of definitive diagnosis versus no definitive diagnosis. Data were recorded for 1901 animals presented, and data on diagnosis were gathered for 3192 health problems. Previous diagnoses were the most common diagnosis type (n=1116/3192; 35.0%), followed by open (n=868/3192; 27.2%) then definitive (n=660/3192; 20.7%). The variables remaining in the final model were patient age, problem history, consultation type, who raised the problem, and body system affected. New problems, problems in younger animals, and problems raised by the veterinary surgeon were more likely to result in a definitive diagnosis than pre-existing problems, problems in older animals, and problems raised by

Impact of the nursing consultation in the External Fixatives Clinic of National Children Hospital

Directory of Open Access Journals (Sweden)

Virginia Salas Cerdas

2013-04-01

Full Text Available This article presents the results of a study which analyzed 10 cases (8 female and 2 male aged betweentwo and 17 years, with a number of bone defects, and conducted over a period of three months in the externalfixator Clinic National Children's Hospital. Aimed to provide a clear vision about the need of this pediatricpopulation to have a consultation with Clinical Nursing. The exploratory study was conducted using anobservation guide and interviews with users, parents and interdisciplinary team, and implemented the nursingsegmented into three stages: pre-consultation, consultation and post-consultation, evaluating each the problemsand needs of each user (a, as well as the achievements of the children in this research and the role played by thenurse in the consultations. The results show specifically the educational aspects in physical and emotional healthnurse that gave the users and their families and at-hospital benefits through the implementation of the nursing. Weconclude that children participating in the study achieve proper assimilation and implementation of healtheducation regarding: skin healing fixer, signs and symptoms of infection, operation keys, administration ofantibiotics, plaster care and healthy food choices. In addition, awareness was achieved in children and theirparents in monitoring medical indications allowing satisfactory results in treatment.

The Effects of Tulsa's Pre-K Program on Middle School Student Performance

Science.gov (United States)

Gormley,, William T., Jr.; Phillips, Deborah; Anderson, Sara

2018-01-01

As states have upgraded their commitment to pre-K education over the past two decades, questions have arisen. Critics argue that program effects are likely to fade out or disappear over time, while supporters contend that program effects are likely to persist under certain conditions. Using data from Tulsa Public Schools, three neighboring school…

A Benefit-Cost Analysis of the Tulsa Universal Pre-K Program. Upjohn Institute Working Paper 16-261

Science.gov (United States)

Bartik, Timothy J.; Belford, Jonathan A.; Gormley, William T.; Anderson, Sara

2016-01-01

In this paper, benefits and costs are estimated for a universal pre-K program, provided by Tulsa Public Schools. Benefits are derived from estimated effects of Tulsa pre-K on retention by grade 9. Retention effects are projected to dollar benefits from future earnings increases and crime reductions. Based on these estimates, Tulsa pre-K has…

CONCEPTUALIZING SPECIALIZED PSYCHOSOCIAL CONSULTING FOR PERSONS WITH EPILEPSY

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Polina Šedienė

2016-09-01

epilepsy optimize their participation in society threw experience of safety and connectedness feelings, raised confidence in his or her possibilities, developed confidence in others. The legal background of conception of Lithuanian Caritas Psychosocial consulting centre for persons with epilepsy is based on The Convention on Rights of Persons with Disabilities, ratification of which means responsibility to ensure rights for persons with disabilities for full participation in society life, and 2013–2019 National program for integration of persons with disabilities, which states the necessity of specialised social rehabilitation programs for people with disabilities.

Differences in the perception of characteristics of excellence of clinical tutors among residents and consultants at an emergency medicine residency program a qualitative research

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Muna Saleem Aljahany

2013-01-01

Full Text Available Introduction: Defining exactly what characterizes a clinical tutor as excellent and another less effective, is an important task in assessing the effectiveness of clinical training and guiding faculty development. Aim: We aimed to evaluate those characteristics and measure differences in their perception among accomplished and non-accomplished consultants and residents in the Emergency Department. We also compared perceptions between the different groups of participants. Methods: The characteristics measured were extracted from an extensive search of previously published studies summarized in a review article. A qualitative study was conducted, using a 20 item questionnaire piloted from the refined characteristics (good indicator of reliability; Cronbach′s Alpha = 0.86. The questionnaire was distributed among all consultants and residents in Saudi Board of Emergency Medicine. Results: No significant difference between consultants′ and residents′ perception was found. "Sincere" was an exception 87.8% versus 55.1%, P = 0.013. Consultants′ specifications did not seem to affect perception on overall scores and its component sub-scores. Conclusion: Since results showed no relation between accomplished and non-accomplished consultants in perceiving those qualities, we excluded the lack of knowledge of those characteristics as a cause of being accomplished or non-accomplished. We suggest a greater dedication from program developers towards creating more opportunities to involve more consultants in basic Emergency Medicine training.

Ostomy Home Skills Program

Medline Plus

Full Text Available ... About ACS NSQIP Join ACS NSQIP Now Collaboratives Hospital Compare Quality and Safety Conference Participant Use Data ... Life Support Verification, Review, and Consultation Program for Hospitals Trauma Systems Consultation Program Trauma Education Achieving Zero ...

Los mayas del altiplano: supervivencia indígena en Chiapas y Guatemala

OpenAIRE

Lovell, W. George

2002-01-01

En el contexto americano, pocos grupos indígenas han demostrado la capacidad de sobrevivir a lo largo de la historia como los mayas del altiplano. Hoy día en Chiapas existen más de un millón de indígenas mayas, un número que asciende a cinco o seis millones en el caso de Guatemala. Los pueblos mayas han respondido a la invasión y a la dominación para conservar elementos importantes de su cultura. Este artículo discute las formas en que los mayas del altiplano se han adaptado para sobrevivir a...

Çocuk Diş Hekimliğinde Oral ve İntranazal Yollarla Orta Dereceli Sedasyon

NARCIS (Netherlands)

Özen, B.

2013-01-01

Çocuk Diş Hekimliğinde Oral ve İntranazal Yollarla Orta Dereceli Sedasyon Çocuk diş hekimliğinde korkulu, kaygılı ve uyumsuz hastaların tedavileri, midazolam gibi spesifik ilaçların oral veya intranazal yolla kullanılmıyla, sedasyon yönergelerine uyan hekimler tarafından orta dereceli sedasyon

¿Indígenas o campesinos , pueblos de la selva o de la montaña? Viejos debates, nuevas perspectivas

Directory of Open Access Journals (Sweden)

Christian Gros

2013-01-01

Full Text Available Este artículo interroga en qué medida la creación de una etnicidad genérica, producida por las movilizaciones indígenas durante las tres últimas décadas, permite superar la ruptura tradicional que existe entre pueblos indígenas de las tierras bajas y las comunidades indígenas campesinas de los Andes.

Pre-Service Teachers' Motivations toward Teaching Profession and Their Opinions about the Pedagogic Formation Program

Science.gov (United States)

Seker, Hasan; Deniz, Sabahattin; Görgen, Izzet

2015-01-01

The present study aimed to investigate pre-service teachers' motivations toward teaching profession and their opinions about pedagogical formation program. In this study descriptive and correlational research methods were used. It was carried out with (a) graduate students doing a master's program without thesis, (b) undergraduate students…

Management Consultancy As Practice: A Study Of The Duality Of The Management Consultants' Role

OpenAIRE

Hartley, Jeanette

2017-01-01

The central question addressed in this research is: “How do practicing management consultants cope with the duality of their role?” Management consultants are often responsible for internal business leadership roles as well as developing business, people and knowledge alongside client delivery (Richter et al., 2008). The research sought to understand the nature of the potentially conflicting demands of their client-facing and consultancy-facing roles on management consultants, how conflicts a...

Reflections on the role of consultant radiographers in the UK: What is a consultant radiographer?

International Nuclear Information System (INIS)

Booth, L.; Henwood, S.; Miller, P.

2016-01-01

Context: This paper is the second paper from a two year in depth case study, exploring the role of consultant radiographers in the UK. Methods: A longitudinal case study approach was used to determine the role of consultant radiographers. Interviews were used to explore experiences of being a consultant, which were analysed using thematic analysis. Eight consultant radiographers participated (Note, two of the consultants withdrew after the first interview due to workload). Therefore two consultants were interviewed only once. The remaining six consultants were interviewed twice over a 12 month period. Findings: The data presented in this paper explores the nature of the role, differences between roles, the four domains of practice, and how the role fits into local organisational structures. The study shows wide variation in the types of roles undertaken, reflecting that the creation of these roles were in response to local clinical need and often related to an individual practitioner's skills. The broad scope of the role was shown across all the consultants, with evidence of roles developing into new areas of service delivery. Conclusions: The paper offers insight into the role(s) of consultant radiographers in the UK. The range and scope of their practice is extensive, with much variation. It is evident that the clinical aspect of the role dominates, with research being the least supported domain of practice. There remains a lack of clarity around the role, with concerns about remuneration and other limitations that may restrict the role developing further. - Highlights: • This paper shows the variation in roles between consultant radiographers. • The commonality with medical roles is highlighted. • Problem solving is identified as a core skill in consultant radiography. • Consultants offered evidence of the roles developing service provision. • While all four domains of practice are covered, research is the least well supported.

Inde | Page 74 | CRDI - Centre de recherches pour le ...

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

Inde. S'il se peut bien que les changements climatiques viennent aggraver le problème, il ressort de recherches menées dans deux bassins versants du sud du pays que la pollution industrielle, l'exploitation non réglementée des ressources et ...

Developing social marketed individual preconception care consultations: Which consumer preferences should it meet?

Science.gov (United States)

van Voorst, Sabine F; Ten Kate, Chantal A; de Jong-Potjer, Lieke C; Steegers, Eric A P; Denktaş, Semiha

2017-10-01

Preconception care (PCC) is care that aims to improve the health of offspring by addressing risk factors in the pre-pregnancy period. Consultations are recognized as a method to promote perinatal health. However, prospective parents underutilize PCC services. Uptake can improve if delivery approaches satisfy consumer preferences. Aim of this study was to identify preferences of women (consumers) as a first step to social marketed individual PCC consultations. In depth, semi-structured interviews were performed to identify women's views regarding the four components of the social marketing model: product (individual PCC consultation), place (setting), promotion (how women are made aware of the product) and price (costs). Participants were recruited from general practices and a midwife's practice. Content analysis was performed by systematic coding with NVIVO software. The 39 participants reflected a multiethnic intermediately educated population. Product: Many participants had little knowledge of the need and the benefits of the product. Regarding the content of PCC, they wish to address fertility concerns and social aspects of parenthood. PCC was seen as an informing and coaching service with a predominant role for health-care professionals. the general practitioner and midwife setting was the most mentioned setting. Promotion: A professional led promotion approach was preferred. Price: Introduction of a fee for PCC consultations will make people reconsider their need for a consultation and could exclude vulnerable patients from utilization. This study provides consumer orientated data to design a social marketed delivery approach for individual PCC consultations. © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd.

Lenguas y participación comunitaria en la educación indígena en México

OpenAIRE

Bruno Baronnet

2013-01-01

Este artículo aporta elementos de análisis antropológico para el estudio de las estrategias de los pueblos indígenas ante la enseñanza de las lenguas originarias en la escuela primaria en México. Se enfatiza el contraste entre un contexto multiétnico en el cual predomina una incidencia relativamente débil de las autoridades y las familias indígenas en la gestión administrativa y curricular, como en las colonias que cuentan con nuevas escuelas de educación indígena en Morelos, y otro c...

Territorio y Poder: La reivindicación territorial de los indígenas de la amazonia boliviana

Directory of Open Access Journals (Sweden)

Gabriela Canedo Vásquez

2011-07-01

Full Text Available El artículo pretende mostrar la centralidad que tiene el territorio y la demanda territorial para los grupos indígenas de la amazonia boliviana. El territorio tiene un papel importante en la reproducción cultural y en la organización política. La investigación se llevó a cabo en la provincia Mojos del departamento del Beni, y muestra que el manejo territorial itinerante y la percepción del territorio que tenían los grupos indígenas se ha transformado a partir del marco estatal –concretamente desde la ley INRA–. Hoy en día los indígenas demandan títulos de propiedad de los espacios ocupados, ante el avasallamiento de los blancos/karayanas. Es así que aquella concepción ilimitada del territorio, propio de los pueblos panindios, se ha transformado, pues en la actualidad los indígenas perciben un territorio limitado, cercado por propiedades privadas. Sin embargo, el territorio al convertirse en una de las demandas centrales de la organización indígena, es el elemento que les permite posicionarse políticamente en un escenario local y nacional.

Using Innovative Resources and Programs to Prepare Pre- and In-Service Teachers for New Science Standards

Science.gov (United States)

Kinzler, R. J.; Short, J.; Contino, J.; Cooke-Nieves, N.; Howes, E.; Kravitz, D.; Randle, D.; Trowbridge, C.

2014-12-01

Leveraging the Rose Center for Earth and Space and active research departments in Earth and Planetary Science, Astrophysics, and Paleontology, the Education Department at the American Museum of Natural History (AMNH) offers an MAT program to prepare new Earth Science teachers (~100 new teachers by 2018) as well as a range of professional development (PD) opportunities for over 3,000 K-12 teachers annually, providing opportunities to learn with scientists; inquiry-based experiences; and standards-aligned resources. The AMNH produces innovative geoscience and other STEM resources supporting teacher and student science investigations with data visualizations and analysis tools, teaching case materials and other resources that provide rich nonfiction reading and writing opportunities for use in Earth and space science curricula that are integrated in the MAT and PD programs. Museum resources and the MAT and PD programs are aligned to support the recently released Next Generation Science Standards (NGSS) and the Common Core State Standards. The NGSS is a set of science and engineering practices, crosscutting concepts and disciplinary core ideas to help cultivate teachers' and K-12 students' scientific habits of mind, develop their knowledge and abilities to engage in scientific investigations, and teach them how to reason in context; goals that closely align with those of the AMNH's teacher preparation and professional development programs. A Framework for K-12 Science Education: Practices, Crosscutting Concepts, and Core Ideas (NRC, 2012) is a required text for the MAT program, and this text as well as the NGSS Performance Expectations guide the PD programs as well. Researchers working with Museum scientists and educators find it is not enough for programs for pre- and in-service teachers to provide access to resources. Research suggests that these programs need to engage pre- and in-service teachers in using and reflecting on these types of resources, as well as take

En busca de tinterrillos. Intermediarios en el mundo indígena ecuatoriano durante el siglo XX

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Marc Becker

2013-07-01

Full Text Available Este artículo aborda el papel de los abogados semiprofesionales, conocidos como tinterillos, en las comunidades indígenas de la sierra ecuatoriana, a partir de mediados del siglo XIX, quienes adquirieron una presencia aparentemente ubicua en las comunidades rurales del Ecuador. Muchas veces los tinterillos fueron parte de las elites locales con algo de educación. Inspiraban respeto entre los indígenas (quienes en su mayoría eran analfabetos debido a su habilidad de manejar documentos escritos. Estos intermediarios comúnmente explotaron su posición privilegiada para beneficio propio económico, social y político. Sin embargo, los indígenas llegaron a depender del apoyo de los tinterillos para denunciar ante el gobierno los abusos de los terratenientes. En ocasiones, en lugar de sentirse impotentes o víctimas, los indígenas aprendieron a negociar su relaciones con esos intermediarios para su beneficio. El estudio de los tinterillos permite examinar las relaciones de poder que se negociaron entre diferentes culturas y a través de profundas divisiones de clase.

The Dream Consultant

DEFF Research Database (Denmark)

Muhr, Sara Louise; Kirkegaard, Line

2013-01-01

Consultants are known to work extreme hours. We show empirically how consultants fantasize about off-work activities, which are impossible to realize with their work schedule. These fantasies are, however, not obstructing their work, but important to justify the extreme hours and sustain desire f...

Learning Critical Thinking in Saudi Arabia: Student Perceptions of Secondary Pre-Service Teacher Education Programs

Science.gov (United States)

Allamnakhrah, Alhasan

2013-01-01

Saudi scholars have been agitating for education reforms to incorporate critical thinking in education programs. This paper is a qualitative case study undertaken at King Abdul Aziz University and Arab Open University and examines students' perception of learning critical thinking in secondary pre-service teacher education programs in Saudi…

Perceived Educational Needs of the Integrated Care Psychiatric Consultant.

Science.gov (United States)

Ratzliff, Anna; Norfleet, Kathryn; Chan, Ya-Fen; Raney, Lori; Unützer, Jurgen

2015-08-01

With the increased implementation of models that integrate behavioral health with other medical care, there is a need for a workforce of integrated care providers, including psychiatrists, who are trained to deliver mental health care in new ways and meet the needs of a primary care population. However, little is known about the educational needs of psychiatrists in practice delivering integrated care to inform the development of integrated care training experiences. The educational needs of the integrated care team were assessed by surveying psychiatric consultants who work in integrated care. A convenience sample of 52 psychiatrists working in integrated care responded to the survey. The majority of the topics included in the survey were considered educational priorities (>50% of the psychiatrists rated them as essential) for the psychiatric consultant role. Psychiatrists' perspectives on educational priorities for behavioral health providers (BHPs) and primary care providers (PCPs) were also identified. Almost all psychiatrists reported that they provide educational support for PCPs and BHPs (for PCP 92%; for BHP 96%). The information provided in this report suggests likely educational needs of the integrated care psychiatric consultant and provides insight into the learning needs of other integrated care team members. Defining clear priorities related to the three roles of the integrated care psychiatric consultant (clinical consultant, clinical educator, and clinical team leader) will be helpful to inform residency training programs to prepare psychiatrists for work in this emerging field of psychiatry.

Integration оf Foreign Educational Technologies іn the Content of Program of Pre-School Education in Ukraine

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Nadiia Frolenkova

2017-02-01

Full Text Available Reveals the integration and implementation of foreign educational technologies in the content of educational programs of preschool education in Ukraine. The emphasis on the implementation of programs for the ideas of Waldorf education, Montessori programs, “SelfEsteem”, “Step by Step”, “Education for sustainable development for children of pre-school age”. It is proved that the integration of foreign educational technologies in the process of optimizing the scientific and methodological support preschool education content Ukraine simulated based priority, primarily oriented humanistic, pedagogical ideas and technologies.Key words: educational technologies, integration, educational program, content of preschool education, children of pre-school age.

Use of a patient completed iPad questionnaire to improve pre-operative assessment.

Science.gov (United States)

Howell, M; Hood, A J; Jayne, D G

2017-02-01

Developments in healthcare technology could improve patient care and reduce healthcare costs. There is a need to facilitate communication and increase efficiency in surgical pre-assessment clinics. This study aimed to develop an iPad application to deliver an electronic patient questionnaire, and to evaluate its use in the pre-assessment environment. Software was developed, MyOp, for a standard iPad that mirrored the paper-based pre-assessment system, with features designed for ease of patient use and remote data transfer. A case-control study was conducted, comparing use of MyOp with paper-based practice, to evaluate feasibility and patient preference. Patients were offered the use of MyOp or paper-based system. Outcomes measured included time to complete iPad questionnaire, consultation duration, and a patient preference questionnaire. MyOp cost £3500 to develop. 104 individuals participated in the study, 53 MyOp and 51 controls. MyOp reduced the median consultation duration by 5.00 min. A reduction was seen in all subgroups except those aged over 70 or urology patients. Patients preferred to complete the form independently, using a touchpad or computer but expressed concerns about data security. Use of an electronic patient questionnaire reduces consultation time delivering greater efficiency of pre-assessment nurse time. Preconceived ideas about the use of technology in older age groups are likely inaccurate and less of a barrier than previously thought. Electronic pre-assessments could be used routinely to reduce demands on healthcare facilities, improve patient care, and triage patients prior to clinic attendance.

La borrachera y sus pre-textos. El beber indígena en la literatura jesuítica sobre Chaco del siglo XVIII.

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Carlos D. Paz

2017-08-01

Full Text Available A pesar de las múltiples y constantes referencias que los misioneros jesuitas hicieron sobre las borracheras, como un problema no sólo de índole moral entre los indígenas, no existe un tratado u obra de referencia dedicada exclusivamente a esa cuestión. El abordaje y descripción de las borracheras es construido por los jesuitas a partir de una mención crítica de un orden social que se fragiliza al punto de generar no sólo muertes si no que a la vez llegaba a constituirse como un marcador social de sentido. El sentido performativo de la borrachera es presentado como un problema de salud que corrompe el cuerpo de la civitas cristiana.             El objetivo del artículo es brindar, en primer lugar, un panorama sobre el sentido social de las borracheras indias en el Chaco del siglo XVIII ponderando los abordajes que realizaron los miembros de la Compañía de Jesús; reflexiones que muestran a las sesiones de bebida como un ‘espejo del alma’ indígena. Un alma unida a cuerpos que se muestran indolentes ante el accionar misional reduccional. En segundo termino reflexionaré sobre la importancia de la conformación de un saber natural que permita no sólo intentar acotar las posibilidades nativas de preparación de bebidas si no que, al mismo tiempo, permita al jesuita conformar para sí una representación mental de una geografía física y social de la sociabilidad nativa ponderando a las borracheras como una parte de aquella naturaleza aunque no recalando en los aspectos ontológicos que movilizaban aquellas pasiones.

Houston Pre-Freshman Enrichment Program (Houston PREP). Final report, June 9, 1997--July 25, 1997

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-10-01

The 1997 Houston Pre-Freshman Enrichment Program (PREP) was conducted at the campus of the University of Houston-Downtown from June 9 to July 25, 1997. Program participants were recruited from the Greater Houston Area. All participants were identified as high-achieving students with an interest in learning about the engineering and science professions. The goal of the program was to better prepare our pre-college youth prior to entering college as mathematics, science and engineering majors. The program participants were middle school and high school students from the Aldine, Alief, Channel View, Clear Creek, Cypress-Fairbanks, Fort Bend, Galena Park, Houston, Humble, Katy, Klein, North Forest, Pasadena, Private, and Spring Branch Independent School Districts. Of the 194 students starting the program, 165 students were from economically and socially disadvantage groups under-represented in the engineering and science professions, and 118 of the 194 were women. Our First Year group for 1997 composed of 96% minority and women students. Second and Third Year students combined were 96% minority or women. With financial support from the Center for Computational Sciences and Advanced Distributed Simulation, the Fourth Year Program was added to PREP this year. Twelve students completed the program (83% minority or women).

Quality Management in Project Management Consulting. A Case Study in an International Consulting Company

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Eduard-Gabriel Ceptureanu

2017-02-01

Full Text Available The present paper addresses quality management from the specific perspective of project management consulting service providers, in the framework of large infrastructure projects. Because of their supposed superiority in knowledge and experience, project management consultants have an ultimate responsibility for the proper implementing of the project. Therefore, quality management in consulting organizations should focus on critical success factors. As there is no consensus yet regarding the most important aspects of the consulting activity on which depend the achievement of the project aims, there is scope for further investigating this subject. Here, the case of a project management consulting organization involved in large infrastructure projects in Romania, Bulgaria, Moldova, Ukraine and Serbia is analyzed. Data collected through a questionnaire-based survey among international consultants and support personnel suggest that factors related to leadership style and communication skills are more closely tied to the success of the project than more technical aspects. The results constitute an empirical evidence of main success factors for specialized consulting services in project management and can be useful in improving business and project performance and achieving business excellence.

Lessons Learned in Pilot Testing Specialty Consultations to Benefit Individuals with Lower Limb Loss

Directory of Open Access Journals (Sweden)

Christine Elnitsky

2012-12-01

Full Text Available Telerehabilitation technologies enable the delivery of rehabilitation services from providers to people with disabilities as well as specialty care consultations. This article discusses the barriers experienced when planning and pilot testing a telerehabilitation multi-site specialty consultation for specialists in their medical centers, and the lessons learned. The barriers included integration and participation, coordination across organizational units, and privacy and information security. Lessons learned included the need for collaboration across multiple departments, telerehabilitation equipment back-ups, and anonymous and private communication protocols. Despite delays resulting from coordination at multiple levels of a national organization, we developed a program plan and successfully implemented a pilot test of the southeast region program.  Specialty consultation using telerehabilitation delivery methods requires identifying provider preferences for technological features. Lessons learned could inform development of outpatient telerehabilitation for patients with amputations and studies of patients and providers involved in telerehabilitation.

Management and Fragmentation of a Network Program

DEFF Research Database (Denmark)

Jørgensen, Kenneth Mølbjerg

This paper contains an analysis of the role of identity in interorganizational collaboration. The case is a network program that involved three parties: eight companies, one consulting institution and a research institution. The purpose of the network program was to develop and test concepts...... and methods within organizational learning and it was supported by the Danish government. The three parties had different roles in the program. The eight companies all participated as experiments for organizational learning. Consultants from the consulting institution acted as consultants on the eight...

Digital learning objects in nursing consultation: technology assessment by undergraduate students.

Science.gov (United States)

Silveira, DeniseTolfo; Catalan, Vanessa Menezes; Neutzling, Agnes Ludwig; Martinato, Luísa Helena Machado

2010-01-01

This study followed the teaching-learning process about the nursing consultation, based on digital learning objects developed through the active Problem Based Learning method. The goals were to evaluate the digital learning objects about nursing consultation, develop cognitive skills on the subject using problem based learning and identify the students' opinions on the use of technology. This is an exploratory and descriptive study with a quantitative approach. The sample consisted of 71 students in the sixth period of the nursing program at the Federal University of Rio Grande do Sul. The data was collected through a questionnaire to evaluate the learning objects. The results showed positive agreement (58%) on the content, usability and didactics of the proposed computer-mediated activity regarding the nursing consultation. The application of materials to the students is considered positive.

El título indígena y su aplicabilidad en el Derecho chileno

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Gonzalo Aguilar Cavallo

2005-01-01

Full Text Available En las últimas décadas, una de las reivindicaciones más poderosas de los pueblos indígenas ha sido el reconocimiento de los derechos a la tierra. Los pueblos indígenas consideran que tienen un título inmemorial a usar y poseer las tierras que ellos ocupan o han ocupado tradicionalmente. Ellos encuentran en su Derecho propio el mejor argumento para defender esta reivindicación. El título indígena a poseer sus tierras ha sido aceptado en forma creciente por los tribunales, tanto extranjeros como internacionales, lo cual constituye un reconocimiento notable de los derechos indígenas. Tanto los casos internacionales como del derecho comparado podrían inspirar las decisiones de nuestros tribunales en esta materia.One of the most powerful indigenous peoples' claims over the last decades has been the recognition of land rights. Indigenous peoples consider that they have an immemorial entitlement to use and possess the lands they occupy or have traditionally occupied. They find in their own law the best argument to support this claim. Such an entitlement to possess and own lands has increasingly been accepted by foreign and international courts, which constitute a noteworthy recognition of indigenous rights. International and comparative case law might inspire judgments of our national courts about this matter.

Biomedical scientists' perceptions of ethical and social implications: is there a role for research ethics consultation?

Directory of Open Access Journals (Sweden)

Jennifer B McCormick

Full Text Available Research ethics consultation programs are being established with a goal of addressing the ethical, societal, and policy considerations associated with biomedical research. A number of these programs are modelled after clinical ethics consultation services that began to be institutionalized in the 1980s. Our objective was to determine biomedical science researchers' perceived need for and utility of research ethics consultation, through examination of their perceptions of whether they and their institutions faced ethical, social or policy issues (outside those mandated by regulation and examination of willingness to seek advice in addressing these issues. We conducted telephone interviews and focus groups in 2006 with researchers from Stanford University and a mailed survey in December 2006 to 7 research universities in the U.S.A total of 16 researchers were interviewed (75% response rate, 29 participated in focus groups, and 856 responded to the survey (50% response rate. Approximately half of researchers surveyed (51% reported that they would find a research ethics consultation service at their institution moderately, very or extremely useful, while over a third (36% reported that such a service would be useful to them personally. Respondents conducting human subjects research were more likely to find such a service very to extremely useful to them personally than respondents not conducting human subjects research (20% vs 10%; chi(2 p<0.001.Our findings indicate that biomedical researchers do encounter and anticipate encountering ethical and societal questions and concerns and a substantial proportion, especially clinical researchers, would likely use a consultation service if they were aware of it. These findings provide data to inform the development of such consultation programs in general.

Estudo da relação de confiança em programa de fomento florestal de indústria de celulose na visão dos produtores rurais Study of trust relationships in private woodlot production for a cellulose industry from the point of view of rural producers

Directory of Open Access Journals (Sweden)

Fabiano Luiz da Silva

2009-08-01

Full Text Available Este estudo analisou os fatores que contribuem para a relação de confiança no Programa de Fomento Florestal de indústria de celulose e produtores rurais fomentados em Minas Gerais. Foram aplicados 141 questionários a produtores rurais fomentados, em 32 municípios de sete microrregiões mineiras. A amostragem foi aleatória estratificada, sendo os critérios: a Produtor Fomentado com Contrato Finalizado (PFCF composto por produtores que possuíam pelo menos um contrato encerrado com a indústria de celulose; e b Produtor Fomentado com Contrato em Andamento (PFCA composto por produtores que não haviam finalizado nenhum contrato de fomento com a indústria de celulose. Os produtores fomentados realizam contrato de fomento florestal para apenas a primeira rotação. Assim, legalmente possuem a obrigatoriedade de entrega de 97% da madeira do primeiro ciclo da floresta. Entretanto, referente ao segundo ciclo não contratado da floresta, 18% dos produtores fomentados disseram ter interesse na comercialização dessa madeira com a empresa, indiferente de variações em preços de produtos concorrentes, como o carvão vegetal. Acredita-se que, não havendo oscilações significativas nesses mercados concorrentes, 50% dos fomentados devem comercializar o segundo corte com a empresa fomentadora. Atualmente, em 98,4% dos contratos realizados com produtores rurais fomentados há cumprimento de ambas as partes nos acordos firmados. A confiança e confiabilidade no relacionamento entre indústria de celulose e fomentados foram confirmadas, mas existem alguns fatores que contribuem para a possível desconfiança no fomento florestal, como: o sistema de medida da madeira, o custo de transporte e a ausência de política de preços que favorecem o entendimento dos produtores fomentados.This study analyzed factors that contribute to relations of trust within a private woodlot producer program managed by a cellulose industry in Minas Gerais state. One

PRE-CASKETSS: an input data generation computer program for thermal and structural analysis of nuclear fuel shipping casks

International Nuclear Information System (INIS)

Ikushima, Takeshi

1988-12-01

A computer program PRE-CASKETSS has been developed for the purpose of input data generation for thermal and structural analysis computer code system CASKETSS (CASKETSS means a modular code system for CASK Evaluation code system for Thermal and Structural Safety). Main features of PRE-CASKETSS are as follow; (1) Function of input data generation for thermal and structural analysis computer programs is provided in the program. (2) Two- and three-dimensional mesh generation for finite element and finite difference programs are available in the program. (3) The capacity of the material input data generation are provided in the program. (4) The boundary conditions, the load conditions and the initial conditions are capable in the program. (5) This computer program operate both the time shearing system and the batch system. In the paper, brief illustration of calculation method, input data and sample calculations are presented. (author)

Shared consultant physician posts.

LENUS (Irish Health Repository)

Cooke, J

2012-01-31

Our aim was to assess the acceptability and cost-efficiency of shared consultancy posts. Two consultant physicians worked alternate fortnights for a period of twelve months. Questionnaires were distributed to general practitioners, nurses, consultants and junior doctors affected by the arrangement. Patients or their next of kin were contacted by telephone. 1\\/17 of consultants described the experience as negative. 14\\/19 junior doctors reported a positive experience. 11 felt that training had been improved while 2 felt that it had been adversely affected. 17\\/17 GPs were satisfied with the arrangement. 1\\/86 nurses surveyed reported a negative experience. 1\\/48 patients were unhappy with the arrangement. An extra 2.2 (p<0.001) patients were seen per clinic. Length of stay was shortened by 2.49 days (p<0.001). A saving of 69,212 was made due to decreased locum requirements. We present data suggesting structured shared consultancy posts can be broadly acceptable and cost efficient in Ireland.

Advanced training of tax consultants

Directory of Open Access Journals (Sweden)

Adigamova Farida F.

2016-01-01

Full Text Available The purpose of the research is to review and analyze the data on the necessity to provide an educational environment for training and advanced training of tax consultants in Russia. The article considers the types of tax consulting, the historical background of training financiers in Russia, as well as identifies conditions determining the significance of tax consulting. The research establishes the connection between the negative attitude to tax payment and tax evasion. The advanced training of tax consultants should be a continuous process as they need to take into account both external and internal taxpayers risks associated with the development of law and law-enforcement practice. Obviously, the training of tax consultants should take into account the experience of developed foreign countries, such as Germany, Austria, Czech Republic, Slovakia and other European countries as well. In Russia, it is necessary to open educational institutions, which will not only be involved in the certification of tax consultants, but also provide training courses. These courses should contribute to constant increase of tax consultants knowledge, consider the tax treatment of economic activities, as well changes in the legislation, economics, finance, accounting, manufacturing processes, which will improve the quality of services provided by tax consultants.

Starting a nursing consultation practice.

Science.gov (United States)

Schulmeister, L

1999-03-01

Because the clinical nurse specialist (CNS) role has been changed or eliminated in many hospital organizations, many CNSs in career transition are considering establishing collaborative or independent nursing consultation practices. Opportunities for consultants exist in diverse practice settings and specialties. Before starting a consultation practice, the CNS should carefully examine goals, identify resources, and begin contacting potential referral sources. He or she must also decide what form of business organization to establish and write a business plan to solidify ideas and prepare for the unexpected. Most CNS consultants rely on personal savings to cover initial business and personal expenses, and many continue working as a CNS until the consultation practice is established. Fees can be set based on community standards, what the market will bear, desired projected income, or a third-party payor's fee schedule. The consultation practice can be marketed by word of mouth, inexpensive advertising techniques such as distributing flyers and business cards, direct mall, and media advertising. In today's healthcare marketplace, opportunities abound for the CNS risk-taker interested in starting a nursing consultation practice.

[Patients' letters and pre-modern medical lay-culture].

Science.gov (United States)

Stolberg, Michael

2007-01-01

Consulting by letter was fairly common practice among the educated, upper classes of early modern Europe. Surviving letters of consultation written by patients, relatives or friends count among the most valuable source for the analysis of pre-modern experiences of disease and the body. This essay gives a brief overview of the various types of consultation letters and related documents which resulted from this practice before tracing the historical development of epistolary consultations from the late Middle Ages through the heyday medical correspondence in the 18th c. before its decline in the 19th c. It presents "experience", "self-fashioning" and "discourse" as three particularly fruitful levels of analysis on which patients' letters can be used within the wider framework of a cultural history of medicine. These three levels of analysis, or three distinct approaches, enable historians to access a greater awareness of the ways in which the experience of illness and the body is culturally framed with an analysis of the performative effects of patients' narratives and the influence of medical discourse among the wider society.

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

In just two days, 12 million people in India's coastal states of Odisha and Andhra Pradesh suffered massive losses, of their homes and livelihoods, when Cyclone Phailin ... Une urbanisation rapide sollicite fortement les ressources en eau limitées de l'Inde. ... Rapid urbanization is squeezing India's limited water resources.

Conducting Participatory Culture-Specific Consultation: A Global Perspective on Multicultural Consultation.

Science.gov (United States)

Nastasi, Bonnie K.; Varjas, Kristen; Bernstein, Rachel; Iavasena, Asoka

2000-01-01

Describes a participatory approach to consultation that builds upon contemporary models of research and practice and is designed to address the culture-specific needs of individuals and systems. The Participatory Culture-Specific Consultation (PCSC) model embodies a participatory interpersonal process and relies on ethnographic and action research…

Virtual slides: application in pulmonary pathology consultations.

Directory of Open Access Journals (Sweden)

Michał Wojciechowski

2008-02-01

Full Text Available The Virtual Slide (VS is an interactive microscope emulator that presents a complete digitized tissue section via the Internet. A successful implementation of VS has been observed for educational, research venues and quality control. VS acquisition for consultative pathology is not so common. The purpose of this study was to explore the efficacy and usability of VS in the consultative pulmonary telepathology. 20 lung tumors entered the study. The performance was programmed for 2 medical centers specialized in pulmonary pathology (beginner and advancer in telepathology. A high-quality VSs were prepared by Coolscope (Nikon, Eclipsnet VSL, Japan, and were evaluated via the Internet. The cases were reviewed for the second time with conventional light microscope. VS diagnostic accuracy and the interobserver variability were evaluated. Also the time taken by examiners to render the diagnoses and time needed to scan the microscopic slide were analyzed. Percentage concordance between original glass-slides diagnosis and diagnosis for VSs was very high. Pathologists found the download speed of VSs adequate; experience in telepathology reduced the time of VS diagnosis. VS implementation suggests advantages for teleconsulation and education but also indicate some technical limitations. This is the first Polish trial of VS implementation in telepathology consultative service.

Pre-service inspection program of the Block 1 of the Juragua NPP

International Nuclear Information System (INIS)

Mirabal Monteagudo, Juan de Dios

1996-01-01

The present work intends to explain the importance of a inspection program from pre-development of the components the stage submitted to pressure based on the existing regulation in the country and the information delivered by the manufacturers and this is compared with the requirements of the similar regulation adopted in the other western countries

Pre-Activity and Post-Activity Stretching Perceptions and Practices in NCAA Division I Volleyball Programs

Science.gov (United States)

Judge, Lawrence W.; Bodey, Kimberly J.; Bellar, David; Bottone, Adam; Wanless, Elizabeth

2010-01-01

The purpose of this study was to determine if NCAA Division I women's volleyball programs were in compliance with suggested current pre- and post-activity stretching protocols. Questionnaires were sent to NCAA division I women's volleyball programs in the United States. Fifty six coaches (23 males & 33 females) participated in the study. Some…

Education program at the Massachusetts Institute of Technology research reactor for pre-college science teachers

International Nuclear Information System (INIS)

Hopkins, G.R.; Fecych, W.; Harling, O.K.

1989-01-01

A Pre-College Science Teacher (PCST) Seminar program has been in place at the Massachusetts Institute of Technology (MIT) Nuclear Reactor Laboratory for 4 yr. The purpose of the PCST program is to educate teachers in nuclear technology and to show teachers, and through them the community, the types of activities performed at research reactors. This paper describes the background, content, and results of the MIT PCST program

Efficiency principles of consulting entrepreneurship

OpenAIRE

Moroz Yustina S.; Drozdov Igor N.

2015-01-01

The article reviews the primary goals and problems of consulting entrepreneurship. The principles defining efficiency of entrepreneurship in the field of consulting are generalized. The special attention is given to the importance of ethical principles of conducting consulting entrepreneurship activity.

Los pueblos indígenas y la reforma del Estado en América Latina

Directory of Open Access Journals (Sweden)

Willem Assies

2002-01-01

Full Text Available El reconocimiento constitucional de los derechos indígenas en América Latina, así como la ratificación del Convenio 169 de la OTI hacen surgir varios interrogantes. En este artículo examinamos algunas cuestiones en debate. Para contextualizar, iniciamos el artículo indicando la imbricación de las luchas indígenas en los procesos de reforma del Estado y de la economía, así como de democratización. Después exploramos las interrogantes acerca del reconocimiento del derecho propio del indígena, de sus “usos y costumbres” políticos y de sus territorios. Concluimos que el reconocimiento de una pluralidad de esferas públicas de distinta configuración es una precondición para la convivencia y el diálogo intercultural.

The art of consultation.

Science.gov (United States)

Bhangoo, Kulwant S

2014-05-01

Sophisticated marketing and practice-enhancing strategies can help bring patients to a surgeon's practice. However, the ability to retain these patients and also convert the consultations into surgical procedures depends on the art of consultation. This very important aspect of clinical practice is seldom taught in the medical school. In this paper, the author discusses many aspects of the art of consultation, which he has learned in his practice over the years.

Techniques used by United Kingdom consultant plastic surgeons to select implant size for primary breast augmentation.

Science.gov (United States)

Holmes, W J M; Timmons, M J; Kauser, S

2015-10-01

Techniques used to estimate implant size for primary breast augmentation have evolved since the 1970s. Currently no consensus exists on the optimal method to select implant size for primary breast augmentation. In 2013 we asked United Kingdom consultant plastic surgeons who were full members of BAPRAS or BAAPS what was their technique for implant size selection for primary aesthetic breast augmentation. We also asked what was the range of implant sizes they commonly used. The answers to question one were grouped into four categories: experience, measurements, pre-operative external sizers and intra-operative sizers. The response rate was 46% (164/358). Overall, 95% (153/159) of all respondents performed some form of pre-operative assessment, the others relied on "experience" only. The most common technique for pre-operative assessment was by external sizers (74%). Measurements were used by 57% of respondents and 3% used intra-operative sizers only. A combination of measurements and sizers was used by 34% of respondents. The most common measurements were breast base (68%), breast tissue compliance (19%), breast height (15%), and chest diameter (9%). The median implant size commonly used in primary breast augmentation was 300cc. Pre-operative external sizers are the most common technique used by UK consultant plastic surgeons to select implant size for primary breast augmentation. We discuss the above findings in relation to the evolution of pre-operative planning techniques for breast augmentation. Copyright © 2015 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

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

Langue English. Read more about Approche concertée en matière de lutte contre la violence faite aux femmes du Meghalaya. Langue French. Read more about Donner aux travailleurs du sexe les moyens de consigner les incidents de violence (Inde et Cambodge). Langue French. Read more about Enabling Sex Workers ...

Pre-travel advice at a crossroad: Medical preparedness of travellers to South and Southeast-Asia - The Hamburg Airport Survey.

Science.gov (United States)

Rolling, Thierry; Mühlenpfordt, Melina; Addo, Marylyn M; Cramer, Jakob P; Vinnemeier, Christof D

Specific travel-related recommendations exist for the prevention or self-treatment of infectious diseases contracted by travellers to the tropics. In the current study, we assessed the medical preparedness per these recommendations, focusing on whether travellers carried antidiarrheal and antimalarial medication with them stratified by type of pre-travel advice. We surveyed travellers departing from Hamburg International Airport to South or Southeast Asia, using a questionnaire on demographic, medical and travel characteristics. 975 travellers were analysed - the majority (817, 83%) being tourists. A large proportion packed any antidiarrheal medication (612, 63%) - most frequently loperamide (440, 72%). Only 176 of 928 (19%) travellers to destinations with low-to medium risk for malaria packed a recommended antimalarial medication. The majority (162, 17%) of them carried antimalarials as stand-by emergency treatment (SBET). 468 (48%) travellers had a pre-travel medical consultation. This lead to higher odds of carrying SBET- with the highest odds associated with a consultation at a travel medicine specialist (OR 7.83 compared to no consultation). Attending a travel medicine specialist was associated with better adherence to current recommendations concerning the carriage of stand-by emergency treatment of malaria. However, the proportion of travellers seeking pre-travel health advice was overall low in our population. Promoting pre-travel consultations may, therefore, lead to higher adherence to the current recommendations in travel medicine. Copyright © 2017 Elsevier Ltd. All rights reserved.

Consultant-Client Relationship and Knowledge Transfer in Small- and Medium-Sized Enterprises Change Processes.

Science.gov (United States)

Martinez, Luis F; Ferreira, Aristides I; Can, Amina B

2016-04-01

Based on Szulanski's knowledge transfer model, this study examined how the communicational, motivational, and sharing of understanding variables influenced knowledge transfer and change processes in small- and medium-sized enterprises, particularly under projects developed by funded programs. The sample comprised 144 entrepreneurs, mostly male (65.3%) and mostly ages 35 to 45 years (40.3%), who filled an online questionnaire measuring the variables of "sharing of understanding," "motivation," "communication encoding competencies," "source credibility," "knowledge transfer," and "organizational change." Data were collected between 2011 and 2012 and measured the relationship between clients and consultants working in a Portuguese small- and medium-sized enterprise-oriented action learning program. To test the hypotheses, structural equation modeling was conducted to identify the antecedents of sharing of understanding, motivational, and communicational variables, which were positively correlated with the knowledge transfer between consultants and clients. This transfer was also positively correlated with organizational change. Overall, the study provides important considerations for practitioners and academicians and establishes new avenues for future studies concerning the issues of consultant-client relationship and the efficacy of Government-funded programs designed to improve performance of small- and medium-sized enterprises. © The Author(s) 2016.

Indústria do conhecimento: uma poderosa engrenagem Industria del conocimiento: un poderoso engranaje Knowledge industry: a powerful mechanism

OpenAIRE

Vera Regina da Silva Miguelote; Kenneth Rochel de Camargo Jr

2010-01-01

O artigo aborda a articulação da indústria farmacêutica à indústria do conhecimento, por meio de poderosas estratégias de marketing. Com o objetivo de legitimar cientificamente seus produtos, a indústria interfere na produção de conhecimento médico. Configurando uma engrenagem de direcionamento de interesses econômicos, financia pesquisas na área de medicamentos, enviesa seus resultados e incentiva a produção e publicação de artigos científicos. Trata-se de uma engrenagem que ameaça important...

Los movimientos indígenas de Colombia y los problemas del medió-ambiente

OpenAIRE

Espinel Souares, Anastassia

2003-01-01

Presentación La multiculturalidad de la Ciudad de México y los Derechos Indígenas Oehmichen, Cristina Conceptos indígenas de la formación territorial y Etno-Político frente al Estado Republicano-Nacional Fischer, Eva Disputas matrimoniales y cambio social en Coyutla, Veracruz (México) Chenaut, Victoria El debate indio sobre la ciudadanía multicultural en México: La revuelta por la dignidad Valladares de la Cruz, Laura Análisis de las actitudes de políticos criollos ...

La multiculturalidad de la Ciudad de México y los Derechos Indígenas

OpenAIRE

Oehmichen, Cristina

2003-01-01

Presentación La multiculturalidad de la Ciudad de México y los Derechos Indígenas Oehmichen, Cristina Conceptos indígenas de la formación territorial y Etno-Político frente al Estado Republicano-Nacional Fischer, Eva Disputas matrimoniales y cambio social en Coyutla, Veracruz (México) Chenaut, Victoria El debate indio sobre la ciudadanía multicultural en México: La revuelta por la dignidad Valladares de la Cruz, Laura Análisis de las actitudes de políticos criollos ...

Tribal Consultation Tracking System

Data.gov (United States)

U.S. Environmental Protection Agency — The consultation-related information the AIEO Consultation Team working with our Tribal Portal contractors has developed a Lotus Notes Database that is capable of...

En busa de tinterillos. Intermediarios en el mundo indígena ecuatoriano duante el siglo XX

Directory of Open Access Journals (Sweden)

Marc Becker

2013-07-01

Full Text Available Este artículo aborda el papel de los abogados semiprofesionales, conocidos como tinterillos, en las comunidades indígenas de la sierra ecuatoriana, a partir de mediados del siglo XIX, quienes adquirieron una presencia aparentemente ubicua en las comunidades rurales del Ecuador. Muchas veces los tinterillos fueron parte de las élites locales con algo de educación. Inspiraban respeto entre los indígenas (quienes, en su mayoría, eran analfabetos debido a su habilidad a manejar documentos escritos. Estos intermediarios comúnmente explotaron su posición privilegiada para su propio beneficio económico, social y político. Sin embargo, los indígenas llegaron a depender del apoyo de los tinterillos para denunciar ante el gobierno los abusos de los terratenientes. En ocasiones, en lugar de sentirse impotentes o víctimas, los indígenas aprendieron a negociar sus relaciones con esos intermediarios para su beneficio. El estudio de los tinterillos permite examinar las relaciones de poder que se negociaron entre diferentes culturas y a través de profundas divisiones de clase.

Addressing Palliative Sedation during Expert Consultation: A Descriptive Analysis of the Practice of Dutch Palliative Care Consultation Teams.

Science.gov (United States)

Hoek, Patrick; Grandjean, Ilse; Verhagen, Constans A H H V M; Jansen-Landheer, Marlies L E A; Schers, Henk J; Galesloot, Cilia; Vissers, Kris C P; Engels, Yvonne; Hasselaar, Jeroen G J

2015-01-01

Since palliative sedation is considered a complex intervention, consultation teams are increasingly established to support general practice. This study aims to offer insight into the frequency and characteristics of expert consultations regarding palliative sedation. We performed a retrospective analysis of a longitudinal database. This database contained all patient-related consultations by Dutch Palliative Care Consultation teams, that were requested between 2004 and 2011. We described the frequency and characteristics of these consultations, in particular of the subgroup of consultations in which palliative sedation was addressed (i.e. PSa consultations). We used multivariate regression analysis to explore consultation characteristics associated with a higher likelihood of PSa consultations. Of the 44,443 initial consultations, most were requested by general practitioners (73%) and most concerned patients with cancer (86%). Palliative sedation was addressed in 18.1% of all consultations. Palliative sedation was relatively more often discussed during consultations for patients with a neurologic disease (OR 1.79; 95% CI: 1.51-2.12) or COPD (OR 1.39; 95% CI: 1.15-1.69) than for patients with cancer. We observed a higher likelihood of PSa consultations if the following topics were also addressed during consultation: dyspnoea (OR 1.30; 95% CI: 1.22-1.40), agitation/delirium (OR 1.57; 95% CI: 1.47-1.68), exhaustion (OR 2.89; 95% CI: 2.61-3.20), euthanasia-related questions (OR 2.65; 95% CI: 2.37-2.96) or existential issues (OR 1.55; 95% CI: 1.31-1.83). In conclusion, PSa consultations accounted for almost one-fifth of all expert consultations and were associated with several case-related characteristics. These characteristics may help clinicians in identifying patients at risk for a more complex disease trajectory at the end of life.

Addressing Palliative Sedation during Expert Consultation: A Descriptive Analysis of the Practice of Dutch Palliative Care Consultation Teams.

Directory of Open Access Journals (Sweden)

Patrick Hoek

Full Text Available Since palliative sedation is considered a complex intervention, consultation teams are increasingly established to support general practice. This study aims to offer insight into the frequency and characteristics of expert consultations regarding palliative sedation.We performed a retrospective analysis of a longitudinal database. This database contained all patient-related consultations by Dutch Palliative Care Consultation teams, that were requested between 2004 and 2011. We described the frequency and characteristics of these consultations, in particular of the subgroup of consultations in which palliative sedation was addressed (i.e. PSa consultations. We used multivariate regression analysis to explore consultation characteristics associated with a higher likelihood of PSa consultations.Of the 44,443 initial consultations, most were requested by general practitioners (73% and most concerned patients with cancer (86%. Palliative sedation was addressed in 18.1% of all consultations. Palliative sedation was relatively more often discussed during consultations for patients with a neurologic disease (OR 1.79; 95% CI: 1.51-2.12 or COPD (OR 1.39; 95% CI: 1.15-1.69 than for patients with cancer. We observed a higher likelihood of PSa consultations if the following topics were also addressed during consultation: dyspnoea (OR 1.30; 95% CI: 1.22-1.40, agitation/delirium (OR 1.57; 95% CI: 1.47-1.68, exhaustion (OR 2.89; 95% CI: 2.61-3.20, euthanasia-related questions (OR 2.65; 95% CI: 2.37-2.96 or existential issues (OR 1.55; 95% CI: 1.31-1.83.In conclusion, PSa consultations accounted for almost one-fifth of all expert consultations and were associated with several case-related characteristics. These characteristics may help clinicians in identifying patients at risk for a more complex disease trajectory at the end of life.

Interest of a multidisciplinary and two-step consultation in radioiodine therapy to improve patient's support

International Nuclear Information System (INIS)

Guillaumon, C.; Eberle, M.; Deshayes, E.; Savry, B.; Vinson, B.; Kotzki, P.

2015-01-01

May 2011. Patient satisfaction rates were high with 88% of patients answering that this consultation met their expectations. Ninety-three (93%) of inpatient ward nurses reported an improved coordination between both Departments, 78% observed reduction in patient anxiety, and 70% noted positive impact on the quality of patient care. Conclusion: this pilot study showed that a dedicated pre-consultation involving both NM physicians and technologists before radioiodine therapy improved not only coordination between NM department and inpatient ward, but also reduced patient anxiety related to treatment. Since this study, pre-consultation has been routinely performed for thyroid cancer patients in our NM Department. (authors)

The art of consultation

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Kulwant S Bhangoo

2014-01-01

Full Text Available Sophisticated marketing and practice-enhancing strategies can help bring patients to a surgeon′s practice. However, the ability to retain these patients and also convert the consultations into surgical procedures depends on the art of consultation. This very important aspect of clinical practice is seldom taught in the medical school. In this paper, the author discusses many aspects of the art of consultation, which he has learned in his practice over the years.

Ethics in Management Consulting

OpenAIRE

Carlo Vallini

2007-01-01

Ethics is a relevant value in business and management consulting. The presence of recognized ethics tends to reduce the need for informative or legal-contractual precautions in the formalization of relationships, for both of the parts involved in a negotiation. Management Consulting on ethics will develop more and more. Law will consider more and more ethics in business and management consulting. The ethics of corporations influences their workers and behaviour with the customers. It is an e...

Why do people consult the doctor?

Science.gov (United States)

Campbell, S M; Roland, M O

1996-02-01

Symptoms are an everyday part of most peoples' lives and many people with illness do not consult their doctor. The decision to consult is not based simply on the presence or absence of medical problems. Rather it is based on a complex mix of social and psychological factors. This literature review seeks to explore some of the pathways to care and those factors associated with low and high rates of consultation. The paper examines the impact of socioeconomic and demographic factors on consultation rates and, using a revised version of the Health Belief Model, it highlights the psychological factors which influence decisions to seek medical care. Barriers which can inhibit consultation are discussed, as the decision to seek care will only result in a consultation if there is adequate access to care. Whilst poor health status and social disadvantage increase both "objective" medical need and in turn, consultation rates, a range of other social and psychological factors have been shown to influence consulting behaviour.

Percepciones de comportamientos parentales de jóvenes indígenas mexicanos

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Rosario Esteinou Madrid

2013-01-01

Full Text Available El trabajo presenta algunos resultados sobre algunas de las ten- dencias que se muestran hoy en día en torno a los comportamientos paren- tales en el proceso de socialización y de educación de sus hijos adolescentes. La información que se expone procede de una investigación que se realizó sobre la educación parental y la competencia social de los jóvenes en tres estados con alta concentración de población indígena. Para tal efecto, se levantó una encuesta en una muestra de 450 adolescentes indígenas de los estados de Chiapas, Yucatán y Oaxaca. En particular se analizan, a partir de las percepciones de los adolescentes, algunos comportamientos de padres y madres referentes a dos dimensiones: una, relacionada con el apoyo, la pro- tección y la promoción de comportamientos prosociales en los adolescentes; y otra referida a distintas formas en que se ejerce el control (monitoreo, permisividad, rechazo, inducción de culpa, y punitividad. De acuerdo a dichas percepciones, el principal resultado obtenido establece que los com- portamientos de los padres indígenas se asemeja al estilo autoritario.

Global Consultation Processes: Lessons Learned from Refugee Teacher Consultation Research in Malaysia

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O'Neal, Colleen R.; Gosnell, Nicole M.; Ng, Wai Sheng; Clement, Jennifer; Ong, Edward

2018-01-01

The process of global consultation has received little attention despite its potential for promoting international mutual understanding with marginalized communities. This article details theory, entry, implementation, and evaluation processes for global consultation research, including lessons learned from our refugee teacher intervention. The…

Consultant's Playbook: A Survey of Pharmacy Consultant Experiences Among Hospitals In the University HealthSystem Consortium.

Science.gov (United States)

Hicks, Dave; McCarthy, Bryan; Fanikos, John; Emamifar, Amir; Nedved, Andrea; Thompson, Bruce; Bender, Fred; McMahon, Patrick

2013-10-01

Our team surveyed a group of pharmacy directors to learn about their experiences with pharmacy consultants so that the directors might be able to use their consulting resources in a more effective manner. In May 2012, the University HealthSystem Consortium (UHC) Pharmacy Council Financial Performance Committee developed an electronic survey that collectively measured the characteristics, goals, and methodology of historical pharmacy consultant engagements and level of satisfaction. After e-mailing the initial electronic survey, we conducted follow-up telephone interviews with respondents from July through November 2012. These interviews were designed to include questions about expected outcomes, recommendations for evaluation processes, timelines for implementing the recommendations, consultants' expenses, and insights gained. A total of 23 pharmacy directors responded to the initial electronic survey; their organizations had engaged at least one consultant within the previous 5 years. Data were collected for 28 consultant engagements. Subsequent telephone interviews were conducted with 20 of the 23 pharmacy directors (87%) who completed the initial electronic survey, accounting for 25 of the 28 consultant engagements (89%). Cost reduction along with revenue enhancement was most often the focus of these engagements. These engagements were also mainly within the scope of an organization-wide effort initiated by the executive board or executive team. Consultant experiences varied greatly in terms of (1) the degree to which assistance was provided to the organization, (2) benchmarking methodologies and resources, and (3) timelines for implementing the consultants' recommendations. In general, most respondents rated their consultant experience as positive and were able to provide "pearls of wisdom" or lessons learned.

Trauma surgeon becomes consultant: evaluation of a protocol for management of intermediate-level trauma patients.

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Fallon, Sara C; Delemos, David; Christopher, Daniel; Frost, Mary; Wesson, David E; Naik-Mathuria, Bindi

2014-01-01

At our level 1 pediatric trauma center, 9-54 intermediate-level ("level 2") trauma activations are received per month. Previously, the surgery team was required to respond to and assume responsibility for all patients who had "level 2" trauma activations. In 8/2011, we implemented a protocol where the emergency room (ER) physician primarily manages these patients with trauma consultation for surgical evaluation or admission. The purpose of this study was to prospectively evaluate the effects of the new protocol to ensure that patient safety and quality of care were maintained. We compared outcomes of patients treated PRE-implementation (10/2010-7/2011) and POST-implementation (9/2011-5/2012), including surgeon consultation rate, utilization of imaging and laboratory testing, ER length of stay, admission rate, and missed injuries or readmissions. Statistical analysis included chi-square and Student's t-test. We identified 472 patients: 179 in the PRE and 293 in the POST period. The populations had similar baseline clinical characteristics. The surgical consultation rate in the POST period was only 42%, with no missed injuries or readmissions. The ER length of stay did not change. However, in the POST period there were significant decreases in the admission rate (73% to 44%) and the mean number of CT scans (1.4 to 1), radiographs (2.4 to 1.7), and laboratory tests (5.1 to 3.3) ordered in the emergency room (all p<0.001). Intermediate-level pediatric trauma patients can be efficiently and safely managed by pediatric emergency room physicians, with surgical consultation only as needed. The protocol change improved resource utilization by decreasing testing and admissions and streamlining resident utilization in an era of reduced duty hours. © 2014.

Managing Resistance: An Essential Consulting Skill for Learning Disabilities Teachers.

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Friend, Marilyn; Bauwens, Jeanne

1988-01-01

The article explores characteristics of resistance by general educators to special education consultation programs. It offers teachers of learning disabled students strategies for managing specific types of resistance as well as a general plan for minimizing resistance as well as suggestions for evaluating the impact of resistance management…

Guidelines for Education and Training at the Doctoral and Postdoctoral Levels in Consulting Psychology/Organizational Consulting Psychology

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American Psychologist, 2007

2007-01-01

The purpose of these "Guidelines for Education and Training at the Doctoral and Postdoctoral Levels in Consulting Psychology/Organizational Consulting Psychology" is to provide a common framework for use in the development, evaluation, and review of education and training in consulting psychology/organizational consulting psychology (CP/OCP). The…

Quality Management in Project Management Consulting. A Case Study in an International Consulting Company

OpenAIRE

Ceptureanu, Eduard-Gabriel; Ceptureanu, Sebastian-Ion; Luchian, Cristian-Eugen; Luchian, Iuliana

2017-01-01

The present paper addresses quality management from the specific perspective of project management consulting service providers, in the framework of large infrastructure projects. Because of their supposed superiority in knowledge and experience, project management consultants have an ultimate responsibility for the proper implementing of the project. Therefore, quality management in consulting organizations should focus on critical success factors. As there is no consensus yet regarding the ...

"¡Guiamos!": A University-Based Program for Pre-Service Bilingual and ESL Teachers

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Riley, Jacqueline; Muñoz, Ava; Green, Laura Chris; Kim, JoHyun

2017-01-01

The researchers explored the benefits, challenges and preferred methods of communication of those who took part in the "¡Guiamos!" online and face-to-face mentoring program. Participants included 21 novice pre-service teachers who served as mentees and 32 experienced educators of English language learners who served as mentors. To…

Prevalencia de diabetes mellitus e hiperlipidemias en indígenas otomíes

OpenAIRE

Alvarado-Osuna Claudia; Milian-Suazo Feliciano; Valles-Sánchez Victoria

2001-01-01

Objetivo. Determinar prevalencia y factores de riesgo de la diabetes mellitus (DM) e hiperlipidemias en un grupo de indígenas otomíes de Querétaro. Material y métodos. Entre 1996 y 1997, en muestreo de conveniencia se trabajó con 91 indígenas, de 15 a 77 años de edad, de las comunidades de Yosphí y El Rincón, del estado de Querétaro, México. Se tomaron muestras sanguíneas en ayuno y se determinó la concentración de glucosa, colesterol y triglicéridos. Se realizó análisis estadístico para comp...

ASSESSING REFERRALS AND IMPROVING INFORMATION AVAILABILITY FOR CONSULTATIONS IN AN ACADEMIC ENDOCRINOLOGY CLINIC.

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Hendrickson, Chase D; Saini, Saumya; Pothuloori, Avin; Mecchella, John N

2017-02-01

Outpatient specialty consultations rely on the timeliness and completeness of referral information to facilitate a valuable patient-specialist interaction. This project aimed to increase essential diagnostic information availability at the initial consultation for patients referred for common endocrine conditions frequently lacking such data-diabetes mellitus, thyroid nodule, thyrotoxicosis, and hypercalcemia. At an endocrinology clinic at an academic medical center in rural New England, providers see several thousand new patients annually, the majority of whom are referred by providers external to the clinic's healthcare system. Through consensus, endocrinology clinic providers agreed on the two or three data elements essential for a meaningful initial consultation for each. A quality improvement team employed a planned series of interventions based on previously published methods and an innovative approach: dissemination of a referral guideline, an assessment of referral adequacy in the endocrinology clinic workflow, coupled with focused requests for missing items, and a pre-visit lab appointment. Between April 2015 and March 2016, 762 referrals were reviewed. At baseline for the four conditions, referrals contained all essential elements only 27.5% (22 of 80) of the time. Over a 7-month period, the team implemented the interventions, with subsequent referrals containing all essential elements increasing to 75.5% (P<.0001), largely attributable to the pre-visit lab appointment. Incoming referrals that lack essential information are a significant problem in specialty care and may adversely affect patient experience, provider satisfaction, and clinic efficiency. Improvement may require innovative approaches, such as the potentially transferable and generalizable ones employed here. DHMC = Dartmouth-Hitchcock Medical Center EHR = electronic health record PDSA = Plan-Do-Study-Act.

Improving patient emotional functioning and psychological morbidity: evaluation of a consultation skills training program for oncologists.

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Girgis, Afaf; Cockburn, Jill; Butow, Phyllis; Bowman, Deborah; Schofield, Penelope; Stojanovski, Elizabeth; D'Este, Catherine; Tattersall, Martin H N; Doran, Christopher; Turner, Jane

2009-12-01

To evaluate whether a consultation skills training (CST) program with oncologists and trainees would improve skills in detecting and responding to patient distress, thereby improving their patients' emotional functioning and reducing psychological distress. Randomized-controlled trial with 29 medical and radiation oncologists from Australia randomized to CST group (n=15) or usual-care group (n=14). The CST consisted of a 1.5-day face-to-face workshop incorporating presentation of principles, a DVD modelling ideal behaviour and role-play practice, and four 1.5h monthly video-conferences. At the CST conclusion, patients of participating doctors were recruited (n=192 in CST group, n=183 in usual-care group), completing telephone surveys at baseline, 1 week and 3 months to assess quality of life, anxiety, depression and unmet psychosocial needs. Despite high patient functioning at baseline, anxiety significantly improved at 1-week follow-up in the CST group, compared to the control group. There were no statistically significant differences in emotional functioning, depression or unmet supportive care need between the groups. Consistent trends for greater improvements were observed in intervention compared to control group patients, suggesting the CST program deserves wider evaluation. Video-conferencing after a short training course may be an effective strategy for delivering CST.

Integrating an ecological approach into an Aboriginal community-based chronic disease prevention program: a longitudinal process evaluation

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Maypilama Elaine

2011-05-01

Full Text Available Abstract Background Public health promotes an ecological approach to chronic disease prevention, however, little research has been conducted to assess the integration of an ecological approach in community-based prevention programs. This study sought to contribute to the evidence base by assessing the extent to which an ecological approach was integrated into an Aboriginal community-based cardiovascular disease (CVD and type 2 diabetes prevention program, across three-intervention years. Methods Activity implementation forms were completed by interview with implementers and participant observation across three intervention years. A standardised ecological coding procedure was applied to assess participant recruitment settings, intervention targets, intervention strategy types, extent of ecologicalness and organisational partnering. Inter-rater reliability for two coders was assessed at Kappa = 0.76 (p Results 215 activities were implemented across three intervention years by the health program (HP with some activities implemented in multiple years. Participants were recruited most frequently through organisational settings in years 1 and 2, and organisational and community settings in year 3. The most commonly utilised intervention targets were the individual (IND as a direct target, and interpersonal (INT and organisational (ORG environments as indirect targets; policy (POL, and community (COM were targeted least. Direct (HP→ IND and indirect intervention strategies (i.e., HP→ INT→ IND, HP→ POL → IND were used most often; networking strategies, which link at least two targets (i.e., HP→[ORG-ORG]→IND, were used the least. The program did not become more ecological over time. Conclusions The quantity of activities with IND, INT and ORG targets and the proportion of participants recruited through informal cultural networking demonstrate community commitment to prevention. Integration of an ecological approach would have been

La multiculturalidad de la ciudad de México y los derechos indígenas

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Cristina Oehmichen

2003-01-01

Full Text Available A partir de 1970 y, sobre todo, de 1990 en adelante, los indígenas de México han ido incorporándose a los flujos migratorios tanto internos como internacionales. Las comunidades se han extendido mucho más allá de los límites de pueblos específicos, pues sus miembros han emigrado y se han establecido en diversos puntos geográficos. A través de las redes que se extienden en el espacio nacional e internacional, los indígenas de México han tendido a reconstituir el vínculo comunitario y a dinamizar las relaciones sociales que los mantienen unidos en los lugares de destino. En este artículo analizo los procesos de construcción de las fronteras étnicas en la ciudad de México, con lo cual busco descubrir una lógica subyacente en la discriminación y lucha por los derechos a la ciudadanía de los indígenas radicados en la capital.

As relações contratuais das indústrias criativas: o caso dos quadrinhos no Ceará

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Paulo César de Sousa Batista

Full Text Available O segmento dos quadrinhos, inserido no contexto das indústrias criativas, tem assumido relevância econômica e cultural. Sendo assim, esta pesquisa tem como objetivo principal analisar fatores importantes do processo de contratação dos profissionais dessa área. O foco será na relação contratual entre os dois principais protagonistas das indústrias criativas, o artista e o agente, sendo que as análises serão baseadas na percepção dos artistas a respeito, principalmente, dos custos de transação, direitos autorais, assimetria de informações e agentes de mercado. O estudo de caráter descritivo e exploratório fez uso de métodos qualitativos também nas entrevistas realizadas no trabalho empírico. Os respondentes fazem parte da indústria criativa cearense e atuam no setor de quadrinhos. Os principais resultados encontrados pela análise de conteúdo das entrevistas diz respeito, basicamente, a falta de profissionalismo ainda existente no setor de quadrinhos da indústria criativa cearense. Há ainda, conforme indícios desta pesquisa, falta de visão mercadológica e de mentalidade profissional dos artistas, ausência de agentes especializados para interferir comercialmente, e a ausência de proteção aos direitos autorais e conexos. Acredita-se que os resultados aqui disponibilizados podem gerar informações relevantes para a melhor compreensão do mercado tido como objeto de estudo, e com isso colaborar na profissionalização deste importante segmento cultural para a atual economia.

Tambos de Filosofía Indígenas: la perspectiva de la nosotridad

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Guillermo Meza Salcedo

2017-08-01

Full Text Available La existencia de una filosofía al interior de las culturas ancestrales en América Latina ha sido una cuestión hasta hoy debatida, desde que se planteó la interrogante sobre el filosofar de estos pueblos originarios. La colonización epistemológica de la cultura occidental ha llevado a invisibilizar y/o negar la existencia de otros saberes y formas de vivir la vida de diferentes comunidades indígenas. La filosofía como ejercicio racional para responder a los grandes interrogantes de la vida, no es sólo una, no tiene patria, ni época, sino que son múltiples, multiculturales, y algunas de ellas comunales. Entre los indígenas hay una cosmovivencia y un pensamiento nosótrico que puede mejorar la calidad de vida en todos los ámbitos de la misma, que en esencia son relacionales. Dos tópicos darán la pauta en este trabajo: primero el de las cosmovisiones y filosofías amerindias y en segundo lugar el de la nosotridad entre los incas y mayas-tojolabales. Palabras clave: filosofía indígena, nosotridad, cosmovisión, América Latina. Tambos das filosofias indígena: a perspectiva da nosotridad Resumo A existência de uma filosofia dentro das culturas ancestrais da América Latina tem sido uma questão amplamente discutida até os últimos dias, desde que a questão sobre o filosofar dessas populações aumentou. A colonização epistemológica da cultura ocidental levou à negação da existência de outros meios de conhecimento e formas diferentes de viver a vida nas comunidades indígenas. Filosofia como exercício racional para responder a grandes questões na vida, não é apenas uma, não tem pátria ou tempo, mas são múltiplas, multiculturais e algumas delas são comunais. Entre a população indígena há uma experiência da cosmo -cosmovivencia- e um pensamento nosotrico que podem melhorar a qualidade de vida em todos os aspectos, que em essência são relacionais.. Dois tópicos principais são o ponto de partida deste trabalho

Job satisfaction and retention of community nutrition educators: the importance of perceived value of the program, consultative supervision, and work relationships.

Science.gov (United States)

Dickin, Katherine L; Dollahite, Jamie S; Habicht, Jean-Pierre

2010-01-01

To investigate how paraprofessional Community Nutrition Educators' (CNEs') perceptions of work context relate to job satisfaction and intention to leave the position. Cross-sectional statewide survey of program personnel. Expanded Food and Nutrition Education Program (EFNEP) sites (n = 32) serving low- income families in New York. CNEs delivering EFNEP (n = 115). CNE job satisfaction and intention to leave. Multivariate regression analysis predicting work attitudes from perceived work context, CNE personality traits, and characteristics of CNEs, supervisors, and programs. Despite low satisfaction with pay, overall job satisfaction was high and intention to leave was low. Satisfaction was positively related to CNEs' perceptions of program value, work relationships, and having a voice in relevant decisions (adjusted R(2) = 0.60). Intention to leave was negatively related to perceptions of program value and supervision and satisfaction with pay (adjusted R(2) = 0.36), but the latter relationship was found only among more educated CNEs. CNEs' satisfaction and intention to leave were strongly associated with perceptions of program value, work relationships, and consultative management. Intrinsically motivating work, often viewed as the domain of professionals, is critical for the morale and retention of paraprofessional nutrition educators. Copyright 2010 Society for Nutrition Education. Published by Elsevier Inc. All rights reserved.

Justicia electoral y enfoque de género en los sistemas normativos indígenas

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Claudia Pastor Badilla

2012-01-01

Full Text Available : Expone los mecanismos para lograr que a través de la justicia electoral, se garantice el acceso de las mujeres indígenas al ejercicio de los derechos político-electorales en condiciones de igualdad con los hombres. En la primera parte señala algunas de las discusiones que se llevaron a cabo en el ámbito doctrinario, y que tienen que ver con nuevos enfoques académicos sobre sociedades en las que conviven grupos culturales diversos. Lo anterior, con el objetivo de demostrar, en un segundo momento, las razones por las que es necesario que esos nuevos enfoques sean asumidos por todos los interesados en que el derecho indígena y los derechos humanos sean compatibles y se ejerzan a un mismo tiempo. Por último, señala las razones por las que ese cambio de perspectiva redundará en beneficio de las mujeres indígenas y de la comunidad de la que forman parte.

Crisis cafetalera y migración interna entre campesinos indígenas, en Huehuetla México

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Alejandro Ortega Hernández

2013-01-01

Full Text Available La migración sigue siendo un fenómeno social presente en México, con diferentes niveles de intensidad. Para conocer este movimiento poblacional en una zona indígena totonaca se realizó un estudio en Huehuetla, Puebla, mediante una muestra estadística a 83 indígenas productores de café. Los resultados indican que entre los campesinos indígenas, la migración interna, proceso actualmente poco estudiado, se encuentra asociada con la crisis de precios que vive la cafeticultura desde hace más de una década. Las ciudades de México y Puebla se son los principales polos de atracción, en los cuales los totonacos encuentran trabajo y mejores ingresos, que los que actualmente la cafeticultura y los espacios rurales no les pueden ofrecer.

El carácter reconstrutivo de la justicia indígena, en Chimborazo: perspectiva ética

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Gerardo Miguel Nieves Loja

2015-08-01

Full Text Available Durante los últimos años en Ecuador, ha comenzado a hablarse de la “justicia indígena”. Los medios de comunicación, en la mayor parte de casos por su desconocimiento, hablaron de “linchamientos” y “ajusticiamientos”, como si se tratara de un acto de salvajismo primitivo que atenta los Derechos Humanos. La resolución de conflictos en la Justicia indígena, tiene instancias y procedimientos que conducen, a la reconstrucción individual y colectiva de la comunidad. Los procedimientos de la justicia indígena, los castigos y los rituales de sanación son reconstructivos, lo que muestra el ir más allá, respecto a la justicia ordinaria de occidente, que termina en la cárcel, o máximo en una experiencia de rehabilitación.

De Chiapas a California. Experiencia migratoria y cambio cultural en jóvenes indígenas

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Tania Cruz Salazar

2016-12-01

Full Text Available Documento, desde una perspectiva etnográfica, la experiencia migratoria internacional de jóvenes indígenas chiapanecos y sus adaptaciones culturales. Sostengo que la participación de la juventud indígena ha sido central para el desarrollo económico del estado, y esto tiene sus orígenes en la tradicional migración indígena interna (siglo xix y nacional (siglo xx protagonizada en su tiempo por quienes hoy son los abuelos o padres. Para las actuales generaciones, la migración internacional, aunque aún es una estrategia económica, ya no es temporal como lo fue al inicio, por lo que su estadía en los Estados Unidos les implica cambios a nivel subjetivo, comunitario y cultural. Es en estos panoramas que analizo aquello que cambia y permanece.

Intel Xeon Phi coprocessor high performance programming

CERN Document Server

Jeffers, James

2013-01-01

Authors Jim Jeffers and James Reinders spent two years helping educate customers about the prototype and pre-production hardware before Intel introduced the first Intel Xeon Phi coprocessor. They have distilled their own experiences coupled with insights from many expert customers, Intel Field Engineers, Application Engineers and Technical Consulting Engineers, to create this authoritative first book on the essentials of programming for this new architecture and these new products. This book is useful even before you ever touch a system with an Intel Xeon Phi coprocessor. To ensure that your applications run at maximum efficiency, the authors emphasize key techniques for programming any modern parallel computing system whether based on Intel Xeon processors, Intel Xeon Phi coprocessors, or other high performance microprocessors. Applying these techniques will generally increase your program performance on any system, and better prepare you for Intel Xeon Phi coprocessors and the Intel MIC architecture. It off...

Estimating the return on investment in disease management programs using a pre-post analysis.

Science.gov (United States)

Fetterolf, Donald; Wennberg, David; Devries, Andrea

2004-01-01

Disease management programs have become increasingly popular over the past 5-10 years. Recent increases in overall medical costs have precipitated new concerns about the cost-effectiveness of medical management programs that have extended to the program directors for these programs. Initial success of the disease management movement is being challenged on the grounds that reported results have been the result of the application of faulty, if intuitive, methodologies. This paper discusses the use of "pre-post" methodology approaches in the analysis of disease management programs, and areas where application of this approach can result in spurious results and incorrect financial outcome assessments. The paper includes a checklist of these items for use by operational staff working with the programs, and a comprehensive bibliography that addresses many of the issues discussed.

Investigating preventive-medicine consultations in first-opinion small-animal practice in the United Kingdom using direct observation.

Science.gov (United States)

Robinson, N J; Brennan, M L; Cobb, M; Dean, R S

2016-02-01

Preventive-medicine consultations account for a large proportion of the veterinary caseload and previous research has suggested these consultations are fundamentally different from those in which the animal is presented for a specific health problem. There has been recent controversy around some aspects of preventive medicine for cats and dogs, and the full health benefits of the preventive-medicine consultation remain unclear. The aim of this study was to compare characteristics of the consultation and the problems discussed during the consultation between preventive-medicine consultations and other types of consultations. Data were gathered during direct observation of small-animal consultations in seven first-opinion practices in the United Kingdom. Data collected included type of clinical examination performed, patient signalment, and details of all problems discussed (including whether the problem was presenting or non-presenting, new or pre-existing, who had raised the problem, body system affected and whether an action was taken). A two-level multivariable logistic-regression model was developed, with canine and feline patients at Level 1 nested within consulting veterinary surgeons at Level 2, and a binary outcome variable of preventive-medicine consultation versus specific health-problem consultation. A total of 1807 patients were presented, of which 690 (38.2%) presented for a preventive-medicine consultation. Dogs were the most frequently presented species (n=1168; 64.6%) followed by cats (n=510; 28.2%), rabbits (n=86; 4.8%) and patients of other species (n=43; 2.4%). The five variables remaining in the multi-level model were whether multiple patients were presented, patient age, clinical examination type, weighing and number of problems discussed. Species, breed, sex, neutering status and practice did not remain in the final model. Many non-presenting problems, including both preventive-medicine problems and specific-health problems, were discussed and

Improving athletes' perspectives of sport psychology consultation: a controlled evaluation of two interview methods.

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Donohue, B; Dickens, Y; Lancer, K; Covassin, T; Hash, A; Miller, A; Genet, J

2004-03-01

Although investigations have consistently demonstrated the effectiveness of sport psychology interventions, these methods have been underutilized by athletes. In this study, 124 athletes completed the athletes' Attitudes Toward Seeking Sport Psychology Consultation Questionnaire (ATSSPCQ) and were subsequently randomly assigned to receive one of the two semistructured interview formats. One interview focused on discussing the athlete's experiences in sports, and the other focused on delineating sport psychology and its potential benefits to the athlete. Upon being interviewed, athletes were readministered the ATSSPCQ. Discussing sport psychology and its personal benefits was more effective in enhancing athletes' perception of need for sport psychology than discussing sport experiences. However, neither interview format enhanced athletes' perceptions of openness to discuss personal issues with a sport psychology consultant and tolerance of stigma associated with sport psychology consultation. Indeed, participants who received the discussion of sports intervention reported a significant decrease in personal openness to discuss personal issues relevant to sports psychology from pre- to postintervention. Intervention effects were similar for male and female athletes. Study implications and future directions are discussed in light of these results.

The impact of the improvement in internal medicine consultation process on ED length of stay.

Science.gov (United States)

Shin, Sangheon; Lee, Soo Hoon; Kim, Dong Hoon; Kim, Seong Chun; Kim, Tae Yun; Kang, Changwoo; Jeong, Jin Hee; Lim, Daesung; Park, Yong Joo; Lee, Sang Bong

2018-04-01

Although consultations are essential for delivering safe, high-quality care to patients in emergency departments, they contribute to emergency department patient flow problems and overcrowding which is associated with several adverse outcomes, such as increases in patient mortality and poor quality care. This study aimed to investigate how time flow metrics including emergency department length of stay is influenced by changes to the internal medicine consultation policy. This study is a pre- and post-controlled interventional study. We attempted to improve the internal medicine consultation process to be more concise. After the intervention, only attending emergency physicians consult internal medicine chief residents, clinical fellows, or junior staff of each internal medicine subspecialty who were on duty when patients required special care or an admission to internal medicine. Emergency department length of stay of patients admitted to the department of internal medicine prior to and after the intervention decreased from 996.94min to 706.62min. The times from consultation order to admission order and admission order to emergency department departure prior to and after the intervention were decreased from 359.59min to 180.38min and from 481.89min to 362.37min, respectively. The inpatient mortality rates and Inpatient bed occupancy rates prior to and after the intervention were similar. The improvements in the internal medicine consultation process affected the flow time metrics. Therefore, more comprehensive and cooperative strategies need to be developed to reduce the time cycle metrics and overcrowding of all patients in the emergency department. Copyright © 2017 Elsevier Inc. All rights reserved.

La transformation économique de l'Inde favorise-t-elle l ...

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

La transformation économique de l'Inde favorise-t-elle l'autonomisation ... sur les plans social et économique, il peut arriver que la participation des femmes à la vie ... Related content. Call for proposals for three Asian market-entry studies.

VA residential substance use disorder treatment program providers' perceptions of facilitators and barriers to performance on pre-admission processes.

Science.gov (United States)

Ellerbe, Laura S; Manfredi, Luisa; Gupta, Shalini; Phelps, Tyler E; Bowe, Thomas R; Rubinsky, Anna D; Burden, Jennifer L; Harris, Alex H S

2017-04-04

In the U.S. Department of Veterans Affairs (VA), residential treatment programs are an important part of the continuum of care for patients with a substance use disorder (SUD). However, a limited number of program-specific measures to identify quality gaps in SUD residential programs exist. This study aimed to: (1) Develop metrics for two pre-admission processes: Wait Time and Engagement While Waiting, and (2) Interview program management and staff about program structures and processes that may contribute to performance on these metrics. The first aim sought to supplement the VA's existing facility-level performance metrics with SUD program-level metrics in order to identify high-value targets for quality improvement. The second aim recognized that not all key processes are reflected in the administrative data, and even when they are, new insight may be gained from viewing these data in the context of day-to-day clinical practice. VA administrative data from fiscal year 2012 were used to calculate pre-admission metrics for 97 programs (63 SUD Residential Rehabilitation Treatment Programs (SUD RRTPs); 34 Mental Health Residential Rehabilitation Treatment Programs (MH RRTPs) with a SUD track). Interviews were then conducted with management and front-line staff to learn what factors may have contributed to high or low performance, relative to the national average for their program type. We hypothesized that speaking directly to residential program staff may reveal innovative practices, areas for improvement, and factors that may explain system-wide variability in performance. Average wait time for admission was 16 days (SUD RRTPs: 17 days; MH RRTPs with a SUD track: 11 days), with 60% of Veterans waiting longer than 7 days. For these Veterans, engagement while waiting occurred in an average of 54% of the waiting weeks (range 3-100% across programs). Fifty-nine interviews representing 44 programs revealed factors perceived to potentially impact performance in

Inde | Page 77 | CRDI - Centre de recherches pour le ...

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

Ce n'est un secret pour personne que les produits agricoles traditionnels comme les mils et les légumineuses à graines sont très nutritifs. C'est pourquoi des chercheurs collaborent actuellement avec des femmes en Inde et en Éthiopie pour faciliter l'utilisation à des fins personnelles (pour la préparation de repas sains) et ...

Ativismo Homossexual Indígena: Uma Análise Comparativa entre Brasil e América do Norte

Directory of Open Access Journals (Sweden)

Estevão Rafael Fernandes

2015-03-01

Full Text Available A partir da comparação entre Brasil e América do Norte (principalmente Estados Unidos, mas também, em menor medida, Canadá este artigo busca compreender a formação e a mobilização do ativismo homossexual indígena nesses dois contextos. O presente trabalho baseou-se em levantamento bibliográfico, entrevistas e trabalho de campo desenvolvido entre junho de 2012 e agosto de 2014. Ao longo do texto será apresentado o percurso recente que levou os Estados Unidos à consolidação do movimento two-spirit, em contraposição à invisibilidade do tema no Brasil. Conclui-se isso se deveu a um conjunto de fatores que fizeram com que os movimentos homossexuais indígenas nos Estados Unidos criassem uma identidade pan-indígena na qual a homossexualidade figura como discurso tradicionalista, religioso e anticolonial, enquanto no Brasil ocorreu o oposto, já que a homossexualidade indígena é vista como “perda” cultural.

Consultant breast radiographers: Where are we now?

International Nuclear Information System (INIS)

Rees, Zebby

2014-01-01

Introduction: The aim of this study is to: • Evaluate the current role of the consultant breast radiographer. • Compare current practice with the four key components for consultant practice. • Gauge the support of radiologist colleagues. • Determine the other professional commitments involved with the role. This study could be the precursor for a macro study of all consultant radiographer practice in other specialities. Methodology: Methodology used was a comparative ethnographic study. Questionnaires to the 24 consultant breast radiographers currently in post, and consultant breast radiologists, who work with them, were conducted. Data collection was a qualitative thematic approach. Conclusion: Consultant breast radiographers provide high quality care to patients through excellent clinical practice, leadership and good communication. However, this study shows hospital Trusts emphasis for non medical consultants is for clinical practice first. Some radiologists are still a barrier to progression for consultant breast radiographers, and radiologists have a big influence in recruitment decisions. Consultant breast radiographer posts are well established, their numbers are increasing through recognition of the role and of their abilities and performance. Consultant breast radiographers state that becoming a consultant is the major achievement of their career, proving the Society of Radiographers' vision of the four-tier career structure has been well received by the radiography profession

Una universidad “de” y “para” el movimiento indígena (A university of and for the indigenous movement)

OpenAIRE

González Terreros, María Isabel; Aguilera Morales, Alcira

2016-01-01

El presente artículo analiza los aportes políticos y pedagógicos de la Universidad Autónoma Intercultural Indígena del Cauca –UAIIN-, que es una propuesta educativa de y para los pueblos indígenas en Colombia. La Universidad se ha constituido en una alternativa para el fortalecimiento de los conocimientos ancestrales al gestarse como parte de las reivindicaciones y luchas del movimiento indígena que propone la Universidad como opción de formación para sus comunidades. La Universidad ret...

Investigation of 2013 pre-school education program in the context of values in education

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Neriman Aral

2018-04-01

Full Text Available It has been aimed to examine the acquisition and indicators in the Pre-school Education Program 2013, updated and implemented in 2013, according to the development areas in terms of values education in the study. For this purpose, content analysis method from qualitative research methods was used. The values addressed with in the direction of the theory of values have been divided into categories and subcategories. The final form of the category of values was given in line with the opinion of experts. The specified values have been analyzed according to their status of acquisition and indicators for children. As a result of the study, it has been found that the value of responsibility was given a great place in the pre-school education program and it is followed by the values of respect, solidarity, trust, love, tolerance, freedom, equality, friendship and justice respectively.  Depending on the results obtained, it may be recommended that more attention is paid to the individual interests and needs of children, all values are equally integrated into the program and school-family cooperation is ensured about the values.

La educación indígena en proceso: Sujeto, escuela y autonomía en el Cauca, Colombia

Directory of Open Access Journals (Sweden)

Jhon Jairo Angarita-Ossa

2015-01-01

Full Text Available El artículo presenta los resultados de la investigación sobre el proceso de constitución del Sistema de Educación Indígena Propio (SEIP en el departamento del Cauca, Colombia. Este abordaje da cuenta de la identificación del sujeto indígena, subordinado en un orden social hegemónico, en el contexto de la educación moderna bajo la influencia neoliberal. Se propone reconocer la presencia de un modelo edu - cativo tradicional, propuesto a los indígenas y la consecuente construcción de una propuesta alternativa de educación propia, construida al interior de sus comunidades. No obstante, se evidencia una serie de conflictos emergentes en el proceso de apropiación de la escuela, a partir del alcance de mayores niveles de autonomía educativa, por parte de las comunidades indígenas, en detrimento del poder de agentes hegemónicos tradicionales; dado el interés social, cultural y político de este escenario. En consecuencia, se expone la configuración del proyecto de autonomía y gobierno del territorio, en el ámbito educativo, teniendo como protagonista al sujeto indígena y a los alcances de una serie sucesiva de conquistas en la gestión del sistema educativo, que se materializa en clave de hegemonía alternativa. Finalmente, se concluye que el reconocimiento del sujeto indígena propone un giro cultural y político sustentado en el sistema educativo propio, aspecto que apunta a la constitución de una hegemonía alternativa, sólo posible desde mayores niveles de control de la educación, en perspectiva de la consolidación de una educación propia e intercultural del movimiento indígena en el departamento del Cauca, Colombia.

The Assessment and Mentoring Program (AMP): Final Year Pre-Service Physical Education Peer Mentors' Perceptions of Effective Mentoring

Science.gov (United States)

Jenkinson, Kate A.; Benson, Amanda C.

2017-01-01

In the teacher education context, most peer mentoring programs have focused on pre-service teachers and a qualified teacher mentor within schools (Hobson, et.al., 2009; Ambrosetti, Knight & Dekkers, 2014). Few studies have focused on mentoring between pre-service physical education teachers. Therefore, we describe the Assessment and Mentoring…

CONSULT-I Reading. South Avondale Elementary School, Cincinnati Project. Final Report.

Science.gov (United States)

Newman, Anabel; And Others

A study examined the effectiveness of the second year of implementation of the CONSULT-I program, which uses artificial intelligence with statistical pattern recognition in constructing a diagnosis and recommending treatment of reading difficulties. Five elementary classroom teachers, two ESEA (Elementary and Secondary Education Act) teachers, and…

Equivalence Checking between Pre-synthesis and Post-synthesis Programs by Using VIS

Energy Technology Data Exchange (ETDEWEB)

Lee, Jonghoon; Yoo, Junbeom [Konkuk Univ., Seoul (Korea, Republic of); Choi, Jonggyun; Lee, Jangsoo [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2013-05-15

PLC (Programmable Logic Controller)-based Software development, the design programs are translated into implementation programs, and behavioral equivalence between the design and implementation is demonstrated by formal method based technique. In FPGA-based software development, the design programs are also synthesized into implementation programs. However, in this process, testing and simulation based comparison techniques are mainly used. This paper proposes a formal method based technique to demonstrate behavioral equivalence between pre-synthesis and post-synthesis programs with VIS (Verification Interacting with Synthesis) verification system. We translated into BLIF-MV which is front-end of VIS, from Verlag and EDIF net list which synthesized from the same Verlag by an automatic synthesis tool. This paper proposes a formal method based technique to confirm correctness of synthesis by using equivalence checking of VIS verification system. In order to confirm the effectiveness of the proposed technique, we performed a case study with a part of prototype version of the RPS BP, and demonstrated a behavioral equivalence between Verlag HDL and EDIF post-synthesis net list.

Equivalence Checking between Pre-synthesis and Post-synthesis Programs by Using VIS

International Nuclear Information System (INIS)

Lee, Jonghoon; Yoo, Junbeom; Choi, Jonggyun; Lee, Jangsoo

2013-01-01

PLC (Programmable Logic Controller)-based Software development, the design programs are translated into implementation programs, and behavioral equivalence between the design and implementation is demonstrated by formal method based technique. In FPGA-based software development, the design programs are also synthesized into implementation programs. However, in this process, testing and simulation based comparison techniques are mainly used. This paper proposes a formal method based technique to demonstrate behavioral equivalence between pre-synthesis and post-synthesis programs with VIS (Verification Interacting with Synthesis) verification system. We translated into BLIF-MV which is front-end of VIS, from Verlag and EDIF net list which synthesized from the same Verlag by an automatic synthesis tool. This paper proposes a formal method based technique to confirm correctness of synthesis by using equivalence checking of VIS verification system. In order to confirm the effectiveness of the proposed technique, we performed a case study with a part of prototype version of the RPS BP, and demonstrated a behavioral equivalence between Verlag HDL and EDIF post-synthesis net list

El anciano en las comunidades indígenas Páez y Zenú

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Canencio Benavides Doris

1996-06-01

Full Text Available

Son muchos los pueblos indígenas existentes en Colombia, entre ellos encontramos a los zenues y a los paeces. Los primeros se encuentran localizados al noreste de Córdoba; los paeces están ubicados en diferentes lugares del departamento del Cauca. En estas dos comunidades indígenas existen algunas diferencias dadas no solo por su ubicación geográfica, sino por aspectos organizacionales e históricos. Pero no se puede desconocer las similitudes que existen entre ellas como es el concepto del anciano dentro de la comunidad, su rol en la familia y el respeto que se le tiene como transmisor de valores y creencias.

National machine guarding program: Part 1. Machine safeguarding practices in small metal fabrication businesses

Science.gov (United States)

Yamin, Samuel C.; Brosseau, Lisa M.; Xi, Min; Gordon, Robert; Most, Ivan G.; Stanley, Rodney

2015-01-01

Background Metal fabrication workers experience high rates of traumatic occupational injuries. Machine operators in particular face high risks, often stemming from the absence or improper use of machine safeguarding or the failure to implement lockout procedures. Methods The National Machine Guarding Program (NMGP) was a translational research initiative implemented in conjunction with two workers' compensation insures. Insurance safety consultants trained in machine guarding used standardized checklists to conduct a baseline inspection of machine‐related hazards in 221 business. Results Safeguards at the point of operation were missing or inadequate on 33% of machines. Safeguards for other mechanical hazards were missing on 28% of machines. Older machines were both widely used and less likely than newer machines to be properly guarded. Lockout/tagout procedures were posted at only 9% of machine workstations. Conclusions The NMGP demonstrates a need for improvement in many aspects of machine safety and lockout in small metal fabrication businesses. Am. J. Ind. Med. 58:1174–1183, 2015. © 2015 The Authors. American Journal of Industrial Medicine published by Wiley Periodicals, Inc. PMID:26332060

Examples of Pre-College Programs that Teach Sustainability

Science.gov (United States)

Passow, M. J.

2015-12-01

Programs to help pre-college students understand the importance of Sustainability can be found around the world. A key feature for many is the collaboration among educators, researchers, and business. Two examples will be described to indicate what is being done and goals for the future. "Educação para a Sustentabilidade" ("Education for Sustainability", http://sustentabilidade.colband.net.br/) developed at the Colegio Bandeirantes in Sao Paulo, Brazil, is a popular extracurricular offering at one of Brazil's top schools that empowers students to investigate major issues facing their country and the world. They recognized that merely knowing is insufficient, so they have created several efforts towards an "environmentally friendly, socially just, and economically viable" world. The Education Project for Sustainability Science interacts with students in various grade levels within the school, participates in sustainability initiatives in other parts of the nation, and communicates electronically with like-minded programs in other countries. A second example will spotlight the CHANGE Viewer (Climate and Health Analysis for Global Education Viewer, http://climatechangehumanhealth.org/), a visualization tool that uses NASA World Wind to explore climate science through socio-economic datasets. Collaboration among scientists, programmers, and classroom educators created a suite of activities available to teach about Food Security, Water Resources, Rising Sea Level, and other themes.

Mira – Artes Visuais Contemporâneas dos Povos Indígenas: Introdução

Directory of Open Access Journals (Sweden)

María Inês de Almeida

2014-09-01

Full Text Available O projeto Mira! Artes Visuais Contemporâneas dos Povos Indígenas nasceu com o intuito de trazer as muitas visões de mundo dos povos originários da imensa região pan-amazônica. O projeto Mira! com a exposição de 125 obras de artistas indígenas (pinturas, esculturas, arte digital quer mostrar ao público que, ao lado de estéticas ligadas ao mundo ocidental, há aquelas que se depuram em outros ambientes. Cinquenta e quatro artistas indígenas de Brasil, Bolívia, Colômbia, Equador e Peru estão participando da exposição Mira! Alguns artistas foram convidados a expor seus pensamentos e a debater sobre suas visões no seminário ocorrido em Belo Horizonte, em junho de 2013, quando a Mira! foi inaugurada.

Los dioses contra el azar versus el azar de los dioses: las catástrofes "naturales" y los pueblos indígenas

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Antonio PÉREZ

2009-11-01

Full Text Available RESUMEN: ?Las catástrofes de la naturaleza y las de contenido político son similares en la medida en que pueden ser pre- visibles, también es el hecho de que las consecuencias de las primeras son directamente proporcionales a la mise- ria de la zona en que ocurran. Es cierto que las ayudas de emergencia y los planes de reconstrucción surgidos a raíz de una catástrofe pueden paliar los "sufrimientos" de los menos afectados. Algunos ejemplos recientes, como el terremoto en Tierradentro en 1994 que arrasó 12 resguardos y 9 cabildos indígenas Nasa Yuwe (Paeces, demues- tran las diferentes percepciones que se tienen del problema, sea visto desde la óptica blanca-mestiza o desde la per- cepción indígena. La primera no sólo es estatal sino también de la Iglesia católica. Otros casos de catástrofes natu- rales en zonas indígenas serían: a la avalancha de marzo del 87 en Chosica Perú, la cual podría ser prevenida si la arquitectura indígena y los recursos naturales fueran conservados. b Dos días antes la Amazonía ecuatoriana sufrió dos sismos que afectaron a la comunidad Quichua fueron más catastróficas las políticas de reconstrucción que los sismos. c Entre marzo y abril de 1982 en Chiapas hizo erupción el volcán Chichón con lo que los indígenas per- dieron hasta su miseria.La cultura indígena además de tener constancia mítica de la causalidad de las calamidades, tiene tecnología para hacerles frente, por lo que se evidencia lo nocivo de las prácticas de la ciencia occidental a dichas comunidades.ABSTRACT: Natural and political disasters disasters are similar in that they can be foreseen. Also in that the the consequences of the latter are directly proportional to the poverty of the area in which they take place. It is true that emergency help and reconstruction plans can limit the «sufferings» of some affected people. Some recent examples, lik the eartquake of Tierradentro in 1994, which destroyed 12 �

Estado nutricional y aspectos alimentarios de mujeres indígenas del departamento de Presidente Hayes, Paraguay

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Gloria Echagüe

2015-12-01

Full Text Available Introducción: Las comunidades indígenas presentan un mayor riesgo de inseguridad alimentaria y malnutrición, menor disponibilidad de recursos, y una creciente dependencia de alimentos más baratos aunque con un alto grado de procesamiento. Objetivo: Identificar el estado nutricional y aspectos alimentarios en mujeres indígenas de tres comunidades del Departamento de Presidente Hayes, Chaco Paraguayo. Metodología: Estudio observacional de diseño transversal con componente analítico, que incluyó a 81 mujeres de 15 a 44 años de edad, de las etnias Maká y Toba Qom. Previo consentimiento informado, se realizó la valoración nutricional y la entrevista para obtener los datos sociodemográficos y alimentarios. Resultados: Las mujeres indígenas presentaron una frecuencia de sobrepeso de 30,8% y obesidad del 21,0%, mientras que el 1,2 % presentó desnutrición. No encontramos diferencia significativa entre las etnias, en relación al sobrepeso y obesidad, (p>0,05. Observamos que las indígenas tenían una alta ingesta de frutas, azúcares y mieles. El 87 y 88% de las mujeres indígenas de ambas etnias estudiadas refirieron no consumir lácteos y derivados y entre 65 y 69% refirieron no consumir verduras. Conclusiones: Observamos un elevado porcentaje de obesidad y sobrepeso, un bajo consumo de lácteos y verduras y un alto consumo de azúcares, relacionados posiblemente a cambios en los aspectos alimentarios y sus costumbres, influenciados por la cercanía a las zonas urbanas y el acceso a alimentos de menor precio y mayor contenido energético.

Pre-admission factors and utilization of tutoring services in health professions educational programs.

Science.gov (United States)

Olivares-Urueta, Mayra; Williamson, Jon W

2013-01-01

Pre-admission factors tend to serve as indicators of student success in health professions educational programs, but less is known about the effects that academic assistance programs have on student success. This study sought to determine whether specific pre-admission factors could help to identify students who may require academic support during their health professions education. This retrospective analysis aimed to identify differences in pre-admission variables between those students requiring tutoring and a matched sample of students who did not require tutoring. One-way ANOVA was used to assess differences for dependent variables-age, cumulative GPA (cGPA), science GPA (sGPA), verbal graduate record examination (GRE) score, quantitative GRE score, analytical GRE score and combined GRE score, community college hours, average credit hours per semester, and highest semester credit hour load-across three groups of students who received no tutoring (NT 0 hrs), some tutoring (ST tutoring (MT >8 hrs). Total GRE and average semester hours differentiated NT from ST from MT (ptutoring: quantitative GRE, sGPA, cGPA and average semester hours taken. The combination of lower GRE scores and lighter average semester course load were most predictive of the need for academic assistance as defined by hours of tutoring. While the value of the GRE in admissions processes is generally accepted, the average semester hour load in college can also provide important information regarding academic preparation and the need for tutoring services.

La diversidad cultural educativa indígena venezolana en el contexto socio-jurídico

OpenAIRE

Jacqueline Coromoto Guillén de Romero

2013-01-01

Desde el análisis metodológico jurídico-documental se realiza consideraciones sobre el tema de los pueblos indígenas, su reconocimiento y la educación intercultural bilingüe. Resaltando los postulados del Texto Constitucional de 1999, la Ley Orgánica de Pueblos y Comunidades Indígenas, los Convenios Internacionales conexos o relativos a la materia, suscritos por Venezuela y otras fuentes documentales. Se describe, el profundo cambio de perspectiva política, jurídica y cultural que reorienta l...

Lay Consultations in Heart Failure Symptom Evaluation.

Science.gov (United States)

Reeder, Katherine M; Sims, Jessica L; Ercole, Patrick M; Shetty, Shivan S; Wallendorf, Michael

2017-01-01

Lay consultations can facilitate or impede healthcare. However, little is known about how lay consultations for symptom evaluation affect treatment decision-making. The purpose of this study was to explore the role of lay consultations in symptom evaluation prior to hospitalization among patients with heart failure. Semi-structured interviews were conducted with 60 patients hospitalized for acute decompensated heart failure. Chi-square and Fisher's exact tests, along with logistic regression were used to characterize lay consultations in this sample. A large proportion of patients engaged in lay consultations for symptom evaluation and decision-making before hospitalization. Lay consultants provided attributions and advice and helped make the decision to seek medical care. Men consulted more often with their spouse than women, while women more often consulted with adult children. Findings have implications for optimizing heart failure self-management interventions, improving outcomes, and reducing hospital readmissions.

Control-rod parametrical studies in the framework of the PRE-RACINE and RACINE programs

International Nuclear Information System (INIS)

Humbert, G.; Ruelle, B.; Daguzan, G.; Stanculescu, A.; Kappler, F.; Scholtyssek, W.; Bouscavet, D.; Martini, M.; Broccoli, U.

1982-01-01

A control-rod experimental program is presented. This program, established in the frame of PRE-RACINE and RACINE common DEBENE, Italian and French experiments at MASURCA facility, is still under progress at the moment. The results, limited to single central rod worth are already available. For these experiments, a parametrical approach has been used. The effects of rod worth, varied separatly by rod side, boron enrichment and core size, on experiment to calculation relative discrepancy (E-C)/C can be drawn out

Report of the consultants' meeting on accelerator mass spectrometry

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-07-01

Accelerator Mass Spectrometry (AMS) has developed into a major analytical tool for the measurement of ultra-low-level long-lived radionuclides. Its use within the IAEA is recommended by the consultants in this meeting. The IAEA programs in which the technology would be useful and beneficial are: safeguards, physical and chemical sciences, human health, food and agriculture, radioactive waste management, radiation safety, industry and earth sciences.

Report of the consultants' meeting on accelerator mass spectrometry

International Nuclear Information System (INIS)

1995-01-01

Accelerator Mass Spectrometry (AMS) has developed into a major analytical tool for the measurement of ultra-low-level long-lived radionuclides. Its use within the IAEA is recommended by the consultants in this meeting. The IAEA programs in which the technology would be useful and beneficial are: safeguards, physical and chemical sciences, human health, food and agriculture, radioactive waste management, radiation safety, industry and earth sciences

Entre Didjazá y la Zandunga: iconografía y autorrepresentación indígena de las mujeres del Istmo de Tehuantepec, Oaxaca

Directory of Open Access Journals (Sweden)

Gabriela Zamorano Villarreal

2005-03-01

Full Text Available Cuestionando la existencia de lo que muchas veces se ha explicado como “la mirada india”, el presente artículo pregunta cómo las imágenes producidas por indígenas existen en diálogo con otras representaciones visuales y escritas sobre lo indígena. Para ello retomaré algunas de las reflexiones que se han comentado alrededor de la abundante iconografía sobre las mujeres indígenas del istmo de Tehuantepec, y trataré de situarlas en relación con las autorrepresentaciones indígenas actuales.

As estratégias das indústrias de farinha de trigo e de massas alimentícias do Rio Grande do Sul

Directory of Open Access Journals (Sweden)

Pascoal José Marion Filho

2011-04-01

Full Text Available A pesquisa identifica as estratégias praticadas nas indústrias de farinha de trigo e de massas alimentícias do Rio Grande do Sul no ano de 2007. É uma pesquisa exploratória baseada nas estratégias competitivas de Porter (1980 e de Mintzberg (1988, que utiliza na análise dados de questionários respondidos pelas empresas. Os resultados da pesquisa mostram que entre as estratégias de Porter, destacam-se a de custos mais baixos, na indústria de farinha de trigo, e a diferenciação, na indústria de massas. Entre as tipologias de Mintzberg, a qualidade do produto é considerada pelos gestores como sendo o grande diferencial competitivo nas duas indústrias.

Seminario-taller del gdri «apocamo»*: autonomización política indígena y planes de vida

OpenAIRE

Chaumeil, Jean-Pierre

2014-01-01

En la última década, diversos pueblos indígenas de la Amazonía noroccidental han venido elaborando sus «planes de vida». Estos planes son fruto de un trabajo participativo en el que las sociedades indígenas expresan sus anhelos y objetivos para su futuro, y por lo tanto, constituyen el punto de partida para la elaboración de su agenda política. En el grupo de investigación internacional «Apocamo», cuyo objetivo es analizar el proceso actual de transformación del marco político indígena así c...

La etnicidad cuestionada: Ancestralidad en las hijas e hijos de inmigrantes indígenas oaxaqueños en Estados Unidos

OpenAIRE

María Eugenia HERNÁNDEZ MORALES; Laura VELASCO ORTIZ

2015-01-01

Este artículo analiza el dilema identitario y de pertenencia en los hijos de inmi-grantes indígenas oaxaqueños en Estados Unidos, a través del estudio de tres di-mensiones de la ancestralidad: el lugar de origen, la vida comunitaria y la lengua indígena. El artículo documenta distintos cursos del proceso de etnización entre jóvenes de origen mixteco, zapoteco y triqui, nacidos o crecidos en Estados Unidos; metodológicamente se basa en tres talleres con activistas del Frente Indígena de Organi...

Comunidades indígenas de la provincia de Chimborazo, Ecuador:: permanencia de la sombra del régimen de hacienda

OpenAIRE

Tuaza Castro, Luis Alberto

2014-01-01

Este ensayo analiza la actual situación política indígena, a partir del acercamiento al proceso histórico de las comunidades indígenas de la zona Totorillas del cantón Guamote, Ecuador. Se argumenta que, después de la disolución de la hacienda, emergieron nuevas formas de liderazgo indígena; sin embargo, señala la compleja pervivencia de las antiguas formas de liderazgo que imposibilita la unidad de las comunidades y la consecución de un proyecto político único de largo alcance. This paper...

Entre la justicia indígena y la ordinaria: dilema aún por resolver

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Filipo Ernesto Burgos Guzmán

2008-12-01

Full Text Available La Constitución de 1991 propició un cambio en las relaciones con las minorías étnicas en general y en aras de su protección existe el reconocimiento de derechos colectivos y fundamentales de grupo. Dentro de ellos, uno trascendental: la jurisdicción indígena. Hoy, 17 años después de la entrada en vigencia de la nueva Constitución y de haberse reconocido a los indígenas su propias leyes y jueces, su sentido y razón de ser se ha ido aclarando y ampliando por la jurisprudencia constitucional, al abrigo del tratado internacional 169 de 1989 de la oit y la decisiones de la Corte Interamericana de Justicia. No obstante, cuando revisamos los conflictos de competencias suscitados, encontramos que cuando se resuelve u otorga competencia a la justicia ordinaria o indígena, en casos concretos llevados ante el Consejo Superior de la Judicatura, la visión de este tribunal no es acorde con el avance constitucional y en ocasiones parecería estar bajo el amparo de la Constitución monocultural de 1886.

Entre la justicia indígena y la ordinaria: dilema aún por resolver

Directory of Open Access Journals (Sweden)

Filipo Ernesto Burgos Guzmán

2008-01-01

Full Text Available La Constitución de 1991 propició un cambio en las relaciones con las minorías étnicas en general y en aras de su protección existe el reconocimiento de derechos colectivos y fundamentales de grupo. Dentro de ellos, uno trascendental: la jurisdicción indígena. Hoy, 17 años después de la entrada en vigencia de la nueva Constitución y de haberse reconocido a los indígenas su propias leyes y jueces, su sentido y razón de ser se ha ido aclarando y ampliando por la jurisprudencia constitucional, al abrigo del tratado internacional 169 de 1989 de la oit y la decisiones de la Corte Interamericana de Justicia. No obstante, cuando revisamos los conflictos de competencias suscitados, encontramos que cuando se resuelve u otorga competencia a la justicia ordinaria o indígena, en casos concretos llevados ante el Consejo Superior de la Judicatura, la visión de este tribunal no es acorde con el avance constitucional y en ocasiones parecería estar bajo el amparo de la Constitución monocultural de 1886.

Inequidad en la utilización de servicios de salud reproductiva en Colombia en mujeres indígenas y afrodescendientes

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Camilo Noreña-Herrera

2015-12-01

Full Text Available Resumen Se analizó la utilización de servicios de salud reproductiva (atención prenatal, parto y posparto, según la etnia de las mujeres, a partir de la Encuesta Nacional de Demografía y Salud 2010 de Colombia. La etnia fue medida por auto- reconocimiento (indígenas, afrodescendientes y ninguna y se estimaron modelos logísticos para cada servicio. Encontramos que, respecto a quienes no pertenecen a ninguna etnia, la utilización de servicios de salud reproductiva es menor en las mujeres indígenas y afrodescendientes. En los modelos de regresión se encontró que mujeres indígenas tienen menores posibilidades de un número adecuado de controles prenatales (OR = 0,61, así como también afrodescendientes. Igual situación para la atención institucional del parto: indígenas (OR = 0,33, afrodescendientes (OR = 0,60; y en control posparto: indígenas (OR = 0,80, afrodescendientes (OR = 0,80. En conclusión, existen inequidades en la utilización de servicios de salud reproductiva en las mujeres de grupos étnicos de Colombia que deben ser atendidas con estrategias gubernamentales que garanticen el derecho a la salud.

Literatura, indústria cultural e formação humana

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Fhiladelfio Joana Alves

2003-01-01

Full Text Available Este trabalho aborda questões referentes à literatura e aos produtos da indústria cultural, especialmente aos chamados romances "cor-de-rosa", focalizando as potencialidades de diferentes discursos na formação da subjetividade. As protagonistas dos romances O Quinze e As Três Marias, de Rachel de Queiroz são utilizadas como referência. Nesta perspectiva, evidencia-se a impregnação das criações ficcionais, atuando, de forma subconsciente e inconsciente, nas camadas profundas da personalidade, que pode em alguns casos, ampliar o conhecimento e a experiência humanos, aguçar os meios de expressão, despertar o senso crítico, mas em outros, reforçar a alienação da realidade. Conclui que enquanto a literatura oferece a possibilidade de libertar, os produtos da indústria cultural, ou seja, a literatura de massas, constituem um convite à alienação, ao conformismo, uma vez que tendem a inculcar estereótipos e preconceitos.

Estado nutricional y aspectos alimentarios de mujeres indígenas del departamento de Presidente Hayes, Paraguay

OpenAIRE

Gloria Echagüe; Valentina Díaz; Laura Mendoza; Pamela Mongelos; Graciela Giménez; Malvina Paez; Florentina Laspina; Amalia Castro; María Isabel Rodríguez; Patricia Araújo; Wilberto Castro; Ramón Marecos; Santiago Evers; Gerardo Deluca; Alejandra Picconi

2015-01-01

Introducción: Las comunidades indígenas presentan un mayor riesgo de inseguridad alimentaria y malnutrición, menor disponibilidad de recursos, y una creciente dependencia de alimentos más baratos aunque con un alto grado de procesamiento. Objetivo: Identificar el estado nutricional y aspectos alimentarios en mujeres indígenas de tres comunidades del Departamento de Presidente Hayes, Chaco Paraguayo. Metodología: Estudio observacional de diseño transversal con componente analítico, que incluyó...

BNL NONLINEAR PRE TEST SEISMIC ANALYSIS FOR THE NUPEC ULTIMATE STRENGTH PIPING TEST PROGRAM

International Nuclear Information System (INIS)

DEGRASSI, G.; HOFMAYER, C.; MURPHY, C.; SUZUKI, K.; NAMITA, Y.

2003-01-01

The Nuclear Power Engineering Corporation (NUPEC) of Japan has been conducting a multi-year research program to investigate the behavior of nuclear power plant piping systems under large seismic loads. The objectives of the program are: to develop a better understanding of the elasto-plastic response and ultimate strength of nuclear piping; to ascertain the seismic safety margin of current piping design codes; and to assess new piping code allowable stress rules. Under this program, NUPEC has performed a large-scale seismic proving test of a representative nuclear power plant piping system. In support of the proving test, a series of materials tests, static and dynamic piping component tests, and seismic tests of simplified piping systems have also been performed. As part of collaborative efforts between the United States and Japan on seismic issues, the US Nuclear Regulatory Commission (USNRC) and its contractor, the Brookhaven National Laboratory (BNL), are participating in this research program by performing pre-test and post-test analyses, and by evaluating the significance of the program results with regard to safety margins. This paper describes BNL's pre-test analysis to predict the elasto-plastic response for one of NUPEC's simplified piping system seismic tests. The capability to simulate the anticipated ratcheting response of the system was of particular interest. Analyses were performed using classical bilinear and multilinear kinematic hardening models as well as a nonlinear kinematic hardening model. Comparisons of analysis results for each plasticity model against test results for a static cycling elbow component test and for a simplified piping system seismic test are presented in the paper

Acesso dos usuários indígenas aos serviços de saúde de Cuiabá, Mato Grosso, Brasil

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Silvana Cardoso Gomes

Full Text Available Resumo: O presente estudo teve por objetivo avaliar o acesso dos usuários indígenas aos serviços de saúde de média e alta complexidades do Município de Cuiabá, Mato Grosso, Brasil, a partir da Casa de Saúde Indígena (CASAI Cuiabá. Foi realizado um estudo de caso único na CASAI Cuiabá com abordagem qualitativa. Os dados foram obtidos por meio da observação das rotinas de trabalho da CASAI Cuiabá, entrevistas semiestruturadas com profissionais e gestores do Distrito Sanitário Especial Indígena (DSEI Cuiabá e CASAI Cuiabá, e análise documental. Para análise dos dados, foi elaborada uma matriz derivada do modelo teórico-lógico de acessibilidade e validada por meio do método Delphi a um grupo de especialistas na temática de saúde indígena. Apesar de avanços trazidos pela CASAI na melhoria da acessibilidade indígena, persistem barreiras sócio-organizacionais, culturais e geográficas no acesso à média e alta complexidades do município estudado. Recomenda-se a formulação de estratégias específicas para a melhoria do acesso aos serviços de saúde dos povos indígenas mato-grossenses.

34 CFR 75.191 - Consultation costs.

Science.gov (United States)

2010-07-01

... 34 Education 1 2010-07-01 2010-07-01 false Consultation costs. 75.191 Section 75.191 Education... Development of Curricula Or Instructional Materials § 75.191 Consultation costs. An applicant may budget reasonable consultation fees or planning costs in connection with the development of curricula or...

Direito e Antropologia nas Definições de Territórios e Grupos Indígenas no Brasil: da Comunidade Indígena da Borboleta

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Ledson Almeida

2012-09-01

Full Text Available No Rio Grande do Sul, município de Salto do Jacuí, concentram-se acampadas, em dois locais distintos, cerca de cem famílias. Passaram a viver em acampamentos há cerca de quinze anos como forma de organização, diante do Estado e da sociedade regional, enquanto grupo indígena. Esta forma de organização foi motivada pela conquista do território reivindicado ao órgão indigenista oficial desde finais da década de oitenta. Hoje, reconhecidos como os Kaingang da Borboleta, este grupo de famílias ainda aguarda as resoluções fundiárias para ocupar um local definitivo capaz de garantir sua existência. É sobre as definições deste grupo e de sua trajetória histórica que trata este artigo.PALAVRAS CHAVES:  Kaingang da Borboleta, etnicidade, direitos indígenas, território indígenaABSTRACT:  In Rio Grande do Sul, district of Salto do Jacuí, gathered, camped out in two separate locations, there are approximately one hundred families. They began to organize themselves in camps nearly fifteen years ago as a way of appearing  before the State and regional society as an indigenous group. This form of organization was motivated by the conquest of territory claimed to the official indigenous organization since the late eighties. Today, recognized as the Butterfly Kaingang, this group of families is still waiting for land resolutions to occupy a permanent location which can guarantee its existence. It's about the definitions of this group and its historical background that this article deals about.KEYWORDS: Butterfly Kaingang,  ethnicity, indigenous rights, Indian territory

Prática da ginástica laboral por trabalhadores das indústrias do Rio Grande do Sul, Brasil Stretching programs among industrial workers from the state of Rio Grande do Sul, Brazil

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Luana Callegaro Rossato

2013-03-01

Full Text Available O presente estudo identificou a prevalência e os fatores associados à prática de ginástica laboral por trabalhadores da indústria no Estado do Rio Grande do Sul, Brasil. Realizou-se análise secundária dos dados de um estudo de delineamento transversal, com amostra probabilística de 2.265 trabalhadores, de ambos os sexos. O instrumento de pesquisa foi o questionário autoadministrado "Estilo de vida e hábitos de lazer dos trabalhadores das indústrias brasileiras", previamente validado. A variável dependente foi a prática de ginástica laboral, definida pela resposta positiva à questão: "Você participa do programa de ginástica na empresa (ginástica laboral?". Foram coletadas informações demográficas, socioeconômicas, comportamentais e relacionadas à saúde, como potenciais fatores associados. Na análise de dados, empregou-se o teste Qui-quadrado de Pearson e o modelo de regressão de Poisson com variância robusta, nas análises bruta e ajustada, respectivamente. A prática de ginástica laboral foi referida por 40,3% dos respondentes (IC95%: 38,2; 42,3, sendo mais prevalente nos trabalhadores do sexo feminino, com maiores níveis de escolaridade, naqueles mais ativos no lazer e que relatavam menores intensidades de esforço no trabalho. Não se observou associação da variável dependente com idade, estado civil, renda familiar bruta, tabagismo, autopercepção de saúde e autopercepção do nível de estresse. Programas de ginástica laboral devem desenvolver estratégias de promoção da saúde que priorizem subgrupos de trabalhadores menos envolvidos, em especial, indivíduos do sexo masculino e com menor escolaridade. Desse modo, será possível reduzir as disparidades, beneficiando trabalhadores, independentemente de suas características sociodemográficas, a melhores condições saúde e bem-estar no ambiente das indústrias.We evaluated the prevalence and factors associated with participation on stretching programs

Academic Development for Careers in Management Consulting

Science.gov (United States)

Adams, Susan M.; Zanzi, Alberto

2004-01-01

Explores the extent to which academic offerings are serving the consulting industry and identifies ways that academia can help. The numbers of management consulting courses, field experiences in consulting and consulting concentrations by graduate business schools were tracked over a three-year period to assess the current state of offerings. A…

Consultations

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

IDRC CRDI

Qu'arrive-t-il si j'engage des dépenses avant d'avoir signé mon contrat? Combien de ... Facture-type de consultant. Cette fiche ... Le représentant du CRDI dont le nom figure dans votre contrat est votre source d'information la plus fiable.

La legislación internacional sobre pueblos indígenas en el ordenamiento territorial y planes de desarrollo económico

OpenAIRE

Ibañez Sánchez, Miguel

2016-01-01

La situación de los pueblos indígenas ha sido largamente documentada en la historia peruana y ha estado ligada al despojo de sus tierras, territorios y recursos naturales. El modelo extractivo de crecimiento económico ha incrementado las actividades mineras, forestales y la producción de petróleo, en territorios de pueblos indígenas. Por otro lado, el ordenamiento territorial, la zonificación ecológica y los incentivos a la inversión privada, cada vez excluyen a los pueblos indígenas poniendo...

Rapport de 2010 sur l'état de l'évaluation du développement en Inde ...

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

En Inde, des données empiriques donnent à penser que l'évaluation du développement est en déclin, tant sur le plan du nombre que de la qualité des évaluations. Toutefois, il existe très peu de données écrites, voire aucune, sur la situation de l'évaluation en Inde, ni sur les facteurs en cause. Ce projet permettra donc de ...

The Curtin Coaches: Benefits of an outreach tutoring program for first year pre-service teachers. A Practice Report

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Saul Karnovsky

2015-03-01

Full Text Available The Curtin Coaches program represents a dynamic outreach opportunity for pre-service teachers enrolled in their first year of study at Curtin University to engage with school-aged students as classroom tutors. Research has shown that cross-age tutoring experiences in schools can benefit both the students receiving support and those who tutor, particularly in settings where individuals are engaging in community support work. According to program feedback, participants were able to develop a range of profession-related skills such as relationship building and gain new knowledge such as understanding how students learn. These competencies are salient as they align with the newly implemented standards for graduate teachers. Understanding the benefits such outreach programs bring pre-service teachers is vital as the future of HEPPP funded programs such as the Curtin Coaches is uncertain but the importance of Work Integrated Learning is increasing.

Significados construídos en indígenas universitarios sobre sustancias psicoactivas y programas de prevención

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Isabel Cristina Posada-Zapata

2017-05-01

Full Text Available En las universidades hay estudiantes de diversos grupos étnicos lo que genera un contexto para la pluralidad cultural. Es necesario comprender los significados frente al uso de plantas tradicionales y la diferencia de esta práctica frente al uso de sustancias psicoactivas (spa con fines recreativos en indígenas universitarios. Objetivo: analizar los significados construidos por indígenas sobre el uso de plantas tradicionales, el consumo de spa y los programas de prevención en una universidad de la ciudad de Medellín. Metodología: investigación cualitativa, utilizando como herramienta metodológica la Teoría Fundamentada. Se usó la técnica del muestreo teórico; a partir de 602 indígenas estudiantes se eligió una muestra representativa de 16 por sus cualidades regionales. Las técnicas de recolección que se utilizaron fueron, la entrevista y los grupos focales que permitieron realizar la codificación y la categorización de la información. Resultados: los estudiantes indígenas reconocen que el contexto de la universidad, los vínculos sociales y la integralidad de los programas de prevención son factores determinantes en el consumo de spa. Conclusiones: los participantes consideraron que el Departamento de Bienestar Universitario debe crear programas específicos para el fortalecimiento de la cultura indígena, atendiendo y respetando de esta forma los significados de uso de plantas tradicionales y diferenciarlo de las spa.

15 CFR 923.57 - Continuing consultation.

Science.gov (United States)

2010-01-01

... § 923.57 Continuing consultation. (a) As required by subsection 306(d)(3)(B) of the Act, a State must establish an effective mechanism for continuing consultation and coordination between the management agency... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Continuing consultation. 923.57...

Web 2.0 trænger ind i skolen

DEFF Research Database (Denmark)

Mehlsen, Camilla

2010-01-01

Det er ikke bare et stigende antal cyber kids, der presser på for at få web 2.0 ind i skolen. Flere uddannelsespolitiske tekster sætter nu fokus på, at elevernes it- og mediekompetencer skal være "i et web 2.0-perspektiv". Hvad skal der til, for at vi får en skole 2.0? Asterisk aflægger rapport fra...

Making consultations run smoothly

DEFF Research Database (Denmark)

Jespersen, Astrid Pernille; Elgaard Jensen, Torben

2012-01-01

This article investigates the skilful use of time in general practice consultations. It argues that consultation work involves social and material interactions, which are only partially conceptualized in existing medical practice literatures. As an alternative, this article employs ideas from the......-inspired analysis opens up a wider discussion of time as a complex resource and problem in general practice....

Patient assessment: effective consultation and history taking.

Science.gov (United States)

Kaufman, Gerri

This article explores patient consultation with specific reference to the Calgary-Cambridge consultation guide. It provides an overview of history taking and explores the patient's perspective during the consultation. The article also discusses the skills required to provide information effectively. In addition, the article addresses 'safety netting' and emphasises the interdependence of communication and consultation skills.

Radiology consultation in the era of precision oncology: A review of consultation models and services in the tertiary setting

Energy Technology Data Exchange (ETDEWEB)

DiPiro, Pamela J.; Krajewski, Katherine M.; Giardino, Angela A.; Braschi-Amirfarzan, Marta; Ramaiya, Nikhil H. [Dept. of Radiology, Brigham and Women' s Hospital, Harvard Medical School, Boston (United States)

2017-01-15

The purpose of the article is to describe the various radiology consultation models in the Era of Precision Medicine. Since the inception of our specialty, radiologists have served as consultants to physicians of various disciplines. A variety of radiology consultation services have been described in the literature, including clinical decision support, patient-centric, subspecialty interpretation, and/or some combination of these. In oncology care in particular, case complexity often merits open dialogue with clinical providers. To explore the utility and impact of radiology consultation services in the academic setting, this article will further describe existing consultation models and the circumstances that precipitated their development. The hybrid model successful at our tertiary cancer center is discussed. In addition, the contributions of a consultant radiologist in breast cancer care are reviewed as the archetype of radiology consultation services provided to oncology practitioners.

Radiology Consultation in the Era of Precision Oncology: A Review of Consultation Models and Services in the Tertiary Setting.

Science.gov (United States)

DiPiro, Pamela J; Krajewski, Katherine M; Giardino, Angela A; Braschi-Amirfarzan, Marta; Ramaiya, Nikhil H

2017-01-01

The purpose of the article is to describe the various radiology consultation models in the Era of Precision Medicine. Since the inception of our specialty, radiologists have served as consultants to physicians of various disciplines. A variety of radiology consultation services have been described in the literature, including clinical decision support, patient-centric, subspecialty interpretation, and/or some combination of these. In oncology care in particular, case complexity often merits open dialogue with clinical providers. To explore the utility and impact of radiology consultation services in the academic setting, this article will further describe existing consultation models and the circumstances that precipitated their development. The hybrid model successful at our tertiary cancer center is discussed. In addition, the contributions of a consultant radiologist in breast cancer care are reviewed as the archetype of radiology consultation services provided to oncology practitioners.

Las mujeres indígenas venezolanas y sus logros en los albores del Siglo XXI

OpenAIRE

Rincón-Soto, Lucía del Carmen

2014-01-01

El artículo ofrece un recuento del paradigmático proceso de empoderamiento de las indígenas venezolanas y un balance de cómo su pensamiento se ha articulado para fortalecer su identidad. Se realiza un breve recorrido de la situación de las mujeres desde el proceso de colonización hasta los albores del siglo XXI. Si bien las mujeres indígenas latinoamericanas, en general, y las venezolanas, en particular, tienen muchos desafíos, no se puede dejar de destacar su valiosa participación en los esc...

A General Construction of IND-CCA2 Secure Public Key Encryption

DEFF Research Database (Denmark)

Kiltz, Eike; Malone-Lee, John

2003-01-01

We propose a general construction for public key encryption schemes that are IND-CCA2 secure in the random oracle model. We show that the scheme proposed in [1, 2] fits our general framework and moreover that our method of analysis leads to a more efficient security reduction....

Consultation document Energy Market Concentrations

International Nuclear Information System (INIS)

De Maa, J.; Van Gemert, M.; Karel, A.; La Bastide, G.; Giesbertz, P.; Buijs, F.; Vermeulen, M.; Beusmans, P.

2006-06-01

This the second consultation document of the Netherlands Competition Authority (NMa) on the title subject (the first was in 2002). The purpose of the consultation is to involve all the relevant and interested parties in the development of the energy market in the Netherlands and to consult those parties on studies that have been carried out by the NMa so far: (1) defining (possible) relevant markets in the electricity sector, and (2) the vision and opinion of the NMa with respect to mergers and take-overs. Also, the consultation document is a contribution to the response of the letter from the Dutch Minister of Economic Affairs of May 2005 in which the NMa was requested to give an overview of the preconditions with regard to competition and it's legal aspects [nl

Ostomy Home Skills Program

Medline Plus

Full Text Available ... in Trauma Surgery Advanced Trauma Life Support Verification, Review, and Consultation Program for Hospitals Trauma Systems Consultation ... to SRGS Issues Contact and FAQs ACS Case Reviews in Surgery ACS Case Reviews in Surgery ACS ...

Postpartum consultation: Occurrence, requirements and expectations

Directory of Open Access Journals (Sweden)

Carlgren Ingrid

2008-07-01

Full Text Available Abstract Background As a matter of routine, midwives in Sweden have spoken with women about their experiences of labour in a so-called 'postpartum consultation'. However, the possibility of offering women this kind of consultation today is reduced due to shortage of both time and resources. The aim of this study was to explore the occurrence, women's requirements of, and experiences of a postpartum consultation, and to identify expectations from women who wanted but did not have a consultation with the midwife assisting during labour. Methods All Swedish speaking women who gave birth to a live born child at a University Hospital in western Sweden were consecutively included for a phone interview over a three-week period. An additional phone interview was conducted with the women who did not have a postpartum consultation, but who wanted to talk with the midwife assisting during labour. Data from the interviews were analysed using qualitative content analysis. Results Of the 150 interviewed women, 56% (n = 84 had a postpartum consultation of which 61.9% (n = 52 had this with the midwife assisting during labour. Twenty of the 28 women who did not have a consultation with anyone still desired to talk with the midwife assisting during labour. Of these, 19 were interviewed. The content the women wanted to talk about was summarized in four categories: to understand the course of events during labour; to put into words, feelings about undignified management; to describe own behaviour and feelings, and to describe own fear. Conclusion The survey shows that the frequency of postpartum consultation is decreasing, that the majority of women who give birth today still require it, but only about half of them receive it. It is crucial to develop a plan for these consultations that meets both the women's needs and the organization within current maternity care.

The importance of community consultation and social support in adhering to an obesity reduction program: results from the Healthy Weights Initiative

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Lemstra M

2015-10-01

Full Text Available Mark Lemstra,1 Marla R Rogers2 1Alliance Wellness and Rehabilitation, Moose Jaw, 2College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada Background: Few community-based obesity reduction programs have been evaluated. After 153 community consultations, the City of Moose Jaw, SK, Canada, decided to initiate a free comprehensive program. The initiative included 71 letters of support from the Mayor, every family physician, cardiologist, and internist in the city, and every relevant community group including the Heart and Stroke Foundation, the Canadian Cancer Society, and the Public Health Agency of Canada.Objective: To promote strong adherence while positively influencing a wide range of physical and mental health variables measured through objective assessment or validated surveys.Methods: The only inclusion criterion was that the individuals must be obese adults (body mass index >30 kg/m2. Participants were requested to sign up with a “buddy” who was also obese and identify three family members or friends to sign a social support contract. During the initial 12 weeks, each individual received 60 group exercise sessions, 12 group cognitive behavioral therapy sessions, and 12 group dietary sessions with licensed professionals. During the second 12-week period, maintenance therapy included 12 group exercise sessions (24 weeks in total.Results: To date, 243 people have been referred with 229 starting. Among those who started, 183 completed the program (79.9%, while 15 quit for medical reasons and 31 quit for personal reasons. Mean objective reductions included the following: 31.0 lbs of body fat, 3.9% body fat, 2.9 in from the waist, 2.3 in from the hip, blood cholesterol by 0.5 mmol/L, systolic blood pressure by 5.9 mmHg, and diastolic blood pressure by 3.2 mmHg (all P<0.000. There were no changes in blood sugar levels. There was also statistically significant differences in aerobic fitness, self-report health, quality of

Knowledge Sharing in IT Consultant and SME Interactions

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Adrian Bradshaw

2015-10-01

Full Text Available Many small and medium enterprises (SMEs depend on consultants to overcome knowledge barriers, especially for IT projects. This paper aims to determine how IT consultants affect the IT knowledge of SMEs when IT consultants and SMEs interact. Data were collected using face-to-face interviews with both IT consultants and SME managers. The study is the first to identify what and how SMEs learn from consultants during an IT implementation project. Consultants help SMEs gain different types of knowledge, employing a broad range of knowledge sharing mechanisms. As consultants are an important part of the knowledge creation processes of SMEs, SMEs should strive to form long-term relationships with consultants and use these interactions to develop IT knowledge within the SME.

Political consultation and large-scale research

International Nuclear Information System (INIS)

Bechmann, G.; Folkers, H.

1977-01-01

Large-scale research and policy consulting have an intermediary position between sociological sub-systems. While large-scale research coordinates science, policy, and production, policy consulting coordinates science, policy and political spheres. In this very position, large-scale research and policy consulting lack of institutional guarantees and rational back-ground guarantee which are characteristic for their sociological environment. This large-scale research can neither deal with the production of innovative goods under consideration of rentability, nor can it hope for full recognition by the basis-oriented scientific community. Policy consulting knows neither the competence assignment of the political system to make decisions nor can it judge succesfully by the critical standards of the established social science, at least as far as the present situation is concerned. This intermediary position of large-scale research and policy consulting has, in three points, a consequence supporting the thesis which states that this is a new form of institutionalization of science: These are: 1) external control, 2) the organization form, 3) the theoretical conception of large-scale research and policy consulting. (orig.) [de

A 3-Year Workplace-Based Intervention Program to Control Noncommunicable Disease Risk Factors in Sousse, Tunisia.

Science.gov (United States)

Bhiri, Sana; Maatoug, Jihene; Zammit, Nawel; Msakni, Zineb; Harrabi, Imed; Amimi, Souad; Mrizek, Nejib; Ghannem, Hassen

2015-07-01

To assess the effectiveness of a 3-year workplace-based intervention program on the control of the main noncommunicable disease risk factors (poor nutrition, physical inactivity, and tobacco use) among the employees of Sousse, Tunisia. We conducted a quasi-experimental study (pre- and postassessments with intervention and control groups) in six companies of the governorate of Sousse in Tunisia.The intervention program consisted of health education programs (eg, workshops, films and open sensitization days). We also scheduled free physical activity sessions and free smoking cessation consultations. Our intervention program showed meaningful improvement among the employees toward dietary and physical activity behaviors but not for tobacco use. Workplace is a crucial setting for health promotion, and future programs should consider a multisectoral approach to control the main noncommunicable disease risk factors.

Investigating the Role of Mobile Devices in a Blended Pre-Service Teacher Education Program

Science.gov (United States)

Vaughan, Norman; Lawrence, Kimberley

2013-01-01

The purpose of this research study was to investigate if and how mobile devices could be used to support the required program outcomes in a blended pre-service teacher education degree. All students enrolled in an educational technology course during the fall 2011 semester were provided with ViewSonic tablets. Through faculty interviews, student…

Understanding the consultation processes

International Nuclear Information System (INIS)

Laing, A.C.

1998-01-01

This presentation focuses on the consultation processes between industry, government and First Nations communities regarding resource development. The expectations of the Crown are to facilitate capacity building within First Nations, to promote traditional use studies and to participate with industry proponents on certain consultation issues. The role of industry is to encourage partnerships between established contractors and First Nations contracting firms to allow First Nations firms to grow and experience success under the guidance of a mentor company. It is important to realize that solid First Nations relations are the key to shorter time lines and lower costs in developing projects. However, consultation and involvement must be 'real' with benefits and participation that fall within the First Nations Communities' definition of success

El emprendimiento de la mujer indígena campesina en Bolivia. Hacia una propuesta de desarrollo

OpenAIRE

Padilla-Meléndez, A.; Ciruela-Lorenzo, Antonio Manuel

2015-01-01

Objetivo y justificación: el emprendimiento indígena y la perspectiva de género en el emprendimiento han tenido una importancia creciente en la literatura en los últimos años. Se ha encontrado como la actividad emprendedora de la mujer difiere, en cuanto a motivaciones y circunstancias (en muchos casos más complicadas), de la del hombre. Además, y en relación al emprendimiento específicamente indígena, se aprecia una notable importancia del capital social para el desarrollo del mismo. Se p...

Análisis de la motricidad de la cultura indígena Sikuani: un estudio para el departamento del Meta (Colombia)

OpenAIRE

Velásquez Arjona, Alberto; Campos Polo, Fernando

2010-01-01

La comunidad indígena Sikuani, confinada desde hace cuarenta años en el resguardo indígena Wayoko, región de la Orinoquia colombiana, fue concentrada allí contra su tradición nómada. A pesar de sus vicisitudes, los miembros de la comunidad se han caracterizado por un férreo apego a sus tradiciones.El proceso de transformacion de la comunidad Sikuani, el cual se ha denominado como transculturización, lleva ya varios años haciendo estragos en la idiosincracia indígena. A pesar de que muchas com...

Know Violence in Childhood – Inde : Défense des droits ...

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

Know Violence in Childhood – Inde : Défense des droits, communication et mobilisation des médias. Know Violence in Childhood (KVIC) est une initiative mondiale d'apprentissage et de défense des intérêts visant à stimuler la coordination de l'action pour mettre fin à la violence faite aux enfants. Elle met à profit ...

Activities of an ethics consultation service in a Tertiary Military Medical Center.

Science.gov (United States)

Waisel, D B; Vanscoy, S E; Tice, L H; Bulger, K L; Schmelz, J O; Perucca, P J

2000-07-01

The Joint Commission on Accreditation of Healthcare Organizations requires hospitals to have a mechanism to address issues of medical ethics. Most hospitals, especially those in the military, have an ethics committee composed solely of members who serve as an additional duty. To enhance the ethics consultation service, the 59th Medical Wing created a position under the chief of the medical staff for a full-time, fellowship-trained, medical ethicist. After establishment of this position, the number of consultations increased, a systematic program for caregiver education was developed and delivered, and an organizational presence was achieved by instituting positions on the institutional review board, the executive committee of the medical staff, and the credentials committee. Issues in medical care are becoming increasingly complicated, due in large part to financial stresses and technological advancements. Ethics consultation can help prevent and resolve many of these problems. This report discusses the activities of the first year of a full-time ethicist in a tertiary military medical center.

Nuclear consultant - a new profession

International Nuclear Information System (INIS)

Hardung von Hardung, H.

1976-01-01

The nuclear field is an area fraugh with particular difficulties for industries, banks, public authorities etc. in acquiring the precise knowledge needed for decision making. This gap can be filled by the activities of nuclear consultants; in view of the size of the market which, in Europe, probably involves a capital investment by far exceeding DM 100 billion, chances are promising. These consultant activities include technological problems as well as economics, organization, strategy, and training in nuclear technology. Of course, the consultant staff must have broad and specialized knowledge. (orig.) [de

Nuclear consultant: a new profession

Energy Technology Data Exchange (ETDEWEB)

Hardung von Hardung, H

1976-02-01

The nuclear field is an area fraught with particular difficulties for industries, banks, and public authorities etc. in acquiring the precise knowledge needed for decision making. This gap can be filled by the activities of nuclear consultants; in view of the size of the market which, in Europe, probably involves a capital investment by far exceeding DM 100 billion, chances are promising. These consultant activities include technological problems as well as economics, organization, strategy, and training in nuclear technology. Of course, the consultant staff must have broad and specialized knowledge.

Migración y diferenciación étnica en Guatemala. Ser indígena en un contexto de globalización

OpenAIRE

Santiago Bastos

1999-01-01

En este artículo se discute si el concepto de la desterritorialización de las identidades, que se asocia a la globalización, es útil para describir la nueva relación que mantienen las poblaciones indígenas de Latinoamérica con el espacio, como efecto del proceso de dispersión que viven desde hace unas décadas. La comparación del proceso migratorio entre hogares indígenas y no indígenas que residen en tres espacios populares de la ciudad de Guatemala muestra al...

Dos paradojas del multiculturalismo colombiano: la espacialización de la diferencia indígena y su aislamiento político

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Diana Bocarejo

2011-01-01

Full Text Available La práctica del multiculturalismo en Colombia se ejerce en el contexto de complejas disputas y reclamos provenientes de diferentes actores sociales, beneficiarios o no de derechos diferenciales. En este artículo se estudian dos paradojas de los arreglos políticos del multiculturalismo en Colombia, relacionadas con la forma como se espacializa la diferencia indígena, y con ellas, se examinan sus implicaciones políticas. La primera paradoja es la forma como se juzga quién es o no un sujeto indígena legal, utilizando como una de las características predominantes el que un indígena viva en "su" resguardo rural. La segunda paradoja es el aislamiento político que se ha configurado entre indígenas y campesinos. De esta forma, se pretende demostrar la relevancia de estudiar no solo las políticas culturales, sino también la cultura política que posibilita y construye el multiculturalismo.

Negros e indígenas ocupam o templo branco: ações afirmativas na UFRGS

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Arabela Campos Oliven

Full Text Available Resumo: Na maioria dos países do mundo ocidental, universidades que formam a elite costumam ser redutos da branquidade refratários a grupos socialmente excluídos. No Brasil, com mais da metade da população formada por pretos e pardos, as universidades públicas sempre foram um território quase exclusivamente branco. O Rio Grande do Sul, estado brasileiro com a segunda maior percentagem de população branca do país, reflete esse quadro. Ele enaltece o legado dos grupos imigrantes de origem europeia em contraste com a pequena visibilidade atribuída à contribuição da população negra e indígena. No período 2008 a 2012, a Universidade Federal do Rio Grande do Sul, a mais importante do estado, implementou uma política de ação afirmativa que aumentou as oportunidades de alunos pretos, pardos e indígenas entrarem em seus cursos de graduação. O artigo discute essa política - sua aprovação, características, implantação, avaliação e reformulação, assim como seus resultados. Analisa a experiência de um grupo de universitários negros e indígenas, que foram dos primeiros a ingressar na UFRGS através da reserva de vagas. Ao final, aponta os significados das políticas de inclusão de negros e indígenas nas universidades públicas brasileiras e os desafios que elas representam para essas instituições.

Pre-Service Teachers' Development of Technological Pedagogical Content Knowledge (TPACK) in the Context of a Secondary Science Teacher Education Program

Science.gov (United States)

Habowski, Thomas; Mouza, Chrystalla

2014-01-01

This study investigates pre-service teachers' TPACK development in a secondary science teacher education program that combined a content-specific technology integration course with extensive field experience. Both quantitative and qualitative data were collected. Quantitative data were collected through a pre-post administration of the…

A unique degree program for pre-pharmacy education: An undergraduate degree in pharmaceutical sciences.

Science.gov (United States)

Jafari, Mahtab

2018-02-01

Within the coming decade, the demand for well-trained pharmacists is expected to only increase, especially with the aging of the United States (US) population. To help fill this growing demand, the University of California, Irvine (UCI) aims to offer a unique pre-pharmacy degree program and has developed a Bachelor of Science (BS) degree in Pharmaceutical Sciences to help achieve this goal. In this commentary, we share our experience with our curriculum and highlight its features in an effort to encourage other institutions to enhance the learning experience of their pre-pharmacy students. The efforts of the UCI Department of Pharmaceutical Sciences has resulted in UCI being consistently ranked as one of the top feeder institutions by the Pharmacy College Application Service (PharmCAS) in recent years. The UCI Pharmaceutical Sciences Bachelor of Science offers a unique pre-pharmacy educational experience in an effort to better prepare undergraduates for the rigors of the doctorate of pharmacy curriculum. Copyright © 2017. Published by Elsevier Inc.

Estado nacional y nacionalidades indígenas.

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José Mauro Gagliardi

2011-08-01

Full Text Available Cuando se estudian los pueblos indígenas de Brasil la primera cosa que se constata es su reducción de mayoría a minoría. Los traslados del interior para el litoral, las matanzas y las epidemias son hechos que sirven para ilustrar ese proceso de exterminación. A partir del siglo XVIII, com la administración pombalina se inició la formación delEstado Nacional que de forma planificada impuso a los indios una forma de actuar y de pensar. La finalidad del reglamento sobre las misiones de catequesis y civilización de los indios de 1845 era también la de incorporarlos a los patrones de vida occidentales. Se trataba de preparar a esos pueblos para un tipo de trabajo uniformado, hablando la lengua nacional, como una conciencia económica y cultural homogénea. Durante el periodo republicano, los mecanismos de integración de los pueblos indígenas a la sociedad nacional se hicieron todavía más eficaces. Si tomamos como referencia la formación del Estado Nacional verificaremos que es una tendencia de esa forma de organización política la de uniformizar las relaciones sociales y disolver la diversidad cultural. El estudio de ese fenómeno ayudará para la comprensión más profunda de las relaciones entre los indios y la sociedad brasileña y probablemente ayudará a programar estrategias que aseguren la vida de aquellos que todavía sobreviven.

Literatura indígena para crianças: o desafio da interculturalidade

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Ana Paula Franco Nobile Brandileone

2018-01-01

Full Text Available El objetivo de este artículo es realizar una reflexión crítica acerca de la producción literaria infantil indígena. Para eso, se recurre a la problematización teórica centrada en el concepto de transculturación, conforme a Canclini (2007, articulada a los estudios sobre literatura infantil y juvenil brasilera de Moratti (2001, Ceccantini (2010 y Martha (2016. Como objeto de análisis son abordadas las obras Paiquerê: el paraíso de los Kaingangs, de Cléo Busatto, y Karú Tarú: el pequeño chamán, de Daniel Munduruku, ambas editadas en 2009. Este análisis permite la proposición de la hipótesis de que, en la literatura indígena más reciente, direccionada al público infantil, se encuentran opciones estéticas condicionadas a un intento de divulgación cultural no siempre afecto a la construcción de textos literarios de mejor cualidad. Así, se torna necesario reflexionar, en el caso de las narrativas, acerca de ideas y concepciones puestas al servicio de un compromiso ideológico cuyos reflejos, en el texto literario, se muestran contradictorios en relación con el lector, el cual tiende a percibir en la cultura indígena un elemento exótico y estereotipado, lo que poco contribuye para construir una relación intercultural democrática y humanizadora.

Um Estudo Exploratório sobre a Utilização das Informações de Custos em Indústrias de Confecções na Cidade de Ponta Grossa

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Marcia Cristina de Mello Kaspczak

2007-09-01

Full Text Available O objetivo deste artigo é identificar se as empresas utilizam ou não, informações de custos para administrar seus custos de produção. O estudo analisou as práticas de administração de custos desenvolvidas pelo segmento das indústrias de vestuário da cidade de Ponta Grossa no estado do Paraná, através da aplicação de questionários. Observou-se que, em sua maioria, as empresas pesquisadas são microempresas, administradas por seus proprietários. As evidências mostram que ocorre falta de informatização, dificultando a administração do nível de estoques e conseqüentemente o uso das informações de custos das indústrias pesquisadas. De acordo com a maioria das empresas, as informações de custos que possuem são utilizadas basicamente com a finalidade de formação de preço de venda de seus produtos, e algumas as utilizam para controlar e reduzir seu nível de custos.

Dermatology consultations significantly contribute quality to care of hospitalized patients: a prospective study of dermatology inpatient consults at a tertiary care center.

Science.gov (United States)

Galimberti, Fabrizio; Guren, Lauren; Fernandez, Anthony P; Sood, Apra

2016-10-01

Cutaneous abnormalities are common in hospitalized patients but are frequently missed or misdiagnosed by admitting teams. Inpatient dermatology consultations provide important information to help diagnose and manage these patients. However, few studies have analyzed dermatology inpatient consultations and their effect. We prospectively collected information for 691 consecutive dermatology consultations from November 2013 to November 2014. Patients ranged in age from newborns to 97 years old. The internal medicine service requested the most consultations (45%). Only 6.5% of consultations were requested within 24 hours of appearance of cutaneous findings. Before consultation, 70.3% of patients did not receive treatment for or based on their cutaneous findings. Dermatology consultation resulted in treatment change in 81.9% of patients. The most common diagnoses were drug rash and contact dermatitis. Biopsies confirmed 71.7% of the initial bedside diagnoses by the dermatology consultation team. Common skin diseases were responsible for the majority of dermatology consultations. Most patients were not treated for their cutaneous conditions before the dermatology consultation. Dermatology consultations resulted in treatment changes in the majority of cases. © 2016 The International Society of Dermatology.

Effects of Brief Psychoeducational Program on Stigma in Malaysian Pre-clinical Medical Students: A Randomized Controlled Trial.

Science.gov (United States)

Fernandez, Aaron; Tan, Kit-Aun; Knaak, Stephanie; Chew, Boon How; Ghazali, Sazlina Shariff

2016-12-01

If presented with serious mental illness (SMI), individuals' low help-seeking behaviors and poor adherence to treatment are associated with negative stereotypes and attitudes of healthcare providers. In this study, we examined the effects of a brief psychoeducational program on reducing stigma in pre-clinical medical students. One hundred and two pre-clinical medical students (20-23 years old) were randomly assigned to face-to-face contact + educational lecture (n = 51) condition or video-based contact + educational lecture (n = 51) condition. Measures of pre-clinical medical students' mental illness-related stigma using the Opening Minds Stigma Scale for Health Care Providers (OMS-HC) were administered at pre-, post-treatment, and 1-month follow-up. A 2 (condition: face-to-face contact + educational lecture, video-based contact + educational lecture) by 3 (time: pre-treatment, post-treatment, and 1-month follow-up) mixed model MANOVA was conducted on the Attitudes, Disclosure and Help-Seeking, and Social Distance OMS-HC subscales. Participants' scores on all subscales changed significantly across time, regardless of conditions. To determine how participants' scores changed significantly over time on each subscale, Bonferroni follow-up comparisons were performed to access pairwise differences for the main effect of time. Specifically, pairwise comparisons produced a significant reduction in Social Distance subscale between pre-treatment and post-treatment and between pre-treatment and 1-month follow-up, and a significant increase between post-treatment and 1-month follow-up, regardless of conditions. With respect to the Attitudes and Disclosure and Help-Seeking subscales, pairwise comparisons produced a significant reduction in scores between pre-treatment and post-treatment and a significant increase between post-treatment and 1-month follow-up. Our findings provide additional evidence that educational lecture on mental illness, coupled

Site characterization plan overview: Yucca Mountain Site, Nevada Research and Development Area, Nevada: Consultation Draft

International Nuclear Information System (INIS)

1988-01-01

The consultation draft of the site characterization plan is a lengthy document that describes in considerable detail the program that will be conducted to characterize the geologic, hydrologic, and other conditions relevant to the suitability of the site for a repository. The overview presented here consists of brief summaries of important topics covered in the consultation draft of the site-characterization plan; it is not a substitute for the site-characterization plan. The arrangement of the overview is similar to that of the plan itself, with brief descriptions of the disposal system -- the site, the repository, and the waste package -- preceding the discussion of the characterization program to be carried out at the Yucca Mountain site. It is intended primarily for the management staff of organizations involved in the DOE's repository program -- staff who might wish to understand the general scope of the site-characterization program, the activities to be conducted, and the facilities to be constructed rather than the technical details of site characterization. 22 figs., 1 tab

The effect of pre-travel advice on sexual risk behavior abroad: a systematic review.

Science.gov (United States)

Croughs, Mieke; Remmen, Roy; Van den Ende, Jef

2014-01-01

Travelers often have casual sex abroad and the risk of acquiring a sexually transmitted infection (STI) associated with casual travel sex is considered to be threefold higher compared to the risk of casual sex in the home country. Consequently, international guidelines recommend including STI advice in the pre-travel consultation. We performed a systematic review on the effect of a pre-travel STI intervention on sexual risk behavior abroad. In September 2012, a systematic analysis and meta-analysis of peer reviewed literature were performed on the relation between pre-travel STI advice for travelers and sexual risk behavior abroad. Primary outcome measure consisted of the number of travelers with a new sexual partner abroad; secondary outcome measure entailed the proportion of consistent condom use. Six studies were identified for inclusion in the review, of which three clinical trials on the effect of a motivational intervention compared to standard pre-travel STI advice qualified for the meta-analysis. Two of these trials were performed in US marines deployed abroad and one in visitors of a travel clinic. The extensive motivational training program of the marines led to a reduction in sexual risk behavior, while the brief motivational intervention in the travel clinic was not superior to standard advice. The meta-analysis established no overall effect on risk behavior abroad. No clinical trials on the effect of a standard pre-travel STI discussion were found, but a cohort study reported that no relation was found between the recall of a nonstructured pre-travel STI discussion and sexual risk behavior, while the recall of reading the STI information appeared to be related to more consistent condom use. Motivational pre-travel STI intervention was not found to be superior to standard STI advice, while no clinical trials on the effect of standard pre-travel STI advice were found. © 2013 International Society of Travel Medicine.

Zoom on India | Gros plan sur l’Inde

Directory of Open Access Journals (Sweden)

2012-05-01

Full Text Available Indian Energy Production and Consumption (in Million Tonnes of Oil EquivalentProduction et consommation d’énergie en Inde (en millions de tonnes d’équivalent pétroleSource: World Bank, World Bank Development Indicators, 2010.Indian Oil, Gas and Coal Imports (in Million Tonnes of Oil Equivalent, 2008*Importations indiennes de pétrole, de gaz et de charbon (en millions de tonnes d’équivalent pétrole, 2008** 2009 for coal data | 2009 pour les données sur le charbon.Sources: British Petroleum...

A Pre-Engineering Program Using Robots to Attract Underrepresented High School and Community College Students

Science.gov (United States)

Mosley, Pauline Helen; Liu, Yun; Hargrove, S. Keith; Doswell, Jayfus T.

2010-01-01

This paper gives an overview of a new pre-engineering program--Robotics Technician Curriculum--that uses robots to solicit underrepresented students pursuing careers in science, technology, engineering, and mathematics (STEM). The curriculum uses a project-based learning environment, which consists of part lecture and part laboratory. This program…

Indústrias criativas: alternativa de desenvolvimento regional | Creative industries: regional development alternatives

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Cláudia Sousa Leitão

2011-10-01

Full Text Available Resumo O presente artigo tem por objetivo apresentar uma proposta de fomento às cadeias produtivas das indústrias criativas no nordeste do Brasil, na perspectiva de uma discussão acerca de modelos alternativos de desenvolvimento regional. Para concretizar esse propósito, foi realizada uma pesquisa do tipo bibliográfica em livros, artigos de periódicos e documentos eletrônicos. O estudo inicia-se com a reflexão sobre os significados do desenvolvimento e suas conexões com a criatividade e a inovação. A pesquisa está estruturada em dois grandes eixos: o primeiro trata do conceito de indústrias criativas e do relato de suas potencialidades na geração de impactos econômicos, culturais, sociais e tecnológicos positivos na alavancagem do comércio doméstico e externo de bens e serviços criativos; o segundo apresenta uma discussão sobre desenvolvimento local e regional a partir do conceito de ‘bacia criativa’ com vistas a um novo enfoque territorial do nordeste brasileiro. A partir desses eixos, é proposto o Programa Nordeste Criativo que se constitui de duas linhas de ação fundamentais: o primeiro refere-se à estruturação e operacionalização de um o Observatório das Indústrias Criativas do Nordeste (OICNE voltado a produção e difusão do conhecimento sobre a economia criativa da região; o segundo diz respeito à criação e operacionalização dos Birôs de Negócios Criativos (BNC, ou seja, espaços físicos para o fomento de empreendimentos criativos sustentáveis e fortalecimento da cadeia produtiva das indústrias criativas. Assim, este estudo vem contribuir para a construção de um novo pensamento sobre o nordeste brasileiro. Por um lado, a institucionalização do Observatório das Indústrias Criativas se propõe a identificar o potencial criativo daquela região; do outro, os Birôs de Negócios Criativos objetivam consolidar as cadeias produtivas das indústrias criativas, enfatizando a profissionaliza

Cancer among indigenous people in the Amazon basin of Ecuador, 1985-2000 El cáncer en la población indígena de la cuenca Amazónica del Ecuador, 1985-2000

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Miguel San Sebastián

2004-11-01

Full Text Available OBJECTIVE: To provide some of the first data on cancer incidence among indigenous people in the Amazon basin of Ecuador, and to compare that incidence with the level found among nonindigenous persons living in that same area. METHODS: From the study area 1 207 cancer cases were reported to the National Cancer Registry over the 1985-2000 period. Frequency and relative risks were calculated for the indigenous residents and for the nonindigenous residents of the area. RESULTS: Cancer of the testes and leukemia were the most common cancer types among indigenous men, and cancer of the cervix uteri was the most common among indigenous women. Indigenous men were at significantly lower risk for cancer of the stomach, skin, prostate, and lymph nodes and for leukemia than were nonindigenous men. Indigenous women were at significantly lower risk for cancer of the stomach, skin, breast, cervix uteri, and lymph nodes than were nonindigenous women. CONCLUSION: Our data from the Ecuadorian Amazon indicate the need to develop appropriate mechanisms to register the indigenous population in the national census as well as in the National Cancer Registry. Also needed are cancer early detection programs, more health education efforts, and stronger health services that are adapted to the local conditions. Future research should focus on factors that may help to explain the different cancer patterns found among indigenous persons and nonindigenous persons.OBJETIVO: Proporcionar los primeros datos sobre la incidencia de cáncer en la población indígena de la cuenca amazónica del Ecuador y comparar dicha incidencia con la hallada en la población no indígena que habita en la misma zona. MÉTODOS: En la zona estudiada se notificaron 1 207 casos de cáncer al Registro Nacional de Cáncer en el período de 1985-2000. Se calcularon las respectivas frecuencias y riegos relativos de los residentes indígenas del territorio y de los residentes no indígenas. RESULTADOS: El

Employee Assistance Programs.

Science.gov (United States)

Levine, Hermine Zagat

1985-01-01

The author reports company responses to a questionnaire concerning employee assistance programs (EAP). Answers concern EAP structure, staff training, use of outside consultant, services provided by EAPs, program administration, employee confidence in EAPs, advertising the program, program philosophy, problems encountered by EAP users, coverage and…

Subjetividades indígenas impuestas y desafiantes en el discurso televisivo

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Ana Ramos

2002-12-01

Full Text Available Rebelión del Arauco y Otra Justicia, Otra Cultura son informes de investigación periodística. Ambas narrativas -tomadas del discurso televisivo- construyen un "otro indígena" como premisa de un argumento más amplio. El primero pertenece a un programa chileno en el que el indígena es un ejemplo de violencia ejercida contra el "sistema". El segundo corresponde a un informativo argentino en el que la construcción del conflicto intra e interétnico ilustra la inoperancia del "estado". El propósito de este trabajo consiste en analizar las estrategias simbólicas utilizadas por la instancia enunciativa del programa televisivo y aquellas que emergen de los eventos citados; y a través de los ejemplos seleccionados mostrar el modo en que estas estrategias pueden ser utilizadas en el discurso televisivo para confirmar o desafiar estereotipos en torno a la construcción conjunta del ser indígena y el ser nacional."Arauco´s rebellion" and "Other justice, other culture" are press investigation reports. Both narratives -from television discourse- construct an "indigenous other" like premises of a broader argument. The first one belongs to a Chilean programme in which the indigenous actions are shown like examples of violence against "the system". The second one is from an Argentine news programme in which the construction of an intra and inter-ethnic conflict illustrates the inoperation of the State. The intention of this article is to analyse the symbolic strategies used by the enunciative instances of television programmes, and those that emerge from the cited events; and through the selected examples to show the way in which these strategies may be used in the television discourse to confirm or challenge stereotypes that surround the simultaneous construction of the indigenous being and the national being.