Pastoralism and wildlife: historical and current perspectives in the East African rangelands of Kenya and Tanzania.

Science.gov (United States)

Lankester, F; Davis, A

2016-11-01

The relationship between pastoralists, their livestock, wildlife and the rangelands of East Africa is multi-directional, complex and long-standing. The tumultuous events of the past century, however, have rewritten the nature of this relationship, reshaping the landscapes that were created, and relied upon, by both pastoralists and wildlife. Presently, much of the interaction between wildlife and pastoralists takes place in and around protected areas, the most contentious occurring in pastoral lands surrounding national parks. In conservation terminology these areas are called buffer zones. In the past century buffer zones have been shaped by, and contributed to, restrictive conservation policies, expropriation of land, efforts to include communities in conservation, both positive and negative wildlife/livestock interactions, and political tensions. In this review paper, the authors outline the history that shaped the current relationship between pastoralists, livestock and wildlife in buffer zones in East Africa and highlight some of the broader issues that pastoralists (and pastoralism as an effective livelihood strategy) now face. Finally, they consider some of the sustainable and equitable practices that could be implemented to improve livelihoods and benefit wildlife and pastoralism alike.

Proyecto educativo y pastoral para los niños trabajadores en el mercado mayorista del sur de Quito

OpenAIRE

Ibarra Sandoval, Fredy

2005-01-01

El presente trabajo investigativo: “Proyecto Educativo y Pastoral para los niños trabajadores en el Mercado Mayorista del sur de Quito”, fue seleccionado con el objetivo de presentar una parte de la realidad actual educativa y pastoral por la que atraviesan los niños que trabajaban en el Mercado Mayorista, ubicado al Sur de Quito. La Educación es un derecho y un deber de todo ciudadano, por tanto creo imprescindible hacer respetar y apoyar para que esta gestión sea diligente...

Mediaciones para un método de teología pastoral, a partir de la teología práctica de Karl Rahner

Directory of Open Access Journals (Sweden)

Alex Vigueras Cherres

2012-01-01

Full Text Available A partir de una comprensión de la teología práctica de Karl Rahner como una teología pastoral en perspectiva escatológica, y teniendo como plano de fondo el problema del carácter teológico del análisis de la situación presente, presentamos algunas posibles mediaciones para un método de teología pastoral, a saber, mirar el futuro desde la "futuridad del presente", conocer desde los otros, la narratividad, la corporeidad y la "indiferencia".Based on understanding of Karl Rahner's practical theology as a pastoral theology in an eschatological perspective, and having as a background the theological problem of analyzing the present situation, we present some possible mediations for a pastoral theology method, namely, looking at the future from a "futurity of the present," knowing from others, narrative, corporeality and "indifference."

FALLECIMIENTO DEL DOCTOR ALFONSO AGUSTI PASTOR

Directory of Open Access Journals (Sweden)

Hector Pedraza M.

1982-12-01

Full Text Available

Palabras del Profesor Héctor Pedraza M., en el Cementerio Central de Bogotá.

Señores Académicos, colegas, señoras, señores:

El doctor Hernando Groot, Presidente de la Academia Nacional de Medicina, nos encomienda que pronunciemos algunas palabras frente al féretro que contiene los despojos mortales del Académico Alfonso Agusti Pastor, Miembro Numerario de nuestra ilustre corporación, Médico ejemplar en el ejercicio profesional y Profesor Agregado por concurso en la Facultad de Medicina de la Universidad Nacional, para que hagamos breve elogio de quien fue sobresaliente en aquel plantel por su caballerosidad y consagración al estudio,
por lo cual obtuvo, desde entonces, merecidas distinciones.

Su temperamento observador y analítico lo condujo a ejercer la medicina en el dificil campo de la siquiatría, la cual exige cualidades especiales de sabiduría, templanza y equilibrio en el razonamiento y el concepto. Poseedor de estas cualidades pudo cuidar con éxito y humanidad a sus pacientes que estaban sumergidos en la tinieblas de la demencia
y de otras afecciones menores, que en este tiempo alteran cada vez con mayor frecuencia el siquismo, y que estorban o impiden vivir en paz consigo y con sus semejantes. El doctor Alfonso Agusti Pastor fue de los primeros en nuestro medio con el Profesor Maximiliano Rueda, en aplicar el shock, para ciertas enfermedades mentales; por tal motivo obtuvo merecido renombre.

En la Academia de Medicina nos deleitó con magníficas semblanzas de sus ilustres maestros profesores: Edmundo Rico, Julio Manrique, Maximiliano Rueda y Alfonso Esguerra Gómez, dando así prueba de su generosidad y agradecimiento y de su compromiso con Hipócrates.

Felizmente tales escritos quedaron consignados en la Revista "Medicina", órgano de publicidad de la Academia...

Obesity prevention in child care: A review of U.S. state regulations

Directory of Open Access Journals (Sweden)

Slining Meghan

2008-05-01

Full Text Available ABSTRACT Objective To describe and contrast individual state nutrition and physical activity regulations related to childhood obesity for child care centers and family child care homes in the United States. Methods We conducted a review of regulations for child care facilities for all 50 states and the District of Columbia. We examined state regulations and recorded key nutrition and physical activity items that may contribute to childhood obesity. Items included in this review were: 1 Water is freely available; 2 Sugar-sweetened beverages are limited; 3 Foods of low nutritional value are limited; 4 Children are not forced to eat; 5 Food is not used as a reward; 6 Support is provided for breastfeeding and provision of breast milk; 7 Screen time is limited; and 8 Physical activity is required daily. Results Considerable variation exists among state nutrition and physical activity regulations related to obesity. Tennessee had six of the eight regulations for child care centers, and Delaware, Georgia, Indiana, and Nevada had five of the eight regulations. Conversely, the District of Columbia, Idaho, Nebraska and Washington had none of the eight regulations. For family child care homes, Georgia and Nevada had five of the eight regulations; Arizona, Mississippi, North Carolina, Oregon, Tennessee, Texas, Vermont, and West Virginia had four of the eight regulations. California, the District of Columbia, Idaho, Iowa, Kansas, and Nebraska did not have any of the regulations related to obesity for family child care homes. Conclusion Many states lack specific nutrition and physical activity regulations related to childhood obesity for child care facilities. If widely implemented, enhancing state regulations could help address the obesity epidemic in young children in the United States.

Školski pastoral kao doprinos školskoj kulturi

OpenAIRE

Kaupp, Angela

2010-01-01

Nakon 1990. godine u većini njemačkih biskupija razvijaju se planovi i programi "školskog pastorala". Školski pastoral obuhvaća kršćanski angažman u školi kao mjestu učenja, a organiziraju ga crkve. Riječ je o slobodnoj ponudi koja je namijenjena učenicima, nastavnom osoblju i roditeljima. Za razliku od toga, školski vjeronauk je u gotovo svim njemačkim saveznim pokrajinama redoviti školski predmet u svim vrstama škola, za koji su zajednički odgovorne država i škola. Školski vjeronauk predaju...

O texto bíblico e a igreja católica romana: aproximações pastorais = Bible text and Roman Catholic Church: approaches pastoral

Directory of Open Access Journals (Sweden)

Junqueira, Sérgio Rogério Azevedo

2013-01-01

Full Text Available O texto é parte de uma pesquisa qualitativa histórica sobre o uso do texto bíblico na pastoral. Articulado a partir do início da era cristã, perpassando pelo período medieval, renascimento, moderno e contemporâneo, este breve estudo histórico será pressuposto para outras etapas da pesquisa do uso pastoral da Bíblia. Significativamente pelo fato de que, ao longo dos séculos, o uso do texto bíblico vinha acompanhado de várias questões acerca de quem e como interpretá-lo, considerando a tradição e o magistério, de forma que houve uma restrição ao texto para a maioria dos cristãos. Trata-se de uma longa história da qual se pretende apresentar alguns acenos para levantar novas questões, sobretudo, quanto ao lugar da Escritura na pastoral da Igreja hoje, especialmente na pastoral escolar

The hearthhold in pastoral Fulbe society, central Mali : social relations, milk and drought

NARCIS (Netherlands)

Bruijn, de M.E.

1997-01-01

In pastoral Fulbe society in central Mali women had, and to some degree still have, an important social and economic role, concentrated on a 'milk economy' organized through a female-headed, women-centred unit, called 'fayannde' or 'hearthhold'. In a society of seminomadic pastoralists who live most

Pastoral community organization, livelihoods and biodiversity conservation in Mongolia's Southern Gobi Region

Science.gov (United States)

Sabine M. Schmidt

2006-01-01

In this paper I describe processes and impacts of collective action by mobile pastoralist communities, and of external support strategies to strengthen local institutions and cooperation in Mongolia’s southern Gobi. The need for pastoral mobility triggered the processes leading to community organization, and the emergence, or re-emergence, of local informal...

Husbandry, breeding practices, and production constraints of camel in the pastoral communities of Afar and Somali, Ethiopia

Directory of Open Access Journals (Sweden)

Yosef Tadesse

2014-12-01

Full Text Available The objectives of this paper were to identify and describe husbandry practices, herd structure, owners’ trait preferences, breeding practices, and production constraints of camel in the two major camel rearing pastoral communities, viz. Afar and Somali, to generate baseline information that would help to plan possible breed improvement strategies and options for the different camel populations. The study sites were selected purposively while households from each of the sites randomly. Data were collected using formal questionnaires and focus group discussion. Results showed that average camel population per household was higher in Mille (28.06±2.27, Gode (27.51±2.02, and Moyale (24.07±2.13 districts. Female camel populations with age of >1 year contributes 78-83% of the total camel herd population in all the study districts. Higher number of female animals in the herd in the arid environment means providing continuous supply of milk and allows a rapid recovery of herd numbers after a disease outbreak or drought occurrence. This shows that pastoralists breeding objectives are in relation to the arid environment and female population in the herd. Most of the pastoral communities utilize a single breeding male camel per 40-50 female camels and this will affect productivity and heterogeneity of camel population. With regard to trait preference, all pastoral communities ranked milk yield as the first trait of choice, except Liben district in which adaptation trait was the primary preference. Growth trait ranked second in Mille, Gode, Liben, and Jijiga pastoral communities where as adaptation trait ranked second in Amibara and Shinille pastoral communities. The major camel production constraints were feed, diseases, and lack of water in that order and the major cause of the constraints was the recurrent drought occurred during the past 2-3 decades in the two regions. Therefore, in planning and implementation of the breeding strategies for small

Archaeology, archaeozoology and the study of pastoralism in the Near East (Review Article)

NARCIS (Netherlands)

Çakirlar, Canan

2017-01-01

Sheep and goat herding, the basis of pastoralism in the Near East, has been integral to the social organisation, diet, economy, religion and environment of the region since the beginnings of animal domestication. Interestingly, this omnipresent factor of life in the Near East has not been a popular

Women and leadership from a pastoral perspective of friendship

Directory of Open Access Journals (Sweden)

Yolande Dreyer

2002-10-01

Full Text Available The aim of the article is to describe leadership from the perspective of friendship. This perspective highlights a  pastoral rather than a power oriented approach to leadership. Such an approach would be compatible with an attitude of service as an essential characteristic of the church. It could also contribute to the healing of church  structures that have become entangled in power games. It could lead to the healing of women and other disempowered groups who have for centuries been the victims of the power struggles of church institutions.

IMPROVING CONECTIVITY BETWEEN BARÓ DEVIVER ANDBON PASTOR

Directory of Open Access Journals (Sweden)

Mihong Kim

2015-06-01

Full Text Available This paper presents the description of the academic exercise of public space design on the Continuity of Ciutat Rambla de Asuncion in “Gestion de Proyectos” course, which is given to first know the background of the neighborhoods and their current situation, the phases followed in the design process and the end result presented as an annex to plans, sections, diagrams, views, etc. It also describes the aim of achieving unity and continuity together to improve the connectivity being the two neighborhoods through the design of the three major themes of group work are; a Continuity Rambla de la Ciutat de Asunción, b the walk Rivera Besos river, and c the industrial estate between Bon Pastor and Baró de Viver.

Subverting the pastoral: the transcendence of space and place in J.M. Coetzee’s Disgrace

Directory of Open Access Journals (Sweden)

S. Smit-Marais

2006-07-01

Full Text Available This article investigates how J.M. Coetzee’s “Disgrace” (1999 – portrayed as a postcolonial and postmodern fictional event – embodies, problematises and subverts the vision of the pastoral farm novel tradition by transcending traditional configurations of space and place. The novel offers a rather bleak apocalyptic vision of gender roles, racial relationships and family relations in post-apartheid South Africa and expresses the socio-political tensions pertaining to the South African landscape in terms of personal relationships. As a fictional reworking of the farm novel, “Disgrace” draws on the tradition’s anxieties about the rights of (white ownership, but within a post-apartheid context. As such, “Disgrace” challenges the pastoral farm novel’s “dream topography” (Coetzee, 1988:6 of the family farm ruled by the patriarch – a topography inscribed – with the help of the invisible labour of black hands – as a legacy of power and ownership to be inherited and cultivated in perpetuity. Accordingly, the concept “farm” is portrayed as a contested and liminal space inscribed with a history of violence and dispossession – a dystopia. This article therefore conceptualises “Disgrace” as an antipastoral farm novel that reconfigures the concept “farm” – within the context of the South African reality – by subverting, inverting and parodying the structures of space and place postulated by the pastoral farm novel.

Regional Approach for Managing for Resilience Linking Ecosystem Services and Livelihood Strategies for Agro-Pastoral Communities in the Mongolian Steppe Ecosystem

Science.gov (United States)

Ojima, D. S.; Togtohyn, C.; Qi, J.; Galvin, K.

2011-12-01

Dramatic changes due to climate and land use dynamics in the Mongolian Plateau are affecting ecosystem services and agro-pastoral livelihoods in Mongolia and China. Recently, evaluation of pastoral systems, where humans depend on livestock and grassland ecosystem services, have demonstrated the vulnerability of the social-ecological system to climate change. Current social-ecological changes in ecosystem services are affecting land productivity and carrying capacity, land-atmosphere interactions, water resources, and livelihood strategies. Regional dust events, changes in hydrological cycle, and land use changes contribute to changing interactions between ecosystem and landscape processes which then affect social-ecological systems. The general trend involves greater intensification of resource exploitation at the expense of traditional patterns of extensive range utilization. Thus we expect climate-land use-land cover relationships to be crucially modified by the socio-economic forces. The analysis incorporates information of the socio-economic transitions taking place in the region which affect land-use, food security, and ecosystem dynamics. The region of study extends from the Mongolian plateau in Mongolia and China to the fertile northeast China plain. Sustainability of agro-pastoral systems in the region needs to integrate the impact of climate change on ecosystem services with socio-economic changes shaping the livelihood strategies of pastoral systems in the region. Adaptation strategies which incorporate landscape management provides a potential framework to link ecosystem services across space and time more effectively to meet the needs of agro-pastoral land use, herd quality, and herder's living standards. Under appropriate adaptation strategies agro-pastoralists will have the opportunity to utilize seasonal resources and enhance their ability to process and manufacture products from the available ecosystem services in these dynamic social

O ideário taylorista, a gestão da subjetividade e o poder pastoral

Directory of Open Access Journals (Sweden)

Bruno Eduardo Procopiuk Walter

Full Text Available Este ensaio tem por objetivo analisar o ideário taylorista concernente à relação entre operários e gestores a partir da categoria do poder pastoral, proposta por Michel Foucault. Se o poder disciplinar incide sobre o corpo, o poder pastoral incide sobre a alma do indivíduo, implicando - por meio de técnicas confessionais - a direção de consciência. No âmbito do taylorismo, pode-se concluir, tal poder se manifesta, mas não com um sentido parhesiastico, revelando no taylorismo um processo de configuração de verdades a respeito do sujeito operário, ou trabalhador, que o coloca em condição de objeto da gestão nas relações estabelecidas entre a gestão e o operário.

Characterization of an abandoned pastoral area in the Northern Apennines, Italy

Directory of Open Access Journals (Sweden)

Argenti G

2006-01-01

Full Text Available This paper reports the first results of an investigation carried out within the research project "Study and improvement of woods and shrubbery derived from abandoned agricultural areas" (RiSelvItalia Project. Changes occurred in the past 50 years in the pastoral area of S. Paolo in Alpe (Appennino Romagnolo, Northern Apennines, Italy were described on the grounds of photo-interpretation of three sets of aerial photos (1955, 1976, 1997. A high reduction of the surface of sowable lands and pastures (from 80% to 33% was pointed out, together with an increase of shrubbery (from 5% to 18% and woods (from 0 to 42%. The characterization of woods, shrubbery and pastures was performed through structural transects and phyto-sociological investigations. Thus it was possible to reconstruct the dynamic series of vegetation, from grasslands belonging to the association Centaureo bracteatae-Brometum erecti (Festuco-Brometea to woods referable to the association Aceri obtusati-quercetum cerridis (Querco-Fagetea. Investigations on meadows revealed also a good quality of pastures, not only in open grasslands (mean pastoral value - VP - of 30, but even in partially shrubby areas (VP 21. Some guidelines for a multi-purpose exploitation of the site are suggested, taking into account not only economic aspects, but also the conservation of environment and landscape.

‘We Don’t Need No Education’. A Case Study About Pastoral Datoga Girls in Tanzania

Directory of Open Access Journals (Sweden)

Bihariová Emília

2015-12-01

Full Text Available The topic of this paper reflects the reasons why formal education is not in accord with Datoga pastoral life in Tanzania and why this marginalized Nilotic tribe hesitates to send children to schools. In an attempt to grasp different reasons of avoiding education, the paper is focused especially on education of girls, which is less preferred than that of boys. The discussion reveals the impact of formal/informal education on traditional life of mobile Datoga and how norms, habits are slowly weakened. The suggestion is offered that unless the communication between pastoral Datoga and the government regarding school attendance and better conditions takes the cultural context, Datoga will remain outside the schooling process and their marginal position in the society will not change and neither their image of savage people.

Associations between milking practices, somatic cell counts and milk postharvest losses in smallholder dairy and pastoral camel herds in Kenya

Directory of Open Access Journals (Sweden)

Olivier B. Kashongwe

2017-06-01

Full Text Available On-farm hygienic practices are important in assuring quality and safety of milk for consumers and for reducing losses at production and at post-harvest. This study investigated the relationship between milking practices, mastitis as well as milk somatic cell counts (SCC and the effects of high SCC on milk production and post-harvest losses (PHL in smallholder dairy (n = 64 and pastoral camel (n = 15 herds in Kenya. The collected data included milking practices, mastitis test on udder quarters (n = 1236 and collection of milk samples for laboratory analyses: SCC, detection of Staphylococcus aureus and Streptococcus species. Production losses were computed as a proportion of cows and herds with SCC (>200,000 cells/mL and PHL as quantity of milk exceeding 4 × 105 cells/mL. Practices associated with production herds included hands, udder washing and drying, and milk let down stimulation with calves suckling or manually (p < 0.001. Udder drying was only applied in peri-urban herds (100%. Herd level prevalence of mastitis was lower in smallholder than in pastoral herds (60.7% vs 93.3%. Mastitis positive samples had higher prevalence of S.aureus than of Streptococcus species in both smallholder (57.9% vs 23.7% and pastoral (41.6% vs 36.5% herds. Moreover, SCC was significantly affected by presence of mastitis and S.aureus (p < 0.001. Milk PHL from high SCC was higher in smallholder rural herds (27% compared to peri-urban (7% and in pastoral peri-urban (81% compared to rangelands (76%. Milking practices may have contributed to maintain mastitis pathogens in herds. This has led to substantial pre and postharvest milk losses in smallholder and pastoral herds. Therefore teat dipping, dry cow period and herd level mastitis treatment may complement current practices for lower SCC and milk PHL.

Migration, pastoralists, HIV infection and access to care: the ...

African Journals Online (AJOL)

The burden of HIV infection among the nomadic Fulani of northern Nigeria is unknown. Migration — a way of life for this population — is known to increase the rate of HIV transmission and may limit individuals' access to treatment and care. Many of Africa's other traditional, pastoral societies are similarly affected. This paper ...

How Should We "Care" for LGBT+ Students within Higher Education?

Science.gov (United States)

Formby, Eleanor

2017-01-01

This article draws on a recent U.K. research project about lesbian, gay, bisexual and trans (LGBT+) perspectives on university to examine the implications for pastoral care and other service provision on campus. In a departure from previous scholarship that has tended to understand LGBT+ students as "vulnerable" and/or needing…

Establishing an operational waterhole monitoring system using satellite data and hydrologic modelling: Application in the pastoral regions of East Africa

Science.gov (United States)

Senay, Gabriel B.; Velpuri, Naga Manohar; Alemu, Henok; Pervez, Shahriar Md; Asante, Kwabena O; Karuki, Gatarwa; Taa, Asefa; Angerer, Jay

2013-01-01

Timely information on the availability of water and forage is important for the sustainable development of pastoral regions. The lack of such information increases the dependence of pastoral communities on perennial sources, which often leads to competition and conflicts. The provision of timely information is a challenging task, especially due to the scarcity or non-existence of conventional station-based hydrometeorological networks in the remote pastoral regions. A multi-source water balance modelling approach driven by satellite data was used to operationally monitor daily water level fluctuations across the pastoral regions of northern Kenya and southern Ethiopia. Advanced Spaceborne Thermal Emission and Reflection Radiometer data were used for mapping and estimating the surface area of the waterholes. Satellite-based rainfall, modelled run-off and evapotranspiration data were used to model daily water level fluctuations. Mapping of waterholes was achieved with 97% accuracy. Validation of modelled water levels with field-installed gauge data demonstrated the ability of the model to capture the seasonal patterns and variations. Validation results indicate that the model explained 60% of the observed variability in water levels, with an average root-mean-squared error of 22%. Up-to-date information on rainfall, evaporation, scaled water depth and condition of the waterholes is made available daily in near-real time via the Internet (http://watermon.tamu.edu). Such information can be used by non-governmental organizations, governmental organizations and other stakeholders for early warning and decision making. This study demonstrated an integrated approach for establishing an operational waterhole monitoring system using multi-source satellite data and hydrologic modelling.

Um personagem da memória campo-bonense?: o emblemático pastor Klingelhoeffer, soldado Farroupilha

Directory of Open Access Journals (Sweden)

Souza, José Edimar de

2011-01-01

Full Text Available A presente pesquisa analisa os motivos que teriam levado um “cura de almas” a empunhar armas contra o Império. Friedrich Christian Klinglhoeffer, popularmente conhecido como Pastor Farrapo, com seu envolvimento na Revolução Farroupilha transforma-se em pastor mártir da causa republicana no Rio Grande do Sul. Na busca das justificativas deste fato avalia-se a situação política da Europa (Alemanha no século XIX, bem como o Brasil e o Rio Grande do Sul à época da imigração de Klingelhoeffer. Neste contexto, se desenvolve a trajetória e importante participação de Klingellhoeffer na Revolução Farroupilha e, principalmente, no desenvolvimento de Campo Bom e para o progresso do Vale dos Sinos

Pastoral Group Counselling at a High Security Prison in Israel: Integrating Pierre Janet's Psychological Analysis with Fritz Perls' Gestalt Therapy.

Science.gov (United States)

Brown, Paul; Brown, Marta

2015-03-01

This is a report of a short-term, pastoral counselling group conducted with Jewish internees in a high security prison in Israel. It was held as an adjunct to daily secular individual and group counselling and rehabilitation run by the Department of Social Work. Pastoral counselling employed spiritual and psychosocial methodologies to reduce anger, improve prisoner frustration tolerance, and develop a sense of self-efficacy and communal identity. It combined semi-didactic scriptural input with Pierre Janet's personality model, Fritz Perls' gestalt therapy, and analysis of the group process. © The Author(s) 2015 Reprints and permissions:sagepub.co.uk/journalsPermissions.nav.

The Teatro Guindalera Project. An Interview with Juan Pastor MilletFernandez

Directory of Open Access Journals (Sweden)

Mª-Yolanda Fernández-Suárez

2011-03-01

Full Text Available Juan Pastor Millet was born in Alicante in 1943. He has a degree in Drama and did his training with William Layton and Arnold Taraborrelli in Laboratorio T.E.I. Till 1980 he worked as a theatre, cinema and TV actor. As an independent director he has produced plays by both Spanish and foreign contemporary authors, and also by classic ones like Calderón de la Barca, Shakespeare, Cervantes, Molière, Ibsen, Strindberg and Brecht. From 1987 till 2006 he combined his job as a director with his job as a Drama teacher at RESAD (Real Escuela Superior de Arte Dramático. In November 2003 he opened his own Studio and Theatre House in Madrid – Guindalera. From then on he devotes all his time to the family project Guindalera Escena Abierta  together with his wife Teresa Valentín-Gamazo and their daughter, the actress María Pastor. In 2009 while they were celebrating Brian Friel’s 80th anniversary staging three of his plays – El Juego de Yalta, Molly Sweeney and Bailando en Lughnasa – they were awarded the prestigious “Premio Ojo Crítico de Teatro” for their commitment to new authors and their pedagogical character.

Respostas religiosas à aids no Brasil: impressões de pesquisa acerca da Pastoral de DST/Aids da Igreja Católica1

Science.gov (United States)

Seffner, Fernando; Silva, Cristiane Gonçalves Meireles da; Maksud, Ívia; Garcia, Jonathan; Rios, Luís Felipe; Natividade, Marcelo; Borges, Priscila Rodrigues; Parker, Richard; Terto, Veriano

2009-01-01

O texto encontra-se estruturado em quatro partes. Na primeira delas, apresentamos um conjunto de considerações e informações acerca da situação da aids no Brasil, das relações entre religião, sexualidade, aids e estado laico, bem como uma descrição mais clara do Projeto Respostas Religiosas ao HIV/Aids no Brasil, do qual este texto apresenta algumas impressões de pesquisa preliminares. A seguir, dedicamos um item a apresentação da Pastoral de DST/Aids, sua história, estrutura e objetivos. No item seguinte problematizamos diversas questões em particular no âmbito das relações Estado e Igreja, relações entre agentes de pastoral e hierarquia da Igreja, e questões ligadas mais diretamente à sexualidade e aids, todas referenciadas ao trabalho da Pastoral de DST/Aids. Ao final, apresentamos a bibliografia e fontes consultadas. PMID:20442806

Envisioning the future of transhumant pastoralism through participatory scenario planning: a case study in Spain

NARCIS (Netherlands)

Oteros Rozas, E.; González, J.A.; Martín-López, B.; López, C.A.; Palomo, I.; Sotelo Montes, C.

2013-01-01

Transhumance is a practice of nomadic pastoralism that was once common in Mediterranean Europe. This livestock-rearing system is associated with the maintenance of cultural landscapes and the delivery of a wide range of ecosystem services. Although transhumance is still practised in Spain on a small

A political project by instruction: a hundred years of the Pastoral Letter of D. Leme

Directory of Open Access Journals (Sweden)

Marco Aurélio Corrêa Martins

2017-05-01

Full Text Available The rereading of the centennial Pastoral Letter of greeting from D. Leme to diocesans in the Archdiocese of Olinda, in 1916, allows to understand, from historical and historiographical aspects, the composition between ultramontanism and traditionalism in the text of strong politicalbias, in which the archbishop intended a project of religious instruction for the catholicpeople. The analysis points out some aspects of the text in the educational and ideological issues of the period of its production, highlighting the separation between education and instruction in the text. The theoretical framework in the concept of temporality of Paul Ricoeur, beyond the beddings of the philosophy of the history of this author, for its phenomenological entail, allowed a specific understanding of proposals of the archbishop. It was about a bibliographical study in which the Pastoral Letter is a document and a vestige of that time, studied along with some papal encyclicals, also treated documentarily.

A pastoral evaluation and responses to the challenge of spiritual insecurity in African pastoral ministry and Christianity

Directory of Open Access Journals (Sweden)

Vhumani Magezi

2017-01-01

article discusses African spiritual worldview and its implications to practical Christianity. It is an interdisciplinary theological article that integrates African Christian theology and pastoral care. It contributes to the discussion on contextualising Christian practical ministry in Africa.

The paths to last in pastoral sheep farming in the Cevennes in France

Directory of Open Access Journals (Sweden)

B. Dedieu

2016-03-01

Full Text Available In a context of uncertainty of future conditions, which are the sustainable paths? We described the long-term action logics relied upon by the farmers to develop their farms or adapt them to their environment. These logics are based on choices related to increasing the farm size, specializing, the techniques used, marketing, production project debts, and technology incorporation. The data comes from sheep farms in the Cevennes, a pastoral Mediterranean region of Southern France, based on trajectory surveys of families, farming, and sheep management over 30 years (1982–2012. Although sheep farming hardly changed over this period, three different long-term action logics were identified: a clannish logic that gives the opportunity for the children to settle on the farm or nearby; a logic centered on sheep tradition with a focus on increasing the herd size; a multiphase logic, i.e. two or three successive sheep management types or combined household activities are explored. The identified action logics were similar to those described in other studies, except that they did not include logics based on increasing herd productivity by use of technologies, an option too removed from the kind of pastoralism practiced in the Cevennes.

Health Care Efficiencies: Consolidation and Alternative Models vs. Health Care and Antitrust Regulation - Irreconcilable Differences?

Science.gov (United States)

King, Michael W

2017-11-01

Despite the U.S. substantially outspending peer high income nations with almost 18% of GDP dedicated to health care, on any number of statistical measurements from life expectancy to birth rates to chronic disease, 1 the U.S. achieves inferior health outcomes. In short, Americans receive a very disappointing return on investment on their health care dollars, causing economic and social strain. 2 Accordingly, the debates rage on: what is the top driver of health care spending? Among the culprits: poor communication and coordination among disparate providers, paperwork required by payors and regulations, well-intentioned physicians overprescribing treatments, drugs and devices, outright fraud and abuse, and medical malpractice litigation. Fundamentally, what is the best way to reduce U.S. health care spending, while improving the patient experience of care in terms of quality and satisfaction, and driving better patient health outcomes? Mergers, partnerships, and consolidation in the health care industry, new care delivery models like Accountable Care Organizations and integrated care systems, bundled payments, information technology, innovation through new drugs and new medical devices, or some combination of the foregoing? More importantly, recent ambitious reform efforts fall short of a cohesive approach, leaving fundamental internal inconsistencies across divergent arms of the federal government, raising the issue of whether the U.S. health care system can drive sufficient efficiencies within the current health care and antitrust regulatory environments. While debate rages on Capitol Hill over "repeal and replace," only limited attention has been directed toward reforming the current "fee-for-service" model pursuant to which providers are paid for volume of care rather than quality or outcomes. Indeed, both the Patient Protection and Affordable Care Act ("ACA") 3 and proposals for its replacement focus primarily on the reach and cost of providing coverage for

A systematic review of zoonotic enteric parasitic diseases among nomadic and pastoral people.

Directory of Open Access Journals (Sweden)

Amber N Barnes

Full Text Available Zoonotic enteric parasites are ubiquitous and remain a public health threat to humans due to our close relationship with domestic animals and wildlife, inadequate water, sanitation, and hygiene practices and diet. While most communities are now sedentary, nomadic and pastoral populations still exist and experience unique exposure risks for acquiring zoonotic enteric parasites. Through this systematic review we sought to summarize published research regarding pathogens present in nomadic populations and to identify the risk factors for their infection.Using systematic review guidelines set forth by PRISMA, research articles were identified, screened and summarized based on exclusion criteria for the documented presence of zoonotic enteric parasites within nomadic or pastoral human populations. A total of 54 articles published between 1956 and 2016 were reviewed to determine the pathogens and exposure risks associated with the global transhumance lifestyle.The included articles reported more than twenty different zoonotic enteric parasite species and illustrated several risk factors for nomadic and pastoralist populations to acquire infection including; a animal contact, b food preparation and diet, and c household characteristics. The most common parasite studied was Echinococcosis spp. and contact with dogs was recognized as a leading risk factor for zoonotic enteric parasites followed by contact with livestock and/or wildlife, water, sanitation, and hygiene barriers, home slaughter of animals, environmental water exposures, household member age and sex, and consumption of unwashed produce or raw, unprocessed, or undercooked milk or meat.Nomadic and pastoral communities are at risk of infection with a variety of zoonotic enteric parasites due to their living environment, cultural and dietary traditions, and close relationship to animals. Global health efforts aimed at reducing the transmission of these animal-to-human pathogens must incorporate

Constitución pastoral Gozo y Esperanza: memoria y profecía ((Pastoral Constitution, Joy and Hope: Memory and Prophecy - DOI: 10.5752/P.2175-5841.2011v9n24p1301

Directory of Open Access Journals (Sweden)

Alberto Parra

2012-01-01

Full Text Available ResumenEl artículo dirige su atención a la dimensión pastoral del Vaticano II, comprendida como una relación de ida y vuelta entre Iglesia y sociedad. Corroborando esta perspectiva el texto construye una memoria del Concilio, partiendo de algunas charlas de los Papas Juan XXIII y Pablo VI, así como de diversos pasajes de la Constitución Pastoral Gaudium et Spes. El foco insiste en la reciprocidad implicativa del orden secular y del orden de la gracia; rompe con las dicotomías; afirma el ministerio teológico como lectura creyente del devenir histórico. También destaca las exigencias  de la Iglesia para acatar valores “modernos”, como la libertad de consciencia de los fieles, la pluralidad de opiniones y la autonomía de la investigación científica incluso en el ámbito religioso. En un segundo momento, contraponiéndose a una crítica ingenua de la modernidad, dirige su reflexión a la perspectiva profética de la Gaudium et Spes que preconizó la urgencia –para la Iglesia y para la sociedad- de romper con las normativas totalizadoras y hegemónicas para abrirse a las relaciones plurales.Palabras clave: Iglesia. Vaticano II. Gaudium et Spes AbstractThis article focuses on the pastoral dimension of Vatican II, understood as a two-way relationship between Church and society. In support of this view, the text builds a memory of the council from the understanding of some speeches of Pope John XXIII and Paul VI and  also analyzes some passages of the Pastoral Constitution ´Gaudium et Spes`. The reflection emphasizes the reciprocity of the secular order and the order of grace, breaking with all dichotomies and thus reaffirming the theological task as an understanding of historical events. The article also emphasizes the requirements of the Church to accept "modern" values such as freedom of conscience of their followers, the plurality of opinions, the autonomy of scientific research, even in the religious sphere. Secondly, in

Regulating the health care workforce: next steps for research.

Science.gov (United States)

Davies, Celia

2004-01-01

This article explores the recent ferment surrounding professional self-regulation in medicine and other health professions. It reviews the academic literature and sets out an agenda for research. The first section considers definitions, acknowledging the particularly complex regulatory maze in UK health care at present, in which professional self-regulation is only one part. The second section reviews academic writing, currently dispersed among the disciplines. 'The logic of light touch regulation', a feature of the 19th century establishment of the General Medical Council, can perhaps shed light on present debates. Alongside the intense political spotlight on regulation in the wake of the Bristol case, consumer-led research and consumer pressure to rethink the principles of regulation has emerged. This is examined in the third section. Finally, themes for research are advanced. First, there is a need to explore the changing relationship between the state and professions and implications, not only for the professions but for health care more broadly. Second, calls for a new professionalism need to be given clearer content. Third, the moves towards more lay involvement in regulatory bodies need study. Fourth, questions of human rights and professional registers must be explored. Fundamental questions of what professional self-regulation can hope to achieve and where it fits in relation to government ambitions as a whole, remain unresolved. Alongside the work programme of the new overarching regulator, there may well be scope for a new style of public enquiry covering the whole territory of regulation.

Water quality as an indicator of the health status of agro-pastoral dams' ecosystems in Benin

NARCIS (Netherlands)

Kpéra, G.N.; Mensah, G.A.; Aarts, M.N.C.; Zijpp, van der A.J.

2016-01-01

Based on a study in three agro-pastoral dams in Nikki, Sakabansi and Fombawi in northern Benin, this article aims to characterize their physical, chemical and microbiological water quality. The ecosystem services framework underlies this article. Water of the three dams was sampled in the field and

Biblické příběhy v hagioterapii a pastoraci.

OpenAIRE

Kynclová, Dana

2013-01-01

KYNCLOVÁ, Dana. Biblical Stories in Hagiotherapy and Pastoral Care. Praha, 2013. Master's thesis. Charles University. Faculty of Education. Department of Psychology. Supervisor M. Kucera. Keywords: pastoral care, hagiotherapy, Christianity, integrated approach, psychology, theology, spirituality, religion, psychotherapy, Bible, Bible stories, exegesis, existential psychotherapy This thesis deals with the relationship of hagiotherapy and pastoral care on the basis of their approach to work wit...

The use of dreams in spiritual care.

Science.gov (United States)

Stranahan, Susan

2011-01-01

This paper explores the use of dreams in the context of pastoral care. Although many people dream and consider their dreams to hold some significant spiritual meaning, spiritual care providers have been reluctant to incorporate patients' dreams into the therapeutic conversation. Not every dream can be considered insightful, but probing the meaning of some dreams can enhance spiritual care practice. Hill's Cognitive-Experimental Dream Interpretation Model is applied in the current article as a useful framework for exploring dreams, gaining insight about spiritual problems, and developing a therapeutic plan of action. Bulkeley's criteria for dream interpretation were used to furnish safeguards against inappropriate application of dream interpretation to spiritual assessment and interventions.

Multidissiplinêre beskouinge op veroudering vanuit 'n pastorale ...

African Journals Online (AJOL)

Multiprofessional aspects of ageing seen from a pastoral perspective. This article describes existing research on gerontology, and explores the role of pastoral care. When focusing on gerontology from a pastoral care point of view, certain multiprofessional aspects need to be considered. The article aims to highlight insights ...

Corrigendum.

Science.gov (United States)

2018-01-01

Gelo, F. (2018). TED Talks: Learning Through Podcasts. Journal of Pastoral Care & Counselling, 72, 76-76. In the first line of the above-mentioned article, there is a reference to the article Gelo, F. (2018) On Being: Podcasts to Explore, Journal of Pastoral Care & Counselling 72, 75-75, as being in a previous issue of the Journal of Pastoral Care & Counselling. This is incorrect, and the article "On Being: Podcasts to Explore", appeared in the same issue of the Journal of Pastoral Care & Counselling. This line should read: "This issue of JPC&C also highlights a public radio conversation and podcast website On Being."

From "Animal Machines" to "Happy Meat"? Foucault's Ideas of Disciplinary and Pastoral Power Applied to 'Animal-Centred' Welfare Discourse.

Science.gov (United States)

Cole, Matthew

2011-01-11

Michel Foucault's work traces shifting techniques in the governance of humans, from the production of 'docile bodies' subjected to the knowledge formations of the human sciences (disciplinary power), to the facilitation of self-governing agents directed towards specified forms of self-knowledge by quasi-therapeutic authorities (pastoral power). While mindful of the important differences between the governance of human subjects and the oppression of nonhuman animals, exemplified in nonhuman animals' legal status as property, this paper explores parallel shifts from disciplinary to pastoral regimes of human-'farmed' animal relations. Recent innovations in 'animal-centred' welfare science represent a trend away from the 'disciplinary' techniques of confinement and torture associated with 'factory farms' and towards quasi-therapeutic ways of claiming to know 'farmed' animals, in which the animals themselves are co-opted into the processes by which knowledge about them is generated. The new pastoral turn in 'animal-centred' welfare finds popular expression in 'happy meat' discourses that invite 'consumers' to adopt a position of vicarious carer for the 'farmed' animals who they eat. The paper concludes that while 'animal-centred' welfare reform and 'happy meat' discourses promise a possibility of a somewhat less degraded life for some 'farmed' animals, they do so by perpetuating exploitation and oppression and entrenching speciesist privilege by making it less vulnerable to critical scrutiny.

The drought risk of maize in the farming-pastoral ecotone in Northern China based on physical vulnerability assessment

Science.gov (United States)

Wang, Zhiqiang; Jiang, Jingyi; Ma, Qing

2016-12-01

Climate change is affecting every aspect of human activities, especially the agriculture. In China, extreme drought events caused by climate change have posed a great threat to food safety. In this work we aimed to study the drought risk of maize in the farming-pastoral ecotone in Northern China based on physical vulnerability assessment. The physical vulnerability curve was constructed from the relationship between drought hazard intensity index and yield loss rate. The risk assessment of agricultural drought was conducted from the drought hazard intensity index and physical vulnerability curve. The probability distribution of drought hazard intensity index decreased from south-west to north-east and increased from south-east to north-west along the rainfall isoline. The physical vulnerability curve had a reduction effect in three parts of the farming-pastoral ecotone in Northern China, which helped to reduce drought hazard vulnerability on spring maize. The risk of yield loss ratio calculated based on physical vulnerability curve was lower compared with the drought hazard intensity index, which suggested that the capacity of spring maize to resist and adapt to drought is increasing. In conclusion, the farming-pastoral ecotone in Northern China is greatly sensitive to climate change and has a high probability of severe drought hazard. Risk assessment of physical vulnerability can help better understand the physical vulnerability to agricultural drought and can also promote measurements to adapt to climate change.

Leadership Role Expectations and Relationships of Principals and Pastors in Catholic Parochial Elementary Schools: Part 1

Science.gov (United States)

Schafer, Duane F.

2004-01-01

Parish elementary schools in the United States have a governance structure that often precipitates conflict. The principal is the designated leader of the school, the educational administrator, and the supervisor of the faculty and students. By canon law, however, the pastor of the parish remains ultimately responsible for the spiritual and…

Health care workers' compliance with hand hygiene regulations: Positive effects of a poster

NARCIS (Netherlands)

Karreman, Joyce; Berendsen, Femke; Pol, Bert; Dorman, Hilde

2015-01-01

Health care workers in nursing homes do not always comply with hand hygiene regulations, such as not wearing jewelry. Non-compliance with these regulations is a threat to patients' safety. We did two studies to investigate if compliance could be improved by a poster that reminds health care workers

Carbon sequestration in pastures, silvo-pastoral systems and forests in four regions of the latin American Tropics

NARCIS (Netherlands)

Amezquita, M.C.; Ibrahim, M.; Llanderal, T.; Buurman, P.; Amezquita, E.

2005-01-01

Tropical America (TA) holds 8% of the world's population, 11% of the world's continental area, 23% and 22%, respectively, of the world's forest and water resources, and 13% of the world's pasture and agro-pastoral land, this representing 77% of TA's agricultural land. Recent interest in carbon

Growth of Accountable Care Organizations in California: Number, Characteristics, and State Regulation.

Science.gov (United States)

Fulton, Brent D; Pegany, Vishaal; Keolanui, Beth; Scheffler, Richard M

2015-08-01

Accountable care organizations (ACOs) result in physician organizations' and hospitals' receiving risk-based payments tied to costs, health care quality, and patient outcomes. This article (1) describes California ACOs within Medicare, the commercial market, and Medi-Cal and the safety net; (2) discusses how ACOs are regulated by the California Department of Managed Health Care and the California Department of Insurance; and (3) analyzes the increase of ACOs in California using data from Cattaneo and Stroud. While ACOs in California are well established within Medicare and the commercial market, they are still emerging within Medi-Cal and the safety net. Notwithstanding, the state has not enacted a law or issued a regulation specific to ACOs; they are regulated under existing statutes and regulations. From August 2012 to February 2014, the number of lives covered by ACOs increased from 514,100 to 915,285, representing 2.4 percent of California's population, including 10.6 percent of California's Medicare fee-for-service beneficiaries and 2.3 percent of California's commercially insured lives. By emphasizing health care quality and patient outcomes, ACOs have the potential to build and improve on California's delegated model. If recent trends continue, ACOs will have a greater influence on health care delivery and financial risk sharing in California. Copyright © 2015 by Duke University Press.

Pastoral care to or with sex-starved pregnant women in an African context

Directory of Open Access Journals (Sweden)

Magezi E. Baloyi

2013-09-01

Full Text Available The aim of this article is to highlight some African women’s problematic sex life, even in their married lives, as a result of prescribed and lengthy periods of abstinence from sex – especially during pregnancy. Literature studies, especially on Yoruba sexual practices, showed that forced abstinence from sexual activity during pregnancy is rife and that many women seem content with the situation, probably as a result of their internalisation of patriarchal beliefs and values, prescribed as a means of socialisation. This phenomenon of abstinence from sexual intercourse during pregnancy by the women in some African societies is the focus of the study. The article examined the following: views of sex amongst Black African people, medical views of sex and views of sex in Christian tradition. Also examined at length was the phenomenon of abstinence from sex in an African context. The findings led to a critical evaluation of the phenomenon and a search for pastoral guidelines that could facilitate transformation, intimacy and committed sexual life in African families. Die doel van hierdie artikel is om die problematiese seksuele lewens van sommige vrouens in Afrika na vore te bring. Die probleme kom voor ten spyte van die feit dat hulle getroud is omdat lang tydperke van onthouding, veral tydens swangerskap, vir hulle voorgeskryf word. ’n Literatuurstudie, veral oor die Yoruba se seksuele praktyke, dui daarop dat gedwonge onthouding van seksuele aktiwiteite gedurendede swangerskap heersend is. Verder kom dit ook voor asof baie vrouens nie daarmee probleme ervaar nie, waarskynlik as gevolg van hulle geïnternaliseerde patriargale oortuigings en waardes, wat vir sosialiseringsdoeleindes voorgeskryf word. Hierdie studie fokus op die verskynsel van onthouding van geslagsomgang gedurende swangerskap deur vrouens in sommige Afrika-gemeenskappe. Die artikel ondersoek die volgende: Swart Afrikane se tradisionele seksbeskouing, die mediese seksbeskouing

Lutheran Clergy in an Orthodox Empire. The Apppointment of Pastors in the Russo-Swedish Borderland in the 18th Century

Directory of Open Access Journals (Sweden)

Räihä Antti

2015-10-01

Full Text Available The history of the parishioners’ right to participate in and influence the choice of local clergy in Sweden and Finland can be taken back as far as the late Medieval Times. The procedures for electing clergymen are described in historiography as a specifically Nordic feature and as creating the basis of local self-government. In this article the features of local self-government are studied in a context where the scope for action was being modified. The focus is on the parishioners’ possibilities and willingness to influence the appointment of pastors in the Lutheran parishes of the Russo-Swedish borderlands in the 18th century. At the same time, this article will offer the first comprehensive presentation of the procedures for electing pastors in the Consistory District of Fredrikshamn. The Treaty of Åbo, concluded between Sweden and Russia in 1743, ensured that the existing Swedish law, including the canon law of 1686, together with the old Swedish privileges and statutes, as well as the freedom to practise the Lutheran religion, remained in force in the area annexed into Russia. By analysing the actual process of appointing pastors, it is possible to discuss both the development of the local political culture and the interaction between the central power and the local society in the late Early Modern era.

[Application of Landsat ETM+ in monitoring of desertification in agro-pastoral ecotone of northern China].

Science.gov (United States)

Mi, Jia; Wang, Kun; Wang, Hong-mei

2011-03-01

Agro-pastoral ecotone of northern China is a transitional and interlaced zone of agricultural cultivation region and grazing region The ecotone is a complex containing several ecosystems. Soil desertification has become a serious problem that endangered sustainable development in the ecotone. The area of desertification land has been increasing year after year in agro-pastoral ecotone of northern China. This problem concerns the ecological environment, economic development and living quality of people in northern and central eastern of China. For these reasons, ecotone has recently become a focus of research of restoration ecology and global climate change. Remote sensing monitoring of desertification land is a key technique to collect the status and development of sandy land, providing scientific bases for the national desertification control. Landsat ETM+ is an advanced multispectral remote sensing system for the research of regional scale and has been widely used in many fields, such as geologic surveys, mapping, vegetation monitoring, etc. In the present, the authors introduce that spectral characteristics, desertification information extraction, desertification classification and development analyses in detail, and summarizes the study progresses discusses the problems and trends.

Soil respiration patterns for four major land-use types of the agro-pastoral region of northern China

Science.gov (United States)

Land-use types and management practices are critical factors that affect soil CO2 efflux (Rs). In the agro-pastoral area of northern China, land-use types have changed considerably during the last 60 years due to changes in the social-economic status of the human population and associated changes i...

Prospects for regulated competition in the health care system: what can China learn from Russia's experience?

Science.gov (United States)

Xu, Weiwei; Sheiman, Igor; van de Ven, Wynand P M M; Zhang, Wei

2011-05-01

As China explores new directions to reform its health care system, regulated competition among both insurers and providers of care might be one potential model. The Russian Federation in 1993 implemented legislation intended to stimulate such regulated competition in the health care sector. The subsequent progress and lessons learned over these 17 years can shed light on and inform the future evolution of the Chinese system. In this paper, we list the necessary pre-conditions for reaping the benefits of regulated competition in the health care sector. We indicate to what extent these conditions are being fulfilled in the post-reform Russian and current Chinese health care systems. We draw lessons from the Russian experience for the Chinese health care system, which shares a similar economic and political background with the pre-reform Russian health care system in terms of the starting point of the reform, and analyse the prospects for regulated competition in China.

Pastoral theory and practice in the team approach to treatment of scrupulosity as a component of obsessive compulsive disorder.

Science.gov (United States)

Kennemer, Darren L

2007-01-01

The statistical estimates of the prevalence of Obsessive Compulsive Disorder (OCD) in the general population have increased dramatically in recent years. "Blasphemous" obsessions and religious compulsions dominate the clinical picture of many sufferers of OCD. Freud proposed that religion might be a contributing factor for many patients with mental illness. He hedged, however, that observation--something that many of his followers have not done. Others have noted the pathoplasticity of strict religious upbringing and images of God as vindictive or otherwise harsh. Only recently--since the 1970s--has much clinical attention been focused on this disorder by the other disciplines within the mental health community. The church, however, is ahead of the curve in diagnosis and treatment of scrupulosity. It has long been a concern for pastoral counselors--particularly pre-Vatican II Roman Catholic priests. Pathological religion influences OCD and pastoral counseling, the author proposes, can contributes to recovery.

’n Pastoraatsperspektief op dreigende werksverlies

Directory of Open Access Journals (Sweden)

Roelf Schoeman

2008-01-01

Full Text Available A pastoral perspective on the threatening loss of employment The changing employment situation in South Africa is currently characterized by the various challenges it poses to individuals in the workplace, such as affirmative action, voluntary severance packages and discharges. Discharges are often associated with employment insecurity and the threatening loss of employment. A psychological approach to the threatening loss of employment is on its own inadequate. The aim of this article is to investigate the possibilities of a holistic approach as part of pastoral support to persons experiencing the threat of losing their employment. It aims to argue that pastoral care can benefit from a multi- disciplinary approach to the threatening loss of employment. However, pastoral care needs guidelines to facilitate its relationship with psychology and to assist in dealing with faith in the counselling process. This article makes use of Gerkin’s model for pastoral care in order to provide some guidelines for pastoral care for individuals who are experiencing a protracted threat of loss of employment. Gerkin’s model will be brought into dialogue with a cognitive behavioural therapeutic model.

Internal diversification of non-Sub-Saharan haplogroups in Sahelian populations and the spread of pastoralism beyond the Sahara

Czech Academy of Sciences Publication Activity Database

Kulichová, I.; Fernandes, V.; Deme, A.; Nováčková, Jana; Stenzl, V.; Novelletto, A.; Pereira, L.; Černý, Viktor

2017-01-01

Roč. 164, č. 2 (2017), s. 424-434 ISSN 0002-9483 R&D Projects: GA ČR GA13-37998S Institutional support: RVO:67985912 Keywords : Fulani * mtDNA * pastoralism * phylogeography * Y chromosome Subject RIV: AC - Archeology, Anthropology, Ethnology OBOR OECD: Archaeology Impact factor: 2.552, year: 2016

The Detection of Spotted Fever Group Rickettsia DNA in Tick Samples From Pastoral Communities in Kenya.

Science.gov (United States)

Koka, Hellen; Sang, Rosemary; Kutima, Helen Lydia; Musila, Lillian

2017-05-01

In this study, ticks from pastoral communities in Kenya were tested for Rickettsia spp. infections in geographical regions where the presence of tick-borne arboviruses had previously been reported. Rickettsial and arbovirus infections have similar clinical features which makes differential diagnosis challenging when both diseases occur. The tick samples were tested for Rickettsia spp. by conventional PCR using three primer sets targeting the gltA, ompA, and ompB genes followed by amplicon sequencing. Of the tick pools screened, 25% (95/380) were positive for Rickettsia spp. DNA using the gltA primer set. Of the tick-positive pools, 60% were ticks collected from camels. Rickettsia aeschlimannii and R. africae were the main Rickettsia spp. detected in the tick pools sequenced. The findings of this study indicate that multiple Rickettsia species are circulating in ticks from pastoral communities in Kenya and could contribute to the etiology of febrile illness in these areas. Diagnosis and treatment of rickettsial infections should be a public health priority in these regions. © The Authors 2017. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

roLverWAgTinge vAn Ags PAsTors: voorsTeLLe vir 'n voorTgeseTTe ...

African Journals Online (AJOL)

tor god volkome vertrou en bereidwillig is om sy onderdaan ten alle tye te wees. dit sal hulle ook in staat stel om hulle .... hou wat uitgewys is, is onder andere beplanning, organisasie, spanbou, vision ering, bemarking en .... tor en 'n literatuurkontrole oor teologiese opleiding kan 'n voorlopige vToP vir pastors volgens Putter ...

Innovations and diverse livelihood pathways: alternative livelihoods, livelihood diversification and societal transformation in pastoral communities.

Science.gov (United States)

Köhler-Rollefson, I

2016-11-01

Pastoralists have a rich tradition of 'innovation', as continuous adaptation to new ecological and economic scenarios has been a prerequisite for their survival through the millennia. One of their greatest assets is the large number of locally adapted livestock breeds they have developed, which represent a major resource for climate change adaptation as well as mitigation. Pastoralists are beginning to position themselves as providers of ecological services as well as of livestock products that represent a healthy and eco-friendly alternative to the products from industrial production systems. Nevertheless, many governments continue with antagonistic policies, being unaware of the ecological and economic significance of their pastoral populations. Biocultural Community Protocols, as specified in the Nagoya Protocol on Access and Benefit-Sharing to the Convention on Biological Diversity, are emerging as an important tool for setting the record straight about the role of pastoralists in food security and biodiversity conservation. There is a need for increased recognition of the inherent 'modernity' of pastoralism and the role it can play in creating a more green economy. If this recognition is forthcoming and is rewarded appropriately with government support, this may also overcome the current problem of finding enough capable young people interested in pursuing pastoralist careers.

Spiritual and religious components of patient care in the neonatal intensive care unit: sacred themes in a secular setting.

Science.gov (United States)

Catlin, E A; Guillemin, J H; Thiel, M M; Hammond, S; Wang, M L; O'Donnell, J

2001-01-01

We hypothesized that spiritual distress was a common, unrecognized theme for neonatal intensive care unit (NICU) care providers. An anonymous questionnaire form assigned to a data table in a relational database was designed. Surveys were completed by 66% of NICU staff. All respondents viewed a family's spiritual and religious concerns as having a place in patient care. Eighty-three percent reported praying for babies privately. Asked what theological sense they made of suffering of NICU babies, 2% replied that children do not suffer in the NICU. Regarding psychological suffering of families, the majority felt God could prevent this, with parents differing (p = 0.039) from nonparents. There exists a strong undercurrent of spirituality and religiosity in the study NICU. These data document actual religious and spiritual attitudes and practices and support a need for pastoral resources for both families and care providers. NICU care providers approach difficulties of their work potentially within a religious and spiritual rather than a uniquely secular framework.

Individual differences in effects of child care quality: The role of child affective self-regulation and gender.

Science.gov (United States)

Broekhuizen, Martine L; Aken, Marcel A G van; Dubas, Judith S; Mulder, Hanna; Leseman, Paul P M

2015-08-01

The current study investigated whether the relation between child care quality and children's socio-emotional behavior depended on children's affective self-regulation skills and gender. Participants were 545 children (Mage=27 months) from 60 center-based child care centers in the Netherlands. Multi-level analyses showed that children with low affective self-regulation skills or who were male demonstrated less teacher-rated social competence when exposed to relatively low quality child care. In addition, children with low affective self-regulation skills also showed more social competence in the case of relatively high quality child care, suggesting mechanisms of differential susceptibility. No main effects of child care quality or interactions were found for teacher- and parent-rated externalizing behavior. These findings emphasize the importance of considering children's affective self-regulation skills and gender in understanding the effects of child care quality. High quality child care can be a means to strengthen children's social development. Copyright © 2015 Elsevier Inc. All rights reserved.

Using Coupled Simulation Models to Link Pastoral Decision Making and Ecosystem Services

Directory of Open Access Journals (Sweden)

Randall B. Boone

2011-06-01

Full Text Available Historically, pastoral people were able to more freely use the services their semi-arid and arid ecosystems provide, and they adapted to changes in ways that improved their well-being. More recently, their ability to adapt has been constrained due to changes from within and from outside their communities. To compare possible responses by pastoral communities, we modeled ecosystem services and tied those services to decisions that people make at the household level. We created an agent-based household model called DECUMA, joined that model with the ecosystem model SAVANNA, and applied the linked models to southeastern Kajiado District, Kenya. The structure of the new agent-based model and linkages between the models are described, and then we demonstrate the model results using a scenario that shows changes in Maasai well-being in response to drought. We then explore two additional but related scenarios, quantifying household well-being if access to a grazing reserve is lost and if access is lost but those most affected are compensated. In the second scenario, households in group ranches abutting the grazing reserve that lost access had large declines in livestock populations, less food energy from animal sources, increased livestock sales and grain purchases, and increased need for supplemental foods. Households in more distant areas showed no changes or had increases in livestock populations because their herds had fewer animals with which to compete for forage. When households neighboring the grazing reserve were compensated for the lease of the lands they had used, they prospered. We describe some benefits and limitations of the agent-based approach.

Turnover of regulated nurses in long-term care facilities.

Science.gov (United States)

Chu, Charlene H; Wodchis, Walter P; McGilton, Katherine S

2014-07-01

To describe the relationship between nursing staff turnover in long-term care (LTC) homes and organisational factors consisting of leadership practices and behaviours, supervisory support, burnout, job satisfaction and work environment satisfaction. The turnover of regulated nursing staff [Registered Nurses (RNs) and Registered Practical Nurses (RPNs)] in LTC facilities is a pervasive problem, but there is a scarcity of research examining this issue in Canada. The study was conceptualized using a Stress Process model. Distinct surveys were distributed to administrators to measure organisational factors and to regulated nurses to measure personal and job-related sources of stress and workplace support. In total, 324 surveys were used in the linear regression analysis to examine factors associated with high turnover rates. Higher leadership practice scores were associated with lower nursing turnover; a one score increase in leadership correlated with a 49% decrease in nursing turnover. A significant inverse relationship between leadership turnover and nurse turnover was found: the higher the administrator turnover the lower the nurse turnover rate. Leadership practices and administrator turnover are significant in influencing regulated nurse turnover in LTC. Long-term care facilities may want to focus on building good leadership and communication as an upstream method to minimize nurse turnover. © 2013 John Wiley & Sons Ltd.

Federalism and managed care: introductory comments to the American Association of Law Schools' Section on Law, Medicine and Health Care on the role of the states in managed care regulation.

Science.gov (United States)

Blum, J D

1999-01-01

This section of the Annals of Health Law represents a compilation of materials concerning the state regulation of managed care. The following materials were first presented at the annual meeting of the American Association of Law Schools ("AALS"), Section on Law, Medicine and Health Care in January 1999. Chairman John Blum introduces the subject and questions the dual role assumed by state and federal authorities in regulating managed care.

Pathways towards to improve the feasibility of dairy pastoral system in La Pampa (Argentine

Directory of Open Access Journals (Sweden)

Elena Angón

2015-11-01

Full Text Available Over the last decade, pastoral systems have been intensified in response to an increasing demand for meat and milk, by generating environmental and social problems due to its high dependence on external inputs. The objective of this research was to analyze the economic feasibility of dairy pastoral system in La Pampa (Argentina. The main successful factors were identified through technical efficiency analysis, and subsequently improvement actions were suggested. The technique data envelopment analysis creates efficiency indexes by comparing the performance of each farm with the best practice, which defines the production frontier. The farms were classified attending to two criteria: first, the level of efficiency, second, the regular use of supplementation feed. The results showed that about 40% of the farms were efficient and the efficiency rate of the farms without supplementary feed was 80%. A 70% of the farms uses their own grassland resources adjusting milk yield to the capacity of the pasture. The technical efficiency for this group is 14% higher than the rest. Inefficient farms can adopt different strategies to enhance by practicing benchmarking. One of the examples studied shows two ways to do it: on the one hand the extensification by producing at a minimum cost; on the other hand, the technification, linked to the increase of stocking rate and the use of strategic supplementation. Finally, small changes in the management of the farms positively impact on performance, use of resources, and the sustainability of the system.

The refugee dilemma and migrant crisis: ‘Charity begins at Home’ or ‘Being Home to the Homeless’? The paradoxical stance in pastoral caregiving and the infiltration and perichoresis of compassion

Directory of Open Access Journals (Sweden)

Daniel Louw

2016-08-01

Full Text Available The current refugee and migrant crisis is revealing on a deeper ‘spiritual level’ a crisis of meaning and habitus (attitudinal crisis. Because of prejudice, xenophobia reveals a crisis of compassion and diaconic outreach. How should local communities and communities of faith display hospitality (xenophilia to the other (stranger, foreigner, outsider in cases where one’s own life is threatened by those you are supposed to care for? Is it true that charity begins at home, or is charity, as determined by the Christian notions of ḥesed and oiktirmos, an inclusive concept that should or could start with the homeless, the outcast and the outsider as well? This question points to the danger of selective compassion. It is argued that pastoral caregiving, within the refugee and migrant dilemma, should apply a hermeneutics of complexity and paradox. In this regard the theological paradox of the passion (pathē of Christ should be implied in order to make room (perichoresis for displaced and homeless people. The theological argument is based on the following presupposition: the passio dei defines ‘practice’ in pastoral theology as compassionate hospitality, as a mode of being-with, that eventually should infiltrate and penetrate the systemic paranoia of prejudice, as well as the networking dynamics of human relationships, irrespective of race, class and gender distinctions.

URBAN COHESION. IMPROVING CONECTIVITY BETWEEN BARÓ DE VIVER AND BON PASTOR

Directory of Open Access Journals (Sweden)

Equipo Docente Taller Gestión de Proyectos

2015-06-01

Full Text Available This paper presents the description of the academic exercise of public space design on the Continuity of Ciutat Rambla de Asuncion in “Gestion de Proyectos” course, which is given to first know the background of the neighborhoods and their current situation, the phases followed in the design process and the end result presented as an annex to plans, sections, diagrams, views, etc. It also describes the aim of achieving unity and continuity together to improve the connectivity being the two neighborhoods through the design of the three major themes of group work are; a Continuity Rambla de la Ciutat de Asunción, b the walk Rivera Besos river, and c the industrial estate between Bon Pastor and Baró de Viver.

Analysis on Temporal-Spatial Changes of Vegetation Cverrge in Farming-Pastoral Ecotone of Inner Mongolia

Science.gov (United States)

Yan, X.; Li, J.; Yang, Z.

2018-04-01

Chen Barag Banner is located in the typical farming-pastoral ecotone of Inner Mongolia, and it is also the core area of Hulunbuir steppe. Typical agricultural and pastoral staggered production mode so that the vegetation growth of the region not only determines the local ecological environment, and animal husbandry production, but also have a significant impact on the whole Hulunbuir ecological security and economic development. Therefore, it is necessary to monitor the change of vegetation in this area. Based on 17 MODIS Normalized Difference Vegetation Index (NDVI) images, the authors reconstructed the dynamic change characteristics of Fraction vegetation coverage (FVC) in Chen Barag Banner from 2000 to 2016. In this paper, first at all, Pixel Decomposition Models was introduced to inversion FVC, and the time series of vegetation coverage was reconstructed. Then we analyzed the temporal-spatial changes of FVC by employing transition matrix. Finally, through image analyzing and processing, the results showed that the vegetation coverage in the study area was influenced by effectors including climate, topography and human actives. In the past 17 years, the overall effect of vegetation coverage showed a downward trend of fluctuation. The average vegetation coverage decreased from 58.81 % in 2000 to 48.14 % in 2016, and the area of vegetation cover degradation accounts for 40.09 % of the total change area. Therefore, the overall degradation trend was obvious.

Assesment of wild boar rooting on ecological and pastoral values of alpine pyrenean grasslands

OpenAIRE

Bueno, C. Guillermo; Barrio, Isabel C.; García-González, Ricardo; Alados, Concepción L.; Gómez García, Daniel

2011-01-01

[ES] Las hozaduras de jabalí son una de las mayores perturbaciones actuales de los pastos supraforestales pirenaicos. Sus consecuencias para el ecosistema no están todavía perfectamente descritas, a pesar de ser uno de los hábitats de mayor interés de conservación y que juegan un importante papel en las economías locales. Los bienes y servicios que provee dicho hábitat están claramente relacionados tanto con su valor ecológico como pastoral, los cuales parecen estar afectados p...

Medicinal plants potential and use by pastoral and agro-pastoral communities in Erer Valley of Babile Wereda, Eastern Ethiopia

Directory of Open Access Journals (Sweden)

Belayneh Anteneh

2012-10-01

Full Text Available Abstract Background Ethiopian plants have shown remarkably effective medicinal values for many human and livestock ailments. Some research results are found on medicinal plants of the south, south west, central, north and north western parts of Ethiopia. However, there is lack of data that quantitatively assesses the resource potential and the indigenous knowledge on use and management of medicinal plants in eastern Ethiopia. The main thrust of the present ethnobotanical study centres around the potential and use of traditional medicinal plants by pastoral and agro-pastoral communities in Babile Wereda (district of eastern Ethiopia. The results can be used for setting up of conservation priorities, preservation of local biocultural knowledge with sustainable use and development of the resource. Materials and methods Fifty systematically selected informants including fifteen traditional herbalists (as key informants participated in the study. Semi-structured interviews, discussions and guided field walk constituted the main data collection methods. Techniques of preference ranking, factor of informant consensus and Spearman rank correlation test were employed in data analysis. Medicinal plant specimens were collected, identified and kept at the National Herbarium (ETH of Addis Ababa University and Haramaya University Herbarium. Results Fifty-one traditional medicinal plant species in 39 genera and 28 families were recorded, constituting 37% shrubs, 29% trees, 26% herbs, 6% climbers and 2% root parasites. Leaves contributed to 35.3% of the preparations, roots (18.8% and lower proportions for other parts. Formulations recorded added to 133 remedies for 54 human ailments, in addition to some used in vector control. The majority of remedies were the juice of single species, mixtures being generally infrequent. Aloe pirottae, Azadirachta indica and Hydnora johannis were the most cited and preferred species. Aloe pirottae, a species endemic to Ethiopia

Integrated care in Norway: State of affairs years after regulation by law

Directory of Open Access Journals (Sweden)

Jorunn Bjerkan

2011-01-01

Full Text Available Introduction: A mandatory multidisciplinary plan for individual care, the 'Individual care Plan', was introduced by law in Norway in 2001. The regulation was established to meet the need for improved efficiency and quality of health and social services, and to increase patient involvement. The plan was intended for patients with long-term and complex needs for coordinated care. The aim of this study was to elaborate on knowledge of such planning processes in Norwegian municipalities.Method: A piloted questionnaire was sent to 92 randomly selected municipalities in 2005-2006, addressing local organization and participation in the work with individual care plans. Local political governance, size of the population, funds available for health care, and problems related to living conditions were indicators for analysing the extent to which the individual care plan was used five years after the regulation was introduced.Results: Our results showed that 0.5% as opposed to an expected 3% of the population had an individual care plan. This was independent of the political, social and financial situation in the municipalities or the way the planning process had been carried out. The planning process was mostly taken care of by local health and social care professionals, rather than by hospital staff and general practitioners.Discussion and conclusion: The low number of care plans and the oblique responsibility among professionals for planning showed that the objectives of the national initiative had not been achieved. More research is needed to determine the reasons for this lack of success and to contribute to solutions for improved multidisciplinary cooperation.

Integrated care in Norway: State of affairs years after regulation by law

Directory of Open Access Journals (Sweden)

Jorunn Bjerkan

2011-01-01

Full Text Available Introduction: A mandatory multidisciplinary plan for individual care, the 'Individual care Plan', was introduced by law in Norway in 2001. The regulation was established to meet the need for improved efficiency and quality of health and social services, and to increase patient involvement. The plan was intended for patients with long-term and complex needs for coordinated care. The aim of this study was to elaborate on knowledge of such planning processes in Norwegian municipalities. Method: A piloted questionnaire was sent to 92 randomly selected municipalities in 2005-2006, addressing local organization and participation in the work with individual care plans. Local political governance, size of the population, funds available for health care, and problems related to living conditions were indicators for analysing the extent to which the individual care plan was used five years after the regulation was introduced. Results: Our results showed that 0.5% as opposed to an expected 3% of the population had an individual care plan. This was independent of the political, social and financial situation in the municipalities or the way the planning process had been carried out. The planning process was mostly taken care of by local health and social care professionals, rather than by hospital staff and general practitioners. Discussion and conclusion: The low number of care plans and the oblique responsibility among professionals for planning showed that the objectives of the national initiative had not been achieved. More research is needed to determine the reasons for this lack of success and to contribute to solutions for improved multidisciplinary cooperation.

[A prevalence study on mild cognitive impairment among the elderly populations of Mongolian and Han nationalities in a pastoral area of Inner Mongolia].

Science.gov (United States)

Hu, Riletemuer; Zhao, Shi-gang; Wang, De-sheng; Wen, Shi-rong; Niu, Guang-ming; A, Rong; Wang, Zhi-guang; Jiang, Ming-fang; Zhang, Chun-yu

2012-04-01

To understand the epidemiological characteristics and distribution of mild cognitive impairment (MCI) in elderly populations from Mongolian and Han nationalities living in the pastoral areas of Inner Mongolia Autonomous Region of China. According to the MCI clinical diagnostic criteria from Diagnostic and Statistical Manual of Mental Disorders 4th revised edition (DSM-IV) by American Psychiatric Association, the individuals under study were at the age of 55 or over, with Mongolian or Han ethnicities and living in the pastoral area of Inner Mongolia. The crude MCI morbidity rates of Mongolian and Han of the study populations in the pastoral area of Inner Mongolia Autonomous Region of China was 19.48% (1782/9146) and the standardization morbidity was 18.98%. The crude MCI morbidity rates of both Mongolian and Han ethnicities were 17.46% (the standardization morbidity was 16.99%) and 20.60% (the standardization morbidity was 19.98%), respectively. There showed a significant positive correlation between the crude morbidities and age, also significantly increasing with the latter. In the Mongolian population, the morbidity increased from 12.17% at the age 55-59 to 27.78% at 85 while in the Han population, the morbidity increased from 15.50% at the age 55-59 to 23.53% at 85. In both the populations of Mongolian and Han, there was a statistically difference found between the morbidities of MCI (χ2=13.229, P=0.000). The morbidity was higher in Hans than in the Mongolians. However, there was no statistically significant difference noticed between the morbidities of MCI in the Mongolian males and females (χ2=2.376, P=0.123). There was statistically significant difference found between the morbidities of MCI in the Han males and females, with females having higher risk than males (χ2=24.470, P=0.000). The morbidity of MCI in the elderly Mongolian and Han populations from the pastoral area of Inner Mongolia Autonomous Region of China was considered to be quite high and

Recent hospital charity care controversies highlight ambiguities and outdated features of government regulations.

Science.gov (United States)

MacKelvie, Charles; Apolskis, Michael; Unland, James J

2005-01-01

For years the hospital industry has been embroiled in controversies involving pricing, charity care, and collection practices. Unfortunately, Medicare regulations and policies governing hospital charge-setting and collection practices have not helped bring much clarity to the situation, nor has related CMS and OIG guidance. Coordinated effort by hospitals and regulatory bodies can help clarify unclear government regulation of charity care, pricing, and collections and end potentially destructive controversies that sap valuable time, energy, and resources from efforts addressing much graver long-term threats to hospital viability.

A Study of the Relationship between Social Support and Clergy Family Stress among Korean-American Baptist Pastors and Their Wives

Science.gov (United States)

Shin, Min Young

2012-01-01

Problem: The first problem of this study was to determine the relationship between the clergy family stress scores as measured by the Clergy Family Inventory (CFLI) and the specified predictor variables of social support among Korean-American Baptist pastors. The specified predictor variables included tangible support, appraisal support,…

Iglesia y Monarquía castellana bajo la misma cruz: Una visita pastoral a la diócesis de Segovia en 1446-1447

Directory of Open Access Journals (Sweden)

Silvina Andrea Mondragón

2011-04-01

Full Text Available Este artículo analiza la situación de las parroquias segovianas de mediados del siglo XV a partir del documento de una visita pastoral donde se asienta el estado de conservación de las iglesias, la conducta de los curas párrocos y las opiniones campesinas vinculadas a esto. Se analiza también el rol que desempeña el visitador en tanto portador de la ideología emanada de la Iglesia como institución, al tiempo que imbuido de la lógica de la comunidad campesina de la que generalmente procede. El contexto general de esta visita pastoral es la reforma eclesiástica general del siglo XIV, que trató de revertir la crisis de la Iglesia

Presentación sistémica de Aspergillus spp con semiología neurológica en un Pastor Alemán: informe de un caso clínico

OpenAIRE

Hernández Tapia, Ana Laura; Santoscoy Mejía, Eduardo Carlos; Ramírez Lezama, José; Cervantes Olivares, Roberto A.; Quiroz Mercado, Joaquín Arturo

2010-01-01

La infección del sistema nervioso en el perro es poco común; posibles causas son Aspergillus spp, Cryptococcus neoformans, Blastomyces dermatidis y Coccidioides immitis. La infección por Aspergillus spp afecta al aparato respiratorio y en pocas ocasiones se presenta de manera diseminada. Sin embargo, en el Pastor Alemán hay mayor incidencia de éste, pues dicha infección se asocia con una deficiencia inmunológica. Se describe el caso de una perra de raza Pastor Alemán, de 1.5 años de edad, ref...

Magnitude of institutional delivery service utilization and associated factors among women in pastoral community of Awash Fentale district Afar Regional State, Ethiopia.

Science.gov (United States)

Assefa, Luelseged; Alemayehu, Mussie; Debie, Ayal

2018-03-02

Reduction of maternal mortality is a global priority particularly in developing countries like Ethiopia where maternal mortality ratio is one of the highest in the world. Most deliveries in developing countries occur at home without skilled birth attendants. Therefore, the objective of this study was to assess institutional delivery service utilization and associated factors among women in pastoral community of Awash Fentale district, Ethiopia. Overall, 35.2% of women delivered at health facilities. Women who had good knowledge AOR = 2.1, 95% CI 1.32, 4.87), Ante Natal Care (ANC) follow up (AOR = 3.2, 95% CI 1.55, 6.63), resided in a place where distance to reach at the nearby health facilities takes delivery place (AOR = 1.9; 95% CI 1.49, 5.07) were more likely to deliver at health facility. Therefore, strengthening ANC services, improving maternal knowledge, involving husbands in decision of delivery place and expanding health facilities in the community would enhance institutional delivery.

'A pond with crocodiles never dries up’: a frame analysis of human-crocodile relationships in agro-pastoral dams in Northern Benin

NARCIS (Netherlands)

Kpéra, G.N.; Aarts, N.; Tossou, R.C.; Mensah, G.A.; Saïdou, A.; Kossou, D.K.; Sinsin, A.B.; van der Zijpp, A.J.

2014-01-01

Crocodiles, a protected species, share ecosystem services with local communities in agro-pastoral dams in Northern Benin. Using a comparative case study conducted in three villages and a framing perspective, this study aims to elucidate how stakeholders frame the presence of crocodiles, and how they

A Pastoral da Criança em Criciúma, Santa Catarina, Brasil: cobertura e características sócio-demográficas das famílias participantes

Directory of Open Access Journals (Sweden)

Neumann Nelson A.

1999-01-01

Full Text Available Com o objetivo de descrever as principais características sócio-econômicas, biológicas e demográficas das crianças e famílias que participam ou participaram da Pastoral da Criança em relação à população urbana do Município de Criciúma-SC , realizou-se um estudo transversal de base populacional, com uma amostra probabilística de 2.208 crianças menores de três anos. Verificou-se que 16,7% das mães estudadas afirmaram ter participado alguma vez da Pastoral; destas, 4,8% ainda o fazem, havendo as restantes abandonado o acompanhamento. Crianças com mais de 12 meses, negras, com dois ou mais irmãos mais velhos, tiveram maior freqüência de participação. Os principais fatores familiares associados à participação foram idade materna acima dos 25 anos, o fato de a mãe não trabalhar fora de casa, renda per capita baixa, menor escolaridade dos pais, tempo de moradia no bairro superior a quatro anos e morte de filho menor de cinco anos. A migração, a falta de tempo e a interrupção das atividades pela Pastoral foram os principais motivos alegados para o abandono. Concluiu-se que a Pastoral deveria priorizar os mais pobres dos pobres e adotar medidas para reduzir a taxa de abandono.

Distribución y abundancia del zooplancton del complejo lagunar Chacahua-La Pastoría, Oaxaca, México Distribution and abundance of zooplankton of the lagoon system Chacahua-La Pastoria, Oaxaca, Mexico

Directory of Open Access Journals (Sweden)

Benigno Pantaleón-López

2005-06-01

Full Text Available Se estudió la comunidad zooplánctica del sistema lagunar Chacahua-La Pastoría, antes de la apertura de la barra arenosa de Chacahua por la Secretaría de Marina. Se identificaron 26 grupos de zooplancton provenientes de 5 muestreos realizados en Mayo, Octubre, Diciembre de 1996 y Febrero y Junio de 1997, en el área investigada. En la Pastoría se registraron 25 grupos y en Chacahua 19; de los 26 grupos determinados 18 fueron comunes en ambas lagunas. El grupo más abundante fue el de las larvas de braquiuros que representaron el 35.7% del total del zooplancton, fueron seguidos por las larvas y huevos de peces con 22.74 y 15.26%, respectivamente. Los máximos valores promedio de abundancia se observaron durante el periodo de sequía, en las zonas aledañas al canal de intercomunicación de ambas lagunas, así como en las cercanías del canal de comunicación con el mar. En Chacahua se observaron las mayores densidades en Junio, 1997 y en La Pastoría en Diciembre, 1996. En general en la laguna La Pastoría la riqueza de grupos fue mayor. La composición de la comunidad zooplánctica está condicionada por la salinidad y la tasa de intercambio de agua entre la laguna y el mar.The zooplankton community of the lagoon system Chacahua-La Pastoría was studied before the opening of the sandy bar of Chacahua by the Secretaría de Marina. A total of 26 groups of zooplankton were identified at the lagoon complex Chacahua-La Pastoria made during five samplings in May, October and December, 1996 and February and June, 1997. In La Pastoria were recorded 25 groups and 19 in Chacahua. From 26 groups recorded, 18 were common in both lagoons. Braquiurid larvae were the most abundant group, and represent 35.7% of total zooplankton, followed by fish larvae and eggs with 22.74 and 15.26%, respectively. The maximum mean values of abundance were observed in the dry period in the adjacent zones to the channel of intercommunication of both lagoons, as well as in

Grassland production under global change scenarios for New Zealand pastoral agriculture

Science.gov (United States)

Keller, E. D.; Baisden, W. T.; Timar, L.; Mullan, B.; Clark, A.

2014-10-01

We adapt and integrate the Biome-BGC and Land Use in Rural New Zealand models to simulate pastoral agriculture and to make land-use change, intensification of agricultural activity and climate change scenario projections of New Zealand's pasture production at time slices centred on 2020, 2050 and 2100, with comparison to a present-day baseline. Biome-BGC model parameters are optimised for pasture production in both dairy and sheep/beef farm systems, representing a new application of the Biome-BGC model. Results show up to a 10% increase in New Zealand's national pasture production in 2020 under intensification and a 1-2% increase by 2050 from economic factors driving land-use change. Climate change scenarios using statistically downscaled global climate models (GCMs) from the IPCC Fourth Assessment Report also show national increases of 1-2% in 2050, with significant regional variations. Projected out to 2100, however, these scenarios are more sensitive to the type of pasture system and the severity of warming: dairy systems show an increase in production of 4% under mild change but a decline of 1% under a more extreme case, whereas sheep/beef production declines in both cases by 3 and 13%, respectively. Our results suggest that high-fertility systems such as dairying could be more resilient under future change, with dairy production increasing or only slightly declining in all of our scenarios. These are the first national-scale estimates using a model to evaluate the joint effects of climate change, CO2 fertilisation and N-cycle feedbacks on New Zealand's unique pastoral production systems that dominate the nation's agriculture and economy. Model results emphasise that CO2 fertilisation and N-cycle feedback effects are responsible for meaningful differences in agricultural systems. More broadly, we demonstrate that our model output enables analysis of decoupled land-use change scenarios: the Biome-BGC data products at a national or regional level can be re

[Regulation of sexual expression in residential aged care facilities: A professional point of view].

Science.gov (United States)

Villar, Feliciano; Fabà, Josep; Celdrán, Montserrat; Serrat, Rodrigo

2014-01-01

The purpose of this study is to determine the opinion of professionals working in residential aged care facilities on the regulation of sexuality in these settings. Fifty-three professionals from five residential aged care facilities located in the metropolitan area of Barcelona answered several questions regarding the advisability of establishing measures for the regulation of sexuality in RACFs, the elements that could contribute to this, and the aspects that such regulations should consider. Around 50% of the participants recognized the advisability of having some type of measures for sexuality regulation in residential aged care facilities. According to their responses this should be developed taking into account professional opinions, but also the points of view of the residents and their relatives. The most frequently mentioned regulations were those that ensured that any kind of sexually charged situation occurred in a private environment. The development of strategies are suggested to distinguish those people with dementia that are competent to consent to sexual acts from those who are not. The opinion of professionals working in RACFs regarding the advisability of establishing measures for sexuality regulation seems to be considerably divided. Thus, whilst around 50% of them recognize their potential usefulness, the other half consider them unnecessary or even counterproductive for the sexual freedom of residents. Associating regulation with prohibition and sexuality with sexual activity was not uncommon among the responses of the participants. Copyright © 2014 SEGG. Published by Elsevier Espana. All rights reserved.

Regulating food service in North Carolina's long-term care facilities.

Science.gov (United States)

DePorter, Cindy H

2005-01-01

Other commentaries in this issue of the North Carolina Medical Journal describe innovative food and dining practices in some of our state's long-term care facilities. Federal and state regulations do not prohibit these innovations, and DFS supports the concept of "enhancements" of the dining experience in these facilities. The Division of Facilities Services, therefore, encourages facilities to assess and operationalize various dining methods, allowing residents to select their foods, dining times, dining partners, and other preferences. The regulations allow facilities to utilize innovative dining approaches, such as buffet lines, or family-style serving options, which allow residents to order at the table as they would in a restaurant. The regulations do not dictate whether facilities should serve food to residents on trays, in buffet lines, or in a family style. While there are many regulations, they leave room for innovative new ideas as long as these ideas do not compromise resident health or safety.. Food consumption and the dining experience are an integral part of the resident's life in a nursing facility. It is important that resident preferences are being honored, and the dining experience is as pleasant and home-like as possible. The facility's responsibility is to provide adequate nutrition and hydration that assures the resident is at his/her highest level of functioning emotionally, functionally, and physically. Meeting the unique needs of each resident in a facility can be a daunting task, but one of immense importance to the quality long-term care.

ANALYSIS ON TEMPORAL-SPATIAL CHANGES OF VEGETATION CVERRGE IN FARMING-PASTORAL ECOTONE OF INNER MONGOLIA

Directory of Open Access Journals (Sweden)

X. Yan

2018-04-01

Full Text Available Chen Barag Banner is located in the typical farming-pastoral ecotone of Inner Mongolia, and it is also the core area of Hulunbuir steppe. Typical agricultural and pastoral staggered production mode so that the vegetation growth of the region not only determines the local ecological environment, and animal husbandry production, but also have a significant impact on the whole Hulunbuir ecological security and economic development. Therefore, it is necessary to monitor the change of vegetation in this area. Based on 17 MODIS Normalized Difference Vegetation Index (NDVI images, the authors reconstructed the dynamic change characteristics of Fraction vegetation coverage（FVC）in Chen Barag Banner from 2000 to 2016. In this paper, first at all, Pixel Decomposition Models was introduced to inversion FVC, and the time series of vegetation coverage was reconstructed. Then we analyzed the temporal-spatial changes of FVC by employing transition matrix. Finally, through image analyzing and processing, the results showed that the vegetation coverage in the study area was influenced by effectors including climate, topography and human actives. In the past 17 years, the overall effect of vegetation coverage showed a downward trend of fluctuation. The average vegetation coverage decreased from 58.81 % in 2000 to 48.14 % in 2016, and the area of vegetation cover degradation accounts for 40.09 % of the total change area. Therefore, the overall degradation trend was obvious.

Exodus of clergy: A practical theological grounded theory exploration of Hatfield Training Centre trained pastors

Directory of Open Access Journals (Sweden)

Shaun Joynt

2013-07-01

Full Text Available There is a shortage of clergy, at least in the Roman Catholic Church. Protestant churches in general are experiencing more of a distribution or placement challenge than a shortage. The two greatest hindrances to addressing the Protestant clergy distribution challenge are a lack of adequate compensation for clergy and the undesirable geographical location of a number of churches, as perceived by clergy. Influences such as secularisation, duality of vocation, time management, change in type of ministry, family issues, congregational and denominational conflict, burnout, sexual misconduct, divorce or marital problems, and suicide, affect clergy. Studies on the shortage of clergy have been conducted mostly in the USA and Europe and not in South Africa. This article focuses on the research gap by means of a practical theological grounded theory exploration of the exodus of clergy. Grounded theory methodology is used to identify the reasons why clergy trained at a Bible college of a Protestant charismatic mega church leave full-time pastoral ministry. Findings correspond to previous studies with two reasons appearing more frequently than others: responding to a call and leadership related issues. Firstly, respondents differed in their replies with respect to reconciling their exit from full-time pastoral ministry with their call. The replies included not being called, a dual call, or called but left anyway. Secondly, respondents indicated that leadership influence was mostly negative with regard to affirming their call.

Seasonal movements of wildlife and livestock in a heterogenous pastoral landscape: Implications for coexistence and community based conservation

Directory of Open Access Journals (Sweden)

Peter Tyrrell

2017-10-01

Full Text Available Rangelands across the world are home to millions of pastoral people and vast wildlife populations, which create a complex landscape for conservation. Community based conservation has been used to promote human-wildlife coexistence on pastoral lands, protecting wildlife outside of official protected areas. With the spread of community based conservation within the rangelands there is a need for more information on successful management practices. This study provides an example of this in the South Rift, Kenya, where seasonal movements of pastoralists aid coexistence. We used Density Surface Modelling (DSM, a novel tool for conservation managers in the rangelands, to predict wildlife and livestock abundance across the landscape and seasons. Wildlife grazers, zebra (Equus burchelli and wildebeest (Connochaetes taurinus, follow expected metabolic patterns, feeding on short grass outside the conservation area in the wet season, before returning to the taller-lower quality grazing in the conservation areas during the drought. Browsing wildlife, impala (Aepyceros melampus and Grant’s gazelle (Nanger granti, move from open grassland and bushland areas into thicker, denser browse as the seasons progress towards the drought. Livestock, both shoats (Ovis aries, and Capra aegagrus hircus and cattle (Bos indicus, are managed by community grazing committees, who enforce a grazing plan that creates spatial–temporal separation between wildlife and livestock. They exploit the high-quality grazing in the livestock area during the wet season while conserving pasture in the conservation area, which is utilized only as forage is depleted. This ensures that wildlife has access to a diverse resource base across all seasons and potentially reduces competition, allowing for a diverse and abundant wildlife community to coexist with livestock. This highlights the importance of the presence and maintenance of spatial and temporal heterogeneity of forage resources

Comparative changes in density and demography of large herbivores in the Masai Mara Reserve and its surrounding human-dominated pastoral ranches in Kenya

NARCIS (Netherlands)

Bhola, Nina; Ogutu, Joseph O.; Piepho, Hans-Peter; Said, Mohamed Y.; Reid, Robin S.; Hobbs, N. Thompson; Olff, Han

Wildlife habitats in pastoral lands adjoining protected areas in east African savannas are getting progressively degraded, fragmented and compressed by expanding human populations and intensification of land use. To understand the consequences of these influences on wildlife populations, we

'A pond with crocodiles never dries up'. A frame analysis of human –crocodile relationships in agro-pastoral dams in Northern Benin

NARCIS (Netherlands)

Kpera, G.N.; Aarts, N.; Tossou, R.C.; Mensah, G.A.; Saïdou, A.; Kossou, D.K.; Sinsin, A.B.; Zijpp, van der A.J.

2014-01-01

Crocodiles, a protected species, share ecosystem services with local communities in agro-pastoral dams in Northern Benin. Using a comparative case study conducted in three villages and a framing perspective, this study aims to elucidate how stakeholders frame the presence of crocodiles, and how they

The provision of spiritual and pastoral care following stillbirth in Ireland: a mixed methods study.

Science.gov (United States)

Nuzum, Daniel; Meaney, Sarah; O'Donoghue, Keelin

2016-06-01

The death of a baby is recognised as one of the most difficult bereavements with life-long impact for parents. How bereaved parents are cared for influences their grief journey. Optimal holistic care is provided when the physical, emotional, spiritual and social needs of parents are attended to. This study reviewed how spiritual care is provided to bereaved parents following stillbirth in maternity units in Ireland and the impact of stillbirth on healthcare chaplains. This was a mixed methods study using semistructured qualitative interviews with hospital chaplains in Irish maternity units. Quantitative data about the provision of services to bereaved parents were collated from the interviews. Qualitative data were analysed thematically to identify key themes. 20 chaplains from 17 units participated in the study (85% of Irish maternity units). 12 chaplains (60%) are formally accredited chaplains; only one has received specialist training in perinatal bereavement care. 11 chaplains (55%) provide follow-up bereavement care. Seven chaplains (35%) did not feel part of the multidisciplinary team. The main themes that emerged were the impact of stillbirth, suffering and the challenge to faith creating inner conflict and doubt. The provision of spiritual care following stillbirth in Ireland is diverse. Spiritual care in this specialised area by chaplains who are not professionally trained and accredited potentially impacts quality and depth of care. Chaplains experience considerable impact and challenge to personal faith and belief as they provide care. Recommendations are made for ongoing education and greater support for chaplains. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Kenyan pastors' perspectives on communicating about sexual behaviour and HIV.

Science.gov (United States)

Miller, Ann Neville; Kizito, Mary N; Mwithia, Jesica Kinya; Njoroge, Lucy; Ngula, Kyalo Wa; Davis, Kristin

2011-09-01

The article presents an analysis of in-depth interviews with 18 leaders of Christian churches in Nairobi, Kenya, regarding the content and context of messages they disseminate to their congregations about sexual behaviour and HIV. The content of messages was nearly consistent across the different denominations. However, three sorts of tensions were identified within pastoral communication about these topics: the need to discuss sex and HIV versus societal taboos against speaking about those issues from the pulpit; traditional cultural norms versus current lifestyles; and the ideals of abstinence and fidelity versus the reality of congregants' sexual behaviour. Although some of the religious leaders accepted the idea of condom use, no denominational patterns were noted on that subject, except with respect to Catholic priests. Pentecostal leaders were notable for describing proactive strategies to address both the ideal/real dilemma and the tension between church norms and current media content about sexuality and HIV.

An investigation into the use of music as a part of pastoral counselling of the adolescent

OpenAIRE

du Plessis, Amanda L; de Beer, Janene

2014-01-01

Pastoral counselling of the adolescent could be a challenge, because adolescence is a period characterised by emotional fluctuation. During this period of the individual's life, he or she begins to form his or her own identity and searches for a place in society, apart from the protection of their parents. Adolescents often do not have the necessary skills to deal with repressed emotions. Research shows that music has been used for many centuries in the healing process and that it has had a g...

The Power of Being Vulnerable in Christian Soul Care: Common Humanity and Humility.

Science.gov (United States)

Kim, Kyubo

2017-02-01

Soul caregivers often hesitate to be vulnerable in their pastoral practices. Jesus, however, embraced his vulnerabilities as a human to redeem humanity even though he was the Son of God. This paper first explores the dynamics of shame and power that make soul caregivers reluctant to accept their vulnerabilities and then describes the contributions of sharing caregiver's vulnerabilities in a soul care practice. This article argues that being vulnerable allows a soul caregiver to imitate Jesus by sharing in the client's common humanity, initiating an authentic relationship between the client and the soul caregiver; it is also a practice of humility, inviting God's cure in soul care. This study proposes the necessity of embracing vulnerability in soul care ministry, instead of hiding it.

A theological model for pastoral anthropology within the dynamics of interculturality: Cura animarum and the quest for wholeness in a colo-spirituality

Directory of Open Access Journals (Sweden)

Daniël J. Louw

2012-11-01

Full Text Available Healing is embedded in relational and systemic networks. In order to heal life (cura vitae human relationships as determined by paradigms (patterns of thinking and conceptualisation emanating from cultural settings, should be healed. In order to apply a holistic approach to healing in pastoral therapy, a systemic, relational and qualitative interpretation of soul in cura animarum [cure and care of human souls] was proposed. The notion of a colo-spirituality [spiritual culture] was developed in order to link interculturality to the trans-cultural notion of grace (the eschatological paradigm. The latter is the prerequisite for an intimate space of unconditional love in order to heal the quality of our human identity and attitude or habitus [being functions] within the existential realities of life (i.e. anxiety, guilt or shame, despair, helplessness or vulnerability, anger. ’n Teologiese model vir ’n pastorale antropologie binne die dinamika van interkulturaliteit: Colo-spiritualiteit as integrale pastorale terapie binne cura animarum. Die konsep van heling is ingebed binne relasionele en sistemiese netwerke. Ten einde die lewe self te genees (cura vitae moet menslike verhoudinge soos wat dit bepaal word deur paradigmas (patrone van rasionele denkkonstrukte en kulturele kontekste genees word. Ten einde ’n omvattende en integrale benadering tot pastoral terapie te volg, word ’n sistemiese, relasionele en kwalitatiewe verstaan van die menslike siel in ’n pastorale model vir cura animarum voorgestel. Ten einde ’n interkulturele benadering in pastorale terapie te volg en heling te verbind met die trans-kulturele konsep van genade (die eskatologiese paradigma word die konsep van ’n colo-spiritualiteit ontwikkel. Die verstaan van genade as ’n transkulturele konsep is nodig met die oog op die vestiging van ’n ruimte van onvoorwaardelike liefde wat die kwaliteit van menswees en houdinge (habitus binne verskillende eksistensi

The Emotional Resources Group: Provisional outcome data for a pilot six-session emotion regulation programme for secondary care.

Science.gov (United States)

Bacon, Thomas; Doughty, Caitriona; Summers, Andrew; Wiffen, Benjamin; Stanley, Zoe; McAlpine, Susan

2018-06-01

To examine the effectiveness of a new, six-session emotion regulation group intervention designed for the secondary care setting: The Emotional Resources Group (ERG). In this pilot study, participants were recruited by referral from secondary care mental health services. Forty-seven individuals participated in the study. Participants who attended the ERG were compared on measures of emotion regulation, well-being, and self-efficacy, pre- and post-intervention. Intent-to-treat analyses indicated highly statistically significant improvements in measures of emotion regulation, well-being, and self-efficacy, accompanied by large effect sizes. In addition, improvements in emotion regulation produced good rates of both reliable and clinically significant change. The ERG may be an effective, brief intervention to improve emotion regulation in the secondary care setting, worthy of further evaluation. Clinical implications Emotion regulation may be an appropriate treatment target to improve well-being and self-efficacy in a transdiagnostic population. The ERG may be effective as a brief emotion regulation intervention for secondary care mental health settings. Outcomes of the ERG appear to be equivalent to other more intensive group-based emotion regulation interventions. The ERG's tailored design may be responsible for positive outcomes. Limitations There was a small sample size. There was no control group. There was no follow-up data. © 2018 The British Psychological Society.

A Review of State Licensing Regulations to Determine Alignment with Best Practices to Prevent Human Norovirus Infections in Child-Care Centers.

Science.gov (United States)

Leone, Cortney M; Jaykus, Lee-Ann; Cates, Sheryl M; Fraser, Angela M

2016-01-01

Close, frequent contact between children and care providers in child-care centers presents many opportunities to spread human noroviruses. We compared state licensing regulations for child-care centers with national guidelines written to prevent human noroviruses. We reviewed child-care licensing regulations for all 50 U.S. states and the District of Columbia in effect in June 2015 to determine if these regulations fully, partially, or did not address 14 prevention practices in four topic areas: (1) hand hygiene, (2) exclusion of ill people, (3) environmental sanitation, and (4) diapering. Approximately two-thirds (8.9) of the 14 practices across all state regulations were partially or fully addressed, with few (2.6) fully addressed. Practices related to exclusion of ill people and diapering were fully addressed most often, while practices related to hand hygiene and environmental sanitation were fully addressed least often. Regulations based on guidelines for best practices are one way to prevent the spread of human noroviruses in child-care facilities, if the regulations are enforced. Our findings show that, in mid-2015, many state child-care regulations did not fully address these guidelines, suggesting the need to review these regulations to be sure they are based on best practices.

Fitting the Stocking Rate with Pastoral Resources to Manage and Preserve Mediterranean Forestlands: A Case Study

Directory of Open Access Journals (Sweden)

Elisa Bianchetto

2015-06-01

Full Text Available Pasture practices have affected Mediterranean forest ecosystems for millennia, and they are still quite widespread in mountainous areas. Nevertheless, in the last decades, the stability of forest ecosystems has been jeopardized due to the abandonment of traditional agro-pastoral practices, so that the gradual reduction of open areas due to progressive succession processes has caused a high increase of grazing pressure by livestock and wild ungulates feeding on forest areas. This paper aims at showing a methodological approach for evaluating the effect of applying measures in order to improve the grazing value of grasslands and ecotonal patches and lower the grazing impact on native woodlands. A protected area in Sicily (Italy is considered as a representative case study. The analysis of remotely sensed imagery and several field surveys enabled to identify and map six different land use units subject to grazing, i.e., (1 forests; (2 grasslands (pastures dominated by palatable herbs and grasses; (3 overgrazed grasslands (dominated by poisonous and/or thorny herbs and forbs, not palatable; (4 encroached pastures; (5 roadside firebreaks (dominated by palatable herbs with no shrubs; and (6 wooded/ encroached roadside firebreaks. Several data were collected through sample plots selected within each land use unit, in order to assess their pastoral value. These data have been used to define current and optimal animal stock rates aiming at addressing pasture management planning towards a sustainable use of forestland and shrubland.

Attachment Theory, Teacher Motivation & Pastoral Care: A Challenge for Teachers and Academics

Science.gov (United States)

Riley, Philip

2013-01-01

The hypothesis that an unconscious need for a corrective emotional experience (CEE) drives the choice to care for others was investigated via attachment style and feelings of anger at students and staff. Data were obtained from 750 pre-service and experienced teachers, including 179 principals, who completed one of two versions of the Experiences…

Competencias laborales orientadas a la competitividad empresarial en la comunidad educativa Diocesana el Buen Pastor Lima-2015

OpenAIRE

Noblecilla Saavedra, Brenda Verónica

2015-01-01

El crecimiento de la comunidad educativa el Buen pastor en Lima – Perú, ha traído una alta demanda de mano de obra con competencias laborales que mejoren la competitividad de la misma, premisa que no se cumple a totalidad por las carencias de dichas competencias que traen los nuevos empleados, siendo este el tema de estudio de la presente investigación, teniendo como objetivo fundamental analizar como el desarrollo de competencias laborales influyen en la competitividad de l...

Urinary diseases and ethnobotany among pastoral nomads in the Middle East.

Science.gov (United States)

Abu-Rabia, Aref

2005-08-02

This article is derived from a broad, twenty-year study of ethnobotany and folk medicine among pastoral nomads in the Middle East which took place from 1984 to 2004. The article presents examples of different treatments of diseases and disorders of the urinary tract carried out by healer herbalists. The preparation of remedies includes boiling infusions, extraction of dry or fresh leaves, flowers, seeds or whole plants. Some of these plants were used both as food and as medicine, by ingesting different parts of the plants, such as leaves, flowers, fruits, and so on, either while soft, cooked or dried. Data were collected by using unstructured interviews and by observation. These plants were identified by healers, patients, and university botanists. This paper identified eighty-five plant species, which belong to thirty-six families. The most representative families are: Asteraceae (8), Brassicaceae (6), Poaceae (6), Umbelliferae (6).

Urinary diseases and ethnobotany among pastoral nomads in the Middle East

Science.gov (United States)

Abu-Rabia, Aref

2005-01-01

This article is derived from a broad, twenty-year study of ethnobotany and folk medicine among pastoral nomads in the Middle East which took place from 1984 to 2004. The article presents examples of different treatments of diseases and disorders of the urinary tract carried out by healer herbalists. The preparation of remedies includes boiling infusions, extraction of dry or fresh leaves, flowers, seeds or whole plants. Some of these plants were used both as food and as medicine, by ingesting different parts of the plants, such as leaves, flowers, fruits, and so on, either while soft, cooked or dried. Data were collected by using unstructured interviews and by observation. These plants were identified by healers, patients, and university botanists. This paper identified eighty-five plant species, which belong to thirty-six families. The most representative families are: Asteraceae (8), Brassicaceae (6), Poaceae (6), Umbelliferae (6). PMID:16270930

Contingencies of the will: Uses of harm reduction and the disease model of addiction among health care practitioners.

Science.gov (United States)

Szott, Kelly

2015-09-01

The concept of addiction as a disease is becoming firmly established in medical knowledge and practice at the same time as the logics of the harm reduction approach are gaining broader acceptance. How health care practitioners understand and intervene upon drug use among their patients is complicated by these two models. While harm reduction can be understood as a form of governmentality wherein drug-taking individuals express their regulated autonomy through self-governance, the notion of addiction as a disease removes the option of self-governance through negating the will of the individual. Through analysis of qualitative interviews conducted with 13 health care practitioners who provide care for economically marginalized people who use drugs in New York City, it was found that the absence of will articulated in constructions of addiction as disease offered a gateway through which health care practitioners could bring in ideological commitments associated with harm reduction, such as the de-stigmatization of drug use. Despite differences in the attribution of agency, sewing together these two approaches allowed health care practitioners to work with drug-using patients in practical and compassionate ways. This resembles the strategic deployment of diverse subjectivities found in feminist, post-structural liberatory projects wherein differential subjectification proves tactical and productive. Although drug-using patients may enjoy the benefits of practical and compassionate health care, the conjoint facilitation and denouncement of their will occasioned by the use of both harm reduction and the disease model of addiction imply their management by both pastoral and disciplinary technologies of power. © The Author(s) 2014.

Contingencies of the will: Uses of harm reduction and the disease model of addiction among health care practitioners

Science.gov (United States)

Szott, Kelly

2015-01-01

The concept of addiction as a disease is becoming firmly established in medical knowledge and practice at the same time as the logics of the harm reduction approach are gaining broader acceptance. How health care practitioners understand and intervene upon drug use among their patients is complicated by these two models. While harm reduction can be understood as a form of governmentality wherein drug-taking individuals express their regulated autonomy through self-governance, the notion of addiction as a disease removes the option of self-governance through negating the will of the individual. Through analysis of qualitative interviews conducted with 13 health care practitioners who provide care for economically marginalized people who use drugs in New York City, it was found that the absence of will articulated in constructions of addiction as disease offered a gateway through which health care practitioners could bring in ideological commitments associated with harm reduction, such as the de-stigmatization of drug use. Despite differences in the attribution of agency, sewing together these two approaches allowed health care practitioners to work with drug-using patients in practical and compassionate ways. This resembles the strategic deployment of diverse subjectivities found in feminist, post-structural liberatory projects wherein differential subjectification proves tactical and productive. Although drug-using patients may enjoy the benefits of practical and compassionate health care, the conjoint facilitation and denouncement of their will occasioned by the use of both harm reduction and the disease model of addiction imply their management by both pastoral and disciplinary technologies of power. PMID:25394654

Existential and spiritual needs in mental health care: an ethical and holistic perspective.

Science.gov (United States)

Koslander, Tiburtius; da Silva, António Barbosa; Roxberg, Asa

2009-03-01

This study illuminates how existential needs and spiritual needs are connected with health care ethics and individuals' mental health and well-being. The term existential needs is defined as the necessity of experiencing life as meaningful, whereas the term spiritual needs is defined as the need of deliverance from despair, guilt and/or sin, and of pastoral care. It discusses whether or not patients' needs are holistically addressed in Western health care systems that neglect patients' existential and spiritual needs, because of their biomedical view of Man which recognizes only patients' physical needs. It excludes a holistic health care which considers all needs, expressed by patients in treatment of mental illness. Addressing all needs is important for patients' improvement and recovery. For some patients, this is the only way to regain their mental health and well-being.

Contrasting land uses in Mediterranean agro-silvo-pastoral systems generated patchy diversity patterns of vascular plants and below-ground microorganisms.

Science.gov (United States)

Bagella, Simonetta; Filigheddu, Rossella; Caria, Maria Carmela; Girlanda, Mariangela; Roggero, Pier Paolo

2014-12-01

The aims of this paper were (i) to define how contrasting land uses affected plant biodiversity in Mediterranean agro-silvo-pastoral-systems across a gradient of disturbance regimes: cork oak forests, secondary grasslands, hay crops, grass covered vineyards, tilled vineyards; (ii) to determine whether these patterns mirrored those of below-ground microorganisms and whether the components of γ-diversity followed a similar model. The disturbance regimes affected plant assemblage composition. Species richness decreased with increasing land use intensity, the Shannon index showed the highest values in grasslands and hay crops. Plant assemblage composition patterns mirrored those of Basidiomycota and Ascomycota. Richness in Basidiomycota, denitrifying bacteria and microbial biomass showed the same trend as that observed for vascular plant richness. The Shannon index pattern of below-ground microorganisms was different from that of plants. The plant γ-diversity component model weakly mirrored those of Ascomycota. Patchy diversity patterns suggest that the maintenance of contrasting land uses associated with different productions typical of agro-silvo-pastoral-systems can guarantee the conservation of biodiversity. Copyright © 2014 Académie des sciences. Published by Elsevier SAS. All rights reserved.

How useful are bounded online chat rooms as a source of pastoral support in a sixth-form college?

OpenAIRE

Richards, Catherine

2009-01-01

Since the introduction of chat technology there has been resistance within education to fully engage with it partly due to policy making that has left teachers disempowered (UCLAN 2002:66). Unlike other innovative technologies, its use has been limited. Pastoral support has developed significantly in education but in some instances, like chat rooms, has been viewed with scepticism. One reason for this scepticism may be that a clear measurable link between support and achievement is not easily...

THE APOSTLE PAUL: THEOLOGIAN-MISSIONARY AND PASTOR-THEOLOGIAN. TOWARDS A DEEPER UNDERSTANDING OF SAINT PAUL

Directory of Open Access Journals (Sweden)

Eckhart Schnabel

2013-04-01

Full Text Available This Article is an attempt to shed light on a few texts of the acts of the Apostles and of the epistles which are viewed as sources documenting the life and activity of Saint Paul. The author attempts to settle a number of questions regarding the authenticity of sources illustrating the life of Saint Paul. Similar questions are often raised by those who write and publish guides and textbooks for the teaching of the Pauline corpus. The author agrees with the overwhelming positive judgment of the academic world regarding the authenticity of the pastoral epistles, but at the same time he notes a number of objections to their authenticity proposed by the same forum: inconsistencies within the vocabulary of the texts themselves, their linguistic style, and their theological argumentation. The author concludes that these objections are inconclusive and the features enumerated by those who object constitute in reality only minor exceptions, inconsequential when taking into account the entire Pauline corpus. The author also examines the authenticity and historical accuracy of the account of the life of Saint Paul as given in the Acts of the Apostles. A few Biblicists claim that the account in Acts is merely legendary and is to be regarded as a type of early Christian folklore. The author disagrees with this opinion, backing up his position with the evidence that both the Acts of the Apostles and the Pastoral Epistles agree in historical detail and background. The author concludes with a further consideration regarding the correct method guiding biblical research on Saint Paul. He opines that such research must view the biblical texts in a correct historical perspective

The attitudes and activities of pastors and faith leaders in Zimbabwe on the use of family planning methods among their members

Directory of Open Access Journals (Sweden)

Moses Alikali

2017-01-01

Full Text Available Background: Faith leaders are important gatekeepers in disseminating reproductive health messages and influencing positive behaviour change within communities. Faith leaders are seen as the most powerful, visible, and reachable form of authority, even trusted more than governments or non-profit organizations. In addition to providing counsel and advice aimed at enhancing health and wellbeing of the worshippers, faith leaders also play an important role in advocating and influencing what is taught in schools and what services are provided in healthcare facilities. Because of this influence, faith leaders often have an unparalleled opportunity—indeed, a moral obligation—to prioritize conversations about family planning, advocating, and closing the contraception gap.The overall objective of this study was to ascertain the attitude and activities of pastors and faith leaders in Zimbabwe on the use of family planning methods among their members. The result revealed that some faith leaders believed that spreading information about family planning education was the responsibility of the government and tended to avoid such responsibility. However, through training on family planning advocacy, much can be achieved. Methods: Qualitative study methods were used to better understand the attitude and activities of pastors and faith leaders in Zimbabwe on the use of family planning methods among their members. The participants of this survey were drawn from 8 of 10 provinces in Zimbabwe, which include: Bulawayo, Harare, Manicaland, Mashonaland Central, Mashonaland East, Mashonaland West, Masvingo, and Matabeleland North.Paper-based questionnaires were answered by 24 pastors and 26 faith leaders in Zimbabwe (Table 1 through personal face-to-face meetings, while interviews were conducted with a select few pastors and faith leaders. The samples were drawn from randomly selected churches in Zimbabwe. Data was analysed using Epi info 7 and Microsoft Excel

Deliberate Self-Harm in Adolescence: A Challenge for Schools

Science.gov (United States)

Best, Ron

2006-01-01

Acts of deliberate self-harm (DSH) by adolescents are thought to be on the increase. Many of those who self-harm are of school age and it is to be expected that schools (and their teachers) will be aware of the problem and will respond appropriately as part of their pastoral-care provision. However, a recent survey of research in pastoral care and…

Comparison of legislation, regulations and national health strategies for palliative care in seven European countries (Results from the Europall Research Group): a descriptive study.

Science.gov (United States)

Van Beek, Karen; Woitha, Kathrin; Ahmed, Nisar; Menten, Johan; Jaspers, Birgit; Engels, Yvonne; Ahmedzai, Sam H; Vissers, Kris; Hasselaar, Jeroen

2013-07-17

According to EU policy, anyone in need of palliative care should be able to have access to it. It is therefore important to investigate which palliative care topics are subject to legislation and regulations in Europe and how these are implemented in (national) health care plans. This paper aims to deliver a structured overview of the legislation, existing regulations and the different health care policies regarding palliative care in seven European countries. In 2008 an inventory of the organisation of palliative care was developed by the researchers of the Europall project. Included were two open questions about legislation, regulations, and health policy in palliative care. This questionnaire was completed using palliative care experts selected from Belgium, England, France, Germany, the Netherlands, Poland and Spain. Additionally, (grey) literature on palliative care health policy and regulations from the participating countries was collected to complete the inventory. Comparative analysis of country specific information was performed afterwards. In all countries palliative care regulations and policies existed (either in laws, royal decrees, or national policies). An explicit right to palliative care was mentioned in the Belgium, French and German law. In addition, access to palliative care was mentioned by all countries, varying from explicit regulations to policy intentions in national plans. Also, all countries had a national policy on palliative care, although sometimes mainly related to national cancer plans. Differences existed in policy regarding palliative care leave, advance directives, national funding, palliative care training, research, opioids and the role of volunteers. Although all included European countries have policies on palliative care, countries largely differ in the presence of legislation and regulations on palliative care as well as the included topics. European healthcare policy recommendations should support palliative care access

Child-care chaos and teachers' responsiveness: The indirect associations through teachers' emotion regulation and coping.

Science.gov (United States)

Jeon, Lieny; Hur, Eunhye; Buettner, Cynthia K

2016-12-01

Teachers in early child-care settings are key contributors to children's development. However, the role of teachers' emotional abilities (i.e., emotion regulation and coping skills) and the role of teacher-perceived environmental chaos in relation to their responsiveness to children are understudied. The current study explored the direct and indirect associations between teachers' perceptions of child-care chaos and their self-reported contingent reactions towards children's negative emotions and challenging social interactions via teachers' emotional regulation and coping strategies. The sample consisted of 1129 preschool-aged classroom teachers in day care and public pre-K programs across the US. We first found that child-care chaos was directly associated with teachers' non-supportive reactions after controlling for multiple program and teacher characteristics. In addition, teachers in more chaotic child-care settings had less reappraisal and coping skills, which in turn, was associated with lower levels of positive responsiveness to children. Teachers reporting a higher degree of chaos used more suppression strategies, which in turn, was associated with teachers' non-supportive reactions and fewer expressive encouragement reactions to children's emotions. Results of this exploratory study suggest that it is important to prepare teachers to handle chaotic environments with clear guidelines and rules. In order to encourage teachers' supportive responses to children, intervention programs are needed to address teachers' coping and emotion regulation strategies in early childhood education. Copyright © 2016 Society for the Study of School Psychology. Published by Elsevier Ltd. All rights reserved.

Increasing Emotional Regulation for Youths in Residential Care: Phases of Change

Science.gov (United States)

Cimmarusti, Rocco A.

2011-01-01

Youths in residential care have likely experienced trauma as they have had atypical and disruptive events occur in their lives that has contributed to their out-of-home placement. For people who have been traumatized, the regulation of emotions is an important feature of their recovery. This article presents a model that traces phases from…

[Regulations of sickness certification as a factor for increased health care utilization in Germany].

Science.gov (United States)

Herrmann, Wolfram J; Haarmann, Alexander; Bærheim, Anders

2015-01-01

In Germany, utilization of ambulatory health care is high compared to other countries. Classical models of health care utilization cannot sufficiently explain these differences. The aim of this study was to explore relevant factors which can explain the higher health care utilization in Germany. In this article, we focus on regulations regarding sickness certification as a potential factor. An explorative qualitative study design. We conducted episodic interviews with 20 patients in Germany and 20 patients in Norway and participant observation in four primary care practices each. Additionally, we conducted a context analysis of relevant health care system related factors which emerged during the study. Qualitative data analysis was done by thematic coding in the framework of grounded theory. The need for a sickness certificate was an important reason for encounter in Germany, especially regarding minor illnesses. Sickness certification is a societal topic. GPs play a double role regarding sickness certification, both as the patients' advocate and as an expert witness for social security services. In Norway, longer periods of self-administered sickness certification and more differentiated possibilities of sickness certification have been introduced successfully. Our results point to regulations regarding sickness certification as a relevant factor for higher health care utilization in Germany. In pilot studies, the effect of extended self-certification of sickness and part-time sickness certification should be further assessed. Copyright © 2015. Published by Elsevier GmbH.

Public pastoral leaders: The purpose of theological training

Directory of Open Access Journals (Sweden)

M. Malan Nel

2005-07-01

Full Text Available This article is a follow-up of an article in which I attempted to gain insight into the corporate nature of being called to ministry. The mentioned article was also aimed at discerning the specifics of the ministry of the “public pastoral leader”. While the question is even asked whether theological training is necessary at all, I accept, as point of departure, the critical need for such training. What is of more importance is the discernment of what I call in this article the “teleological core” of theological education. I purposefully chose to explore the contributions of a number of well-known scholars who devoted much of their research to this field: Schner, Farley, Wood, Hough and Cobb, Heitink, Van der Ven and a few others. The ultimate finding is that some consensus about the telos of theological education does exist. The nature of the telos is phrased differently, but the different dimensions identified are indeed complementary. Concepts like “vision and discernment”, “critical reflection” “reflective practitioner”, “hermeneutical-communicative com- petence” and others are discussed as they relate to the core research problem. Attention is also given to the necessity of training a “basic pastor” as well as to the importance of “limited specialisation” in theological training.

Poder pastoral, acomodo y territorialidad en las Cartas Annuas jesuitas de Quito

Directory of Open Access Journals (Sweden)

Carlos Espinosa

2013-07-01

Full Text Available Este artículo analiza las Cartas Annuas jesuitas entre 1586 y 1660 que hacen refe-rencia a la Audiencia de Quito. Esta fuente poco consultada se utiliza para son-dear las estrategias jesuitas de evangelización y el régimen de administración de sacramentos de la orden en Quito. El artículo propone que las estrategias de evangelización jesuita dieron un giro al pasar de un encuentro con la religión nativa que incluyó un interés en mitos prehispánicos y extirpación de idolatría a un enfoque tabula rasa que se centraba en la administración de sacramentos. El artículo atribuye este giro a la transferencia del Colegio jesuita de Quito de la provincia jesuita de Perú a la provincia del Nuevo Reino (Nueva Granada. El artículo contextualiza el encuentro jesuita con la cultura nativa y la operación del régimen sacramental con referencia al concepto de las dos evangelizaciones de Juan Carlos Estenssoro, la noción de poder pastoral de Michel Foucault y la idea de la confesionalización perteneciente a la historiografía de la modernidad temprana europea. The article looks at the Jesuit Annual Letters concerning the Audiencia of Quito between 1586 and 1660. This virtually unexplored source is employed to analyze the conversion strategies and sacramental regime of the Jesuits in Quito. The article contends that the Jesuit conversion strategies shifted from an early enga-gement with native religion that included an interest in native myths, and ex-tirpation of idolatry to a tabula rasa approach centered on the administration of sacraments. The article attributes this shift to the transfer of the Colegio de Quito from the Jesuit province of Peru to that of the New Kingdom (New Granada. The article contextualizes the Jesuit engagement with native culture in Quito and the operation of the administration of sacraments with reference to Juan Carlos Estenssoro’s notion of the two conversions as well as with reference to Michel Foucault�

Integrating local pastoral knowledge, participatory mapping, and species distribution modeling for risk assessment of invasive rubber vine (Cryptostegia grandiflora in Ethiopia's Afar region

Directory of Open Access Journals (Sweden)

Matthew W. Luizza

2016-03-01

Full Text Available The threats posed by invasive plants span ecosystems and economies worldwide. Local knowledge of biological invasions has proven beneficial for invasive species research, but to date no work has integrated this knowledge with species distribution modeling for invasion risk assessments. In this study, we integrated pastoral knowledge with Maxent modeling to assess the suitable habitat and potential impacts of invasive Cryptostegia grandiflora Robx. Ex R.Br. (rubber vine in Ethiopia's Afar region. We conducted focus groups with seven villages across the Amibara and Awash-Fentale districts. Pastoral knowledge revealed the growing threat of rubber vine, which to date has received limited attention in Ethiopia, and whose presence in Afar was previously unknown to our team. Rubber vine occurrence points were collected in the field with pastoralists and processed in Maxent with MODIS-derived vegetation indices, topographic data, and anthropogenic variables. We tested model fit using a jackknife procedure and validated the final model with an independent occurrence data set collected through participatory mapping activities with pastoralists. A Multivariate Environmental Similarity Surface analysis revealed areas with novel environmental conditions for future targeted surveys. Model performance was evaluated using area under the receiver-operating characteristic curve (AUC and showed good fit across the jackknife models (average AUC = 0.80 and the final model (test AUC = 0.96. Our results reveal the growing threat rubber vine poses to Afar, with suitable habitat extending downstream of its current known location in the middle Awash River basin. Local pastoral knowledge provided important context for its rapid expansion due to acute changes in seasonality and habitat alteration, in addition to threats posed to numerous endemic tree species that provide critical provisioning ecosystem services. This work demonstrates the utility of integrating local

Providers perspectives on self-regulation impact their use of responsive feeding practices in child care.

Science.gov (United States)

Dev, Dipti A; Speirs, Katherine E; Williams, Natalie A; Ramsay, Samantha; McBride, Brent A; Hatton-Bowers, Holly

2017-11-01

Supporting children's self-regulation in eating through caregivers' practice of responsive feeding is paramount to obesity prevention, and while much attention has been given to supporting children's self-regulation in eating through parents' responsive feeding practices in the home setting, little attention has been given to this issue in childcare settings. This qualitative study examines childcare providers' perspectives on using responsive feeding practices with young children (2-5years). Individual semi-structured interviews were conducted with providers until saturation was reached. Data was analyzed using thematic analysis. The final sample included 18 providers who were employed full-time in Head Start or state-licensed center-based childcare programs, cared for children (2-5y), and were directly responsible for serving meals and snacks. Providers were primarily (67%) employed in childcare programs that served children from low-income families and received reimbursement for meals and snacks from the US Department of Agriculture's Child and Adult Care Food Program. Three factors emerged that shaped childcare providers' experiences using responsive feeding practices: the providers' perspectives about whether or not young children can self-regulate food intake, their understanding of Child and Adult Care Food Program (CACFP) portion size regulations, and the availability of food at the center where they worked. Future research should examine how childcare providers' understanding of children's ability to self-regulate their food intake, the appropriate use of the CACFP regulations in relationship to serving sizes, and having food available to offer seconds promotes providers' use of responsive feeding practices in center-based childcare programs and children's dietary behaviors. Copyright © 2017 Elsevier Ltd. All rights reserved.

Informed consent for and regulation of critical care research.

Science.gov (United States)

Lemaire, François

2008-12-01

Critical care is a special area in which research needs to take place, because of the severity of the diseases which are treated there, but it is also a place where research faces a lot of hurdles and difficulties. The main cause of difficulties is the consent issue, as most patients cannot consent for themselves. Recently, all national legislations in the countries of the European Union have been modified to include the provisions of directive 2001/20. This review article provides a summary of the recent literature concerning the issue of consent for clinical care research such as how the surrogate consent reflects the view of the patient and how time consuming and inaccurate can be the consultation of a community before the start of a trial with a waiver of consent. Another hurdle to research is the rigidity of our legislations concerning clinical research, especially the absence of a simplified way for low or no-risk research. This article shows how this situation is potentially deleterious and how it could ultimately forbid low-risk research. Critical research remains a domain in which research on patients is difficult and controversial. Regulation can be difficult to implement, largely inadequate or uselessly complicated. Intensive care physicians need to keep pressure on politicians and lawmakers to constantly explain the necessity and specificities of critical care research.

Connection, regulation, and care plan innovation: a case study of four nursing homes.

Science.gov (United States)

Colón-Emeric, Cathleen S; Lekan-Rutledge, Deborah; Utley-Smith, Queen; Ammarell, Natalie; Bailey, Donald; Piven, Mary L; Corazzini, Kirsten; Anderson, Ruth A

2006-01-01

We describe how connections among nursing home staff impact the care planning process using a complexity science framework. We completed six-month case studies of four nursing homes. Field observations (n = 274), shadowing encounters (n = 69), and in-depth interviews (n = 122) of 390 staff at all levels were conducted. Qualitative analysis produced a conceptual/thematic description and complexity science concepts were used to produce conceptual insights. We observed that greater levels of staff connection were associated with higher care plan specificity and innovation. Connection of the frontline nursing staff was crucial for (1) implementation of the formal care plan and (2) spontaneous informal care planning responsive to changing resident needs. Although regulations could theoretically improve cognitive diversity and information flow in care planning, we observed instances of regulatory oversight resulting in less specific care plans and abandonment of an effective care planning process. Interventions which improve staff connectedness may improve resident outcomes.

Cultura, práticas e saberes no trabalho desenvolvido na Pastoral da Saúde e a relação com a Política Pública de Saúde

Directory of Open Access Journals (Sweden)

Angela Quintanilha Gomes

2017-12-01

Full Text Available Considerando a relevância da política pública de saúde vigente no país e também a necessidade de inclusão e acesso a todas as pessoas, visualiza-se a integração  de ações de saúde, como práticas alternativas, que visem a qualidade de vida do cidadão. Este estudo foi elaborado com a finalidade de apresentar o trabalho realizado nas Pastorais da Saúde no município de São Borja/RS, evidenciando questões como  cultura, práticas e saberes  dos agentes da pastoral e o resultado deste na visão de quem utiliza (usuários os produtos que ali são preparados. A Pastoral da Saúde possui sua organização e referência de trabalho em três dimensões (social, comunitária e sócio-política, inclusive na inter relação com a política pública de saúde vigente no país, atuando também na melhoria das condições de saúde da população que busca o serviço da Pastoral da Saúde. Para atingir a finalidade do trabalho traçamos como objetivo: analisar a cultura, práticas e saberes no trabalho desenvolvido nas Pastorais da Saúde do município na visão dos agentes da pastoral e dos usuários deste serviço. A metodologia utilizada foi quantitativa, com busca bibliográfica, coleta de dados (observação participante e questionário, análise e discussão dos resultados.  Por fim, os objetivos do estudo foram alcançados, resultando no conhecimento da importância deste trabalho frente à coletividade e em conjunto à política pública de saúde e a política nacional de plantas fitoterápicas e medicinais.

'It was like I had to fit into a category': Care-seekers' experiences of gender regulation in the Swedish trans-specific healthcare.

Science.gov (United States)

Linander, Ida; Alm, Erika; Goicolea, Isabel; Harryson, Lisa

2017-05-01

The few previous studies investigating regulation of gender in trans-specific healthcare are mainly based on text material and interviews with care-providers or consist solely of theoretical analyses. There is a lack of studies analysing how the regulation of gender is expressed in the care-seeker's own experiences, especially in a Nordic context. The aim of this study is to analyse narratives of individuals with trans experiences (sometimes called transgender people) to examine how gender performances can be regulated in trans-specific care in Sweden. The conceptual framework is inspired by trans studies, a Foucauldian analysis of power, queer phenomenology and the concept of cisnormativity. Fourteen interviews with people with trans experiences are analysed with constructivist grounded theory. The participants' experiences indicate that gender is constructed as norm-conforming, binary and stable in trans-specific healthcare. This gendered position is resisted, negotiated and embraced by the care-seekers. Norms and discourses both inside and outside trans-specific care contribute to the regulation and limit the room for action for care-users. We conclude that a trans-specific care that has a confirming approach to its care-users, instead of the current focus on gender norm conformity, has the potential to increase the self-determination of gender performance and increase the quality of care.

Legal regulation of the protection of animals in human care

OpenAIRE

Kubánková, Lenka

2014-01-01

This diploma thesis summarizes regulation of animal in human care protection. It describes international conventions and also European Union and Czech laws. It includes definition of animal and categorizations of animals. The status of animal in Czech civil law is content of this thesis too. On international level are the most important conventions of Council of Europe. The part of this work concerning European Union includes conceptual tools, primary law and secondary law. The main law in Cz...

Tennessee Williams’s post-pastoral Southern gardens in text and on the movie screen

Directory of Open Access Journals (Sweden)

Taïna Tuhkunen

2012-01-01

Full Text Available This study explores the representation of the American South in the film adaptations of five plays by the Mississippi-born playwright, Tennessee Williams: A Streetcar Named Desire (Elia Kazan, 1951, Baby Doll (Elia Kazan, 1956, Cat on a Hot Tin Roof (Richard Brooks, 1958, Suddenly Last Summer (Joseph L. Mankiewicz, 1959 and The Night of the Iguana (John Huston, 1964. The article focuses on the disrespectful representations of the paradigmatic Southern garden which remains dynamic while maintaining some of its classic or biblical features. By relying on the conception of the pastoral garden as theorized by Leo Marx in The Machine in the Garden (1964, the author pays specific attention to the way mid-xxth century cinema kept recreating Williams’s Southern gardens as a corrupted and dehumanized space pierced through by disquieting shrieks.Cette étude se penche sur la représentation du Sud états-unien dans l’adaptation cinématographique de cinq pièces du dramaturge américain originaire du Mississippi, Tennessee Williams: Un tramway nommé désir (Elia Kazan, 1951, La poupée de chair (Elia Kazan, 1956, La chatte sur un toit brûlant (Richard Brooks, 1958, Soudain l’été dernier (Joseph L. Mankiewicz, 1959, et La nuit de l’iguane (John Huston, 1964. L’article met en évidence, chez Williams, la représentation irrévérencieuse du paradigmatique jardin sudiste qui, s’il conserve certains de ses attributs classiques et bibliques, ne s’avère pas moins dynamique. En s’appuyant sur la conception du jardin pastoral théorisé par Leo Marx dans The Machine in the Garden (1964, l’auteur s’attarde sur la façon dont le cinéma du milieu du xxe siècle cherchait à recréer le jardin williamsien comme un lieu corrompu et déshumanisé, traversé de cris inquiétants.

Nursing care of the family before and after a death in the ICU--an exploratory pilot study.

Science.gov (United States)

Bloomer, Melissa J; Morphet, Julia; O'Connor, Margaret; Lee, Susan; Griffiths, Debra

2013-02-01

This qualitative descriptive study was undertaken in two metropolitan ICUs utilising focus groups to describe the ways in which ICU nurses care for the families of dying patients during and after the death. Participants shared their perspectives on how they care for families, their concerns about care, and detailed the strategies they use to provide timely and person-centred family care. Participants identified that their ICU training was inadequate in equipping them to address the complex care needs of families leading up to and following patient deaths, and they relied on peer mentoring and role-modelling to improve their care. Organisational constraints, practices and pressures impacting on the nurse made 'ideal' family care difficult. They also identified that a lack of access to pastoral care and social work after hours contributed to their concerns about family care. Participants reported that they valued the time nurses spent with families, and the importance of ensuring families spent time with the patient, before and after death. Copyright © 2012 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

Individual differences in effects of child care quality : The role of child affective self-regulation and gender

NARCIS (Netherlands)

Broekhuizen, Martine L.; Van Aken, Marcel A G; Dubas, Judith S.; Mulder, Hanna; Leseman, Paul P M

2015-01-01

The current study investigated whether the relation between child care quality and children's socio-emotional behavior depended on children's affective self-regulation skills and gender. Participants were 545 children (Mage=27 months) from 60 center-based child care centers in the Netherlands.

Musings on track: creative use of multiple disciplines to evaluate client needs.

Science.gov (United States)

Kae-Je', Bert

2012-06-01

The author's concern about palliative care, the elderly and chronically ill is demonstrated by the creative utilization of a number of disciplines, Pastoral Counseling, Art Therapy, and Psychology in caring for clients. She shows how Maslow's Hierarchy can be used as a focused lens suggesting broader assessment of client needs that might enhance the interventional repertoire for mature students and more experienced creative clinicians in fields of Pastoral Counselling, CPE, Psychology, and Art Therapy.

The regulation of health care providers' payments when horizontal and vertical differentiation matter.

Science.gov (United States)

Bardey, David; Canta, Chiara; Lozachmeur, Jean-Marie

2012-09-01

This paper analyzes the regulation of payment schemes for health care providers competing in both quality and product differentiation of their services. The regulator uses two instruments: a prospective payment per patient and a cost reimbursement rate. When the regulator can only use a prospective payment, the optimal price involves a trade-off between the level of quality provision and the level of horizontal differentiation. If this pure prospective payment leads to underprovision of quality and overdifferentiation, a mixed reimbursement scheme allows the regulator to improve the allocation efficiency. This is true for a relatively low level of patients' transportation costs. We also show that if the regulator cannot commit to the level of the cost reimbursement rate, the resulting allocation can dominate the one with full commitment. This occurs when the transportation cost is low or high enough, and the full commitment solution either implies full or zero cost reimbursement. Copyright © 2012 Elsevier B.V. All rights reserved.

Participation of radiotherapy in interdisciplinary palliative care units. Challenge and chance

International Nuclear Information System (INIS)

Momm, F.; Frommhold, H.; Becker, G.; Ewald, H.; Baumgartner, J.; Adamietz, I.A.

2004-01-01

Background: in Germany, a sufficient system of palliative care does not exist. Possibilities for participation of radiooncologists in the further development of this promising part of medical action are reported. Material and methods: experiences from interdisciplinary work in the field of palliative care are described. This experience is communicated for use in the actual discussion about the future of palliative care in Germany, especially in the field of radiooncology. Results: a palliative care unit can only work in a team of different professions, which means different physicians, but also nurses, social workers, psychologists or pastors. A palliative care unit will benefit from working with radiooncologists as well as radiooncologists will do from working in the field of palliative care. Conclusion: in times of growing interest in and need for palliative care, radiooncologists should actively participate in the development of palliative care units in Germany. The aim of this participation should be to reasonably arrange the treatment of incurably ill patients with the chances of modern radiotherapy. Another aim should be to improve the treatment of ''classic'' radiation oncology patients by ideas of pallative care. The further development of palliative care in Germany should not take place without the participation of radiooncologists. This will meet the interests of palliative care and radiotherapy and - most importantly - the patients' interests. (orig.) [de

THE EFFECTIVENESS OF SUPPORTIVE EDUCATIVE IN INCREASING SELF REGULATION, SELF EFFICACY, AND SELF CARE AGENCY TO CONTROL GLICHEMIC INDEX IN PATIENT WITH TYPE II DIABETES

Directory of Open Access Journals (Sweden)

Darmansyah AF

2017-04-01

control and diet, physical exercise, medication, blood sugar control and foot care (p = <0.05, self efficacy (p = 0,05, self care agency (p = <0,05. Test result of the correlation among the variables using Partial Least Square (PLS suggest supportive educative model and the obtained value of self regulation is (0,561, self effi cacy is (0,548 self regulation to self care agency (0,592, self effi cacy to self regulation (0,162, self regulation to self care agency (0,094, and self care agency to HbA1c (0,130. Discussion and Conclusion: Novelty in this study indicated that supportive educative is able to improve self care agency patient and HbA1c through increasing self regulation. It is recommended that model of supportive educative could be applied in health service in Indonesia in regard to be independency patient with type 2 DM and other chronical disease.

The effects of pastoralism and protection on lion behaviour, demography and space use in the Mara Region of Kenya

DEFF Research Database (Denmark)

Mogensen, Niels L.; Oguto, Joseph O.; Dabelsteen, Torben

2011-01-01

Contraction of their historic geographic ranges and conflicts with humans underpins declines in large carnivore populations worldwide. These declines, which characterize pastoral systems where carnivores, people and livestock live in close contact, may be paralleled by changes in carnivore...... the three prides except when the ranch lions were severely disturbed and became more nocturnal and inactive. The reserve lions ate their kills on open plains and returned to them often but the ranch lions did so only inside bushes and abandoned unfinished kills during a drought in 2005. The reserve lions...

Nauka o ospravedlnění v díle N. T. Wrighta a její pastorační uplatnění

OpenAIRE

Jurčo, Pavol

2014-01-01

This thesis called "The doctrine of Justification in the work of N.T. Wright and its pastoral applications" describes and analyzes a view of Wright on the Justification doctrine. The aim of this thesis is to infer the pastoral implications from this doctrine for the pastoral care in church. In the first part I will describe Wright's view on the doctrine in three contexts - forensic, covenantal and eschatological. After that I will present Wright's conclusions of his exegesis of the letter to ...

[Development of Spiritual Care in Cancer Treatment in Japan].

Science.gov (United States)

Shimazono, Susumu

2017-01-01

Spiritual care started worldwide in the late 1960s with the development of the hospice movement and death studies. Why did spiritual care start duringthis time in history ? In some Christian societies, of that time,"pastoral care" evolved into an interfaith "spiritual care" where in the caretaker was the main agent instead of the caregiver. On the other hand, the importance of palliative care for cancer patients was gradually acknowledged. In addition, this progress was accompanied by the academic development of "death studies" which is called "death and life studies" in Japan. The Japanese hospice care and death studies movement started in the late 1970s. In the precedingperiod, the spiritual quest of cancer patients facingdeath was already gaining public attention. A scholar of religious studies, Hideo Kishimoto of the University of Tokyo, was diagnosed with cancer in 1954; he survived many operations until his death in 1964. Duringthose years, he wrote about his personal experience of acceptinghis approachingdeath. Although he did not believe in any specific faith, he had studied various religious teachings. It is important to understand his perception of his own death. His book, On Facing Death, was published immediately after his death. Therefore, it provided a prominent discourse on copingwith spiritual pain of approachingdeath even before the growth of spiritual care in Japan.

Spiritual care in the training of hospice volunteers in Germany.

Science.gov (United States)

Gratz, Margit; Paal, Piret; Emmelmann, Moritz; Roser, Traugott

2016-10-01

Hospice volunteers often encounter questions related to spirituality. It is unknown whether spiritual care receives a corresponding level of attention in their training. Our survey investigated the current practice of spiritual care training in Germany. An online survey sent to 1,332 hospice homecare services for adults in Germany was conducted during the summer of 2012. We employed the SPSS 21 software package for statistical evaluation. All training programs included self-reflection on personal spirituality as obligatory. The definitions of spirituality used in programs differ considerably. The task of defining training objectives is randomly delegated to a supervisor, a trainer, or to the governing organization. More than half the institutions work in conjunction with an external trainer. These external trainers frequently have professional backgrounds in pastoral care/theology and/or in hospice/palliative care. While spiritual care receives great attention, the specific tasks it entails are rarely discussed. The response rate for our study was 25.0% (n = 332). A need exists to develop training concepts that outline distinct contents, methods, and objectives. A prospective curriculum would have to provide assistance in the development of training programs. Moreover, it would need to be adaptable to the various concepts of spiritual care employed by the respective institutions and their hospice volunteers.

Teología de la Liberación y Pastoral de la Liberación: entre la solidaridad y la insurgencia

Directory of Open Access Journals (Sweden)

Álvaro Acevedo Tarazona

2012-01-01

Full Text Available El presente artículo tiene como fin mostrar el impacto de la Pastoral de la Liberación en Colombia (hoy conocida como Teología de la Liberación y cómo sus principales promotores, entre ellos los Sacerdotes Camilo Torres Restrepo, Diego Uribe Escobar, Domingo Laín Sanz, Manuel Pérez Martínez y José Antonio Jiménez Comín terminaron vinculados al Ejército de Liberación Nacional (ELN. La estructura del artículo está compuesta por una introducción con un énfasis en la situación social y política del mundo para los años 60. Posteriormente, se estudia el concepto de Teología de la Liberación como distinción de Pastoral de la Liberación, el proceso de cambio de la Iglesia Católica a raíz del Concilio Vaticano II y la Conferencia Episcopal de Medellín. Luego es estudiado el fenómeno de Golconda para finalizar con un análisis sobre la actuación de los denominado “curas rebeldes” en el contexto de las nuevas concepciones en boga sobre la acción social y política de la Iglesia.

Effect of land use and soil organic matter quality on the structure and function of microbial communities in pastoral soils: Implications for disease suppression.

Science.gov (United States)

Dignam, Bryony E A; O'Callaghan, Maureen; Condron, Leo M; Kowalchuk, George A; Van Nostrand, Joy D; Zhou, Jizhong; Wakelin, Steven A

2018-01-01

Cropping soils vary in extent of natural suppression of soil-borne plant diseases. However, it is unknown whether similar variation occurs across pastoral agricultural systems. We examined soil microbial community properties known to be associated with disease suppression across 50 pastoral fields varying in management intensity. The composition and abundance of the disease-suppressive community were assessed from both taxonomic and functional perspectives. Pseudomonas bacteria were selected as a general taxonomic indicator of disease suppressive potential, while genes associated with the biosynthesis of a suite of secondary metabolites provided functional markers (GeoChip 5.0 microarray analysis). The composition of both the Pseudomonas communities and disease suppressive functional genes were responsive to land use. Underlying soil properties explained 37% of the variation in Pseudomonas community structure and up to 61% of the variation in the abundance of disease suppressive functional genes. Notably, measures of soil organic matter quality, C:P ratio, and aromaticity of the dissolved organic matter content (carbon recalcitrance), influenced both the taxonomic and functional disease suppressive potential of the pasture soils. Our results suggest that key components of the soil microbial community may be managed on-farm to enhance disease suppression and plant productivity.

L’élevage pastoral au Sénégal entre pression spatiale et mutation commerciale

Directory of Open Access Journals (Sweden)

Géraud Magrin

2011-12-01

Full Text Available L'élevage pastoral est menacé au Sénégal car les dynamiques écologiques, les défrichements et les politiques publiques compromettent l'accès aux ressources sur lequel repose sa mobilité essentielle. Loin des clichés qui le présentent comme une activité homogène et archaïque, l'élevage connaît pourtant des mutations importantes. Sous des formes variées, il se diversifie et se connecte aux marchés urbains nationaux du lait et de la viande, valorisant des marchés de niche. Les dynamiques observées dans le plus urbanisé des États du Sahel préfigurent ainsi celles qui s'amorcent ailleurs.

El reto de reinventar la vida. Acompañamiento pastoral a mujeres en la adversidad

Directory of Open Access Journals (Sweden)

Susana Becerra Melo*

2014-04-01

Full Text Available The article narrates the testimony of rape and forced displacement of a woman in the context of the Colombian armed conflict. The hermeneutical method and the approach to gender will help clarify the question brought up by the text whether this woman is capable of experiencing God’s salvation after she has suffered this infamy. The answer is evidenced through Mileidys’ testimony and the pragmatic study of the Parable of the Good Samaritan, where a pastoral of compassion is based on the sensitivity faced by human suffering. Mileidys’ experiences salvation when she discovers compassion on the suffering face of another woman who leads her to act in a different manner, giving a new sense to her life which makes her become a compassionate human being who has experienced the salvation of God.

[Sketches from ecclesiastic history of Rijeka illustrating the relationship between Christianity and health care].

Science.gov (United States)

Medved, Marko

2013-01-01

The first part of the article looks into the contribution of Christianity to health care in the Middle Ages. In those times, monasteries used to take care of the sick, pilgrims, and travellers. The second part brings interesting information about health care institutions from the church history of Rijeka. Local circumstances favoured setting up an infirmary in St Sebastian's street. Adjacent to the Church of the Assumption was the asylum of the Holy Spirit; the name had remained with the town hospital of Rijeka until 1945. Four fraternities played a major role in local health care: St Mary's, St Michael's, St Vitus', and St John's. Their members helped each other and took care of the weak and the sick. The lazarets of Rijeka, one in Mandrać and the other in Martinšćica, had their own chapels and organised pastoral care. The first bishop of Rijeka, Isidoro Sain, established the Vicariate of St Joseph in the town hospital on 1 January 1928. Health care in Rijeka had strong ties with the Sisters of Mercy, who arrived in the town in 1858 and have been working in a variety of healthcare institutions to this day.

Knowledge and perception of pulmonary tuberculosis in pastoral communities in the middle and Lower Awash Valley of Afar region, Ethiopia

Directory of Open Access Journals (Sweden)

Mamo Gezahegne

2010-04-01

Full Text Available Abstract Background Afar pastoralists live in the northeast of Ethiopia, confined to the most arid part of the country, where there is least access to educational, health and other social services. Tuberculosis (TB is one of the major public health problems in Afar region. Lack of knowledge about TB could affect the health-seeking behaviour of patients and sustain the transmission of the disease within the community. In this study, we assessed the knowledge and perception of apparently healthy individuals about pulmonary tuberculosis (PTB in pastoral communities of Afar. Methods Between March and May 2009, a community-based cross-sectional questionnaire survey involving 818 randomly selected healthy individuals was conducted in pastoral communities of Afar region. Moreover, two focus group discussions (FGDs, one with men and one with women, were conducted in each of the study area to supplement the quantitative study. Results The majority (95.6% of the interviewees reported that they have heard about PTB (known locally as "Labadore". However, the participants associated the cause of PTB with exposure to cold air (45.9%, starvation (38%, dust (21.8% or smoking/chewing Khat (Catha edulis (16.4%. The discussants also suggested these same factors as the cause of PTB. All the discussants and the majority (74.3% of the interviewees reported that persistent cough as the main symptom of PTB. About 87.7% of the interviewees and all the discussants suggested that PTB is treatable with modern drugs. All the discussants and the majority (95% of the interviewees mentioned that the disease can be transmitted from a patient to another person. Socio-cultural practices, e.g. sharing cups (87.6%, and house type (59.8% were suggested as risk factors for exposure to PTB in the study areas, while shortage of food (69.7% and chewing khat (53.8% were mentioned as factors favouring disease development. Almost all discussants and a considerable number (20.4% of the

[New legal regulations for palliative care with implications for politics and practice].

Science.gov (United States)

Melching, Heiner

2017-01-01

In December 2015 two different laws were adopted. Both are of importance for palliative care. One of the laws criminalizes commercial, "business-like" assisted suicide (§ 217 German Criminal Code), the other one aims to improve hospice and palliative care in Germany. Through the latter far-reaching changes in Social Code Books V and XI, as well as of the Hospital Finance Act have been made. This new Act to Improve Hospice and Palliative Care (HPG) focuses, amongst others, on: (a) Better funding of hospice services, by raising the minimum grant for patients in inpatient hospices paid per day by the health insurance funds by about 28.5%, and for outpatient hospice services by about 18%; (b) further development of general outpatient nursing and medical palliative care, and the networking of different service providers; (c) introduction of an arbitration procedure for service provider agreements to be concluded between the health insurance funds and the teams providing specialized home palliative care (SAPV); (d) the right to individual advice and support by the health insurance funds; (e) care homes may offer their residents advance care planning programs to be funded by the statutory health insurers; (f) palliative care units in hospitals can be remunerated outside the DRG system by per diem rates; (g) separate funding and criteria for multi-professional palliative care services within a hospital.While little concrete impact on hospice and palliative care can be expected following the new § 217 German Criminal Code, the HPG provides a good basis to improve care. For this purpose, however, which complementary and more concrete agreements are made to put the new legal regulations into practice will be crucial.

Snow cover monitoring model and change over both time and space in pastoral area of northern China

Science.gov (United States)

Cui, Yan; Li, Suju; Wang, Ping; Zhang, Wei; Nie, Juan; Wen, Qi

2014-11-01

Snow disaster is a natural phenomenon owning to widespread snowfall for a long time and usually affect people's life, property and economic. During the whole disaster management circle, snow disaster in pastoral area of northern china which including Xinjiang, Inner Mongolia, Qinghai, Tibet has been paid more attention. Thus do a good job in snow cover monitoring then found snow disaster in time can help the people in disaster area to take effective rescue measures, which always been the central and local government great important work. Remote sensing has been used widely in snow cover monitoring for its wide range, high efficiency, less conditions, more methods and large information. NOAA/AVHRR data has been used for wide range, plenty bands information and timely acquired and act as an import data of Snow Cover Monitoring Model (SCMM). SCMM including functions list below: First after NOAA/AVHRR data has been acquired, geometric calibration, radiometric calibration and other pre-processing work has been operated. Second after band operation, four threshold conditions are used to extract snow spectrum information among water, cloud and other features in NOAA/AVHRR image. Third snow cover information has been analyzed one by one and the maximum snow cover from about twenty images in a week has been selected. Then selected image has been mosaic which covered the pastoral area of China. At last both time and space analysis has been carried out through this operational model ,such as analysis on the difference between this week and the same period of last year , this week and last week in three level regional. SCMM have been run successfully for three years, and the results have been take into account as one of the three factors which led to risk warning of snow disaster and analysis results from it always play an important role in disaster reduction and relief.

Book review: Francesco Pastore, The Youth Experience Gap. Explaining National Differences in the School-to-work Transition

Directory of Open Access Journals (Sweden)

Daniela PAŞNICU

2016-04-01

Full Text Available Francesco Pastore is qualified as full professor of Economic Policy.  Currently, he is Assistant Professor of Economics at Seconda Universita di Napoli. He is also secretary of the Italian Association of Labor Economics (AIEL and a member of the executive board of the Italian Association of Comparative Economic Studies (AISSEC. His main research interests are in labor and education economics. He is also interested in development and transition economics. He has contributed extensively in several such fields as regional unemployment differentials, school-to-work transitions, labor market dynamics, gender discrimination, human capital investment, public employment services and passive as well as active labor market policy, labor market consequences of international trade and nonprofit organization.

Genetic variation among the Golla pastoral caste subdivisions of Andhra Pradesh, India, according to the HLA system.

Science.gov (United States)

Crawford, M H; Reddy, B M; Martinez-Laso, J; Mack, S J; Erlich, H A

2001-09-01

The HLA allele frequency distributions have been characterized for the HLA class I and class II loci of the Golla pastoral caste, from Southeast India, subdivided into the subcastes (Puja, Punugu, Kurava, Pokanati, Karnam, and Doddi). Genetic distances, neighbor-joining, correspondence, and haplotype analyses all indicate that the subcastes exhibit a high haplotype variability and that their genetic substratum may be the result of European-Middle East/Asian admixture with the autochthonous populations. The Karnam subcaste seems to be the one that has undergone a higher degree of admixture, when compared with the other subcastes. The Golla speak an old Indian Dravidian language and should theoretically represent the basic Indian substratum that existed before the postulated "Aryan" invasion.

Use of a customer satisfaction survey by health care regulators: a tool for total quality management.

Science.gov (United States)

Andrzejewski, N; Lagua, R T

1997-01-01

To conduct a survey of health care providers to determine the quality of service provided by the staff of a regulatory agency; to collect information on provider needs and expectations; to identify perceived and potential problems that need improvement; and to make changes to improve regulatory services. The authors surveyed health care providers using a customer satisfaction questionnaire developed in collaboration with a group of providers and a research consultant. The questionnaire contained 20 declarative statements that fell into six quality domains: proficiency, judgment, responsiveness, communication, accommodation, and relevance. A 10% level of dissatisfaction was used as the acceptable performance standard. The survey was mailed to 324 hospitals, nursing homes, home care agencies, hospices, ambulatory care centers, and health maintenance organizations. Fifty-six percent of provider agencies responded; more than half had written comments. The three highest levels of customer satisfaction were in courtesy of regulatory staff (90%), efficient use of onsite time (84%), and respect for provider employees (83%). The three lowest levels of satisfaction were in the judgment domain; only 44% felt that there was consistency among regulatory staff in the interpretation of regulations, only 45% felt that interpretations of regulations were flexible and reasonable, and only 49% felt that regulations were applied objectively. Nine of 20 quality indicators had dissatisfaction ratings of more than 10%; these were considered priorities for improvement. Responses to the survey identified a number of specific areas of concern; these findings are being incorporated into the continuous quality improvement program of the office.

Prescriptive or Interpretive Regulation at the Frontlines of Care Work in the “Three Worlds” of Canada, Germany and Norway

Science.gov (United States)

Daly, Tamara; Struthers, Jim; Müller, Beatrice; Taylor, Deanne; Goldmann, Monika; Doupe, Malcolm; Jacobsen, Frode F.

2018-01-01

This paper examines the tension between macro level regulation and the rule breaking and rule following that happens at the workplace level. Using a comparative study of Canada, Norway, and Germany, the paper documents how long-term residential care work is regulated and organized differently depending on country, regional, and organizational contexts. We ask where each jurisdiction’s staffing regulations fall on a prescription-interpretation continuum; we define prescription as a regulatory tendency to identify what to do and when and how to do it, and interpretation as a tendency to delineate what to do but not when and how to do it. In examining frontline care workers’ strategies for accomplishing everyday social, health, and dining care tasks we explore how a policy-level prescriptive or interpretive regulatory approach affects the potential for promising practices to emerge on the frontlines of care work. Overall, we note the following associations: prescriptive regulatory environments tend to be accompanied by a lower ratio of professional to non-professional staff, a higher concentration of for-profit providers, a lower ratio of staff to residents and a sharper division of labour. Interpretive regulatory environments tend to have higher numbers of professionals relative to non-professionals, more limited for-profit provision, a higher ratio of staff to residents, and a more relational division of labour that enables the work to be more fluid and responsive. The implication of a prescriptive environment, such as is found in Ontario, Canada, is that frontline care workers possess less autonomy to be creative in meeting residents’ needs, a tendency towards more task-oriented care and less job autonomy. The paper reveals that what matters is the type of regulation as well as the regulatory tendency towards controlling frontline care workers decision-making and decision-latitude. PMID:29467547

The impact of personal loss on the experience of health professions: graduate students in end-of-life and bereavement care.

Science.gov (United States)

Supiano, Katherine P; Vaughn-Cole, Beth

2011-01-01

This study explored the impact of prior personal experience with grief on self-reported personal and professional development of graduate students in nursing, social work, counseling, pastoral care, and genetic counseling involved as cofacilitators in bereavement support groups, and of medical students observing interdisciplinary inpatient palliative care. Personal experience with death of a family member or close friend was reported in 80% of the 35 participating students. Findings suggest that grief and the students' construction of the meaning of their loss can mediate the students' developing sense of self as a professional helper. Active engagement with suffering persons, the opportunity for self-disclosure and reflection, and teacher-facilitator provision of emotional guidance and modeling contributed positively to learning.

Social Work, Pastoral Care and Resilience

Science.gov (United States)

Considine, Tom; Hollingdale, Paul; Neville, Ruth

2015-01-01

This paper briefly examines the growing interest in developing resilience in the social work curricula as it is seen as a crucial quality necessary to cope with the increasing demands of the profession. The recent research into developing resilience is dominated by a psychological model which emphasises personal qualities. It runs the risk of…

Emotion Regulation, Harsh Parenting, and Teacher Sensitivity among Socioeconomically Disadvantaged Toddlers in Child Care

Science.gov (United States)

Mortensen, Jennifer A.; Barnett, Melissa A.

2018-01-01

Research Findings: This study examined the transactional nature of harsh parenting and emotion regulation across toddlerhood, including the moderating role of teacher sensitivity in child care. Secondary data analyses were conducted with a subsample of families from the Early Head Start Research and Evaluation Project who participated in…

Impacts of a Changing Climate and Land Use on Reindeer Pastoralism: Indigenous Knowledge and Remote Sensing

Science.gov (United States)

Maynard, N. G.; Oskal, A.; Turi, A.; Mathiesen, J. M.; Eira, S. D.; Yurchak, I. M. G.; Etylin, B.; Gebelein, J.

2009-01-01

The Arctic is home to many indigenous peoples, including those who depend on reindeer herding for their livelihood, in one of the harshest environments in the world. For the largely nomadic peoples, reindeer not only form a substantial part of the Arctic food base and economy, but they are also culturally important, shaping their way of life, mythologies, festivals and ceremonies. Reindeer pastoralism or husbandry has been practiced by numerous peoples all across Eurasia for thousands of years and involves moving herds of reindeer, which are very docile animals, from pasture to pasture depending on the season. Thus, herders must adapt on a daily basis to find optimal conditions for their herds according to the constantly changing conditions. Climate change and variability plus rapid development are increasingly creating major changes in the physical environment, ecology, and cultures of these indigenous reindeer herder communities in the North, and climate changes are occurring significantly faster in the Arctic than the rest of the globe, with correspondingly dramatic impacts (Oskal, 2008). In response to these changes, Eurasian reindeer herders have created the EALAT project, a comprehensive new initiative to study these impacts and to develop local adaptation strategies based upon their traditional knowledge of the land and its uses - in targeted partnership with the science and remote sensing community - involving extensive collaborations and coproduction of knowledge to minimize the impacts of the various changes. This chapter provides background on climate and development challenges to reindeer husbandry across the Arctic and an overview of the EALAT initiative, with an emphasis on indigenous knowledge, remote sensing, Geographic Information Systems (GIS), and other scientific data to 'co-produce' datasets for use by herders for improved decision-making and herd management. It also provides a description of the EALAT monitoring data integration and sharing

Branded prescription drug fee. Final regulations, temporary regulations, and removal of temporary regulations.

Science.gov (United States)

2014-07-28

This document contains final regulations that provide guidance on the annual fee imposed on covered entities engaged in the business of manufacturing or importing branded prescription drugs. This fee was enacted by section 9008 of the Patient Protection and Affordable Care Act, as amended by section 1404 of the Health Care and Education Reconciliation Act of 2010. This document also withdraws the Branded Prescription Drug Fee temporary regulations and contains new temporary regulations regarding the definition of controlled group that apply beginning on January 1, 2015. The final regulations and the new temporary regulations affect persons engaged in the business of manufacturing or importing certain branded prescription drugs. The text of the temporary regulations in this document also serves as the text of proposed regulations set forth in a notice of proposed rulemaking (REG-123286-14) on this subject in the Proposed Rules section in this issue of the Federal Register.

Mapping the literature of health care chaplaincy.

Science.gov (United States)

Johnson, Emily; Dodd-McCue, Diane; Tartaglia, Alexander; McDaniel, Jennifer

2013-07-01

This study examined citation patterns and indexing coverage from 2008 to 2010 to determine (1) the core literature of health care chaplaincy and (2) the resources providing optimum coverage for the literature. Citations from three source journals (2008-2010 inclusive) were collected and analyzed according to the protocol created for the Mapping the Literature of Allied Health Professions Project. An analysis of indexing coverage by five databases was conducted. A secondary analysis of self-citations by source journals was also conducted. The 3 source journals--Chaplaincy Today, the Journal of Health Care Chaplaincy, and the Journal of Pastoral Care and Counseling--ranked as the top 3 journals in Zone 1 and provided the highest number of most frequently cited articles for health care chaplaincy. Additional journals that appeared in this highly productive zone covered the disciplines of medicine, psychology, nursing, and religion, which were also represented in the Zones 2 and 3 journals. None of the databases provided complete coverage for the core journals; however, MEDLINE provided the most comprehensive coverage for journals in Zones 1 and 2, followed by Academic Search Complete, CINAHL, PsycINFO, and ATLA. Self-citations for the source journals ranged from 9% to 16%. Health care chaplaincy draws from a diverse body of inter-professional literature. Libraries wishing to provide access to journal literature to support health care chaplaincy at their institutions will be best able to do this by subscribing to databases and journals that cover medical, psychological, nursing, and religion- or spirituality-focused disciplines.

The cultural heritage of pastoralism - local knowledge, state identity and the global perspective: the example of local breeds in Morocco.

Science.gov (United States)

Ben Hounet, Y; Brisebarre, A-M; Guinand, S

2016-11-01

Over the past few decades, the heritage designation process has come to impact on the way of life of many nomadic pastoralists across the world. Since the Convention Concerning the Protection of the World Cultural and Natural Heritage was adopted in 1972, policies for the conservation of protected areas have been implemented under the aegis of the United Nations Educational, Scientific and Cultural Organization (UNESCO), especially in countries of the South, with a varying impact on the practices and perceptions of pastoral communities. Heritage policies were further extended by the establishment of the list of Intangible Cultural Heritage (the Convention was adopted by the UNESCO General Conference in October 2003 and came into force in 2006) and the list of Cultural Landscapes (adoption in 1992, with the first site listed in 1993). This enthusiasm for heritage, which is felt by States and local communities alike, provides an opportunity to study the contradictions and changing perceptions of the nomadic and pastoral identity. In this context of wholesale heritage designation, it is interesting to examine how local knowledge - especially that on hardy animal breeds - is promoted and safeguarded. The authors focus on the case of Morocco, where the national association of sheep and goat breeders (ANOC) oversees breed selection and health policy for local breeds, in order to demonstrate that greater recognition of farmers' knowledge and their ability to identify hardy animals can ensure the sustainability of farms in both South and North from a socio-economic, genetic and health standpoint.

Evaluation of the impact of the 2012 Rhode Island health care worker influenza vaccination regulations: implementation process and vaccination coverage.

Science.gov (United States)

Kim, Hanna; Lindley, Megan C; Dube, Donna; Kalayil, Elizabeth J; Paiva, Kristi A; Raymond, Patricia

2015-01-01

In October 2012, the Rhode Island Department of Health (HEALTH) amended its health care worker (HCW) vaccination regulations to require all HCWs to receive annual influenza vaccination or wear a surgical mask during direct patient contact when influenza is widespread. Unvaccinated HCWs failing to wear a mask are subject to a fine and disciplinary action. To describe the implementation of the 2012 Rhode Island HCW influenza vaccination regulations and examine their impact on vaccination coverage. Two data sources were used: (1) a survey of all health care facilities subject to the HCW regulations and (2) HCW influenza vaccination coverage data reported to HEALTH by health care facilities. Descriptive statistics and paired t tests were performed using SAS Release 9.2. For the 2012-2013 influenza season, 271 inpatient and outpatient health care facilities in Rhode Island were subject to the HCW regulations. Increase in HCW influenza vaccination coverage. Of the 271 facilities, 117 facilities completed the survey (43.2%) and 160 facilities reported vaccination data to HEALTH (59.0%). Between the 2011-2012 and 2012-2013 influenza seasons, the proportion of facilities having a masking policy, as required by the revised regulations, increased from 9.4% to 94.0% (P employee HCWs in Rhode Island increased from 69.7% in the 2011-2012 influenza season to 87.2% in the 2012-2013 season. Rhode Island's experience demonstrates that statewide HCW influenza vaccination requirements incorporating mask wearing and moderate penalties for noncompliance can be effective in improving influenza vaccination coverage among HCWs.

MEDELLÍN: FERTILE SEEDS OF PASTORAL CONVERSION IN THE UNITED STATES

Directory of Open Access Journals (Sweden)

Allan Figueroa Deck

2018-04-01

RESUMO: Este artigo investiga a forma pela qual tanto o evento como o documento de Medellín tiveram papel significativo na evolução dos ministérios pastorais e sociais da população de origem latino-americana dos Estados Unidos nos últimos cinquenta anos. A recepção de Medellín nos Estados Unidos, dentro do contexto mais amplo que se seguiu ao Concílio Vaticano II, foi ampla e profunda, e é aqui delineada em seus muitos desdobramentos. Naquelas comunidades de origem latino-americana, na forma de organizações comunitárias de base conforme a tra­dição de Saul Alinsky, os ministérios sociais de cunho confessional foram influen­ciados pela opção pelos pobres e pela pastoral de conjunto lançadas por Medellín. Vários outros exemplos do impacto causado por Medellín são aqui situados no seu contexto histórico mais amplo da última metade de século, período no qual a população de origem latino-americana despontou como majoritária entre todos os católicos norte-americanos na faixa etária até 35 anos.

Sidama Agro-Pastoralism and Ethnobiological Classification of its Primary Plant, Enset (Ensete ventricosum

Directory of Open Access Journals (Sweden)

Marsha B. Quinlan

2014-10-01

Full Text Available Enset is an essential plant for the Ethiopian Sidama system of agropastoralism. Sidama agropastoralism and the folk taxonomy of enset is presented here in ethnographic context. One of several societies of Ethiopia’s enset complex, the highland Sidama are among the most wholly reliant on enset and maintain more enset varieties in their gardens than other groups. Sidama agro-pastoral systems revolve around human-enset-cattle interaction: Sidama eat low-protein parts of enset; cattle eat high-protein parts of enset; Sidama get protein from dairy; Sidama fertilize enset with cattle manure. In the Sidama language, enset offers an example of Hunn’s generic elevation within the framework of Berlinian perceptual-taxonomic theory. Weesho (enset may serve both as a folk generic taxon and a life-form taxon depending on the frame of reference. Such expansion allows for an intermediate taxa translating to “male” or “female” ensets, followed by generic and specific taxa for kinds or “breeds” of enset. Generic elevation offers descriptive magnification of nomenclature for enset, a most salient species among Sidama people.

Volunteers in Specialist Palliative Care: A Survey of Adult Services in the United Kingdom

Science.gov (United States)

Burbeck, Rachel; Low, Joe; Sampson, Elizabeth L.; Bravery, Ruth; Hill, Matthew; Morris, Sara; Ockenden, Nick; Payne, Sheila

2014-01-01

Abstract Background: Worldwide, the demand for specialist palliative care is increasing but funding is limited. The role of volunteers is underresearched, although their contribution reduces costs significantly. Understanding what volunteers do is vital to ensure services develop appropriately to meet the challenges faced by providers of palliative care. Objective: The study's objective is to describe current involvement of volunteers with direct patient/family contact in U.K. specialist palliative care. Design: An online survey was sent to 290 U.K. adult hospices and specialist palliative care services involving volunteers covering service characteristics, involvement and numbers of volunteers, settings in which they are involved, extent of involvement in care services, specific activities undertaken in each setting, and use of professional skills. Results: The survey had a 67% response rate. Volunteers were most commonly involved in day care and bereavement services. They entirely ran some complementary therapy, beauty therapy/hairdressing, and pastoral/faith-based care services, and were involved in a wide range of activities, including sitting with dying patients. Conclusions: This comprehensive survey of volunteer activity in U.K. specialist palliative care provides an up-to-date picture of volunteer involvement in direct contact with patients and their families, such as providing emotional care, and the extent of their involvement in day and bereavement services. Further research could focus on exploring their involvement in bereavement care. PMID:24475743

Coping, Cognitive Emotion Regulation, and Burnout in Long-Term Care Nursing Staff: A Preliminary Study.

Science.gov (United States)

Bamonti, Patricia; Conti, Elizabeth; Cavanagh, Casey; Gerolimatos, Lindsay; Gregg, Jeffrey; Goulet, Carol; Pifer, Marisa; Edelstein, Barry

2017-06-01

Direct care workers (e.g., certified nursing assistants [CNAs]) employed in long-term care (LTC) are particularly vulnerable to the experience of burnout, yet they have received relatively less research attention compared to Licensed Practical Nurses and Registered Nurses. Within the burnout literature, evidence suggests that the deployment of certain coping strategies influences levels of burnout. The current study examined the extent to which coping (e.g., problem-focused, emotion-focused, and dysfunctional coping) and cognitive emotion regulation strategies (e.g., positive reappraisal) predicted burnout after controlling for covariates (age, sleep duration). Fifty-six CNAs were surveyed at four skilled nursing facilities in the United States. Dysfunctional coping was significantly associated with emotional exhaustion and depersonalization. Among cognitive emotion regulation strategies, positive reappraisal was significantly associated with depersonalization. Shorter sleep duration was associated with significantly greater depersonalization. Findings suggest the need to develop interventions for CNAs aimed at reducing dysfunctional coping strategies and increasing sleep duration.

Institutional delivery service utilization and associated factors among women of reproductive age in the mobile pastoral community of the Liban District in Guji Zone, Oromia, Southern Ethiopia: a cross sectional study.

Science.gov (United States)

Wako, Wako Golicha; Kassa, Dejene Hailu

2017-05-15

Globally, an estimated 289,000 maternal deaths occurred in 2013. Majority of these deaths occurred in sub-Saharan Africa and Southern Asia. Mobility of pastoralists is a well-recognized survival strategy in arid and semi-arid land of sub-Saharan Africa. However governments often encourage settlement as a solution to the difficulty of providing health services for mobile pastoralists. This study aimed to assess utilization of institutional delivery and associated factors among women of reproductive age in the mobile pastoral community of the Liban District in Guji zone, Oromia, Ethiopia. A Community based cross-sectional survey was conducted among the mobile pastoralist community of the Liban District. Seven hundred ninety-one (791) randomly selected women, who had birth within the last 2 years preceding the survey, were interviewed using a pretested structured questionnaire. Data were entered into Epi-Info version 3.5.4 and analyzed by Statistical Package for Social Science (SPSS) version 16. Bivariate and multivariate analyses were done. Out of 791 women who gave birth within the last 2 years preceding the survey, only 110 (13.9%) gave birth in health institutions. Majority (74.1%) of the women gave birth at their home. Ninety-one women (11.5%) gave birth at traditional birth attendant's home; assisted by traditional birth attendants. Multiple logistic regression shows that women who had readily available cash at the onset of labor (aOR 2.79, 95% CI: 1.29-6.25), delivered the birth preceding the most recent birth in a health institution (aOR 6.8, 95% CI: 3.44-13.45) and had birth related complications during the birth preceding the most recent birth (aOR 1.90, 95% CI: 1.08-3.36) were more likely to deliver at health institutions. Majority of the pastoral women seek institutional delivery, only when labor related complications are perceived. Mechanisms of alleviating indirect health care costs affecting institutional delivery need to be addressed in future studies.

Modeling the effects of different fuel treatment mosaics on wildfire spread and behavior in a Mediterranean agro-pastoral area.

Science.gov (United States)

Salis, Michele; Del Giudice, Liliana; Arca, Bachisio; Ager, Alan A; Alcasena-Urdiroz, Fermin; Lozano, Olga; Bacciu, Valentina; Spano, Donatella; Duce, Pierpaolo

2018-04-15

Wildfire spread and behavior can be limited by fuel treatments, even if their effects can vary according to a number of factors including type, intensity, extension, and spatial arrangement. In this work, we simulated the response of key wildfire exposure metrics to variations in the percentage of treated area, treatment unit size, and spatial arrangement of fuel treatments under different wind intensities. The study was carried out in a fire-prone 625 km 2 agro-pastoral area mostly covered by herbaceous fuels, and located in Northern Sardinia, Italy. We constrained the selection of fuel treatment units to areas covered by specific herbaceous land use classes and low terrain slope (post-treatment wildfire behavior by the Minimum Travel Time (MTT) fire spread algorithm. The simulations replicated a set of southwestern wind speed scenarios (16, 24 and 32 km h -1 ) and the driest fuel moisture conditions observed in the study area. Our results showed that fuel treatments implemented near the existing road network were significantly more efficient than the other alternatives, and this difference was amplified at the highest wind speed. Moreover, the largest treatment unit sizes were the most effective in containing wildfire growth. As expected, increasing the percentage of the landscape treated and reducing wind speed lowered fire exposure profiles for all fuel treatment alternatives, and this was observed at both the landscape scale and for highly valued resources. The methodology presented in this study can support the design and optimization of fuel management programs and policies in agro-pastoral areas of the Mediterranean Basin and herbaceous type landscapes elsewhere, where recurrent grassland fires pose a threat to rural communities, farms and infrastructures. Copyright © 2018 Elsevier Ltd. All rights reserved.

IMPORTÂNCIA DA AVALIAÇÃO CLÍNICA NO DIAGNÓSTICO DE DOENÇA PERIODONTAL EM CÃES DA RAÇA PASTOR ALEMÃO

Directory of Open Access Journals (Sweden)

Luiz de Macêdo Farias

2006-10-01

Full Text Available As doenças periodontais resultam de resposta inflamatória progressiva do hospedeiro ao acúmulo de placa bacteriana, incluindo os metabólitos no dente e nos tecidos gengivais. Assim, avaliou-se, clinicamente, o periodonto de cães da raça Pastor Alemão, levando-se em consideração presença de tártaro, sangramento à sondagem e mobilidade dentária em animais com sítios saudáveis e com doença periodontal. Para isso, utilizaram-se 29 cães,da raça Pastor Alemão, com idade variando de três a seis anos. Clinicamente, 27 (93,10% cães apresentavam vários sítios com sintomatologia clínica de doença periodontal e somente dois apresentavam sítios saudáveis. Os dentes mais acometidos foram os molares, os pré-molares e os caninos,com sinais clínicos mais intensos nas superfícies dentárias e maior acúmulo de tártaro e placa bacteriana. Os resultados demonstraram a necessidade de se proceder a uma limpeza preventiva dos dentes, para proporcionar maior saúde para os cães. PALAVRAS-CHAVE: Periodonto, cães, dente.

O adolescente infrator interno pelo estatuto da criança e do adolescente e o aconselhamento psicológico pastoral

OpenAIRE

Werno Nilsson

2007-01-01

A pesquisa servirá como manual para o Aconselhamento Psicológico Pastoral do Adolescente Infrator Interno com base no Estatuto da Criança e do Adolescente. A primeira parte aborda o antigo Código de Menores e suas restrições. Em seguida a inovação do Estatuto quanto a proteção integral do Adolescente, principalmente do infrator interno. A nova visão global e a intenção do legislador, avançada para o tempo em que foi lançado, para a defesa e a reeducação do infrator. O fato da proteção e prio...

Trapping or tethering stones (TS: A multifunctional device in the Pastoral Neolithic of the Sahara.

Directory of Open Access Journals (Sweden)

Marina Gallinaro

Full Text Available The Pierres de Ben Barour, also known as trapping or tethering stones (TS, are stone artefacts with notches or grooves usually interpreted as hunting devices on the basis of rock art engravings. Though their presence is a peculiar feature of desert landscapes from the Sahara to the Arabian Peninsula, we know little about their age, context and function. Here we present a new approach to the study of these artefacts based on a large dataset (837 items recorded in the Messak plateau (SW Libya. A statistically-based geoarchaeological survey carried out between 2007 and 2011 in Libya, alongside landscape and intra-site analyses of specific archaeological features (such as rock art, settlement and ceremonial contexts, reveal that these artefacts were used for a prolonged period, probably from the early Holocene. This was followed by a multifunctional use of these devices, particularly during the Pastoral Neolithic phase (ca. 6400-3000 cal BC, with the highest concentrations being found near ceremonial contexts related to cattle burials.

Comparison of evapotranspiration components and water-use efficiency among different land use patterns of temperate steppe in the Northern China pastoral-farming ecotone.

Science.gov (United States)

Li, Yuzhe; Fan, Jiangwen; Hu, Zhongmin; Shao, Quanqin; Harris, Warwick

2016-06-01

Water-use efficiency (WUE), which links carbon and water cycles, is an important indicator of assessing the interactions between ecosystems and regional climate. Using chamber methods with and without plant removal treatments, we investigated WUE and evapotranspiration (ET) components in three ecosystems with different land-use types in Northern China pastoral-farming ecotone. In comparison, ET of the ecosystems with grazing exclusion and cultivating was 6.7 and 13.4 % higher than that of the ecosystem with free grazing. The difference in ET was primarily due to the different magnitudes of soil water evaporation (E) rather than canopy transpiration (T). Canopy WUE (WUEc, i.e., the ratio of gross primary productivity to T) at the grazing excluded and cultivated sites was 17 and 36 % higher than that at the grazing site. Ecosystem WUE (WUEnep, i.e., the ratio of net ecosystem productivity to ET) at the cultivated site was 34 and 28 % lower in comparison with grazed and grazing excluded stepped, respectively. The varied leaf area index (LAI) of different land uses was correlated with microclimate and ecosystem vapor/carbon exchange. The LAI changing with land uses should be the primary regulation of grassland WUE. These findings facilitate the mechanistic understanding of carbon-water relationships at canopy and ecosystem levels and projection of the effects of land-use change on regional climate and productivity.

Relationship between child care centers' compliance with physical activity regulations and children's physical activity, New York City, 2010.

Science.gov (United States)

Stephens, Robert L; Xu, Ye; Lesesne, Catherine A; Dunn, Lillian; Kakietek, Jakub; Jernigan, Jan; Khan, Laura Kettel

2014-10-16

Physical activity may protect against overweight and obesity among preschoolers, and the policies and characteristics of group child care centers influence the physical activity levels of children who attend them. We examined whether children in New York City group child care centers that are compliant with the city's regulations on child physical activity engage in more activity than children in centers who do not comply. A sample of 1,352 children (mean age, 3.39 years) served by 110 group child care centers in low-income neighborhoods participated. Children's anthropometric data were collected and accelerometers were used to measure duration and intensity of physical activity. Multilevel generalized linear regression modeling techniques were used to assess the effect of center- and child-level factors on child-level physical activity. Centers' compliance with the regulation of obtaining at least 60 minutes of total physical activity per day was positively associated with children's levels of moderate to vigorous physical activity (MVPA); compliance with the regulation of obtaining at least 30 minutes of structured activity was not associated with increased levels of MVPA. Children in centers with a dedicated outdoor play space available also spent more time in MVPA. Boys spent more time in MVPA than girls, and non-Hispanic black children spent more time in MVPA than Hispanic children. To increase children's level of MVPA in child care, both time and type of activity should be considered. Further examination of the role of play space availability and its effect on opportunities for engaging in physical activity is needed.

Connecting above and below: the impacts of large wildlife loss and pastoralism on savanna carbon dynamics

Science.gov (United States)

Forbes, E. S.; Young, H. S.; Young, T.; Schimel, J.

2016-12-01

There is widespread evidence that large wildlife species contribute to ecosystem carbon efflux; however, their influence is not incorporated into traditional carbon models. As large wildlife loss continues in the Anthropocene and in the face of climate change, it becomes increasingly important to understand the impacts of their loss on ecosystem carbon. The charismatic, threatened wildlife in central Kenya's savanna provide an ideal framework for these questions. We compared differences in carbon efflux in the presence or absence of native herbivores and/or cattle, as a proxy for wildlife loss and the interaction of pastoralism. We measured carbon dynamics in situ with a closed-chamber system and microbial respiration rates in lab by incubating sampled soil. We discovered a significant effect of herbivore presence/absence on carbon efflux: incubated soils collected from plots with cattle only exhibit greater carbon accumulation and faster initial respiration rates than soils collected from plots with native herbivores and no cattle, native herbivores and cattle, and neither native herbivores nor cattle. When measured in situ, plots with no herbivores show higher efflux than plots with only native herbivores, and plots with both. The data also suggest that grazing pressure results in successively lower efflux. The differences in these studies imply that the impacts of large wildlife loss differ on microbial respiration as an isolated mechanism in ecosystem carbon exchange, and total carbon efflux. This is most likely because in situ efflux measurements encompass environmental variables as well as soil microbial respiration. The lab data suggest that cattle as the only herbivore causes greater soil microbial efflux compared to native herbivores alone, native herbivores with cattle, or no herbivores. The in situ data show that no herbivores results in increased carbon efflux, and suggest that increasing numbers of herbivores lowers efflux.These studies demonstrate

Modelling global change impacts on soil carbon contents of agro-silvo-pastoral Mediterranean systems

Science.gov (United States)

Lozano-García, Beatriz; Muñoz-Rojas, Miriam; Parras-Alcántara, Luis

2016-04-01

To assess the impact of climate change on soil organic C (SOC) stocks in agro-silvo-pastoral environments, different models have been applied worldwide at local or regional scales, such as as RothC (Francaviglia et al., 2012) or CENTURY (Alvaro-Fuentes et al., 2012). However, some of these models may require a high number of input parameters or can underestimate the effect of soil depth. CarboSOIL (Muñoz-Rojas et al., 2013) is an empirical model based on regression techniques and developed to predict SOC contents at standard soil depths (0-25, 25-50 and 50-75 cm) under a range of climate and/or land use change scenarios. CarboSOIL has been successfully applied in different Mediterranean areas ,e.g. Southern Spain (Muñoz-Rojas et al., 2013; Abd-Elmabod et al., 2014), Northern Egypt (Muñoz-Rojas et al., 2014) and Italy (Muñoz-Rojas et al., 2015). In this study, CarboSOIL was applied in the Cardeña and Montoro mountain range Natural Park. This area covers 385 km2 and is located within Sierra Morena (Córdoba, South Spain) and has a semiarid Mediterranean climate. It is characterized by agro-silvo-pastoral systems. The Mediterranean evergreen oak woodland (MEOW-dehesa) is savanna-like open woodland ecosystem characterized by silvopastoral uses, being an ancient human modified Mediterranean landscape (Corral-Fernández et al., 2013; Lozano-García and Parras-Alcántara 2013). The most representative soils in the Cardeña and Montoro mountain range Natural Park are Cambisols, Regosols, Leptosols and Fluvisols. These soils are characterized by low fertility, poor physical conditions and marginal capacity for agricultural use, together with low organic matter (OM) content due to climate conditions (semiarid Mediterranean climate) and soil texture (sandy). The model was applied at different soil depths: 0-25, 25-50 and 50-75 cm (Parras-Alcántara et al., 2015) considering land use and climate changes scenarios based on available global climate models (IPPC, 2007). A

Alfalfa (Medicago sativa L.)/Maize (Zea mays L.) Intercropping Provides a Feasible Way to Improve Yield and Economic Incomes in Farming and Pastoral Areas of Northeast China

Science.gov (United States)

Sun, Baoru; Peng, Yi; Yang, Hongyu; Li, Zhijian; Gao, Yingzhi; Wang, Chao; Yan, Yuli; Liu, Yanmei

2014-01-01

Given the growing challenges to food and eco-environmental security as well as sustainable development of animal husbandry in the farming and pastoral areas of northeast China, it is crucial to identify advantageous intercropping modes and some constraints limiting its popularization. In order to assess the performance of various intercropping modes of maize and alfalfa, a field experiment was conducted in a completely randomized block design with five treatments: maize monoculture in even rows, maize monoculture in alternating wide and narrow rows, alfalfa monoculture, maize intercropped with one row of alfalfa in wide rows and maize intercropped with two rows of alfalfa in wide rows. Results demonstrate that maize monoculture in alternating wide and narrow rows performed best for light transmission, grain yield and output value, compared to in even rows. When intercropped, maize intercropped with one row of alfalfa in wide rows was identified as the optimal strategy and the largely complementary ecological niches of alfalfa and maize were shown to account for the intercropping advantages, optimizing resource utilization and improving yield and economic incomes. These findings suggest that alfalfa/maize intercropping has obvious advantages over monoculture and is applicable to the farming and pastoral areas of northeast China. PMID:25329376

Alfalfa (Medicago sativa L./maize (Zea mays L. intercropping provides a feasible way to improve yield and economic incomes in farming and pastoral areas of northeast China.

Directory of Open Access Journals (Sweden)

Baoru Sun

Full Text Available Given the growing challenges to food and eco-environmental security as well as sustainable development of animal husbandry in the farming and pastoral areas of northeast China, it is crucial to identify advantageous intercropping modes and some constraints limiting its popularization. In order to assess the performance of various intercropping modes of maize and alfalfa, a field experiment was conducted in a completely randomized block design with five treatments: maize monoculture in even rows, maize monoculture in alternating wide and narrow rows, alfalfa monoculture, maize intercropped with one row of alfalfa in wide rows and maize intercropped with two rows of alfalfa in wide rows. Results demonstrate that maize monoculture in alternating wide and narrow rows performed best for light transmission, grain yield and output value, compared to in even rows. When intercropped, maize intercropped with one row of alfalfa in wide rows was identified as the optimal strategy and the largely complementary ecological niches of alfalfa and maize were shown to account for the intercropping advantages, optimizing resource utilization and improving yield and economic incomes. These findings suggest that alfalfa/maize intercropping has obvious advantages over monoculture and is applicable to the farming and pastoral areas of northeast China.

Alfalfa (Medicago sativa L.)/maize (Zea mays L.) intercropping provides a feasible way to improve yield and economic incomes in farming and pastoral areas of northeast China.

Science.gov (United States)

Sun, Baoru; Peng, Yi; Yang, Hongyu; Li, Zhijian; Gao, Yingzhi; Wang, Chao; Yan, Yuli; Liu, Yanmei

2014-01-01

Given the growing challenges to food and eco-environmental security as well as sustainable development of animal husbandry in the farming and pastoral areas of northeast China, it is crucial to identify advantageous intercropping modes and some constraints limiting its popularization. In order to assess the performance of various intercropping modes of maize and alfalfa, a field experiment was conducted in a completely randomized block design with five treatments: maize monoculture in even rows, maize monoculture in alternating wide and narrow rows, alfalfa monoculture, maize intercropped with one row of alfalfa in wide rows and maize intercropped with two rows of alfalfa in wide rows. Results demonstrate that maize monoculture in alternating wide and narrow rows performed best for light transmission, grain yield and output value, compared to in even rows. When intercropped, maize intercropped with one row of alfalfa in wide rows was identified as the optimal strategy and the largely complementary ecological niches of alfalfa and maize were shown to account for the intercropping advantages, optimizing resource utilization and improving yield and economic incomes. These findings suggest that alfalfa/maize intercropping has obvious advantages over monoculture and is applicable to the farming and pastoral areas of northeast China.

Religious care required for Japanese terminally ill patients with cancer from the perspective of bereaved family members.

Science.gov (United States)

Okamoto, Takuya; Ando, Michiyo; Morita, Tatsuya; Hirai, Kei; Kawamura, Ryo; Mitsunori, Miyashita; Sato, Kazuki; Shima, Yasuo

2010-02-01

The aim of this study was to explore the most suitable religious care for Japanese terminally ill patients with cancer based on the opinions of bereaved family members. A multicenter questionnaire survey on palliative care service was sent to 592 bereaved family members of patients with cancer who were admitted to palliative care units in Japan, and 430 responded by mail. In the section of the questionnaire about religious care, 382 responses were used for quantitative analysis, and 71 responses about religious care for qualitative analysis. In the current study, the 71 responses were grouped into families with and without a religion and were analyzed qualitatively. Families with a religion (N = 28) chose answers such as ''Instrumental care'' such as music or a religious event, ''Freedom of choice of kinds for religious care,'' ''Staff involvement of religious care,'' ''Meeting with a pastoral care workers,'' and ''Burden of offering a different kind of personal religion.'' In contrast, families without a religion (N = 44) chose answers such as ''Instrumental care,'' ''Freedom of choice whether patients receive religious care or not,'' ''Spiritual care,'' ''Not being able to accept religious care,'' and ''Burden of thinking about a religion and nuisance.'' These findings suggest that Japanese bereaved families with a religion generally regard religious care positively and prefer care through their own religion, whereas some families without a religion require religious care but some do not prefer it.

Health Care Regulation Spending Trap

Directory of Open Access Journals (Sweden)

Timothy McTighe

2017-07-01

Full Text Available Our health care system has faced many challenges over the past 40 plus years. Now these challenges have forced us into a complicated situation that makes it confusing on how best to proceed. Today third party insurance payers make most health care payments. Our premiums are paid into a risk pool-on medical services for other people. Consumers are disconnected from knowing the cost of goods or services that they are receiving. This commentary reviews the current situation and provides a few common sense approaches for pursuing the best potential policies.

Evaluation design of New York City's regulations on nutrition, physical activity, and screen time in early child care centers.

Science.gov (United States)

Breck, Andrew; Goodman, Ken; Dunn, Lillian; Stephens, Robert L; Dawkins, Nicola; Dixon, Beth; Jernigan, Jan; Kakietek, Jakub; Lesesne, Catherine; Lessard, Laura; Nonas, Cathy; O'Dell, Sarah Abood; Osuji, Thearis A; Bronson, Bernice; Xu, Ye; Kettel Khan, Laura

2014-10-16

This article describes the multi-method cross-sectional design used to evaluate New York City Department of Health and Mental Hygiene's regulations of nutrition, physical activity, and screen time for children aged 3 years or older in licensed group child care centers. The Center Evaluation Component collected data from a stratified random sample of 176 licensed group child care centers in New York City. Compliance with the regulations was measured through a review of center records, a facility inventory, and interviews of center directors, lead teachers, and food service staff. The Classroom Evaluation Component included an observational and biometric study of a sample of approximately 1,400 children aged 3 or 4 years attending 110 child care centers and was designed to complement the center component at the classroom and child level. The study methodology detailed in this paper may aid researchers in designing policy evaluation studies that can inform other jurisdictions considering similar policies.

Health Care between Medicine and Religion : The Case of Catholic Western Germany around 1800

Directory of Open Access Journals (Sweden)

Bruchhausen, Walter

2007-12-01

Full Text Available The current revision of the relationship between religion and medicine in the ‘post-secular’ or ‘desecularised’ society invites a new look on their function for each other at the beginning of the modern era, i.e. the political and economic secularisation during the dissolution of the Ancient Empires in Europe. Exemplified by the Prince-Archbishoprics of Western Germany, the consequences of the church’s change from state power to mere pastoral care are demonstrated for the three groups of Catholic physicians in academic medicine, priests in rural health care and nuns in nursing. During the turn from the enlightenment idea of religion serving medicine to the romantic concept of medicine contributing to religion their activities shifted dramatically: Whereas more members of religious congregations entered nursing than before, priests had to give up any medical work and Christian doctors were forced to cope with the separation between academic medicine and the religious world view.

Activated charcoal and graphite for the micropropagation of Cattleya bicolor Lindl. and a orchid double-hybrid ‘BLC Pastoral Innocence’=Carvão ativado e grafite para a micropropagação de Cattleya bicolor Lindl. e um duplo híbrido de orquídea ‘BLC Pastoral Innocence’

Directory of Open Access Journals (Sweden)

Claudete Aparecida Mangolin

2012-04-01

Full Text Available No previous studies have investigated the use of graphite instead of activated charcoal in orchids. In this work, different concentrations of activated charcoal or graphite were added to KC medium to darken the culture medium and stimulate the in vitro propagation of Cattleya bicolor and of a double hybrid orchid (‘BLC Pastoral Innocence’. The seedlings were inoculated on growth regulator-free KC medium; the effects of activated charcoal (0.0, 1.5, 3.0, 4.5, 6.0, and 7.5 g L-1 and graphite (0.0, 1.5, 3.0, 4.5, 6.0, and 7.5 g L-1 concentrations were tested separately. Each flask contained fifteen seedlings, and the experiments had a randomised, two-way factorial design. The two tested variables were culture medium and illumination levels; eleven culture levels (different concentrations of graphite or activate charcoal and two illumination levels (14-hr photoperiod or continuous illumination were evaluated. Three replicates of each combination were utilised. After six months of culture, the average numbers of induced buds and roots per seedling were recorded for each concentration of activated charcoal or graphite. Whereas the largest number of buds in C. bicolor seedlings occurred on media containing 6.0 or 7.5 g L-1 graphite, the largest number of roots occurred on media containing 6.0 g L-1 activated charcoal. In the hybrid ‘BLC Pastoral Innocence’, the largest number of buds and roots was reported in medium with 4.5 g L-1 activated charcoal. When using graphite in place of activated charcoal, we obtained disparate the results in root formation that suggest that graphite is not a recommended substitute for activated charcoal.Nenhum estudo prévio tem investigado o uso de grafite como substituto do carvão ativado em orquídeas. No presente trabalho, concentrações diferentes de carvão ativado ou de grafite foram adicionadas ao meio KC para escurecer o meio de cultura e estimular a propagação in vitro de Cattleya bicolor e de um

《田园交响曲》的器乐表达及其人文品读%On the Instrumental Music Expression and Its Humanistic Read of Pastoral Symphony

Institute of Scientific and Technical Information of China (English)

张建国

2016-01-01

Beethoven ’s Sixth Symphony is the orchestral Sonata, also known as the Pastoral Symphony ,which is based on the Memories of Pastoral Life.However,it is more emotional than the phonetic description.It is the main content of this paper to study the instrumental language,the musical conception of the title,the spiritual state of “pure music”,the artistic value of the works and the posi-tive social significance from the perspective of musical instrumentation and orchestration.“Pastoral Symphony ”instrumental music is vivid and full of beautiful emotions,which optimizes the current public art appreciation of the quality of music,the current music minority art learning behavior and re-covers the complex of humanity which is nature oriented.%贝多芬创作的第六交响曲是“以田园生活的回忆为标题”的管弦乐奏鸣套曲，又称《田园交响曲》，但是，该作品的感情表现多于音画般描写。从乐器法和配器学的角度，聆听作品的器乐语言，品读标题的音乐意境，体悟“纯音乐”的精神状态，考量作品的艺术价值和积极的社会意义，是本文探究的主旨内容。《田园交响曲》的器乐生动和情感优美，优化着当下音乐大众的艺术欣赏质量；优化着当下音乐小众的艺术学习行为；呼唤着当下社会民众“以自然为师”人文情愫的觉醒复苏。

Resolution 369/012. It authorize to Vientos de Pastoral S.A. to generate a wind power electricity source by 150.0 MW generating station section, and their connection to National interconnected system

International Nuclear Information System (INIS)

2012-01-01

It has been allowed the wind power generation electricity energy source as a the primary electricity source. This project was presented by the Vientos de Pastoral S.A company according to the opinion of the National Energy Regulatory Unit and the Energy and Water Services in relation with the requirements of the current rule

Pastoral Care and Mindfulness: A Teaching Practice

Science.gov (United States)

Strongman, Luke

2017-01-01

From the earliest modern academic literature of industrial organization, supervision education and training, managerial considerations involve leveraging to improve the work of the supervisor and supervisee, and accentuating the value added opportunities for work improvement (Dawson, 1926, pp. 293-295). Reflecting the incorporation of the…

Dancing the Two-Step in Ontario's Long-term Care Sector: More Deterrence-oriented Regulation = Ownership and Management Consolidation.

Science.gov (United States)

Daly, Tamara

2015-03-01

This paper explores shifts in public and private delivery over time through an analysis of Ontario's approach to LTC funding and regulation in relation to other jurisdictions in Canada and abroad. The case of Ontario's long-term care (LTC) policy evolution - from the 1940s until early 2013 -- shows how moving from compliance to deterrence oriented regulation can support consolidation of commercial providers' ownership and increase the likelihood of non-profit and public providers outsourcing their management.

Roma in Slovakia – silent and invisible minority (Social Networking and Pastoral Pentecostal Discourse as a case of giving voice and positive visibility

Directory of Open Access Journals (Sweden)

Tatiana Podolinská

2017-06-01

Full Text Available The contribution is meant to be a micro-case study to the issue of institutional production and reproduction of security of a selected minority group in Slovakia, through tracing the process of social networking and re-construction of the (ethnic identity on a religious basis. Principal attention is paid to the analysis of the transsocial and trans-ethnic discourse and the concept of New Roma as a de-ethnicised and ahistorically constructed label with positive and non-ascriptive connotations. The Pentecostal concept of the Family of God is studied in connection with the perception of the increased feeling of security not only within primary (family networks, but also within hybrid (religion-based networks. The New Roma concept offered to Roma by pastors would increase the potential of Roma to enter also secondary (professional and other kinds of networks within the mainstream society and allow them positive visibility at the mezzo-level of society. The new forms of social networking hand in hand with the new concept of de-ethnicised and deessentialised identity would allow Roma to change the management techniques from making security through invisibility to a more emancipative and assertive technique employing the paradigm “more visible = more secure”. The author points out the forced ethnicisation of the categories of Rom and Roma nation at the level of the practical discourse. From this point of view, the traditional type of ethnicity (based on traditional definitions of the nationis often intentionally over-communicated. Both ethnicisation (excessive accentuation of the ethnic perspective and de-ethnicisation (itsintentional suppression usually serve as practical (political tools for an objective fixing of the unfavourable position of Roma ethnic minority.This may produce a strong feeling of cultural hostility and insecurity on “both sides”. The author picks up the cases from practice and turns attention to the analysis of the

Estudio de las comunidades de interés pascícola en un puerto de montaña: I. Estructura y valor pastoral

Directory of Open Access Journals (Sweden)

Alonso, I.

1993-12-01

Full Text Available Studies of grazing plant communities in mountainous areas: I. Structure and grass quality. The study of the structure of the mountainous grassland communities, as the main factor involved in the ingestive behaviour of herbivores, is presented in this work. The pressure on these communities depends on the selection exercised by the grazing animal and this, in turn, depends on the plant value or pastoral value for the herbivore. The "complex" method was used to determine this value. The results are compared with those of other authors. The "life forms" based on Raunkiaer's classification complete this study of the vegetal communities, defined from the point of view of their pastoral value.

[es] En este trabajo se presenta un estudio de la estructura de las comunidades de pasto de montaña, como factor determinante del comportamiento ingestivo de los herbívoros. El mayor o menor impacto sobre estas comunidades depende de la selección que ejercen los animales, y ésta, a su vez, depende del valor que las plantas tienen para el herbívoro. El método aplicado en este caso para determinar este valor es el método "complex". Los resultados obtenidos se comparan con los de otros autores. La caracterización de las comunidades desde el punto de vista de su interés pascícola se completa con el estudio de los tipos biológicos basados en la clasificación de Raunkiaer.
[fr] Étude des communautés de pâturage dans un port de montagne: I. Structure et valeur pastoral. Dans ce travail on présente l'étude de la structure des communautés de pâturage de montagne comme un facteur déterminant du comportement ingestive des herbivores. La grandeur de l'impact sur ces communautés dépend de la sélection faite par les animaux et, celle-ci en même temps, dépend de la valeur qu'ont les plantes pour l'herbivore. La méthode appliquée dans ce cas pour déterminer cette valeur est la méthode "complex". Les résultats obtenus sont compar

Pastorale interaksie met vroue - gesien vanuit die beelde wat vir God gebruik word

Directory of Open Access Journals (Sweden)

Yolanda Dreyer

1998-12-01

Full Text Available Pastoral care and counseling with women: God-images and theidentity of women. The focus of this article is on women in the pastoral care situation. Rather than the revolutionary approach of liberation theology, a choice is made here for a process of conscientisation. Consciousness should be raised concerning the harm that has come to women on account of the dominant male perspective. A correlaion is drawn between a conception of Scripture, God-images (King/Lord, Father, Friend, Mother and the identity of women. The article concludes with an orientation of church and society within a postmodern paradigm toward an authentic life for women before God.

Assessing the resilience of a real-world social-ecological system: lessons from a multidisciplinary evaluation of a South African pastoral system

Directory of Open Access Journals (Sweden)

Anja Linstädter

2016-09-01

Full Text Available In the past decades, social-ecological systems (SESs worldwide have undergone dramatic transformations with often detrimental consequences for livelihoods. Although resilience thinking offers promising conceptual frameworks to understand SES transformations, empirical resilience assessments of real-world SESs are still rare because SES complexity requires integrating knowledge, theories, and approaches from different disciplines. Taking up this challenge, we empirically assess the resilience of a South African pastoral SES to drought using various methods from natural and social sciences. In the ecological subsystem, we analyze rangelands' ability to buffer drought effects on forage provision, using soil and vegetation indicators. In the social subsystem, we assess households' and communities' capacities to mitigate drought effects, applying agronomic and institutional indicators and benchmarking against practices and institutions in traditional pastoral SESs. Our results indicate that a decoupling of livelihoods from livestock-generated income was initiated by government interventions in the 1930s. In the post-apartheid phase, minimum-input strategies of herd management were adopted, leading to a recovery of rangeland vegetation due to unintentionally reduced stocking densities. Because current livelihood security is mainly based on external monetary resources (pensions, child grants, and disability grants, household resilience to drought is higher than in historical phases. Our study is one of the first to use a truly multidisciplinary resilience assessment. Conflicting results from partial assessments underline that measuring narrow indicator sets may impede a deeper understanding of SES transformations. The results also imply that the resilience of contemporary, open SESs cannot be explained by an inward-looking approach because essential connections and drivers at other scales have become relevant in the globalized world. Our study thus has

Is it possible to bring together pastoral youth service with the academic learning process?

Directory of Open Access Journals (Sweden)

Pedro Soto

2013-06-01

Full Text Available Is it possible a dialogue between the dynamics of youth ministry and academic learning process. As animated by the adult personnel of the school helps to guarantee a correct initiation or pedagogy of the proper imprint in the academic world for the evangelizer, and involves students in the work of evangelization whereby they connect the four pillars of education treated in the Delors Report with the three levels of evangelization under the guidance of the Church. Youth ministry, which is an organized action of the Church, is carried out by young men and women who involve themselves with Jesus Christ and his message and become protagonists of a civilization of fraternity, thus fulfilling the mandate of Jesus: “Go into the whole world and proclaim the Gospel to every creature (Mk. 16, 15. When the school moves thus, it is to say that it becomes a school of “pastoral importance”; one that, despite difficulties encountered from the various points of view, employs stragies for inserting the seeds of the Gospel into different scholastic environments, which often results in high academic learning and at the same time a robust living of the values of the Gospel.

Pastoralno-katehetska dimenzija biskupske službe u dokumentima pape Franje

Directory of Open Access Journals (Sweden)

Stanislav Šota

2018-03-01

pastoral-catechistical activity of bishops, by stressing the need for bishops’ initiative to overcome evil and poverty that are present in the world, to deprive and eliminate their consequences, to point out their structural causes, with concern for ensuring health care for every person, the dignity of work, fair pay, protection of the dignity of human life, to contribute to and spread social dialogue as an essential dimension of peace and common good in the world.

Training and technical assistance for compliance with beverage and physical activity components of New York City's regulations for early child care centers.

Science.gov (United States)

Kakietek, Jakub; Dunn, Lillian; O'Dell, Sarah Abood; Jernigan, Jan; Kettel Khan, Laura

2014-10-16

In 2006, the New York City Department of Health and Mental Hygiene (DOHMH) passed regulations for child care centers that established standards for beverages provided to children and set a minimum amount of time for daily physical activity. DOHMH offered several types of training and technical assistance to support compliance with the regulations. This article analyzes the association between training and technical assistance provided and compliance with the regulations in a sample of 174 group child care centers. Compliance was measured by using a site inventory of beverages stored on premises and a survey of centers' teachers regarding the amount of physical activity provided. Training and technical assistance measures were based on the DOHMH records of training and technical assistance provided to the centers in the sample and on a survey of center directors. Ordinal logistic regression was used to assess the association between training and technical assistance measures and compliance with the regulations. Measures of training related to physical activity the center received: the number of staff members who participated in Sport, Play and Active Recreation for Kids (SPARK) and other training programs in which a center participated were associated with better compliance with the physical activity regulations. Neither training nor technical assistance were associated with compliance with the regulations related to beverages. Increased compliance with regulations pertaining to physical activity was not related to compliance with beverage regulations. Future trainings should be targeted to the specific regulation requirements to increase compliance.

BabyCare: apoio à decisão na atenção primária materno-infantil com computadores de mão BabyCare: decision support system for primary child care using personal digital assistant

Directory of Open Access Journals (Sweden)

Carmen Lúcia de Bartolo Costa

2010-10-01

Full Text Available O objetivo desta pesquisa foi desenvolver um instrumento digital - aqui denominado Sistema BabyCare - para coleta, armazenamento e apoio à decisão dos profissionais de saúde e demais envolvidos na assistência primária infantil em comunidades carentes. Esse sistema baseia-se em tecnologias de dispositivos móveis para utilização local em unidades básicas de saúde em comunidades carentes, assistidos ou não pelo Programa/Estratégia Saúde da Família (PSF, organizações não governamentais, ambulatórios e hospitais. Utilizou-se Java como linguagem de programação. Foram realizadas avaliações sobre o uso do sistema na cidade de São Paulo, envolvendo 62 usuários com diferentes formações, incluindo voluntários da Pastoral da Criança e do PSF. Os questionários aplicados resultam em alto índice de aceitação geral (98,3%; treinamento in loco considerado adequado (91,9%; percepção na melhoria na rotina e na redução de tempo da consulta (100,0% e na redução no volume de documentos (96,7%. Conclusão: o protótipo apresentou-se robusto e eficiente para uso em comunidades carentes com infraestrutura precária de informática e telecomunicação.The purpose of this work was to develop a digital device - referred as BabyCare System - for the collection, storage, and decision support for healthcare professionals and other concerned people, in order to assist patients in primary child care in deprived communities. This system is based on handheld device technologies to be used locally in basic healthcare units in deprived communities, whether assisted or not by the Family Health Program/Strategy (PSF, as well as in ambulatory facilities and hospitals. Java was used as programming language. Evaluations have been conducted regarding 62 users at São Paulo city including volunteers from the Pastoral da Criança, an ecumenical institution for children. The applied questionnaires resulted in a high level of general acceptance (98

Family Partner Intervention Influences Self-Care Confidence and Treatment Self-Regulation in Patients with Heart Failure

Science.gov (United States)

Stamp, Kelly D.; Dunbar, Sandra B.; Clark, Patricia C.; Reilly, Carolyn M.; Gary, Rebecca A.; Higgins, Melinda; Ryan, Richard M

2015-01-01

Background Heart failure self-care requires confidence in one’s ability and motivation to perform a recommended behavior. Most self-care occurs within a family context, yet little is known about the influence of family on heart failure self-care or motivating factors. Aims To examine the association of family functioning and the self-care antecedents of confidence and motivation among heart failure participants and determine if a family partnership intervention would promote higher levels of perceived confidence and treatment self-regulation (motivation) at four and eight months compared to patient-family education or usual care groups. Methods Heart failure patients (N = 117) and a family member were randomized to a family partnership intervention, patient-family education or usual care groups. Measures of patient’s perceived family functioning, confidence, motivation for medications and following a low-sodium diet were analyzed. Data were collected at baseline, four and eight months. Results Family functioning was related to self-care confidence for diet (p=.02) and autonomous motivation for adhering to their medications (p=.05 and diet p=0.2). The family partnership intervention group significantly improved confidence (p=.05) and motivation (medications (p=.004; diet p=.012) at four months whereas patient-family education group and usual care did not change. Conclusion Perceived confidence and motivation for self-care was enhanced by family partnership intervention, regardless of family functioning. Poor family functioning at baseline contributed to lower confidence. Family functioning should be assessed to guide tailored family-patient interventions for better outcomes. PMID:25673525

Market access and community size influence pastoral management of native and exotic livestock species : a case study in communities of the Cordillera Real in Bolivia's high Andean wetlands

OpenAIRE

Struelens, Quentin; Pomar, K. G.; Herrera, S. L.; Huanca, G. N.; Dangles, Olivier; Rebaudo, François

2017-01-01

Grazing areas management is of utmost importance in the Andean region. In the valleys of the Bolivian Cordillera Real near La Paz, pastoralism constitutes the traditional way for people to insure food security and economical sustainability. In these harsh mountains, unique and productive wetlands sustained by glacial water streams are of utmost importance for feeding cattle herds during the dry season. After the colonization by the Spanish, a shift in livestock species has been observed, with...

O ESTILO PASTORAL DO VATICANO II E SUA RECEPÇÃO PÓS-CONCILIAR ELABORAÇÃO DE UMA CRITERIOLOGIA E ALGUNS EXEMPLOS SIGNIFICATIVOS

Directory of Open Access Journals (Sweden)

Christoph Theobald

2012-01-01

Full Text Available Em diálogo com a leitura de John W. O’Malley sobre o Concílio Vaticano II, o presente artigo analisa seu corpus textual e se pergunta sobre seu “estilo pastoral”. Desde sua preparação, o Concílio se caracterizou por um processo de intercompreensão conciliar e ecumênica. Seu estilo afastou-se das fórmulas canônicas, eliminando os anátemas e aproximando-se do estilo evocativo, bíblico (narrativo, parenético, deliberativo, doxológico. Os preâmbulos das Constituições Dei Verbum, Sacrosanctum Concilium, Lumen Gentium e Gaudium et Spes permitem avaliar esse “estilo pastoral” e as consequências para a recepção visível na exortação Evangelii nuntiandi, na encíclica Ut unum sint e no encontro inter-religioso de Assis em 1986. À guisa de conclusão, recorda que o estilo cria o mundo que o texto habita. Daí o valor heurístico desta abordagem na análise da recepção do Vaticano II e a determinação de uma autêntica fidelidade ao espírito e à letra do Concílio, em contraste com outros textos que revelam o conflito entre esse “estilo pastoral” e a tradição dogmática. ABSTRACT: In dialogue with the reading of John W. O’Malley on the Second Vatican Council this article analyzes its textual corpus and questions its “pastoral style.” Since its preparation, the Council was characterized by a process of conciliar and ecumenical mutual understanding. Its style departed from the canonical formulas, eliminating the anathemas and approaching the evocative style, Biblical (narrative, parenetical, deliberative, doxological. The preambles of the Constitutions Dei Verbum, Sacrosanctum Concilium, Lumen Gentium and Gaudium et Spes assess this “pastoral style” and the consequences for the visible reception in the exhortation Evangelii nuntiandi, in the Encyclical Ut unum sint and in the interreligious meeting in Assisi in 1986. By way of conclusion it points out that the style creates the world in which the text

Language and values in the human cloning debate: a web-based survey of scientists and Christian fundamentalist pastors.

Science.gov (United States)

Weasel, Lisa H; Jensen, Eric

2005-04-01

Over the last seven years, a major debate has arisen over whether human cloning should remain legal in the United States. Given that this may be the 'first real global and simultaneous news story on biotechnology' (Einsiedel et al., 2002, p.313), nations around the world have struggled with the implications of this newly viable scientific technology, which is often also referred to as somatic cell nuclear transfer. Since the successful cloning of Dolly the sheep in 1997, and with increasing media attention paid to the likelihood of a successful human reproductive clone coupled with research suggesting the medical potential of therapeutic cloning in humans, members of the scientific community and Christian fundamentalist leaders have become increasingly vocal in the debate over U.S. policy decisions regarding human cloning (Wilmut, 2000). Yet despite a surfeit of public opinion polls and widespread opining in the news media on the topic of human cloning, there have been no empirical studies comparing the views of scientists and Christian fundamentalists in this debate (see Evans, 2002a for a recent study of opinion polls assessing religion and attitudes toward cloning). In order to further investigate the values that underlie scientists' and Christian fundamentalist leader's understanding of human cloning, as well as their differential use of language in communicating about this issue, we conducted an open-ended, exploratory survey of practicing scientists in the field of molecular biology and Christian fundamentalist pastors. We then analyzed the responses from this survey using qualitative discourse analysis. While this was not necessarily a representative sample (in quantitative terms, see Gaskell & Bauer, 2000) of each of the groups and the response rate was limited, this approach was informative in identifying both commonalities between the two groups, such as a focus on ethical concerns about reproductive cloning and the use of scientific terminology, as well

Apropiación y alienación: consideraciones hermenéutico-existenciales a propósito de la Pastoral americana de Philip Roth

Directory of Open Access Journals (Sweden)

Germán Darío Vélez López

2013-01-01

Full Text Available Partiendo de una formulación básica de algunos elementos relevantes de la hermenéutica fenomenológica de Heidegger, el presente artículo propone una lectura de la obra del escritor norteamericano Philip Roth titulada Pastoral americana, que lo hizo acreedor al premio Pulitzer en 1989. El propósito cen- tral de esa lectura consiste en mostrar de qué manera fenómenos existenciales elementales como estar-lejos (Wegsein, estar-despierto (Wachsein, estar-ahí (Dasein permiten una articulación propia del sentido de la obra de Roth en la que ésta manifiesta su particular compromiso existencial.

En el evangelio y en el partido: trayectorias políticas de pastores en el Gran Buenos Aires

Directory of Open Access Journals (Sweden)

Marcos Andrés Carbonelli

2012-01-01

Full Text Available D esde el año 2001 los evangélicos han ensayado diversas modalidades de aproxima ción al mundo partidario en Argentina, que se distancian de los intentos realizados por partidos confesionales en un ciclo de movilización que se extendió entre 1980 y 2001. Los nuevos intentos se orientan por estrategias para insertarse en las estructuras partidarias y territoriales. En el presente artículo analizaremos el itinerario político de dos pastores que participaron en competencias electorales en 2007 y que adoptaron estrategias diversas de construcción política. Identificaremos las motivaciones de sus proyecciones electorales, los recursos simbólicos y materiales de su praxis política y sus incidencias en los resultados obtenidos. Finalmente, daremos cuenta de las diferencias y los denominadores comunes entre estas experiencias y sus antecedentes.

Appreciating the image of God in all humanity: Towards a pastoral response to skin lightening as image enhancement to exit dark skin

Directory of Open Access Journals (Sweden)

Noah K. Tenai

2016-05-01

Full Text Available The practice of skin lightening is prevalent amongst dark-skinned people globally. Various current studies that map this practice and that seek motivations behind the practice are examined. It is observed that through shrewd marketing, dark-skinned people are offered a promise of a better quality of life, obtained by a lighter skin, through the use of skin lighteners. In spite of the severe health risks involved, the promise is ostensibly irresistible to some dark-skinned persons. A pastoral response is offered that affirms the full personhood and complete humanity of dark-skinned people as fully human and whole in their dark skins. Keywords: Skin lightening, Dark skin, Image of God

Del corpus theologicum de Xavier Zubiri a una pastoral de la Providencia en Latinoamérica

Directory of Open Access Journals (Sweden)

Adalberto Cardona Gómez

2015-01-01

Full Text Available A partir de los tres niveles de la experiencia de Dios en que, según Xavier Zubiri, se concretiza la Providencia divina: a experiencia universal de religación, propia de todo ser humano; b experiencia específicamente religiosa (gracia, en las que la iniciativa procede de Dios que se va revelando en el espacio y en el tiempo, a nivel individual, social e histórico; y c experiencia de la encarnación, constituida por la experiencia de la deiformidad, expresión esencial del cristianismo que se hace realidad en la persona de Cristo, en quien Dios asume forma humana y el hombre se deiformiza, este artículo se acerca a la Providencia por la vía de la encarnación, que le indica al hombre que la experiencia de Dios no lo aleja del mundo sino que lo obliga a él, constatación desde la que se propone para Latinoamérica una pastoral que integra responsablemente la idea de la Providencia de Dios.

Dancing the Two-Step in Ontario’s Long-term Care Sector: More Deterrence-oriented Regulation = Ownership and Management Consolidation

Science.gov (United States)

Daly, Tamara

2016-01-01

This paper explores shifts in public and private delivery over time through an analysis of Ontario’s approach to LTC funding and regulation in relation to other jurisdictions in Canada and abroad. The case of Ontario’s long-term care (LTC) policy evolution – from the 1940s until early 2013 -- shows how moving from compliance to deterrence oriented regulation can support consolidation of commercial providers’ ownership and increase the likelihood of non-profit and public providers outsourcing their management. PMID:27777495

Interactions of six SNPs in APOA1 gene and types of obesity on low HDL-C disease in Xinjiang pastoral area of China.

Science.gov (United States)

Wang, Xinping; He, Jia; Guo, Heng; Mu, Lati; Hu, Yunhua; Ma, Jiaolong; Yan, Yizhong; Ma, Rulin; Li, Shugang; Ding, Yusong; Zhang, Mei; Niu, Qiang; Liu, Jiaming; Zhang, Jingyu; Guo, Shuxia

2017-10-02

This study aims to investigate association between six single nucleotide polymorphisms(SNPs) in APOA1 gene and types of obesity with the risk of low level HDL-C in the pastoral area of northwest China. A total of 1267 individuals including 424 patients with low HDL-C disease and 843 health subjects were analyzed based on matched for age, sex. SNPShot technique was used to detect the genotypes of rs670, rs5069, rs5072, rs7116797, rs2070665 and rs1799837 in APOA1 gene. The relationship between above six SNPs and types of obesity with low HDL-C disease was analyzed by binary logistic regression. Carriers with rs670 G allele were more likely to get low HDL-C disease (OR = 1.46, OR95%CI: 1.118-1.915; P = 0.005); The genotypic and allelic frequencies of rs5069, rs5072, rs7116797, rs2070665, rs1799837 revealed no significant differences between cases and controls (P obesity measured by BMI had 2.686 times (OR95%CI: 1.695-4.256; P obesity measured by WC had 1.925 times (OR95%CI: 1.273-2.910; P = 0.002) and abdominal obesity measured by WHR had 1.640 times (OR95%CI: 1.114-2.416; P = 0.012) risk to get low HDL-C disease; APOA1 rs670 interacted with obesity (no matter general obesity or abdominal obesity) on low HDL-C disease. APOA1 gene may be associated with low HDL-C disease in the pastoral area of northwest China; obesity was the risk factor for low HDL-C disease; the low HDL-C disease is influenced by APOA1, obesity, and their interactions.

Die personaliteit van vrou-wees binne die Mediterreense kultuur

Directory of Open Access Journals (Sweden)

Yolanda Dreyer

1999-12-01

Full Text Available Being a woman in Mediterranean culture. This article is written from the perspective of pastoral care and counseling with women.  On account of their training in Biblical studies, pastors are aware of the gap between modem Westem culture and Mediterranean culture in the first century. The question is whether the meaning of this knowledge for the life and faith of women is adequately taken into consideration in pastoral work. In this article an explanation of what is meant by the concept 'culture' is given. The meaning of social identity within Mediterranean culture, being a woman within first-century patriarchy and the different 'categories' of women in this culture are discussed. These aspects are contextualised within the purity system of that culture.

Relaciones suelo-planta-herbívoro en un sistema pastoral de montaña

Directory of Open Access Journals (Sweden)

Alonso, I.

1996-12-01

Full Text Available The soil characteristics of six communities with pastoral interest in León mountain (Spain and the Ca, Cu, Fe, Mg, N, K and Na contents of soils and vegetation were analysed in relation with the nutritional characteristics of herbivores' diet. The communities were named after the most representative species: Nardus stricta, Bromus erectus. Genista florida. Erica australis. Genista occidentalis and Calluna vulgaris. Soils showed in general good conditions for vegetal growth. There were no relationships between soil and plants mineral contents. Ca and Cu were deficient in some moments during the stay of the animals in the mountain. Mineral concentrations in vegetation communities varied seasonally due to maturity processes and physiological changes in plants, depending on the kind of plant and the microenvironment where they grew.

[es] Se analizaron las características edáficas de seis comunidades de interés pastoral.en la montaña de León denominadas en función de la especie más representativa (Nardus stricta, Bromus erectus, Genista florida. Erica australis, Genista occidentalis, Calluna vulgaris, así como las concentraciones minerales de Ca, Cu, Fe, Mg, N, Ky Na en suelos y pastos por su influencia sobre las características nutritivas de la dieta de los herbívoros. Según los resultados obtenidos, los suelos presentaron en general unas buenas condiciones para el desarrollo vegetal. No se apreció ninguna relación entre la concentración de minerales en suelos y plantas. Las cantidades de Ca y Cu presentes en la vegetación fueron insuficientes para el mantenimiento de los herbívoros domésticos al menos durante parte de su estancia en el puerto. Las concentraciones minerales en la vegetación sufrieron variaciones estacionales debido a procesos de madurez y cambios fisiológicos, en mayor o menor medida según el tipo de planta y el ambiente en que se encuentre. [de] Die Bodeneigenschaften von sechs

Benutting van vergifnis binne ’n pastorale Gestaltterapeutiese intervensie

Directory of Open Access Journals (Sweden)

Rudy A. Denton

2011-11-01

Full Text Available Utilisation of forgiveness within a pastoral Gestalt therapeutic intervention This article is based on a pastoral base theory within the Gestalt therapeutic perspective to guide abused persons in their utilisation of forgiveness as a source of a recovery experience. The formation of the paradigm is based on a multidisciplinary approach, which takes place on the interface between pastoral counselling and Gestalt therapy without the unique content and character of pastoral care or the Gestalt therapy being lost. It appears that forgiveness, as a source of repair experience, can guide abused persons to psychological and physical health, positive emotions and healthy social interaction. Forgiveness can be defined as the unconditional acceptance of God’s grace through faith, and release (surrender of an offender to the mercy of God. It does not deny the pain or change the past, but it breaks the cycle of bitterness that abused people associate with the pain of the past. Through the use of forgiveness as a coping mechanism abused people can be guided to handle unfinished business.

Healthy religiosity and salutary faith : Clarification of concepts from the perspectives of psychology, psychiatry and of theology

NARCIS (Netherlands)

Vries-Schot, M.R.; Uden, M.H.F. van; Heitink, G.; Pieper, J.Z.T.

2008-01-01

The object of this research is to clarify the concepts 'healthy religiosity' and 'salutary faith' in order to provide criteria for the assessment of a person's faith both in (mental) health care and in pastoral care. Based on the scientific literature, a questionnaire composed according to the

The potential for SLM, facing human constraints, the case of the semi-arid agro-pastoral lands in the Atlantic plateaus, Morocco

Science.gov (United States)

Laouina, A.; Chaker, M.; Aderghal, M.; Machouri, N.; Alkarkouri, J.

2012-04-01

The agro-pastoral activity through its evolution, in the Atlantic plateaus of Morocco, led to unsuitable forms of resources use, which carried damage in the balance of water and the stability of land. It was thus necessary to start a revision of these practices and to set up improved forms of land use. The research made in the framework of the DESIRE project concerns the Sehoul commune, which presents a high rate of poverty and illiteracy, in spite of its location near Rabat, the capital of the country. Farming has as main objective to feed the livestock. The rain-based cereal cultivations, which still occupy more than 80% of the agricultural surface, reveals the stagnation of the techniques adopted and of the local knowledge. In collaboration with various stakeholders, technicians and farmers, the assessment with the WOCAT approach permitted to identify the main factors of constraints, responsible of the current spreading of land degradation mechanisms (forest clearing, shrubs cutting on the pastoral slopes, soil erosion, constitution of rills in the recently ploughed fields, incision of gullies and channels, mass movements on the banks of the deepest channels). These constraints derive from social evolution of the population during the last 60 years and mainly the rapid transformation of the rural structure of families to a new kind of farmers, more interested by what they can earn during their frequent movements to the city than by their own traditional agriculture. Due to the penetration of urban investment, direct overgrazing and indirect effect related to mismanagement of land for fodder production, operate massive damages to the vegetation cover and to the soil. It is why the SLM behavior, approaches and techniques have a very low rate of chance for success, without a deep change in term of land ownership, law constraints, agrarian structures, relations between the city and its vicinity, etc. Scenarios were built, based on various rates of land management

Telemedicine and biomedical care in Africa: Prospects and challenges

African Journals Online (AJOL)

2016-01-28

Jan 28, 2016 ... medical education in the absence or limited healthcare ... to medical services is inadequate, holds promise in expanding ... Prospects and challenges of telemedicine in Africa. 2 ... experts' opinions and sharing of knowledge between doctors. .... patients now depend on their pastors or spiritual leaders in.

The Role of the Built Environment: How Decentralized Nurse Stations Shape Communication, Patient Care Processes, and Patient Outcomes.

Science.gov (United States)

Real, Kevin; Bardach, Shoshana H; Bardach, David R

2017-12-01

Increasingly, health communication scholars are attending to how hospital built environments shape communication, patient care processes, and patient outcomes. This multimethod study was conducted on two floors of a newly designed urban hospital. Nine focus groups interviews were conducted with 35 health care professionals from 10 provider groups. Seven of the groups were homogeneous by profession or level: nursing (three groups), nurse managers (two groups), and one group each of nurse care technicians ("techs") and physicians. Two mixed groups were comprised of staff from pharmacy, occupational therapy, patient care facilitators, physical therapy, social work, and pastoral care. Systematic qualitative analysis was conducted using a conceptual framework based on systems theory and prior health care design and communication research. Additionally, quantitative modeling was employed to assess walking distances in two different hospital designs. Results indicate nurses walked significantly more in the new hospital environment. Qualitative analysis revealed three insights developed in relationship to system structures, processes, and outcomes. First, decentralized nurse stations changed system interdependencies by reducing nurse-to-nurse interactions and teamwork while heightening nurse interdependencies and teamwork with other health care occupations. Second, many nursing-related processes remained centralized while nurse stations were decentralized, creating systems-based problems for nursing care. Third, nursing communities of practices were adversely affected by the new design. Implications of this study suggest that nurse station design shapes communication, patient care processes, and patient outcomes. Further, it is important to understand how the built environment, often treated as invisible in communication research, is crucial to understanding communication within complex health care systems.

Deciphering the Sunshine Act: Transparency Regulation and Financial Conflicts in Health Care.

Science.gov (United States)

Saver, Richard S

2017-11-01

The Physician Payments Sunshine Act ("Sunshine Act"), enacted to address financial conflicts in health care, is the first comprehensive federal legislation mandating public reporting of payments between drug companies, device manufacturers, and medicine. This article analyzes the Sunshine Act's uneven record, exploring how the law serves as an intriguing example of the uncertain case for transparency regulation in health care. The Sunshine Act's bumpy rollout demonstrates that commanding transparency through legislation can be arduous because of considerable implementation challenges. Capturing all the relevant information about financial relationships and reporting it with sufficient contextual and comparative data has proven disappointingly difficult. In addition, the law suffers from uncertainty and poor design as to the intended audience. Indeed, there is strong reason to believe that it will not significantly impact decision-making of primary recipients like patients. Yet the Sunshine Act nonetheless retains important and perhaps underappreciated value. From the almost four years of information generated, we have learned that industry-medicine financial ties vary significantly by physician specialty, and somewhat by physician gender. In many medical fields the distribution of top dollar payments tends to be heavily skewed to a few recipients, all of which have important implications for optimal management of financial conflicts and for health policy more generally. Accordingly, the Sunshine Act's greatest potential is not guiding decisions of individual patients or physicians, but its downstream effects. This Article traces how secondary audiences, such as regulators, watchdogs, and counsel are already starting to make productive use of Sunshine Act information. Public reporting has, for example, made more feasible linking industry payment information with Medicare reimbursement data. As a result, policymakers can more closely examine correlations between

enkele treë tot 'n moontlike re-konfigurasie van pastorale terapie ...

African Journals Online (AJOL)

towards a model of care for and by the community and its members, are described. ... community and its members; the (ii) development of pastoral care as ..... Great Britain: Courier. International Ltd. Tiptree. FreeDman, J. & ComBS, g. 1996. Narrative therapy. The social construction of preferred realities. New York:.

Who Cares for the Children? Denmark's Unique Public Child-Care Model.

Science.gov (United States)

Polakow, Valerie

1997-01-01

U.S. working mothers wrestle daily with a child-care crisis characterized by unavailable infant care, high costs, and inadequate access and regulation. In Denmark, high-quality child care is a guaranteed entitlement for every child. Other benefits include paid parental leaves, single-parent allowances, housing subsidies, and universal health care.…

Pedagogical Work, Stress Regulation and Work-Related Well-Being among Early Childhood Professionals in Integrated Special Day-Care Groups

Science.gov (United States)

Nislin, Mari A.; Sajaniemi, Nina K.; Sims, Margaret; Suhonen, Eira; Maldonado Montero, Enrique F.; Hirvonen, Ari; Hyttinen, Sirpa

2016-01-01

The aim of this study was to investigate the relationship between early childhood professionals' (ECPs) stress regulation (using salivary cortisol and alpha-amylase [AA] measurements), work engagement and the quality of their pedagogical work in integrated special day-care groups. Participants were 89 ECPs from 21 integrated special day-care…

Reasserting the commons: Pastoral contestations of private and state lands in East Africa

Directory of Open Access Journals (Sweden)

John G. Galaty

2016-09-01

Full Text Available The theory that land holding is inexorably evolving from common to private or state tenure is challenged by facts on the ground that this paper will examine. ‘Tenure’ is interpreted both in terms of formal law and informal practices. While the association between privatization and land fragmentation is clear, property theory has influenced privatization so the process cannot be used to validate the evolutionary model of transitions from open access to common property to private property. Although in many settings common and state property has given way to privatization, in other cases private or state property has reverted to common holdings. A dynamic tenure model would demonstrate the conditions under which tenure transitions occur between common, private and state property, as the balance between transaction and exclusion costs shifts, or when the boundaries of tenure forms weaken to allow open access to occur. Examining three scenes of tenure transitions involving Kenyan pastoralists (Laikipia County, the Rift Valley, Narok County and Kajiado County, this paper examines cases in which transaction and exclusion dynamics – which are metaphors for the institutional effects of social and territorial relations- lead to changing land-use practices and tenure transitions. In semi-arid pastoral regions, we find more fluid systems of tenure than the inexorable spread of privatization through formalized land rights and increasing land fragmentation would have suggested should occur in the 21st century.

Oxytocin in the medial prefrontal cortex regulates maternal care, maternal aggression and anxiety during the postpartum period

Science.gov (United States)

Sabihi, Sara; Dong, Shirley M.; Durosko, Nicole E.; Leuner, Benedetta

2014-01-01

The neuropeptide oxytocin (OT) acts on a widespread network of brain regions to regulate numerous behavioral adaptations during the postpartum period including maternal care, maternal aggression, and anxiety. In the present study, we examined whether this network also includes the medial prefrontal cortex (mPFC). We found that bilateral infusion of a highly specific oxytocin receptor antagonist (OTR-A) into the prelimbic (PL) region of the mPFC increased anxiety-like behavior in postpartum, but not virgin, females. In addition, OTR blockade in the postpartum mPFC impaired maternal care behaviors and enhanced maternal aggression. Overall, these results suggest that OT in the mPFC modulates maternal care and aggression, as well as anxiety-like behavior, during the postpartum period. Although the relationship among these behaviors is complicated and further investigation is required to refine our understanding of OT actions in the maternal mPFC, these data nonetheless provide new insights into neural circuitry of OT-mediated postpartum behaviors. PMID:25147513

Analysis of Italian regulations on pathways of care for patients in a vegetative or minimally conscious state

Science.gov (United States)

Sattin, Davide; De Torres, Laura; Dolce, Giuliano; Arcuri, Francesco; Estraneo, Anna; Cardinale, Viviana; Piperno, Roberto; Zavatta, Elena; Formisano, Rita; D’Ippolito, Mariagrazia; Vassallo, Claudio; Dessi, Barbara; Lamberti, Gianfranco; Antoniono, Elena; Lanzillotti, Crocifissa; Navarro, Jorge; Bramanti, Placido; Marino, Silvia; Zampolini, Mauro; Scarponi, Federico; Avesani, Renato; Salvi, Luca; Ferro, Salvatore; Mazza, Luigi; Fogar, Paolo; Feller, Sandro; De Nigris, Fulvio; Martinuzzi, Andrea; Buffoni, Mara; Pessina, Adriano; Corsico, Paolo; Leonardi, Matilde

2017-01-01

Summary Different rehabilitation models for persons diagnosed with disorders of consciousness have been proposed in Europe during the last decade. In Italy, the Ministry of Health has defined a national healthcare model, although, to date, there is a lack of information on how this has been implemented at regional level. The INCARICO project collected information on different regional regulations, analysing ethical aspects and mapping care facilities (numbers of beds and medical units) in eleven regional territories. The researchers found a total of 106 laws; differences emerged both between regions and versus the national model, showing that patients with the same diagnosis may follow different pathways of care. An ongoing cultural shift from a treatment-oriented medical approach towards a care-oriented integrated biopsychosocial approach was found in all the welfare and healthcare systems analysed. Future studies are needed to explore the relationship between healthcare systems and the quality of services provided. PMID:29042005

Communities: Development of church-based counselling teams

Directory of Open Access Journals (Sweden)

Stella D. Potgieter

2015-05-01

Full Text Available Pastoral care is a biblical mandate to the Church to be involved in the lives of God’s people. A key metaphor used by Jesus to describe his pastoral role was that of a shepherd. Thus, to be God’s shepherds and instruments of healing and transformation in God’s world is an imperative to all people, clergy and laity alike. The brokenness in South African society is strikingly apparent, exacerbated by the effects of exceptionally high criminal behaviour as statistics show. The demand for pastoral care and assistance with various personal problems is on the increase, with many non-church goers turning to churches for help. Also apparent in South Africa is the acute shortage of trained individuals to offer care and counselling. The task of offering care is not the sole responsibility of clergy, as all are called to be shepherds and caregivers. The importance and urgency in training church-based counselling teams cannot be overstated. More so in that we are becoming increasingly aware that not only are individuals in need of care, but whole communities are struggling with trauma and life’s challenges, and often do not know whom to turn to. In pursuance of the realisation that pastoral care is the function and duty of all Christians, this article will delineate in particular an explanation of lay counselling, reasons for its importance including biblical foundations, where and how ordinary South Africans can get involved, and will propose certain models and approaches for getting started. These models will not be discussed in depth, but present an opportunity for the next. Teams for these models consist of professional counsellors, but ought not to be restricted to a select few, as all are called to this special ministry and can be trained for the task, which will include on-going supervision and mentoring. The overall purpose of this article is to highlight the urgency of training lay counsellors and some recommendations will be made how to

International Students in North America and Pastoral Care

Science.gov (United States)

Marchetto, Agostino

2008-01-01

Adaptation of a keynote speech delivered at the annual 2008 Rome Seminar. "Conducted and coordinated by ACCU senior staff and the staff of the Lay Centre at Foyer Unitas in Rome, the seminar offers a unique inside look at the Vatican and an inspiring experience of the Eternal City's spiritual treasures. Included are in-depth conversations…

Neuroendocrine Regulation of Maternal Behavior

Science.gov (United States)

Bridges, Robert S.

2015-01-01

The expression of maternal behavior in mammals is regulated by the developmental and experiential events over a female’s lifetime. In this review the relationships between the endocrine and neural systems that play key roles in these developmental and experiential that affect both the establishment and maintenance of maternal care are presented. The involvement of the hormones estrogen, progesterone, and lactogens are discussed in the context of ligand, receptor, and gene activity in rodents and to a lesser extent in higher mammals. The roles of neuroendocrine factors, including oxytocin, vasopressin, classical neurotransmitters, and other neural gene products that regulate aspects of maternal care are set forth, and the interactions of hormones with central nervous system mediators of maternal behavior are discussed. The impact of prior developmental factors, including epigenetic events, and maternal experience on subsequent maternal care are assessed over the course of the female’s lifespan. It is proposed that common neuroendocrine mechanisms underlie the regulation of maternal care in mammals. PMID:25500107

Understanding the role of local management in vegetation recovery around pastoral settlements in northern Kenya.

Science.gov (United States)

Roba, Hassan G; Oba, Gufu

2013-04-01

The recent greening of the Sahel region and increase in vegetation cover around pastoral settlements previously described as "man-made deserts", have raised important questions on the permanency of land degradation associated with the over-exploitation of woody plants. Evidence presented is mostly on increased wetness, while management by local communities has received limited attention. This study evaluated changes in woody vegetation cover around the settlements of Kargi and Korr in northern Kenya, using satellite imagery (1986/2000), ecological ground surveys and interviews with local elders, in order to understand long-term changes in vegetation cover and the role of local community in vegetation dynamics. At both settlements, there were increments in vegetation cover and reduction in the extent of bare ground between 1986 and 2000. At Kargi settlement, there were more tree seedlings in the centre of settlement than further away. Mature tree class was more abundant in the centre of Korr than outside the settlement. The success of the regeneration and recovery of tree cover was attributed to the actions of vegetation management initiative including stringent measures by the local Environmental Management Committees. This study provides good evidence that local partnership is important for sustainable management of resources especially in rural areas where the effectiveness of government initiative is lacking.

Land use influences arbuscular mycorrhizal fungal communities in the farming-pastoral ecotone of northern China.

Science.gov (United States)

Xiang, Dan; Verbruggen, Erik; Hu, Yajun; Veresoglou, Stavros D; Rillig, Matthias C; Zhou, Wenping; Xu, Tianle; Li, Huan; Hao, Zhipeng; Chen, Yongliang; Chen, Baodong

2014-12-01

We performed a landscape-scale investigation to compare the arbuscular mycorrhizal fungal (AMF) communities between grasslands and farmlands in the farming-pastoral ecotone of northern China. AMF richness and community composition were examined with 454 pyrosequencing. Structural equation modelling (SEM) and multivariate analyses were applied to disentangle the direct and indirect effects (mediated by multiple environmental factors) of land use on AMF. Land use conversion from grassland to farmland significantly reduced AMF richness and extraradical hyphal length density, and these land use types also differed significantly in AMF community composition. SEM showed that the effects of land use on AMF richness and hyphal length density in soil were primarily mediated by available phosphorus and soil structural quality. Soil texture was the strongest predictor of AMF community composition. Soil carbon, nitrogen and soil pH were also significantly correlated with AMF community composition, indicating that these abiotic variables could be responsible for some of the community composition differences among sites. Our study shows that land use has a partly predictable effect on AMF communities across this ecologically relevant area of China, and indicates that high soil phosphorus concentrations and poor soil structure are particularly detrimental to AMF in this fragile ecosystem. © 2014 The Author. New Phytologist © 2014 New Phytologist Trust.

The Pastoral aspects of the inspiration, the Divine revelation and the truth in the Bible

Directory of Open Access Journals (Sweden)

Roman Bogacz

2015-09-01

Full Text Available The article is focused on the document published in 2014 by the Pontifical Biblical Commission and called: The Inspiration and Truth of Sacred Scripture. The Word that comes from God and speaks of God for the salvation of the world. The purpose of publishing was to reach the priests, the people studying the Bible as well as the laity. By the discovering the biblical truth everybody can understand better oneself, the creation and God. Everybody can concisely grow in one’s faith. According to the document, the Divine inspiration is revealed to us when we read the Holy Scriptures. On the pages of Bible we can meet God himself. The message shared with us in the Bible explains the truth about God, about a man, our salvation and about a world. Even though it has some elements of the science or history, it is not a source of the science knowledge or chronicle of the historic facts. Besides we always have to include the genre and style of the ancient authors. This document can have amazing impact on the pastoral work, helping people to get interested in the Bible and to find the answers for many questions they have about it.

How did Humans Adapt in the Eastern Farming-pastoral zone during the Medieval Warm Period?

Science.gov (United States)

Jia, X.

2017-12-01

With its extremely warm climate, the "medieval warm period" is considered analogous to the climate change humans are likely to face due to future global warming. Thus, the ability of humans to adapt to an extremely warm climate during the medieval period in Eurasia's farming-pastoral zone has attracted some attention. The warmth of the climate during this period (900-1300 BC) is demonstrated by evidence of bamboo in charcoal remains and phytoliths found in the settlement sites and tomb murals of the Western Liao river basin in Northeast China. This warmth probably promoted agricultural diversification, as the presence of foxtail millet, broomcorn millet, wheat, barley, soybean, hemp, and buckwheat in this region can be seen in plant seeds and phytoliths found in archaeological sites. The bones of deer and birds also provide evidence of hunting, and the practice of animal husbandry is indicated in pig, dog, cattle, ovicaprid, horse and camel bones. Diversity in food structures is also shown in stable isotopes from human and animal bones. Competence in animal husbandry and hunting, and the availability of stable food resources may have contributed to the rise of the Liao people in military prowess and power, and promoted the expansion of Khitan-Liao culture.

Who Cares for Kids? A Report on Child Care Providers.

Science.gov (United States)

Benson, Carolyn

This study offers a profile of child care workers in family day care homes and child care centers, reporting general statistics and examining their wages, benefits, training, working conditions, and turnover rates. In addition, it looks at government regulation and licensing, employer-sponsored programs, child abuse, insurance rates, and federal…

African American Clergy Perspectives About the HIV Care Continuum: Results From a Qualitative Study in Jackson, Mississippi.

Science.gov (United States)

Nunn, Amy; Parker, Sharon; McCoy, Katryna; Monger, Mauda; Bender, Melverta; Poceta, Joanna; Harvey, Julia; Thomas, Gladys; Johnson, Kendra; Ransome, Yusuf; Sutten Coats, Cassandra; Chan, Phil; Mena, Leandro

2018-01-01

Mississippi has some of the most pronounced racial disparities in HIV infection in the country; African Americans comprised 37% of the Mississippi population but represented 80% of new HIV cases in 2015. Improving outcomes along the HIV care continuum, including linking and retaining more individuals and enhancing adherence to medication, may reduce the disparities faced by African Americans in Mississippi. Little is understood about clergy's views about the HIV care continuum. We assessed knowledge of African American pastors and ministers in Jackson, Mississippi about HIV and the HIV care continuum. We also assessed their willingness to promote HIV screening and biomedical prevention technologies as well as efforts to enhance linkage and retention in care with their congregations. Four focus groups were conducted with 19 African American clergy. Clergy noted pervasive stigma associated with HIV and believed they had a moral imperative to promote HIV awareness and testing; they provided recommendations on how to normalize conversations related to HIV testing and treatment. Overall, clergy were willing to promote and help assist with linking and retaining HIV positive individuals in care but knew little about how HIV treatment can enhance prevention or new biomedical technologies such as pre-exposure prophylaxis (PrEP). Clergy underscored the importance of building coalitions to promote a collective local response to the epidemic. The results of this study highlight important public health opportunities to engage African American clergy in the HIV care continuum in order to reduce racial disparities in HIV infection.

Salud Mental, género, educación social en mujeres reclusas del Centro de Rehabilitación Femenino El Buen Pastor de Barranquilla (Colombia) (2015-2016)

OpenAIRE

Edith T. Aristizábal; Ana Liliana Ríos García; Francisco José del Pozo Serrano

2016-01-01

Objetivo: Identificar las principales características de las mujeres reclusas del Centro de Rehabilitación Femenino El Buen Pastor de Barranquilla, con enfoque de género, desde un programa de acción con énfasis en salud mental y educación social. Metodología: El tipo de estudio es investigación-acción. El enfoque es mixto, se emplearon técnicas de Estadística Descriptiva y Diseño de Comparación Multicaso. El muestreo realizado fue intencional, debido a la demanda de consulta psicológica indiv...

[Effects of climate and land use change on the changes of vegetation coverage in farming-pastoral ecotone of Northern China].

Science.gov (United States)

Liu, Jun-Hui; Gao, Ji-Xi

2008-09-01

Based on the remote sensing images and the meteorological data in 1986 and 2000, and by using the model of extracting vegetation coverage, the spatiotemporal changes of vegetation coverage in the farming-pastoral ecotone of Northern China in 1986-2000 were studied, with the effects of climate and land use change on the changes analyzed. The results showed that in this ecotone, the area with lower vegetation coverage was increasing, while that with higher vegetation coverage was in adverse. The regions with increasing vegetation coverage were mainly in the east of northeast section, the west of north section, and the west of northwest section of the ecotone, while the vegetation coverage in the other sections was obviously degraded. The vegetation coverage were positively correlated with precipitation and aridity index, but negatively correlated with temperature. The change direction and extent of the vegetation coverage varied with land use types.

El uso del concepto “totalitarismo” en la ensayística antiperonista. El caso de Frente al totalitarismo peronista, de Reynaldo Pastor

Directory of Open Access Journals (Sweden)

Andrés Bisso

2017-01-01

Full Text Available El presente trabajo analiza el libro de Reynaldo Pastor, Frente al tota- litarismo peronista , en tanto producto tardío de la literatura de ensayo antiperonista, en el que se intenta conjugar parte de la tradición antifas- cista de cuño liberal-conservador en el marco de la renovada prédica antitotalitaria de la Guerra Fría. A partir de este análisis se tendrá en cuenta el lugar que la taxonomización política cumple como estrategia de verosimilitud en el intento que hace el autor de equiparar la experien- cia peronista con los fenómenos totalitarios –entre los que se incluye al comunismo– mediante el uso, en su texto, de columnas comparativas.

Genetic Origins of Lactase Persistence and the Spread of Pastoralism in Africa

Science.gov (United States)

Ranciaro, Alessia; Campbell, Michael C.; Hirbo, Jibril B.; Ko, Wen-Ya; Froment, Alain; Anagnostou, Paolo; Kotze, Maritha J.; Ibrahim, Muntaser; Nyambo, Thomas; Omar, Sabah A.; Tishkoff, Sarah A.

2014-01-01

In humans, the ability to digest lactose, the sugar in milk, declines after weaning because of decreasing levels of the enzyme lactase-phlorizin hydrolase, encoded by LCT. However, some individuals maintain high enzyme amounts and are able to digest lactose into adulthood (i.e., they have the lactase-persistence [LP] trait). It is thought that selection has played a major role in maintaining this genetically determined phenotypic trait in different human populations that practice pastoralism. To identify variants associated with the LP trait and to study its evolutionary history in Africa, we sequenced MCM6 introns 9 and 13 and ∼2 kb of the LCT promoter region in 819 individuals from 63 African populations and in 154 non-Africans from nine populations. We also genotyped four microsatellites in an ∼198 kb region in a subset of 252 individuals to reconstruct the origin and spread of LP-associated variants in Africa. Additionally, we examined the association between LP and genetic variability at candidate regulatory regions in 513 individuals from eastern Africa. Our analyses confirmed the association between the LP trait and three common variants in intron 13 (C-14010, G-13907, and G-13915). Furthermore, we identified two additional LP-associated SNPs in intron 13 and the promoter region (G-12962 and T-956, respectively). Using neutrality tests based on the allele frequency spectrum and long-range linkage disequilibrium, we detected strong signatures of recent positive selection in eastern African populations and the Fulani from central Africa. In addition, haplotype analysis supported an eastern African origin of the C-14010 LP-associated mutation in southern Africa. PMID:24630847

Similar and yet so different: cash-for-care in six European countries' long-term care policies.

Science.gov (United States)

Da Roit, Barbara; Le Bihan, Blanche

2010-09-01

In response to increasing care needs, the reform or development of long-term care (LTC) systems has become a prominent policy issue in all European countries. Cash-for-care schemes-allowances instead of services provided to dependents-represent a key policy aimed at ensuring choice, fostering family care, developing care markets, and containing costs. A detailed analysis of policy documents and regulations, together with a systematic review of existing studies, was used to investigate the differences among six European countries (Austria, France, Germany, Italy, the Netherlands, and Sweden). The rationale and evolution of their various cash-for-care schemes within the framework of their LTC systems also were explored. While most of the literature present cash-for-care schemes as a common trend in the reforms that began in the 1990s and often treat them separately from the overarching LTC policies, this article argues that the policy context, timing, and specific regulation of the new schemes have created different visions of care and care work that in turn have given rise to distinct LTC configurations. A new typology of long-term care configurations is proposed based on the inclusiveness of the system, the role of cash-for-care schemes and their specific regulations, as well as the views of informal care and the care work that they require. © 2010 Milbank Memorial Fund. Published by Wiley Periodicals Inc.

'I think you just learnt as you went along' - community clergy's experiences of and attitudes towards caring for dying people: A pilot study.

Science.gov (United States)

Goodhead, Andrew; Speck, Peter; Selman, Lucy

2016-07-01

Spiritual distress is a factor associated with poor outcomes at the end of life. Timely interventions, assessing and meeting spiritual distress, among patients are contained within nationally agreed guidance. Community clergy are well placed to work alongside healthcare professionals and chaplains to meet spiritual needs. Qualitative interviews among Christian clergy in two South East London boroughs and a self-completed Death Anxiety Questionnaire. Fourteen clergy were interviewed from six Christian denominations. Participants described their experiences of ordination training and how helpful this had been for their work among Christian communities. Respondents were invited to discuss their knowledge of and involvement with palliative care services. Each interviewee also accounted for their understanding of pastoral care and spiritual care and considered whether any differences existed between these terms and, if so, what they were. Overall, clergy lacked any detailed formal training and had little experience of working with or relating to palliative care providers. Recommendations are made to improve educational opportunities and working relationships. Creating opportunities for clergy and palliative care staff to meet and undertake shared training will enhance the quality and level of care for people dying at home who wish to receive spiritual support. Enabling clergy to develop links with local palliative care centres will enhance confidence for both clergy and staff. © The Author(s) 2016.

How compliant are dental practice Facebook pages with Australian health care advertising regulations? A Netnographic review.

Science.gov (United States)

Holden, Acl; Spallek, H

2018-03-01

The National Law that regulates the dental and other health care professions in Australia sets out regulations that dictate how dental practices are to advertise. This study examines the extent to which the profession complies with these regulations and the potential impact that advertising may have upon professionalism. A Facebook search of 38 local government areas in Sydney, New South Wales, was carried out to identify dental practices that had pages on this social media site. A framework for assessment of compliance was developed using the regulatory guidelines and was used to conduct a netnographic review. Two hundred and sixty-six practice pages were identified from across the 38 regions. Of these pages, 71.05% were in breach of the National Law in their use of testimonials, 5.26% displayed misleading or false information, 4.14% displayed offers that had no clear terms and conditions or had inexact pricing, 19.55% had pictures or text that was likely to create unrealistic expectations of treatment benefit and 16.92% encouraged the indiscriminate and unnecessary utilization of health services. This study found that compliance with the National Law by the Facebook pages surveyed was poor. © 2017 Australian Dental Association.

Self-regulation in children and minors in institutional care

OpenAIRE

Hrbáčková, Karla; Vávrová, Soňa

2015-01-01

The study deals with self-regulation in children and minors (aged 11 to 19 years) living in so-called "total institutions". It examines the degree of self-regulation of behaviour from the perspective of the children and minors themselves and from the perspective of their key workers. Children and minors and their key workers differ significantly in perception of the wards' self-regulation of behaviour in the short and long-term context. The lowest rate of self-regulation in children and minor...

Acta Theologica 2010 Supplementum 13 Second Edition

African Journals Online (AJOL)

2009-12-21

64) occurs, with an a-theoretical understanding in which the greatest .... recognised qualitative research methods, are further mapped out, with specific ..... pertaining to pastoral care, the focus in the case of futures studies is the.

What is HD - Huntington's Disease?

Science.gov (United States)

... Spotlight: Dr. Rocio Gomez-Pastor Advocacy Huntington’s Disease Parity Act Affordable Care Act Social Security Administration Research ( ... affected gene is 50%. Inheritance is independent of gender. Genetic Testing & Family Planning People at-risk for ...

Stages of Huntington's Disease (HD)

Science.gov (United States)

... Spotlight: Dr. Rocio Gomez-Pastor Advocacy Huntington’s Disease Parity Act Affordable Care Act Social Security Administration Research ( ... affected gene is 50%. Inheritance is independent of gender. Genetic Testing & Family Planning People at-risk for ...

Challenges and Alternatives to Sustainable Management of Agriculture and Pastoral Ecosystems in Asian Drylands

Science.gov (United States)

Qi, J.

2015-12-01

There is no question that human must produce additional 70% food to feed the new 2.2 billion of people on the planet by 2050, but the question is where to grow the additional food. The demand for the additional food lies not only in producing the basic resources needed to sustain a healthy lifestyle, but also from a changing diet, especially in rapidly developing countries in the dryland regions around the world. It is forecast that this demand for meat will require an additional 0.2 billion tons per year by 2050, which is almost a doubling of present meat consumption. These new demands create mounting pressures on agriculture and pastoral ecosystems and the reported trajectory of warmer and drier climate in the future increases uncertainties in food security, adding further stresses to the already stressed nations in the Asian dryland belt. Different approaches are being either proposed or practiced in the region but the question is whether or not the current practices are sustainable or optimal in addressing the emerging issues. Given the complexity and interplay among the food, water and energy, what are alternatives to ensure a sustainable trajectory of regional development to meet the new food demand? This presentation reviews existing practices and proposes alternative solutions, by specifically examining the trade-offs between different ecosystem services that drylands in Asian may provide. Preliminary analysis suggested that the current trajectory of meat and milk production is likely not on a sustainable pathway.

Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial.

Science.gov (United States)

Desai, Sanjay V; Feldman, Leonard; Brown, Lorrel; Dezube, Rebecca; Yeh, Hsin-Chieh; Punjabi, Naresh; Afshar, Kia; Grunwald, Michael R; Harrington, Colleen; Naik, Rakhi; Cofrancesco, Joseph

2013-04-22

On July 1, 2011, the Accreditation Council for Graduate Medical Education implemented further restrictions of its 2003 regulations on duty hours and supervision. It remains unclear if the 2003 regulations improved trainee well-being or patient safety. To determine the effects of the 2011 Accreditation Council for Graduate Medical Education duty hour regulations compared with the 2003 regulations concerning sleep duration, trainee education, continuity of patient care, and perceived quality of care among internal medicine trainees. Crossover study design in an academic research setting. Medical house staff. General medical teams were randomly assigned using a sealed-envelope draw to an experimental model or a control model. We randomly assigned 4 medical house staff teams (43 interns) using a 3-month crossover design to a 2003-compliant model of every fourth night overnight call (control) with 30-hour duty limits or to one of two 2011-compliant models of every fifth night overnight call (Q5) or a night float schedule (NF), both with 16-hour duty limits. We measured sleep duration using actigraphy and used admission volumes, educational opportunities, the number of handoffs, and satisfaction surveys to assess trainee education, continuity of patient care, and perceived quality of care. RESULTS The study included 560 control, 420 Q5, and 140 NF days that interns worked and 834 hospital admissions. Compared with controls, interns on NF slept longer during the on call period (mean, 5.1 vs 8.3 hours; P = .003), and interns on Q5 slept longer during the postcall period (mean, 7.5 vs 10.2 hours; P = .05). However, both the Q5 and NF models increased handoffs, decreased availability for teaching conferences, and reduced intern presence during daytime work hours. Residents and nurses in both experimental models perceived reduced quality of care, so much so with NF that it was terminated early. Compared with a 2003-compliant model, two 2011 duty hour regulation

National Child Care Regulatory, Monitoring and Evaluation Systems Model.

Science.gov (United States)

Fiene, Richard

The relation between compliance with child care regulations and the quality of day care programs is discussed, and predictors of child care compliance are identified. Substantial compliance (90-97 percent, but not a full 100 percent compliance with state day care regulations) positively affects children. Low compliance (below 85 percent…

Defense Health Care: DOD Is Meeting Most Mental Health Care Access Standards, but It Needs a Standard for Follow-up Appointments

Science.gov (United States)

2016-04-01

against an enemy of the United States or against an opposing military force. It also includes any military operations that result in the retention of...active duty for that day, precluding them from doing anything else, including working their civilian jobs . While access problems were identified in...certified psychiatric nurse specialists, clinical psychologists, certified marriage and family therapists, pastoral counselors, and mental health

Genetic origins of lactase persistence and the spread of pastoralism in Africa.

Science.gov (United States)

Ranciaro, Alessia; Campbell, Michael C; Hirbo, Jibril B; Ko, Wen-Ya; Froment, Alain; Anagnostou, Paolo; Kotze, Maritha J; Ibrahim, Muntaser; Nyambo, Thomas; Omar, Sabah A; Tishkoff, Sarah A

2014-04-03

In humans, the ability to digest lactose, the sugar in milk, declines after weaning because of decreasing levels of the enzyme lactase-phlorizin hydrolase, encoded by LCT. However, some individuals maintain high enzyme amounts and are able to digest lactose into adulthood (i.e., they have the lactase-persistence [LP] trait). It is thought that selection has played a major role in maintaining this genetically determined phenotypic trait in different human populations that practice pastoralism. To identify variants associated with the LP trait and to study its evolutionary history in Africa, we sequenced MCM6 introns 9 and 13 and ~2 kb of the LCT promoter region in 819 individuals from 63 African populations and in 154 non-Africans from nine populations. We also genotyped four microsatellites in an ~198 kb region in a subset of 252 individuals to reconstruct the origin and spread of LP-associated variants in Africa. Additionally, we examined the association between LP and genetic variability at candidate regulatory regions in 513 individuals from eastern Africa. Our analyses confirmed the association between the LP trait and three common variants in intron 13 (C-14010, G-13907, and G-13915). Furthermore, we identified two additional LP-associated SNPs in intron 13 and the promoter region (G-12962 and T-956, respectively). Using neutrality tests based on the allele frequency spectrum and long-range linkage disequilibrium, we detected strong signatures of recent positive selection in eastern African populations and the Fulani from central Africa. In addition, haplotype analysis supported an eastern African origin of the C-14010 LP-associated mutation in southern Africa. Copyright © 2014 The American Society of Human Genetics. Published by Elsevier Inc. All rights reserved.

Guidelines for a palliative approach for aged care in the community setting: a suite of resources

Directory of Open Access Journals (Sweden)

David C. Currow

2012-11-01

Full Text Available AbstractIn Australia, many people ageing in their own homes are becoming increasingly frail and unwell, approaching the end of life. A palliative approach, which adheres to palliative care principles, is often appropriate. These principles provide a framework for proactive and holistic care in which quality of life and of dying is prioritised, as is support for families. A palliative approach can be delivered by the general practitioner working with the community aged care team, in collaboration with family carers. Support from specialist palliative care services is available if necessary. The Guidelines for a Palliative Approach for Aged Care in the Community Setting were published by the Australian Government Department of Health and Ageing to inform practice in this area. There are three resource documents. The main document provides practical evidence based guidelines, good practice points, tools, and links to resources. This document is written for general practitioners, nurses, social workers, therapists, pastoral care workers, and other health professionals and responded to needs identified during national consultation. Evidence based guidelines were underpinned by systematic reviews of the research literature. Good practice points were developed from literature reviews and expert opinion. Two ‘plain English’ booklets were developed in a process involving consumer consultation; one is for older people and their families, the other for care workers. The resources are intended to facilitate home care that acknowledges and plans for the client’s deteriorating functional trajectory and inevitable death. At a time when hospitals and residential aged care facilities are under enormous pressure as the population ages, such a planned approach makes sense for the health system as a whole. The approach also makes sense for older people who wish to die in their own homes. Family needs are recognised and addressed. Unnecessary hospitalisations

Guidelines for a palliative approach for aged care in the community setting: A suite of resources.

Science.gov (United States)

Toye, Christine; Blackwell, Scott; Maher, Sean; Currow, David C; Holloway, Kristi; Tieman, Jennifer; Hegarty, Meg

2012-01-01

In Australia, many people ageing in their own homes are becoming increasingly frail and unwell, approaching the end of life. A palliative approach, which adheres to palliative care principles, is often appropriate. These principles provide a framework for proactive and holistic care in which quality of life and of dying is prioritised, as is support for families. A palliative approach can be delivered by the general practitioner working with the community aged care team, in collaboration with family carers. Support from specialist palliative care services is available if necessary.The Guidelines for a Palliative Approach for Aged Care in the Community Setting were published by the Australian Government Department of Health and Ageing to inform practice in this area. There are three resource documents. The main document provides practical evidence based guidelines, good practice points, tools, and links to resources. This document is written for general practitioners, nurses, social workers, therapists, pastoral care workers, and other health professionals and responded to needs identified during national consultation. Evidence based guidelines were underpinned by systematic reviews of the research literature. Good practice points were developed from literature reviews and expert opinion. Two 'plain English' booklets were developed in a process involving consumer consultation; one is for older people and their families, the other for care workers.The resources are intended to facilitate home care that acknowledges and plans for the client's deteriorating functional trajectory and inevitable death. At a time when hospitals and residential aged care facilities are under enormous pressure as the population ages, such a planned approach makes sense for the health system as a whole. The approach also makes sense for older people who wish to die in their own homes. Family needs are recognised and addressed. Unnecessary hospitalisations or residential placements and

HIPAA and patient care: the role for professional judgment.

Science.gov (United States)

Lo, Bernard; Dornbrand, Laurie; Dubler, Nancy N

2005-04-13

Federal health privacy regulations, commonly known as the Health Insurance Portability and Accountability Act (HIPAA) regulations, came into effect in April 2003. Many clinicians and institutions have relied on consultants and risk managers to tell them how to implement these regulations. Much of the controversy and confusion over the HIPAA regulations concern so-called incidental disclosures. Some interpretations of the privacy regulations would limit essential communication and compromise good patient care. This article analyzes misconceptions regarding what the regulations say about incidental disclosures and discusses the reasons for such misunderstandings. Many misconceptions arise from gaps in the regulations. These gaps are appropriately filled by professional judgment informed by ethical guidelines. The communication should be necessary and effective for good patient care, and the risks of a breach of confidentiality should be proportional to the likely benefit for the patient's care. The alternative for communication should be impractical. We offer specific recommendations to help physicians think through what incidental disclosures in patient care are ethically permissible and what safeguards ought to be taken. Physicians should work with risk managers and practice administrators to develop policies that promote good communication in patient care, while taking appropriate steps to protect patient privacy.

Pastoralism in northern Peru during pre-Hispanic times: insights from the Mochica Period (100-800 AD) based on stable isotopic analysis of domestic camelids.

Science.gov (United States)

Dufour, Elise; Goepfert, Nicolas; Gutiérrez Léon, Belkys; Chauchat, Claude; Jordán, Régulo Franco; Vásquez Sánchez, Segundo

2014-01-01

Llama (Lama glama) and alpaca (Vicugna pacos) are the only large domesticated animals indigenous to the Americas. Pastoralism occupies a fundamental economic, social and religious role in Andean life. Today, camelid livestock are confined to the ecozone of the puna (above 3,500 masl), while their presence on the Pacific coast during pre-Hispanic times is attested by archaeological skeletal remains. This study aims to document herding practices on the northern Peruvian coast during the Early Intermediate Period (200 BC-600 AD) by gaining insights into diet, location of breeding and mobility of archaeological camelids from the funerary and ritual contexts of two Mochica sites, Uhle Platform in Huacas de Moche and El Brujo. The three first early years and the long-term life histories of the animals were documented by the combined bulk analysis of bone collagen (δ(13)C col and δ(15)N col) and bone structural carbonate (δ(13)C bone and δ(18)O bone) and the serial analysis of structural carbonate of molar tooth enamel (δ(13)C enamel and δ(18)O enamel). Mochica camelids were bred in the low and/or middle valleys, unlike their modern counterparts, who are restricted to highland puna C3 pastures. Archaeological camelids had diverse and complex life histories, usually with substantial maize foddering. An ontogenetic switch in diet and possible residential mobility during the course of life were identified for some specimens. Although the inference of geographic origin from δ(18)O bone and δ(18)O enamel values was limited because of the lack of understanding of the influence of environmental and biological factors, tooth enamel analysis has great potential for exploring camelid herding practices and Andean pastoralism. Our study suggested that Mochica herders adapted their practices to the difficult lowland environment and that herding practices were varied and not restricted to breeding at higher altitudes. The role of maize in different aspects of the economic life

Pastoralism in northern Peru during pre-Hispanic times: insights from the Mochica Period (100-800 AD based on stable isotopic analysis of domestic camelids.

Directory of Open Access Journals (Sweden)

Elise Dufour

Full Text Available Llama (Lama glama and alpaca (Vicugna pacos are the only large domesticated animals indigenous to the Americas. Pastoralism occupies a fundamental economic, social and religious role in Andean life. Today, camelid livestock are confined to the ecozone of the puna (above 3,500 masl, while their presence on the Pacific coast during pre-Hispanic times is attested by archaeological skeletal remains. This study aims to document herding practices on the northern Peruvian coast during the Early Intermediate Period (200 BC-600 AD by gaining insights into diet, location of breeding and mobility of archaeological camelids from the funerary and ritual contexts of two Mochica sites, Uhle Platform in Huacas de Moche and El Brujo. The three first early years and the long-term life histories of the animals were documented by the combined bulk analysis of bone collagen (δ(13C col and δ(15N col and bone structural carbonate (δ(13C bone and δ(18O bone and the serial analysis of structural carbonate of molar tooth enamel (δ(13C enamel and δ(18O enamel. Mochica camelids were bred in the low and/or middle valleys, unlike their modern counterparts, who are restricted to highland puna C3 pastures. Archaeological camelids had diverse and complex life histories, usually with substantial maize foddering. An ontogenetic switch in diet and possible residential mobility during the course of life were identified for some specimens. Although the inference of geographic origin from δ(18O bone and δ(18O enamel values was limited because of the lack of understanding of the influence of environmental and biological factors, tooth enamel analysis has great potential for exploring camelid herding practices and Andean pastoralism. Our study suggested that Mochica herders adapted their practices to the difficult lowland environment and that herding practices were varied and not restricted to breeding at higher altitudes. The role of maize in different aspects of the economic

A survey of Canadian regulated complementary and alternative medicine schools about research, evidence-based health care and interprofessional training, as well as continuing education.

Science.gov (United States)

Toupin April, Karine; Gaboury, Isabelle

2013-12-28

While some effort has been made to integrate complementary and alternative medicine (CAM) information in conventional biomedical training, it is unclear whether regulated Canadian CAM schools' students are exposed to research activities and continuing education, or whether topics such as evidence-based health care and interprofessional collaboration (IPC) are covered during their training. Since these areas are valued by the biomedical training field, this may help to bridge the attitudinal and communication gaps between these different practices. The aim of this study was to describe the training offered in these areas and gather the perceptions of curriculum/program directors in regulated Canadian CAM schools. A two-phase study consisting of an electronic survey and subsequent semi-structured telephone interviews was conducted with curriculum/program (C/P) directors in regulated Canadian CAM schools. Questions assessed the extent of the research, evidence-based health care, IPC training and continuing education, as well as the C/P directors' perceptions about the training. Descriptive statistics were used to describe the schools', curriculum's and the C/P directors' characteristics. Content analysis was conducted on the interview material. Twenty-eight C/P directors replied to the electronic survey and 11 participated in the interviews, representing chiropractic, naturopathy, acupuncture and massage therapy schools. Canadian regulated CAM schools offered research and evidence-based health care training as well as opportunities for collaboration with biomedical peers and continuing education to a various extent (58% to 91%). Although directors were generally satisfied with the training offered at their school, they expressed a desire for improvements. They felt future CAM providers should understand research findings and be able to rely on high quality research and to communicate with conventional care providers as well as to engage in continuing education

Regulating household financial advice

Directory of Open Access Journals (Sweden)

Benjamin F. Cummings

2012-08-01

Full Text Available This paper reviews economic theory related to investment advice. This theory explains 1 why financial advisors need to be carefully regulated for the benefit of both the investment advice industry and for consumers, 2 why principles-based regulation (e.g., a fiduciary standard is more efficient than rules-based regulation, 3 why dual regulation of financial professionals providing investment or insurance advice is inefficient and inequitable policy, and 4 why the application of a universal and uniform fiduciary standard will be difficult to implement.

The Concept of Ethics in the Intensive Care

Directory of Open Access Journals (Sweden)

Kutay Alpir

2010-12-01

Full Text Available The concept of ethics in the intensive care unit has developed in the last 50 years along with the advancements and regulations in this area of medicine. Especially by the use of life-supportive equipment in the intensive care units and the resulting elongation in the terminal stage of life has led to newly described clinical conditions. These conditions include vegetative state, brain death, dissociated heart death. The current trend aiming to provide the best health care facilities with optimal costs resulted with regulations. The conflicts in the patient-physician relations resulting from these regulations has resolved to some extent by the studies of intensive care unit ethics. The major ethical topics in the intensive care are the usage of autonomy right, the selection of patients to be admitted to the intensive care unit and the limitation of the treatment. The patient selection is optimized by triage and allocation, the limitation of the treatment is done by the means of withdrawal and withhold, and the usage of autonomy right is tried to be solved by proxy, living will and ethics committee regulations. The ethical regulations have found partial solutions to the conflicts. For the ultimate solution much work about the subject has to be done. (Journal of the Turkish Society of Intensive Care 2010; 8: 77-84

[Information security in health care].

Science.gov (United States)

Ködmön, József; Csajbók, Zoltán Ernő

2015-07-05

Doctors, nurses and other medical professionals are spending more and more time in front of the computer, using applications developed for general practitioners, specialized care, or perhaps an integrated hospital system. The data they handle during healing and patient care are mostly sensitive data and, therefore, their management is strictly regulated. Finding our way in the jungle of laws, regulations and policies is not simple. Notwithstanding, our lack of information does not waive our responsibility. This study summarizes the most important points of international recommendations, standards and legal regulations of the field, as well as giving practical advices for managing medical and patient data securely and in compliance with the current legal regulations.

Allies Advancing Justice: Cooperation between U.S. Bishops and Call to Action to Promote the Peace and Economic Pastoral Letters (1982–1987

Directory of Open Access Journals (Sweden)

Anthony J. Pogorelc

2012-10-01

Full Text Available This article discusses a phase of an ongoing relationship between a social movement organization (SMO, Call to Action, and the institutional organization (IO in which it is embedded, the Catholic Church. Relationships between SMOs and IOs are dynamic. At times they may engage in heated conflict related to the SMO’s goal to reform the IO and the desire of the IO leaders to maintain stability. There can also be times when such relationships are less adversarial and even cooperative. This article draws on periodicals, archival data and interviews to describe and analyze a period (1982–1987 when the values and interests of Call to Action and U.S. Bishops coalesced and led to a period of cooperation in which they together promoted the Peace and Economic Pastoral Letters written by the U.S. Conference of Bishops.

Medicare and Medicaid fraud and abuse regulations.

Science.gov (United States)

Liang, F Z; Black, B L

1991-11-01

Specific business arrangements that are protected under legislation and regulations governing parties doing business with Medicare or Medicaid are discussed. Regulations implementing the Medicare and Medicaid Patient Protection Act of 1987 specify practices and activities that are not subject to criminal penalties under the antikickback provisions of the Social Security Act or to exclusion from Medicare or state health-care programs. As of July 29, 1991, all organized health-care settings that receive payments from either Medicare or state health-care programs must comply with these regulations. The final rule sets forth "safe harbors"--exceptions to prohibitions against (1) kickbacks, bribes, rebates, and other illegal activities involving remunerations for patient referrals and (2) inducements to purchase or lease goods paid for by Medicare or state health-care programs. The safe harbors comprise 11 broad categories--investment interests, space rental, equipment rental, personal services and management contracts, purchase of a medical practice, referral services, warranties, discounts, employees, group purchasing organizations, and waiver of deductibles and coinsurance. Implications for pharmacy are discussed. These regulations will affect the purchase of pharmaceuticals by institutional pharmacies. Each institution should review its current practices to determine whether they are within the safe harbors.

Tradición y utopía pastoral : antropología de la Diócesis desde el nacimiento de la Diócesis de Lurín: 1954-1996.

OpenAIRE

Osorio Torres, Juan Alberto

2013-01-01

La Arquidiócesis de Lima creó, también por desmembramiento, otras tres diócesis en el mundo urbano marginal de la metrópoli, al borde del nuevo milenio. De esta manera, en el marco de una experiencia eclesial pastoral lograda particularmente en Lima Sur, de la que aún no se ha dado cuenta, quedó abierta una veta de investigación, que amerita empezar a explorar e interpretar, en la línea demarcada por Manuel Marzal, quien señalaba que el estudio del hecho religioso peruano, apenas está comenza...

Regulating health: transcending disciplinary boundaries.

Science.gov (United States)

Seddon, Toby

2013-03-01

Health and health care problems can be addressed from multiple disciplinary perspectives. This raises challenges for how to do cross-disciplinary scholarship in ways that are still robust, rigorous and coherent. This paper sets out one particular approach to cross-cutting research--regulation--which has proved extremely fertile for scholars working in diverse fields, from coal mine safety to tax compliance. The first part of the paper considers how regulatory ideas might be applied to health and health care research in general. The second part goes on to sketch out how a regulation perspective on one specific area, illicit drug policy, can open up new directions for research. In conclusion, a future research agenda is outlined for regulatory scholarship on health and health care.

78 FR 57927 - Credit Risk Retention

Science.gov (United States)

2013-09-20

..., Division of Research & Statistics, (202) 452-2342; or Nikita Pastor, Counsel, (202) 452-3667, Division of... include provisions that strengthen the regulation and supervision of national recognized statistical... delinquencies and foreclosures since 2007. These included features permitting negative amortization, interest...

Economic assessment of the performance of trypanotolerant cattle breeds in a pastoral production system in Kenya

Directory of Open Access Journals (Sweden)

M.W. Maichomo

2009-05-01

Full Text Available Cattle are the major source of food security and income for pastoral farmers in sub-Saharan Africa. However, infectious and parasitic diseases remain a major constraint to improved cattle productivity in the region. The use of animal health economics to support decision-making on cost-effective disease control options is increasingly becoming important in the developing world. Trypano-tolerant indigenous Orma / zebu cattle in a trypanosomosis-endemic area of Kenya were evaluated for economic performance using gross-margin analysis and partial-farm budgeting. Orma / zebu and Sahiwal / zebu cross-bred cattle were exposed to similar husbandry practices and monitored for growth rate, incidence of common infections (trypanosomosis, anaplasmosis, babesiosis, East Coast Fever and helminthosis and the cost of treatment assessed. Interview questionnaires were also used to assess the preference rating of the 2 breeds. Results indicated that incidence of infection was trypanosomosis 3 %, anaplasmosis 58 %, babesiosis 11 %, East Coast Fever 22 % and helminthosis 28 %, with no significant difference between breeds. The Orma / zebu and Sahiwal / zebu breeds had comparable economic benefits, hence a pastoralist in Magadi division is likely to get similar returns from both breeds. This study therefore recommends adoption of not only the Sahiwal / zebu but also the Orma / zebu breed for cattle improvement in trypanosomosis endemic areas and conservation of indigenous genetic resources.

Pastoralism in Northern Peru during Pre-Hispanic Times: Insights from the Mochica Period (100–800 AD) Based on Stable Isotopic Analysis of Domestic Camelids

Science.gov (United States)

Dufour, Elise; Goepfert, Nicolas; Gutiérrez Léon, Belkys; Chauchat, Claude; Franco Jordán, Régulo; Sánchez, Segundo Vásquez

2014-01-01

Llama (Lama glama) and alpaca (Vicugna pacos) are the only large domesticated animals indigenous to the Americas. Pastoralism occupies a fundamental economic, social and religious role in Andean life. Today, camelid livestock are confined to the ecozone of the puna (above 3,500 masl), while their presence on the Pacific coast during pre-Hispanic times is attested by archaeological skeletal remains. This study aims to document herding practices on the northern Peruvian coast during the Early Intermediate Period (200 BC-600 AD) by gaining insights into diet, location of breeding and mobility of archaeological camelids from the funerary and ritual contexts of two Mochica sites, Uhle Platform in Huacas de Moche and El Brujo. The three first early years and the long-term life histories of the animals were documented by the combined bulk analysis of bone collagen (δ13Ccol and δ15Ncol) and bone structural carbonate (δ13Cbone and δ18Obone) and the serial analysis of structural carbonate of molar tooth enamel (δ13Cenamel and δ18Oenamel). Mochica camelids were bred in the low and/or middle valleys, unlike their modern counterparts, who are restricted to highland puna C3 pastures. Archaeological camelids had diverse and complex life histories, usually with substantial maize foddering. An ontogenetic switch in diet and possible residential mobility during the course of life were identified for some specimens. Although the inference of geographic origin from δ18Obone and δ18Oenamel values was limited because of the lack of understanding of the influence of environmental and biological factors, tooth enamel analysis has great potential for exploring camelid herding practices and Andean pastoralism. Our study suggested that Mochica herders adapted their practices to the difficult lowland environment and that herding practices were varied and not restricted to breeding at higher altitudes. The role of maize in different aspects of the economic life of the Mochicas is also

Cooperation between In-Hospital Psychological Support and Pastoral Care Providers: Obstacles and Opportunities for a Modern Approach.

Science.gov (United States)

Proserpio, Tullio; Ferrari, Andrea; Veneroni, Laura; Arice, Carmine; Massimino, Maura; Clerici, Carlo Alfredo

2017-09-01

The meaning that patients with cancer attribute to life influences their expectations and their attitudes to the disease and its treatment. Over the centuries, religion has commonly been the answer encoded by the social setting when it came to matters of life and death. The present article analyzes the historical grounds for forms of cooperation between the scientific disciplines that focus on mental health and the approach of religion, centered on the Italian situation. Such cooperation was hard to imagine in the past, but the situation has changed considerably and cooperation is not only possible but extremely desirable. Acknowledgment of their spiritual needs helps patients to battle with their disease. The care of patients should include catering for their spiritual needs by ensuring the constant presence of a chaplain on hospital wards.

Child Care Program Office

Science.gov (United States)

Information Medicaid Public Health Centers Temporary "Cash" Assistance Senior Benefits Program the proposed regulation changes, including the potential costs to private persons of complying with Heating Assistance Medicaid Senior Benefits Temporary Assistance Get Help Food Health Care Cash Child Care

Health insurance premium tax credit. Final regulations.

Science.gov (United States)

2013-02-01

This document contains final regulations relating to the health insurance premium tax credit enacted by the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010.These final regulations provide guidance to individuals related to employees who may enroll in eligible employer-sponsored coverage and who wish to enroll in qualified health plans through Affordable Insurance Exchanges (Exchanges) and claim the premium tax credit.

Regulation on radiation protection health care of workers exposed to ionizing radiation. - Regulation on radiation protection health care - of the 25 Mar 1986

International Nuclear Information System (INIS)

1986-01-01

The present regulation will be in force on 1 July 1986 and supersedes a regulation from 29 September 1970. It regulates the medical surveillance with regard to radiation protection for all kinds of workers with an increased risk of being exposed to ionizing radiation such as e.g. reactor operators and miners. Examinations have to be performed according to directions of the SAAS including further measures if necessary regarding clinical occupational and radiation protection medicine. The task of the firms, the managers, the medical officers, and the SAAS are distinctly marked

Abortion patients' perceptions of abortion regulation.

Science.gov (United States)

Cockrill, Kate; Weitz, Tracy A

2010-01-01

Most states regulate abortion differently than other health care services. Examples of these regulations include mandating waiting periods and the provision of state-authored information, and prohibiting private and public insurance coverage for abortion. The primary purpose of this paper is to explore abortion patients' perspectives on these regulations. We recruited 20 participants from three abortion providing facilities located in two states in the U.S. South and Midwest. Using a survey and semistructured interview, we collected information about women's knowledge of abortion regulation and policy preferences. During the interviews, women weighed the pros and cons of abortion regulations. We used grounded theory analytical techniques and matrix analysis to organize and interpret the data. We discovered five themes in these women's considerations of regulation: responsibility, empathy, safe and accessible health care, privacy, and equity. Women in the study generally supported policies that they felt protected women or informed decisions. However, most women also opposed laws mandating two-day abortion appointments for women who were traveling long distances. Women tended to favor financial coverage of abortion, arguing that it could help poor women afford abortion or reduce state expenditures. Overall the study participants' opinions on abortion policy reflect key values for advocates and policy makers to consider: responsibility, empathy, safe and accessible health care, privacy, and equity. Future work should examine abortion regulations in light of these shared values. Laws that promote misinformation or prohibit accommodations of unique circumstances are not consistent the positions articulated by the subjects in our study. Copyright 2010 Jacobs Institute of Women

“ Habitus ” in soul care. Towards “spiritual fortigenetics” (parrhesia ...

African Journals Online (AJOL)

It is argued that habitus plays a fundamental role in both a practical theological and pastoral-anthropological approach in order to focus on the “wholeness” of the human soul (soul as a qualitative and relational entity). It is hypothesized that a spiritual understanding of fortigenetics and the emphasis on a positive growth ...

One Year of Monthly N and O Isotope Measurements in Nitrate from 18 Streamwater Monitoring Stations Within the Predominantly Pastoral Upper Manawatu Catchment, New Zealand

Science.gov (United States)

Baisden, W. T.; Douence, C.

2010-12-01

New Zealand's intensive pastoral agricultural systems have a significant impact on water quality due to nitrogen loading in rivers. A research programme has been designed to develop indicators of the sources and denitrification losses of nitrate in streamwater. This work describes the results of one year of monthly measurements at ~18 monitoring locations in the 1260 square km upper Manawatu River catchment. The catchment was chosen for study because it is among the most pastoral catchments in New Zealand, with little non-pastoral agriculture and limited forest area outside of the Tararua mountain range on the west side of the catchment. The use of N and O isotope ratios in nitrate has considerable potential to elucidate the sources and fate of nitrate with greater precision than in most other nations due to the lack of nitrate in atmospheric deposition and the lack of nitrates used as fertilizer. We measured N and O isotope ratios in nitrate plus nitrite using cadmium and azide chemical denitrification method, and refer to the results as nitrate for brevity due to low nitrite concentrations. When examined as annual averages at each monitoring site, we found the lowest N and O isotope ratios in our only site draining native forest. All agricultural monitoring sites sit approximately on a 1:1 line, enriched in N-15 and O-18 by 2-6 per mil relative to the native forest subcatchment. The three main effluent point sources in the catchment demonstrated unexpected variability in isotope ratios. Two modern sewage treatment ponds had N and O isotope ratios close to those found in agricultural catchments, while a closed meat freezing factory effluent pond had isotope ratios strongly enriched in N-15 and O-18. The lack of summer low flows during monitoring period, combined with the variability in isotope ratios from point source, appeared to be responsible for our inability to clearly detect the effect of point sources in the isotope data from stations upstream and

32 CFR 564.37 - Medical care.

Science.gov (United States)

2010-07-01

... 32 National Defense 3 2010-07-01 2010-07-01 true Medical care. 564.37 Section 564.37 National... REGULATIONS Medical Attendance and Burial § 564.37 Medical care. (a) General. The definitions of medical care; policies outlining the manner, conditions, procedures, and eligibility for care; and the sources from which...

29 CFR 825.114 - Inpatient care.

Science.gov (United States)

2010-07-01

... 29 Labor 3 2010-07-01 2010-07-01 false Inpatient care. 825.114 Section 825.114 Labor Regulations... LEAVE ACT OF 1993 Coverage Under the Family and Medical Leave Act § 825.114 Inpatient care. Inpatient care means an overnight stay in a hospital, hospice, or residential medical care facility, including...

Self-Regulation in Children and Minors in Institutional Care

Science.gov (United States)

Hrbackova, Karla; Vavrova, Sona

2015-01-01

The study deals with self-regulation in children and minors (aged 11 to 19 years) living in so-called "total institutions". It examines the degree of self-regulation of behaviour from the perspective of the children and minors themselves and from the perspective of their key workers. Children and minors and their key workers differ…

Fear and overprotection in Australian residential aged-care facilities: The inadvertent impact of regulation on quality continence care.

Science.gov (United States)

Ostaszkiewicz, Joan; O'Connell, Beverly; Dunning, Trisha

2016-06-01

Most residents in residential aged-care facilities are incontinent. This study explored how continence care was provided in residential aged-care facilities, and describes a subset of data about staffs' beliefs and experiences of the quality framework and the funding model on residents' continence care. Using grounded theory methodology, 18 residential aged-care staff members were interviewed and 88 hours of field observations conducted in two facilities. Data were analysed using a combination of inductive and deductive analytic procedures. Staffs' beliefs and experiences about the requirements of the quality framework and the funding model fostered a climate of fear and risk adversity that had multiple unintended effects on residents' continence care, incentivising dependence on continence management, and equating effective continence care with effective pad use. There is a need to rethink the quality of continence care and its measurement in Australian residential aged-care facilities. © 2015 AJA Inc.

Referral and collaboration between South African psychiatrists and ...

African Journals Online (AJOL)

Background. Referral between psychiatrists and spiritual workers (e.g. Christian pastoral care workers, traditional healers, imams, rabbis and others) in the heterogeneous South African (SA) society is complicated and requires investigation to establish appropriate norms. Objective. To capture the views of some local ...

El Buen Pastor y la Monarquía Católica en la segunda mitad del siglo XVII

Directory of Open Access Journals (Sweden)

Iván Sánchez Llanes

2009-01-01

Full Text Available En los siglos XVII y XVIII hay muchas maneras en las que se conceptualiza la relación entre el rey y la comunidad de vasallos, cada una de las cuales muestra algunos aspectos particulares de la teoría y metodología de la praxis del poder político. En este artículo, vamos a explorar la imagen del «Buen pastor» en la monarquía católica en la segunda mitad del siglo XVII y los modos en que apunta una nueva percepción de los deberes y obligaciones que vinculan al rey y su reino.In the XVI and XVII centuries, there are several ways in which the relationship between the king and the community of the vassals is conceptualized, everyone of them showing some particular aspects of the theoretical and methodological praxis of the political power. In this article, we are going to explore the image of the «Good shepherd» in the Catholic monarchy in the second half of the XVII century and the ways in which it points out a new perception of the duties and obligations that links the king and its kingdom.

The use of Imago Dei as a pastoral healing vision against women killings in the South African context

Directory of Open Access Journals (Sweden)

Elijah M. Baloyi

2012-02-01

Full Text Available The exploitation and killings of women in South Africa are a concern not only for the government, but also for pastoral caregivers as well. Although the government has introduced institutions like the Commission for Gender Equality with responsibilities to ensure that there is equality between genders, it seems that the supposed patriarchal masculine superiority continues to demonstrate its dominance through the abuse, as well as the killings of women. Assigning women to the status of secondary citizens who are tortured and exposed to gender-based violence is not only unconstitutional, but also biblically wrong, as we can see from the biblical message of the creation of human beings. The goal of this article is to use the premise of �the image of God� to argue that women also are created in the image of God and hence they are worthy to be treated as such, from sexual harassment, sexual abuse and violence to murder. This is my personal observation as women of this country are being killed by their husbands and boyfriends. This article will use case studies to argue that women (just like men deserve, as images of God, to live freely without fear of being killed by their husbands and boyfriends for whatever wrongdoing.

The paradoxical evolution of runoff in the pastoral Sahel: analysis of the hydrological changes over the Agoufou watershed (Mali) using the KINEROS-2 model

Science.gov (United States)

Gal, Laetitia; Grippa, Manuela; Hiernaux, Pierre; Pons, Léa; Kergoat, Laurent

2017-09-01

In recent decades, the Sahel has witnessed a paradoxical increase in surface water despite a general precipitation decline. This phenomenon, commonly referred to as the Sahelian paradox, is not completely understood yet. The role of cropland expansion due to the increasing food demand by a growing population has been often put forward to explain this situation for the cultivated Sahel. However, this hypothesis does not hold in pastoral areas where the same phenomenon is observed. Several other processes, such as the degradation of natural vegetation following the major droughts of the 1970s and the 1980s, the development of crusted topsoils, the intensification of the rainfall regime and the development of the drainage network, have been suggested to account for this situation. In this paper, a modeling approach is proposed to explore, quantify and rank different processes that could be at play in pastoral Sahel. The kinematic runoff and erosion model (KINEROS-2) is applied to the Agoufou watershed (245 km2), in the Gourma region in Mali, which underwent a significant increase of surface runoff during the last 60 years. Two periods are simulated, the past case (1960-1975) preceding the Sahelian drought and the present case (2000-2015). Surface hydrology and land cover characteristics for these two periods are derived by the analysis of aerial photographs, available in 1956, and high-resolution remote sensing images in 2011. The major changes identified are (1) a partial crusting of isolated dunes, (2) an increase of drainage network density, (3) a marked decrease in vegetation with the nonrecovery of tiger bush and vegetation growing on shallow sandy soils, and (4) important changes in soil properties with the apparition of impervious soils instead of shallow sandy soil. The KINEROS-2 model was parameterized to simulate these changes in combination or independently. The results obtained by this model display a significant increase in annual discharge between the

Factors affecting the entry of for-profit providers into a price regulated market for formal long-term care services: a case study from Japan.

Science.gov (United States)

Tokunaga, Mutsumi; Hashimoto, Hideki

2013-01-01

While the distinct behaviors of for-profit and non-profit providers in the healthcare market have been compared in the economic literature, their choices regarding market entry and exit have only recently been debated. Since 2000, when public Long-Term Care Insurance was introduced in Japan, for-profit providers have been able to provide formal long-term homecare services. The aim of this study is to determine which factors have affected market entry of for-profit providers under price regulation and in competition with existing non-profit providers. We used nation-wide panel data from 2002 to 2010, aggregated at the level of local public insurers (n = 1557), a basic area unit of service provision. The number of for-profit providers per elderly population in the area unit was regressed against factors related to local demand and service costs using first-difference linear regression, a fixed effects model, and Tobit regression for robustness checking. Results showed that demand (the number of eligible care recipients) and cost factors (population density and minimum wage) significantly influenced for-profit providers' choice of market entry. These findings indicate that for-profit providers will strategically choose a local market for maximizing profit. We believe that price regulation should be redesigned to incorporate quality of care and market conditions, regardless of the profit status of the providers, to ensure equal access to efficient delivery of long-term care across all regions. Copyright © 2012 Elsevier Ltd. All rights reserved.

Market integration of pastoral systems in the south of Chad : case of the milk trade in Moundu

Directory of Open Access Journals (Sweden)

G. Duteurtre

2000-03-01

Full Text Available Since 1980, livestock husbandry has steadily increased in the south of Chad, particularly because of transhumant herd moves from the center to the south of the country. Supplying cities and villages with dairy products is an important trade for the breeders. This trade was the foundation for pastoral breeders to settle down around the city of Moundu. Can such a livestock system respond in a sustainable way to the quickly growing demand of the population? Does it change as a result of integrating the market? Suburban dairy producers, dairy processors, salespersons and consumers were surveyed to better understand the organization of this subsector. Results show that the traditional dairy product trade is dynamic. More than 5000 liters originating from suburban Fulani settlements reach city markets every day. The livestock system is also adapting itself well to the new trade environment, while keeping its intrinsic mobility, even on short distances. In addition, urban dairy processors (cheesemakers and dairy bars boost this subsector. Finally, there is not much competition with imports due to the area being enclosed and consumers’ preference for traditional products. However, Fulani pastoralist settlements generate some conflicts on land use. This study shows the need to initiate more talks between livestock breeders and cotton producers, to reorganize the cotton oilseed cake market, and to develop small dairy-processing units.

Options analysis of managed care contracting and regulation: theory and evidence.

Science.gov (United States)

McLean, R A; Magiera, F T

2000-08-01

Managed care contracts can be represented as bundles of options. In particular, the managed care provider is short a call option. To hedge the risk involved in such contracts, managed care contractors can construct several types of virtual put options, among them the ownership of facilities. Agency theory and options theory suggest that for-profit managed care plans, in the presence of debt, will engage in less hedging activity than will other managed care plans. Here, the authors test that hypothesis, using data for Florida HMOs in 1995, and they reject the null hypothesis. That managed care organizations act as if they are short a call option raises interesting regulatory issues, including the possibility of using a hedge-based regulatory scheme in place of a net-worth-based scheme.

Logit Model of Analysing the Factors Affecting the Adoption of Goat Raising Activity by Farmers in the Non-pastoral Centre Region of Cameroon

Directory of Open Access Journals (Sweden)

Folefack, AJZ.

2018-01-01

Full Text Available Three years after the beginning of a goat project in the Centre region of Cameroon, the engagement of farmers in this activity has been timid. As this region is not a traditional pastoral zone, farmers have not yet incorporated the crop-livestock integration into their habits. Hence, this paper uses a logistic regression approach in order to analyse the factors affecting the adoption of goat raising activity by farmers of this locality. The computed odds ratio indicate that the practice of goat raising activity is significantly influenced by the farmer's age, gender, farming experience, practice of other livestock activities, frequency of contact with extension agents, access to credit and farm income. However, being a goat raiser does not depend on the farmer's marital status, education, farm size, household size, membership into a common initiative group. The study therefore recommends that the government authorities should give more attention to significant factors so as to popularize the goat raising activity in this region.

Patient evaluations of primary care.

NARCIS (Netherlands)

Schäfer, W.L.A.; Boerma, W.G.W.; Schellevis, F.G.; Groenewegen, P.P.

2012-01-01

Background: So far, studies about people’s appreciation of primary care services has shown that patient satisfaction seems to be lower in health care systems with regulated access to specialist services by gate keeping. Nevertheless, international comparative research about patients’ expectations

119 ANGLICAN VIA-MEDIA: AN INSTRUMENT FOR THEOLOGICAL ...

African Journals Online (AJOL)

historically meaning of this concept, Anglican via-media and has clarified that the ... doctrine of comprehensiveness in fundamentals and relativism in .... as colonial churches influenced by British culture and values, evolved into national ones ... pastoral care, moral direction of the Church, and God's transforming power for ...

Moving beyond postcolonial theory in practical theology

African Journals Online (AJOL)

2017-09-08

Sep 8, 2017 ... xviii). African-indigenised pastoral care charts a different course uplifting these .... States today has revived a hegemonic project of reconstituting a pluralist multiracial ..... This anthropological understanding is what the British colonialists could not ..... end of the fourth century AD, elements of the Caesar-cult.

The Dinosaur in the Classroom: What We Stand to Lose through Ability-Grouping in the Primary School

Science.gov (United States)

Marks, Rachel

2014-01-01

Embedding setting (subject-based ability-grouping) into the primary school environment creates structural conflict--physically and culturally--fundamentally changing the nature of primary schools through the imposition of secondary practices and cultures and the loss of pastoral care. This article examines the hidden implications for teachers and…

Assessment of Food Insecurity and Coping Mechanisms among ...

African Journals Online (AJOL)

J. Agric. Sci. 23:145-156 (2013). Assessment of Food Insecurity and Coping. Mechanisms among Pastoral Households of Afar. National Regional State: The Case of Chifra .... practicing both farming and extensive livestock rearing. ..... trade, which is regulated by animal health certification system and which is becoming.

Day Care Legal Handbook: Legal Aspects of Organizing and Operating Day Care Programs.

Science.gov (United States)

Aikman, William F.

This guide for providers of day care services presents information on business regulations and other legal considerations affecting for-profit and not-for-profit day care programs. Three basic topics covered are: (1) choosing the type of organization (sole proprietorship, partnership or corporation), (2) forming the organization, and (3) operating…

Managing complaints in health and social care.

Science.gov (United States)

Holmes-Bonney, Kathy

2010-04-01

An important aspect of allowing patients to take control of their health care is the introduction of new procedures for dealing with complaints. This article examines the concepts that underpin the new Department of Health regulations on complaints management and what they will mean for health and social care professionals. It also explains why these regulations focus on restorative justice rather than blame when adverse events occur.

The Christian church’s role in the escalating mob justice system in our black townships – An African pastoral view

Directory of Open Access Journals (Sweden)

Elijah Baloyi

2015-11-01

Full Text Available Among the crimes in the South African black townships, mob justice has become a growing concern. Some questions that need to be asked are: Is our police force doing enough to protect the ordinary citizens of this country? If the situation continues, will all suspects be killed in the same manner or will there be a solution to change the situation? What is the impact of mob justice on the families of the victims and the witnesses of the brutal acts? How long are we going to live as a traumatised nation as a result of these violent acts? Is there any hope that our nation will ever have the peace it deserves in the context of democracy? This article intends to investigate the impact of the mob justice system and find out what the role of the Christian church should be in the midst of this escalating violence. This study aims to unveil the negative impact of mob justice on the lives of many township South Africans and giving pastoral-biblical suggestions of the church’s role in the elimination of this kind of brutality.

What Do Preservice Teachers Want to Learn about Puberty and Sexuality Education? An Australian Perspective

Science.gov (United States)

Goldman, Juliette D. G.; Grimbeek, Peter

2016-01-01

The processes of puberty are now commonly observed in primary school-aged students. Schools, therefore, need to address puberty and sexuality education for students' health, well-being, safety and pastoral care. Similarly, preservice teacher education needs to address future primary school teachers' unfamiliarity and lack of confidence with these…

Socio-Praxis Preferences in Teacher Preparation for Child Sexual Abuse and Its Mandatory Reporting

Science.gov (United States)

Goldman, Juliette D. G.; Grimbeek, Peter

2015-01-01

Child abuse and neglect, particularly child sexual abuse, is a pastoral care issue that deeply concerns all education professionals. The literature strongly supports specific training for pre-service teachers about child sexual abuse and its mandatory reporting, although few studies identify how such training should be academically structured.…

An African hermeneutic reading of Luke 9:18–22 in relation to conflict and leadership in pastoral ministry: The Cameroonian context

Directory of Open Access Journals (Sweden)

Mbengu D. Nyiawung

2013-03-01

Full Text Available The practice of ministry is an intricate issue which involves the combination of individual efforts from diverse backgrounds. This diversity has been a breeding ground for conflict between the clergy and all the stakeholders involved in parish administration. This article attempted to highlight some of these conflicts, using the Presbyterian Church in Cameroon as a case study. The approach employed is an African hermeneutic reading of Luke 9:18–22 in which the clergy’s leadership has been likened to that of Jesus. The presence of many distracting agents did not perturb Jesus’ ministry instead, he remained focused. Conclusively, it is observed that the clergy often face conflict within the ministry because they ignore the fact that (1 they are expected to know their mission better than anyone else; (2 the diverse backgrounds of their followers are potential causes of conflict; and (3 there are several distracting agents within the ministry. In short, Jesus’ model of conflict management is recommended to the clergy for an effective pastoral ministry.

Fixing the broken image of care homes, could a 'care home innovation centre' be the answer?

OpenAIRE

Hockley, Jo; Harrison, Jennifer Kirsty; Watson, Julie; Randall, Marion; Murray, Scott

2016-01-01

The UK has many excellent care homes that provide high-quality care for their residents; however, across the care home sector, there is a significant need for improvement. Even though the majority of care homes receive a rating of 'good' from regulators, still significant numbers are identified as requiring 'improvement' or are 'inadequate'. Such findings resonate with the public perceptions of long-term care as a negative choice, to be avoided wherever possible-as well as impacting on the ca...

The ethics of advertising for health care services.

Science.gov (United States)

Schenker, Yael; Arnold, Robert M; London, Alex John

2014-01-01

Advertising by health care institutions has increased steadily in recent years. While direct-to-consumer prescription drug advertising is subject to unique oversight by the Federal Drug Administration, advertisements for health care services are regulated by the Federal Trade Commission and treated no differently from advertisements for consumer goods. In this article, we argue that decisions about pursuing health care services are distinguished by informational asymmetries, high stakes, and patient vulnerabilities, grounding fiduciary responsibilities on the part of health care providers and health care institutions. Using examples, we illustrate how common advertising techniques may mislead patients and compromise fiduciary relationships, thereby posing ethical risks to patients, providers, health care institutions, and society. We conclude by proposing that these risks justify new standards for advertising when considered as part of the moral obligation of health care institutions and suggest that mechanisms currently in place to regulate advertising for prescription pharmaceuticals should be applied to advertising for health care services more broadly.

Adult Day Care

Science.gov (United States)

... Finding a Center Not all states license and regulate adult day care centers. There may be a ... is not usually covered by Medicare insurance, some financial assistance may be available through a federal or ...

Faith-to-faith at the bedside: theological and ethical issues in ecumenical clinical chaplaincy.

Science.gov (United States)

Mellon, Brad F

2003-04-01

Chaplains who serve in a clinical context often minister to patients representing a wide variety of faiths. In order to offer the best pastoral care possible, the chaplain should first possess a set of personal theological convictions as a foundation for ministry. Second, he or she needs to be sensitive to the beliefs and practices of the patients. Third, it is vital to develop a relationship of acceptance and trust not only with patients under their care, but also with family members and caregivers as well. At times, situations will arise that are purely religious or theological. In a clinical setting, however, the questions and problems that arise more often are both theological and ethical. It is beneficial for the chaplain to be involved in an ethics committee, where the specifics of each case can be discussed, and staff can offer counsel to patients and their families. This study examines issues that chaplains face at the bedside, such as terminal care, life-prolonging treatments, dementia, persistent vegetative state, and euthanasia-assisted suicide. We will discover that those who are involved in clinical pastoral ministry will be called upon to be a comforter, mediator, educator, ethicist, and counselor.

Vroue en die sosio-kulturele narratief

Directory of Open Access Journals (Sweden)

Y. Dreyer

1999-08-01

Full Text Available Women and the sosio-cultural narrative The socio-cultural narrative mirrors the dominant system of values in society. This system contains the values of and protects the interests of the dominant group. It is expression of the prevailing ideology of a culture. In Western society patriarchy is still the dominant ideology. Feminist hermeneutics aims to illuminate the disparity between the sexes in the socio-cultural narrative as one of more urgent problems in society. This article discusses different aspects of the �coherent philosophy� behind this socio-cultural narrative. Dominant theories in theology, which result from this ideology, are exposed. The article focuses on the role of pastoral interaction with women and points out the consequences for pastoral care.

78 FR 76057 - Removal of Redundant Regulations

Science.gov (United States)

2013-12-16

... authority of certain civil rights functions, protection of human subjects, and care and use of animals in... related to delegation of authority of certain civil rights functions, protection of human subjects, and care and use of animals in the conduct of NASA activities. Therefore, NASA regulations will be...

The Development of a Tutor Programme in a University Hall of Residence--A Case Study.

Science.gov (United States)

Beasley, V. J.

The tutor system within a university hall of residence at Flinders University of South Australia and a method of inquiry used to study the system are examined. Interviews with residence hall tutors revealed four concerns: the need for guidelines, the nature of academic tutoring, pastoral care and its implications, and communication channels within…

[Primary care in France].

Science.gov (United States)

Sánchez-Sagrado, T

2016-01-01

The poor planning of health care professionals in Spain has led to an exodus of doctors leaving the country. France is one of the chosen countries for Spanish doctors to develop their professional career. The French health care system belongs to the Bismarck model. In this model, health care system is financed jointly by workers and employers through payroll deduction. The right to health care is linked to the job, and provision of services is done by sickness-funds controlled by the Government. Primary care in France is quite different from Spanish primary care. General practitioners are independent workers who have the right to set up a practice anywhere in France. This lack of regulation has generated a great problem of "medical desertification" with problems of health care access and inequalities in health. French doctors do not want to work in rural areas or outside cities because "they are not value for money". Medical salary is linked to professional activity. The role of doctors is to give punctual care. Team work team does not exist, and coordination between primary and secondary care is lacking. Access to diagnostic tests, hospitals and specialists is unlimited. Duplicity of services, adverse events and inefficiencies are the norm. Patients can freely choose their doctor, and they have a co-payment for visits and hospital care settings. Two years training is required to become a general practitioner. After that, continuing medical education is compulsory, but it is not regulated. Although the French medical Health System was named by the WHO in 2000 as the best health care system in the world, is it not that good. While primary care in Spain has room for improvement, there is a long way for France to be like Spain. Copyright © 2015 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

Substitusi Medium Sintetik dengan Pupuk Daun, Air Kelapa dan Ekstrak Nabati pada Subkultur Anggrek Cattleya pastoral Innocence secara In Vitro

Directory of Open Access Journals (Sweden)

Etty Handayani

2014-08-01

Full Text Available A research was perfomed to find the proper of coconut water and natural ekstracts combined with Hyponex medium that compared with Vacin & Went medium. This research has been done at Tissue Culture Laboratory, Agricultural Faculty, Universitas Muhammadiyah Yogyakarta. The method of this research was arranged in Randomized Complete Design with 9 treatments and 8 replications. The treatments were VW + NAA 0,5 ppm + BAP 3 ppm, green Hyponex 3 g/l, green Hyponex 3 g/l + bean sprouts 150 g/l, green Hyponex 3 g/l + tomatoes 150 ml/l, green Hyponex 3 g/l + avocado 150 g/l, red Hyponex 3 g/l, red Hyponex 3 g/l + bean sprouts 150 g/l, red Hyponex 3 g/l + tomatoes 150 ml/l, red Hyponex 3 g/l + avocado 150 g/l. The each of Hyponex mediums were given with bananas 150 g/l and coconut water 150 ml/l. The result of this research showed that Hyponex mediums combined with natural ekstract was not signicicantly with Vacin & Went medium to high and shoot growth. Red Hyponex medium 3 g/l combined bananas 150 g/l and coconut water 150 ml/l resulted the best high, leaf and shoot in tissue culture Cattleya pastoral innocence orchid.

Parity for mental health and substance abuse care under managed care.

Science.gov (United States)

Frank, Richard G.; McGuire, Thomas G.

1998-12-01

BACKGROUND: Parity in insurance coverage for mental health and substance abuse has been a key goal of mental health and substance abuse care advocates in the United States during most of the past 20 years. The push for parity began during the era of indemnity insurance and fee for service payment when benefit design was the main rationing device in health care. The central economic argument for enacting legislation aimed at regulating the insurance benefit was to address market failure stemming from adverse selection. The case against parity was based on inefficiency related to moral hazard. Empirical analyses provided evidence that ambulatory mental health services were considerably more responsive to the terms of insurance than were ambulatory medical services. AIMS: Our goal in this research is to reexamine the economics of parity in the light of recent changes in the delivery of health care in the United States. Specifically managed care has fundamentally altered the way in which health services are rationed. Benefit design is now only one mechanism among many that are used to allocate health care resources and control costs. We examine the implication of these changes for policies aimed at achieving parity in insurance coverage. METHOD: We develop a theoretical approach to characterizing rationing under managed care. We then analyze the traditional efficiency concerns in insurance, adverse selection and moral hazard in the context of policy aimed at regulating health and mental health benefits under private insurance. RESULTS: We show that since managed care controls costs and utilization in new ways parity in benefit design no longer implies equal access to and quality of mental health and substance abuse care. Because costs are controlled by management under managed care and not primarily by out of pocket prices paid by consumers, demand response recedes as an efficiency argument against parity. At the same time parity in benefit design may accomplish less

Inhabiting compassion: A pastoral theological paradigm | Zylla | HTS ...

African Journals Online (AJOL)

Inspired by the vision of care in Vincent van Gogh's depiction of the parable of the Good Samaritan, this article offers a paradigm for inhabiting compassion. Compassion is understood in this article as a moral emotion that is also a pathocentric virtue. This definition creates a dynamic view of compassion as a desire to ...

Monitoring Water Resources in Pastoral Areas of East Africa Using Satellite Data and Hydrologic Modeling

Science.gov (United States)

Alemu, H.; Senay, G. B.; Velpuri, N.; Asante, K. O.

2008-12-01

The nomadic pastoral communities in East Africa heavily depend on small water bodies and artificial lakes for domestic and livestock uses. The shortage of water in the region has made these water resources of great importance to them and sometimes even the reason for conflicts amongst rival communities in the region. Satellite-based data has significantly transformed the way we track and estimate hydrological processes such as precipitation and evapotranspiration. This approach has been particularly useful in remote places where conventional station-based weather networks are scarce. Tropical Rainfall Measuring Mission (TRMM) satellite data were extracted for the study region. National Oceanic and Atmospheric Administration's (NOAA) Global Data Assimilation System (GDAS) data were used to extract the climatic parameters needed to calculate reference evapotranspiration. The elevation data needed to delineate the watersheds were extracted from the Shuttle Radar Topography Mission (SRTM) with spatial resolution of 90m. The waterholes (most of which have average surface area less than a hectare) were identified using Advanced Space-borne Thermal Emission and Reflection Radiometer (ASTER) images with a spatial resolution of 15 m. As part of National Aeronautics and Space Administration's (NASA) funded enhancement to a livestock early warning decision support system, a simple hydrologic water balance model was developed to estimate daily waterhole depth variations. The model was run for over 10 years from 1998 till 2008 for 10 representative waterholes in the region. Although there were no independent datasets to validate the results, the temporal patterns captured both the seasonal and inter-annual variations, depicting known drought and flood years. Future research includes the installation of staff-gauges for model calibration and validation. The simple modeling approach demonstrated the effectiveness of integrating dynamic coarse resolution datasets such as TRMM with

The coming changes in tax-exempt health care finance.

Science.gov (United States)

Carlile, L L; Serchuk, B M

1995-01-01

On December 30, 1994, the Internal Revenue Service (IRS) published proposed regulations (Proposed Regulations) that if enacted would significantly change the climate and rules of federal income tax law controlling the issuance and maintenance of tax-exempt bonds for governmental and 501(c)(3) health care borrowers. This article (1) summarizes the aspects of the Proposed Regulations dealing with private activity tests, management contracts, allocation and accounting rules, change in use of financed facilities, and antiabuse rules, and (2) summarizes the possible interrelationship of the IRS's audit program for tax-exempt bonds and the Proposed Regulations. The article reviews features of the Proposed Regulations that will affect either the costs or administrative burdens of managing the federal tax compliance of future tax-exempt health care borrowings.

Regulation of GMOs in China.

Science.gov (United States)

Liu, Yinliang

2008-12-01

Genetically modified organisms (GMOs) are created by biotechnology to serve people with much benefit while may impose risks to ecological environment and human health and therefore need careful regulation. During the past two decades, GMOs have been well developed in China and so has their corresponding regulation. This paper reviews and comments the multiple aspects of mainly the agricultural GMOs, including their safety assessment, control measures, trade activities, import, labels, and GM food, which have been prescribed by the corresponding laws, regulations and administrative measures. It is held that till present a framework for regulation of agricultural GMOs and GM food has been established basically in China, while a more comprehensive system for regulation of all kinds of GMOs and all kinds of related activities is still needed at present and in the future.

Specialist palliative care nursing and the philosophy of palliative care: a critical discussion.

Science.gov (United States)

Robinson, Jackie; Gott, Merryn; Gardiner, Clare; Ingleton, Christine

2017-07-02

Nursing is the largest regulated health professional workforce providing palliative care across a range of clinical settings. Historically, palliative care nursing has been informed by a strong philosophy of care which is soundly articulated in palliative care policy, research and practice. Indeed, palliative care is now considered to be an integral component of nursing practice regardless of the specialty or clinical setting. However, there has been a change in the way palliative care is provided. Upstreaming and mainstreaming of palliative care and the dominance of a biomedical model with increasing medicalisation and specialisation are key factors in the evolution of contemporary palliative care and are likely to impact on nursing practice. Using a critical reflection of the authors own experiences and supported by literature and theory from seminal texts and contemporary academic, policy and clinical literature, this discussion paper will explore the influence of philosophy on nursing knowledge and theory in the context of an evolving model of palliative care.

7 CFR 371.7 - Animal Care.

Science.gov (United States)

2010-01-01

... 7 Agriculture 5 2010-01-01 2010-01-01 false Animal Care. 371.7 Section 371.7 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE ORGANIZATION, FUNCTIONS, AND DELEGATIONS OF AUTHORITY § 371.7 Animal Care. (a...

Una lectura teológica de la realidad: ¿A cuáles nuevos saberes recurrir o con qué saberes contar?

Directory of Open Access Journals (Sweden)

Geraldo De Mori

2012-01-01

Full Text Available Tras un breve recurrido histórico del lugar de los otros saberes en la teología práctica/pastoral, el presente artículo hace un análisis de cómo estos saberes se encuentran hoy día en los principales modelos de teología práctica/pastoral, a saber: 1 las teologías prácticas empíricas, más presentes en los países anglosajones, que dialogan mucho con la sicología y la pedagogía; 2 las teologías prácticas críticas, como son las teologías política y de la liberación, que hacen de la praxis la categoría central del quehacer teológico y entran en un diálogo estrecho sobre todo con la sociología, la economía y las ciencias políticas; 3 las teologías prácticas/pastorales fundamentales, propuesta por Browning, que intentan dialogar sobre todo con la filosofía hermenéutica. En un tercer momento, partiendo de tres categorías de la ética de Paul Ricoeur, es decir, la estima de sí, el cuidado el otro y la búsqueda de instituciones justas, el texto propone pensar el quehacer de la teología práctica/ pastoral alrededor de esas categorías, mostrando a qué saberes recurrir.After a brief historical review of the role of other knowledges in practical/pastoral theology, this article analyzes how these knowledges are found today in the main models of practical/pastoral theology, namely: 1 empirical practical theologies, more present in Anglo-Saxon countries, which are often in dialogue with psychology and pedagogy; 2 critical practical theologies, such as political and liberation theologies, which make praxis the central category of the theological task and that are in close dialogue mainly with sociology, economics and political science; 3 fundamental practical/pastoral theologies, proposed by Browning, which attempt to dialogue principally with hermeneutic philosophy. In a third stage, based on Paul Ricoeur's three ethical categories, that is to say, self-esteem, caring for others and the pursuit of just institutions, the

Health and social care regulation in Wales: an integrated system of political, corporate and professional governance for improving public health.

Science.gov (United States)

Jewell, Tony; Wilkinson, Jane

2008-11-01

Wales is developing a unique integrated system of governance to improve public health, which is diverging from some recent developments in the rest of the UK but shares many common features. There is a focus on strengthening collaborative working and co-ordination between bodies inspecting, regulating and auditing health and social care. Systems are being developed that are proportionate to the level of risk, eliminate unnecessary burdens of external review and support the improvement of services for patients, service users and carers. This is consistent with the Assembly Government's aim to improve the way that public services are delivered in Wales, including strengthening input from the public in the planning, delivery and reporting of regulation and inspection work. The test in the future will be how far we can demonstrate quantitatively and qualitatively the added value from our uniquely Welsh approach, built as it is on devolution and the aspirations for small-country governance.

Regulating managed care plans: is the telecommunications industry a possible model?

Science.gov (United States)

Jorgensen, N E; Weil, T P

1998-01-01

Merger mania has been a striking trend in the health and managed care fields during the last decade, promising to improve integration of services, decrease excess capacity, enhance price competition, and increase the ability of providers and insurers to handle risk-based payment. In view of these promises, our first argument in this paper is that undoubtedly strong, well-financed managed care plans and health networks will continue to utilize the merger concept to acquire additional insurers and providers, eventually gaining more control over the organization and the financing of a region's health care delivery system. Our second thesis is that the quasicompetitive, quasiregulatory authority inherent in the Telecommunications Act of 1996, somewhat similar in concept to the American Hospital Association's earlier Ameriplan (1970), might serve as an appropriate model for Congress to use in designing future managed care, health field, and federal/state governmental interrelationships.

[Managed care. Its impact on health care in the USA, especially on anesthesia and intensive care].

Science.gov (United States)

Bauer, M; Bach, A

1998-06-01

Managed care, i.e., the integration of health insurance and delivery of care under the direction of one organization, is gaining importance in the USA health market. The initial effects consisted of a decrease in insurance premiums, a very attractive feature for employers. Managed care promises to contain expenditures for health care. Given the shrinking public resources in Germany, managed care seems attractive for the German health system, too. In this review the development of managed care, the principal elements, forms of organisation and practical tools are outlined. The regulation of the delivery of care by means of controlling and financial incentives threatens the autonomy of physicians: the physician must act as a "double agent", caring for the interest for the individual patient and being restricted by the contract with the managed care organisation. Cost containment by managed care was achieved by reducing the fees for physicians and hospitals (and partly by restricting care for patients). Only a fraction of this cost reduction was handed over to the enrollee or employer, and most of the money was returned with profit to the shareholders of the managed care organisations. The preeminent role of primary care physicians as gatekeepers of the health network led to a reduced demand for specialist services in general and for university hospitals and anesthesiologists in particular. The paradigm of managed care, i.e., to guide the patient and the care giver through the health care system in order to achieve cost-effective and high quality care, seems very attractive. The stress on cost minimization by any means in the daily practice of managed care makes it doubtful if managed care should be an option for the German health system, in particular because there are a number of restrictions on it in German law.

Parity for Mental Health and Substance Abuse Care Under Managed Care

OpenAIRE

Richard G. Frank; Thomas G. McGuire

1998-01-01

Background: Parity in insurance coverage for mental health and substance abuse has been a key goal of mental health and substance abuse care advocates in the United States during most of the past 20 years. The push for parity began during the era of indemnity insurance and fee for service payment when benefit design was the main rationing device in health care. The central economic argument for enacting legislation aimed at regulating the insurance benefit was to address market failure stemmi...

Climate risk management information, sources and responses in a pastoral region in East Africa

Directory of Open Access Journals (Sweden)

Anthony Egeru

2016-01-01

Full Text Available Pastoralists in East Africa face a range of stressors, climate variability and change being one of them. Effective climate risk management involves managing the full range of variability and balancing hazard management with efforts to capitalise on opportunity; climate risk management information is central in this process. In this study, pastoralists’ perceptions of climate change, climate risk management information types, sources and attendant responses in a pastoral region in East Africa are examined. Through a multi-stage sampling process, a total of 198 heads of households in three districts were selected and interviewed using a semi-structured questionnaire. In addition, 29 focus group discussions and 10 key informant interviews were conducted to generate qualitative information to supplement survey data. Descriptive and thematic analysis were utilised in summarizing the data. Ninety-nine percent of the pastoralists noted that the climate had changed evidenced by high but erratic rainfall, occurrence of floods and variation in rainfall onset and cessation among other indicators. This change in climate had led to emergence of ‘new’ livestock and crop diseases, crop failure and low yields leading to frequent food shortages, water shortages, poor market access, and variation in pasture availability among other effects. Climate risk management information was received from multiple sources including; radio, diviners, community meetings, shrine elders, humanitarian agencies, and Uganda People’s defence forces (UPDF. Community meetings were however perceived as most accessible, reliable and dependable sources of information. Shifting livestock to dry season grazing and watering areas, selling firewood and charcoal, seeking for military escorts to grazing areas, purchasing veterinary drugs, shifting livestock to disease ‘free’ areas, and performing rituals (depending on the perceived risk constituted a set of responses undertaken in

Legal regulation of treatment of wild animals

OpenAIRE

Kolečkářová, Eliška

2014-01-01

The diploma thesis deals with the legal regulation of the treatment with wild animals. It compares different terms used in legal regulation of protection of animals. It specified differences between concept of an animal in private law and public law. The diploma thesis is focused on possibilities of gaining ownership to the wild animals, proving origin of animals bred in human care. It concerns with legal regulation of treatment with handicap animals. The diploma thesis analyzes preparation a...

Negotiated risk and resident autonomy: Frontline care staff perspectives on culture change in long term care in Nova Scotia, Canada.

Science.gov (United States)

Roberts, Emily

2016-08-12

Regulating risk, freedom of action, and autonomy in decision making are problems shared by both caregivers and residents in long term care settings, and may become the subject of tension and constant negotiation. This study focuses on long term care staff and management perceptions of day to day life in a care community which has gone through a culture change transition, where small residentially scaled households replace large instutional models of care. In each household, the setting is considered to be home for the 8-12 residents, creating a major shift of roles for the caregivers; they are, in essence, coming into a home rather than institutional environment as a place of work. This potentially changes the dynamics of both patterns of work for caregivers and patterns of daily living for residents. Participant observations and care staff interviews. Several key themes emrged which include: teamwork; the culture of care; regulating risk; the physical environment and care staff empowerment. An unexpected outcome was the consensus among care staff that it is they who feel at home while working in the care households, leading to empowerment in their work roles and a deeper understanding of the importance of their role in the lives of the residents.

Teaching Resilience: A Narrative Inquiry into the Importance of Teacher Resilience

Science.gov (United States)

Vance, Angela; Pendergast, Donna; Garvis, Susanne

2015-01-01

This study set out to explore how high school teachers perceive their resilience as they teach a scripted social and emotional learning program to students with the goal of promoting the resilience skills of the students in their pastoral care classes. In this emerging field of research on teacher resilience, there is a paucity of research…

International medical law and its impact on the ukrainian health care legislation.

Science.gov (United States)

Pashkov, Vitalii; Udovyka, Larysa; Dichko, Hanna

2018-01-01

Introduction: The Ukrainian state has an urgent necessity of rapid search for essentially new legal and organizational forms of the healthcare system, reform of the legal regulation of healthcare services provision. In the context of European integration, the advancement of the medical industry reform is closely related to consideration of international standards and norms of health care. The aim: To study the impact of international medical law on the Ukrainian health care legislation. Materials and methods: International and Ukrainian regulations and documents on health care were used in the research. System and structural, functional and legal comparative methods as well as systematization, analysis and synthesis were determinative in the research process. Review: Systematization of international documents on health care was made. The major problems in the Ukrainian health care legislation were determined in terms of their conformity with the international legislative norms. The expediency of the Medical Code adoption was grounded and its structure was defined. Conclusions: Most health care international acts are ratified by Ukraine and their provisions are implemented in the legislation. Simultaneously, there is a row of problems, which hinder the Ukrainian health care development and place obstacles in the way of European integration. To remove these obstacles, it is expedient to create a codified act - the Medical Code, which would systematize the provisions of the current medical laws and regulations and fill in the existing gaps in the legal regulation of health care.

Emotional Sequelae of Elective Abortion: The Role of Guilt and Shame.

Science.gov (United States)

Whitney, Donna Krupkin

2017-06-01

Although estimates vary, many women experience long-term emotional, spiritual, psychological and interpersonal difficulties following abortion, including complicated grief, depression, post-traumatic stress disorder (PTSD) and relationship disturbances. Developmental, drive, object-relations and narcissism models for perinatal loss also illuminate the dynamics of post-abortion syndromes. Guilt and shame play important roles in generating and concealing post-abortion sequelae. Pastoral care and healthcare providers can increase their awareness of post-abortion sequelae and provide effective care for women experiencing these syndromes.

Self-care among Nursing Students: Determining Constructive Concepts of Self-care using Factor Analysis

OpenAIRE

Shintani, Keiko

2006-01-01

In an effort to clearly defi ne the constructive concepts of self-care among nursing students, in the present study a survey was conducted a survey of 655 individuals, comprised of 260 college nursing students and 395 vocational school nursing students. We found four factors of constructive concepts of self-care among nursing students, which included maintaining diet, coping with stress, maintaining habits and regulating lifestyle patterns, and maintaining interpersonal relationships.

Etiquetas e comportamentos durante a viagem pastoral de D. Carlos Luiz D’Amour ao sul da Diocese de Cuiabá

Directory of Open Access Journals (Sweden)

Jérri Roberto Marin

2015-12-01

Full Text Available O artigo tematiza a difusão de etiquetas e a reforma dos comportamentos durante a viagem pastoral de D. Carlos Luiz D’Amour ao sul da diocese de Cuiabá, em 1886. A fonte de pesquisa é o diário escrito por seu secretário particular, o cônego Bento Severiano da Luz. Nesse diário, foram narrados os percursos, os principais acontecimentos e as realizações da comitiva, sendo o bispo a personagem central. Entre os objetivos da viagem, estavam difundir novos padrões de conduta, de sentimentos e de etiqueta, civilizar os mato-grossenses e instaurar a boa sociedade católica. As aparições públicas do bispo tinham funções simbólicas, ou seja, a afirmação política e religiosa do poder episcopal na sociedade, criando uma esfera sagrada e corporificada em sua pessoa. D. Carlos, no jogo das relações de poderes, viu-se compelido a submeter-se à etiqueta, assim como a exercer pressões para que os diocesanos a cumprissem. Cada detalhe da etiqueta e do cerimonial cumpria a função de autorrepresentação ostentatória de D. Carlos e a suas supressões aboliam as distâncias, as distinções sociais e obliteravam sua autoridade e poder.

Anticipating Vulnerability to Climate Change in Dryland Pastoral Systems: Using Dynamic Systems Models for the Kalahari

Directory of Open Access Journals (Sweden)

Andrew J. Dougill

2010-06-01

Full Text Available It is vitally important to identify agroecosystems that may cease functioning because of changing climate or land degradation. However, identifying such systems is confounded on both conceptual and methodological grounds, especially in systems that are moving toward thresholds, a common trait of dryland environments. This study explores these challenges by analyzing how a range of external pressures affect the vulnerability of dryland pastoral systems in the Kalahari. This is achieved by employing dynamic systems modeling approaches to understand the pathways by which communities became vulnerable to drought. Specifically, we evaluate how external pressures have changed: (1 different agroecosystems' abilities to tolerate drought, i.e., ecosystem resilience; (2 rural communities' abilities to adapt to drought, mediated via their access to assets; and (3 the ability of institutions and policy interventions to play a role in mediating drought-related crises, i.e., socio-political governance. This is done by reanalyzing ecological and participatory research findings along with farm-scale livestock offtake data from across the Kalahari in Botswana. An iterative process was followed to establish narratives exploring how external drivers led to changes in agroecosystem resilience, access to assets, and the institutional capacity to buffer the system. We use "causal loop diagrams" and statistical dynamic system models to express key quantitative relationships and establish future scenarios to help define where uncertainties lie by showing where the system is most sensitive to change. We highlight how that greater sharing of land management knowledge and practices between private and communal land managers can provide 'win-win-win' benefits of reducing system vulnerability, increasing economic income, and building social capital. We use future scenario analyses to identify key areas for future studies of climate change adaptation across the Kalahari.

48 CFR 1552.223-72 - Care of laboratory animals.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Care of laboratory animals... Care of laboratory animals. As prescribed in 1523.303-72, insert the following clause: Care of Laboratory Animals (OCT 2000) (a) Before undertaking performance of any contract involving the use of...

[Primary care in Portugal].

Science.gov (United States)

Sánchez-Sagrado, T

2018-04-01

The economic crisis and deterioration of the Portuguese National Health service has forced professionals to leave the country. The Portuguese National Health System was introduced in 1976, but it has been unable to provide citizens with the social and health advantages of an equality of access and free national health system. The Portuguese National Health System is financed by taxes. However, a 35% of its incomes are from private sources. The health minister decides the budget, and it is based on an historical financing plus a per capita system. Portuguese citizens and immigrants are entitled to free health care, but there is a co-payment for care, diagnostic, pharmacy, and emergency care. Health care provision is a mixture of public and private health care at a regional level. It leads to fragmentation of services and greater inequalities. Doctors are civil servants. Salary is regulated and it depends on seniority and on-call shifts. Primary care activities are similar to those of their Spanish counterparts. General practitioners have gatekeeper function, but the system is imperfect, and patients with private insurance get direct access to the specialist. Specialist training is similar to the training system in Spain. Continuing education is not regulated. The Portuguese Health System has been trying to become a national health system since 1979. Political instability, fragmentation of services, lack of clarity between public and private and co-payments are important constraints. Inequalities are an important problem to reconsider while discussing a national health system. Copyright © 2017 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

[Organization of workplace first aid in health care facilities].

Science.gov (United States)

Ciavarella, M; Sacco, A; Bosco, Maria Giuseppina; Chinni, V; De Santis, A; Pagnanelli, A

2007-01-01

Laws D.Lgs. 626/94 and D.I. 388/03 attach particular importance to the organization of first aid in the workplace. Like every other enterprise, also hospitals and health care facilities have the obligation, as foreseen by the relevant legislation, to organize and manage first aid in the workplace. To discuss the topic in the light of the guidelines contained in the literature. We used the references contained in the relevant literature and in the regulations concerning organization of first aid in health care facilities. The regulations require the general manager of health care facilities to organize the primary intervention in case of emergencies in all health care facilities (health care or administrative, territorial and hospitals). In health care facilities the particular occupational risks, the general access of the public and the presence of patients who are already assumed to have altered states of health, should be the reason for particular care in guaranteeing the best possible management of a health emergency in the shortest time possible.