Chapter Twenty Nine

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(Feminist) women who say women should live together and all that. I say No. ... However, the freedom which mainstream feminism seeks for women deprives ... That is why she criticises Adaku who opts for single motherhood and prostitution,.

The current state of rural neurosurgical practice: An international perspective

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Pavan S Upadhyayula

2018-01-01

Full Text Available Introduction: Rural and low-resource areas have diminished capacity to care for neurosurgical patients due to lack of infrastructure, healthcare investment, and training programs. This review summarizes the range of rural neurosurgical procedures, novel mechanisms for delivering care, rapid training programs, and outcome differences across international rural neurosurgical practice. Methods: A comprehensive literature search was performed for English language manuscripts with keywords “rural” and “neurosurgery” using the National Library of Medicine PubMed database (01/1971–06/2017. Twenty-four articles focusing on rural non-neurosurgical practice were included. Results: Time to care and/or surgery and shortage of trained personnel remain the strongest risk factors for mortality and poor outcome. Telemedicine consults to regional centers with neurosurgery housestaff have potential for increased timeliness of diagnosis/triage, improved time to surgery, and reductions in unnecessary transfers in remote areas. Mobile neurosurgery teams have been deployed with success in nations with large transport distances precluding initial transfers. Common neurosurgical procedures involve trauma mechanisms; accordingly, training programs for nonneurosurgery medical personnel on basic assessment and operative techniques have been successful in resource-deficient settings where neurosurgeons are unavailable. Conclusions: Protracted transport times, lack of resources/training, and difficulty retaining specialists are barriers to successful outcomes. Advances in telemedicine, mobile neurosurgery, and training programs for urgent operative techniques have been implemented efficaciously. Development of guidelines for paired partnerships between rural centers and academic hospitals, supplying surplus technology to rural areas, and rapid training of qualified local surgical personnel can create sustainable feed-forward programs for trainees and

The Current State of Rural Neurosurgical Practice: An International Perspective

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Upadhyayula, Pavan S.; Yue, John K.; Yang, Jason; Birk, Harjus S.; Ciacci, Joseph D.

2018-01-01

Introduction: Rural and low-resource areas have diminished capacity to care for neurosurgical patients due to lack of infrastructure, healthcare investment, and training programs. This review summarizes the range of rural neurosurgical procedures, novel mechanisms for delivering care, rapid training programs, and outcome differences across international rural neurosurgical practice. Methods: A comprehensive literature search was performed for English language manuscripts with keywords “rural” and “neurosurgery” using the National Library of Medicine PubMed database (01/1971–06/2017). Twenty-four articles focusing on rural non-neurosurgical practice were included. Results: Time to care and/or surgery and shortage of trained personnel remain the strongest risk factors for mortality and poor outcome. Telemedicine consults to regional centers with neurosurgery housestaff have potential for increased timeliness of diagnosis/triage, improved time to surgery, and reductions in unnecessary transfers in remote areas. Mobile neurosurgery teams have been deployed with success in nations with large transport distances precluding initial transfers. Common neurosurgical procedures involve trauma mechanisms; accordingly, training programs for nonneurosurgery medical personnel on basic assessment and operative techniques have been successful in resource-deficient settings where neurosurgeons are unavailable. Conclusions: Protracted transport times, lack of resources/training, and difficulty retaining specialists are barriers to successful outcomes. Advances in telemedicine, mobile neurosurgery, and training programs for urgent operative techniques have been implemented efficaciously. Development of guidelines for paired partnerships between rural centers and academic hospitals, supplying surplus technology to rural areas, and rapid training of qualified local surgical personnel can create sustainable feed-forward programs for trainees and infrastructural solutions to

Mobile phone usage in rural communities in Kwara state, Nigeria ...

African Journals Online (AJOL)

The rise in mobile telephony has continued to bridge the wide disparity between urban and rural dwellers, although there are suggestions that mobile phones have not been optimally utilized by rural dwellers. In view of this, the main aim of this study was to examine mobile phone usage in rural communities of Kwara State, ...

Responding to rural health disparities in the United States

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Ian Jones

2013-04-01

Full Text Available The paper focuses on the need to address territorial inequalities in American healthcare services. It shows how much the situation has become critical in the United States. It discusses to what extent telemedicine is a sustainable option to reduce the negative consequences of the economic, professional and physical barriers to care in rural areas. As far as healthcare is concerned, rural and urban environments in the United States do not have to face the same barriers and challenges. The article first details what specific health issues have to be dealt with in rural areas. The case of emergency care in Vermont is then developed to illustrate what could be the benefits of using ICTs to improve access to care.

Criminality Among Rural Stimulant Users in the United States

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Oser, Carrie; Leukefeld, Carl; Staton-Tindall, Michele; Duvall, Jamieson; Garrity, Thomas; Stoops, William; Falck, Russel; Wang, Jichuan; Carlson, Robert; Sexton, Rocky; Wright, Patricia; Booth, Brenda

2011-01-01

Despite the increase in media attention on “meth cooking” in rural areas of the United States, little is known about rural stimulant use, particularly the criminality associated with stimulant use. Data were collected from community stimulant users in rural Ohio, Arkansas, and Kentucky (N=709). Findings from three logistic regression models indicate that younger stimulant users (x =32.55, SD = 10.35), those with more convictions, and those who used crack frequently were significantly more lik...

HIV in Predominantly Rural Areas of the United States

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Hall, H. Irene; Li, Jianmin; McKenna, Matthew T.

2005-01-01

Background: The burden of HIV/AIDS has not been described for certain rural areas of the United States (Appalachia, the Southeast Region, the Mississippi Delta, and the US-Mexico Border), where barriers to receiving HIV services include rural residence, poverty, unemployment, and lack of education. Methods: We used data from Centers for Disease…

Work Release In A Rural State

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Fleer, John L.; Pasewark, Richard A.

1977-01-01

Work release in a rural state has functioned successfully for two years with a halfway-house-type model. Initial results suggest there is greater success in units isolated from the prison and participation should be restricted to persons having six months or less to serve on prison terms. (Author)

Determinants of Rural Development in Edo State, Nigeria: An ...

African Journals Online (AJOL)

About 70% of the total population in Nigeria lives in the rural areas, while half of this population is without proper-formal education (World Bank 2005). Data for this study which is on the Determinants of rural Development in Edo State, Nigeria were collected through the primary and secondary sources. Primary data were ...

Plant breeding and rural development in the United States.

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KE Woeste; SB Blanche; KA Moldenhauer; CD Nelson

2010-01-01

Plant breeders contributed enormously to the agricultural and economic development of the United States. By improving the profitability of farming, plant breeders improved the economic condition of farmers and contributed to the growth and structure of rural communities. In the years since World War II, agriculture and the quality of rural life have been driven by...

Supervision of Special Education Instruction in Rural Public School Districts: A Grounded Theory

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Bays, Debora Ann

2001-01-01

The grounded theory presented in this study describes how the supervision of special education instruction occurs in public elementary schools in rural settings. Grounded theory methodology (Strauss & Corbin, 1998) was employed in this study. Nine elementary schools in three rural districts in the state of Virginia participated in the study. Interview data were collected from 34 participants, including special and general education teachers, principals, and directors of special education. Obs...

STATE-OWNED RURAL BANK PERFORMANCE: DO GOVERNMENT OWNERSHIP AND CORPORATE GOVERNANCE UNIQUENESS MATTER?

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Azilsyah Noerdin

2016-12-01

Full Text Available It has been widely recognized that ownership structure has an impact on firm performance. This paper examines whether rural banks owned by government have poorer performance than those owned by private parties with the emphasis on corporate governance uniqueness of state-owned rural banks. 42 rural banks in Indonesia has been selected as the sample. MANOVA test is used to investigate the difference performance between the two types of the rural banks. The results show that state-owned rural banks perform poorer than their privately-owned counterparts. It is indicated by lower ROA ratio and higher OEOI and NPL ratios. The important implication of this finding suggets that government ownership impede boards of rural banks to implement good corporate governance practices in order to improve their banks performance.

All Rural Places Are Not Created Equal: Revisiting the Rural Mortality Penalty in the United States

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2014-01-01

Objectives. I investigated mortality disparities between urban and rural areas by measuring disparities in urban US areas compared with 6 rural classifications, ranging from suburban to remote locales. Methods. Data from the Compressed Mortality File, National Center for Health Statistics, from 1968 to 2007, was used to calculate age-adjusted mortality rates for all rural and urban regions by year. Criteria measuring disparity between regions included excess deaths, annual rate of change in mortality, and proportion of excess deaths by population size. I used multivariable analysis to test for differences in determinants across regions. Results. The rural mortality penalty existed in all rural classifications, but the degree of disparity varied considerably. Rural–urban continuum code 6 was highly disadvantaged, and rural–urban continuum code 9 displayed a favorable mortality profile. Population, socioeconomic, and health care determinants of mortality varied across regions. Conclusions. A 2-decade long trend in mortality disparities existed in all rural classifications, but the penalty was not distributed evenly. This constitutes an important public health problem. Research should target the slow rates of improvement in mortality in the rural United States as an area of concern. PMID:25211763

Quality of Vegetables Based on Total Phenolic Concentration Is Lower in More Rural Consumer Food Environments in a Rural American State.

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Ahmed, Selena; Byker Shanks, Carmen

2017-08-17

While daily consumption of fruits and vegetables (FVs) is widely recognized to be associated with supporting nutrition and health, disparities exist in consumer food environments regarding access to high-quality produce based on location. The purpose of this study was to evaluate FV quality using total phenolic (TP) scores (a phytochemical measure for health-promoting attributes, flavor, appearance, and shelf-life) in consumer food environments along a rural to urban continuum in the rural state of Montana, United States. Significant differences were found in the means of the FV TP scores ( p vegetable TP scores ( p vegetable TP scores were highest for the least rural stores and lowest for the most rural stores. Results indicate an access gap to high-quality vegetables in more rural and more health-disparate consumer food environments of Montana compared to urban food environments. Findings highlight that food and nutrition interventions should aim to increase vegetable quality in rural consumer food environments in the state of Montana towards enhancing dietary quality and food choices. Future studies are called for that examine TP scores of a wide range of FVs in diverse food environments globally. Studies are further needed that examine linkages between FV quality, food choices, diets, and health outcomes towards enhancing food environments for public health.

Teen Birth Rates for Urban and Rural Areas in the United States, 2007-2015.

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Hamilton, Brady E; Rossen, Lauren M; Branum, Amy M

2016-11-01

Data from the National Vital Statistics System •Birth rates for teenagers aged 15-19 declined in urban and rural counties from 2007 through 2015, with the largest declines in large urban counties and the smallest declines in rural counties. •From 2007 through 2015, the teen birth rate was lowest in large urban counties and highest in rural counties. •Declines in teen birth rates in all urban counties between 2007 and 2015 were largest in Arizona, Massachusetts, Connecticut, Minnesota, and Colorado, with 17 states experiencing a decline of 50% or more. •Declines in teen birth rates in all rural counties between 2007 and 2015 were largest (50% or more) in Colorado and Connecticut. •In 2015, teen birth rates were highest in rural counties and lowest in large urban counties for non-Hispanic white, non-Hispanic black, and Hispanic females. Teen birth rates have demonstrated an unprecedented decline in the United States since 2007 (1). Declines occurred in all states and among all major racial and Hispanic-origin groups, yet disparities by both geography and demographic characteristics persist (2,3). Although teen birth rates and related declines have been described by state, patterns by urban-rural location have not yet been examined. This report describes trends in teen birth rates in urban (metropolitan) and rural (nonmetropolitan) areas in the United States overall and by state from 2007 through 2015 and by race and Hispanic origin for 2015. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

Anterior abdominal wall hernias in a rural practice in Rivers State ...

African Journals Online (AJOL)

Background: Abdominal wall hernias constitute the most common of all surgical problems and can be fatal when complicated. Aim: To determine the pattern of presentation of anterior abdominal wall hernias in a rural community in Rivers State of Nigeria. Methods: The study was conducted in Bethesda Clinic, a rural clinic in ...

Rural Adolescent Alcohol, Tobacco, and Illicit Drug Use: A Comparison of Students in Victoria, Australia, and Washington State, United States

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Coomber, Kerri; Toumbourou, John W.; Miller, Peter; Staiger, Petra K.; Hemphill, Sheryl A.; Catalano, Richard F.

2011-01-01

Purpose: There are inconsistent research findings regarding the impact of rurality on adolescent alcohol, tobacco, and illicit substance use. Therefore, the current study reports on the effect of rurality on alcohol, tobacco, and illicit drug use among adolescents in 2 state representative samples in 2 countries, Washington State (WA) in the…

Prevalence of hypertension in the rural adult population of Osun State, southwestern Nigeria

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Asekun-Olarinmoye EO

2013-04-01

Full Text Available EO Asekun-Olarinmoye,1 PO Akinwusi,2 WO Adebimpe,1 MA Isawumi,3 MB Hassan,3 OA Olowe,4 OB Makanjuola,4 CO Alebiosu,2 TA Adewole51Department of Community Medicine, 2Department of Medicine, 3Department of Surgery, 4Department of Microbiology, 5Department of Chemical Pathology, College of Health Sciences, Osun State University, Osogbo, Osun State, NigeriaBackground: The purpose of this study was to determine the prevalence of hypertension in two rural communities of Osun State, Nigeria.Methods: A consenting adult population of the Alajue and Obokun rural communities in southwestern Nigeria that presented for the screening exercise participated in this community-based cross-sectional descriptive study. Two hundred and fifty-nine respondents aged older than 18 years completed a standardized, pretested, structured questionnaire as part of activities celebrating World Kidney Day and World Glaucoma Day in 2011. Anthropometric data and blood pressure were recorded, and the data were analyzed using the Statistical Package for Social Sciences version 17.Results: The mean age of the respondents was 49.7 ± 1.6 years, 100 (38.6% were males, 84 (32.4% were farmers, and 111 (42.9% were traders. The prevalence of hypertension was 13.16% (present in 34 respondents. Seventeen (6.6% had isolated systolic hypertension, while 11 (4.2% had isolated diastolic hypertension. Two hundred and thirty-six (91.1% undertook daily exercise lasting at least 30 minutes and 48 (18.5% had ever taken antihypertensive drugs on a regular basis. Four respondents (1.6% claimed a family history of hypertension. The average body mass index (BMI among respondents was 23.4 ± 4.9 kg/m2, 51 (19.6% had a BMI of 25.0–29.9, and 30 (11.5% had a BMI ≥ 30. A significant association existed between age older than 40 years and having hypertension (P 0.05. Rates of older age and high BMI were significantly higher among hypertensives than among normotensives. Respondents with BMI < 25 had at

Top-Down, Routinized Reform in Low-Income, Rural Schools

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Robert Bickel

2000-02-01

Full Text Available Since 1991, the National Science Foundation has funded fifty-nine state, urban, and rural systemic initiatives. The purpose of the initiatives is to promote achievement in math, science, and technology among all students, and to encourage schools and communities to secure the resources needed to maintain such outcomes. The Appalachian Rural Systemic Initiative (ARSI is a six-state consortium which focuses these efforts on low-income, rural schools. The primary means of accomplishing ARSI's aims is a one-day-one-school site visit, called a Program Improvement Review, done by an ARSI math or science expert. The centrally important Program Improvement Reviews, however, seem to be premised on unsubstantiated assumptions as to the static, easy-to-understand, easy-to-evaluate nature of educational achievement in rural Appalachian schools. As a result, the Reviews resemble exercises in early-twentieth century scientific management, and are unlikely to enhance achievement in science or math. Consequently, even if there is merit to the commonsense human capital approach to economic growth and development on which systemic initiatives are tacitly premised, this first- person account makes a case that desired payoffs are unlikely to follow from the work of ARSI.

Milk production and distribution in nine western states in the 1950s

International Nuclear Information System (INIS)

Ward, G.M.; Whicker, F.W.

1987-03-01

This report provides information on milk distribution and dairy cattle feeding practices in Nevada, Utah and portions of seven other adjacent states during the 1950s. The information was gathered to support the US Department of Energy's ''Offsite Radiation Exposure Review Project (ORERP).'' This project is charged with providing radiation dose estimates for residents of Nevada, Utah, and surrounding states from nuclear weapons testing conducted at the Nevada Test Site from 1951 through 1962. The information on milk production and distribution is essential for assessment of the internal organ doses received by people as a result of ingesting radioactive fallout-contaminated foods. The information is used as input data for Colorado State University's PATHWAY computer code which estimates the ingestion of twenty radionuclides by people relative to a given level of fallout deposition

Barriers to Access and Adoption of Pre-Exposure Prophylaxis for the Prevention of HIV Among Men Who Have Sex With Men (MSM) in a Relatively Rural State.

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Hubach, Randolph D; Currin, Joseph M; Sanders, Carissa A; Durham, André R; Kavanaugh, Katherine E; Wheeler, Denna L; Croff, Julie M

2017-08-01

Biomedical intervention approaches, including antiretroviral pre-exposure prophylaxis (PrEP), have been demonstrated to reduce HIV incidence among several at-risk populations and to be cost effective. However, there is limited understanding of PrEP access and uptake among men who have sex with men (MSM) residing in relatively rural states. Twenty semistructured interviews were conducted (August-November 2016) to assess opinions of and perceived barriers to accessing and adopting PrEP among MSM residing in Oklahoma. Participants perceived substantial barriers to accessing PrEP including a stigmatizing environment and less access to quality, LGBT-sensitive medical care. Overall, geographic isolation limits access to health providers and resources that support sexual health for Oklahoma MSM. Addressing stigma situated across ecological levels in an effort to increase adoption of PrEP by MSM residing in rural states remains necessary. Without this, social determinants may continue to negatively influence PrEP adoption and sexual health outcomes.

Cultutal Factors Affecting English Proficiency in Rural Areas

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Ler, Ee Chop

2012-01-01

The purpose of this study is to investigate the rural "cultural" problems and to determine their effect on the learning of English. Twenty students from different ethnic backgrounds and English language proficiency in six rural schools in Terengganu, Malaysia were interviewed. In addition the teachers also from different rural schools…

Milk production and distribution in nine western states in the 1950s

Energy Technology Data Exchange (ETDEWEB)

Ward, G.M.; Whicker, F.W.

1987-03-01

This report provides information on milk distribution and dairy cattle feeding practices in Nevada, Utah and portions of seven other adjacent states during the 1950s. The information was gathered to support the US Department of Energy's ''Offsite Radiation Exposure Review Project (ORERP).'' This project is charged with providing radiation dose estimates for residents of Nevada, Utah, and surrounding states from nuclear weapons testing conducted at the Nevada Test Site from 1951 through 1962. The information on milk production and distribution is essential for assessment of the internal organ doses received by people as a result of ingesting radioactive fallout-contaminated foods. The information is used as input data for Colorado State University's PATHWAY computer code which estimates the ingestion of twenty radionuclides by people relative to a given level of fallout deposition.

Antioxidant potential of brans of twenty-nine red and white rice (Oryza sativa L. varieties of Sri Lanka

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Walimuni Kanchana Subhashini Mendis Abeysekera

2017-11-01

Full Text Available Objective: To evaluate antioxidant properties of brans of twenty-nine red and white rice varieties of Sri Lanka. Methods: Brans of 21 new improved (NI, 2 old improved (OI and 6 traditional red and white rice varieties of Sri Lanka were studied for range of antioxidant properties. The studied antioxidant properties included total polyphenolic content (TPC, ferric reducing antioxidant power (FRAP, oxygen radical absorbance capacity (ORAC, 2,2’-azino-bis(3- ethylbenzothiazoline-6-sulfonic acid (ABTS radical scavenging activity and 1,1-diphenyl- 2-picrylhydrazine (DPPH radical scavenging activity in vitro. Bran of black rice variety from Korea was also studied for the same antioxidant properties for comparison. Results: Results exhibited significantly high ABTS and DPPH radical scavenging activities and 10, 7 and 2.5 fold greater TPC, FRAP and ORAC activities in brans of red rices (BRRs compared to brans of white rices irrespective of NI, OI and traditional rice types. Among BRRs traditional varieties had greater ABTS and DPPH radical scavenging activities and 1.7, 1.3 and 1.2 fold respectively greater TPC, FRAP and ORAC in contrast to NI red rices. Traditional red rice varieties, Kalu Heeneti (TPC and ORAC, Pachchaperumal (TPC and DPPH and Kurulu Thuda (DPPH and OI red rice variety H4 (FRAP exhibited the highest activities for the antioxidant properties studied. Further, these varieties had significantly high activities compared to black rice. Conclusions: In conclusion, BRRs especially traditional red rices had greater antioxidant properties and consumption may be useful in managing various chronic diseases.

The phlebotomine fauna (Diptera: Psychodidae of Guaraí, state of Tocantins, with an emphasis on the putative vectors of American cutaneous leishmaniasis in rural settlement and periurban areas

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Maurício Luiz Vilela

2013-08-01

Full Text Available Phlebotomine sandflies were captured in rural settlement and periurban areas of the municipality of Guaraí in the state of Tocantins (TO, an endemic area of American cutaneous leishmaniasis (ACL. Forty-three phlebotomine species were identified, nine of which have already been recognised as ACL vectors. Eleven species were recorded for the first time in TO. Nyssomyia whitmani was the most abundant species, followed by Evandromyia bourrouli, Nyssomyia antunesi and Psychodopygus complexus. The Shannon-Wiener diversity index and the evenness index were higher in the rural settlement area than in the periurban area. The evaluation of different ecotopes within the rural area showed the highest frequencies of Ev. bourrouli and Ny. antunesi in chicken coops, whereas Ny. whitmani predominated in this ecotope in the periurban area. In the rural settlement area, Ev. bourrouli was the most frequently captured species in automatic light traps and Ps. complexus was the most prevalent in Shannon trap captures. The rural settlement environment exhibited greater phlebotomine biodiversity than the periurban area. Ps. complexus and Psychodopygus ayrozai naturally infected with Leishmania (Viannia braziliensis were identified. The data identified Ny. whitmani as a potential ACL vector in the periurban area, whereas Ps. complexus was more prevalent in the rural environment associated with settlements.

How Rural and Nonrural Principals Differ in High Plains U.S. States

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Beesley, Andrea D.; Clark, Tedra F.

2015-01-01

This article discusses the characteristics of rural versus nonrural principals in the High Plains states. It is based on data from the Schools and Staffing Survey, examining the differences in preparation and experience and the extent to which characteristics of the rural principalship (perceptions of autonomy, workload, etc.) predicted retention.…

Small Water Enterprise in Rural Rwanda: Business Development and Year-One Performance Evaluation of Nine Water Kiosks at Health Care Facilities.

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Huttinger, Alexandra; Brunson, Laura; Moe, Christine L; Roha, Kristin; Ngirimpuhwe, Providence; Mfura, Leodomir; Kayigamba, Felix; Ciza, Philbert; Dreibelbis, Robert

2017-12-16

Small water enterprises (SWEs) have lower capital expenditures than centralized systems, offering decentralized solutions for rural markets. This study evaluated SWEs in rural Rwanda, where nine health care facilities (HCF) owned and operated water kiosks supplying water from onsite water treatment systems (WTS). SWEs were monitored for 12 months. Spearman's Rank Correlation Coefficient (r s ) was used to evaluate correlations between demand for kiosk water and community characteristics, and between kiosk profit and factors influencing the cost model. On average, SWEs distributed 15,300 L/month. One SWE ran at a loss, four had profit margins of ≤10% and four had profit margins of 45-75%. Factors influencing SWE performance were intermittent water supply (87% of SWE closures were due to water shortage), consumer demand (demand was high where populations already used improved water sources (r s = 0.81, p = 0.02)), price sensitivity (demand was lower where SWEs had high prices (r s = -0.65, p = 0.08)), and production cost (water utility tariffs negatively impacted SWE profits (r s = -0.52, p Future research is needed to assess the extent to which kiosk revenue can support ongoing operational costs of WTS and kiosks both at HCF and in other contexts.

Current State of Child Health in Rural America: How Context Shapes Children's Health.

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Probst, Janice C; Barker, Judith C; Enders, Alexandra; Gardiner, Paula

2018-02-01

Children's health is influenced by the context in which they live. We provide a descriptive essay on the status of children in rural America to highlight features of the rural environment that may affect health. We compiled information concerning components of the rural environment that may contribute to health outcomes. Areas addressed include the economic characteristics, provider availability, uniquely rural health risks, health services use, and health outcomes among rural children. Nearly 12 million children live in the rural United States. Rural counties are economically disadvantaged, leading to higher rates of poverty among rural versus urban children. Rural and urban children are approximately equally likely to be insured, but Medicaid insures a higher proportion of children in rural areas. While generally similar in health, rural children are more likely to be overweight or obese than urban children. Rural parents are less likely to report that their children received preventive medical or oral health visits than urban parents. Rural children are more likely to die than their urban peers, largely due to unintentional injury. Improving rural children's health will require both increased public health surveillance and research that creates solutions appropriate for rural environments, where health care professionals may be in short supply. Most importantly, solutions must be multisectoral, engaging education, economic development, and other community perspectives as well as health care. © 2016 National Rural Health Association.

Access to and use of research by rural nurses.

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Winters, C A; Lee, H J; Besel, J; Strand, A; Echeverri, R; Jorgensen, K P; Dea, J E

2007-01-01

The use of relevant research findings to inform clinical practice is important for nurses, regardless of setting. Although there have been studies addressing the use of research among various practitioners, little is known about how nurses in rural areas access health information (specifically research findings), nor how such findings are incorporated into daily practice. The purpose of this study was to explore rural nurses' access, use and perceived usefulness of research for rural practice. The study was conducted in a sparsely populated state located in the western part of the USA. An ethnographic method was chosen to answer the research questions for this descriptive study. Semi-structured interviews were conducted with 29 rural nurses from nine communities by graduate nursing students enrolled in a rural nursing course following in-class instruction and practice. Field notes taken by the students supplemented the interview data. The students' notes included a windshield survey or description of the context and location within which the participants lived and/or practiced as well as the interviewers' observations, thoughts and impressions about the research project. Interviews were audiotaped and transcribed verbatim. Once transcribed, the interview narratives, windshield data and field notes were analyzed by the students for common themes; the students then wrote and submitted papers to the faculty addressing the themes that emerged from their interviews. The analysis conducted by the faculty members included four sources of data: transcriptions of interviews; field notes; windshield data; and students' papers. The process of identifying themes was facilitated by using the software program NUD*IST (QSR International; Melbourne, VIC, Australia). Demographic information was entered into the Statistical Package for Social Scientists (SPSS Inc; Chicago, IL, USA) to compile descriptive information about the sample. Twenty-seven female and two male nurses

Rural School as a Resource for the Intellectual and Labour Potential Formation of the Rural Society

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Nasibullov, Ramis R.; Korshunova, Olga V.; Arshabekov, Nurgali R.

2016-01-01

The relevance of the research problem is reasoned by the need to create conceptual grounds of life organization variants in the rural school as a resource of intellectual and labor potential formation of rural society taking into account the socio-economic realities of Russia's development in the beginning of the twenty-first century, as well as…

Quality and rural-urban comparison of tuberculosis care in Rivers State, Nigeria.

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Tobin-West, Charles Ibiene; Isodje, Anastasia

2016-01-01

Nigeria ranks among countries with the highest burden of tuberculosis. Yet evidence continues to indicate poor treatment outcomes which have been attributed to poor quality of care. This study aims to identify some of the systemic problems in order to inform policy decisions for improved quality of services and treatment outcomes in Nigeria. A comparative assessment of the quality of TB care in rural and urban health facilities was carried out between May and June 2013, employing the Donabedian model of quality assessment. Data was analysed using the SPSS software package version 20.0. The level of significance was set at p facility infrastructures were more constrained in the urban than rural settings. Both the urban and rural facilities lacked adequate facilities for infection control such as, running water, air filter respirators, hand gloves and extractor fans. Health education and HIV counselling and testing (HCT) were limited in rural facilities compared to urban facilities. Although anti-TB drugs were generally available in both settings, the DOTS strategy in patient care was completely ignored. Finally, laboratory support for diagnosis and patient monitoring was limited in the rural facilities. The study highlights suboptimal quality of TB care in Rivers State with limitations in health education and HCT of patients for HIV as well as laboratory support for TB care in rural health facilities. We, therefore, recommend that adequate infection control measures, strict observance of the DOTS strategy and sufficient laboratory support be provided to TB clinics in the State.

Building the Capacity of States to Ensure Inclusion of Rural Communities in State and Local Primary Violence Prevention Planning

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Cook-Craig, Patricia G.; Lane, Karen G.; Siebold, Wendi L.

2010-01-01

Rural, frontier, and geographically isolated communities face unique challenges associated with ensuring that they are equal partners in capacity-building and prevention planning processes at the state and local level despite barriers that can inhibit participation. By their nature, rural, frontier, and geographically isolated communities and…

The Maternity Care Nurse Workforce in Rural U.S. Hospitals.

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Henning-Smith, Carrie; Almanza, Jennifer; Kozhimannil, Katy B

To describe the maternity care nurse staffing in rural U.S. hospitals and identify key challenges and opportunities in maintaining an adequate nursing workforce. Cross-sectional survey study. Maternity care units within rural hospitals in nine U.S. states. Maternity care unit managers. We calculated descriptive statistics to characterize the rural maternity care nursing workforce by hospital birth volume and nursing staff model. We used simple content analysis to analyze responses to open-ended questions and identified themes related to challenges and opportunities for maternity care nursing in rural hospitals. Of the 263 hospitals, 51% were low volume (maternity care nurses. They did, however, identify significant challenges related to recruiting nurses, maintaining adequate staffing during times of census variability, orienting and training nurses, and retaining experienced nurses. Rural maternity care unit managers recognize the importance of nursing and have varied staffing needs. Policy implementation and programmatic support to ameliorate challenges may help ensure that an adequate nursing staff can be maintained, even in small-volume rural hospitals. Copyright © 2017 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

Health Seeking Behaviour among the Rural Dwellers in Ekiti State ...

African Journals Online (AJOL)

FIRST LADY

It involves functioning of the body systems, absence of disease and disability. ... Key points: Health seeking; rural dwellers, conceptualization in Ekiti State. Introduction ..... better able, it is to develop, mobilize and utilize the minds, energies and.

Human ecotoparasitoses among some rural dwellers in Edo State ...

African Journals Online (AJOL)

Studies on clinical and epidemiological aspects of human ectoparasites among some rural dwellers in Edo State Nigeria were carried out between September 2002 and August 2003. A total of 910 subjects who had complained of having been infested by arthropod parasites were enrolled for this study. The study ...

Globalización, paisaje y vivienda rural / Globalization, landscape and rural housing.

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Pino Silva, Fernando

2006-06-01

Full Text Available Las transformaciones del paisaje rural de Chile Central durante los últimos veinte años, el surgimiento de una arquitectura diferente de la vivienda rural, los nuevos patrones de organización espacial y los cambios en el uso del suelo, son algunos de los resultados que pueden ser explicados como una consecuencia de la globalización. (Proyecto DI – U.CHILE, MULT 04/29 – 2./The rural landscape changes during the last twenty years in Central Chile, the emergence of a different architecture to the rural housing, the new patterns of space organization and land use changes, are some of the effects that can be explained as a consequence of a globalization process. (Proyecto DI – U.CHILE, MULT 04/29 – 2

Analysis of food demand among rural households in Kwara State ...

African Journals Online (AJOL)

Analysis of food demand among rural households in Kwara State, North Central ... Nigerian Journal of Technological Research ... Contrary to the law of demand, this study shows that the demand for animal products and fats/oil increased with ...

EARLY CHILDHOOD MENTAL HEALTH CONSULTATION: AN EVALUATION OF EFFECTIVENESS IN A RURAL COMMUNITY.

Science.gov (United States)

Vuyk, M Alexandra; Sprague-Jones, Jessica; Reed, Christie

2016-01-01

Little research has been done to evaluate the effectiveness of early childhood mental health consultation (ECMHC) in rural, applied settings. In this mixed-methods study, we evaluated an approach to ECMHC used in rural Southwest Kansas with individualized services for childcare providers. Twenty-nine home-based and center-based childcare providers completed measures on provider growth, perceptions of child outcomes, and satisfaction with sessions. In total, 162 data points were collected and analyzed using multilevel growth models. In addition, 16 providers participated in qualitative interviews. Both home-based and center-based providers reported very high satisfaction with consultation sessions which increased with time, although home-based providers showed significantly higher satisfaction than did center-based providers. Provider growth, encompassing personal well-being, scheduling and transitions, connections with parents, and positive discipline strategies increased significantly over time. Child outcomes, encompassing prosocial behavior, resilience, and overall well-being also improved significantly in providers' perception. ECMHC as conducted in Southwest Kansas appears to have a positive effect on childcare providers and the children in their care. © 2015 Michigan Association for Infant Mental Health.

Outcomes of treatment of nine cases of recalcitrant severe hidradenitis suppurativa with carbon dioxide laser.

Science.gov (United States)

Madan, V; Hindle, E; Hussain, W; August, P J

2008-12-01

Hidradenitis suppurativa (HS) is a chronic and often a recalcitrant inflammatory skin condition. To present the results of carbon dioxide (CO2) laser treatment of recalcitrant HS in nine patients who had failed to improve on medical and other surgical treatments. HS lesions consisting of abscesses, sinuses and granulation tissue were completely excised using the cutting mode of a CO2 laser, leaving only healthy residual subcutaneous fat. The wounds were closed by primary intention where possible and left to granulate otherwise. Outcomes were determined by clinical review and questionnaire. Twenty-seven sites were treated in 19 sessions on nine patients. Seven procedures were performed under general anaesthesia and 12 under local. All patients rated their postoperative discomfort as less or equal to their preoperative state. Seven of the nine patients had complete remission for 12 months or longer after their last laser treatment and ceased all medications. High levels of patient satisfaction were reported with CO2 laser treatment. The main complication was axillary scar contracture in two patients but this was insufficient to limit limb movement. CO2 laser treatment should be considered as a treatment option in recalcitrant HS, where multiple medical treatments have been ineffective.

Revisiting a Dramatic Triangle: The State, Villagers, and Social Activists in Chinese Rural Reconstruction Projects

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Stig Thøgersen

2009-01-01

Full Text Available As part of the movement to “construct a new socialist countryside”, Chinese officials and social activists are experimenting with transforming rural social and economic relations. They often draw on discourses dating back to the Rural Reconstruction Movement of the 1920s and 1930s, which saw urban intellectuals making similar efforts to modernize the villages and their inhabitants. This paper analyses the different types of relationships between the state, social activists, and villagers in a number of rural reconstruction projects. The state is still the major player in this field, but traditional top-down procedures are often perceived to be unproductive when it comes to micro-level community building, so state actors are forced to find allies among village elites and social activists.

Outcomes of cataract surgery in a rural and urban south Indian population

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Vijaya Lingam

2010-01-01

Full Text Available Purpose: To assess the visual outcome after cataract surgery in a south Indian population. Materials and Methods: Population-based cross-sectional study of subjects aged 40 years or more. Three thousand nine hundred and twenty-four rural subjects from 27 contiguous villages and 3850 urban subjects from five randomly selected divisions were studied. All subjects underwent a comprehensive ophthalmic examination that included visual acuity, refraction, slit-lamp biomicroscopy, applanation tonometry, gonioscopy, and dilated retinal examination. Statistical Analysis: Chi square test, t test and multivariate analysis were used. Results: Five hundred and twenty-eight (216 males, 312 females, 781 eyes rural subjects (13.5%, 95% confidence interval (CI 12.4% to 14.6% and 406 (197 males, 209 females, 604 eyes urban subjects (10.5%, 95% CI 9.6-11.5% had undergone cataract surgery. Outcome of cataract surgery was defined based on visual acuity. Using best-corrected visual acuity for classification, the single most important cause for visual impairment was cystoid macular edema in the aphakic group and posterior capsule opacification in the pseudophakic group. Aphakia (visual acuity of < 20/60 to ≤ 20/400 - odds ratio (OR 1.8; 95% CI 1.3 to 2.6%, visual acuity of < 20/400 - OR 6.2; 95% 4.0 to 9.8%, rural residence (visual acuity of < 20/60 to ≤ 20/400 - OR 3.2; 95% CI 2.2 to 4.5% and visual acuity of < 20/400 - OR OR 3.5; 95% CI 2.3 to 5.5% were associated with visual impairment. The urban cataract-operated population had significantly more pseudophakics ( P < 0.001, men ( P = 0.02 and literates ( P < 0.001. In the rural group the prevalence of cataract surgery (13.5% vs. 10.5%, P < 0.001 and number of people that had undergone cataract surgery within three years prior to examination ( P < 0.001 were significantly greater. In 30% of rural and 16% of urban subjects uncorrected refraction was the cause of visual impairment. Conclusions: Surgery

Community Strategic Visioning as a Method to Define and Address Poverty: An Analysis from Select Rural Montana Communities

Science.gov (United States)

Lachapelle, Paul; Austin, Eric; Clark, Daniel

2010-01-01

Community strategic visioning is a citizen-based planning process in which diverse sectors of a community collectively determine a future state and coordinate a plan of action. Twenty-one communities in rural Montana participated in a multi-phase poverty reduction program that culminated in a community strategic vision process. Research on this…

Rural and Urban Differences in Passenger-Vehicle-Occupant Deaths and Seat Belt Use Among Adults - United States, 2014.

Science.gov (United States)

Beck, Laurie F; Downs, Jonathan; Stevens, Mark R; Sauber-Schatz, Erin K

2017-09-22

Motor-vehicle crashes are a leading cause of death in the United States. Compared with urban residents, rural residents are at an increased risk for death from crashes and are less likely to wear seat belts. These differences have not been well described by levels of rurality. 2014. Data from the Fatality Analysis Reporting System (FARS) and the Behavioral Risk Factor Surveillance System (BRFSS) were used to identify passenger-vehicle-occupant deaths from motor-vehicle crashes and estimate the prevalence of seat belt use. FARS, a census of U.S. motor-vehicle crashes involving one or more deaths, was used to identify passenger-vehicle-occupant deaths among adults aged ≥18 years. Passenger-vehicle occupants were defined as persons driving or riding in passenger cars, light trucks, vans, or sport utility vehicles. Death rates per 100,000 population, age-adjusted to the 2000 U.S. standard population and the proportion of occupants who were unrestrained at the time of the fatal crash, were calculated. BRFSS, an annual, state-based, random-digit-dialed telephone survey of the noninstitutionalized U.S. civilian population aged ≥18 years, was used to estimate prevalence of seat belt use. FARS and BRFSS data were analyzed by a six-level rural-urban designation, based on the U.S. Department of Agriculture 2013 rural-urban continuum codes, and stratified by census region and type of state seat belt enforcement law (primary or secondary). Within each census region, age-adjusted passenger-vehicle-occupant death rates per 100,000 population increased with increasing rurality, from the most urban to the most rural counties: South, 6.8 to 29.2; Midwest, 5.3 to 25.8; West, 3.9 to 40.0; and Northeast, 3.5 to 10.8. (For the Northeast, data for the most rural counties were not reported because of suppression criteria; comparison is for the most urban to the second-most rural counties.) Similarly, the proportion of occupants who were unrestrained at the time of the fatal crash

Small Water Enterprise in Rural Rwanda: Business Development and Year-One Performance Evaluation of Nine Water Kiosks at Health Care Facilities

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Alexandra Huttinger

2017-12-01

Full Text Available Small water enterprises (SWEs have lower capital expenditures than centralized systems, offering decentralized solutions for rural markets. This study evaluated SWEs in rural Rwanda, where nine health care facilities (HCF owned and operated water kiosks supplying water from onsite water treatment systems (WTS. SWEs were monitored for 12 months. Spearman’s Rank Correlation Coefficient (rs was used to evaluate correlations between demand for kiosk water and community characteristics, and between kiosk profit and factors influencing the cost model. On average, SWEs distributed 15,300 L/month. One SWE ran at a loss, four had profit margins of ≤10% and four had profit margins of 45–75%. Factors influencing SWE performance were intermittent water supply (87% of SWE closures were due to water shortage, consumer demand (demand was high where populations already used improved water sources (rs = 0.81, p = 0.02, price sensitivity (demand was lower where SWEs had high prices (rs = −0.65, p = 0.08, and production cost (water utility tariffs negatively impacted SWE profits (rs = −0.52, p < 0.01. Sustainability was more favorable in circumstances where recovery of capital expenditures was not expected, and the demand for treated water was sufficient to fund operational expenditures. Future research is needed to assess the extent to which kiosk revenue can support ongoing operational costs of WTS and kiosks both at HCF and in other contexts.

Ciclovia in a Rural Latino Community: Results and Lessons Learned.

Science.gov (United States)

Perry, Cynthia K; Ko, Linda K; Hernandez, Lidia; Ortiz, Rosa; Linde, Sandra

Ciclovias involve the temporary closure of roads to motorized vehicles, allowing for use by bicyclists, walkers, and runners and for other physical activity. Ciclovias have been held in urban and suburban communities in the United States and Latin America. We evaluated the first ciclovia held in a rural, predominantly Latino community in Washington State. Three blocks within a downtown area in a rural community were closed for 5 hours on a Saturday in July 2015. The evaluation included observation counts and participant intercept surveys. On average, 200 participants were present each hour. Fourteen percent of youth (younger than 18 years) were observed riding bikes. No adults were observed riding bikes. A total of 38 surveys were completed. Respondents reported spending on average 2 hours at the ciclovia. Seventy-nine percent reported that they would have been indoors at home involved in sedentary activities (such as watching TV, working on computer) if they had not been at the ciclovia. Regularly held ciclovias, which are free and open to anyone, could play an important role in creating safe, accessible, and affordable places for physical activity in rural areas. Broad community input is important for the success of a ciclovia.

Climate Change Information Needs of Rural Farmers in Enugu State ...

African Journals Online (AJOL)

The study assessed the information needs of rural farmers on climate change issues in Enugu State, Nigeria. Using the multistage sampling procedure, 152 respondents were selected and data were collected through the use of a structured interview schedule. Descriptive statistics, factor analysis and multiple linear ...

Significance of application of the nine parametric coordinate transformation where local state network is not enough reliable

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Ristić Kornelija T.

2016-01-01

Full Text Available The most commonly used method for establishing the mathematical basis of surveying and spatial data collection is the method of Global Navigation Satellite Positioning System (GNSS. However, these data relate to the World Geodetic Date WGS84 which is different from the State geodetic network,. As a part of realization the project of determining spatial local reference network Mrkonjić Grad the GNSS observations on 15 trigonometric points whose position is known to the State system of coordinates (x, y, h were made. For the purpose of coordinate transformation between the two system two different transformation models were anlyzed. Beside the most commonly used Helmert seven parameter transformation, afina nine parametric transformation was tested. Comparing the two transformations models, conclusion was made that showes some benefits of using affina nine parameter transformation models in Republic of Serpska.

Librarian-initiated HIV/AIDS prevention intervention program outcome in rural communities in Oyo State, Nigeria.

Science.gov (United States)

Ajuwon, G A; Komolafe-Opadeji, H O; Ikhizama, B

2013-01-01

The objective of this study was to meet the HIV/AIDS information and service needs of citizens living in selected rural, underserved communities in Oyo State, Nigeria. This was a librarian-initiated intervention program (pre-post) study of heads of rural households in Oyo State. A questionnaire was used for pre- and post-intervention assessment. The education covered knowledge about HIV/AIDS, routes of transmission, prevention strategies, and attitude toward persons living with HIV. It increased participants' knowledge about AIDS and improved attitude toward those living with HIV. Provision and dissemination of information on HIV/AIDS through librarians to rural settlers is an important prevention strategy and librarians can make major contributions.

Leading Change for the Implementation of Common Core State Standards in Rural School Districts

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Lopez, Paul; Wise, Donald

2015-01-01

Rural school districts across the nation, with their limited resources, face daunting challenges posed by the implementation of the Common Core State Standards. This article presents a recent study of 13 rural school districts in the Central Valley of California and how these districts are responding to those challenges. A total of 352 teachers…

Rural-Urban Differences in Cancer Incidence and Trends in the United States.

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Zahnd, Whitney E; James, Aimee S; Jenkins, Wiley D; Izadi, Sonya R; Fogleman, Amanda J; Steward, David E; Colditz, Graham A; Brard, Laurent

2017-07-27

Cancer incidence and mortality rates in the US are declining, but this decrease may not be observed in rural areas where residents are more likely to live in poverty, smoke, and forego cancer screening. However, there is limited research exploring national rural-urban differences in cancer incidence and trends. We analyzed data from the North American Association of Central Cancer Registries' public use dataset, which includes population-based cancer incidence data from 46 states. We calculated age-adjusted incidence rates, rate ratios, and annual percentage change (APC) for: all cancers combined; selected individual cancers; and cancers associated with tobacco use and human papillomavirus (HPV). Rural-urban comparisons were made by demographic, geographic, and socioeconomic characteristics for 2009 to 2013. Trends were analyzed for 1995 to 2013. Combined cancers incidence rates were generally higher in urban populations, except for the South, though the urban decline in incidence rate was greater than in rural populations (10.2% vs. 4.8%, respectively). Rural cancer disparities included higher rates of tobacco associated, HPV associated, lung and bronchus, cervical , and colorectal cancers across most population groups. Further, HPV-associated cancer incidence rates increased in rural areas (APC=0.724, purban areas. Cancer rates associated with modifiable risks - tobacco, HPV, and some preventive screening modalities (e.g. colorectal and cervical cancers) - were higher in rural compared to urban populations. Population-based, clinical, and/or policy strategies and interventions that address these modifiable risk factors could help reduce cancer disparities experienced in rural populations. Copyright ©2017, American Association for Cancer Research.

Medicaid and Rural Health

Science.gov (United States)

... State Guides Rural Data Visualizations Rural Data Explorer Chart Gallery Maps Case Studies & Conversations Rural Health Models & ... services provided by state Medicaid programs might include dental care, physical therapy, home and community-based services, ...

Responsiveness to a Prospective Student E-Mail Inquiry by Community Colleges in the Nine Mega-States

Science.gov (United States)

Shadinger, David A.

2014-01-01

This quantitative study investigated e-mail responsiveness by community colleges in the nine mega-states to an inquiry from a prospective student. Noel-Levitz (2006b) reported that prospective students want to receive an e-mail with information about an institution prior to applying for admission. Specifically, high school juniors and seniors want…

Rural community birth: Maternal and neonatal outcomes for planned community births among rural women in the United States, 2004-2009.

Science.gov (United States)

Nethery, Elizabeth; Gordon, Wendy; Bovbjerg, Marit L; Cheyney, Melissa

2017-11-13

Approximately 22% of women in the United States live in rural areas with limited access to obstetric care. Despite declines in hospital-based obstetric services in many rural communities, midwifery care at home and in free standing birth centers is available in many rural communities. This study examines maternal and neonatal outcomes among planned home and birth center births attended by midwives, comparing outcomes for rural and nonrural women. Using the Midwives Alliance of North America Statistics Project 2.0 dataset of 18 723 low-risk, planned home, and birth center births, rural women (n = 3737) were compared to nonrural women. Maternal outcomes included mode of delivery (cesarean and instrumental delivery), blood transfusions, severe events, perineal lacerations, or transfer to hospital and a composite (any of the above). The primary neonatal outcome was a composite of early neonatal intensive care unit or hospital admissions (longer than 1 day), and intrapartum or neonatal deaths. Analysis involved multivariable logistic regression, controlling for sociodemographics, antepartum, and intrapartum risk factors. Rural women had different risk profiles relative to nonrural women and reduced risk of adverse maternal and neonatal outcomes in bivariable analyses. However, after adjusting for risk factors and confounders, there were no significant differences for a composite of maternal (adjusted odds ratio [aOR] 1.05 [95% confidence interval {CI} 0.93-1.19]) or neonatal (aOR 1.13 [95% CI 0.87-1.46]) outcomes between rural and nonrural pregnancies. Among this sample of low-risk women who planned midwife-led community births, no increased risk was detected by rural vs nonrural status. © 2017 Wiley Periodicals, Inc.

State Primary Stroke Center Policies in the US: Rural Health Issues.

NARCIS (Netherlands)

Slade, C.; O'Toole, Laurence J.; Rho, E.

2012-01-01

Objective: To explore the relationship between state primary stroke center (PSC) designation policy implementation and access to optimal stroke care for residents of rural areas. Materials and Methods: Primary data were collected during the period September 2008–August 2009. Following content

Approaching integrated urban-rural development in China: The changing institutional roles

OpenAIRE

Li, Yuheng; Hu, Zhichao; Liu, Yansui

2014-01-01

Ever since the twenty-first century, the Chinese government has been undertaking a series of rural-favored policies and measures to promote comprehensive development in rural China. The fundamental purpose is to accomplish integrated urban-rural development (IURD) given the ever enlarging urban-rural inequalities during the post-reform era. Considering the long time biased policies against the countryside, the paper aims to examine the institutional roles in approaching the IURD. IURD at prov...

What Is Rural? Revised

Science.gov (United States)

US Department of Agriculture, 2016

2016-01-01

Many people have definitions for the term rural, but seldom are these rural definitions in agreement. For some, rural is a subjective state of mind. For others, rural is an objective quantitative measure. In this brief report the United States Department of Agriculture presents the following information along with helpful links for the reader: (1)…

Rural residents' perspectives on the rural 'good death': a scoping review.

Science.gov (United States)

Rainsford, Suzanne; MacLeod, Roderick D; Glasgow, Nicholas J; Wilson, Donna M; Phillips, Christine B; Wiles, Robert B

2018-05-01

The 'good death' is one objective of palliative care, with many 'good death' viewpoints and research findings reflecting the urban voice. Rural areas are distinct and need special consideration. This scoping review identified and charted current research knowledge on the 'good' rural death through the perspectives of rural residents, including rural patients with a life-limiting illness, to identify evidence and gaps in the literature for future studies. A comprehensive literature search of English language articles (no date filter applied) was conducted in 2016 (2 January to 14 February) using five library databases. Reference lists of included articles, recent issues of eight relevant journals and three grey literature databases were also hand-searched. Twenty articles (for 17 studies and one systematic review) were identified after a two-phase screening process by two reviewers, using pre-determined inclusion criteria. Data from each study were extracted and charted, analysed using a thematic analysis of the included articles' content, and with a quantitative analysis of the scoping review. These papers revealed data collected from rural patients with a life-limiting illness and family caregivers, rural healthcare providers, the wider rural community, rural community leaders and rural health administrators and policy makers. Rural locations were heterogeneous. Residents from developed and developing countries believe a 'good death' is one that is peaceful, free of pain and without suffering; however, this is subjective and priorities are based on personal, cultural, social and religious perspectives. Currently, there is insufficient data to generalise rural residents' perspectives and what it means for them to die well. Given the extreme importance of a 'good death', there is a need for further studies to elicit rural patient and family caregiver perspectives. © 2016 John Wiley & Sons Ltd.

Effects of rural-urban youth migration on farm families in Benue state, Nigeria

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E.N. Mbah

2016-06-01

Full Text Available The study was assessed to determine the effects of rural-urban youth migration on farm families in Benue state, Nigeria during November 2014 to June 2015. Interview schedule was used to collect data from a sample of 80 respondents. Data were analyzed using frequency, percentage, mean scores and standard deviation. Results indicate that majority (76.3% of the respondents were males, middle aged and married. Major causes of rural-urban youth migration indicated by the respondents include inadequate employment opportunities in rural areas (M=3.6, search for better education (M=3.5, inadequate social infrastructure such as schools (M=3.4, poor medical care services in rural areas (M=3.4, looking for money through labour (M=3.4, apprenticeship programme (M=3.2, etc. Findings of the study also indicate that reduction of agricultural labour force (M=3.5, low agricultural productivity (M=3.3, high cost of labour (M= 3.3, reduction on demand for locally grown foods (M=2.9, decrease in dependency ratio in the rural areas (M=2.7, reduction on number of mouths to feed (M=2.7, among others were major effects of rural-urban youth migration among farm families. The study recommends that Nigerian government should provide adequate physical and social infrastructure in rural areas in order to encourage youths to remain in agriculture, reduce rural-urban youth migration as well as sustain agriculture for enhanced food security.

Notes About State Violence Against Workers Movements Rural

OpenAIRE

Preussler, Gustavo de Souza

2016-01-01

The presente article make a study about the structural violence of State and the economic power while instruments of oppression and propellant of land conflicts. The general objective is  make  clear  on  what  consists  structural  violence  on  contemporary  Brazil  and  its implications on land conflicts. As specifics objectives, aims to outline the performance of economics instrument of oppression, expose the class division on rural areas, the economic violence and its reflex in instituci...

the impact of ict in rural education: case study - enugu state

African Journals Online (AJOL)

nathan

the vast majority of rural areas in Enugu State so as to build mechanisms to support ICT in order to increase the rate ... work only in towns and cities. There is a growing ..... opportunity to learn almost anytime, anywhere. It is the use of network ...

Creation of a mobile rural workforce following undergraduate longitudinal rural immersion.

Science.gov (United States)

Playford, Denese E; Ng, Wen Qi; Burkitt, Tessa

2016-05-01

This study followed the workforce choices of 10-years of graduates from a longitudinal rural immersion programme, which involved living for one academic year in a rural location as a medical student. The Rural Clinical School of Western Australia is a whole-of-state Rural Clinical School partnership involving two medical schools and fourteen rural/remote towns. For this longitudinal cohort study, all consenting graduates were contacted annually after graduation, with the outcome measure being rural work location (defined by the Australian Standard Geographical Classification -Remoteness Area) of any duration. There were 417 consenting graduates. Between 16 and 50% of contacted alumni worked rurally for a period of each post-graduate year. Aggregated over time, the majority took up to 30% of their postgraduate training rurally. There was considerable movement in and out of rural work. About 17% of contacted and practicing graduates were working full time rurally at the 2013 contact point. The majority remained in their state of training. The majority identified with GP and other rural-related colleges, and College-affiliation predicted amount of rural training time. Entry into rural work was equivalent for urban-origin and rural origin alumni, suggesting one year of RCS is sufficient to convert commitment to rural work. Undergraduate rural immersion is sufficient to create a graduate rural workforce that is far more mobile that was previously appreciated.

Student perception about working in rural United States/Canada after graduation: a study in an offshore Caribbean medical school [v1; ref status: indexed, http://f1000r.es/4vz

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P Ravi Shankar

2014-12-01

Full Text Available Introduction: Rural residents of the United States (US and Canada face problems in accessing healthcare. International medical graduates (IMGs play an important role in delivering rural healthcare. IMGs from Caribbean medical schools have the highest proportion of physicians in primary care.  Xavier University School of Medicines admits students from the US, Canada and other countries to the undergraduate medical (MD course and also offers a premedical program. The present study was conducted to obtain student perception about working in rural US/Canada after graduation.   Methods: The study was conducted among premedical and preclinical undergraduate medical (MD students during October 2014. The questionnaire used was modified from a previous study. Semester of study, gender, nationality, place of residence and occupation of parents were noted. Information about whether students plan to work in rural US/Canada after graduation, possible reasons why doctors are reluctant to work in rural areas, how the government can encourage rural practice, possible problems respondents anticipate while working in rural areas were among the topics studied. Results: Ninety nine of the 108 students (91.7% participated. Forty respondents were in favor of working in rural US/Canada after graduation. Respondents mentioned good housing, regular electricity, water supply, telecommunication facilities, and schools for education of children as important conditions to be fulfilled. The government should provide higher salaries to rural doctors, help with loan repayment, and provide opportunities for professional growth.  Potential problems mentioned were difficulty in being accepted by the rural community, problems in convincing patients to follow medical advice, lack of exposure to rural life among the respondents, and cultural issues. Conclusions: About 40% of respondents would consider working in rural US/Canada. Conditions required to be fulfilled have been

Genetic diversity analysis of nine chewing cane varieties (lines) and construction of their DNA fingerprints

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In order to provide theoretical basis for variety identification and parental selection during sugarcane breeding process, the present study was conducted to analyze genetic diversity of nine chewing cane varieties (lines) and construct their DNA fingerprints. Combining twenty-one SSR molecular mark...

Characterisation of twenty-nine (29) accessions of okra (Abelmoschus spp (L.) Moench) in Ghana

International Nuclear Information System (INIS)

Ahiakpa, J. K.

2012-01-01

A series of investigations were carried out to determine the genetic variability within 29 accessions of okra (Abelmoschus spp (L.) Moench) through characterisation using morphological, biochemical, nutritional and molecular markers. The goal was to obtain information on key traits of okra germplasm relevant to breeders and other researchers towards improvement of the crop. Twenty six (26) indigenous (landraces) and three (3) exotic accessions of okra were collected from eight regions of Ghana and their morpho-agronomic traits were evaluated under field conditions at the Biotechnology and Nuclear Agriculture Research Institute (BNARI) research fields using the International Plant Genetic Research Institute (IPGRI) descriptor list for okra. The 29 exhibited significant variation in all but two quantitative traits studied. Block coefficients of variation were extremely low, implying that results obtained are reliable and repeatable over replications. The 29 accessions were grouped into two major clusters and subsequently into five sub-clusters based on both quantitative and qualitative characters studied. The association between pairs of quantitative yield traits in the okra landraces revealed that flowering and fruiting parameters had significant (P < 0.01) positive associations. Factor scores of 12 characters contributed substantially to total genetic variation among the 29 okra accessions studied. The pattern of clustering did not show distinct association between morpho-agronomic characters and geographic origin of the collections. The output of the Principal Components Analysis (PCA) revealed that different characters contributed differently to total genetic variation. The means of maximum viscosity values for mucilage extracted from the fruits ranged from 53.0 - 366.8bu, with three accessions; DKA (366.8bu), Yeji-Local (329bu) and Amanfrom (316.8bu) recording very high values whilst Cape (53.0bu) had the least maximum viscosity value. There was low level of

Strategic foresight, leadership, and the future of rural healthcare staffing in the United States.

Science.gov (United States)

Reimers-Hild, Connie

2018-05-01

This article uses a strategic foresight tool, megatrends, to examine forces influencing long-term healthcare staffing in the rural United States. Two megatrends-exponential advances in science and technology and the continued evolution of the decentralized global marketplace-will influence and ultimately help shape the future of rural healthcare. Successful health ecosystems of the future will need to be customer-driven, more affordable, and tech-savvy. Successful evolution in an era of continuous change will require a blend of intentional engagement with stakeholders, strategic foresight, and future-focused leadership. More research is needed to fully understand not only the challenges of rural healthcare but also the emerging opportunities.

Twenty-ninth annual progress report of the Pennsylvania State University Breazeale Nuclear Reactor, July 1, 1983-June 30, 1984

International Nuclear Information System (INIS)

Levine, S.H.; Totenbier, R.E.

1984-07-01

The twenty-ninth annual progress report of the operation of the Pennsylvania State University Breazeale Reactor is submitted in accordance with the requirements of Contract DE-AC02-76ER03409 with the United States Department of Energy. This report also provides the University administration with a summary of the operation of the facility for the past year

Burden of anaemia in rural and urban jat women in haryana state, India.

Science.gov (United States)

Maninder, Kaur; Kochar, G K

2009-09-01

A cross-sectional study was undertaken on 600 Jat women (rural=300, urban=300), aged 40 to 70 years from Haryana state in North India. The aim of the study was to determine the prevalence of anaemia and the dietary intake of rural and urban middle-aged (40-59 years) and older (60 and above) Jat women. The findings indicated that all the subjects exhibited a decline in the mean values of haemoglobin (Hb) concentration with advancement in age. The mean blood Hb concentration of urban middle-aged and older women was 10.1±1.3g/dl and 9.91.4g/dl respectively, which was higher than their rural counterparts at all age groups, although the differences were statistically non-significant (p>0.05). The overall prevalence of anaemia reached 88.7% (rural women= 91.3%, urban women =86%). Daily dietary intake of rural and urban subjects was below the recommended dietary allowances. Physical performance of both groups of the women showed a decline with a decrease in Hb concentration. A significant and positive correlation of Hb status was observed with grip strength and vital capacity while a negative association was witnessed with blood pressure and pulse rate in both the rural and urban women. Anaemia among these women may be attributed to inadequate dietary intake, illiteracy, and poor access to health services.

Adolescent Tobacco Use in Urban Versus Rural Areas of the United States: The Influence of Tobacco Control Policy Environments.

Science.gov (United States)

Pesko, Michael F; Robarts, Adam M T

2017-07-01

Adults and adolescents who reside in rural areas of the United States are traditionally more likely to be tobacco users. This urban-rural disparity remains largely unexplained and, more recently, it is unclear what impact the emergence of electronic cigarettes (e-cigarettes) has had on adolescent tobacco use in urban and rural areas. Our objective is to evaluate the influence of sociodemographics and tobacco control policy environments on adolescent tobacco use in urban versus rural areas, as well as to identify the effect of e-cigarettes on traditional patterns of urban-rural tobacco use. This study analyzes repeated cross-sectional data from the National Youth Tobacco Survey for the years 2011-2014. We estimate the associations between rural residence, cigarette taxes, tobacco advertisement exposure, and ease of access to tobacco with six tobacco use outcomes: current (past 30-day) use of cigarettes, e-cigarettes, cigars, smokeless tobacco, multiple tobacco products, and any tobacco. E-cigarette use among urban youths aged 11-17 years in the United States increased from .82% in 2011 to 8.62% in 2014 (p e-cigarettes. Our predictors account for approximately 40% of the difference in urban-rural cigarette use. Sociodemographics, cigarette taxes, and tobacco advertisement exposure are significant predictors of adolescent tobacco use in the United States but do not entirely explain urban-rural disparities. In addition, e-cigarettes appear to be rapidly changing traditional patterns of tobacco use, particularly in urban areas. Copyright © 2017 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

An Analysis of a System of Rural Regional Environmental Management Led by ‘a Group of University Students’

Science.gov (United States)

Nakajima, Masahiro; Nakamura, Masato; Hiroshige, Yutaka

This paper aims to analyze the formative processes and the current state of a collaboration between ‘outsiders’ and local residents in a System of Rural Regional Environmental management from the view point of human networks. The system seeks to solve the problem of abandoned farmlands led by a group of university students (outsiders). We chronologically classified a total of eighty-nine activities addressing the issue of abandoned farmlands by utilizing three concepts: ‘calculated devices’ (e.g. the making of relations between a group of university students and local residents and strengthening these relations), ‘assistance/participation’, and ‘voluntary interaction/desire’. Based on this analysis, we: 1) developed an understanding of the formative processes as well as the current state of the collaboration between a group of university students and twenty seven local residents from an individual perspective; 2) identified ten key individuals who played a significant role in the activities examined and revealed their characteristics and motivations; 3) suggest that an existing NPO and informal relations between the local residents played a major role in the formation of collaborative networks; 4) argue that the perceived characteristics of the students (e.g. ‘youthful’, ‘inexperienced’) and the Mori-Mori club (e.g. unstable) contributed to the maintenance and expansion of the collaboration between ‘outsiders’ and local residents.

Are Physician Assistants Needed in Guatemala? A Survey of Potential Urban and Rural Users.

Science.gov (United States)

Luna-Asturias, Claudia; Apple, Jennifer; Bolaños, Guillermo A; Bowser, Jonathan M; Asturias, Edwin J

2017-09-01

The shortage of trained health care personnel has been increasing worldwide. With the physician assistant (PA) profession, created in the United States in the 1960s, expanding globally, this study sought to ascertain whether PAs can be an innovative solution to this crisis. We conducted a convenience sample survey to assess the need for and acceptability of future PA professionals in Guatemala. Eighty-nine doctors, nurses, and community members from rural and urban areas of Guatemala participated in the survey. More urban (70%) than rural (58%) respondents found it difficult to access a doctor, with cost being the major reason (34%). Access in rural areas was reportedly limited by lack of doctors and inaccessible office hours. Most survey respondents considered PAs to be suitable and potentially helpful providers for Guatemala, with a preference for competencies in the diagnosis of serious illnesses, drug prescription, labor and delivery attendance, and care for injuries and fractures, especially in rural locations. Belonging to the community was deemed very important for a PA who would practice in the country.

PHLEBOTOMINE SANDFLIES IN RURAL LOCATIONS IN THE STATE OF PARANA, SOUTHERN BRAZIL

Directory of Open Access Journals (Sweden)

Simone Cristina Castanho Sabaini de Melo

2013-12-01

Full Text Available SUMMARY This study reports the fauna and frequency of sandflies in domestic animal shelters, residences and other ecotopes in rural areas of the municipality of Bandeirantes, Paraná State. Sandflies were collected twice in eight rural villages by using Falcon traps from 8pm to 6am in 2008. In these localities 4,790 sandflies were collected, which were represented by ten sandfly species, prevailing of Nyssomyia neivai and Nyssomyia whitmani species. It was observed that animal shelters are the domestic ecotopes where there is the greatest frequency of these insects. The localities where the collections were made had the environmental characteristics that allow the persistence of transmission of parasites from the American tegumentary leishmaniasis. Although the fauna and the behavior of sandflies species are similar in different localities, the method of controlling these insects should be adjusted to the environmental characteristics of each one of the most diverse endemic areas of American tegumentary leishmaniasis in the municipalities of Paraná State.

Domestic Water Utilization and Its Determinants in the Rural Areas of Oyo State, Nigeria Using Multivariate Analysis

OpenAIRE

T. O. Ogunbode; I. P. Ifabiyi

2017-01-01

Investigation into water utilization and its determinants in the rural areas is salient to a result-oriented management of this resource. Thus, a research was conducted to assess the pattern of domestic water uses and its determinant in the rural areas of Oyo State, Nigeria. A multistage sampling technique was applied to select 124 villages from 25 out of the 33 LGAs in Oyo State, Nigeria with 5 villages from each. Ten structured questionnaire were administered in each of the selected village...

Accreditation of undergraduate medical training programs: practices in nine developing countries as compared with the United States.

Science.gov (United States)

Cueto, Jose; Burch, Vanessa C; Adnan, Nor Azila Mohd; Afolabi, Bosede B; Ismail, Zalina; Jafri, Wasim; Olapade-Olaopa, E Oluwabunmi; Otieno-Nyunya, Boaz; Supe, Avinash; Togoo, Altantsetseg; Vargas, Ana Lia; Wasserman, Elizabeth; Morahan, Page S; Burdick, William; Gary, Nancy

2006-07-01

Undergraduate medical training program accreditation is practiced in many countries, but information from developing countries is sparse. We compared medical training program accreditation systems in nine developing countries, and compared these with accreditation practices in the United States of America (USA). Medical program accreditation practices in nine developing countries were systematically analyzed using all available published documents. Findings were compared to USA accreditation practices. Accreditation systems with explicitly defined criteria, standards and procedures exist in all nine countries studied: Argentina, India, Kenya, Malaysia, Mongolia, Nigeria, Pakistan, Philippines and South Africa. Introduction of accreditation processes is relatively recent, starting in 1957 in India to 2001 in Malaysia. Accrediting agencies were set up in these countries predominantly by their respective governments as a result of legislation and acts of Parliament, involving Ministries of Education and Health. As in the USA, accreditation: (1) serves as a quality assurance mechanism promoting professional and public confidence in the quality of medical education, (2) assists medical schools in attaining desired standards, and (3) ensures that graduates' performance complies with national norms. All nine countries follow similar accreditation procedures. Where mandatory accreditation is practiced, non-compliant institutions may be placed on probation, student enrollment suspended or accreditation withdrawn. Accreditation systems in several developing countries are similar to those in the developed world. Data suggest the trend towards instituting quality assurance mechanisms in medical education is spreading to some developing countries, although generalization to other areas of the world is difficult to ascertain.

Rural Veterans by State (2015)

Data.gov (United States)

Department of Veterans Affairs — This spreadsheet contains data from the 2015 American Community Survey and shows the demographic and socioeconomic characteristics of Veterans who live in rural and...

Rural Veterans by State (2014)

Data.gov (United States)

Department of Veterans Affairs — This speadsheet contains data from the 2014 American Community Survey and shows the demographic and socioeconomic characteristics of Veterans who live in rural and...

Twenty lectures on thermodynamics

CERN Document Server

Buchdahl, H A

2013-01-01

Twenty Lectures on Thermodynamics is a course of lectures, parts of which the author has given various times over the last few years. The book gives the readers a bird's eye view of phenomenological and statistical thermodynamics. The book covers many areas in thermodynamics such as states and transition; adiabatic isolation; irreversibility; the first, second, third and Zeroth laws of thermodynamics; entropy and entropy law; the idea of the application of thermodynamics; pseudo-states; the quantum-static al canonical and grand canonical ensembles; and semi-classical gaseous systems. The text

HIV Testing and HIV/AIDS Treatment Services in Rural Counties in 10 Southern States: Service Provider Perspectives

Science.gov (United States)

Sutton, Madeline; Anthony, Monique-Nicole; Vila, Christie; McLellan-Lemal, Eleanor; Weidle, Paul J.

2010-01-01

Context: Forty percent of AIDS cases are reported in the southern United States, the region with the largest proportion of HIV/AIDS cases from rural areas. Data are limited regarding provider perspectives of the accessibility and availability of HIV testing and treatment services in southern rural counties. Purpose: We surveyed providers in the…

Telecommunications technology and rural education in the United States

Science.gov (United States)

Perrine, J. R.

1975-01-01

The rural sector of the US is examined from the point of view of whether telecommunications technology can augment the development of rural education. Migratory farm workers and American Indians were the target groups which were examined as examples of groups with special needs in rural areas. The general rural population and the target groups were examined to identify problems and to ascertain specific educational needs. Educational projects utilizing telecommunications technology in target group settings were discussed. Large scale regional ATS-6 satellite-based experimental educational telecommunications projects were described. Costs and organizational factors were also examined for large scale rural telecommunications projects.

Urban-rural differences in childhood and adolescent obesity in the United States: a systematic review and meta-analysis.

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Johnson, James Allen; Johnson, Asal Mohamadi

2015-06-01

A systematic literature review and subsequent meta-analysis were performed to investigate differences in childhood obesity between urban and rural areas in the United States. A search of published studies comparing childhood obesity in urban and rural settings was undertaken by probing PubMed and Cumulative Index to Nursing and Allied Health Literature (CINAHL) for articles that met predetermined inclusion criteria. A subsequent meta-analysis was conducted to determine the combined effect size and significance of differences in childhood obesity between urban and rural areas. Ten studies were identified for systematic review, five of which contributed to the meta-analysis. All but one study suggested that residence in rural areas was associated with higher prevalence or increased odds of childhood obesity, compared to children living in urban areas. A meta-analysis of 74,168 pooled participants ages 2-19 found that rural children have 26% greater odds of obesity, compared to urban children (odds ratio=1.26; 95% confidence interval, 1.21-1.32). Obesity rates are higher among rural children than urban children in the United States. To ensure successful targeted interventions and effective resource allocation, practitioners and policy makers alike should be cognizant of this disparity in childhood obesity.

Rural labour markets and rural conflict in Spain before the Civil War (1931-1936)

OpenAIRE

Domènech Feliu, Jordi

2012-01-01

This paper looks at the causes of rural conflict in 1930s Spain. Rather than stressing bottom-up forces of mobilisation linked to poor harvests and rural unemployment or the inability of the state to enforce reformist legislation, this paper explores the role of state policy in sorting out the acute coordination and collective action problems of mobilising rural labourers. I do so by looking at the effects of intervention on rural labour markets in dry-farming areas of Spain (parts of Castile...

Concussion Law Compliance: The Allocation of Time, Resources, and Money in a Rural Western State

Science.gov (United States)

Faure, Caroline; Moffit, Dani M.; Schiess, Kurt

2015-01-01

Secondary schools across the United States that sponsor extracurricular athletic programs are challenged to comply with recent laws that require concussion education and appropriate concussion management. This study examined one rural state's efforts by illustrating both the successes and challenges that secondary schools faced. The findings…

Marginal effects of rural roads and irrigation canals on woody and ...

African Journals Online (AJOL)

Across the northern rural regions of Iran, gardens and farmlands are being fragmented into smaller and smaller patches by rural roads network with significant edge effects on plant species composition and abundance. In this study, the presence of different plant species was recorded in ninety 1´1 m plots on nine 100 m ...

Service Level Decision-making in Rural Physiotherapy: Development of Conceptual Models.

Science.gov (United States)

Adams, Robyn; Jones, Anne; Lefmann, Sophie; Sheppard, Lorraine

2016-06-01

Understanding decision-making about health service provision is increasingly important in an environment of increasing demand and constrained resources. Multiple factors are likely to influence decisions about which services will be provided, yet workforce is the most noted factor in the rural physiotherapy literature. This paper draws together results obtained from exploration of service level decision-making (SLDM) to propose 'conceptual' models of rural physiotherapy SLDM. A prioritized qualitative approach enabled exploration of participant perspectives about rural physiotherapy decision-making. Stakeholder perspectives were obtained through surveys and in-depth interviews. Interviews were transcribed verbatim and reviewed by participants. Participant confidentiality was maintained by coding both participants and sites. A system theory-case study heuristic provided a framework for exploration across sites within the investigation area: a large area of one Australian state with a mix of regional, rural and remote communities. Thirty-nine surveys were received from participants in 11 communities. Nineteen in-depth interviews were conducted with physiotherapists and key decision-makers. Results reveal the complexity of factors influencing rural physiotherapy service provision and the value of a systems approach when exploring decision-making about rural physiotherapy service provision. Six key features were identified that formed the rural physiotherapy SLDM system: capacity and capability; contextual influences; layered decision-making; access issues; value and beliefs; and tensions and conflict. Rural physiotherapy SLDM is not a one-dimensional process but results from the complex interaction of clusters of systems issues. Decision-making about physiotherapy service provision is influenced by both internal and external factors. Similarities in influencing factors and the iterative nature of decision-making emerged, which enabled linking physiotherapy SLDM with

Changing patterns in electrical burn injuries in a developing country: should prevention programs focus on the rural population?

Science.gov (United States)

Patil, Surendra B; Khare, Nishant Anil; Jaiswal, Sumeet; Jain, Arvind; Chitranshi, Anurag; Math, Mahantesh

2010-01-01

In the developing world, the incidence of electrical injuries has increased in the past few years. This study attempts to identify the causative and demographic risk factors that can help in formulating a targeted prevention program. The study was conducted prospectively and retrospectively from 2004 to 2009. Eighty-four consecutive patients with electrical burn injuries were analyzed for their demographic profile, age, sex, occupation, rural-urban distribution, mode of injury, and place of injury. The patients were asked to fill out a questionnaire regarding their awareness about electrical burn injuries, and the results were tabulated. The age of presentation ranged from 3 to 61 years. The most frequently affected age group was the second decade of life (33.3%). Of 84 patients studied, 71 were male and 13 female. Fifty-nine patients were from the urban area, while 25 were from the surrounding rural area. Students including children and adolescents were the most common affected single group (22.5%). Contact with live wire or contact with an object that was in contact with a live wire (secondary contact) accounted for 43 of 84 cases (51%). Home was the most common location where injury occurred (51.2%). Twenty-one of 59 cases (35.6%) reported from the urban area and 3 of 25 cases (12%) from the rural area had specific knowledge about prevention of electrical burn injury. Forty-one patients (69.4%) from the urban area and 22 (88%) from the rural area believed that adequate information regarding electrical burn injury was not available. Thirty-six patients (61%) from the urban area and 24 (96%) from the rural area believed that they would have behaved differently if the information had been available. The authors recommend that prevention programs should be modified to cater to the specific needs of the younger age groups and the rural population.

DETERMINANTS OF RURAL FARMERS PREFERENCE FOR CASH-LESS TRANSACTIONS IN IMO STATE

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Igwe Ikenna UKOHA

2017-04-01

Full Text Available The preference for cash-less transaction by Nigerians cannot be exaggerated, but despite its patronage, there exist limited access and utilization of the cash-less technologies among farmers in South-East Nigeria. The study analysed the determinants of rural farmers’ preference for cash-less transactions in Imo state, South-East Nigeria. Multi-stage sampling technique was employed in selection of 100 farmers for the study. The determinant of rural farmers’ preference for cash-less transactions in Imo State, was achieved using logit model. The result of the analysis showed that age (5%, gender (10% education levels of the farmers (1%, user friendliness of technologies (5%, transaction charge (5% and security of transactions (5% were found to be the major determinants of farmers preference for cash-less transactions based on their levels of significance. Centred on the findings, the study recommended the strengthening of the use of cash-less transaction by farmers by providing a favourable financial environment through better orientation programs, so as to enable a smooth transition from a cash-based economy to cash-less economy.

Future Extreme Event Vulnerability in the Rural Northeastern United States

Science.gov (United States)

Winter, J.; Bowen, F. L.; Partridge, T.; Chipman, J. W.

2017-12-01

Future climate change impacts on humans will be determined by the convergence of evolving physical climate and socioeconomic systems. Of particular concern is the intersection of extreme events and vulnerable populations. Rural areas of the Northeastern United States have experienced increased temperature and precipitation extremes, especially over the past three decades, and face unique challenges due to their physical isolation, natural resources dependent economies, and high poverty rates. To explore the impacts of future extreme events on vulnerable, rural populations in the Northeast, we project extreme events and vulnerability indicators to identify where changes in extreme events and vulnerable populations coincide. Specifically, we analyze future (2046-2075) maximum annual daily temperature, minimum annual daily temperature, maximum annual daily precipitation, and maximum consecutive dry day length for Representative Concentration Pathways (RCP) 4.5 and 8.5 using four global climate models (GCM) and a gridded observational dataset. We then overlay those projections with estimates of county-level population and relative income for 2060 to calculate changes in person-events from historical (1976-2005), with a focus on Northeast counties that have less than 250,000 people and are in the bottom income quartile. We find that across the rural Northeast for RCP4.5, heat person-events per year increase tenfold, far exceeding decreases in cold person-events and relatively small changes in precipitation and drought person-events. Counties in the bottom income quartile have historically (1976-2005) experienced a disproportionate number of heat events, and counties in the bottom two income quartiles are projected to experience a greater heat event increase by 2046-2075 than counties in the top two income quartiles. We further explore the relative contributions of event frequency, population, and income changes to the total and geographic distribution of climate change

Rural Education as Rural Development: Understanding the Rural School-Community Well-Being Linkage in a 21st-Century Policy Context

Science.gov (United States)

Schafft, Kai A.

2016-01-01

Despite the significant proportions of rural Americans, schools, and public school students situated in the geographic peripheries of an increasingly urbanizing country, rural education in the United States has consistently occupied both scholarly and policy peripheries. This is to the detriment of rural America, especially to the extent that…

Anticipating and Understanding the Rebalance: Exercise Nine Innings, USMC Command and Staff College

Science.gov (United States)

2017-06-21

USPACOM, professional military education , PME, Command and Staff College, training, education , Exercise Nine Innings, regional security challenges The...battlefield could be wasted if we don’t follow it up with understanding what victory is.”3 This seemed especially appropriate for 11Russ and Shibuya...essence, professional military education had to keep up with the tempo of the evolution of warfare in the twenty-first century. Knowing and

Seeds of revolt. Intergenerational relationships in rural KwaZulu, South Africa

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Alex Vailati

2015-06-01

Full Text Available AbstractThe social role of youth, in the last twenty years, has become a key point of the political agenda of many African nations. In South Africa, the consequences of segregationist politics, market economy and migrations have profoundly shaped the social and cultural role of youth, both in urban and rural contexts. Moreover, the end of apartheid has opened a new period of wide transformation. Based on my ethnographic research in KwaMashabane, a rural region of South Africa, this article analyses how the social role of male youth is shaped by national state policy and by local dynamics. I will focus on the relationship between models of adulthood, and the strategies that youth adopt to cope with conflicts and continuities. This analysis will show how post-apartheid freedom and the constraints of the local social structure are negotiated, and how society is coping with the complex relationships between cultural reproduction and social change.

Empowerment in the process of health messaging for rural low-income mothers: an exploratory message design project.

Science.gov (United States)

Aldoory, Linda; Braun, Bonnie; Maring, Elisabeth Fost; Duggal, Mili; Briones, Rowena Lynn

2015-01-01

Rural, low-income mothers face challenges to their health equal to or greater than those of low-income mothers from urban areas. This study put health message design into the hands of low-income rural mothers. The current study filled a research gap by analyzing a participatory process used to design health messages tailored to the everyday lives of rural low-income mothers. A total of forty-three mothers participated in nine focus groups, which were held from 2012 to 2013, in eight states. The mothers were from different racial and ethnic backgrounds. Participants discussed food security, physical activity, and oral health information. They created messages by considering several elements: visuals, length of message, voice/perspective, self-efficacy and personal control, emotional appeals, positive and negative reinforcements, and steps to health behavior change. This study was innovative in its focus on empowerment as a key process to health message design.

Appreciation of the renminbi and urban-rural income disparity

OpenAIRE

Ping HUA; Sylviane GUILLAUMONT JEANNENEY

2008-01-01

Although poverty has been significantly decreased in China over the last twenty years, this decrease has been highly unequal across the provinces and has brought increased disparity in urban and rural per capita income. We studied the impact of exchange rate policy on urban-rural per capita income, which was marked by strong real depreciation before 1994 followed by moderate appreciation before stabilizing. We concluded that in the inland provinces where poverty is hardest, real appreciation ...

The impact of micro financing on poverty levels of rural women farm households in Abia state, Nigeria; implication for policy intervention

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EZEH Innocent

2013-06-01

Full Text Available This study determined the impact of micro-finance on poverty level of rural women farm households in Abia State, Nigeria: Implication for policy intervention. A multi-stage random sampling technique was used to +select the local government areas, communities and respondents in the three (Aba, Ohafia and Umuahia agricultural zones of the State. The sample size was 240 (120 a piece for rural women farmer borrowers and non borrowers. Instrument of data collection was a set of structured and pre-tested questionnaire administered on both groups of rural women farmers. The result indicated that incidence of poverty or head count ratio was 0.558 for the rural women farmers borrowers and 0.933 for the rural women farmer non borrowers; poverty gap otherwise known as income short fall was 0.4547 for the rural women farmer borrowers and 0.6995 for the rural women farmer non borrowers. The result of the paired t-test showed that micro-finance impacted significantly on annual farm income, farm size and fertilizer use level of rural women farmer borrowers at given levels of significance. It was however, recommended that increased subsidy policy on agro-inputs and increased funding by the micro-finance will significantly aim at reducing the poverty levels of these women.

Solving the problems we face: the United States Environmental Protection Agency, sustainability, and the challenges of the twenty-first century

Science.gov (United States)

Addressing the problems of the twenty-first century will require new initiatives that complement traditional regulatory activities. Existing regulations, such as the Clean Air Act and Clean Water Act are important safety nets in the United States for protecting human health and t...

Epidemiology and molecular analysis of hepatitis A, B and C in a semi-urban and rural area of Crete.

Science.gov (United States)

Drositis, I; Bertsias, A; Lionis, C; Kouroumalis, E

2013-12-01

An observational seroepidemiological study was carried out in a well-defined primary-care district on the island of Crete in order to determine the recent endemicity of viral hepatitis in Cretan-population. The setting consisted of a semi-urban group and a remote & rural group. Serum samples were collected from 876 subjects (437 males, 439 females) aged 15 years or above. Subjects were randomly selected from the permanent population of the area that consisted of 5705 individuals. The aim was to measure the prevalence of selected viral-hepatitis markers. Hepatitis B surface-antigen (HBsAg) was found positive in twenty-nine individuals, (3.3%). Antibodies to hepatitis B virus core-antigen (HBcAb) were detected in 287 subjects (32.8%) and antibodies to hepatitis C virus (anti-HCV) were detected in nineteen subjects (2.2%). Seropositivities for the semi-urban group were: 3.4%, 19.1%, 2.1% and 3.2%, 48.8%, 2.2% in remote & rural group respectively. Virtually, all subjects >45 years old were seropositive for antibodies to hepatitis A, whereas approximately 80% of those in the 15-44 age-group were found to be seropositive. A threefold increase in the HBV exposure and carrier proportion was found in Cretan native-population and in rural-areas compared to older studies carried out in other rural-populations of the island. It is still unknown whether the recent economic crisis or the demographic changes in Cretan-population contributed to these findings. HCV endemicity remains relatively constant, however an alteration of hepatitis C genotypes was observed. Exposure to HAV was found to be higher in remote and rural areas compared to semi-urban areas. © 2013.

Lay discourses of the rural and stated and revealed preferences for rural living; some evidence of the existence of a rural idyll in the Netherlands

NARCIS (Netherlands)

Dam, van F.; Heins, S.; Elbersen, B.S.

2002-01-01

Dutch rural areas have changed into a post-modern countryside and have become marketable commodities. The demand for rural space and rural amenities has increased, with concomitant tensions on the rural housing market, tensions which are enhanced by the restrictive spatial policy in Dutch rural

Drug use and AIDS: estimating injection prevalence in a rural state.

Science.gov (United States)

Leukefeld, Carl G; Logan, T K; Farabee, David; Clayton, Richard

2002-01-01

This paper presents approaches used in one rural U.S. state to describe the level of injecting drug use and to estimate the number of injectors not receiving drug-user treatment. The focus is on two broad areas of estimation that were used to present the prevalence of injecting drug use in Kentucky. The first estimation approach uses available data from secondary data sources. The second approach involves three small community studies.

Mixed-methods quantitative-qualitative study of 29 nonagenarians and centenarians in rural Southern Italy: focus on positive psychological traits.

Science.gov (United States)

Scelzo, Anna; Di Somma, Salvatore; Antonini, Paola; Montross, Lori P; Schork, Nicholas; Brenner, David; Jeste, Dilip V

2018-01-01

This was a study of positive psychological traits in a group of rural Italians aged 90 to 101 years, and their children or other family members. Mixed-methods quantitative (standardized rating scales) and qualitative (semi-structured interviews) study. Study participants' homes in nine villages in the Cilento region of southern Italy. Twenty-nine nonagenarians and centenarians and 51 family members aged 51-75 years, selected by their general practitioners as a part of a larger study called CIAO (Cilento Initiative on Aging Outcomes). We used published rating scales of mental and physical well-being, resilience, optimism, anxiety, depression, and perceived stress. Qualitative interviews gathered personal narratives of the oldest-old individuals, including migrations, traumatic events, and beliefs. Family members described their impressions about the personality traits of their older relative. Participants age ≥90 years had worse physical health but better mental well-being than their younger family members. Mental well-being correlated negatively with levels of depression and anxiety in both the groups. The main themes that emerged from qualitative interviews included positivity (resilience and optimism), working hard, and bond with family and religion, as described in previously published studies of the oldest old, but also a need for control and love of the land, which appeared to be unique features of this rural population. Exceptional longevity was characterized by a balance between acceptance of and grit to overcome adversities along with a positive attitude and close ties to family, religion, and land, providing purpose in life.

Active living in rural Appalachia: Using the rural active living assessment (RALA tools to explore environmental barriers

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Adam Hege

2017-12-01

Full Text Available People residing in rural communities are more likely to be physically inactive and subsequently have elevated risks for chronic disease. Recent evidence has shown this could stem from environmental barriers, inadequate programming and policies directed at the promotion of physical activity (PA in rural settings. The objective of this research was to assess active living features in rural towns and townships (n=16 across seven counties in northwestern North Carolina (NC. The study utilized the Town-Wide and Street Segment components of the Rural Active Living Assessment (RALA as well as the 2014 American Community Survey results. The assessments were conducted in the summer of 2016 in the rural Appalachia region of NC. Using the RALA town-wide assessment scoring system (0−100, the range of scores was 18–84, with the mean being 50.06. Three towns had no sidewalks, nine towns had sidewalks on only one side of the main streets, and four had sidewalks on both sides of the main streets. One town was rated as highly walkable, seven towns as moderately walkable, five towns as moderately unwalkable, and three towns as highly unwalkable. The rural Appalachia region of NC offers unique topographic, geographic and environmental barriers to PA. However, our findings indicate many rural towns offer common PA amenities. Future research should utilize qualitative methods and a community-based participatory research approach to more fully understand the challenges with increasing PA in the rural and often isolated Appalachia communities. Keywords: Rural active living assessment (RALA, Health disparities, Physical activity, Rural Appalachia

Rural Households

DEFF Research Database (Denmark)

Bruun, Ole

2013-01-01

dependency on state institutions under the Vietnamese transition to a market society. It discusses present poverty definitions and measures by comparing survey data with the formal economic categorization of rural households. Both the overall characteristics of rural society and qualitative data indicate...... that the reforms have set in motion a process by which a mix of new opportunities and increasing pressures creates new winners and losers. Second, the chapter draws attention to the nature of interactions between households, local communities and the Vietnamese state. This shows both potentials and limitations...

Stated preferences of doctors for choosing a job in rural areas of Peru: a discrete choice experiment.

Directory of Open Access Journals (Sweden)

J Jaime Miranda

Full Text Available Doctors' scarcity in rural areas remains a serious problem in Latin America and Peru. Few studies have explored job preferences of doctors working in underserved areas. We aimed to investigate doctors' stated preferences for rural jobs.A labelled discrete choice experiment (DCE was performed in Ayacucho, an underserved department of Peru. Preferences were assessed for three locations: rural community, Ayacucho city (Ayacucho's capital and other provincial capital city. Policy simulations were run to assess the effect of job attributes on uptake of a rural post. Multiple conditional logistic regressions were used to assess the relative importance of job attributes and of individual characteristics. A total of 102 doctors participated. They were five times more likely to choose a job post in Ayacucho city over a rural community (OR 4.97, 95%CI 1.2; 20.54. Salary increases and bonus points for specialization acted as incentives to choose a rural area, while increase in the number of years needed to get a permanent post acted as a disincentive. Being male and working in a hospital reduced considerably chances of choosing a rural job, while not living with a partner increased them. Policy simulations showed that a package of 75% salary increase, getting a permanent contract after two years in rural settings, and getting bonus points for further specialisation increased rural job uptake from 21% to 77%. A package of 50% salary increase plus bonus points for further specialisation would also increase the rural uptake from 21% to 52%.Doctors are five times more likely to favour a job in urban areas over rural settings. This strong preference needs to be overcome by future policies aimed at improving the scarcity of rural doctors. Some incentives, alone or combined, seem feasible and sustainable, whilst others may pose a high fiscal burden.

Schizophrenia-The spirit possessed 23 year old male from rural ...

African Journals Online (AJOL)

A case of a twenty-three year old rural Ghanaian male suffering from schizophrenia and presenting as “possessed by spirits” is reported. Treatment, and outcome by physical means with chlorpromazine; and implications for further research are discussed.

Biomonitoring of atmospheric pollution by moss bags: Discriminating urban-rural structure in a fragmented landscape.

Science.gov (United States)

Capozzi, F; Giordano, S; Di Palma, A; Spagnuolo, V; De Nicola, F; Adamo, P

2016-04-01

In this paper we investigated the possibility to use moss bags to detect pollution inputs - metals, metalloids and polycyclic aromatic hydrocarbons (PAHs) - in sites chosen for their different land use (agricultural, urban/residential scenarios) and proximity to roads (sub-scenarios), in a fragmented conurbation of Campania (southern Italy). We focused on thirty-nine elements including rare earths. For most of them, moss uptake was higher in agricultural than in urban scenarios and in front road sites. Twenty PAHs were analyzed in a subset of agricultural sites; 4- and 5-ringed PAHs were the most abundant, particularly chrysene, fluoranthene and pyrene. Overall results indicated that investigated pollutants have a similar spatial distribution pattern over the entire study area, with road traffic and agricultural practices as the major diffuse pollution sources. Moss bags proved a very sensitive tool, able to discriminate between different land use scenarios and proximity to roads in a mixed rural-urban landscape. Copyright © 2016 Elsevier Ltd. All rights reserved.

Job satisfaction: rural versus urban primary health care workers' perception in Ogun State of Nigeria.

Science.gov (United States)

Campbell, P C; Ebuehi, O M

2011-01-01

Job satisfaction implies doing a job one enjoys, doing it well, and being suitably rewarded for one' efforts. Several factors affect job satisfaction. To compare factors influencing job satisfaction amongst rural and urban primary health care workers in southwestern Nigeria. A cross sectional comparative study recruited qualified health workers selected by multi stage sampling technique from rural and urban health facilities in four local government areas (LGAs) of Ogun State in Southwestern Nigeria. Data were collected and analysed using Epi info V 3.5.1 RESULTS: The response rates were 88(88%) and 91(91%) respectively in the rural and urban areas. While urban workers derived satisfaction from availability of career development opportunities, materials and equipment, in their current job, rural workers derived satisfaction from community recognition of their work and improved staff relationship. Major de-motivating factors common to both groups were lack of supportive supervision, client-provider relationship and lack of in-service training. However more rural 74(84.1%) than urban 62(68.1%) health workers would prefer to continue working in their present health facilities (p=0.04). There was a statistically significant difference between the two groups in job satisfaction with respect to tools availability and career development opportunities (pfactors influencing job satisfaction between rural and urban healthcare workers. There is need for human resource policy to be responsive to the diverse needs of health workers particularly at the primary level.

Knowledge and utilization of intermittent preventive treatment for malaria among pregnant women attending antenatal clinics in primary health care centers in rural southwest, Nigeria: a cross-sectional study.

Science.gov (United States)

Akinleye, Stella O; Falade, Catherine O; Ajayi, Ikeoluwapo O

2009-07-09

Intermittent preventive treatment for prevention of malaria in pregnancy (IPTp) is a key component of malaria control strategy in Nigeria and sulfadoxine-pyrimethamine (SP) is the drug of choice. Despite the evidence of the effectiveness of IPTp strategy using SP in reducing the adverse effects of malaria during pregnancy the uptake and coverage in Nigeria is low. This study set out to assess the use of IPTp among pregnant women attending primary health centres in the rural area and determine factors that influence the uptake. A cross-sectional study was carried out between July and August 2007 among 209 pregnant women selected by systematic random sampling from antenatal care attendees at primary health care in a rural Local Government Area of Ekiti State, Nigeria. Information on knowledge of IPT, delivery, adherence and acceptability was obtained using an interviewer administered questionnaire. Descriptive statistics such as means, range, proportions were used. Chi-square test was used to examine association between categorical variables. All analyses were performed at 5% level of significance. One hundred and nine of 209 (52.2%) respondents have heard about IPTp but only 26 (23.9%) were able to define it. Fifty seven (27.3%) reported to have received at least one dose of IPTp during the index pregnancy and all were among those who have heard of IPTp (52.3%). Twenty one of the 57 (36.8%) took the SP in the clinic. Only three of the twenty-one (14.3%) were supervised by a health worker. Twenty two of the 36 women (61.1%) who did not take their drugs in the clinic would have liked to do so if allowed to bring their own drinking cups. Almost half (43.9%) of those who had used IPTp during the index pregnancy expressed concern about possible adverse effect of SP on their pregnancies. Periodic shortages of SP in the clinics were also reported. In this study, IPTp use among pregnant women was very low and there was poor adherence to the Directly Observed Therapy (DOT

A qualitative study of recruitment barriers, motivators, and community-based strategies for increasing clinical trials participation among rural and urban populations.

Science.gov (United States)

Friedman, Daniela B; Foster, Caroline; Bergeron, Caroline D; Tanner, Andrea; Kim, Sei-Hill

2015-01-01

Participation in clinical trials (CTs) is low among rural communities. Investigators report difficulty recruiting rural individuals for CTs. The study purpose was to identify recruitment barriers, motivators, and strategies to help increase access to and participation in CTs in rural and urban communities. Qualitative focus groups/interviews. Rural and urban counties in one southeastern state. Two hundred twelve African-American and white men and women ages 21+. Nineteen focus groups and nine interviews were conducted. Audio files were transcribed and organized into NVivo10. Recurring themes were examined by geographic location. Although similar barriers, motivators, and strategies were reported by urban and rural groups, perceptions regarding their importance varied. Recruitment barriers mentioned in both rural and urban groups included fear, side effects, limited understanding, limited time, and mistrust. Rural groups were more mindful of time commitment involved. Both rural and urban participants reported financial incentives as the top motivator to CT participation, followed by personal illness (urban groups) and benefits to family (rural groups). Recruitment strategies suggested by rural participants involved working with schools/churches and using word of mouth, whereas partnering with schools, word of mouth, and media were recommended most by urban groups. Perceived recruitment barriers, motivators, and strategies did not differ considerably between rural and urban groups. Major barriers identified by participants should be addressed in future CT recruitment and education efforts. Findings can inform recruitment and communication strategies for reaching both urban and rural communities.

Catholic school governance in the twenty-first century: continuity, incongruity and challenge

OpenAIRE

Storr, Christopher John

2007-01-01

This study has two main aspects: first, it reports the results of a survey of ninety nine governors working in Roman Catholic primary and secondary schools situated in four English Catholic dioceses, and publishes hitherto unknown information about them; and, second, it examines how, in seeking to maintain a distinctive educational ethos, these governors are responding both to the legislative changes of the last twenty years, and to changes in English social and cultural attitudes. It shows h...

Perceptions of rural addictions and related HIV.

Science.gov (United States)

Leukefeld, C G; Godlaski, T

1997-01-01

Rural addictions and related HIV behaviors, including drug use and sexual behaviors, have received limited attention in United States rural areas when compared with urban areas. However, prevalence rates are similar for alcohol and tobacco in rural and urban United States areas. The perception of policymakers and others is generally that drug use and HIV are urban problems, and resources are more likely to be directed to urban areas than rural areas. A major trend for the future is the continued expectation of limited resources for rural areas.

Opportunities for AIDS prevention in a rural state in criminal justice and drug treatment settings.

Science.gov (United States)

Farabee, D; Leukefeld, C G

1999-01-01

This study examined the likelihood that drug users would receive HIV/ AIDS prevention information and supplies (e.g., condoms and bleach) in the rural state of Kentucky. Despite evidence of high HIV risk among criminal justice and substance-using populations, incarceration and substance-user treatment were only minimally associated with prior HIV prevention exposure or HIV testing. These data strongly support the use of criminal justice and treatment settings to provide AIDS prevention interventions for the high-risk drug-using populations they serve, and to target HIV prevention services in rural as well as urban areas.

[Urban and rural population of the state of Sao Paulo: results of the census of 1980].

Science.gov (United States)

Saad, P M

1981-01-01

The accelerated urban growth of Sao Paulo between 1940-70 has continued during the period 1970-80, according to the 1980 censes. During 1970-80 the urban population increased 55.47%, while the rural population decreased 18.67%, bringing the percentage of the urban population to 88.6% of the total population of the state. This phenomenon has been common to all the 11 administrative regions of the state. The highest percentage of the urban population in 1980 was in the region of Greater Sao Paulo, followed by Litoral and Vale do Paraiba. The largest increases in urban population were in the regions of Sorocaba, Campinas, and Vale do Paraiba, while the highest decreases in rural population were in the regions of Sao Jose do Rio Preto, Aracatuba, Presidente Prudente, and Marilia. The document presents detailed data for each of the 11 administrative regions of the state, and for each municipality within a region.

Rural electrical process and the agroindustrial expansion in Goias state, Brazil; Processo de eletrificacao rural e a expansao da agroindustria no extremo sudoeste goiano

Energy Technology Data Exchange (ETDEWEB)

Alves, Josias Manoel [Universidade Federal de Goias (UFG), Goiania, GO (Brazil); Instituto Federal de Educacao, Ciencia e Tecnologia de Goias (CEFET/GO), Goiania, GO (Brazil)

2004-07-01

The electric energy is an important tool to rural communities, promoting quality of life through its use at home or as part of the productive process. The Rural Electrical Project of the State of Goias began with the collaboration between The Overseas Economic Cooperation Fund (OECF) and the Electric Company of the State of Goias. The subject of this paper is to characterize the electric energy use in three farms attended by OECF project, in Rio Verde, Jatai and Mineiro. It was done the checking, analysis and description of situations related to the electric installation, motors starting, conservation and use of alternative energy source. It was evident that all farms use electric motors to several purposes (irrigation, manufacture of ration, triturates, mechanic milking, etc). Two farms used electric fences, while only one used hybrid system. It was verified at the visited farms presented an expressive use of the electric energy in its domestic usage as much as an input to the productive process. (author)

Violence and Abuse in Rural America

Science.gov (United States)

... Guide Rural Health Topics & States Topics View more Violence and Abuse in Rural America Violence and abuse ... of harassment, stalking, and bullying? How prevalent is violence and abuse in rural America? According to the ...

Twenty-nine-month follow-up of a paediatric zirconia dental crown.

Science.gov (United States)

Lopez Cazaux, Serena; Hyon, Isabelle; Prud'homme, Tony; Dajean Trutaud, Sylvie

2017-06-14

The aim of this paper is to present the long-term follow-up of one paediatric zirconia crown on a deciduous molar. Preformed crowns are part of the armamentarium in paediatric dentistry. In recent years, aesthetic alternatives to preformed metal crowns have been developed, first preveneered crowns and then zirconia crowns. This paper describes the restoration of a primary molar with a zirconia crown (EZ-Pedo, Loomis, California, USA) in an 8-year-old boy. In this clinical case, the protocol for the implementation and maintenance of zirconia crowns is detailed. The patient was followed up for 29 months until the natural exfoliation of his primary molar. The adaptation of the zirconia crown, the gingival health and the wear on the opposing tooth were considered. In this case, the paediatric zirconia crown allowed sustainable functional restoration while restoring a natural appearance of the tooth. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Twenty Years of French "Didactique" Viewed from the United States

Science.gov (United States)

Kilpatrick, Jeremy

2003-01-01

One cannot begin considering the topic of this colloquium without asking, why twenty years? Why not two hundred? Two hundred years ago, Silvestre Franois Lacroix was about to be named chief officer of the Commission Executive de L'Instruction Publique. Out of that experience, together with his long career in instruction, especially as professor of…

Reducing out-of-pocket expenditures to reduce poverty: a disaggregated analysis at rural-urban and state level in India.

Science.gov (United States)

Garg, Charu C; Karan, Anup K

2009-03-01

Out-of-pocket (OOP) expenditure on health care has significant implications for poverty in many developing countries. This paper aims to assess the differential impact of OOP expenditure and its components, such as expenditure on inpatient care, outpatient care and on drugs, across different income quintiles, between developed and less developed regions in India. It also attempts to measure poverty at disaggregated rural-urban and state levels. Based on Consumer Expenditure Survey (CES) data from the National Sample Survey (NSS), conducted in 1999-2000, the share of households' expenditure on health services and drugs was calculated. The number of individuals below the state-specific rural and urban poverty line in 17 major states, with and without netting out OOP expenditure, was determined. This also enabled the calculation of the poverty gap or poverty deepening in each region. Estimates show that OOP expenditure is about 5% of total household expenditure (ranging from about 2% in Assam to almost 7% in Kerala) with a higher proportion being recorded in rural areas and affluent states. Purchase of drugs constitutes 70% of the total OOP expenditure. Approximately 32.5 million persons fell below the poverty line in 1999-2000 through OOP payments, implying that the overall poverty increase after accounting for OOP expenditure is 3.2% (as against a rise of 2.2% shown in earlier literature). Also, the poverty headcount increase and poverty deepening is much higher in poorer states and rural areas compared with affluent states and urban areas, except in the case of Maharashtra. High OOP payment share in total health expenditures did not always imply a high poverty headcount; state-specific economic and social factors played a role. The paper argues for better methods of capturing drugs expenditure in household surveys and recommends that special attention be paid to expenditures on drugs, in particular for the poor. Targeted policies in just five poor states to reduce

Appreciation of the Renminbi and Urban-Rural Income Disparity in China

OpenAIRE

Sylviane Guillaumont Jeanneney; Ping Hua

2008-01-01

Although poverty has been significantly decreasing in China over the last twenty years, this decrease has been highly unequal across the provinces and has brought increased disparity in urban and rural per capita income. We studied the impact of exchange rate policy on urban-rural per capita income, which was marked by strong real depreciation before 1994, followed by moderate appreciation before stabilizing. We concluded that in the inland provinces where poverty is hardest, real appreciatio...

The Practice of Midwifery in Rural US Hospitals.

Science.gov (United States)

Kozhimannil, Katy B; Henning-Smith, Carrie; Hung, Peiyin

2016-07-01

Workforce shortages limit access to care for pregnant women in rural and remote areas. The goal of this analysis was to describe the role of certified nurse-midwives (CNMs) in providing maternity care in rural US hospitals and to examine state-level variation in rural CNM practice. We identified 306 rural hospitals with at least 10 births in 2010 using discharge data from the Statewide Inpatient Databases for 9 US states. We conducted a telephone survey of hospital maternity unit managers (N = 244) from November 2013 to March 2014 to understand their maternity care workforce and practice models. We describe the presence of CNMs attending births by hospital and state characteristics. Using logistic multivariate regression, we examined whether CNMs attend births, adjusting for hospital characteristics, practice regulations, and state. We also analyzed the content of open-ended responses about staffing plans, challenges, and opportunities that unit managers identified, with a focus on midwifery practice. CNMs attend births at one-third of rural maternity hospitals in 9 US states. Significant variability across states appears to be partially related to autonomous practice regulations: states allowing autonomous midwifery practice have a greater proportion of rural hospitals with midwives attending births (34% vs 28% without autonomous midwifery practice). In rural maternity hospitals, CNMs practice alongside obstetricians in 86%, and with family physicians in 44%, of hospitals. Fourteen percent of all respondents planned recruitment to increase the number of midwives at their hospital, although many, especially in smaller hospitals, noted challenges in doing so. CNMs play a crucial role in the maternity care workforce in rural US hospitals. The participation of CNMs in birth attendance varies by hospital birth volume and across state settings. Interprofessional practice is common for CNMs attending births in rural hospitals, and administrators hope to increase the

Diffusion of Policy Discourse into Rural Spheres Through Co-Management of State Forestlands: Two Cases from West Java, Indonesia

Science.gov (United States)

Kubo, Hideyuki

2008-07-01

In the context of state forestland management in tropical regions, the implementation of a co-management approach has been widely advocated in order to include the voices of local people and accommodate their interests in management decision-making. Most co-management literatures, however, underestimate the significance of statutory authority held by state to control forestlands and resources. By clarifying the implications of state ownership of forestland, this article aims to critically examine co-management processes with reference to Foucault’s notion of power and subject. Case studies were conducted at two co-management pilot sites in Gunung Halimun-Salak National Park, West Java, Indonesia. Findings demonstrate that co-management processes actually materialize shared decision-making arrangements between state forest bureaucracy and rural people through the application of equity approaches, such as deliberation, negotiation, and experimentation. At the same time, these processes can also function to diffuse state policy discourse in rural spheres, which makes rural subjects who accept and practice the policy discourse. The research also reveals that the diffusion process is complex and does not necessarily make a durable subject unless they are pertinently organized. The results of this research indicate that co-management of state forestlands is a double-edged process for local people who risk becoming a proxy of state bureaucracy in the implementation of state policy. Proponents of co-management should, therefore, critically examine whether new institutional arrangements, which are developed through co-management, truly reflect values and needs of local people and assist them to develop a pertinent subject to deal with it.

7 CFR 22.306 - Financing rural development planning.

Science.gov (United States)

2010-01-01

... 7 Agriculture 1 2010-01-01 2010-01-01 false Financing rural development planning. 22.306 Section... Responsibilities of State Governments § 22.306 Financing rural development planning. States will be required to finance rural development planning through their own resources, revenue-sharing allocations, or the...

Unified costs for the rural electrification in the state of Sao Paulo, Brazil; Custos unificados para a eletrificacao rural em Sao Paulo

Energy Technology Data Exchange (ETDEWEB)

Ribeiro, Fernando Selles; Kurahassi, Luiz Fernando; Pazzini, Luiz Henrique Alves; Galvao, Luiz Claudio Ribeiro; Pelegrini, Marcelo Aparecido [Sao Paulo Univ., SP (Brazil). Dept. de Engenharia de Energia e Automacao Eletricas. Grupo de Energia]. E-mail: kurahass@pea.usp.br

2000-07-01

The Banco Nacional de Desenvolvimento Economico e Social - BNDES, a Brazilian bank for the economic and social development - worried about the high connections costs practiced by the energy utilities, made some demands to the Sao Paulo State Government, Brazil to become the agent backer of the rural electrification 'Luz da Terra' program. Two of them was the elaboration and adoption of an unified technical norm privileging the adoption of simplified systems of electric energy distribution and an only system of costs establishment compatible with the goals of low medium connection costs for the state. A model of costs establishment was elaborated through the medium prices of market materials and labor activities whose values were more significant in the final composition of the projects. The model was accepted by the utilities participants of the program as a pattern to establish a reference cost for each project to be executed. The advantage of an unified system is that it allows to each project of grid extension to have its costs of materials and labor activities estimated in the same base, independent of the company involved. In spite of not having been adopted by all the utilities ones, the adoption of an unified system and the establishment of reference costs was essential for the control of rural distribution grids prices in the Sao Paulo State. (author)

PROBLEMS AND PROSPECTS OF MANAGEMENT OF RURAL DEVELOPMENT

Directory of Open Access Journals (Sweden)

Inna Tomashuk

2017-12-01

Full Text Available The purpose of the research is to study problems of rural development management, to analyse the effectiveness of management of the resource potential of rural areas, and to study the socio-economic priorities of their development, as well as to determine the justified ways of their solution in modern conditions. Methodology. The system approach to studying the development of rural areas makes it possible to consider components in the relationship between themselves and interaction with components of other systems. The state, problems, and prospects of rural development management are considered. The necessity of significant changes in the state policy of rural management is determined. It is substantiated that the current trends in the development of rural areas of Ukraine take place in the direction of narrowing the sphere of application of labour and the mismatch of professional and skilled workers’ quality to the needs of employers, and the growth of unemployment. The results showed that the revival of rural areas depends primarily on the level of economic development of the country. Multifunctional development of the village should be carried out taking into account the integrated approach to solving the problems of the agrarian complex, villages, rural areas in general, through the combination of interests of inhabitants of rural areas, rural communities, local government, and the state, applying social and economic levers of regulation of the relevant relations in conjunction with the organizational and legal ones. The subject of the research is the mechanisms for managing the development of rural areas. The emphasis is made on the imperfection of the modern mechanism of the financial and economic provision of rural development management, in particular, regarding the distribution of state budget funds in this area. The impact of a clear state policy that is aimed at supporting regional development is outlined. The importance of the

Previdência social rural e gênero Rural Social Welfare and gender

Directory of Open Access Journals (Sweden)

Anita Brumer

2002-06-01

Full Text Available O trabalho apresenta uma análise das principais transformações da previdência social rural no Brasil, que culminaram com a inclusão das mulheres trabalhadoras rurais como beneficiárias (direito à aposentadoria por idade e salário-maternidade na legislação aprovada pelo Congresso Nacional em 1988. Paralelamente, faz-se um exame do papel do Estado e da sociedade civil na evolução da legislação relativa à previdência social rural, procurando-se evidenciar seu caráter de "doação" por parte do Estado ou da "conquista" polos próprios trabalhadores(as. Finalmente, são examinados alguns impactos da implantação da previdência social rural no Sul do Brasil, ressaltando-se seu papel na diminuição da pobreza rural e da desigualdade na distribuição da renda, assim como sua importância material e simbólica na mudança de relações de gênero no meio rural.The work analyzes the main transformations in the rural Social Welfare in Brazil. The outcome of these transformations has been the inclusion of rural hard-working women in the welfare system as of the legislation approved by the National Congress in 1988. Rural-work women in Brazil have become entitled to the benefits of paid maternity leave and retirement accordant to a legal age limit. Concurrently, the article examines the role played by the State and the civil society in the unfolding of the legislation related to rural Social Welfare, in an attempt of exposing its character of either a "donation" given by the State or the workers' own "conquest". Finally, the author queries the impact of rural Social Welfare implementation in the South of Brazil, emphasizing its achievements in the decrease of rural poverty and unequal income distribution, as well as its material and symbolic importance in the gender relationship shift in rural areas.

Performance needs assessment of maternal and newborn health service delivery in urban and rural areas of Osun State, South-West, Nigeria.

Science.gov (United States)

Esan, Oluwaseun T; Fatusi, Adesegun O

2014-06-01

The study aimed to determine performance and compare gaps in maternal and newborn health (MNH) services in urban and rural areas of Osun State, Nigeria, to inform decisions for improved services. This study involved 14 urban and 10 rural-based randomly selected PHC facilities. Using a Performance Needs Assessment framework, desired performances were determined by key stakeholders and actual performances measured by conducting facility survey. Questionnaire interview of 143 health workers and 153 antenatal clients were done. Performance gaps were determined for the urban and rural areas and compared using Chi-square tests with SPSS version 17. PHC facilities and health workers in Osun State, Nigeria, were found to have significant gaps in MNH service performance and this was worse in the rural areas. Root cause of most of the performance gaps was poor political will of local government authorities. Improved government commitment to MNH is needful to address most of the gaps.

An Investigation of Bioecological Influences Associated with First Use of Methamphetamine in a Rural State

Science.gov (United States)

Bowen, Anne; Moring, John; Williams, Mark; Hopper, Glenna; Daniel, Candice

2012-01-01

Purpose: Methamphetamine (MA) addiction is a significant problem in rural areas of the United States. Yet, little theoretically driven formative research has been conducted on the interactions of factors influencing initiation. The study was guided by Bronfenbrenner's bioecological model. Methods: Eighty-three MA users participated in an…

Rural workload: study performed in two rural environments in the state of Rio Grande do Sul, Brazil

Directory of Open Access Journals (Sweden)

Laurelize Pereira Rocha

2016-05-01

Full Text Available ABSTRACT: This study aimed to analyze loads resulting from the rural work of fruit and vegetable farmers. This exploratory and descriptive study was conducted with 259 farm workers from two rural environments. A semi-structured questionnaire based on the concepts of NASA-TLX was used to assess workload. The male and female workers of one environment reported that the demand that contributed the most to their workload was the level of total effort, while the women of the other environment reported that the physical demand was more relevant for WL. In conclusion, evidence concerning workload supports further investigation into the health of rural workers and the development of preventive strategies related to rural work.

Evaluation of groundwater resource potential in rural part of ...

African Journals Online (AJOL)

This study was carried out to determine groundwater potential in the rural area of Northcentral Nigeria using Vertical Electrical Sounding (VES). The VES data was generated from twenty (20) locations in the study area and was later processed and analyzed using IPI2 WIN software. The underlying geo-electric sections ...

Rural Gentrification and Linked Migration in the United States

Science.gov (United States)

Nelson, Peter B.; Oberg, Alexander; Nelson, Lise

2010-01-01

Although gentrification is a process commonly associated with urban landscapes, rural areas in advanced economies have also experienced gentrification over the past two decades. Largely based on case study approaches, the Rural Studies literature describes transformations in the housing market, changed cultural attitudes toward the environment,…

Political Economy of Right to Education in Rural China: Unpacking the Black Box of State

NARCIS (Netherlands)

Hong, Y.

2011-01-01

This dissertation approaches the inequality of basic education between urban and rural China from a human rights perspective and positions this issue in the context of Chinese political economy. It demonstrates the slackness of the Chinese state in the 1990s and its insufficient efforts in the 2000s

Nine Words - Nine Columns

DEFF Research Database (Denmark)

Trempe Jr., Robert B.; Buthke, Jan

2016-01-01

This book records the efforts of a one-week joint workshop between Master students from Studio 2B of Arkitektskolen Aarhus and Master students from the Harbin Institute of Technology in Harbin, China. The workshop employed nine action words to instigate team-based investigation into the effects o...... as formwork for the shaping of wood veneer. The resulting columns ‘wear’ every aspect of this design pipeline process and display the power of process towards an architectural resolution....

Rural-urban differences in breastfeeding initiation in the United States.

Science.gov (United States)

Sparks, P Johnelle

2010-05-01

Research has noted a rural disadvantage in breastfeeding initiation; however, most previous research has been based on nonrepresentative samples and has been limited in its ability to compare racial/ethnic differences in breastfeeding initiation based on residential location. This research fills this gap by examining a nationally representative sample of births using the Early Childhood Longitudinal Study-Birth Cohort (ECLS-B) to explore associations between rural-urban residence and maternal race/ethnicity on breastfeeding initiation. Results indicate that associations observed for rural-urban breastfeeding initiation differ based on maternal race/ethnicity and poverty status. These patterns likely reflect differences in economic resources, work environments, and social support among rural minority postpartum women.

A Survey of Professional Training and Certification of Rural Administrators and Rural Teachers in New Mexico.

Science.gov (United States)

Tingley, Wayne

Teachers and administrators in rural New Mexico schools and preservice teachers at New Mexico State University were surveyed to determine components that could be included in teacher education programs to augment prospective rural teachers' skills and to ease problems of recruitment/retention of certified personnel in rural schools. Questionnaires…

Proceedings: Twenty years of energy policy: Looking toward the twenty-first century

International Nuclear Information System (INIS)

1992-01-01

In 1973, immediately following the Arab Oil Embargo, the Energy Resources Center, University of Illinois at Chicago initiated an innovative annual public service program called the Illinois Energy Conference. The objective was to provide a public forum each year to address an energy or environmental issue critical to the state, region and nation. Twenty years have passed since that inaugural program, and during that period we have covered a broad spectrum of issues including energy conservation nuclear power, Illinois coal, energy policy options, natural gas, alternative fuels, new energy technologies, utility deregulation and the National Energy Strategy

Proceedings: Twenty years of energy policy: Looking toward the twenty-first century

Energy Technology Data Exchange (ETDEWEB)

1992-12-31

In 1973, immediately following the Arab Oil Embargo, the Energy Resources Center, University of Illinois at Chicago initiated an innovative annual public service program called the Illinois Energy Conference. The objective was to provide a public forum each year to address an energy or environmental issue critical to the state, region and nation. Twenty years have passed since that inaugural program, and during that period we have covered a broad spectrum of issues including energy conservation nuclear power, Illinois coal, energy policy options, natural gas, alternative fuels, new energy technologies, utility deregulation and the National Energy Strategy.

Localizing HIV/AIDS discourse in a rural Kenyan community.

Science.gov (United States)

Banda, Felix; Oketch, Omondi

2011-01-01

This paper examines the effectiveness of multimodal texts used in HIV/AIDS campaigns in rural western Kenya using multimodal discourse analysis (Kress and Van Leeuwen, 2006; Martin and Rose, 2004). Twenty HIV/AIDS documents (posters, billboards and brochures) are analysed together with interview data (20 unstructured one-on-one interviews and six focus groups) from the target group to explore the effectiveness of the multimodal texts in engaging the target rural audience in meaningful interaction towards behavioural change. It is concluded that in some cases the HIV/AIDS messages are misinterpreted or lost as the multimodal texts used are unfamiliar and contradictory to the everyday life experiences of the rural folk. The paper suggests localization of HIV/AIDS discourse through use of local modes of communication and resources.

Twenty-first century learning in states: the case of the Massachusetts educational system.

Science.gov (United States)

Driscoll, David P

2006-01-01

A current crisis in education is leaving students less prepared to succeed in the working world than any generation before them. Increasingly complex external, nonacademic pressures have an impact on many of today's students, often causing them to drop out of school. Only 76 percent of Massachusetts high school students graduate, and only 29 percent earn a college degree. National figures are worse. Most educational institutions share a common goal to support students in becoming skilled, productive, successful members of society, but the author argues that this goal is not being met. Despite the constant changes in the world, educational practices have remained static. Most public schools are not adapting to meet the shifting needs of students. Universities are not able to prepare the right mix of prospective employees for the demands of the job market; for example, schools are graduating only 10 percent of the needed engineers. Institutions of higher learning cannot keep up with employers' needs in an evolving global market: strong math, science, and writing abilities; critical thinking skills; and the ability to work in teams. The author draws on exemplary efforts at work in his home state of Massachusetts--whose improvements in student achievement outcomes have been some of the best in the nation--to suggest there is promise in twenty-first century learning. Middle school students involved in a NASA-funded project write proposals, work in teams, and engage in peer review. Older students participate in enhanced, hands-on cooperative school-to-work and after-school programs. Schools are starting to offer expanded day learning, increasing the number of hours they are engaged in formal learning. Yet such programs have not reached significant levels of scale. The author calls for a major shift in education to help today's students be successful in the twenty-first century.

Regional Rural Tourist Recreation Shopping Centers: A New Concept in the Leisure Industry

Science.gov (United States)

Nicholls, Leland L.

1975-01-01

A rural tourist-recreation shopping center is defined as an area relatively accessible to city dwellers that can be developed for recreation purposes. Twenty-three such areas have been identified in the Appalachian Highlands. (PS)

Rural nurse job satisfaction.

Science.gov (United States)

Molinari, D L; Monserud, M A

2008-01-01

The lack of rural nursing studies makes it impossible to know whether rural and urban nurses perceive personal and organizational factors of job satisfaction similarly. Few reports of rural nurse job satisfaction are available. Since the unprecedented shortage of qualified rural nurses requires a greater understanding of what factors are important to retention, studies are needed. An analysis of the literature indicates job satisfaction is studied as both an independent and dependent variable. In this study, the concept is used to examine the intention to remain employed by measuring individual and organizational characteristics; thus, job satisfaction is used as a dependent variable. One hundred and three rural hospital nurses, from hospitals throughout the Northwest region of the United States were recruited for the study. Only nurses employed for more than one year were accepted. The sample completed surveys online. The McCloskey/Mueller Satisfaction Scale, the Gerber Control Over Practice Scale, and two open-ended job satisfaction questions were completed. The qualitative analysis of the open-ended questions identified themes which were then used to support the quantitative findings. Overall alphas were 0.89 for the McCloskey/Mueller Scale and 0.96 for the Gerber Control Over Practice Scale. Rural nurses indicate a preference for rural lifestyles and the incorporation of rural values in organizational practices. Nurses preferred the generalist role with its job variability, and patient variety. Most participants intended to remain employed. The majority of nurses planning to leave employment were unmarried, without children at home, and stated no preference for a rural lifestyle. The least overall satisfied nurses in the sample were employed from 1 to 3 years. Several new findings inform the literature while others support previous workforce studies. Data suggest some job satisfaction elements can be altered by addressing organizational characteristics and by

Rural Revitalization through Collaboration.

Science.gov (United States)

Norman, Charles

In recent years, service programs targeted for Georgia's rural communities have decreased proportionately in relation to those intended for the state's rapidly expanding population centers. At the same time, erosion of traditional manufacturing industries and an adverse agricultural economy have decreased the ability of rural communities to…

Not just a rural occurrence: differences in agricultural equipment crash characteristics by rural-urban crash site and proximity to town.

Science.gov (United States)

Harland, Karisa K; Greenan, Mitchell; Ramirez, Marizen

2014-09-01

Although approximately one-third of agricultural equipment-related crashes occur near town, these crashes are thought to be a rural problem. This analysis examines differences between agricultural equipment-related crashes by their urban-rural distribution and distance from a town. Agricultural equipment crashes were collected from nine Midwest Departments of Transportation (2005-2008). Crash zip code was assigned as urban or rural (large, small and isolated) using Rural-Urban Commuting Areas. Crash proximity to a town was estimated with ArcGIS. Multivariable logistic regression was used to estimate the odds of crashing in an urban versus rural zip codes and across rural gradients. ANOVA analysis estimated mean distance (miles) from a crash site to a town. Over four years, 4444 crashes involved agricultural equipment. About 30% of crashes occurred in urban zip codes. Urban crashes were more likely to be non-collisions (aOR=1.69[1.24-2.30]), involve ≥2 vehicles (2 vehicles: aOR=1.58[1.14-2.20], 3+ vehicles: aOR=1.68[0.98-2.88]), occur in a town (aOR=2.06[1.73-2.45]) and within one mile of a town (aOR=1.65[1.40-1.95]) than rural crashes. The proportion of crashes within a town differed significantly across rural gradients (Purban-rural distribution (Pagricultural equipment are unexpectedly common in urban areas and near towns and cities. Education among all roadway users, increased visibility of agricultural equipment and the development of complete rural roads are needed to increase road safety and prevent agricultural equipment-related crashes. Copyright © 2014 Elsevier Ltd. All rights reserved.

The State of Nursing Home Information Technology Sophistication in Rural and Nonrural US Markets.

Science.gov (United States)

Alexander, Gregory L; Madsen, Richard W; Miller, Erin L; Wakefield, Douglas S; Wise, Keely K; Alexander, Rachel L

2017-06-01

To test for significant differences in information technology sophistication (ITS) in US nursing homes (NH) based on location. We administered a primary survey January 2014 to July 2015 to NH in each US state. The survey was cross-sectional and examined 3 dimensions (IT capabilities, extent of IT use, degree of IT integration) among 3 domains (resident care, clinical support, administrative activities) of ITS. ITS was broken down by NH location. Mean responses were compared across 4 NH categories (Metropolitan, Micropolitan, Small Town, and Rural) for all 9 ITS dimensions and domains. Least square means and Tukey's method were used for multiple comparisons. Methods yielded 815/1,799 surveys (45% response rate). In every health care domain (resident care, clinical support, and administrative activities) statistical differences in facility ITS occurred in larger (metropolitan or micropolitan) and smaller (small town or rural) populated areas. This study represents the most current national assessment of NH IT since 2004. Historically, NH IT has been used solely for administrative activities and much less for resident care and clinical support. However, results are encouraging as ITS in other domains appears to be greater than previously imagined. © 2016 National Rural Health Association.

Emergence of the notion of retirement in rural China. The case of rural districts of Shanghai.

Science.gov (United States)

Shih-Jiunn, Shi

2008-10-01

Since the outset of the reform process in 1978, rural China has been undergoing fundamental changes in the relationships between the state, society and individuals. Social policy, including pension policy for rural residents, is an essential factor in this transformation process which has influenced the life chances of many peasants. This paper deals with the relationship between social policy and individual life courses in the case of Shanghai's rural pension policy. It integrates the theoretical insights from life course research to emphasise the close relationship between the state welfare and the institutionalisation of the life course. By analysing biographical interviews conducted in rural Shanghai, this article has identified the changing nature of welfare mix in rural old-age security as well as the emergence of the notion of retirement among the peasants in rural Shanghai. The introduction of the innovative rural pension policy has given rise to the rudimentary emergence of a modern life course, in the contour of a temporal partition between work and retirement. However, diverse local subsidies and individual household situations have led to different perceptions and biographical orientations of the peasants with respect to their old-age security and retirement.

Nine Walks

DEFF Research Database (Denmark)

2013-01-01

Based on studies of, among others, the Situationists and their theories regarding walks as an artistic method and expression nine master students from “Studio Constructing an Archive”, Aarhus School of Architecture, Denmark performed nine walks as part of the exhibition. These walks relate...... to the students’ individual mappings of Behind the Green Door, its structure and content. They highlight a number of motifs found in the exhibition which are of particular interest to the students. The walks represented reflections on the walk as an artistic method and expression. Each walk is an individual...

Social Representations of Aids among rural and urban youngsters on the state of Minas Gerais

Directory of Open Access Journals (Sweden)

Margarete Moreira Coutinho e Silva

2014-12-01

Full Text Available This article analyzes the representations of rural and urban youngsters on the subject of aids. It aims to verify if the intensification of the interaction between country and city that provides increasing access to both spaces results in a symbolic homogeneity on some aspects of the disease. The technological progress and the physical mobility advance promote this approach, which provides information to rural youngsters that put them in situations of consonance of attitudes and vulnerabilities in comparison with the urban youngsters. The research used data based on the sample of 131 students from the Curso Técnico em Agropecuária of the federal institute IF Sudeste de Minas Gerais – Campus Barbacena – amongst whom 40 residents in rural areas. The results reveal that the youngsters assume they are aware of aids, but their responses to the questionnaire betray a state of high vulnerability to the disease. The analysis is guided by the social representation theories and shows that stereotypes about diseases remain instilled in the symbolic countryside, collaborating to the convergence of opinions and conducts.

A comparison of mental health, substance use, and sexual risk behaviors between rural and non-rural transgender persons.

Science.gov (United States)

Horvath, Keith J; Iantaffi, Alex; Swinburne-Romine, Rebecca; Bockting, Walter

2014-01-01

The aim of this study was to compare the mental health, substance use, and sexual risk behaviors of rural and non-rural transgender persons. Online banner advertisements were used to recruit 1,229 self-identified rural and non-rural transgender adults (18+ years) residing in the United States. Primary findings include significant differences in mental health between rural and non-rural transmen; relatively low levels of binge drinking across groups, although high levels of marijuana use; and high levels of unprotected sex among transwomen. The results confirm that mental and physical health services for transgender persons residing in rural areas are urgently needed.

Survey of nine surface mines in North America. [Nine different mines in USA and Canada

Energy Technology Data Exchange (ETDEWEB)

Hayes, L.G.; Brackett, R.D.; Floyd, F.D.

1981-01-01

This report presents the information gathered by three mining engineers in a 1980 survey of nine surface mines in the United States and Canada. The mines visited included seven coal mines, one copper mine, and one tar sands mine selected as representative of present state of the art in open pit, strip, and terrace pit mining. The purpose of the survey was to investigate mining methods, equipment requirements, operating costs, reclamation procedures and costs, and other aspects of current surface mining practices in order to acquire basic data for a study comparing conventional and terrace pit mining methods, particularly in deeper overburdens. The survey was conducted as part of a project under DOE Contract No. DE-AC01-79ET10023 titled The Development of Optimal Terrace Pit Coal Mining Systems.

Ad Hoc Rural Regionalism

Science.gov (United States)

Hamin, Elisabeth M.; Marcucci, Daniel J.

2008-01-01

A new regionalism has been much documented and researched for metropolitan areas; this article documents that there is a new rural regionalism as well. In the United States, these groups appear most likely to emerge in areas that are challenged by outcomes characterizing globalization's effects on the rural condition: namely, exurban or…

An independent investigation into the deployment of the federal communications commissions' rural health care pilot program.

Science.gov (United States)

Whitten, Pamela; Holtz, Bree; Laplante, Carolyn; Alverson, Dale; Krupinski, Elizabeth

2010-12-01

the goal of this study was to provide an independent and objective evaluation of the implementation of the Federal Communications Commission's Rural Health Care Pilot Program. thirty-nine of the programs that were provided funding through this program were interviewed and asked about their project deployment, network planning, and the involvement of their state in implementation. RESULTS showed that programs recruited project team members from a variety of fields to fulfill different roles. Network partners were often chosen because they were stakeholders in the outcome of the project and because they had a past working relationship with the grant-receiving programs. In terms of deployment, many programs had made progress in filling out necessary paperwork and were tracking milestones, but had experienced changes since first receiving funding, such as losing participants. Additionally, many encountered challenges that inhibited deployment, such as coping with rule fluctuations. Many of the programs received support from their respective state governments in project development, often through matching funds, but few states were involved in the actual management of projects. as rural healthcare facilities often lack the information technology infrastructure compared with many urban facilities, it is important to understand the implementation process for programs such as the Rural Health Care Pilot Program and to examine what contributes to progress, stagnation, or disintegration. Although the programs reported some success, almost all had encountered challenges that inhibited implementation. A follow-up study is planned to further investigate deployment and determine the implications of Federal Communications Commission funding.

Intentional injuries in young Ohio children: is there urban/rural variation?

Science.gov (United States)

Anderson, Brit L; Pomerantz, Wendy J; Gittelman, Michael A

2014-09-01

Intentional injuries are the third leading cause of death in children 1 year to 4 years of age. The epidemiology of these injuries based on urban/rural geography and economic variables has not been clearly established. The study purposes are (1) to determine the rate of severe intentional injuries in children younger than 5 years in urban versus rural Ohio counties and (2) to determine if poverty within counties is associated with intentional injury rate. Demographic and injury data on children younger than 5 years who experienced intentional injuries, from January 1, 2003, to December 31, 2011, were extracted retrospectively from the Ohio Trauma Acute Care Registry. We calculated injury rates using the county of residence and US census data. We assigned each county to an urbanization level based on population density (A, most urban; D, most rural). Mean income and percentage of families with children younger than 5 years living below poverty in Ohio counties were obtained from the US census. Rates are per 100,000 children younger than 5 years per year. A total of 984 patients were included; the overall injury rate was 15.9. The mean age was 0.66 years (SD, 1.02 years); 583 (59.2%) were male and 655 (66.6%) were white. One hundred twenty-nine (13.1%) died. Injury rates by urbanization level were as follows: A, 16.5; B, 10.7; C, 18.7; and D, 15.2 (p = 0.285). There were significant associations between county injury rate and mean income (p = 0.05) and percentage of families with children younger than 5 years living below poverty (p = 0.04). We found no association between intentional injury rate and urbanization level in young Ohio children. However, we did find an association between county mean income and percentage of families living below poverty, with intentional injury rate suggesting that financial hardship may be an important risk factor of these injuries.

Comparison of breast and cervical cancer screening utilization among rural and urban Hispanic and American Indian women in the Southwestern United States.

Science.gov (United States)

Nuño, Tomas; Gerald, Joe K; Harris, Robin; Martinez, Maria Elena; Estrada, Antonio; García, Francisco

2012-08-01

Rural Hispanic and American Indian (AI) women are at risk of non-participation in cancer screening programs. The objective of this study was to compare breast and cervical cancer screening utilization among Hispanic and AI women that reside in rural areas of the Southwestern United States to their urban counterparts and to assess characteristics that influence cancer screening. This study utilizes Behavioral Risk Factor Surveillance System (BRFSS) data from 2006 to 2008 for Arizona and New Mexico. The BRFSS is a federally funded telephone survey to collect data on risk factors contributing to the leading causes of death and chronic diseases. Rural Hispanic and AI populations reported some differences in screening rates compared with their urban counterparts. Among Hispanic women, 58 % of rural residents reported having had a mammogram within the past year, compared with 66 % of urban residents. Among AI women, 81 % of rural residents had ever had a mammogram, compared with 89 % of urban residents. Rural AI women were less likely to have ever had a mammogram (OR = 0.5; 95 % CI = 0.3-0.9) compared with urban AI women. Rural Hispanic women were less likely to have had a mammogram within 1 year (OR = 0.7; 95 % CI = 0.5-0.9) compared with urban Hispanic women. Results suggest that rural Hispanic women were less likely to have had a Pap smear within 3 years (OR = 0.7; 95 % CI = 0.4-1.3) compared with urban Hispanic women. Our results provide some evidence that Hispanic and AI women that reside in rural areas of the Southwestern United States have lower rates of breast and cervical cancer screening use compared with their urban counterparts. Special efforts are needed to identify ways to overcome barriers to breast and cervical cancer screening for rural Hispanic and AI women.

Dietary practices and nutritional status of under-five children in rural and urban communities of Lagos State, Nigeria.

Science.gov (United States)

Senbanjo, Idowu O; Olayiwola, Ibiyemi O; Afolabi, Wasiu A O

2016-01-01

Evidence shows that urban children generally have a better nutritional status than their rural counterparts. However, data establishing whether this difference in prevalence of undernutrition could be ascribed to difference in dietary practices are few. The aim of this study was to compare dietary practices and nutritional status of children in rural and urban communities of Lagos State, Nigeria. This was a comparative-analytical study conducted using the multistage sampling technique to select the study cases. A total of 300 mother-child pairs were studied, including 150 each from rural and urban communities. Data collected include demographics, socioeconomic characteristics, feeding practices and anthropometric measurements of the participants. Food intake data were collected using 24-h dietary recall. Malnutrition in children was determined by calculating the prevalence of low height-for-age (stunting), low weight-for-age (underweight), and low weight-for-height (wasting) using the World Health Organization cutoff points. The prevalence of exclusive breastfeeding for 6 months (25.3% vs. 28.7%; P = 0.516), use of formula feeds (48.7% vs. 44%; P = 0.077), and mean age of child at introduction of semisolid foods (7.54 ± 4.0 months vs. 8.51 ± 7.3 months; P = 0.117) were not significantly different between urban and rural communities. The diversity of food choices and frequencies of consumption were similar between urban and rural communities. However, prevalence levels of underweight and stunted children were significantly higher in rural than that of urban communities (19.4% vs. 9.3%, P rural communities.

Comparison of indoor radon and thoron concentrations in the urban and rural dwellings of Chhattisgarh state of India

International Nuclear Information System (INIS)

Khokhar, M.S.K.; Kher, R.S.; Rathore, V.B.; Pandey, S.; Ramachandran, T.V.

2008-01-01

In the frame of nationwide radon/thoron monitoring program, indoor radon/thoron and their progeny concentrations have been estimated for 210 dwellings situated in 8 towns (urban) and 9 villages (rural) of Chhattisgarh state of India. The measurement has been made on quarterly integrating cycle for one full year in each dwelling. Twin chamber dosimeter cup with LR-115 Type-II Solid State Nuclear Track Detector was used for the measurement of indoor radon/thoron concentration. The results show that the geometric mean of indoor thoron concentration in urban dwellings varies from 11.57 to 25.88Bqm -3 with an overall geometric mean value of 16.65Bqm -3 , while in rural dwellings it varies from 12.50 to 30.08Bqm -3 with an overall geometric mean value of 19.00Bqm -3 . The potential alpha energy concentration (PAEC) levels of thoron in the urban and rural dwellings are found to be 2.58 and 4.57 mWL, respectively. Similarly, the geometric mean of indoor radon concentrations in urban dwellings is found to vary from 20.20 to 30.13Bqm -3 with an overall geometric mean value of 25.28Bqm -3 , while in rural dwellings it varies from 15.50 to 36.05Bqm -3 with an overall geometric mean value of 27.32Bqm -3 . The PAEC levels of radon in the urban and rural dwellings are found to be 1.50 and 1.87 mWL, respectively. The dose contribution of thoron and progeny in total inhalation dose has been found to be more than 20% in all the surveyed places that show the necessity to pay attention to the presence of thoron and progeny from public health point of view

Menstrual Disorders in Rural Igbo Women of Ebonyi State, South ...

African Journals Online (AJOL)

Background: Rural Igbo women frequently perceive disorders of menstruation in the context of their inability to achieve pregnancy, and may otherwise not volunteer information on such abnormalities in the gynaecological clinic. This study determined the prevalence and pattern of menstrual disorders in rural Igbo women of ...

The rural utility response to Colorado's electricity mandates

International Nuclear Information System (INIS)

Tierney, Sean

2011-01-01

When Colorado voters passed Amendment 37 in 2004, it became the first state to pass a renewable portfolio standard at the ballet box, suggesting broad appeal to harness and pay for renewable energy. While large urban utilities are prepared to make this transition, smaller cities and rural areas, for various financial and scale issues are severely disadvantaged in trying to incorporate more renewable energy sources into their electricity mix. This was evident by the state's support for Amendment 37, which was passed due to strong support in the Denver metro area-representing nearly half of the state's population. Support for the bill was poor in the rest of the state. Nevertheless, in 2007, the state expanded up Amendment 37 by forcing the utilities in rural communities to diversify their electricity mix. This study surveyed the managers at the state's various rural electric cooperatives and municipal utilities in an effort to gage their attitudes concerning: carbon legislation, conservation and efficiency programs, and their plans for making the transition away from fossil fuel generation. - Highlights: → Communities served by rural utilities opposed Colorado's state-wide RPS, but were forced to adhere anyway. → Most rural utilities are very concerned about the economic impacts of trying to diversify their energy portfolios. → Many of these unregulated utilities were already pushing DSM programs to promote conservation and improve efficiency.

Culture and rural health.

Science.gov (United States)

Farmer, Jane; Bourke, Lisa; Taylor, Judy; Marley, Julia V; Reid, John; Bracksley, Stacey; Johnson, Nicole

2012-10-01

This paper considers the role of culture in rural health, suggesting that the concept and its impacts are insufficiently understood and studied. It reviews some of the ways that culture has been considered in (rural) health, and states that culture is either used ambiguously and broadly - for example, suggesting that there is a rural culture, or narrowly - indeed perhaps interchangeably with ethnicity, for example Aboriginal culture as a unity. The paper notes that, although culture is a dynamic social concept, it has been adopted into a biomedical research paradigm as though it is fixed. Culture is often treated as though it is something that can be addressed simplistically, for example, through cultural sensitivity education. Authors suggest that culture is an unaddressed 'elephant in the room' in rural health, and that exploring cultural differences and beliefs and facing up to cultural differences are vital in understanding and addressing rural health and health system challenges. © 2012 The Authors. Australian Journal of Rural Health © National Rural Health Alliance Inc.

Development of twenty-nine polymorphic microsatellite loci from ...

Indian Academy of Sciences (India)

genetic management decisions for artificial propagation populations. ... Genomic DNA for genomic library construction was ..... the research of population dynamics and genetic structure of Cor- ... genotyping errors in microsatellite data. Mol.

Development and characterization of twenty-nine novel polymorphic ...

Indian Academy of Sciences (India)

These research areas have long suffered from one of the challenges of system- ..... library of red sea bream (Chrysophrys major) and cross-species amplification. Mol. ... high throughput web application for PCR and sequencing primer design.

Adaptation of rural electricity cooperatives in the State of Parana to the scenario of the electric sector; Adaptacao das cooperativas de eletrificacao rural do estado do Parana ao cenario do setor eletrico

Energy Technology Data Exchange (ETDEWEB)

Oliveira, Celso Eduardo Lins de [Universidade de Sao Paulo (FZEA/USP), Pirassununga, SP (Brazil). Fac. de Zootecnia e Engenharia de Alimentos. Dept. de Engenharia de Alimentos], Email: celsooli@fzea.usp.br; Halmenan, Maria Cristina Rodrigues; Reisdoerfer, Eli Carlos; Massochin, Amauri [Universidade Estadual do Oeste do Parana (UNIOESTE), Cascavel, PR (Brazil). Programa de Pos Graduacao em Engenharia Agricola], Email: cristhalmeman@gmail.com

2006-07-01

Rural Electrification Cooperatives (REC) has already played a fundamental role in rural electrification process. Bearing in mind changes in legislation towards specific laws that tend to facilitate energy distribution and trade relations, REC has increased there potential to contribute even more to above mentioned process. The present work intended to assess how REC settled in Parana State have adapted themselves to the privatised electrical business scenario as well as to new legal requirements and the presence of great national and international corporations disputing the energy market. Such new electrical market model favors huge changes to the electrification cooperatives, with the possibility of transforming cooperatives into public service energy with governmental permission. Moreover, it also represents a giant challenge for their insertion and continuity in such new scenario, in as much as the REC classification process as public service companies for electric energy distribution has been carried out for years, added to the scarcity of investments on state cooperatives, therefore restricting electric energy supply to residential, rural and irrigation sectors. (author)

Backgrounder: Nine new grants to improve access to sexual and ...

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

2017-04-06

Apr 6, 2017 ... ... videos in Bauchi State to include education about child-spacing and contraception. Partners: Federation of Muslim Women's Associations of Nigeria ... and women in rural areas, through the use of mobile health applications. ... Build the capacity to identify factors within households that influence women's ...

How rural and urban parents describe convenience in the context of school-based influenza vaccination: a qualitative study.

Science.gov (United States)

Lind, Candace; Russell, Margaret L; Collins, Ramona; MacDonald, Judy; Frank, Christine J; Davis, Amy E

2015-01-22

Seasonal influenza vaccine uptake among school-age children has been low, particularly among rural children, even in jurisdictions in Canada where this immunization is publicly funded. Providing this vaccination at school may be convenient for parents and might contribute to increased vaccine uptake, particularly among rural children. We explore the construct of convenience as an advantage of school based influenza vaccination. We also explore for rural urban differences in this construct. Participants were parents of school-aged children from Alberta, Canada. We qualitatively analyzed focus group data from rural parents using a thematic template that emerged from prior work with urban parents. Both groups of parents had participated in focus groups to explore their perspectives on the acceptability of adding an annual influenza immunization to the immunization program that is currently delivered in Alberta schools. Data from within the theme of 'convenience' from both rural and urban parents were then further explored for sub-themes within convenience. Data were obtained from nine rural and nine urban focus groups. The template of themes that had arisen from prior analysis of the urban data applied to the rural data. Convenience was a third level theme under Advantages. Five fourth level themes emerged from within convenience. Four of the five sub-themes were common to both rural and urban participants: reduction of parental burden to schedule, reduction in parental lost time, decrease in parental stress and increase in physical access points for influenza immunization. The fifth subtheme, increases temporal access to influenza immunization, emerged uniquely from the rural data. Both rural and urban parents perceived that convenience would be an advantage of adding an annual influenza immunization to the vaccinations currently given to Alberta children at school. Improving temporal access to such immunization may be a more relevant aspect of convenience to rural

Oral traditions: a contextual framework for complex science concepts—laying the foundation for a paradigm of promise in rural science education

Science.gov (United States)

Avery, Leanne M.; Hains, Bryan J.

2017-03-01

The overarching goal of this paper is to bring a diverse educational context—rural sayings and oral traditions situated in ecological habitats—to light and emphasize that they need to be taken into consideration regarding twenty-first century science education. The rural sayings or tenets presented here are also considered alternative ways of learning and knowing that rural people (elders and children) acquire outside of school in rural places of home and habitat. Throughout this paper we explore the complex nature of rural sayings or tenets that have been shared by community elders and examine their historic scientific roots. In so doing, we uncover a wealth of information regarding the diverse rural sociocultural and ecological connections and the situated macro and micro-contexts from which these tenets arise. We argue for a preservation and educational revitalization of these tenets for current and future generations. We show how this knowledge both augments and differs from traditional western science and science curricula by illuminating the ways in which oral traditions are embedded in place, people, memory and culture. We close by presenting an alternative paradigm for science education that incorporates pluralism as a means to enrich current place-based pedagogies and practices. We suggest that in order to tackle the complex problems in this new age of the Anthropocene, revitalizing elders' wisdom as well as valuing rural children's diverse knowledge and the inherent connectivity to their habitats needs be cultivated and not expunged by the current trends that standardize learning. As stated in the call for this special issue, "rurality has a real positionality" and much can be learned from individual and unique rural contexts.

Characterizing Rural Food Access in Remote Areas.

Science.gov (United States)

Bardenhagen, Chris J; Pinard, Courtney A; Pirog, Rich; Yaroch, Amy Lazarus

2017-10-01

Residents of rural areas may have limited access to healthy foods, leading to higher incidence of diet related health issues. Smaller grocers in rural areas experience challenges in maintaining fresh produce and other healthy foods available for customers. This study assessed the rural food environment in northeast Lower Michigan in order to inform healthy food financing projects such as the Michigan Good Food Fund. The area's retail food businesses were categorized using secondary licensing, business, and nutrition program databases. Twenty of these stores were visited in person to verify the validity of the categories created, and to assess the availability of healthy foods in their aisles. In-depth interviews with key informants were carried out with store owners, economic development personnel, and other food system stakeholders having knowledge about food access, in order to learn more about the specific challenges that the area faces. Out-shopping, seasonality, and economic challenges were found to affect healthy food availability. Mid-sized independent stores were generally found to have a larger selection of healthy foods, but smaller rural groceries also have potential to provide fresh produce and increase food access. Potential healthy food financing projects are described and areas in need of further research are identified.

Redefining Rurality: Cosmopolitanism, Whiteness, and the New Latino Diaspora

Science.gov (United States)

Sierk, Jessica

2017-01-01

In mainstream discourse, rural generally implies white, while urban signifies not-white. However, what happens when "rural" communities experience demographic change? This paper examines how students from a rural, New Latino Diaspora community in a Midwestern state complicate traditional notions of rurality. Data from participant…

Reflections on Beijing Rural Energy Policies and New Rural Construction ——Using Digital Information Means

Science.gov (United States)

Zhi, Wang

2017-05-01

In recent years, the Beijing construction in accordance with the philosophy of environmental protection, solid depth to carry out a series of policies and measures, such as rural energy structure optimization and adjustment; rural residential seismic energy-saving; village green landscaping. If displaying and recording movement states and regulars of the beautiful countryside construction through this information process, It will greatly strengthen regulation of the relationship between new rural people, to realize system optimization, make urban and rural become conducive to human survival and sustainable development of space.

Racial Disparities in Diabetes Hospitalization of Rural Medicare Beneficiaries in 8 Southeastern States.

Science.gov (United States)

Wan, Thomas T H; Lin, Yi-Ling; Ortiz, Judith

2016-01-01

This study examined racial variability in diabetes hospitalizations attributable to contextual, organizational, and ecological factors controlling for patient variabilities treated at rural health clinics (RHCs). The pooled cross-sectional data for 2007 through 2013 for RHCs were aggregated from Medicare claim files of patients served by RHCs. Descriptive statistics were presented to illustrate the general characteristics of the RHCs in 8 southeastern states. Regression of the dependent variable on selected predictors was conducted using a generalized estimating equation method. The risk-adjusted diabetes mellitus (DM) hospitalization rates slightly declined in 7 years from 3.55% to 2.40%. The gap between the crude and adjusted rates became wider in the African American patient group but not in the non-Hispanic white patient group. The average DM disparity ratio increased 17.7% from the pre-Affordable Care Act (ACA; 1.47) to the post-ACA period (1.73) for the African American patient group. The results showed that DM disparity ratios did not vary significantly by contextual, organizational, and individual factors for African Americans. Non-Hispanic white patients residing in large and small rural areas had higher DM disparity ratios than other rural areas. The results of this study confirm racial disparities in DM hospitalizations. Future research is needed to identify the underlying reasons for such racial disparities to guide the formulation of effective and efficient changes in DM care management practices coupled with the emphasis of culturally competent, primary and preventive care.

Racial Disparities in Diabetes Hospitalization of Rural Medicare Beneficiaries in 8 Southeastern States

Directory of Open Access Journals (Sweden)

Thomas T. H. Wan

2016-10-01

Full Text Available This study examined racial variability in diabetes hospitalizations attributable to contextual, organizational, and ecological factors controlling for patient variabilities treated at rural health clinics (RHCs. The pooled cross-sectional data for 2007 through 2013 for RHCs were aggregated from Medicare claim files of patients served by RHCs. Descriptive statistics were presented to illustrate the general characteristics of the RHCs in 8 southeastern states. Regression of the dependent variable on selected predictors was conducted using a generalized estimating equation method. The risk-adjusted diabetes mellitus (DM hospitalization rates slightly declined in 7 years from 3.55% to 2.40%. The gap between the crude and adjusted rates became wider in the African American patient group but not in the non-Hispanic white patient group. The average DM disparity ratio increased 17.7% from the pre-Affordable Care Act (ACA; 1.47 to the post-ACA period (1.73 for the African American patient group. The results showed that DM disparity ratios did not vary significantly by contextual, organizational, and individual factors for African Americans. Non-Hispanic white patients residing in large and small rural areas had higher DM disparity ratios than other rural areas. The results of this study confirm racial disparities in DM hospitalizations. Future research is needed to identify the underlying reasons for such racial disparities to guide the formulation of effective and efficient changes in DM care management practices coupled with the emphasis of culturally competent, primary and preventive care.

7 CFR 2003.10 - Rural Development State Offices.

Science.gov (United States)

2010-01-01

... (CONTINUED) ADMINISTRATIVE REGULATIONS ORGANIZATION Functional Organization of the Rural Development Mission... oversight and leadership on major program functions. Major program functions include: Single Family and...

Issues and prospects for coal utilization in Zimbabwe's rural households

International Nuclear Information System (INIS)

Maya, R.S.

1990-01-01

The increasing shortage of traditional fuels in Zimbabwe has prompted government to consider seriously the use of coal in rural households. In this regard, both government and the privately owned coal industry have begun pilot projects in selected rural areas to initiate the introduction of coal stoves and coal fuels. These efforts by government and the coal industry need to be informed by knowledge of the financial and economic dimensions of coal diffusion to rural economies, the environmental implications of widespread coal use in rural households, and the general acceptability of coal as a fuel to households with a long tradition of free fuels. This paper summarizes the results of a study undertaken to provide such background information. Conducted over six months during 1988, the study included field surveys of four districts in Zimbabwe: Murewa, Shurugwi, Mberengwa, and Mazoe Citrus Estates. All but the Mazoe district are rural settings with severe shortages of fuelwood. Mazoe Citrus Estates is a semi-urban plantation community which has had over twenty years' experience with coal use in households under a company-sponsored programme which supplies both fuels and stoves free of charge

Wood, energy and households: perspectives on rural Kenya

Energy Technology Data Exchange (ETDEWEB)

Barnes, C; Ensminger, J; O' Keefe, P [eds.

1984-01-01

A collection of nine articles on agricultural and pastoral households in Kenya stems from a growing concern about the ability of households to meet their energy needs as the demand for wood resources increasingly outstrips the supply and the potential for securing non-biomass sources appears bleak. The future for most rural households relates to the socio-economic differentiation and the economic condition which exists in most Fourth World countries. The studies reflect the author's diverse interests in ecology, economics, geography, history, and anthropology, but all employ a household-level analysis. Separate abstracts were prepared for the nine chapters selected for the Energy Data Base (EDB) and Energy Abstracts for Policy Analysis (EPA).

Nutrition intervention program and childhood malnutrition: a comparative study of two rural riverine communities in bayelsa state, Nigeria.

Science.gov (United States)

Sawyer, W; Ordinioha, B; Abuwa, Pnc

2013-07-01

The prevalence of malnutrition is high in the Niger delta region of Nigeria, in spite of the region's oil wealth and nutrition intervention programs have been found to be effective in similar circumstance. This study is to assess the nutrition intervention program, implemented by UNICEF in some rural communities of Bayelsa State, one of the six States in the Niger delta region of Nigeria. The study was carried out in 2009 in Toruorua and Gbaranbiri, two rural riverine communities, in Baylesa State. Toruorua benefited from the nutrition intervention program of UNICEF between 1999 and 2008, while Gbaranbiri did not benefit. A comparative, cross-sectional study design was used, with the data collected using anthropometry and semi-structured questionnaire, administered on 105 respondents, chosen with the cluster sampling technique, popularized by UNICEF, from each of the study communities. Data were analyzed using EPI-INFO version 2002, Microsoft Excel software, and manually. Differences between the study communities were tested using the student's t-test for means, and Chi-square test for proportions. Significant values were set at P childhood malnutrition.

"Let's See if It Won't Go Away by Itself." LGBT Microaggressions among Teachers in South Africa

Science.gov (United States)

Francis, Dennis A.; Reygan, Finn

2016-01-01

We explored types and qualities of microaggressions or subtle forms of discrimination towards lesbian, gay, bisexual and transgender (LGBT) people among teachers in South Africa. For data collection, we used in-depth interviews. Twenty-five Life Orientation teachers, nine men and 16 women, from both rural and urban schools throughout the Free…

Revitalizing Rural Washington: Report and Recommendations of the Governor's Task Force on Rural Affairs.

Science.gov (United States)

Governor's Task Force on Rural Affairs, Olympia, WA.

Recognizing that urban and rural problems are interconnected, the Governor's Advisory Council on Urban Affairs (State of Washington), made a recommendation that led to formation (in 1970) of the Task Force on Rural Affairs. The report of that task force identifies the continuing technological revolution in agriculture as an important cause of (1)…

Oral Traditions: A Contextual Framework for Complex Science Concepts--Laying the Foundation for a Paradigm of Promise in Rural Science Education

Science.gov (United States)

Avery, Leanne M.; Hains, Bryan J.

2017-01-01

The overarching goal of this paper is to bring a diverse educational context--rural sayings and oral traditions situated in ecological habitats--to light and emphasize that they need to be taken into consideration regarding twenty-first century science education. The rural sayings or tenets presented here are also considered alternative ways of…

Working Together to Make a Difference in Rural America: North Central Regional Center for Rural Development, 2010 Annual Report

Science.gov (United States)

North Central Regional Center for Rural Development, 2011

2011-01-01

The North Central Regional Center for Rural Development (NCRCRD) is one of four regional centers in the United States that have worked to improve the quality of life in rural communities for nearly 40 years. With funding from the USDA National Institute of Food and Agriculture and the land-grant universities in our 12-state region, the NCRCRD…

Psychology and Rural America: Current Status and Future Directions.

Science.gov (United States)

Murray, J. Dennis; Keller, Peter A.

1991-01-01

Rural people constitute about one-fourth of the U.S. population; their special mental health needs have largely been neglected. Psychologists are needed to practice in rural areas, to develop rural service models, and to support the development of state and federal policies that address rural needs. (DM)

Clinical decision-making of rural novice nurses.

Science.gov (United States)

Seright, T J

2011-01-01

Nurses in rural settings are often the first to assess and interpret the patient's clinical presentations. Therefore, an understanding of how nurses experience decision-making is important in terms of educational preparation, resource allocation to rural areas, institutional cultures, and patient outcomes. Theory development was based on the in-depth investigation of 12 novice nurses practicing in rural critical access hospitals in a north central state. This grounded theory study consisted of face-to-face interviews with 12 registered nurses, nine of whom were observed during their work day. The participants were interviewed a second time, as a method of member checking, and during this interview they reviewed their transcripts, the emerging themes and categories. Directors of nursing from both the research sites and rural hospitals not involved in the study, experienced researchers, and nurse educators facilitated triangulation of the findings. 'Sociocentric rationalizing' emerged as the central phenomenon and referred to the sense of belonging and agency which impacted the decision-making in this small group of novice nurses in rural critical access hospitals. The observed consequences, which were conceptualized during the axial coding process and were derived from observations and interviews of the 12 novice nurses in this study include: (1) gathering information before making a decision included assessment of: the credibility of co-workers, patients' subjective and objective data, and one's own past and current experiences; (2) conferring with co-workers as a direct method of confirming/denying decisions being made was considered more realistic and expedient than policy books and decision trees; (3) rural practicum clinical experiences, along with support after orientation, provide for transition to the rural nurse role; (4) involved directors of nursing served as both models and protectors of novice nurses placed in high accountability positions early in

Safety regulation - twenty years after Chernobyl accident

International Nuclear Information System (INIS)

Aleksashin, P.P.; Bukrinskij, A.M.; Gordon, B.G.

2006-01-01

Main stages of development, successes, achievements and shortcomings of activity of supervision body after the Chernobyl NPP accident are analysed. The estimation of the realized variations of the functions of the state supervision department is carried out. Results of the twenty year period of improvement of the supervision body are summed up. The measures for increasing the efficiency of the supervision body operation are outlined [ru

Evaluation of Predicted and Observed Data on Biotransformation of Twenty-Nine Trace Organic Chemicals

KAUST Repository

Bertolini, Maria

2011-07-01

Catalogic, and peer-reviewed pathways, possible indicator compounds capable of representing the removal of other compounds based on similar structures were identified. In conclusion, nine among the 29 select compounds were grouped into two categories showing similarities between removal, probability of transformation and attacked fragments. If more chemicals are evaluated, this approach could be useful to establish other indicator compounds based on identification of groups of chemicals with similar fate, properties, and structures.

A qualitative study of medical students in a rural track: views on eventual rural practice.

Science.gov (United States)

Roseamelia, Carrie; Greenwald, James L; Bush, Tiffany; Pratte, Morgan; Wilcox, Jessica; Morley, Christopher P

2014-04-01

Rural tracks (RTs) exist within medical schools across the United States. These programs often target those students from rural areas and those with primary care career interests, given that these factors are robust predictors of eventual rural practice. However, only 26% to 64% of graduates from RTs enter eventual rural practice. We conducted a qualitative, exploratory study of medical students enrolled in one school's RT, examining their interests in rural training, specialization, and eventual rural practice, via open coding of transcripts from focus groups and in-depth individual interviews, leading to identification of emerging themes. A total of 16 out of 54 eligible first- and second-year preclinical medical students participated in focus group sessions, and a total of seven out of 17 eligible third- and fourth-year medical students participated in individual interviews. Analyses revealed the recognition of a "Rural Identity," typical characteristics, and the importance of "Program Fit" and "Intentions for Practice" that trended toward family medicine specialization and rural practice. However, nuances within the comments reveal incomplete commitment to rural practice. In many cases, student preference for rural practice was driven largely by a disinterest in urban practice. Students with rural and primary care practice interests are often not perfectly committed to rural practice. However, RTs may provide a haven for such students within medical school.

Fossil and Contemporary Fine Carbon Fractions at 12 Rural and Urban Sites in the United States

Energy Technology Data Exchange (ETDEWEB)

Schichtel, B; Malm, W; Bench, G; Fallon, S; McDade, C; Chow, J

2007-03-01

Fine particulate matter collected at two urban, four near-urban, and six remote sites throughout the United States were analyzed for total carbon (TC) and radiocarbon ({sup 14}C). Samples were collected at most sites for both a summer and winter season. The radiocarbon was used to partition the TC into fossil and contemporary fractions. On average, contemporary carbon composed about half of the carbon at the urban, {approx}70-97% at near-urban, and 82-100% at remote sites. At Phoenix, Arizona, and Seattle, Washington, one monitor was located within the urban center and one outside to assess the urban excess over background concentrations. During the summer the urban and rural sites had similar contemporary carbon concentrations. However, during the winter the urban sites had more than twice the contemporary carbon measured at the neighboring sites, indicating anthropogenic contributions to the contemporary carbon. The urban fossil carbon was 4-20 times larger than the neighboring rural sites for both seasons. Organic (OC) and elemental carbon (EC) from TOR analysis were available. These and the radiocarbon data were used to estimate characteristic fossil and contemporary EC/TC ratios for the winter and summer seasons. These ratios were applied to carbon data from the Interagency Monitoring of Protected Visual Environments network to estimate the fraction of contemporary carbon at mostly rural sites throughout the United States. In addition, the ratios were used to develop a semiquantitative, lower bound estimate of secondary organic carbon (SOC) contribution to fossil and contemporary carbon. SOC accounted for more than one-third of the fossil and contemporary carbon.

Rural tobacco use across the United States: How rural and urban areas differ, broken down by census regions and divisions.

Science.gov (United States)

Roberts, Megan E; Doogan, Nathan J; Kurti, Allison N; Redner, Ryan; Gaalema, Diann E; Stanton, Cassandra A; White, Thomas J; Higgins, Stephen T

2016-05-01

This project compared urban/rural differences in tobacco use, and examined how such differences vary across regions/divisions of the U.S. Using pooled 2012-2013 data from the National Survey on Drug Use and Health (NSDUH), we obtained weighted prevalence estimates for the use of cigarettes, menthol cigarettes, chewing tobacco, snuff, cigars, and pipes. NSDUH also provides information on participants' residence: rural vs. urban, and Census region and division. Overall, use of cigarettes, chew, and snuff were higher in rural, compared to urban areas. Across all tobacco products, urban/rural differences were particularly pronounced in certain divisions (e.g., the South Atlantic). Effects did not appear to be fully explained by differences in poverty. Going beyond previous research, these findings show that urban/rural differences vary across different types of tobacco products, as well as by division of the country. Results underscore the need for regulatory efforts that will reduce health disparities. Copyright © 2016 Elsevier Ltd. All rights reserved.

ANALYSIS OF INCOME INEQUALITY AND POVERTY DYNAMICS AMONG RURAL FARM HOUSEHOLDS IN ABIA STATE, NIGERIA

Directory of Open Access Journals (Sweden)

Jude Anayochukwu Mbanasor

2013-10-01

Full Text Available The study analyzed income inequality and poverty dynamics among rural farm households in Abia State, Nigeria. Beyond the broad objective, the study sought specifically to estimate the income distribution and determine the poverty line, gap and incidence of the rural farm households. A total of 240 households were selected across the agricultural zones using multistage sampling technique from which data and information were elicited. Data collection was between 2010 and 2011. Analytically, the study employed Gini coefficient in the estimation of income distribution while poverty indicators (Mean household income, headcount ratio and poverty gap index were used to measure poverty line, poverty incidence and gap. Income distribution showed high level of inequality (Gini index = 0.987 with per capita income falling below the operational national minimum wage. The poverty gap and incidence gave a scary picture of worsening poverty situation, judging from the poverty indicators (head count index = 0.567; poverty gap = 0.568. To reverse the trend, it is important that concerted efforts are made by way of policy direction to ensure that the rural economy which is largely agrarian is improved. This can be achieved by adopting input subsidy, private sector driven market access policy, labour intensive techniques in execution of public projects among others.

Why Rural Schools Are Important for Pre-Service Teacher Preparation

Science.gov (United States)

Blanks, Brooke; Robbins, Holly; Rose, Dana; Beasley, Loren; Greene, Michelle; Kile, Melissa; Broadus, Allison

2013-01-01

Rural schools are often overlooked in educational research. At least one in five children in the United States attends a rural school and one-third of all public schools are located in rural areas. Research on the effects of teacher education in rural schools on teacher candidates and the rural schools themselves is almost nonexistent. This…

Performing rurality. But who?

Directory of Open Access Journals (Sweden)

Dymitrow Mirek

2017-12-01

Full Text Available Reflective inquiries to better understand ‘the rural’ have tried to embed rural research within the notion of performativity. Performativity assumes that the capacity of language is not simply to communicate but also to consummate action, whereupon citational uses of concepts produce a series of material effects. Of late, this philosophical shift has also implicated geographers as active agents in producing, reproducing and performing rurality. This paper provides a critical evaluation of what this new insistence really means for the production of geographical knowledge. Using framework analysis as a method, the paper scrutinizes several reportedly influential papers on the topic of rural performativity. Our findings reveal that, while indeed reflexive on issues of academic integrity, methodology and ethics, performances of rurality are continuedly placed ‘out there’ amongst ‘rural people’, i.e. in a priori defined and often stereotypically understood contexts, either by way of ‘spatial delimitation’ or ‘activity delimitation’. Effectively, such testimonies provide a truncated state of fidelity, where performance- oriented reflexivity is seconded by contradictory empirics of uneven value and with few commonalities. We conclude that by turning towards performativity as an allegedly more helpful way of obtaining rural coherence, we at the same time overlook our own role in keeping ‘rural theory’ alive.

Draft genome sequences of nine Streptococcus suis strains isolated in the United States

Science.gov (United States)

Streptococcus suis is a swine pathogen responsible for economic losses to the pig industry worldwide. Additionally, it is a zoonotic agent that can cause severe infections in those in close contact with infected pigs and/or who consume uncooked or undercooked pork products. Here, we report nine draf...

First serologic evidence of human hantavirus infection in Alagoas State in Northeastern Brazil

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José Alfredo dos Santos-Júnior

Full Text Available Abstract INTRODUCTION: Hantavirus cardiopulmonary syndrome (HCPS is rare in Northeastern Brazil. METHODS: Prospective surveillance was conducted over a two-year period in Alagoas State, Northeastern Brazil. The prevalence of anti-hantavirus N-antigen IgM and IgG in human serum samples was determined by enzyme-linked immunosorbent assay testing. RESULTS: High avidity IgG was found in nine of 476 serum samples tested (from 102 patients with clinical manifestations compatible with HCPS, 124 patients with leptospirosis, and 250 healthy rural workers. CONCLUSIONS: Serologic evidence of past hantavirus infection in residents of Alagoas State indicates that hantaviruses are present in northeastern Brazil, even in areas silent for HCPS.

Urban-Rural Differences in Health-Care-Seeking Pattern of Residents of Abia State, Nigeria, and the Implication in the Control of NCDs.

Science.gov (United States)

Onyeonoro, Ugochukwu U; Ogah, Okechukwu S; Ukegbu, Andrew U; Chukwuonye, Innocent I; Madukwe, Okechukwu O; Moses, Akhimiem O

2016-01-01

Understanding the differences in care-seeking pattern is key in designing interventions aimed at improving health-care service delivery, including prevention and control of noncommunicable diseases. The aim of this study was to identify the differences and determinants of care-seeking patterns of urban and rural residents in Abia State in southeast Nigeria. This was a cross-sectional, community-based, study involving 2999 respondents aged 18 years and above. Data were collected using the modified World Health Organization's STEPS questionnaire, including data on care seeking following the onset of illness. Descriptive statistics and logistic regressions were used to analyze care-seeking behavior and to identify differences among those seeking care in urban and rural areas. In both urban and rural areas, patent medicine vendors (73.0%) were the most common sources of primary care following the onset of illness, while only 20.0% of the participants used formal care. Significant predictors of difference in care-seeking practices between residents in urban and rural communities were educational status, income, occupation, and body mass index. Efforts should be made to reduce barriers to formal health-care service utilization in the state by increasing health insurance coverage, strengthening the health-care system, and increasing the role of patent medicine vendors in the formal health-care delivery system.

ECONOMIC ANALYSIS ON MARKET POTENTIAL OF ETHIOPIAN RURAL MARKET

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Shiferaw-Mitiku T.

2014-08-01

Full Text Available Ethiopia has taken great strides to reduce poverty and increase the welfare of its largely rural, agricultural-based population. Ethiopia, a country with rural based economy mainly from Agriculture sector which contributed with the range of 42.5 percent to 67.25 percent of the GDP for the past two decades (1990-2012. Similarly, the percentage of Rural population against the total population of the country accounts a larger coverage; with 87.38 percent for the year 1990, 85.26percent during 2000 and 82.46 percent for the year 2013. There is a steadfast growth in the total rural population from 41 million in 1990 and reached to 77.59 million in 2013 with average annual percentage growth rate of 2.8 for the past twenty three years. Very importantly, the major exportable products of the country is generated from the marketing of Agricultural produce such as coffee, khat, live animals, oilseeds, flowers, sesame, and also leather products. Above all, the consumption pattern and preference of rural consumer is changing due to the dynamic nature of marketing. However, marketers are failing to reach this largest target market of the population. This is mainly because, marketers are focusing on designing a product for urban market and when it becomes obsolete, it moves to the rural market. Indeed, it is unethical to override the marketing preference of the rural consumer. Recognizing the marketing requirements of the majority of the population would helps to bring a vibrant economic impact in the development of the nation. The present paper highlighted the major challenges and opportunities of Rural Marketing in Ethiopia, identified ways to explore the untapped Ethiopian Rural Market and identified possible recommendations and policy implications that would help to bring an improved development in the rural Ethiopia. Accordingly, the present article seeks the attention of Policy makers, Investors, Higher education curriculum developers and marketers to

Policy Challenges and Opportunities for Rural Special Education

Science.gov (United States)

Rude, Harvey; Miller, Kevin J.

2018-01-01

This article reviews current developments in state and national policies that affect rural special education. A brief overview of the federal role in rural education is provided, with emphasis on the implications for the provision of special education services in rural communities. A variety of challenges are identified, including (a) the variable…

Diverging seasonal extremes for ocean acidification during the twenty-first century

Science.gov (United States)

Kwiatkowski, Lester; Orr, James C.

2018-01-01

How ocean acidification will affect marine organisms depends on changes in both the long-term mean and the short-term temporal variability of carbonate chemistry1-8. Although the decadal-to-centennial response to atmospheric CO2 and climate change is constrained by observations and models1, 9, little is known about corresponding changes in seasonality10-12, particularly for pH. Here we assess the latter by analysing nine earth system models (ESMs) forced with a business-as-usual emissions scenario13. During the twenty-first century, the seasonal cycle of surface-ocean pH was attenuated by 16 ± 7%, on average, whereas that for hydrogen ion concentration [H+] was amplified by 81 ± 16%. Simultaneously, the seasonal amplitude of the aragonite saturation state (Ωarag) was attenuated except in the subtropics, where it was amplified. These contrasting changes derive from regionally varying sensitivities of these variables to atmospheric CO2 and climate change and to diverging trends in seasonal extremes in the primary controlling variables (temperature, dissolved inorganic carbon and alkalinity). Projected seasonality changes will tend to exacerbate the impacts of increasing [H+] on marine organisms during the summer and ameliorate the impacts during the winter, although the opposite holds in the high latitudes. Similarly, over most of the ocean, impacts from declining Ωarag are likely to be intensified during the summer and dampened during the winter.

Body composition and physical fitness of undernourished South African rural primary school children

NARCIS (Netherlands)

Monyeki, M.A.; Koppes, L.L.J.; Kemper, H.C.G.; Monyeki, K.D.; Toriola, A.L.; Pienaar, A.E.; Twisk, J.W.R.

2005-01-01

Objective: The purpose of this study was to determine the relationships between the body composition characteristics, body mass index (BMI), sum of skinfolds (SSF), % body fat (%BF), fat-free mass (FFM) and waist-to-hip ratio (WHR), and nine physical fitness items in undernourished rural primary

Are biogenic emissions a significant source of summertime atmospheric toluene in the rural Northeastern United States?

OpenAIRE

M. L. White; R. S. Russo; Y. Zhou; J. L. Ambrose; K. Haase; E. K. Frinak; R. K. Varner; O. W. Wingenter; H. Mao; R. Talbot; B. C. Sive

2009-01-01

Summertime atmospheric toluene enhancements at Thompson Farm in the rural northeastern United States were unexpected and resulted in a toluene/benzene seasonal pattern that was distinctly different from that of other anthropogenic volatile organic compounds. Consequently, three hydrocarbon sources were investigated for potential contributions to the enhancements during 2004–2006. These included: (1) increased warm season fuel evaporation coupled with changes in reformulated gasoline (RFG) con...

Aids em área rural de Minas Gerais: abordagem cultural AIDS in rural Minas Gerais state (Southeastern Brazil: a cultural approach

Directory of Open Access Journals (Sweden)

Patricia Neves Guimarães

2007-06-01

Full Text Available OBJETIVO: Descrever comportamentos facilitadores à exposição ao HIV/Aids em população rural. MÉTODOS: Pesquisa qualitativa realizada com 52 pacientes atendidos em ambulatório de DST/Aids, em 2002-2003. Foram feitas entrevistas abertas e semi-estruturadas em profundidade com os participantes (30 homens e 22 mulheres, conduzidas no ambulatório ou em suas residências, em municípios rurais da região norte de Minas Gerais. As entrevistas foram transcritas, analisadas em categorias: concepções da doença, trabalho, sociabilidade, informações prévias sobre a doença, modo de vida. A interpretação dos resultados baseou-se na análise de conteúdo. RESULTADOS: Na percepção dos entrevistados, a Aids era "doença de cidade grande" e de "forasteiro", desvinculada da cultura local. Todos os entrevistados se infectaram através de atividades heterossexuais ou homossexuais. A migração rural-urbana é aspecto relevante da infecção do HIV na região devido ao deslocamento em busca de trabalho. CONCLUSÕES: As noções populares de doença contribuem para vulnerabilidade à infecção pelo HIV. É necessário apreender noções culturais locais para melhor entender as categorias de pensamento dessa população, enfocando essas noções ao divulgar informações sobre a doença.OBJECTIVE: To describe behaviors facilitating HIV/AIDS exposure in rural population. METHODS: A qualitative study was conducted comprising 52 patients who attended a STD/AIDS outpatient clinic in 2002 and 2003. In-depth open and semi-structured interviews were carried out with subjects (30 males, 22 females at the clinic or at home in rural municipalities in the northern area of Minas Gerais state, Southeastern Brazil. Interviews were transcribed and analyzed considering categories such as disease, work, social life, prior HIV/AIDS knowledge, and lifestyle. Content analysis was used for result interpretation. RESULTS: Interviewees perceived AIDS as a "big city

Rural Aspirations, Rural Futures: From "Problem" to Possibility

Science.gov (United States)

Tieken, Mara Casey; San Antonio, Donna M.

2016-01-01

Young people aspire, make choices, and develop within a particular place and historical context. Recently, federal and state governments, policy and research institutes, and advocacy organizations have shown a growing interest in the aspirations and transitions of rural youth--and, in particular, the role that schools play in shaping and…

Assistive Technology Service Delivery in Rural School Districts

Science.gov (United States)

Ault, Melinda Jones; Bausch, Margaret E.; Mclaren, Elizabeth M.

2013-01-01

Little is known about the implementation of assistive technology (AT) services for students in rural areas. This study investigated the AT service delivery in 10 rural districts across six states. The results indicated that students use AT across functional areas, but considerably fewer number of devices than do those not living in rural areas. AT…

Training Psychologists for Rural Practice: Exploring Opportunities and Constraints.

Science.gov (United States)

Domino, Marisa Elena; Lin, Ching-Ching Claire; Morrissey, Joseph P; Ellis, Alan R; Fraher, Erin; Richman, Erica L; Thomas, Kathleen C; Prinstein, Mitchell J

2018-04-17

To examine trends in the psychologist workforce and training opportunities, including factors that may influence the decision of clinical psychologists to practice in rural settings. We use a mixed-methods approach to examine the psychologist workforce nationally and in North Carolina (NC), including (1) an analysis of the location of programs awarding doctoral degrees; (2) an analysis of the practice, demographic, and educational characteristics of the psychologist workforce; and (3) interviews with directors of doctoral programs in clinical psychology to understand where current graduates are getting jobs and why they may or may not be choosing to practice in rural communities. Fewer than 1% of programs and institutions awarding doctoral degrees in psychology in the United States are located in rural areas. In NC, approximately 80% of practicing psychologists have out-of-state degrees and about 80% of recent NC graduates are not currently licensed in the state. This juxtaposition undermines the utility of adding more in-state degree programs. While expansion of training programs within rural areas could help alleviate the shortages of mental health providers, adding new degree-granting programs alone will not necessarily increase supply. We discuss complementary recruitment and retention strategies, including greater incentives for rural training and practice as well as training in emerging technologies that don't require providers to be physically located in underserved areas, such as telemedicine. Increasing the supply of psychologists practicing in rural areas will require a thoughtful, multipronged approach to training this critical part of the behavioral health workforce. © 2018 National Rural Health Association.

Rural Youth Education Project: First Wave

Science.gov (United States)

Center for Rural Pennsylvania, 2006

2006-01-01

In 2004, the Center for Rural Pennsylvania contracted with Pennsylvania State University to begin a longitudinal study of rural Pennsylvania school students to understand their future aspirations, the factors influencing these aspirations, whether their plans change as they age, and if they attain their goals and plans. The main research questions…

Inculcating home economics based life skills in rural women in ...

African Journals Online (AJOL)

Inculcating home economics based life skills in rural women in Anambra state ... Poverty among rural women in Nigeria hinders the economic and social ... could be inculcated among the rural women using a range of networking approaches.

Rationing is a reality in rural physiotherapy: a qualitative exploration of service level decision-making.

Science.gov (United States)

Adams, Robyn; Jones, Anne; Lefmann, Sophie; Sheppard, Lorraine

2015-03-27

Deciding what health services are provided is a key consideration in delivering appropriate and accessible health care for rural and remote populations. Despite residents of rural communities experiencing poorer health outcomes and exhibiting higher health need, workforce shortages and maldistribution mean that rural communities do not have access to the range of services available in metropolitan centres. Where demand exceeds available resources, decisions about resource allocation are required. A qualitative approach enabled the researchers to explore participant perspectives about decisions informing rural physiotherapy service provision. Stakeholder perspectives were obtained through surveys and in-depth interviews. A system theory-case study heuristic provided a framework for exploration across sites within the investigation area: a large area of one Australian state with a mix of rural, regional and remote communities. Thirty-nine surveys were received from participants in eleven communities. Nineteen in-depth interviews were conducted with physiotherapist and key decision-makers. Increasing demand, organisational priorities, fiscal austerity measures and workforce challenges were identified as factors influencing both decision-making and service provision. Rationing of physiotherapy services was common to all sites of this study. Rationing of services, more commonly expressed as service prioritisation, was more evident in responses of public sector physiotherapy participants compared to private physiotherapists. However, private physiotherapists in rural areas reported capacity limits, including expertise, space and affordability that constrained service provision. The imbalance between increasing service demands and limited physiotherapy capacity meant making choices was inevitable. Decreased community access to local physiotherapy services and increased workforce stress, a key determinant of retention, are two results of such choices or decisions

Status of Technical and Vocational Education in Rural Institutions in ...

African Journals Online (AJOL)

This study was aimed at assessing the state of technical and vocational education in rural institutions in Delta State. Three research questions guided the study. A sample size of fifty (50) principals from 50 rural institutions in Delta State was used for the study. Data were collected using a questionnaire. The study reveals that ...

[General surgery in a rural hospital in the State of Quintana Roo, Mexico].

Science.gov (United States)

Padrón-Arredondo, Guillermo

2006-01-01

The general surgeon maintains extraordinary validity worldwide, especially in countries like the United States, Canada, India, and continents such as Australia and Africa. In addition to their role as a general surgeon, they assist with surgical pathologies in rural areas where there is generally a lack of technology to carry out complicated procedures. Therefore, we undertook this study to determine the number and type of surgical procedures carried out in a rural hospital with three general surgeons, as well as to determine morbidity and respective mortality. The study was retrospective and longitudinal, using descriptive statistics during a 5.5-year period. During the period of June 1999 to December 2004, a total of 651 (100%) surgical procedures were carried out. There were 351 males (53%) and 300 females (47%) with average age of 28.5 +/- 16.0 years. There were 408 (63%) minor surgical procedures accomplished in the operating room: 150 (45%) for females with average age of 25.8 +/- 13.8 years old and 258 (55%) for males with average age of 27.7 +/- 15.5 years old. There were 243 major surgical procedures (37%): for females there were 150 (60%) with average age of 28.4 +/- 11.8 years old and for males there were 93 (40%) with average age of 29.5 +/- 16.6 years old [morbidity, six cases (0.9%) and mortality, two cases (0.3%)]. The demand for surgery in rural areas is not different from the surgery carried out in large cities, although there are limitations. It is important in this regard to adequately prepare the general surgeon in Mexico.

Rural health service managers' perspectives on preparing rural health services for climate change.

Science.gov (United States)

Purcell, Rachael; McGirr, Joe

2018-02-01

To determine health service managers' (HSMs) recommendations on strengthening the health service response to climate change. Self-administered survey in paper or electronic format. Rural south-west of New South Wales. Health service managers working in rural remote metropolitan areas 3-7. Proportion of respondents identifying preferred strategies for preparation of rural health services for climate change. There were 43 participants (53% response rate). Most respondents agreed that there is scepticism regarding climate change among health professionals (70%, n = 30) and community members (72%, n = 31). Over 90% thought that climate change would impact the health of rural populations in the future with regard to heat-related illnesses, mental health, skin cancer and water security. Health professionals and government were identified as having key leadership roles on climate change and health in rural communities. Over 90% of the respondents believed that staff and community in local health districts (LHDs) should be educated about the health impacts of climate change. Public health education facilitated by State or Federal Government was the preferred method of educating community members, and education facilitated by the LHD was the preferred method for educating health professionals. Health service managers hold important health leadership roles within rural communities and their health services. The study highlights the scepticism towards climate change among health professionals and community members in rural Australia. It identifies the important role of rural health services in education and advocacy on the health impacts of climate change and identifies recommended methods of public health education for community members and health professionals. © 2017 National Rural Health Alliance Inc.

Organizational Responsibility for Age-Friendly Social Participation: Views of Australian Rural Community Stakeholders.

Science.gov (United States)

Winterton, Rachel

2016-01-01

This qualitative study critically explores the barriers experienced by diverse rural community stakeholders in facilitating environments that enable age-friendly social participation. Twenty-six semi-structured interviews were conducted across two rural Australian communities with stakeholders from local government, health, social care, and community organizations. Findings identify that rural community stakeholders face significant difficulties in securing resources for groups and activities catering to older adults, which subsequently impacts their capacity to undertake outreach to older adults. However, in discussing these issues, questions were raised in relation to whose responsibility it is to provide resources for community groups and organizations providing social initiatives and whose responsibility it is to engage isolated seniors. These findings provide a much-needed critical perspective on current age-friendly research by acknowledging the responsibilities of various macro-level social structures-different community-level organizations, local government, and policy in fostering environments to enable participation of diverse rural older adults.

Rural Youth Education Project: Second Wave

Science.gov (United States)

McLaughlin, Diane K.; Demi, Mary Ann; Curry, Alisha; Snyder, Anastasia R.

2009-01-01

In 2004, the Center for Rural Pennsylvania contracted with Pennsylvania State University to begin a longitudinal study of rural Pennsylvania school students to understand their educational and career aspirations and the factors influencing their aspirations, whether their plans change as they age and if they attain their goals. In its entirety,…

Improving safety on rural local and tribal roads safety toolkit.

Science.gov (United States)

2014-08-01

Rural roadway safety is an important issue for communities throughout the country and presents a challenge for state, local, and Tribal agencies. The Improving Safety on Rural Local and Tribal Roads Safety Toolkit was created to help rural local ...

Evaluating Farmers Access To Productive Resources Through Cooperative Societies And Its Effects On Their Performance In Rural Communities Of Anambra State Nigeria

Directory of Open Access Journals (Sweden)

Taiwo Abdulahi Olabisi

2015-08-01

Full Text Available Abstract The poverty of Nigerian farmers and their inability to increase their output and income above the subsistence level have been identified as one of the factors militating against food production in Nigeria. Yet agricultural cooperative create the ability for the supply of required agricultural inputs so that production of commodities is done timely to enhance productivity. They also provide an assured market for commodities produced by isolated small farmers in the rural areas. This paper was determined to evaluate the effects of cooperative societies on members output. The researchers administered a total of one hundred and twenty-six 126 questionnaires to the respondents with the assistance of the divisional cooperative officers. The hypotheses were analyzed through the use of t-test statistic and regression analysis. Results showed that the various Services rendered by farmers cooperative to their members include agric credit improved seedlings fertilizer and market access. They however disagreed that they received extension services the cooperative farmers agreed that they have access to the following agricultural services after joining cooperatives Access to Agric credit Access to Improved Seedlings and Access to Fertilizer. They disagree that they have Access to emerging markets and Access to Extension services. Hence the need to adopt cooperative as a platform for improving farmers productivity and output in Awka South L.G.A of Anambra state. As such the researchers therefore recommends that the Anambra State government should encourage research development and provision of adequate extension services to cooperative farmers through the Ministry in charge of cooperative in the state. Through the extension education the farmers will have knowledge of emerging markets and cooperative farmers should also be encouraged to join cooperative to enable them have access to agricultural credit among others.

Why the American public supports twenty-first century learning.

Science.gov (United States)

Sacconaghi, Michele

2006-01-01

Aware that constituent support is essential to any educational endeavor, the AOL Time Warner Foundation (now the Time Warner Foundation), in conjunction with two respected national research firms, measured Americans' attitudes toward the implementation of twenty-first century skills. The foundation's national research survey was intended to explore public perceptions of the need for changes in the educational system, in school and after school, with respect to the teaching of twenty-first century skills. The author summarizes the findings of the survey, which were released by the foundation in June 2003. One thousand adults were surveyed by telephone, including African Americans, Latinos, teachers, and business executives. In general, the survey found that Americans believe today's students need a "basics-plus" education, meaning communication, technology, and critical thinking skills in addition to the traditional basics of reading, writing, and math. In fact, 92 percent of respondents stated that students today need different skills from those of ten to twenty years ago. Also, after-school programs were found to be an appropriate vehicle to teach these skills. Furthermore, the survey explored how well the public perceives schools to be preparing youth for the workforce and postsecondary education, which twenty-first century skills are seen as being taught effectively, and the level of need for after-school and summer programs. The survey results provide conclusive evidence of national support for basics-plus education. Thus, a clear opportunity exists to build momentum for a new model of education for the twenty-first century.

Urban–Rural Differences in Health-Care-Seeking Pattern of Residents of Abia State, Nigeria, and the Implication in the Control of NCDs

Directory of Open Access Journals (Sweden)

Ugochukwu U. Onyeonoro

2016-01-01

Full Text Available Background Understanding the differences in care-seeking pattern is key in designing interventions aimed at improving health-care service delivery, including prevention and control of noncommunicable diseases. The aim of this study was to identify the differences and determinants of care-seeking patterns of urban and rural residents in Abia State in southeast Nigeria. Methods This was a cross-sectional, community-based, study involving 2999 respondents aged 18 years and above. Data were collected using the modified World Health Organization's STEPS questionnaire, including data on care seeking following the onset of illness. Descriptive statistics and logistic regressions were used to analyze care-seeking behavior and to identify differences among those seeking care in urban and rural areas. Results In both urban and rural areas, patent medicine vendors (73.0% were the most common sources of primary care following the onset of illness, while only 20.0% of the participants used formal care. Significant predictors of difference in care-seeking practices between residents in urban and rural communities were educational status, income, occupation, and body mass index. Conclusions Efforts should be made to reduce barriers to formal health-care service utilization in the state by increasing health insurance coverage, strengthening the health-care system, and increasing the role of patent medicine vendors in the formal health-care delivery system.

Urban–Rural Differences in Health-Care-Seeking Pattern of Residents of Abia State, Nigeria, and the Implication in the Control of NCDs

Science.gov (United States)

Onyeonoro, Ugochukwu U.; Ogah, Okechukwu S.; Ukegbu, Andrew U.; Chukwuonye, Innocent I.; Madukwe, Okechukwu O.; Moses, Akhimiem O.

2016-01-01

BACKGROUND Understanding the differences in care-seeking pattern is key in designing interventions aimed at improving health-care service delivery, including prevention and control of noncommunicable diseases. The aim of this study was to identify the differences and determinants of care-seeking patterns of urban and rural residents in Abia State in southeast Nigeria. METHODS This was a cross-sectional, community-based, study involving 2999 respondents aged 18 years and above. Data were collected using the modified World Health Organization’s STEPS questionnaire, including data on care seeking following the onset of illness. Descriptive statistics and logistic regressions were used to analyze care-seeking behavior and to identify differences among those seeking care in urban and rural areas. RESULTS In both urban and rural areas, patent medicine vendors (73.0%) were the most common sources of primary care following the onset of illness, while only 20.0% of the participants used formal care. Significant predictors of difference in care-seeking practices between residents in urban and rural communities were educational status, income, occupation, and body mass index. CONCLUSIONS Efforts should be made to reduce barriers to formal health-care service utilization in the state by increasing health insurance coverage, strengthening the health-care system, and increasing the role of patent medicine vendors in the formal health-care delivery system. PMID:27721654

A Decade of Rural Transformation : Lessons Learnt from the Bihar Rural Livelihoods Project—JEEViKA

OpenAIRE

World Bank Group

2017-01-01

The objective of this booklet is to document a decade of journey of the Bihar Rural Livelihoods Project (BRLP) from 2006 to 2016 in the one of the poorest states in India. The project was successfully completed and a follow-on project, Bihar Transformative Development Project (BTDP) commenced in 2016 to expand the BRLP model. This booklet is a joint effort of the Bihar Rural Livelihood Pr...

Predictors of maternal health services utilization by poor, rural women: a comparative study in Indian States of Gujarat and Tamil Nadu.

Science.gov (United States)

Vora, Kranti Suresh; Koblinsky, Sally A; Koblinsky, Marge A

2015-07-31

India leads all nations in numbers of maternal deaths, with poor, rural women contributing disproportionately to the high maternal mortality ratio. In 2005, India launched the world's largest conditional cash transfer scheme, Janani Suraksha Yojana (JSY), to increase poor women's access to institutional delivery, anticipating that facility-based birthing would decrease deaths. Indian states have taken different approaches to implementing JSY. Tamil Nadu adopted JSY with a reorganization of its public health system, and Gujarat augmented JSY with the state-funded Chiranjeevi Yojana (CY) scheme, contracting with private physicians for delivery services. Given scarce evidence of the outcomes of these approaches, especially in states with more optimal health indicators, this cross-sectional study examined the role of JSY/CY and other healthcare system and social factors in predicting poor, rural women's use of maternal health services in Gujarat and Tamil Nadu. Using the District Level Household Survey (DLHS)-3, the sample included 1584 Gujarati and 601 Tamil rural women in the lowest two wealth quintiles. Multivariate logistic regression analyses examined associations between JSY/CY and other salient health system, socio-demographic, and obstetric factors with three outcomes: adequate antenatal care, institutional delivery, and Cesarean-section. Tamil women reported greater use of maternal healthcare services than Gujarati women. JSY/CY participation predicted institutional delivery in Gujarat (AOR = 3.9), but JSY assistance failed to predict institutional delivery in Tamil Nadu, where mothers received some cash for home births under another scheme. JSY/CY assistance failed to predict adequate antenatal care, which was not incentivized. All-weather road access predicted institutional delivery in both Tamil Nadu (AOR = 3.4) and Gujarat (AOR = 1.4). Women's education predicted institutional delivery and Cesarean-section in Tamil Nadu, while husbands

Why doctors choose small towns: a developmental model of rural physician recruitment and retention.

Science.gov (United States)

Hancock, Christine; Steinbach, Alan; Nesbitt, Thomas S; Adler, Shelley R; Auerswald, Colette L

2009-11-01

Shortages of health care professionals have plagued rural areas of the USA for more than a century. Programs to alleviate them have met with limited success. These programs generally focus on factors that affect recruitment and retention, with the supposition that poor recruitment drives most shortages. The strongest known influence on rural physician recruitment is a "rural upbringing," but little is known about how this childhood experience promotes a return to rural areas, or how non-rural physicians choose rural practice without such an upbringing. Less is known about how rural upbringing affects retention. Through twenty-two in-depth, semi-structured interviews with both rural- and urban-raised physicians in northeastern California and northwestern Nevada, this study investigates practice location choice over the life course, describing a progression of events and experiences important to rural practice choice and retention in both groups. Study results suggest that rural exposure via education, recreation, or upbringing facilitates future rural practice through four major pathways. Desires for familiarity, sense of place, community involvement, and self-actualization were the major motivations for initial and continuing small-town residence choice. A history of strong community or geographic ties, either urban or rural, also encouraged initial rural practice. Finally, prior resilience under adverse circumstances was predictive of continued retention in the face of adversity. Physicians' decisions to stay or leave exhibited a cost-benefit pattern once their basic needs were met. These results support a focus on recruitment of both rural-raised and community-oriented applicants to medical school, residency, and rural practice. Local mentorship and "place-specific education" can support the integration of new rural physicians by promoting self-actualization, community integration, sense of place, and resilience. Health policy efforts to improve the physician

Nine Weddings in Half a Century

Institute of Scientific and Technical Information of China (English)

JENNIFER; LIM

1999-01-01

THERE is a Chinese saying the sentimentof which I am sure you all know: "Themore children you have, the greater your goodfortune and happiness." Here we see a mind-set that existed in China for generations, thebelief that having more children will not onlysafeguard your well-being and care in old agebut will help the healthy development of theclan. My parents belong to a generation whooft stated this philosophy. My mother married young (she was not yetsixteen) and managed to fit in nine children inall - eight boys and one girl, me. When mymother reflects on the past she says that shedid not experience much of the luck the

Children's Worlds: An Exploration of Latino Students' Play in Rural New Mexico

Science.gov (United States)

Ulibarri, Reyna M.

2016-01-01

I present an ethnographic study of thirteen nine-year-old, U.S.-born Latino children in rural New Mexico. I employ in-depth individual and group interviews, participant observation, and sand play (a method borrowed from clinical psychology in which children "make a world" in a box of sand) to explore how play interactions represent,…

Post-Primary Education and Capabilities: Insights from Young Women in Rural Uganda

Science.gov (United States)

Jones, Shelley K.

2015-01-01

This paper presents findings from the third stage of a longitudinal, qualitative study involving nine female participants from a class cohort in a secondary school in rural Uganda. Since 2004-05, this study has tracked the progress of these young women's lives, and the present aspect of the study explores the ways in which they have found that…

The development of a caseload midwifery service in rural Australia.

Science.gov (United States)

Tran, Tara; Longman, Jo; Kornelsen, Jude; Barclay, Lesley

2017-08-01

The past two decades have seen progressive decline in the number of rural birthing services across Australia. Despite health system pressures on small birthing units to close there have been examples of resistance and survival. This descriptive study explored the evolution of a rural birthing service in a small town to offer insight into the process of transition which may be helpful to other small healthcare services in rural Australia. Quantitative data derived from birth registers on number and types of birth from 1993-2011 were analysed. Interviews were conducted between January and August 2012 with nine participants (GP obstetricians, midwives, a health service manager and a consumer representative). This rural maternity service developed gradually from a GP obstetrician-led service to a collaborative care team approach with midwifery leadership. This development was in response to a changing rural medical workforce, midwifery capacity and the needs and wants of women in the local community. Four major themes were developed from interview data: (1) development of the service (2) drivers of change (3) outcomes and (4) collaborative care and inter-professional practice. The success of this transition was reported to rest on strategic planning and implementation and respectful inter-professional practice and alignment of birth philosophy across the team. This team created a unified, progressive community-focused birthing service. The development of collaborative care models that embrace and build on established inter-professional relationships can maximise existing rural workforce potential and create a sustainable rural service into the future. Copyright © 2016 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Nine-component vertical seismic profiling at Yucca Mountain, Nevada

International Nuclear Information System (INIS)

Balch, A.H.; Erdemir, C.; Spengler, R.W.; Hunter, W.C.

1996-01-01

Nine-component vertical seismic profiling has been conducted at the UE-25 UZ No. 16 borehole at Yucca Mountain, Nevada, in support of investigation of the hydrologic significance of fault and fracture systems. A large data set from multi-component sources and receivers allows state-of-the-art advances in processing using polarization filtering and reverse time migration, for enhanced interpretation of geologic features

Partnership for Self-Reliant Change: Institute for Integrated Rural Development.

Science.gov (United States)

Dancey, John

1994-01-01

The Institute for Integrated Rural Development in the Maharashtra State of India seeks to break the cycle of poverty through sustainable rural development. It works closely with rural women on health and nutrition education and in other community partnerships based on horizontal structures. (SK)

Watershed-scale response to climate change through the twenty-first century for selected basins across the United States

Science.gov (United States)

Hay, Lauren E.; Markstrom, Steven; Ward-Garrison, Christian D.

2011-01-01

The hydrologic response of different climate-change emission scenarios for the twenty-first century were evaluated in 14 basins from different hydroclimatic regions across the United States using the Precipitation-Runoff Modeling System (PRMS), a process-based, distributed-parameter watershed model. This study involves four major steps: 1) setup and calibration of the PRMS model in 14 basins across the United States by local U.S. Geological Survey personnel; 2) statistical downscaling of the World Climate Research Programme’s Coupled Model Intercomparison Project phase 3 climate-change emission scenarios to create PRMS input files that reflect these emission scenarios; 3) run PRMS for the climate-change emission scenarios for the 14 basins; and 4) evaluation of the PRMS output.This paper presents an overview of this project, details of the methodology, results from the 14 basin simulations, and interpretation of these results. A key finding is that the hydrological response of the different geographical regions of the United States to potential climate change may be very different, depending on the dominant physical processes of that particular region. Also considered is the tremendous amount of uncertainty present in the climate emission scenarios and how this uncertainty propagates through the hydrologic simulations. This paper concludes with a discussion of the lessons learned and potential for future work.

The Science Behind the Academy for Eating Disorders' Nine Truths About Eating Disorders.

Science.gov (United States)

Schaumberg, Katherine; Welch, Elisabeth; Breithaupt, Lauren; Hübel, Christopher; Baker, Jessica H; Munn-Chernoff, Melissa A; Yilmaz, Zeynep; Ehrlich, Stefan; Mustelin, Linda; Ghaderi, Ata; Hardaway, Andrew J; Bulik-Sullivan, Emily C; Hedman, Anna M; Jangmo, Andreas; Nilsson, Ida A K; Wiklund, Camilla; Yao, Shuyang; Seidel, Maria; Bulik, Cynthia M

2017-11-01

In 2015, the Academy for Eating Disorders collaborated with international patient, advocacy, and parent organizations to craft the 'Nine Truths About Eating Disorders'. This document has been translated into over 30 languages and has been distributed globally to replace outdated and erroneous stereotypes about eating disorders with factual information. In this paper, we review the state of the science supporting the 'Nine Truths'. The literature supporting each of the 'Nine Truths' was reviewed, summarized and richly annotated. Most of the 'Nine Truths' arise from well-established foundations in the scientific literature. Additional evidence is required to further substantiate some of the assertions in the document. Future investigations are needed in all areas to deepen our understanding of eating disorders, their causes and their treatments. The 'Nine Truths About Eating Disorders' is a guiding document to accelerate global dissemination of accurate and evidence-informed information about eating disorders. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

Results of nine Connecticut Cancer Partnership implementation projects.

Science.gov (United States)

Morra, Marion E; Mowad, Linda Z; Hogarty, Lucinda Hill; Kettering, Shiu-Yu

2012-01-01

The Connecticut Cancer Partnership (Partnership), through funds from the Connecticut legislature, the AttorneyGeneral Fund and some limited federal funding, has spearheaded the implementation of a series of projects by Connecticut institutions and State of Connecticut departments. Among them are projects in prevention, detection, treatment, survivorship and end-of-life care, along with programs that target ethnic and uninsured populations. This article highlights funding sources, procedures for choosing projects and summaries for nine completed projects of interest to practicing physicians. It also includes a listing of additional projects currently underway. The use of shared funding among the State's partners highlights the energy of the Partnership in carrying out the common vision embodied in the Connecticut Cancer Plan.

Recruitment of rural healthcare professionals for live continuing education

OpenAIRE

Holuby, Ronnie Scott; Pellegrin, Karen L; Barbato, Anna; Ciarleglio, Anita

2015-01-01

Introduction: The availability of rural healthcare is a growing concern in the United States as fewer healthcare providers choose to work in rural areas. Accessing quality continuing education (CE) for rural healthcare practitioners (HCPs) remains a challenge and may pose a barrier to quality care.Methods: To maximize attendance at a live, in-person, free CE program focusing on geriatric medication and issues specifically targeted to HCPs in rural areas, two methods were implemented sequentia...

WILDLIFE USE BY RURAL COMMUNITIES IN THE CATAZAJÁ - LA LIBERTAD WETLANDS, CHIAPAS, MÉXICO

Directory of Open Access Journals (Sweden)

Yasminda García-Del Valle

2011-05-01

Full Text Available The use of wild vertebrates was analyzed for rural communities in Catazajá and La Libertad municipalities, Chiapas state. From interviews (n=190 and two workshops (January 2007-December 2008 applied to four communities (Playas, Punta Arena, Morelos and La Libertad, species, uses, sites and hunting seasons were recorder. A total of 24 species were recognized by local people as resources for food, sale, pet, craft and traditional medicine. Jicotea tortoise (Trachemys scripta, nine banded armadillo (Dasypus novemcintus, Morelet´s crocodile (Crocodylus moreletti, green iguana (Iguana iguana and white front parrot (Amazona albifrons were recognized as species with high use value. We analyzed the problematic and the communities propose some strategies that would favor the population increment and the diversity maintenance of wildlife in this region.

LOCAL INSTITUTIONS’ MICRO CREDIT DELIVERY AND EFFECTS ON RURAL FARM HOUSEHOLDS’ POVERTY IN ABIA STATE, NIGERIA

Directory of Open Access Journals (Sweden)

Chidozie Onyedikachi ANYIRO

2014-03-01

Full Text Available The study examined the effect of local institutions’ micro credit delivery on rural farm household poverty status in Abia state, Nigeria. Multistage random sampling technique was employed in collecting data from two hundred and four (204 rural farm households in local institutions using structured interview schedule. The data were analyzed using descriptive statistics, poverty indices, and paired t-test. The study revealed reveals that the religious association granted the highest amount of credit (N91,950.0 to their members more than any other local institutions in the study area, while the mean amount demanded was N 128,491.3. The average annual contribution of members in different local association was N36357.35 with a low percentage cash contribution index of 10.59%. The result of the poverty indicators of the rural farm households in local institutions showed that the poverty line (mean monthly household expenditure of the farm households was N16 N20648.94 per month or N 247787.28 per annum. The incidence of poverty otherwise called the head count ratio was 0.4863 while the coefficient of poverty gap (poverty depth was 0.2458. The result of the paired t-test showed that the local institutions’ micro credits impacted significantly on the mean annual farm income and monthly expenditures of the rural farm households in the study area. It was however, recommended that the autonomous local institutions should be integrated into the current poverty alleviation programme of the government and making them channels for loan delivery with a view to strengthening the financial capacity of its members as well as achieving the Millennium development goals of reducing poverty by half.

Isolation and characterization of twenty-nine novel EST-SSR ...

Indian Academy of Sciences (India)

All results were adjusted for multiple simul- taneous ... ated from HWE after Bonferroni correction (adjusted P = 0.0017) ... ity test of the designed SSR markers. In the 30 examined. S. undulata samples, the PIC value of the 29 newly devel-.

Creating Effective Media Messaging for Rural Smoke-free Policy.

Science.gov (United States)

Riker, Carol A; Butler, Karen M; Ricks, JaNelle M; Record, Rachael A; Begley, Kathy; Anderson, Debra Gay; Hahn, Ellen J

2015-01-01

Objectives were to (1) explore perceived effectiveness of existing smoke-free print advertisements in rural communities and (2) generate message content, characteristics, and media delivery channels that resonate with residents. Qualitative methods design. Thirty-nine rural adults recruited by community partners. Content analysis of findings from individuals in four focus groups who participated in general discussion and reviewed eight print ads related to secondhand smoke (SHS) and smoke-free policy. Six content themes were identified: smoking/SHS dangers, worker health, analogies, economic impact, rights, and nostalgia. Seven message characteristics were recognized: short/to the point, large enough to read, graphic images, poignant stories, statistics/charts/graphs, message sender, and messages targeting different groups. Four media delivery channels were considered most effective: local media, technology, billboard messages, and print materials. Seeking input from key informants is essential to reaching rural residents. Use of analogies in media messaging is a distinct contribution to the literature on effective smoke-free campaigns. Other findings support previous studies of effective messaging and delivery channels. Further research is needed to examine effectiveness of themes related to message content in smoke-free ads and delivery strategies. Effective media messaging can lead to policy change in rural communities to reduce exposure to SHS. © 2015 Wiley Periodicals, Inc.

Proceedings of Twenty-Seventh Annual Institute on Mining Health, Safety and Research

Energy Technology Data Exchange (ETDEWEB)

Bockosh, G.R. [ed.] [Pittsburgh Research Center, US Dept. of Energy (United States); Langton, J. [ed.] [Mine Safety and Health Administration, US Dept. of Labor (United States); Karmis, M. [ed.] [Virginia Polytechnic Institute and State University. Dept. of Mining and Minerals Engineering, Blacksburg (United States)

1996-12-31

This Proceedings contains the presentations made during the program of the Twenty-Seventh Annual Institute on Mining Health, Safety and Research held at Virginia Polytechnic Institute and State University, Blacksburg, Virginia, on August 26-28, 1996. The Twenty-Seventh Annual Institute on Mining, Health, Safety and Research was the latest in a series of conferences held at Virginia Polytechnic Institute and State University, cosponsored by the Mine Safety and Health Administration, United States Department of Labor, and the Pittsburgh Research Center, United States Department of Energy (formerly part of the Bureau of Mines, U. S. Department of Interior). The Institute provides an information forum for mine operators, managers, superintendents, safety directors, engineers, inspectors, researchers, teachers, state agency officials, and others with a responsible interest in the important field of mining health, safety and research. In particular, the Institute is designed to help mine operating personnel gain a broader knowledge and understanding of the various aspects of mining health and safety, and to present them with methods of control and solutions developed through research. Selected papers have been processed separately for inclusion in the Energy Science and Technology database.

Land-use change, economics, and rural well-being in the Prairie Pothole Region of the United States

Science.gov (United States)

Gascoigne, William R.; Hoag, Dana L.K.; Johnson, Rex R.; Koontz, Lynne M.; Thomas, Catherine Cullinane

2013-01-01

This fact sheet highlights findings included in a comprehensive new report (see USGS Professional Paper 1800) which investigated land-use change, economic characteristics, and rural community well-being in the Prairie Pothole Region of the United States. Once one of the largest grassland-wetlands ecosystems on earth, the North American prairie has experienced extensive conversion to cultivated agriculture, with farming becoming the dominant land use in the region over the last century. Both perennial habitat lands and agricultural croplands retain importance economically, socially, and culturally. Greatly increased oil and gas development in recent years brought rises in employment and income but also stressed infrastructure, cost of living, and crime rates. Research described in these reports focuses on land-use dynamics and illuminates how economic variables and rural development in the Prairie Pothole Region might be influenced as land uses change.

Sustainable Development of New Rural Finance in China

Institute of Scientific and Technical Information of China (English)

NIE Yong

2012-01-01

Rural finance is the weakest link in China’s financial system. There are still many problems in the traditional rural finance, such as poor business conditions, imperfectly competitive financial markets, and credit information asymmetry; the phenomenon of farmers’ loans difficulty has not been fundamentally changed. In order to improve the current situation of rural finance, the state proposes to develop new rural finance and innovate upon rural financial system. The new rural finance has many good development advantages, such as adequate information, flexible operation, and good potential quality of the assets. It is necessary to innovate upon financial products and services, establish the purpose of serving agriculture, countryside and farmers, strengthen the supervision of credit, and improve the financial infrastructure construction, so as to achieve sustainable developments.

Obesity and Physical Inactivity in Rural America

Science.gov (United States)

Patterson, Paul Daniel; Moore, Charity G.; Probst, Janice C.; Shinogle, Judith Ann

2004-01-01

Context and Purpose: Obesity and physical inactivity are common in the United States, but few studies examine this issue within rural populations. The present study uses nationally representative data to study obesity and physical inactivity in rural populations. Methods: Data came from the 1998 National Health Interview Survey Sample Adult and…

Rural and Urban Differences in Air Quality, 2008-2012, and Community Drinking Water Quality, 2010-2015 - United States.

Science.gov (United States)

Strosnider, Heather; Kennedy, Caitlin; Monti, Michele; Yip, Fuyuen

2017-06-23

The places in which persons live, work, and play can contribute to the development of adverse health outcomes. Understanding the differences in risk factors in various environments can help to explain differences in the occurrence of these outcomes and can be used to develop public health programs, interventions, and policies. Efforts to characterize urban and rural differences have largely focused on social and demographic characteristics. A paucity of national standardized environmental data has hindered efforts to characterize differences in the physical aspects of urban and rural areas, such as air and water quality. 2008-2012 for air quality and 2010-2015 for water quality. Since 2002, CDC's National Environmental Public Health Tracking Program has collaborated with federal, state, and local partners to gather standardized environmental data by creating national data standards, collecting available data, and disseminating data to be used in developing public health actions. The National Environmental Public Health Tracking Network (i.e., the tracking network) collects data provided by national, state, and local partners and includes 21 health outcomes, exposures, and environmental hazards. To assess environmental factors that affect health, CDC analyzed three air-quality measures from the tracking network for all counties in the contiguous United States during 2008-2012 and one water-quality measure for 26 states during 2010-2015. The three air-quality measures include 1) total number of days with fine particulate matter (PM 2.5 ) levels greater than the U.S. Environmental Protection Agency's (EPA's) National Ambient Air Quality Standards (NAAQS) for 24-hour average PM 2.5 (PM 2.5 days); 2) mean annual average ambient concentrations of PM 2.5 in micrograms per cubic meter (mean PM 2.5 ); and 3) total number of days with maximum 8-hour average ozone concentrations greater than the NAAQS (ozone days). The water-quality measure compared the annual mean

Sustainable Energy Solutions for Rural Alaska

Energy Technology Data Exchange (ETDEWEB)

Allen, Riley [Regulatory Assistance Project, Montpelier, VT (United States); Brutkoski, Donna [Regulatory Assistance Project, Montpelier, VT (United States); Farnsworth, David [Regulatory Assistance Project, Montpelier, VT (United States); Larsen, Peter [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

2016-04-22

The state of Alaska recognizes the challenges these rural communities face and provides financial support via the Power Cost Equalization (PCE) program. The PCE subsidizes the electricity prices paid by customers of these high-cost utilities. The PCE program is designed to spread the benefits of Alaska’s natural resources more evenly throughout the state. Yet even with this subsidy, electricity is still much more expensive for these rural customers. And beyond the PCE, other forms of assistance to rural utilities are becoming scarce given the state’s current fiscal environment. Nearly 90 percent of Alaska’s unrestricted budget funds in recent years have been tied to oil royalties—a sector experiencing significant declines in production and oil prices. Consequently, as Alaska looks to tighten budgets, the challenge of lowering rural utility costs, while encouraging self-sufficiency, has become more urgent.This study examines reliability, capital and strategic planning, management, workforce development, governance, financial performance and system efficiency in the various communities visited by the research team. Using those attributes, a tier system was developed to categorize rural Alaska utilities into Leading and Innovating Systems (Tier I), Advanced Diesel Systems (Tier II), Basic Systems (Tier III), and Underperforming Systems (Tier IV). The tier approach is not meant to label specific utilities, but rather to provide a general set of benchmarks and guideposts for improvement.

Rural Women's Attitude Towards Adoption Of Improved Crop ...

African Journals Online (AJOL)

Rural Women's Attitude Towards Adoption Of Improved Crop Production Practices In Aguata Agricultural Zone, Anambra State, Nigeria. ... Global Approaches to Extension Practice: A Journal of Agricultural Extension ... Rural women agreed that improved crops normally lose their taste after harvest (mean = 3.02).

Lessons on rural development, challenges and approaches

Directory of Open Access Journals (Sweden)

Absalón Machado

2010-12-01

Full Text Available For 25 years, Colombia implemented a rural development policy according to models adopted in Latin America since the 1960s. That policy advanced progressively toward decentralized and participatory development and it also moved forward to new concept of rural territorial development. Nevertheless, the Integrated Rural Development Program - IRD, turned into a Co-financing Fund, due to several reasons, ended during the second half of the 1990s. The change of protectionist policies towards deregulation, political cooptation of the program and the weak State capacities to replacing the IRD with other alternatives to stabilize rural societies contributed to the disappearance of the policy.

City without borders: Urban-rural multilocality in Bolivia

Directory of Open Access Journals (Sweden)

Cristina Cielo

2013-09-01

Full Text Available The social, economic and political dynamics in the Andean region depend fundamentally on the links between city and countryside. This article identifies fundamental characteristics of the mutual constitution of Bolivian rural and urban spheres, based on a collection of studies on the theme. It seeks to explore the consequences of the paradoxical lack of incorporation of these links into insti­tutional and state mechanisms. Although state policies of regularization and popular participation opened economic and political possibilities for the Bolivian rural and indigenous populations, the combination of institutional flexibility of these policies with their lack of attention to urban-rural realities increases the vulnerability of the most marginalized Bolivians. 

OUT Success Stories: Rural Electrification in Brazil

Energy Technology Data Exchange (ETDEWEB)

Strawn, N.

2000-08-31

The United States and Brazil are collaborating to bring electricity to some 5 million households in rural Brazil. Over the next decade, there is a potential to install approximately 500 megawatts (MW) of solar home systems and 1000 MW of community systems, bringing light to households, schools, and health clinics throughout rural Brazil.

An evaluation of rural health care research.

Science.gov (United States)

Kane, R; Dean, M; Solomon, M

1979-05-01

Reviews the state of the art of rural health research and evaluation in the U.S. with particular emphasis on the questions of access, health personnel, and financing. The current state of knowledge both in the published and unpublished literature in each area is summarized and a series of unresolved issues is proposed. A strategy for further research to include the various types of rural health care programs is described. Major findings suggest that, although rural populations do have somewhat less access to care than do urban populations, our ability to quantify precisely the extent and importance of this discrepancy is underdeveloped. Despite a substantial investment in a variety of rural health care programs there is inadequate information as to their effectiveness. Programs designed to increase the supply of health personnel to rural areas have met with mixed success. Sites staffed by National Health Service Corps personnel show consistently lower productivity than do sites under other sponsorship. Nonphysician personnel (physician assistants and nurse practitioners) offer a promising source of primary care for rural areas: recent legislation that reimburses such care should increase their utilization. A persistent problem is the expectation (often a mandate) incorporated into many rural health care demonstration efforts that the programs become financially self-sufficient in a finite period of time. Self-sufficiency is a function of utilization, productivity, and the ability to recover charges for services. In many instances stringent enforcement of the self-sufficiency requirement may mean those who need services most will be least likely to receive them.

Building On Builder: The Persistent Icarus Syndrome at Twenty Years

Science.gov (United States)

2013-06-01

mission of the United States Air Force is to "fly, fight, and win…in air, space and cyberspace"--as an intergral member of the Joint team that...Scenarios: A Military Futurist Explores War in the Twenty-First Century (New York: Bantam Books Trade Paperbacksl, 2009), 17. 33 Carl H. Builder

The Road to Rural Primary Care: A Narrative Review of Factors That Help Develop, Recruit, and Retain Rural Primary Care Physicians.

Science.gov (United States)

Parlier, Anna Beth; Galvin, Shelley L; Thach, Sarah; Kruidenier, David; Fagan, Ernest Blake

2018-01-01

To examine the literature documenting successes in recruiting and retaining rural primary care physicians. The authors conducted a narrative review of literature on individual, educational, and professional characteristics and experiences that lead to recruitment and retention of rural primary care physicians. In May 2016, they searched MEDLINE, PubMed, CINAHL, ERIC, Web of Science, Google Scholar, the Grey Literature Report, and reference lists of included studies for literature published in or after 1990 in the United States, Canada, or Australia. The authors identified 83 articles meeting inclusion criteria. They synthesized results and developed a theoretical model that proposes how the findings interact and influence rural recruitment and retention. The authors' proposed theoretical model suggests factors interact across multiple dimensions to facilitate the development of a rural physician identity. Rural upbringing, personal attributes, positive rural exposure, preparation for rural life and medicine, partner receptivity to rural living, financial incentives, integration into rural communities, and good work-life balance influence recruitment and retention. However, attending medical schools and/or residencies with a rural emphasis and participating in rural training may reflect, rather than produce, intention for rural practice. Many factors enhance rural physician identity development and influence whether physicians enter, remain in, and thrive in rural practice. To help trainees and young physicians develop the professional identity of a rural physician, multifactorial medical training approaches aimed at encouraging long-term rural practice should focus on rural-specific clinical and nonclinical competencies while providing trainees with positive rural experiences.

Rural New Zealand health professionals' perceived barriers to greater use of the internet for learning.

Science.gov (United States)

Janes, Ron; Arroll, Bruce; Buetow, Stephen; Coster, Gregor; McCormick, Ross; Hague, Iain

2005-01-01

The purpose of this research was to investigate rural North Island (New Zealand) health professionals' attitudes and perceived barriers to using the internet for ongoing professional learning. A cross-sectional postal survey of all rural North Island GPs, practice nurses and pharmacists was conducted in mid-2003. The questionnaire contained both quantitative and qualitative questions. The transcripts from two open questions requiring written answers were analysed for emergent themes, which are reported here. The first open question asked: 'Do you have any comments on the questionnaire, learning, computers or the Internet?' The second open question asked those who had taken a distance-learning course using the internet to list positive and negative aspects of their course, and suggest improvements. Out of 735 rural North Island health professionals surveyed, 430 returned useable questionnaires (a response rate of 59%). Of these, 137 answered the question asking for comments on learning, computers and the internet. Twenty-eight individuals who had completed a distance-learning course using the internet, provided written responses to the second question. Multiple barriers to greater use of the internet were identified. They included lack of access to computers, poor availability of broadband (fast) internet access, lack of IT skills/knowledge, lack of time, concerns about IT costs and database security, difficulty finding quality information, lack of time, energy or motivation to learn new skills, competing priorities (eg family), and a preference for learning modalities which include more social interaction. Individuals also stated that rural health professionals needed to engage the technology, because it provided rapid, flexible access from home or work to a significant health information resource, and would save money and travelling time to urban-based education. In mid-2003, there were multiple barriers to rural North Island health professionals making greater

77 FR 2954 - Notice of Stakeholder Meetings on Rural Energy for America Program

Science.gov (United States)

2012-01-20

... DEPARTMENT OF AGRICULTURE Rural Business-Cooperative Service Notice of Stakeholder Meetings on... stakeholders focusing on Rural Development's Rural Energy for America Program implemented under the Food... meetings will be hosted by Rural Development State Directors. Stakeholders must contact the appropriate...

Chemical composition of Thymus vulgaris L. (thyme essential oil from the Rio de Janeiro State (Brazil

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ALEXANDRE PORTE

2008-03-01

Full Text Available The essential oil from fresh leaves of Thymus vulgaris L. from Rio de Janeiro State, Brazil, was isolated by hydrodistillation and analyzed through a combination of GC and GC/MS. Compounds representing 95.1 % of the oil were identified. Thirty-nine constituents were detected, of which twenty-eight were identified according to their chromatographic retention indices and mass spectra. The major constituents of the oil were thymol (44.7 %, p-cymene (18.6 % and g-terpinene (16.5 %.

Youths Attitude To Rural Development Projects In Ogba ...

African Journals Online (AJOL)

... encourage youths to participate more in rural development projects. Also, training in the form of participatory seminars and workshops would help the youths to be more proactive. Keywords: Youths attitude, rural development projects, Ogba communities, Rivers State, Nigeria Global Approaches to Extension Practice Vol.

Development in Rural Uganda*

African Journals Online (AJOL)

/or single among .... labour supply, consumer demand, pcr capita income, productivity, etc. ..... The respondents were asked to state the reasons for their status in the social ..... purehase grains from the market for consumption, rural dwellers are.

What factors influence physiotherapy service provision in rural communities? A pilot study.

Science.gov (United States)

Adams, Robyn; Sheppard, Lorraine; Jones, Anne; Lefmann, Sophie

2014-06-01

To obtain stakeholder perspectives on factors influencing rural physiotherapy service provision and insights into decision making about service provision. Purposive sampling, open-ended survey questions and semi-structured interviews were used in this exploratory, qualitative study. A rural centre and its regional referral centre formed the pilot sites. Nine participant perspectives were obtained on rural physiotherapy services. Stakeholder perspectives on factors influencing rural physiotherapy service provision and service level decision making. Workforce capacity and capability, decision maker's knowledge of the role and scope of physiotherapy, consideration of physiotherapy within resource allocation decisions and proof of practice emerged as key issues. The latter three were particularly reflected in public sector participant comments. Business models and market size were identified factors in influencing private practice. Influencing factors described by participants both align and extend our understanding of issues described in the rural physiotherapy literature. Participant insights add depth and meaning to quantitative data by revealing impacts on local service provision. Available funding and facility priorities were key determinants of public sector physiotherapy service provision, with market size and business model appearing more influential in private practice. The level of self direction or choice about which services to provide, emerged as a point of difference between public and private providers. Decisions by public sector physiotherapists about service provision appear constrained by existing capacity and workload. Further research into service level decision making might provide valuable insights into rural health service delivery. © 2014 National Rural Health Alliance Inc.

Health beliefs and practices in rural El Salvador: an ethnographic study.

Science.gov (United States)

Rutherford, Mary S; Roux, Gayle M

2002-01-01

To investigate the health practices and lifeways of rural villagers in a remote area of El Salvador who had been displaced by the recent civil war. The purpose of the study was to explore their view on health and experiences of loss during the war. Ethnography (Spradley, 1980, 1999; Agar, 1996). The participants included any resident of three rural Salvadoran villages who were 18 years of age and over. Participants included nine families, with a total of twelve participants. Data collection included participant observation, audiotaped interviews, demographic information, and field notes. One of the Spanish-speaking key informants acted as the interpreter. The content of all data was analyzed for recurrent themes. All nine families were displaced to refugee camps in Honduras during the civil war. Two cultural themes that emerged from the data were: 1) War: "We lost everything; we had to leave running," and 2) Health: "It's in God's hands." It is a challenge to encourage culture-specific care that acknowledges Salvadoran herbal remedies, strength of spirit, and a belief that a Supreme Being controls their lives. The health practices of the participants were shaped by their experiences of suffering from loss of family members during the war, displacement from their homes, and lack of potable water and environmental sanitation. To make a positive impact and effect change on health services in these rural areas, efforts should be directed toward democratic and community-based social and economic development within the context of the cultural system. Recent earthquakes (2001) have intensified the need for improvement in environmental factors including potable water.

Women in rural family medicine: a qualitative exploration of practice attributes that promote physician satisfaction.

Science.gov (United States)

Hustedde, Carol; Paladine, Heather; Wendling, Andrea; Prasad, Rupa; Sola, Orlando; Bjorkman, Sarah; Phillips, Julie

2018-04-01

The USA needs more rural physicians. Although women represent half of all US trained medical students, the rural physician workforce has remained predominantly male. Insight is needed into what makes rural practice attractive for women and which practice characteristics allow women physicians to practice successfully in rural areas. This study's purpose was to examine aspects of the practice environment that impact women physicians' professional satisfaction and commitment to rural medicine. Twenty-five women family physicians practicing in rural areas of the USA were interviewed by phone using a semi-structured format. Transcribed interviews were analyzed using an immersion and crystallization approach. Emergent themes were identified, coded, and discussed until team consensus was attained. Interviews continued until saturation of themes was reached. Three themes emerged from the data, in relationship to practice and employment attributes that contribute to US women physicians' professional satisfaction and willingness to remain in a rural setting: professional relationships, practice characteristics, and support during times of transition. Participants placed high importance on professional relationships, both within and outside of their rural practice. Rural women physicians enjoyed practicing an expanded scope of care, valued loan repayment opportunities, and appreciated supportive practice partners. Importantly, women physicians who found themselves struggling to maintain rural careers often had experienced difficulty during times of practice transition, including maternity leaves. Understanding practice attributes valued by successful rural women family physicians in the USA will help rural health systems, practices, and physicians-in-training to develop and evaluate opportunities that will best contribute to successful rural practice. Supporting women physicians during periods of practice transition may improve retention.

WORKIN CONDITION OF RURAL LABOR IN MEXICO

Directory of Open Access Journals (Sweden)

Felipe Contreras-Molotla

2016-01-01

Full Text Available The aim of this paper is to show the behavior of the working conditions of the rural labor force of Mexico in the context of trade liberalization (1990-2010. Therefore, trends in agricultural and non-agricultural occupations are reviewed; salaried and non-salaried activities; labor income; and the main demographic characteristic of labor as age and schooling. The empirical analysis shows processing micro-data samples from the Census of Population and Housing 1990, 2000 and 2010. Among the major results in low growth of wage employment in rural contexts, both agricultural and non-agricultural activities is found. The female agricultural wage labor grew to early twenty-first century and later had a contraction at the end of the decade two thousand. Males still predominantly in farming, but it has increased its participation in the agricultural wage labor. Non-agricultural occupations increased in rural contexts. However, at the last moment of the study became more precarious, as the increased work on their own, with low levels of remuneration, this situation reflects the limited labor demand of labor. Therefore, in the context of trade liberalization, not salaried occupations increased steadily and continues with low levels of remuneration. The geographic region of residence enabled to distinguish differences in the working conditions of the rural population and occupied in time regional wage gap it is slightly shortened. The Northwest, North region were showing the highest levels of labor remuneration, in contrast, the South and Gulf regions were those that had the lowest wages.

Nine years of publications on strengths and weaknesses of Family Physician Program in rural area of Iran: A systematic review

Directory of Open Access Journals (Sweden)

Saber Azami-Aghdash

2016-12-01

Full Text Available Introduction: One of the most important duties of a family physician is to provide primary health care. This is completely considered in the Family Physician Program for a target population. The aim of this study was to systematically review the Family Physician and Referral System strength and weakness in rural area of Iran. Methods: In this systematic review, Scientific Information Database (SID, Science Direct, and PubMed databases were searched and Google search engine was employed using key words such as family medicine, family physician, and referral system for the period of January 2005 to June 2013, both in English and Persian. For identifying duplicated references, Endnote Software was used and for summarizing results of fully assessed articles extraction table was employed. Results: Strengths and weaknesses of Family Physician Program and referral system in rural areas of Iran were extracted from 28 studies. In total, 115 weaknesses (3.96 per study and 103 strengths (3.55 per study were obtained. Content analysis was used and 218 items were summarized into 29 items. Strengths of Family Physician Program were: access of villagers to health services, filling health document for clients, improving services for pregnant mothers, and family planning; while its obvious weaknesses included repeated unnecessary referral of clients as well as lack of providing job stability. Conclusion: Results of studies conducted in Iran showed that Family Physician and Referral System in rural area of Iran could not be successful enough and has many shortcomings. Therefore, a growing body of effective changes must be made for a better performance and to obtain better outcomes.

Rural Women\\'s Response To Selected Crop Production ...

African Journals Online (AJOL)

The study centered on rural women's response to selected crop production technologies in Imo State with a view to making policy recommendations. Structured questionnaire and interview schedule were administered through the assistance of extension agents to 258 randomly sampled rural women farmers from the three ...

Teachers' knowledge and attitudes towards seizure disorder: a comparative study of urban and rural school teachers in Akwa Ibom State, Nigeria.

Science.gov (United States)

Akpan, M U; Ikpeme, E E; Utuk, E-Oe

2013-01-01

Knowledge and attitude of school teachers with regard to seizure disorder has an important impact on continuation of schooling of children with seizure disorder. Though school teachers in both rural and urban settings are exposed to the same training, their perception of seizure disorder could be influenced by the environment in which they reside. To determine the knowledge and attitudes of school teachers towards children with seizure disorder, and the influence of urban residence on perception of seizure disorder by the teachers. A self-administered questionnaire on knowledge and attitudes to seizure disorder were filled by school teachers drawn from both urban and rural settings in Akwa-Ibom State, Nigeria. One-hundred and thirty-two urban school teachers and an equal number of their rural counterparts completed the questionnaire. There were significantly more female teachers in the urban schools whereas the rural schools were dominated by male teachers with male to female ratio of 1:5.6 and 1.2:1, respectively. Majority of the urban (60.6%) and rural (57.6%) school teachers were National Certificate of Education holders. Thirty-eight (28.8%) of urban respondents versus eight (6.1%) of rural respondents thought seizure disorder was caused by evil spirits whereas 60 (45.5%) urban respondents compared to 80 (60.6%) of rural respondents felt seizure disorder was infectious. Majority of the respondents from both urban and rural schools (68.2% and 63.6% respectively) believed that the foam from the mouth of a convulsing child with seizure disorder is the infecting agent. However, 62.1% of urban respondents as well as 45.5% of rural respondents would advise that children with seizure disorder be admitted into special schools. There was no significant difference in the mean overall knowledge and attitudes of school teachers to seizure disorder in the two settings ( P = 0.33 for knowledge and 0.28 for attitudes). Teachers' high level of education however, had a positive

Alaska Native Villages and Rural Communities Water Grant Program

Science.gov (United States)

Significant human health and water quality problems exist in Alaska Native Village and other rural communities in the state due to lack of sanitation. To address these issues, EPA created the Alaska Rural and Native Villages Grant Program.

Preliminary Findings on Rural Homelessness in Ohio.

Science.gov (United States)

First, Richard J.; And Others

This report is designed to present preliminary findings from the first comprehensive study of rural homelessness in the United States. The study was conducted during the first 6 months of 1990, and data were collected from interviews with 921 homeless adults in 21 randomly selected rural counties in Ohio. The sample counties represent 26% of the…

A prevalence study of faith-based healing in the rural southeastern United States.

Science.gov (United States)

Hull, Sharon K; Daaleman, Timothy P; Thaker, Samruddhi; Pathman, Donald E

2006-06-01

Although prayer and other spiritual practices are common among residents of the rural south, the use of faith-based healers (FBH), or healers who use prayer as their primary healing modality, has not been explored in this population. Secondary data analysis from a random digit dialing telephone survey of rural adults in eight southern states. Our overall response rate was 51% and 193 subjects (4.1%) had seen an FBH practitioner within the previous year. FBH use was significantly more common among younger respondents (OR 7.21, 95% Ci 2.00, 25.94), women (OR 1.49, 95% CI 1.03, 2.14), those reporting poorer health (OR 1.83, 95% CI 1.19, 2.83), and those who believed in avoiding physicians (OR 1.82, 95% CI 1.24, 2.67). A relationship between FBH use and delayed or foregone medical care, and cost as a barrier to obtaining care was not statistically significant after controlling for other factors. Prevalence of FBH use is low, but is significantly related to younger age, female gender, poorer health status, barriers to medical care and devaluing medical care. Clinicians may consider exploring FBH usage with their younger, female patients, and those in poorer health. Policy makers should consider how FBH usage is related to various indicators of health care services demand, utilization and access.

Country Queers: Queer Youth and the Politics of Rural America

Science.gov (United States)

Greteman, Adam J.

2012-01-01

Exploring the lives of rural lesbian, gay, bisexual, and transgender (LGBT) youth and their identity work, Mary Gray's "Out in the Country: Youth, Media, and Queer Visibility in Rural America" offers one of the first ethnographic studies of queer rural life in the United States and their use of new media. Throughout, Gray provides…

The Globalized Landscape: Rural Landscape Change and Policy in the United States and European Union

NARCIS (Netherlands)

Nassauer, J.I.; Wascher, D.M.

2008-01-01

While some rural areas draw increasing populations to their landscape amenities and some are changed by the long reach of metropolitan sprawl, agriculture defines, and dominates rural landscapes. Amenity characteristics and ecological services of many rural landscapes occur in the context of

AN INVESTIGATION OF VISION PROBLEMS AND THE VISION CARE SYSTEM IN RURAL CHINA.

Science.gov (United States)

Bai, Yunli; Yi, Hongmei; Zhang, Linxiu; Shi, Yaojiang; Ma, Xiaochen; Congdon, Nathan; Zhou, Zhongqiang; Boswell, Matthew; Rozelle, Scott

2014-11-01

This paper examines the prevalence of vision problems and the accessibility to and quality of vision care in rural China. We obtained data from 4 sources: 1) the National Rural Vision Care Survey; 2) the Private Optometrists Survey; 3) the County Hospital Eye Care Survey; and 4) the Rural School Vision Care Survey. The data from each of the surveys were collected by the authors during 2012. Thirty-three percent of the rural population surveyed self-reported vision problems. Twenty-two percent of subjects surveyed had ever had a vision exam. Among those who self-reported having vision problems, 34% did not wear eyeglasses. Fifty-four percent of those with vision problems who had eyeglasses did not have a vision exam prior to receiving glasses. However, having a vision exam did not always guarantee access to quality vision care. Four channels of vision care service were assessed. The school vision examination program did not increase the usage rate of eyeglasses. Each county-hospital was staffed with three eye-doctors having one year of education beyond high school, serving more than 400,000 residents. Private optometrists often had low levels of education and professional certification. In conclusion, our findings shows that the vision care system in rural China is inadequate and ineffective in meeting the needs of the rural population sampled.

Preferred practice location at medical school commencement strongly determines graduates' rural preferences and work locations.

Science.gov (United States)

Herd, Marie S; Bulsara, Max K; Jones, Michael P; Mak, Donna B

2017-02-01

To identify factors influencing whether Australian medical graduates prefer to, or actually, work rurally. Secondary analysis of longitudinal data from Medical Schools Outcomes Database (MSOD) using univariate and multivariate logistic regression. Twenty Australian medical schools. Australian or New Zealand citizens and Australian permanent residents who completed MSOD questionnaires between 2006 and 2013. Preferred and actual work locations 1 (PGY1) and 3 (PGY3) years postgraduation. Of 20 784 participants, 4028 completed a PGY1 or PGY3 questionnaire. Self-reported preference for rural practice location at medical school commencement was the most consistent independent predictor of whether a graduate would have a rural location preference at PGY1 (odds ratio (OR) 6.07, 95% confidence interval (CI) 4.91-7.51) and PGY3 (OR 7.95, 95% CI 4.93-12.84), and work rurally during PGY1 (OR 1.38, 95% CI 1.01-1.88) and PGY3 (OR 1.86, 95% CI 1.30-2.64). The effect of preferred practice location at medical school commencement is independent of, and enhances the effect of, rural background. Graduates of graduate-entry programs or with dependent children were less likely to have worked rurally during PGY1 and PGY3 respectively. The most consistent factor associated with rural preferences and work location was students' preferred location of practice at medical school commencement; this association is independent of, and enhances the effect of, rural background. Better understanding of what determines rural preference at medical school commencement and its influence on rural workplace outcomes beyond PGY3 is required to inform Australian medical school selection policies and rural health curricula. © 2016 National Rural Health Alliance Inc.

The Politics of the MST Autonomous Rural Communities, the State, and Electoral Politics

NARCIS (Netherlands)

Vergara Camus, Leandro

Examination of the politicization of landless people in the encampments and settlements of the Movimento dos Trabalhadores Rurais Sem-Terra (Landless Rural Workers' Movement-MST) in Brazil suggests that the movement's success rest on the fact that it generates relatively autonomous rural communities

Rural Education and Economic Development in China, Mexico, Japan, and the United States.

Science.gov (United States)

Ranson, Baldwin

1988-01-01

Traces the histories of rural education and rural technology in four countries. Suggests that the economic function of education is the transmission of technologically relevant skills, and that technologically appropriate curricula are a necessary part of economic development policy. 30 references. (SV)

Household food security and HIV status in rural and urban communities in the Free State province, South Africa.

Science.gov (United States)

Pienaar, Michélle; van Rooyen, Francois C; Walsh, Corinna M

2017-12-01

Higher socioeconomic status impacts profoundly on quality of life. Life-event stressors, such as loss of employment, marital separation/divorce, death of a spouse and food insecurity, have been found to accelerate disease progression among people with human immunodeficiency virus (HIV). The objective of this study was to determine significant independent sociodemographic and food security factors associated with HIV status in people from rural and urban communities in the Assuring Health for All study, which was undertaken in rural Trompsburg, Philippolis and Springfontein and urban Mangaung, in the Free State Province of South Africa. Sociodemographic and food security factors associated with HIV status were determined in 886 households. Logistic regression with forward selection (p rural participants, 97 (17.1%) were HIV-infected, and 172 (40.6%) of the 424 urban participants. A relatively high percentage of respondents had never attended school, while very few participants in all areas had a tertiary education. The unemployment rate of HIV-infected adults was higher than that of HIV-uninfected adults. A high percentage of respondents in all areas reported running out of money to buy food, with this tendency occurring significantly more among urban HIV-infected than HIV-uninfected respondents. In all areas, a high percentage of HIV-infected respondents relied on a limited number of foods to feed their children, with significantly more HIV-infected urban respondents compared to their uninfected counterparts reporting this. Most participants in all areas had to cut the size of meals, or ate less because there was not enough food in the house or not enough money to buy food. During periods of food shortage, more than 50% of respondents in all areas asked family, relatives or neighbours for assistance with money and/or food, which occurred at a higher percentage of HIV-infected rural participants compared to HIV-uninfected rural participants. More than half of all

Aedes (Stegomyia) aegypti and Aedes (Howardina) cozumelensis in Yucatán State, México, with a summary of published collection records for Ae. cozumelensis

OpenAIRE

García-Rejón, Julián E.; López-Uribe, Mildred P.; Loroño-Pino, María Alba; Arana-Guardia, Roger; Puc-Tinal, Maria; López-Uribe, Genny M.; Coba-Tún, Carlos; Baak-Baak, Carlos M.; Machain-Williams, Carlos; Reyes-Solis, Guadalupe C.; Lozano-Fuentes, Saul; Saavedra-Rodriguez, Karla; Black IV, William C.; Beaty, Barry J.; Eisen, Lars

2012-01-01

We collected mosquito immatures from artificial containers during 2010–2011 from 26 communities, ranging in size from small rural communities to large urban centers, located in different parts of Yucatán State in southeastern México. The arbovirus vector Aedes (Stegomyia) aegypti was collected from all 26 examined communities, and nine of the communities also yielded another container-inhabiting Aedes mosquito: Aedes (Howardina) cozumelensis. The communities from which Ae. cozumelensis were c...

Rural education in brazilian education: contradictions and perspective

Directory of Open Access Journals (Sweden)

Adriana D'Agostini

2012-09-01

Full Text Available This work focuses on the rural education. It aimed to analyze and discuss the rural education in the Brazilian educational context, indicating its character and its importance from the 1990s in the perspective of building an education aimed at human emancipation and that contradictory it is also supported and guided by neoliberal educational policies. From the studies of production on rural education was found challenges, problems, difficulties and contradictions that permeate the attempt to create a perspective of rural education. The concept of rural education was initially developed within the Movement of Landless Workers (MST and other social movements from the political pressure and demands for the state to take over public education / field took dimension of public policy. This complex situation currently directs rural schools, a critical perspective that seeks an education beyond the capital.

Rural specialists: The nature of their work and professional satisfaction by geographical location of work.

Science.gov (United States)

O'Sullivan, Belinda; McGrail, Matthew; Russell, Deborah

2017-12-01

Systematically describe the characteristics of rural specialists, their work and job satisfaction by geographical location of work. Cross-sectional. Three thousand, four hundred and seventy-nine medical specialists participating in the 2014 Medicine in Australia: Balancing Employment and Life (MABEL) survey of doctors. Location of practice, whether metropolitan, large (>50 000 population) or small regional centres (Rural specialists had more on-call requirements and poorer professional development opportunities. However, satisfaction with work hours, remuneration, variety of work, level of responsibility, opportunities to use abilities and overall satisfaction did not differ. Specialists in general medicine and general surgery were significantly more likely to work rurally compared with anaesthetists, particularly in small regional centres, whereas a range of other relevant specialists had lower than the average rural distribution and paediatricians and endocrinologists were significantly less likely to work in large regional centres. Rural specialists are just as satisfied as metropolitan counterparts reporting equivalent variety and responsibility at work. Better support for on-call demands and access to professional development could attract more specialists to rural practice. Increased rural training opportunities and regional workforce planning is needed to develop and recruit relevant specialties. Specifically, targeted support is warranted for training and development of specialists in general medicine and general surgery and overseas-trained specialists, who provide essential services in smaller regional centres. © 2017 National Rural Health Alliance Inc.

Labour migration and rural transformation in Nigeria.

Science.gov (United States)

Onyeonoru, I P

1994-06-01

The trends in rural-urban migration in Nigeria responded to changes in political and socioeconomic developments which occurred during the 1980s. Since the 1980s, rural-urban migration trends were rapidly reversed, and migrants returned to rural areas. In 1981, government revenues from oil declined. The oil production and price declines between 1980 and 1986 resulted in a foreign exchange crisis. Import restrictions were imposed, and stabilization measures resulted in scarcities of raw materials and spare parts and declines in industrial capacity. About 50% of import substitution factories went bankrupt. Between 1981 and 1983, about one million workers were estimated to have been laid off, of which 55,000 were federal and state employees. Other estimates indicated one million laid off just in the industrial sector. The government reinforced this urban-rural movement by emphasizing increased food production. In 1992, government wages were increased in order to offset high inflation. In 1986 and 1992, State and Local Government Areas were established as political entities tied to grassroots development; local offices were situated in greater proximity to local populations. In 1986, the objective was to provide infrastructure, promote production, and organize rural areas for development. Several community banks devoted to rural areas were established. Development programs for rural women were initiated. Federal revenue allocations to rural areas increased from 10% to 15%. Inducements were given to attract private formal and informal commerce and industry. The result was less than expected. Obstacles to rural development included the absence of an effective and integrated approach, inadequate funding, and corruption. Provision of good roads and schools did meet objectives and may have induced out-migration. Delays in provision of entitlements exacerbated the ability of return migrants to establish new economic activity. The new political divisions did not conform to

Video-Enhanced Telemedicine Improves the Care of Acutely Injured Burn Patients in a Rural State.

Science.gov (United States)

Wibbenmeyer, Lucy; Kluesner, Karen; Wu, Hongqian; Eid, Anas; Heard, Jason; Mann, Benjamin; Pauley, Alison; Peek-Asa, Corrine

The acute care of burn patients is critical and can be a daunting experience for emergency personnel because of the scarcity of burn injuries. Telemedicine that incorporates a visual component can provide immediate expertise in the treatment and management of these injuries. The authors sought to evaluate the addition of video telemedicine to our current telephone burn transfer program. During a 2-year period, 282 patients, 59.4% of all burn patients transferred from outside hospitals, were enrolled in the study. In addition to the scripted call with the charge nurse (ChargeRN) and the accepting physician, nine hospitals also transmitted video images of the wounds before transfer as part of a store and forward telemedicine transfer program (77, 27.6%). The accuracy of burn size estimations (BSA burned) and management changes (fluid requirements, transfer mode, and final disposition) were analyzed between the telephones-only sites (T only) and the video-enhanced sites. Referringstaff participating in video-enhanced telemedicine were sent a Google survey assessing their experience the following day. The referring staff (Referringstaff) was correct in their burn assessment 20% of the time. Video assessment improved the ChargeRN BSA burned and resulted in more accurate fluid resuscitation (P = .030), changes in both transportation mode (P = .042), and disposition decisions (P = .20). The majority of the Referringstaff found that video-enhanced telemedicine helped them communicate with the burn staff more effectively (3.4 ± 0.37, scale 1-4). This study reports the successful implementation of video-enhanced telemedicine pilot project in a rural state. Video-enhanced telemedicine using a store and forward process improved burn size estimation and facilitated management changes. Although not quantitatively assessed, the low cost of the system coupled with the changes in transportation and disposition strongly suggests a decrease in healthcare costs associated with

Current state of spent fuel management in the Russian Federation

International Nuclear Information System (INIS)

Makarchuk, T.F.; Spichev, V.V.; Tikhonov, N.S.; Simanovsky, V.M.; Tokarenko, A.I.; Bespalov, V.N.

1998-01-01

Twenty nine power units of nine nuclear power plants of total installed capacity 22 GW(e) are now in operation in the Russian Federation. They produce approximately 12% of electric power in the country. The annual spent fuel arising is about 790 tU. The spent fuel from VVER-440 and BN-600 is reprocessed at the RT-1 plant near Chelyabinsk. The VVER-1000 spent fuel is planned to be reprocessed at the reprocessing plant RT-2 which is under construction near Krasnoyarsk. The RBMK-1000 spent fuel is not reprocessed because of its low fissile content. It is meant to be stored in intermediate storage facilities at the NPP sites and in a centralized storage facility during a period not less than 50 years and then to be disposed of in geological formations. State of the art of spent fuel reprocessing, storage and transportation is considered in the paper. Problems of nuclear fuel cycle back-end in Russia are taken into account. (author)

General surgery graduates may be ill prepared to enter rural or community surgical practice.

Science.gov (United States)

Gillman, Lawrence M; Vergis, Ashley

2013-06-01

Rural/community surgery presents unique challenges to general surgeons. Not only are they required to perform "classic" general surgery procedures, but they are also often expected to be competent in other surgical disciplines. Final-year Canadian-trained residents in general surgery were asked to complete the survey. The survey explored chief residents' career plans for the following year and whether or not they would independently perform various procedures, some general surgical, and others now considered within the domain of the subspecialties. Sixty-four residents (71%) completed the survey. Twenty percent planned to undertake a rural surgical practice, 17% an urban community practice, and 55% had confirmed fellowships. Most residents (>90%) expressed comfort with basic general surgical procedures. However, residents were less comfortable with subspecialty procedures that are still performed by general surgeons in many rural practices. More than half of graduating general surgery residents are choosing subspecialty fellowship training over proceeding directly to practice. Those choosing a rural or community practice are likely to feel ill prepared to replace existing surgeons. Copyright © 2013 Elsevier Inc. All rights reserved.

The Role of Non-Governmental Organizations in Rural ...

African Journals Online (AJOL)

The main purpose of this study was to investigate the roles of non-governmental organizations in rural transformation in Odukpani Local Government Area of Cross River State, Nigeria. The activities they have engaged in and what result they achieved and how this impacted on rural livelihoods and development. A sample ...

Phenomenological Analysis of Teachers' Organizational Deviance Experiences in a Rural Primary School in Turkey

Science.gov (United States)

Anasiz, Burcu Türkkas; Püsküllüoglu, Elif Iliman

2018-01-01

The purpose of this study was to analyze organizational deviance experiences of teachers. The study was in phenomenological design among qualitative research methods. In the research convenience sampling technique was used. The research was conducted in a rural primary school in Mugla province in Turkey. Nine teachers participated in the study,…

Rural-urban Migration Decisions in China: Evidence from Rural Household Panel Data

Directory of Open Access Journals (Sweden)

Kyeongwon Yoo

2004-06-01

Full Text Available This paper analyzes the household's off-farm labor response to risk using the Research Center on the Rural Economy (RCRE panel data in China. This paper aims to find out whether the off-farm labor market, especially the migrant labor market, could be used as a means of coping with risk and shocks to income by poor households in rural China who have only limited access to the credit and insurance markets for managing risk. Instead of using the endogenous transitory income variance under the short time span of the data, we suggest using relatively exogenous measure of risk, such as the coefficient of variation of rainfall in each village, might be more appropriate to find the effect of risk on household's off-farm labor participation decision. Our results support the idea that households facing a riskier or more volatile distribution of precipitation are more likely to participate in the off-farm labor market. Attention to the potential risk-coping benefits from off-farm employment is timely for Chinese policy makers because both local and national policies accommodating the growth of markets for off-farm migrant labor have come under increasing pressure. As cities face growing problems of unemployed workers from state- owned enterprises, both local and national governments have taken measures to reduce competition for jobs between rural laborers and those urban residents left unemployed during the state-owned enterprises reform period. This paper suggests that rural resident would suffer from urban policies restricting the in-flow of migrants in two ways. Households sending temporary migrants to cities will suffer both a loss of income, and a loss of means of coping with risk. In fact, the analysis of this paper suggests that the welfare of Chinese farm households in rural areas can be further improved by eliminating the remaining institutional obstacles to expansion of migrant employment opportunities.

The gap in human resources to deliver the guaranteed package of prevention and health promotion services at urban and rural primary care facilities in Mexico.

Science.gov (United States)

Alcalde-Rabanal, Jacqueline Elizabeth; Nigenda, Gustavo; Bärnighausen, Till; Velasco-Mondragón, Héctor Eduardo; Darney, Blair Grant

2017-08-03

The purpose of this study was to estimate the gap between the available and the ideal supply of human resources (physicians, nurses, and health promoters) to deliver the guaranteed package of prevention and health promotion services at urban and rural primary care facilities in Mexico. We conducted a cross-sectional observational study using a convenience sample. We selected 20 primary health facilities in urban and rural areas in 10 states of Mexico. We calculated the available and the ideal supply of human resources in these facilities using estimates of time available, used, and required to deliver health prevention and promotion services. We performed descriptive statistics and bivariate hypothesis testing using Wilcoxon and Friedman tests. Finally, we conducted a sensitivity analysis to test whether the non-normal distribution of our time variables biased estimation of available and ideal supply of human resources. The comparison between available and ideal supply for urban and rural primary health care facilities reveals a low supply of physicians. On average, primary health care facilities are lacking five physicians when they were estimated with time used and nine if they were estimated with time required (P human resources in primary health facilities.

Effects Of Membership Of Cooperative Organisations And Determinants On Farmer-Members Income In Rural Anambra State Nigeria

Directory of Open Access Journals (Sweden)

Nkechi Cordelia Ojiagu

2015-08-01

Full Text Available ABSTRACT The study examined the effect of membership of cooperative societies on the economic activities of farmers as well as the determinants of their income in rural Nigeria focusing on Anambra State. Data from 2506 members selected through multi-stage stratified random sampling were analyzed. The study found among others that members incomes are dependent upon their socio-economic profile such as age marital status and membership or otherwise of cooperative societies education cooperative marketing credit gender and business expertise. Also respondents depend largely on farming related activities for generation of income in the study area. Furthermore it was found that the major challenge of the farmer-members is inadequate fund poor education and illiteracy among most members conflict among members and lack of access to farm input. The Nigerian government is advised to formulate policies that will incorporate information from the local level that can support planning implementation and evaluation of programmes that can enhance farmers income this however will influence the pattern of agricultural growth in ways that can change income level of rural farmers to grow fast. The study recommends that cooperatives should intensify their education of members to gain more benefits and that government non-governmental organizations and international development agencies should show interest in supervising and providing development support to Farmers Cooperative Societies in rural Nigeria.

Research related to boron neutron capture therapy at The Ohio State University

International Nuclear Information System (INIS)

Barth, R.F.; Soloway, A.H.; Alam, F.

1986-01-01

Research in the area of boron neutron capture therapy (BNCT) at The Ohio State University is a highly multidisciplinary effort involving approximately twenty investigators in nine different departments. Major areas of interest include: (1) Boronation of monoclonal antibodies directed against tumor-associated antigens for the delivery of 10 B; (2) Synthesis of 10 B-containing derivatives of promazines and porphyrins that possess tumor-localizing properties; (3) Development of a rat model for the treatment of glioblastoma by BNCT; (4) Quantitation and microdistribution of 10 B in tissues by means of a solid state nuclear track detector. The ultimate goal of this research is to carry out the extensive preclinical studies that are required to bring BNCT to the point of a clinical trial. 13 references

Mechanism Research on Standardized Development of Rural Private Finance

Institute of Scientific and Technical Information of China (English)

2010-01-01

In generalizing the researching conditions of researchers on private finance,the paper introduces the connoted meaning of rural private finance broadly and narrowly.The paper states the forms of rural private finance(including private loaning,private bank,rural private collecting,financing organizations,cooperatives,NGO,small loaning organizations and so on),the relations between rural private finance and rural economic relations,pointing out that it is the combination of the strong and the weak,which may generate benefits with the operation of marketing mechanisms.The paper analyzes the historical causes,supervision causes and cultural causes of rural private finance,discussing mechanisms of standardized development of rural private finance:firstly,standardize the organization management mechanisms,including scaled controlling mechanisms and bank management mechanisms;secondly,complete finance supervision mechanisms;thirdly,moderate government intervention,including affording liberal policy environment and reducing the improper intervention;fourthly,upgrading qualities mechanisms,including cultivating the rural credit culture and improving the quality of regulatory personnel.

Rural Sociology in Brazil: Institutional Growth (1965-1977).

Science.gov (United States)

Hansen, David O.; And Others

Growth and present status of graduate programs, major research interests, and potential for US-Brazilian collaboration indicate the present state of rural sociology in Brazil. In contrast to US rural sociology's identity crisis of the past decade, the field in Brazil has blossomed. Graduate programs are underway at universities of Rio Grande do…

Systematic Review of Palliative Care in the Rural Setting.

Science.gov (United States)

Bakitas, Marie A; Elk, Ronit; Astin, Meka; Ceronsky, Lyn; Clifford, Kathleen N; Dionne-Odom, J Nicholas; Emanuel, Linda L; Fink, Regina M; Kvale, Elizabeth; Levkoff, Sue; Ritchie, Christine; Smith, Thomas

2015-10-01

Many of the world's population live in rural areas. However, access and dissemination of the advances taking place in the field of palliative care to patients living in rural areas have been limited. We searched 2 large databases of the medical literature and found 248 relevant articles; we also identified another 59 articles through networking and a hand search of reference lists. Of those 307 articles, 39 met the inclusion criteria and were grouped into the following subcategories: intervention (n = 4), needs assessment (n = 2), program planning (n = 3), program evaluation (n = 4), education (n = 7), financial (n = 8), and comprehensive/systematic literature reviews (n = 11). We synthesized the current state of rural palliative care research and practice to identify important gaps for future research. Studies were conducted in the United States, Australia, Canada, Africa, Sweden, and India. Two randomized control trials were identified, both of which used telehealth approaches and had positive survival outcomes. One study demonstrated positive patient quality of life and depression outcomes. Research to guide rural palliative care practice is sparse. Approaches to telehealth, community- academic partnerships, and training rural health care professionals show promise, but more research is needed to determine best practices for providing palliative care to patients living in rural settings.

People's participation in rural electrification - a successful case

Energy Technology Data Exchange (ETDEWEB)

Kamalapur, G.D. [National Institute of Technology Karnataka, Surathkal (India); Udaykumar, R.Y. [National Institute of Technology Karnataka, Department of Electrical Engineering, Surathkal (India)

2012-06-15

Rural electrification is an integral component of poverty alleviation and rural growth of a nation. A developing nation, like India has 72.2 percent people living in rural areas. Still, electricity has not played an effective role in the socio-economic growth of villages. The Government of India has an ambitious target of providing electricity to all villages by 2008 and all rural households by 2012. Steps are already initiated with Rural Electric Corporation, Rural Electricity Supply Technology Mission, State Electricity Boards led reforms, Reforms in Power Sector, Electricity Act 2003, Rajiv Gandhi Grameen Vidyutikaran Yojana etc. An attempt has been made in this paper to assess the present status of rural electrification in India and the major factors contributing to rural electrical distribution. Steps initiated by the Government of India through Rural Electric Corporation (REC) and a successful case study of the people's participation model is presented. (orig.)

Improving collected rainwater quality in rural communities.

Science.gov (United States)

Garrido, S; Aviles, M; Ramirez, A; Gonzalez, A; Montellano, L; Gonzalez, B; de la Paz, J; Ramirez, R M

2011-01-01

The country of Mexico is facing serious problems with water quality and supply for human use and consumption in rural communities, mainly due to topographic and isolation. In Mexico the average annual precipitation is 1,500 cubic kilometers of water, if 3% of that amount were used, 13 million Mexicans could be supplied with drinking water that they currently do not have access. Considering the limited infrastructure and management in rural communities, which do not receive services from the centralized systems of large cities, a modified pilot multi-stage filtration (MMSF) system was designed, developed, and evaluated for treating collected rainwater in three rural communities, Ajuchitlan and Villa Nicolas Zapata (Morelos State) and Xacxamayo (Puebla State). The efficiencies obtained in the treatment system were: colour and turbidity >93%. It is worth mentioning that the water obtained for human use and consumption complies with the Mexican Standard NOM-127-SSA1-1994.

Poverty induced characteristics and their effects on the rural ...

African Journals Online (AJOL)

This study on poverty induced characteristics and their effect on the rural development was conducted in 45 rural communities in Imo State, Nigeria. Data were collected with structured questionnaire from 90 randomly selected community leaders and analyzed with frequency distribution and percentages. The- most ...

Rural Health in the People's Republic of China; Report of a Visit by the Rural Health Systems Delegation, June 1978.

Science.gov (United States)

Public Health Service (DHHS), Rockville, MD.

A 28-day visit to the People's Republic of China during June and July 1978 by the Rural Health Systems Delegation from the United States, sponsored by the Committee on Scholarly Communication with the People's Republic of China, resulted in an exchange of information about rural health policy and planning. Specific areas of emphasis included:…

Effectiveness of Botswana's policy on rural electrification

International Nuclear Information System (INIS)

Ketlogetswe, C.; Mothudi, T.H.; Mothibi, J.

2007-01-01

Rural areas, the world over, are characterised by low levels of connectivity to electrical energy, despite the fact that electricity has been universally acknowledged as one of the most important propellant for community and national development. Botswana is not immune to this trend. Consequently, available evidence puts the overall level of electrical connectivity in Botswana rural areas to just 12%. A plethora of factors are responsible for inhibiting high levels of access to electrical energy by rural communities. Some major impediments often cited as causing ineffective energy provision to rural-based communities include, among others, the following: (a)geographical set-ups of the concerned communities; (b)inappropriately conceived energy policies; (c)low-income status of most rural inhabitants. This paper, therefore, examines Botswana's policy on energy supply with the view to confirm or deny any correlation between the above factors and the low-levels of electrical connectivity in the country's rural communities, as well as many others that may have impacted on this state of affairs. The policy is evaluated by undertaking a comparative study of its implementation on two seemingly geographical contrasting rural communities within the country

Cardiovascular risk factor clustering and its association with fitness in nine-year-old rural Norwegian children

DEFF Research Database (Denmark)

Resaland, G K; Mamen, A; Boreham, C

2010-01-01

of those in the other quartiles. Finally, subjects were cross-tabulated into different fat-fit groups. For both sexes, the unfit and overweight/obese group had a significantly higher CVD risk factor score than the fit and normal weight group. Clustering of CVD risk factors was present in this group......This paper describes cardiovascular disease (CVD) risk factor levels in a population-representative sample of healthy, rural Norwegian children and examines the association between fitness and clustering of CVD risk factors. Final analyses included 111 boys and 116 girls (mean age 9.3 +/- 0.......3). To determine the degree of clustering, six CVD risk factors were selected: homeostasis model assessment score, waist circumference, triglycerides, systolic blood pressure, total cholesterol to high-density lipoprotein ratio and fitness (VO(2peak)). Clustering was observed in 9.9% of the boys and 13...

Rural measurements of the chemical composition of airborne particles in the Eastern United States

International Nuclear Information System (INIS)

Wolff, G.T.; Kelly, N.A.; Ferman, M.A.; Morrissey, M.L.

1983-01-01

Quantitative measurements of particulate composition was made at three rural sites: in central South Dakota, on the Louisiana Gulf Coastal, and in the Blue Ridge Mountains of Virginia. The first two sites were selected to determine background concentrations in continental polar and maritime tropical air masses, respectively, which affect the eastern United State during the summer. The Virginia site was selected as a receptor site, downwind of the midwestern source area. The South Dakota data established the background concentrations. These concentrations were similar to the levels in Louisiana when air parcels arrived from the Gulf of Mexico, without recently passing over the United States. Levels of fine particles (diameters less than 2.5 μm) were highest in Virginia and were due chiefly to sulfate. Using trajectory and statistical analyses, it is shown that the residence time of an air parcel over the midwestern source area was the most important variable in determining the sulface levels in the Blue Ridge Mountains

[Entomological study of Trypanosoma cruzi vectors in the rural communities of Sucre state, Venezuela].

Science.gov (United States)

García-Jordán, Noris; Berrizbeitia, Mariolga; Concepción, Juan Luis; Aldana, Elis; Cáceres, Ana; Quiñones, Wilfredo

2015-01-01

The ecological niche of Reduvidae vectors has been modified due to environmental changes and human encroachment into the rural areas. This study evaluates the current entomological indices of triatomines responsible for Trypanosoma cruzi infection in Sucre State, Venezuela. A cross-sectional and prospective study was conducted in 95 towns and 577 dwellings in the 15 municipalities of the state of Sucre, Venezuela, from August to November, 2008. Triatomine bugs were identified on the basis of morphological characteristics, and their feces examined for T. cruzi infection through direct microscopy. Positive slides were stained with Giemsa and parasites were identified by morphologic characterization. The entomological indices expressing the highest values were dispersion (16.67%) and household colonization (33.33%). The triatomine species captured were: Rhodnius prolixus , Rhodnius main intradomiciliary vector. Despite the low index of vector infection (1.72%), the existence of species with domiciliary and peridomiciliary reproductive success ensures the persistence of the epidemiological chain both for the disease and the parasite.

Attitude of Rural Youths towards Family Farming in Dass, Bauchi ...

African Journals Online (AJOL)

Attitude of Rural Youths towards Family Farming in Dass, Bauchi State, Nigeria and the ... Majority were males (88 %), single (51 %), literate (99 %) and had rural ... most of them (78 %) said was learned through parents (non-formal sources).

The coming vitality of rural places

Directory of Open Access Journals (Sweden)

Craig B. HOWLEY

2013-04-01

Full Text Available ABSTRACTIn many parts of the world, whether “developing” or “developed,” the concept of a rural sort of education is largely ignored by national ministries. The United States is just one notable example of silence at the bureaucratic center, despite scholarly interest in provincial universities. The future may change the “terms of engagement,” however, and this essay considers the leadership of rural schools and communities from the vantage of the daunting, but clearly visible, challenges of the future. The challenges described in the essay relate to a variety of visible, perhaps even familiar, economic, environmental, political, and cultural threats confronting life in the coming century. Though increasingly important and relevant to education, these threats are not a common part of discussions in education policy. The essay explains why, and why the threats are important to rural villages and districts. Discussion concludes with five rurally appropriate shifts of thinking that might help rural citizens and subjects around the world engage the challenges and counter the threats.

SUICIDAL ATTEMPTS AMONG YOUNG RURAL INHABITANTS

Directory of Open Access Journals (Sweden)

Zdzisław Brzeski

2010-06-01

Full Text Available In recent years changes have been noted in the motivations for acute suicidal poisonings among young people from various environments, which are due to psychosocial changes both in the urban and rural environments. Suicidal attempts are accompanied – especially in the rural environment – by low social status, difficulties with adapting to a free market economy, emotional tension within the family, at school, in the environment of young people, addiction to alcohol, drug overuse, including psychotropes. Based on clinical material concerning rural inhabitants hospitalized due to suicidal poisonings, the authors performed the analysis of attitudes, motivations and causes of acute poisonings among the young rural population. Among rural adolescents who continued school or university education the dominant causes of undertaking a suicidal attempt were: adolescent period problems, conflicts within the family, conflicts with mates, and disappointment in love. Among young adults the motivations were as follows: difficulties with finding employment in the place of residence, conflicts within the family, overuse of stimulants, and sometimes states of depression during the period of aggravation of a disease.

THE EVALUATION OF DIVERSITY OF EDUCATIONAL ENVIRONMENTAL MODELS OF LATVIAN RURAL SCHOOLS

OpenAIRE

Katane, Irēna; Laizāne, Anna

2015-01-01

Under conditions of changes and instability in any state rural schools are faced to look for different directions of development in order to manage in the rural areas. Thus the inner structure of rural schools becomes complex and causes formation of new educational environmental models of Latvian rural schools. The aims of the article: 1) to give substantiation of the concept model; 2) to give classification of educational environmental models of rural schools; 3) to emphasize the advantages ...

7 CFR 1940.968 - Rural Economic Development Review Panel Grant (Panel Grant).

Science.gov (United States)

2010-01-01

...) RURAL HOUSING SERVICE, RURAL BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM SERVICE... State under subpart B of part 1900 of this chapter. (k) Fund disbursement. Grant funds will be disbursed... owned banks can be obtained from the Office of Minority Business Enterprises, Department of Commerce...

Rural And Urban Youth Participation In Community Development In ...

African Journals Online (AJOL)

The focused on participation in community development activities, constraints to and benefits derived from participation. It compared rural and urban youth participation in community development activities in Ido local government area of Oyo State. Proportionate random sampling was used to select 2 rural, 1 urban ...

Violence and Drug Use in Rural Teens: National Prevalence Estimates from the 2003 Youth Risk Behavior Survey

Science.gov (United States)

Johnson, Andrew O.; Mink, Michael D.; Harun, Nusrat; Moore, Charity G.; Martin, Amy B.; Bennett, Kevin J.

2008-01-01

Objectives: The purpose of this study was to compare national estimates of drug use and exposure to violence between rural and urban teens. Methods: Twenty-eight dependent variables from the 2003 Youth Risk Behavior Survey were used to compare violent activities, victimization, suicidal behavior, tobacco use, alcohol use, and illegal drug use…

Outlook: The Next Twenty Years

Energy Technology Data Exchange (ETDEWEB)

Murayama, Hitoshi

2003-12-07

I present an outlook for the next twenty years in particle physics. I start with the big questions in our field, broken down into four categories: horizontal, vertical, heaven, and hell. Then I discuss how we attack the bigquestions in each category during the next twenty years. I argue for a synergy between many different approaches taken in our field.

Oxidized Nitrogen Balance over 15 Months at Rural and Urban New York State Locations

Science.gov (United States)

Schwab, J. J.; Ninneman, M.; Marto, J.; Edgerton, E. S.; Blanchard, C. L.; Shaw, S. L.

2017-12-01

Continuous measurements of oxidized nitrogen species (NO, NO2, and HNO3), families of species (NOy, alkyl nitrates [or ANs], and peroxyacetyl nitrates [or PANs]), and particle nitrate (pNO3) were carried out for a fifteen-month period from August 2016 through October 2017 at two locations in New York State. The two sites were a rural research station at Pinnacle State Park in Addison, NY and an urban research station at Queens College in New York City. Four different chemiluminescence analyzers with various converters and denuders were employed to make these measurements. Instrumentation used for the study will be described, as well as some of the challenges created by combining data from these independent analyzers to address the oxidized nitrogen budget at the two sites. The Pinnacle State Park site often experiences quite clean air with low ppb levels of total NOy and a greater fraction of oxidized nitrogen products (NOz species). This contrasts with the urban Queens College location, which experiences stronger NOx sources. Seasonal differences in the NOx/NOy and NOz/NOy ratios, and the makeup of the NOz species, are also significant and will be explored in the presentation.

Prevalence of serum antibodies to hantavirus in a rural population from the southern state of Santa Catarina, Brazil

Directory of Open Access Journals (Sweden)

Gregório Wrublevski Pereira

2012-02-01

Full Text Available INTRODUCTION: Rodent-borne hantaviruses cause severe human diseases. We completed a serological survey of hantavirus infection in rural inhabitants of Turvo County, in the southern State of Santa Catarina, Brazil, in which seropositivity for hantavirus was correlated to previous disease in the participants. METHODS: The levels of IgG antibodies to hantavirus Araraquara in the sera of 257 individuals were determined using an immunoenzymatic assay. RESULTS: IgG antibodies to hantavirus were found in 2.3% of the participants. All seropositive participants reported previous disease with symptoms suggestive of hantavirus cardiopulmonary syndrome. CONCLUSIONS: Human infections causing unreported cardiopulmonary syndrome probably occur in the southern State of Santa Catarina.

Prevalence of Intestinal Parasitic Infections and their Association with Nutritional Status of Rural and Urban Pre-School Children in Benue State, Nigeria.

Science.gov (United States)

Tyoalumun, Kpurkpur; Abubakar, Sani; Christopher, Nongu

2016-01-01

Intestinal parasitic infections are highly prevalent in developing countries, contributing to high incidence of malnutrition and morbidity. This study aimed to find the prevalence of intestinal parasitic infections and their association with nutritional status of children in Benue State, Nigeria. A cross sectional study conducted from January-June 2016, among 418 school children under-5 years of age. Anthropometric data, height-for-age, weight-for-height, and weight-for-age Z-scores from each child and fecal samples were collected and screened for intestinal parasites using standard laboratory methods. Among the intestinal parasitic infections detected, the prevalence of E. histolytica was higher (51.0% and 29.0%) than all other parasites encountered in rural and urban pupils (Prural and urban pupils were 43.8% and 32.9%; 64.4% and 39.0% rural and urban pupils were underweight (WAZ<-2), while 30.3% and 24.3% were wasted (WHZ<-2). Infected children had significantly (P<0.05) higher z-scores than the uninfected children. Benue State is among the Nigerian states with the highest burden of tropical diseases with a current plan of elimination implemented through mass drug administration. This study identify/evaluate some essential information that will support the planning and implementation of the State's ongoing efforts.

42 CFR 440.20 - Outpatient hospital services and rural health clinic services.

Science.gov (United States)

2010-10-01

... Definitions § 440.20 Outpatient hospital services and rural health clinic services. (a) Outpatient hospital... services that are not generally furnished by most hospitals in the State. (b) Rural health clinic services... 42 Public Health 4 2010-10-01 2010-10-01 false Outpatient hospital services and rural health...

Achieving timely percutaneous reperfusion for rural ST-elevation myocardial infarction patients by direct transport to an urban PCI-hospital.

Science.gov (United States)

Bennin, Charles-Lwanga K; Ibrahim, Saif; Al-Saffar, Farah; Box, Lyndon C; Strom, Joel A

2016-10-01

ST-elevation myocardial infarction (STEMI) guidelines recommend reperfusion by primary percutaneous coronary intervention (PCI) ≤ 90 min from time of first medical contact (FMC). This strategy is challenging in rural areas lacking a nearby PCI-capable hospital. Recommended reperfusion times can be achieved for STEMI patients presenting in rural areas without a nearby PCI-capable hospital by ground transportation to a central PCI-capable hospital by use of protocol-driven emergency medical service (EMS) STEMI field triage protocol. Sixty STEMI patients directly transported by EMS from three rural counties (Nassau, Camden and Charlton Counties) within a 50-mile radius of University of Florida Health-Jacksonville (UFHJ) from 01/01/2009 to 12/31/2013 were identified from its PCI registry. The STEMI field triage protocol incorporated three elements: (1) a cooperative agreement between each of the rural emergency medical service (EMS) agency and UFHJ; (2) performance of a pre-hospital ECG to facilitate STEMI identification and laboratory activation; and (3) direct transfer by ground transportation to the UFHJ cardiac catheterization laboratory. FMC-to-device (FMC2D), door-to-device (D2D), and transit times, the day of week, time of day, and EMS shift times were recorded, and odds ratio (OR) of achieving FMC2D times was calculated. FMC2D times were shorter for in-state STEMIs (81 ± 17 vs . 87 ± 19 min), but D2D times were similar (37 ± 18 vs . 39 ± 21 min). FMC2D ≤ 90 min were achieved in 82.7% in-state STEMIs compared to 52.2% for out-of-state STEMIs (OR = 4.4, 95% CI: 1.24-15.57; P = 0.018). FMC2D times were homogenous after adjusting for weekday vs . weekend, EMS shift times. Nine patients did not meet FMC2D ≤ 90 min. Six were within 10 min of target; all patient achieved FMC2D ≤ 120 min. Guideline-compliant FMC2D ≤ 90 min is achievable for rural STEMI patients within a 50 mile radius of a PCI-capable hospital by use of protocol-driven EMS ground

Provision of Information to Rural Communities in Bama Local ...

African Journals Online (AJOL)

Provision of Information to Rural Communities in Bama Local Government Area of Borno State, Nigeria. Y Aliyu, E Camble ... findings of the study showed that rural people in the Soye district have identifiable information needs mainly in the areas of agriculture, health, government programmes and small scale industries.

Determinants Of Rural Agricultural Financing By The United Bank ...

African Journals Online (AJOL)

This study examined the determinants of rural agricultural financing by the United Bank for Africa (UBA) and the need for extension services in Imo State, Nigeria. Eighty (80) rural farmer loan beneficiaries from the UBA were sampled and administered with structured questionnaire. Results showed that the major significant ...

The Urban/Rural Dichotomy in the Distribution of Breast Cancer Across Pennsylvania.

Science.gov (United States)

Boukovalas, Stefanos; Sariego, Jack

2015-09-01

Breast cancer rates clearly differ across the United States. This is due to a variety of factors, but at least one determinant is the population density. Breast cancer detection rates and treatment paradigms may differ in rural areas when compared with more urban ones. As the population becomes more mobile and diffuse, this may or may not be a worsening problem. The current analysis was undertaken to examine the breast cancer incidence and outcomes in a single state in an attempt to plan for resource allocation in the future. A retrospective analysis was performed using data available from the Pennsylvania Department of Health regarding breast cancer rates by county, the distribution of cases with regard to degree of rurality, death rates by county as a function of rurality, and the age distribution of all presenting cases. Data from 1999 were compared with those of 2009. The United States Census Bureau definition of rurality was used, which specifies that a county be classified as rural if the population density is less than 284 persons/square mile. Between 1999 and 2009, the population of Pennsylvania increased by approximately 3.4 per cent (421,325 people). The urban population increased by 3.9 per cent, whereas the rural population increased by only 2.2 per cent. During that same period, the number of cancer cases/100,000 population remained about the same: 391.41 in 1999; 390.7 in 2009. However, the distribution of cases shifted during that time toward more rural areas of the state: in 1999, there were 372.3 breast cancer cases/100,000 population compared with 2009 when the rate was 384.4/100,000 population. The number of cancer deaths/100,000 population actually dropped overall during the decade: 98.5 in 1999 versus 82.3 in 2009. Though this was true in both urban and rural counties, the decrease was much less pronounced in the rural areas. In urban counties, the death rate dropped from 100.5 to 81.5/100,000 population, whereas in rural counties, the drop was

Epidemiological factors related to the transmission risk of Trypanosoma cruzi in a Quilombola community, State of Mato Grosso do Sul, Brazil

Directory of Open Access Journals (Sweden)

Marlon Cezar Cominetti

2011-10-01

Full Text Available INTRODUCTION: This work was an epidemiological investigation of the risk of Trypanosoma cruzi transmission in the rural Quilombola community of Furnas do Dionízio, State of Mato Grosso do Sul, Brazil. METHODS: Of the 71 animals examined, seven were captured (two opossums, Didelphis albiventris; four rats, Rattus rattus; and one nine-banded armadillo, Dasypus novemcinctus and 64 were domestic (one canine, Canis familiaris; five pigs, Sus scrofa; two bovines, Bos taurus; five caprines, Capra sp.; and 51 ovines, Ovis aries. Parasitological tests were performed to detect parasites in the blood and to identify the morphology of flagellates. These methods included fresh examinations, buffy coat tests and blood cultures. Molecular analysis of DNA for identification of trypanosomatids was performed by polymerase chain reaction (PCR with primers S35 and S36. RESULTS: The parasitological tests showed flagellates in an opossum and two cattle. The molecular tests showed DNA from T. cruzi in an opossum and a pig. Triatoma sordida was the only triatomine species found in the community, and it colonized households (four specimens and the surrounding areas (124 specimens. Twenty-three specimens tested positive for flagellates, which were subsequently identified as T. cruzi by PCR. CONCLUSIONS: Data analysis demonstrated that T. cruzi has a peridomestic life cycle that involves both domestic and wild mammals.

Geriatric education across 94 million acres: adapting conference programming in a rural state.

Science.gov (United States)

Murphy-Southwick, Colleen; McBride, Melen

2006-01-01

Montana, a predominantly rural state, with a unique blend of geography and history, low population density, and cultural diversity represents the challenges for program development and implementation across remote areas. The paper discusses two statewide multidisciplinary geriatric education programs for health professionals offered by the recently established Montana Geriatric Education Center (MTGEC); use of telecommunications technology; collaborations with Geriatric Education Centers (GECs) and the Montana Healthcare Telemedicine Alliance (MHTA); and training outcomes, insights, and implications for continuing education of health professionals who practice in hard-to-reach regions. In addition, data from a statewide needs assessment are presented specific to preferred format. The MTGEC training model that combined traditional classroom and videoconference increased attendance by twofold and may be adapted in other regions to train providers in remote areas of the U.S.

Optimal Cutoff Scores for Alzheimer's Disease Using the Chinese Version of Mini-Mental State Examination Among Chinese Population Living in Rural Areas.

Science.gov (United States)

Yang, Zhao; Holt, Hunter K; Fan, Jin-Hu; Ma, Li; Liu, Ying; Chen, Wen; Como, Peter; Zhang, Lin; Qiao, You-Lin

2016-12-01

To explore the optimal cutoff score for initial detection of Alzheimer's Disease (AD) through the Chinese version of Mini-Mental State Examination (CMMSE) in rural areas in China, we conducted a cross-sectional study within the Linxian General Population Nutritional Follow-up study. 16,488 eligible cohort members participated in the survey and 881 completed the CMMSE. Among 881 participants, the median age (Interquartile range) was 69.00 (10.00), 634 (71.92%) were female, 657 (74.57%) were illiterate, 35 (3.97%) had 6 years of education or higher, and 295 (33.48%) were diagnosed with AD. By reducing the CMMSE criteria for illiterate to 16 points, primary school to 19 points, and middle school or higher to 23 points, the efficiency of Chinese version of Mini-Mental State Examination can be significantly improved for initial detection of AD in rural areas in China, especially in those nutrition deficient areas. © The Author(s) 2016.

The Role Of Rural Women In Crop And Poultry Production In Cross ...

African Journals Online (AJOL)

This paper examines the roles of rural women in crops and poultry production in rural areas in Cross River State, and their contribution to food production and preservation. The paper also revealed that rural women participate in food production and bearing responsibility for food marketing and distribution, family health, ...

Rural Versus Urban Use of Traditional and Emerging Tobacco Products in the United States, 2013-2014.

Science.gov (United States)

Roberts, Megan E; Doogan, Nathan J; Stanton, Cassandra A; Quisenberry, Amanda J; Villanti, Andrea C; Gaalema, Diann E; Keith, Diana R; Kurti, Allison N; Lopez, Alexa A; Redner, Ryan; Cepeda-Benito, Antonio; Higgins, Stephen T

2017-10-01

To examine urban-rural differences in US prevalences of traditional and emerging tobacco product use as well as dual or polytobacco use of these products. Our data were derived from wave 1 (2013-2014) of the Population Assessment of Tobacco and Health (PATH) Study. We estimated weighted prevalences of adult tobacco use across urban-rural geographies and examined prevalences classified by gender, poverty level, and region of the country. Nationally, cigarette use and smokeless tobacco use, as well as dual or polytobacco use of traditional products, were more prevalent in rural than in urban areas. Conversely, cigarillo and hookah use and dual or polytobacco use of emerging products were higher in urban areas. There was no significant urban-rural difference in use of e-cigarettes. Gender, poverty, and region of the country did not seem to be driving most urban-rural differences, although differences related to cigarillo use and dual or polytobacco use of emerging products became nonsignificant after control for covariates. Our findings highlight important urban-rural differences in tobacco use. Whether the changing tobacco product landscape will contribute to a continuation of rural health disparities remains to be seen.

Dissemination of Chronic Disease Self-Management Education (CDSME Programs in the United States: Intervention Delivery by Rurality

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Matthew Lee Smith

2017-06-01

Full Text Available Background: Alongside the dramatic increase of older adults in the United States (U.S., it is projected that the aging population residing in rural areas will continue to grow. As the prevalence of chronic diseases and multiple chronic conditions among adults continues to rise, there is additional need for evidence-based interventions to assist the aging population to improve lifestyle behaviors, and self-manage their chronic conditions. The purpose of this descriptive study was to identify the geospatial dissemination of Chronic Disease Self-Management Education (CDSME Programs across the U.S. in terms of participants enrolled, workshops delivered, and counties reached. These dissemination characteristics were compared across rurality designations (i.e., metro areas; non-metro areas adjacent to metro areas, and non-metro areas not adjacent to metro areas. Methods: This descriptive study analyzed data from a national repository including efforts from 83 grantees spanning 47 states from December 2009 to December 2016. Counts were tabulated and averages were calculated. Results: CDSME Program workshops were delivered in 56.4% of all U.S. counties one or more times during the study period. Of the counties where a workshop was conducted, 50.5% were delivered in non-metro areas. Of the 300,640 participants enrolled in CDSME Programs, 12% attended workshops in non-metro adjacent areas, and 7% attended workshops in non-metro non-adjacent areas. The majority of workshops were delivered in healthcare organizations, senior centers/Area Agencies on Aging, and residential facilities. On average, participants residing in non-metro areas had better workshop attendance and retention rates compared to participants in metro areas. Conclusions: Findings highlight the established role of traditional organizations/entities within the aging services network, to reach remote areas and serve diverse participants (e.g., senior centers. To facilitate growth in rural

Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality.

Science.gov (United States)

Smith, Matthew Lee; Towne, Samuel D; Herrera-Venson, Angelica; Cameron, Kathleen; Kulinski, Kristie P; Lorig, Kate; Horel, Scott A; Ory, Marcia G

2017-06-14

Background : Alongside the dramatic increase of older adults in the United States (U.S.), it is projected that the aging population residing in rural areas will continue to grow. As the prevalence of chronic diseases and multiple chronic conditions among adults continues to rise, there is additional need for evidence-based interventions to assist the aging population to improve lifestyle behaviors, and self-manage their chronic conditions. The purpose of this descriptive study was to identify the geospatial dissemination of Chronic Disease Self-Management Education (CDSME) Programs across the U.S. in terms of participants enrolled, workshops delivered, and counties reached. These dissemination characteristics were compared across rurality designations (i.e., metro areas; non-metro areas adjacent to metro areas, and non-metro areas not adjacent to metro areas). Methods : This descriptive study analyzed data from a national repository including efforts from 83 grantees spanning 47 states from December 2009 to December 2016. Counts were tabulated and averages were calculated. Results : CDSME Program workshops were delivered in 56.4% of all U.S. counties one or more times during the study period. Of the counties where a workshop was conducted, 50.5% were delivered in non-metro areas. Of the 300,640 participants enrolled in CDSME Programs, 12% attended workshops in non-metro adjacent areas, and 7% attended workshops in non-metro non-adjacent areas. The majority of workshops were delivered in healthcare organizations, senior centers/Area Agencies on Aging, and residential facilities. On average, participants residing in non-metro areas had better workshop attendance and retention rates compared to participants in metro areas. Conclusions : Findings highlight the established role of traditional organizations/entities within the aging services network, to reach remote areas and serve diverse participants (e.g., senior centers). To facilitate growth in rural areas

Providing Cardiology Care in Rural Areas Through Visiting Consultant Clinics.

Science.gov (United States)

Gruca, Thomas S; Pyo, Tae-Hyung; Nelson, Gregory C

2016-06-30

Workforce experts predict a future shortage of cardiologists that is expected to impact rural areas more severely than urban areas. However, there is little research on how rural patients are currently served through clinical outreach. This study examines the impact of cardiology outreach in Iowa, a state with a large rural population, on participating cardiologists and on patient access. Outreach clinics are tracked annually in the Office of Statewide Clinical Education Programs Visiting Medical Consultant Database (University of Iowa Carver College of Medicine). Data from 2014 were analyzed. In 2014, an estimated 5460 visiting consultant clinic days were provided in 96 predominantly rural cities by 167 cardiologists from Iowa and adjoining states. Forty-five percent of Iowa cardiologists participated in rural outreach. Visiting cardiologists from Iowa and adjoining states drive an estimated 45 000 miles per month. Because of monthly outreach clinics, the average driving time to the nearest cardiologist falls from 42.2±20.0 to 14.7±11.0 minutes for rural Iowans. Cardiology outreach improves geographic access to office-based cardiology care for more than 1 million Iowans out of a total population of 3 million. Direct travel costs and opportunity costs associated with physician travel are estimated to be more than $2.1 million per year. Cardiologists in Iowa and adjoining states have expanded access to office-based cardiology care from 18 to 89 of the 99 counties in Iowa. In these 71 counties without a full-time cardiologist, visiting consultant clinics can accommodate more than 50% of office visits in the patients' home county. © 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

Conjoint Analysis of Choice Attributes and Market Segmentation of Rural Tourists In Korea

OpenAIRE

Yun, Hee-Jeong

2009-01-01

This study aims to analyze the attributes considered in choosing rural sites for tourism purposes by city dwellers and the market segmentation of rural tourism from a rural tourism demand perspective. For this purpose, this study investigates the attributes of rural areas considered in the selection of rural tourism destinations by urban dwellers using a conjoint model as a stated preference model. Based on literature reviews, two questionnaire surveys are conducted. The first questionnaire s...

Twenty Practices of an Entrepreneurial University

DEFF Research Database (Denmark)

Gjerding, Allan Næs; Wilderom, Celeste P.M.; Cameron, Shona P.B.

2006-01-01

studies twenty organisational practices against which a University's entrepreneurship can be measured. These twenty practices or factors in effect formed the basis for an entrepreneurship audit. During a series of interviews, the extent to which the universities are seen as entrepreneurial...

Patent Medicine Vendors in Rural Areas of Lagos Nigeria ...

African Journals Online (AJOL)

Purpose: To determine the compliance of patent medicine vendors (PMVs) in rural areas of Lagos State, Nigeria with set guidelines to regulate their practice and its implications for malaria control. Methods: A baseline cross-sectional study was conducted as part of an intervention study in two rural local government areas ...

Information generation, access and utilization by rural dwellers for ...

African Journals Online (AJOL)

The study was conducted to determine how rural dwellers information access and utilization has affected rural community development in Kwara State. In order to achieve the two objectives three null hypotheses formulated and tested at 0.05 level of significance. The objectives were to: find out the types of information ...

Helping Mothers Survive Bleeding After Birth: retention of knowledge, skills, and confidence nine months after obstetric simulation-based training.

Science.gov (United States)

Nelissen, Ellen; Ersdal, Hege; Mduma, Estomih; Evjen-Olsen, Bjørg; Broerse, Jacqueline; van Roosmalen, Jos; Stekelenburg, Jelle

2015-08-25

It is important to know the decay of knowledge, skills, and confidence over time to provide evidence-based guidance on timing of follow-up training. Studies addressing retention of simulation-based education reveal mixed results. The aim of this study was to measure the level of knowledge, skills, and confidence before, immediately after, and nine months after simulation-based training in obstetric care in order to understand the impact of training on these components. An educational intervention study was carried out in 2012 in a rural referral hospital in Northern Tanzania. Eighty-nine healthcare workers of different cadres were trained in "Helping Mothers Survive Bleeding After Birth", which addresses basic delivery skills including active management of third stage of labour and management of postpartum haemorrhage (PPH). Knowledge, skills, and confidence were tested before, immediately after, and nine months after training amongst 38 healthcare workers. Knowledge was tested by completing a written 26-item multiple-choice questionnaire. Skills were tested in two simulated scenarios "basic delivery" and "management of PPH". Confidence in active management of third stage of labour, management of PPH, determination of completeness of the placenta, bimanual uterine compression, and accessing advanced care was self-assessed using a written 5-item questionnaire. Mean knowledge scores increased immediately after training from 70 % to 77 %, but decreased close to pre-training levels (72 %) at nine-month follow-up (p = 0.386) (all p-levels are compared to pre-training). The mean score in basic delivery skills increased after training from 43 % to 51 %, and was 49 % after nine months (p = 0.165). Mean scores of management of PPH increased from 39 % to 51 % and were sustained at 50 % at nine months (p = 0.003). Bimanual uterine compression skills increased from 19 % before, to 43 % immediately after, to 48 % nine months after training (p = 0

Phenetic relationships of nine varieties of potato (Solanum tuberosum L.) based on morphological characters

Science.gov (United States)

Hidayat, Topik; Barlian, Andri; Kusdianti, R.; Kirana, Rinda

2017-05-01

Potato (Solanum tuberosum L.; Solanaceae) is an important commodity in Indonesia as one of the main crop after rice. Recently some new varieties have been released, but their relationship have not been studied yet. The purpose of this research was to determine the relationship among nine varieties of potatoes. Phenetic analysis was conducted using 27 morphological character states, which was derived from stems, leaves, and tubers. The character states observed were scored, and further analyzed based on Unweighted Pair Group Method with Arithmetic Mean (UPGMA) method. The results showed a high diversity of morphological character states, of which 20 states were significantly different across the varieties. Phenogram indicated that the nine varieties of potato were classified into three main groups. While the first group was consisted of varieties of Cipanas, Granola, Atlantic, and Repita, the second group was housed of Manohara and GM 05. The third group was composed of Margahayu, Mb 17, and Maglia. This pattern of relationships can be used as one of the basis in the process of crossbreeding to assemble the new varieties. The crossbreeding will be better if it is made between distantly related varieties.

Integrated farm sustainability assessment for the environmental management of rural activities

International Nuclear Information System (INIS)

Stachetii Rodrigues, Geraldo; Aparecida Rodrigues, Izilda; Almeida Buschinelli, Claudio Cesar de; Barros, Inacio de

2010-01-01

Farmers have been increasingly called upon to respond to an ongoing redefinition in consumers' demands, having as a converging theme the search for sustainable production practices. In order to satisfy this objective, instruments for the environmental management of agricultural activities have been sought out. Environmental impact assessment methods are appropriate tools to address the choice of technologies and management practices to minimize negative effects of agricultural development, while maximizing productive efficiency, sound usage of natural resources, conservation of ecological assets and equitable access to wealth generation means. The 'system for weighted environmental impact assessment of rural activities' (APOIA-NovoRural) presented in this paper is organized to provide integrated farm sustainability assessment according to quantitative environmental standards and defined socio-economic benchmarks. The system integrates sixty-two objective indicators in five sustainability dimensions - (i) Landscape ecology, (ii) Environmental quality (atmosphere, water and soil), (iii) Sociocultural values, (iv) Economic values, and (v) Management and administration. Impact indices are expressed in three integration levels: (i) specific indicators, that offer a diagnostic and managerial tool for farmers and rural administrators, by pointing out particular attributes of the rural activities that may be failing to comply with defined environmental performance objectives; (ii) integrated sustainability dimensions, that show decision-makers the major contributions of the rural activities toward local sustainable development, facilitating the definition of control actions and promotion measures; and (iii) aggregated sustainability index, that can be considered a yardstick for eco-certification purposes. Nine fully documented case studies carried out with the APOIA-NovoRural system, focusing on different scales, diverse rural activities/farming systems, and contrasting

Improving access to health care in a rural regional hospital in South Africa: Why do patients miss their appointments?

Science.gov (United States)

Frost, Lucy; Jenkins, Louis S; Emmink, Benjamin

2017-03-30

Access to health services is one of the Batho Pele ('people first') values and principles of the South African government since 1997. This necessitated some changes around public service systems, procedures, attitudes and behaviour. The challenges of providing health care to rural geographically spread populations include variations in socio-economic status, transport opportunities, access to appointment information and patient perceptions of costs and benefits of seeking health care. George hospital, situated in a rural area, serves 5000 outpatient visits monthly, with non-attendance rates of up to 40%. The aim of this research was to gain a greater understanding of the reasons behind non-attendance of outpatient department clinics to allow locally driven, targeted interventions. This was a descriptive study. We attempted to phone all patients who missed appointments over a 1-month period (n = 574). Only 20% were contactable with one person declining consent. Twenty-nine percent had no telephone number on hospital systems, 7% had incorrect numbers, 2% had died and 42% did not respond to three attempts. The main reasons for non-attendance included unaware of appointment date (16%), out of area (11%), confusion over date (11%), sick or admitted to hospital (10%), family member sick or died (7%), appointment should have been cancelled by clerical staff (6%) and transport (6%). Only 9% chose to miss their appointment. The other 24% had various reasons. Improved patient awareness of appointments, adjustments in referral systems and enabling appointment cancellation if indicated would directly improve over two-thirds of reasons for non-attendance. Understanding the underlying causes will help appointment planning, reduce wasted costs and have a significant impact on patient care.

Maternity Care Services Provided by Family Physicians in Rural Hospitals.

Science.gov (United States)

Young, Richard A

The purpose of this study was to describe how many rural family physicians (FPs) and other types of providers currently provide maternity care services, and the requirements to obtain privileges. Chief executive officers of rural hospitals were purposively sampled in 15 geographically diverse states with significant rural areas in 2013 to 2014. Questions were asked about the provision of maternity care services, the physicians who perform them, and qualifications required to obtain maternity care privileges. Analysis used descriptive statistics, with comparisons between the states, community rurality, and hospital size. The overall response rate was 51.2% (437/854). Among all identified hospitals, 44.9% provided maternity care services, which varied considerably by state (range, 17-83%; P maternity care, a mean of 271 babies were delivered per year, 27% by cesarean delivery. A mean of 7.0 FPs had privileges in these hospitals, of which 2.8 provided maternity care and 1.8 performed cesarean deliveries. The percentage of FPs who provide maternity care (mean, 48%; range, 10-69%; P maternity care who are FPs (mean, 63%; range, 10-88%; P maternity care services in US rural hospitals, including cesarean deliveries. Some family medicine residencies should continue to train their residents to provide these services to keep replenishing this valuable workforce. © Copyright 2017 by the American Board of Family Medicine.

"Changes in Levels of Social Isolation and Loneliness among Older People in a Rural Area: A Twenty-Year Longitudinal Study"

Science.gov (United States)

Wenger, G. Clare; Burholt, Vanessa

2004-01-01

The Bangor Longitudinal Study of Aging (BLSA), conducted in rural Wales from 1979 to 1999, followed a cohort of survivors from more than 500 people over 20 years. Using both quantitative and qualitative data from the study, the factors associated with increases and decreases in loneliness and social isolation were identified. The study was based…

Telehealth-based model of care redesign to facilitate local fitting and management of patients with a spinal fracture requiring a thoracic lumbar sacral orthosis in rural hospitals in New South Wales.

Science.gov (United States)

Gallagher, Ryan; Giles, Michelle; Morison, Jane; Henderson, Judith

2018-03-23

To develop and implement a telehealth-based model of care for spinal fractures requiring management with thoracic lumbar sacral orthoses that eliminates the need for transfer to a metropolitan tertiary referral hospital. Pre-post design observational study evaluating model of care implementation. Rural referral hospitals in a large NSW region covering metropolitan, rural and remote hospitals. Patients presenting with a thoracic or lumbar spine fracture requiring thoracic lumbar sacral orthoses management and rural clinicians caring for them. Number of patients managed in rural hospitals without transfer to a metropolitan tertiary referral hospital; length of stay and related cost efficiencies; clinicians' perceived skills, knowledge and confidence levels. Model of care was implemented with clinical and system governance processes; and educational workshops across eight rural hospitals. A total of 81 patients managed in rural hospitals under this model between July 2013 and June 2016 without transfer were included in this study. Mean length of stay reduced from nine to four days. Hospital transfers were eliminated from the patient journey, totalling 24 324 km. Workshops were attended by 71 clinicians from nine rural hospitals and survey findings indicated a significant increase in staff knowledge, skill and confidence post education. Cost efficiencies were gained by eliminating 162 inter-hospital transfers and 405 patient bed days. This model has streamlined patient journeys and reduced transfers and travel, enabling rural clinicians to provide specialised services in local communities and facilitating timely evidence-based care in local communities without any adverse events. © 2018 National Rural Health Alliance Ltd.

Balancing Rural and Urban Development: Applying Coordinated Urban–Rural Development (CURD Strategy to Achieve Sustainable Urbanisation in China

Directory of Open Access Journals (Sweden)

Ling-Hin Li

2017-10-01

Full Text Available Land in rural China has been under a separate and closed management system for decades even after the urban land reform that started in the late 1980s. The blurred property rights over rural land have been hindering the rural welfare as surplus rural land in sub-urban areas cannot be circulated into more economic use without first being requisitioned by the state. This traditional conversion process creates a lot of problems, among them are the compensation standard as well as displacement of rural residents to the city, where they cannot find adequate welfare protection. The prolonged disparity in economic outcomes for rural and urban residents in China in the process of urbanisation has made the authority realise that land-based local finance is no longer an option. Coordinated Urban and Rural Development (CURD ideology arises to set a level playing field by giving the rural residents comparable welfare status as their urban counterparts’ one. The CURD ideology is basically linked to the strategic development of the three main issues in the rural area of China, or in the Chinese terminology: San Nong. These three issues are rural villages, rural enterprises and rural farmers (nong cun, nong ye, nong min. CURD ideology is to preserve the livelihood of rural villages, facilitate and promote rural enterprises and increase the living standard of rural farmers. Most importantly, however, CURD policy package bestows rural residents with property rights over their farmland so that they could sub-co1ntract the user-rights to other urban commercial entities for higher benefits. While CURD policies are applied in a lot of different regions in China including Chongqing in the West, Qingdao in the North, Zhongshan in the South and Wuhan in the middle, we focus our examination in Chengdu as the Chengdu model has been widely documented and highly regarded as the most successful model in implementing the CURD strategies. From our case study, we find that

What Do You Use Mobile Phones For? A Creative Method of Thematic Drawing with Adolescents in Rural China

Science.gov (United States)

Hong, Jiachun

2016-01-01

This study sets out to explore Chinese adolescents' subjectivities toward the use of mobile phones, and reveal the dynamic relationship among students, parents, and school concerning mobile phone usage in rural China. Twenty-one high school students were recruited, and asked to draw a painting that expresses their perceptions of mobile phones in…

Seroepidemiological survey of paracoccidioidomycosis infection among urban and rural dogs from Uberaba, Minas Gerais, Brazil.

Science.gov (United States)

Fontana, Fabricio Fernandes; dos Santos, Celso Tadeu Barbosa; Esteves, Flavia Maria; Rocha, Ademir; Fernandes, Geisa Ferreira; do Amaral, Cristiane Candida; Domingues, Marcos Abel; De Camargo, Zoilo Pires; Silva-Vergara, Mario León

2010-03-01

There is some evidence that dogs can be naturally infected by Paracoccidioides brasiliensis in endemic areas of paracoccidioidomycosis. In order to evaluate canine infection with this fungus, a survey with 149 urban and 126 rural dogs was carried out using ELISA and intradermal tests with the gp43 antigen of P. brasiliensis in Uberaba, Minas Gerais state of Brazil. Forty-one out of 149 urban dogs were euthanatized and had their lungs, liver and spleen removed. One slice from each viscera was processed for histopathological examination and the remaining was homogenized and then cultivated on mycobiotic agar at room temperature and Fava-Netto medium at 35 degrees C and observed for 12 weeks. Of urban dogs, 75 (50.3%) were small adult females, 56 (36%) were strays, while 93 (64%) had been donated to the municipal zoonosis control center. Nine (6.2%) had a positive intradermal test without statistical differences regarding gender, race, nutritional status or origin. No colonies with microscopic or morphology appearances resembling P. brasiliensis were isolated, nor granulomatous process or fungal structures were observed from histopathological examination. Eighty (53.6%) of the urban dogs presented seroreactivity, without statistical differences regarding gender, race, nutritional state, origin, or positive intradermal test. Of 126 rural dogs, 102 (80.5%) presented antibodies against gp43 antigen, and this was statistically significant in relation to the reactivity detected in urban dogs (P = 0.0001). Thus, dogs are commonly infected with P. brasiliensis, but they probably present natural resistance to develop paracoccidioidomycosis.

Anti-Microbial Resistance Profiles Of E. Coli Isolated From Free Range Chickens In Urban And Rural Environments Of Imo State, Nigeria

Directory of Open Access Journals (Sweden)

Okoli IC

2006-07-01

Full Text Available Information on the resistance profiles of normal intestinal flora of extensively reared chickens that hardly receive antibiotics in the developing countries can serve as important means of understanding the human/animal pathogens drug resistance interactions in the zone. Three hundred and fifty E. coli isolates, comprising 133 from urban and 217 from rural sites in Imo state, Nigeria, were screened for anti-microbial resistance profile against 10 antibiotics using the disc diffusion method. Overall percentage anti-microbial resistance of the isolates against cotrimoxazole, ampicillin, nalidixic acid, chloramphenicol and nitrofurantoin (72–92% were very high. The organisms were highly sensitive to other antibiotics, especially gentamicin and ciprofloxacin. The 59.5% overall mean percentage resistance recorded at the urban area was significantly higher than the 46.8% recorded at the rural area (p<0.05. With the exception of the figures for cotrimoxazole and ampicillin, resistance values obtained against the other antibiotics at the urban sites were statistically higher than those obtained at the rural sites (p<0.05. Zero resistance was recorded against the fluoroquinolones, norfloxacin and ciprofloxacin at all the rural sites except at Enyiogwugwu where a 28.6% resistance was obtained against norfloxacin. Since free-range chickens rarely receive antibiotic medication, it is concluded that the highly resistant E. coli organisms isolated from them may be reflecting consequences of human drug use in the study areas.

Neighborhood Danger, Parental Monitoring, Harsh Parenting, and Child Aggression in Nine Countries

Directory of Open Access Journals (Sweden)

Ann T. Skinner

2014-01-01

Full Text Available Exposure to neighborhood danger during childhood has negative effects that permeate multiple dimensions of childhood. The current study examined whether mothers’, fathers’, and children’s perceptions of neighborhood danger are related to child aggression, whether parental monitoring moderates this relation, and whether harsh parenting mediates this relation. Interviews were conducted with a sample of 1293 children (age M = 10.68, SD = 0.66; 51% girls and their mothers (n = 1282 and fathers (n = 1075 in nine countries (China, Colombia, Italy, Jordan, Kenya, the Philippines, Sweden, Thailand, and the United States. Perceptions of greater neighborhood danger were associated with more child aggression in all nine countries according to mothers’ and fathers’ reports and in five of the nine countries according to children’s reports. Parental monitoring did not moderate the relation between perception of neighborhood danger and child aggression. The mediating role of harsh parenting was inconsistent across countries and reporters. Implications for further research are discussed, and include examination of more specific aspects of parental monitoring as well as more objective measures of neighborhood danger.

Neighborhood Danger, Parental Monitoring, Harsh Parenting, and Child Aggression in Nine Countries.

Science.gov (United States)

Skinner, Ann T; Bacchini, Dario; Lansford, Jennifer E; Godwin, Jennifer; Sorbring, Emma; Tapanya, Sombat; Tirado, Liliana Maria Uribe; Zelli, Arnaldo; Alampay, Liane Peña; Al-Hassan, Suha M; Bombi, Anna Silvia; Bornstein, Marc H; Chang, Lei; Deater-Deckard, Kirby; Giunta, Laura Di; Dodge, Kenneth A; Malone, Patrick S; Miranda, Maria Concetta; Oburu, Paul; Pastorelli, Concetta

2014-01-20

Exposure to neighborhood danger during childhood has negative effects that permeate multiple dimensions of childhood. The current study examined whether mothers', fathers', and children's perceptions of neighborhood danger are related to child aggression, whether parental monitoring moderates this relation, and whether harsh parenting mediates this relation. Interviews were conducted with a sample of 1,293 children (age M = 10.68, SD = .66; 51% girls) and their mothers ( n = 1,282) and fathers ( n = 1,075) in nine countries (China, Colombia, Italy, Jordan, Kenya, the Philippines, Sweden, Thailand, and the United States). Perceptions of greater neighborhood danger were associated with more child aggression in all nine countries according to mothers' and fathers' reports and in five of the nine countries according to children's reports. Parental monitoring did not moderate the relation between perception of neighborhood danger and child aggression. The mediating role of harsh parenting was inconsistent across countries and reporters. Implications for further research are discussed, and include examination of more specific aspects of parental monitoring as well as more objective measures of neighborhood danger.

Prevalence of congenital heart disease in rural communities of pakistan

International Nuclear Information System (INIS)

Rizvi, S.F.U.; Mustafa, G.; Khan, M.A.; Kundi, A.

2015-01-01

Prevalence of congenital heart disease (CHD) is well established in most of the developed countries, where childbirth is obligatory in hospital and allied facilities. In rural Pakistan the situation is reverse, where most of deliveries take place in homes by traditional birth attendants' therefor true prevalence of CHD in our population is unknown. in rural Pakistan almost 80% children are born at home hence the figures are unknown. This study was designed, to determine the prevalence of congenital heart disease in rural Pakistan. Methods: During a cross-sectional survey of rural population belonging to major ethnic groups living in three provinces of Pakistan to determine the prevalence of rheumatic heart disease (RHD), CHD rates were calculated as a sub study. Nine thousand four hundred and seventy-six (9476) subjects of all ages were screened using cluster sampling technique. Socio-demographic variables were recorded. Auscultation and short physical examination performed for initial screening and final diagnosis was confirmed on M-mode/2D/Doppler. Results: Thirty two patients had RHD, 25 Patients identified with CHD and another 7 patients had mixed CHD and RHD. Overall prevalence for CHD was 3.4/1000. The commonest lesion was Atrial Septal Defect (ASD) 40%, Ventricular Septal Defect (VSD) 35%, Aortic Stenosis (AS) 10%, Atrio Ventricular Septal Defect (AVSD) 5%. Conclusion: This is the first study to report CHD prevalence from multiethnic representative sample from rural communities of Pakistan. Apparently CHD rate seems less compared with facility based data because records of still stillbirths are not available and autopsies are not performed as routine. Very high infant mortality from rural areas of Pakistan also favours high prevalence for CHD; however these figures represent an overall picture of CHD in a community where medical facilities are lacking. (author)

On CLOUD nine

CERN Multimedia

2009-01-01

The team from the CLOUD experiment - the world’s first experiment using a high-energy particle accelerator to study the climate - were on cloud nine after the arrival of their new three-metre diameter cloud chamber. This marks the end of three years’ R&D and design, and the start of preparations for data taking later this year.

Twenty-first workshop on geothermal reservoir engineering: Proceedings

Energy Technology Data Exchange (ETDEWEB)

None

1996-01-26

PREFACE The Twenty-First Workshop on Geothermal Reservoir Engineering was held at the Holiday Inn, Palo Alto on January 22-24, 1996. There were one-hundred fifty-five registered participants. Participants came from twenty foreign countries: Argentina, Austria, Canada, Costa Rica, El Salvador, France, Iceland, Indonesia, Italy, Japan, Mexico, The Netherlands, New Zealand, Nicaragua, the Philippines, Romania, Russia, Switzerland, Turkey and the UK. The performance of many geothermal reservoirs outside the United States was described in several of the papers. Professor Roland N. Horne opened the meeting and welcomed visitors. The key note speaker was Marshall Reed, who gave a brief overview of the Department of Energy's current plan. Sixty-six papers were presented in the technical sessions of the workshop. Technical papers were organized into twenty sessions concerning: reservoir assessment, modeling, geology/geochemistry, fracture modeling hot dry rock, geoscience, low enthalpy, injection, well testing, drilling, adsorption and stimulation. Session chairmen were major contributors to the workshop, and we thank: Ben Barker, Bobbie Bishop-Gollan, Tom Box, Jim Combs, John Counsil, Sabodh Garg, Malcolm Grant, Marcel0 Lippmann, Jim Lovekin, John Pritchett, Marshall Reed, Joel Renner, Subir Sanyal, Mike Shook, Alfred Truesdell and Ken Williamson. Jim Lovekin gave the post-dinner speech at the banquet and highlighted the exciting developments in the geothermal field which are taking place worldwide. The Workshop was organized by the Stanford Geothermal Program faculty, staff, and graduate students. We wish to thank our students who operated the audiovisual equipment. Shaun D. Fitzgerald Program Manager.

Quantifying the Elastic Property of Nine Thigh Muscles Using Magnetic Resonance Elastography.

Science.gov (United States)

Chakouch, Mashhour K; Charleux, Fabrice; Bensamoun, Sabine F

2015-01-01

Pathologies of the muscles can manifest different physiological and functional changes. To adapt treatment, it is necessary to characterize the elastic property (shear modulus) of single muscles. Previous studies have used magnetic resonance elastography (MRE), a technique based on MRI technology, to analyze the mechanical behavior of healthy and pathological muscles. The purpose of this study was to develop protocols using MRE to determine the shear modulus of nine thigh muscles at rest. Twenty-nine healthy volunteers (mean age = 26 ± 3.41 years) with no muscle abnormalities underwent MRE tests (1.5 T MRI). Five MRE protocols were developed to quantify the shear moduli of the nine following thigh muscles at rest: rectus femoris (RF), vastus medialis (VM), vastus intermedius (VI), vastus lateralis (VL), sartorius (Sr), gracilis (Gr), semimembranosus (SM), semitendinosus (ST), and biceps (BC). In addition, the shear modulus of the subcutaneous adipose tissue was analyzed. The gracilis, sartorius, and semitendinosus muscles revealed a significantly higher shear modulus (μ_Gr = 6.15 ± 0.45 kPa, μ_ Sr = 5.15 ± 0.19 kPa, and μ_ ST = 5.32 ± 0.10 kPa, respectively) compared to other tissues (from μ_ RF = 3.91 ± 0.16 kPa to μ_VI = 4.23 ± 0.25 kPa). Subcutaneous adipose tissue had the lowest value (μ_adipose tissue = 3.04 ± 0.12 kPa) of all the tissues tested. The different elasticities measured between the tissues may be due to variations in the muscles' physiological and architectural compositions. Thus, the present protocol could be applied to injured muscles to identify their behavior of elastic property. Previous studies on muscle pathology found that quantification of the shear modulus could be used as a clinical protocol to identify pathological muscles and to follow-up effects of treatments and therapies. These data could also be used for modelling purposes.

Assessment of the protein quality of twenty nine grain amaranth ...

African Journals Online (AJOL)

The sum of essential amino acids ranged from 31.22 to 44.88 g/100 g and 60.87 g/100 g total protein in amaranth and soybean, respectively; limited only in tryptophan and leucine for amaranth, and methionine for soybean. Amaranth is a good source of high quality protein and may serve as a nutritive substitute for some ...

Information Needs Assessment for K-12 School Nurses in Rural Eastern Washington State.

Science.gov (United States)

Vela, Kathryn

2017-01-01

School nurses are an often-overlooked population of health care professionals who have great importance in rural communities where access to health care is limited. In order to better serve school nurses in rural eastern Washington, an assessment was conducted to determine their information needs, behaviors, and perceptions. Results indicated this population of school nurses searches for multiple types of health information on a daily basis and navigates obstacles to information access using a variety of resources. While largely confident in their searching ability, they are open to learning more about how to find reliable health information to support their daily responsibilities. These results will guide the development of a workshop for school nurses about using reliable health information resources to improve health care in their rural communities.

Stated environmental preferences in a Romanian rural community

OpenAIRE

Toma, Luiza; Mathijs, Erik

2004-01-01

This article uses random utility theory to analyse the economic and environmental trade-offs at farm level in a Romanian rural area confronting water pollution on the basis of survey data. To underline the impact of socio-economic variables in the decision-making process at farm level as regards environmental choices, a binary logit model is estimated that includes socio-economic variables in addition to the attributes in the choice set. The study shows that heterogeneity in tastes is partial...

Prevalence of Internet gaming disorder in German adolescents: diagnostic contribution of the nine DSM-5 criteria in a state-wide representative sample.

Science.gov (United States)

Rehbein, Florian; Kliem, Sören; Baier, Dirk; Mößle, Thomas; Petry, Nancy M

2015-05-01

Internet gaming disorder (IGD) is included as a condition for further study in Section 3 of the DSM-5. Nine criteria were proposed with a threshold of five or more criteria recommended for diagnosis. The aims of this study were to assess how the specific criteria contribute to diagnosis and to estimate prevalence rates of IGD based on DSM-5 recommendations. Large-scale, state-representative school survey using a standardized questionnaire. Germany (Lower Saxony). A total of 11 003 ninth-graders aged 13-18 years (mean = 14.88, 51.09% male). IGD was assessed with a DSM-5 adapted version of the Video Game Dependency Scale that covered all nine criteria of IGD. In total, 1.16% [95% confidence interval (CI) = 0.96, 1.36] of respondents were classified with IGD according to DSM-5 recommendations. IGD students played games for longer periods, skipped school more often, had lower grades in school, reported more sleep problems and more often endorsed feeling 'addicted to gaming' than their non-IGD counterparts. The most frequently reported DSM-5 criteria overall were 'escape adverse moods' (5.30%) and 'preoccupation' (3.91%), but endorsement of these criteria rarely related to IGD diagnosis. Conditional inference trees showed that the criteria 'give up other activities', 'tolerance' and 'withdrawal' were of key importance for identifying IGD as defined by DSM-5. Based on a state-wide representative school survey in Germany, endorsement of five or more criteria of DSM-5 internet gaming disorder (IGD) occurred in 1.16% of the students, and these students evidence greater impairment compared with non-IGD students. Symptoms related to 'give up other activities', 'tolerance' and 'withdrawal' are most relevant for IGD diagnosis in this age group. © 2015 Society for the Study of Addiction.

Twenty years of chemistry associated with the needs and utilization of nuclear reactors at the 'Boris Kidric' Institute of nuclear sciences, Vinca, Yugoslavia

International Nuclear Information System (INIS)

1969-01-01

This publication covers nine review papers on the following topics related to the needs and utilization of nuclear reactors in the Boris Kidric Institute of nuclear sciences during previous twenty years: radiochemistry, hot atom chemistry, isotope production, spent nuclear fuel reprocessing, chemistry of transuranium elements; liquid radioactive waste processing, purification of reactor coolant water by inorganic ion exchangers, research related to deuterium concentration processes, and chemical dosimetry at the RA reactor [sr

Effect of social capital on food security among rural farming ...

African Journals Online (AJOL)

The study analyzed the effect of social capital on food security of rural farming households in Abia State, Nigeria with specific focus on measuring social capital dimensions among the rural farming households; determining the food security status of the households; analyzing the influence of socioeconomic characteristics of ...

Rural Poultry Production in Ondo South Senatorial District Area of ...

African Journals Online (AJOL)

Rural Poultry Production in Ondo South Senatorial District Area of Ondo State, Nigeria. ... African Journal of Livestock Extension ... The need to obtain baseline information on rural poultry with respect to their population and the production potentials of the indigenous chicken under the village conditions in Ondo Area formed ...

Alcohol Consumption among Urban, Suburban, and Rural Veterans Affairs Outpatients

Science.gov (United States)

Williams, Emily C.; McFarland, Lynne V.; Nelson, Karin M.

2012-01-01

Purpose: United States rural residents tend toward poorer health than urban residents. Although alcohol use is associated with multiple medical conditions and can be reduced via brief primary care-based interventions, it is unknown whether alcohol consumption differs by rurality among primary care patients. We sought to describe alcohol…

The experience of the LIGHT (Light and Power Company of Rio de Janeiro State, Brazil), in low cost energy networks for rural electrification; A experiencia da LIGHT na implantacao de redes de baixo custo para eletrificacao rural

Energy Technology Data Exchange (ETDEWEB)

Macedo, Fernando F; Andre, Oswaldo P [Light Servicos de Eletricidade SA, Rio de Janeiro, RJ (Brazil)

1987-12-31

This paper shows the experience of LIGHT (Light and Power Company of Rio de Janeiro State, Brazil), in planning and implementation of low cost energy networks in rural electrification. Were also showed guidelines for consumer`s orientation, viability of installations and wiring options. 4 figs., 16 tabs., 12 refs.

Towards understanding the availability of physiotherapy services in rural Australia.

Science.gov (United States)

Adams, Robyn; Jones, Anne; Lefmann, Sophie; Sheppard, Lorraine

2016-01-01

A recent exploration of factors affecting rural physiotherapy service provision revealed considerable variation in services available between communities of the study. Multiple factors combined to influence local service provision, including macro level policy and funding decisions, service priorities and fiscal constraints of regional health services and capacity and capabilities at the physiotherapy service level. The aim of this article is to describe the variation in local service provision, the factors influencing service provision and the impact on availability of physiotherapy services. A priority-sequence mixed methods design structured the collection and integration of qualitative and quantitative data. The investigation area, a large part of one Australian state, was selected for the number of physiotherapy services and feasibility of conducting site visits. Stratified purposive sampling permitted exploration of rural physiotherapy with subgroups of interest, including physiotherapists, their colleagues, managers, and other key decision makers. Participant recruitment commenced with public sector physiotherapists and progressed to include private practitioners, team colleagues and managers. Surveys were mailed to key physiotherapy contacts in each public sector service in the area for distribution to physiotherapists, their colleagues and managers within their facility. Private physiotherapist principals working in the same communities were invited by the researcher to complete the physiotherapy survey. The survey collected demographic data, rural experience, work setting and number of colleagues, services provided, perspectives on factors influencing service provision and decisions about service provision. Semi-structured interviews were conducted with consenting physiotherapists and other key decision makers identified by local physiotherapists. Quantitative survey data were recorded in spreadsheets and analysed using descriptive statistics. Interviews

Health and environmental implications of rural female entrepreneurship practices in osun state Nigeria.

Science.gov (United States)

Akinbami, Catherine A O; Momodu, Abiodun S

2013-09-01

In rural Nigeria, food processing is mostly engaged in by women and children. Most of these processes are done using outdated technologies that make use of traditional woodstoves. This article presents the health and environmental implications of the rural female entrepreneurs involved in food processing and proffer means of bettering the lot of these women to handle these hazards. A partially structured questionnaire and focus group discussion was used to capture data from respondents. The study revealed that about 73 % of women involved in direct production of garri and palm oil processing could be at risk of early death or disability-adjusted life years from the mentioned diseases. The article concludes that the rural female entrepreneur needs to be better positioned to handle these hazards, for her health, that of her children, as well as for the environment.

Environmental barriers and enablers to physical activity participation among rural adults: a qualitative study.

Science.gov (United States)

Cleland, Verity; Hughes, Clarissa; Thornton, Lukar; Squibb, Kathryn; Venn, Alison; Ball, Kylie

2015-08-01

Social-ecological models of health behaviour acknowledge environmental influences, but research examining how the environment shapes physical activity in rural settings is limited. This study aimed to explore the environmental factors that act as barriers or facilitators to physical activity participation among rural adults. Forty-nine adults from three regions of rural Tasmania, Australia, participated in semi-structured interviews that explored features of the environment that supported or hindered physical activity. Interviews were digitally recorded, transcribed verbatim and analysed thematically. Four key themes emerged: functionality, diversity, spaces and places for all and realistic expectations. 'Functionality' included connectivity with other destinations, distance, safety, continuity, supporting infrastructure and surfacing. While there was limited 'diversity' of structured activities and recreational facilities, the importance of easy and convenient access to a natural environment that accommodated physical activity was highlighted. 'Spaces and places for all' highlighted the importance of shared-use areas, particularly those that were family- and dog-friendly. Despite desires for more physical activity opportunities, many participants had 'realistic expectations' of what was feasible in rural settings. Functionality, diversity, spaces and places for all and realistic expectations were identified as considerations important for physical activity among rural adults. Further research using quantitative approaches in larger samples is needed to confirm these findings. SO WHAT? Urban-centric views of environmental influences on physical activity are unlikely to be entirely appropriate for rural areas. Evidence-based recommendations are provided for creating new or modifying existing infrastructure to support active living in rural settings.

Electric power and sustainable rural development: a way for the citizenship

International Nuclear Information System (INIS)

Ribeiro, Fernando Selles; Pazzini, Luiz Henrique Alves; Pelegrini, Marcelo Aparecido; Galvao, Luiz Claudio Ribeiro; Udaeta, Miguel Edgar Morales

1999-01-01

The present paper is an analysis of the rural electrification usage. Rural production requires efficient energy sources, and the State must encourage landowners to make use of market forces to modernize their activities. Important authors have claimed that rural electrification should be viewed as an investment in the energy structure of a region, an investment to achieve economic returns. In this paper, this opinion is criticized in light for the need of sustainable rural development. More than just a macroeconomic policy, electrification should be viewed through a social lens, as indispensable component of citizenship. (author)

Rural model dedicated education unit: partnership between college and hospital.

Science.gov (United States)

Harmon, Lisa M

2013-02-01

This article describes the pilot project development of a rural model Dedicated Education Unit (DEU) by a rural college nursing program and a rural hospital to increase student nurses' confidence and proficiency and improve recruitment of prepared rural staff nurses. Traditionally, for economies of scale, most student clinical rotations occurred in urban settings with the number of students per clinical instructor allowed by the state board of nursing. College budget constraints negated the placement of fewer than this mandated maximum number of students in a rural hospital with a clinical instructor; moreover, rural hospitals could not accommodate 10 students at one time. Rural nursing students were anxious in the urban settings, and this anxiety precluded learning in many instances. Rural hospitals face higher registered nurse vacancies than urban centers. Of the nurses applying for open positions, many were not prepared for the demands of rural nursing, resulting in increased turnover and high orientation costs. The rural model DEU addressed issues of both the nursing program and the hospital. The design and development of the rural model DEU and the advantages of the partnership for the college nursing program and the hospital are discussed. Initial outcomes and serendipitous findings from the pilot project are also discussed. Copyright 2013, SLACK Incorporated.

Leadership development for rural health.

Science.gov (United States)

Size, Tim

2006-01-01

Leadership is the capacity to help transform a vision of the future into reality. Individuals who can and will exercise leadership are like a river's current--a part past where we now stand, a part yet to come. We have an ongoing need to remember and to look toward the next "generation." A key responsibility of those here now, is to mentor and to create structures for mentoring, in order to maximize the flow and effectiveness of tomorrow's leaders. When recruiting organizational leaders, the recruitment and interview process must seek individuals who in addition to technical competence, also have demonstrated leadership in their prior work and activities. To exercise effective leadership, we must work to know who we are, how we relate to others, and the environment around us. "Servant leadership" is a perspective held by many throughout the rural health community and offers a key set attributes of leadership useful to rural health. To implement the Institute of Medicine's recommendations in Through Collaboration: the Future of Rural Health, we must develop leaders skilled in collaboration, both internal to their organization and across organizations. The National Advisory Committee on Rural Health and Human Services had it right when they said to the Secretary and to the rest of us, "the best way to honor Jim is to consciously work to help develop the next generation of rural health leaders." There are, of course, a multitude of leadership institutes, programs, and courses throughout America; this is not a call for yet another separate entity. But it is a call to each of us in rural health to assure that we are deliberate in how we identify "emerging leaders from and for rural communities and provide them with the training and resources to play a lead role in ensuring access to quality healthcare in their states and communities." Let's get started.

Restrictions and Countermeasures of Rural Vocational Education in Urban-rural Integration

Institute of Scientific and Technical Information of China (English)

2012-01-01

Developing rural vocational education is of great significance to urban-rural integration: developing rural vocational education is helpful to cultivating new farmers for construction of new socialist countryside,favorable to improving farmers’ ability of finding jobs and starting undertaking, and beneficial to transfer of rural surplus labor and acceleration of urbanization. Restrictions on development rural vocational education mainly include: low value cognition of society and social assessment of rural vocational education; out of balance of cost and expected return of rural vocational education; the quality of supply of rural vocational education failure to satisfy demand of socio-economic development; imperfect rural vocational education system. In view of these,following countermeasures and suggestions are put forward: strengthen propaganda and guidance to build environment of public opinion for rural vocational education; push forward rural vocational compulsory education system to lay social foundation for rural vocational education; reinforce policy support to assist in building rural vocational education system; improve education system to build overall framework of rural vocational education; perfect laws and regulations to establish system and norm for development of rural vocational education.

Managerial Strategies for the Conservation of Rurality in Rural Tourism

Directory of Open Access Journals (Sweden)

Cornelia Petroman

2010-10-01

Full Text Available If we admit that rurality designates small densities, open areas, small settlements below 1,000 inhabitants, and land reserved mainly to agricultural and forestry practices, and as natural area, if we admit that society tends to be traditional and that government al policies tend to conserve rather than to make rapid or radical changes, then we should admit that rural tourism should be an activity generating new incomes in the area. Rurality also means preserving a continuum in the approach of different types of areas with different characteristics, a concept that can also be of use in the identification of activities specific to rural tourism. Be they activities specific to the rural environment or activities common to the rural area, they need to aim at the conservation of rurality as a main tourism resource. Managerial strategies in rural tourism contribute effectively to rural development, provided they are sustainable and that rural tourism be not the only solution for rural development.

Knowledge Of AIDS Among Rural Adolescents in Kwara State of ...

African Journals Online (AJOL)

32% and 29% favour provision of Health Education and use of disposable skin piercing instruments respectively as ways of controlling AIDS. The study therefore recommended public enlightenment and counselling for the containment of AIDS in rural areas. Nigerian Quarterly Journal of Hospital Medicine Vol. 9, No.

Managing Smallness: Promising Fiscal Practices for Rural School District Administrators.

Science.gov (United States)

Freitas, Deborah Inman

Based on a mail survey of over 100 rural school administrators in 34 states, this handbook outlines common problems and successful strategies in the financial management of rural, small school districts. Major problems are related to revenue and cash flow, increasing expenditures, providing quality education programs, and staffing to handle the…

Access to rural banking credit by agribusiness investors in Ahiazu ...

African Journals Online (AJOL)

This paper examines access to rural banking credit by agribusiness investors and issues for policies in Ahiazu Mbaise local government area of Imo state. The work is important because the existence of limited access of agribusiness investors to formal rural banking credit and extension services is provided by extension ...

Twenty novel polymorphic microsatellite primers in the critically endangered Melastoma tetramerum var. tetramerum (Melastomataceae).

Science.gov (United States)

Narita, Ayu; Izuno, Ayako; Komaki, Yoshiteru; Tanaka, Takefumi; Murata, Jin; Isagi, Yuji

2016-09-01

Microsatellite markers were identified for Melastoma tetramerum var. tetramerum (Melastomataceae), a critically endangered shrub endemic to the Bonin Islands, to reveal genetic characteristics in wild and restored populations. Using next-generation sequencing, 27 microsatellite markers were identified. Twenty of these markers were polymorphic in M. tetramerum var. tetramerum, with two to nine alleles per locus and expected heterozygosity ranging from 0.10 to 0.71. Among the 20 polymorphic markers, 15 were applicable to other closely related taxa, namely M. tetramerum var. pentapetalum, M. candidum var. candidum, and M. candidum var. alessandrense. These markers can be potentially useful to investigate the genetic diversity, population genetic structure, and reproductive ecology of M. tetramerum var. tetramerum as well as of the three related taxa to provide appropriate genetic information for conservation.

The adoption of provider-based rural health clinics by rural hospitals: a study of market and institutional forces.

Science.gov (United States)

Krein, S L

1999-04-01

To examine the response of rural hospitals to various market and organizational signals by determining the factors that influence whether or not they establish a provider-based rural health clinic (RHC) (a joint Medicare/Medicaid program). Several secondary sources for 1989-1995: the AHA Annual Survey, the PPS Minimum Data Set and a list of RHCs from HCFA, the Area Resource File, and professional associations. The analysis includes all general medical/surgical rural hospitals operating in the United States during the study period. A longitudinal design and pooled cross-sectional data were used, with the rural hospital as the unit of analysis. Key variables were examined as sets and include measures of competitive pressures (e.g., hospital market share), physician resources, nurse practitioner/physician assistant (NP/PA) practice regulation, hospital performance pressures (e.g., operating margin), innovativeness, and institutional pressure (i.e., the cumulative force of adoption). Adoption of provider-based RHCs by rural hospitals appears to be motivated less as an adaptive response to observable economic or internal organizational signals than as a reaction to bandwagon pressures. Rural hospitals with limited resources may resort to imitating others because of uncertainty or a limited ability to fully evaluate strategic activities. This can result in actions or behaviors that are not consistent with policy objectives and the perceived need for policy changes. Such activity in turn could have a negative effect on some providers and some rural residents.

Rural hospital wages

Science.gov (United States)

Hendricks, Ann M.

1989-01-01

Average fiscal year 1982 wages from 2,302 rural American hospitals were used to test for a gradient descending from hospitals in counties adjacent to metropolitan areas to those not adjacent. Considerable variation in the ratios of adjacent to nonadjacent averages existed. No statistically significant difference was found, however. Of greater importance in explaining relative wages within States were occupational mix, mix of part-time and full-time workers, case mix, presence of medical residencies, and location in a high-rent county within the State. Medicare already adjusts payments for only two of these variables. PMID:10313454

Urban vs. rural differences in prescription opioid misuse among adults in the United States: informing region specific drug policies and interventions.

Science.gov (United States)

Rigg, Khary K; Monnat, Shannon M

2015-05-01

In the United States, prescription opioid misuse (POM) has increased dramatically over the past two decades. However, there are still questions regarding whether rural/urban differences in adult POM exist, and more important, which factors might be driving these differences. Using data from the 2011 and 2012 National Survey on Drug Use and Health, we conducted unadjusted and adjusted binary logistic regression analyses to determine the association between metropolitan status and POM. We found that urban adults were more likely to engage in POM compared to rural adults because of their higher use of other substances, including alcohol, cannabis, and other illicit and prescription drugs, and because of their greater use of these substances as children. This study fills an important gap in the literature by not only identifying urban/rural differences in POM, but by also pointing out factors that mediate those differences. Because patterns and predictors of POM can be unique to geographic region, this research is critical to informing tailored interventions and drug policy decisions. Specifically, these findings suggest that interventions should be aimed at urban illicit drug users and adults in manual labor occupations. Copyright © 2014 Elsevier B.V. All rights reserved.

Rural providers' access to online resources: a randomized controlled trial

Science.gov (United States)

Hall, Laura J.; McElfresh, Karen R.; Warner, Teddy D.; Stromberg, Tiffany L.; Trost, Jaren; Jelinek, Devin A.

2016-01-01

Objective The research determined the usage and satisfaction levels with one of two point-of-care (PoC) resources among health care providers in a rural state. Methods In this randomized controlled trial, twenty-eight health care providers in rural areas were stratified by occupation and region, then randomized into either the DynaMed or the AccessMedicine study arm. Study participants were physicians, physician assistants, and nurses. A pre- and post-study survey measured participants' attitudes toward different information resources and their information-seeking activities. Medical student investigators provided training and technical support for participants. Data analyses consisted of analysis of variance (ANOVA), paired t tests, and Cohen's d statistic to compare pre- and post-study effects sizes. Results Participants in both the DynaMed and the AccessMedicine arms of the study reported increased satisfaction with their respective PoC resource, as expected. Participants in both arms also reported that they saved time in finding needed information. At baseline, both arms reported too little information available, which increased to “about right amounts of information” at the completion of the study. DynaMed users reported a Cohen's d increase of +1.50 compared to AccessMedicine users' reported use of 0.82. DynaMed users reported d2 satisfaction increases of 9.48 versus AccessMedicine satisfaction increases of 0.59 using a Cohen's d. Conclusion Participants in the DynaMed arm of the study used this clinically oriented PoC more heavily than the users of the textbook-based AccessMedicine. In terms of user satisfaction, DynaMed users reported higher levels of satisfaction than the users of AccessMedicine. PMID:26807050

Urban-rural differences in psychological distress in nine countries of the former Soviet Union.

Science.gov (United States)

Stickley, Andrew; Koyanagi, Ai; Roberts, Bayard; McKee, Martin

2015-06-01

Studies have shown that the prevalence of mental illness can vary between urban and rural locations. This study extended research to the countries of the former Soviet Union (fSU) by assessing the association between settlement type and psychological distress and whether factors associated with psychological distress vary by settlement type. Data on 18,000 adults aged ≥18 years from the Health in Times of Transition (HITT) survey undertaken in Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Russia, and Ukraine in 2010/11 were analyzed. Settlement types were country capitals, regional capitals, cities/other urban settlements, and villages. Psychological distress was defined as the country-specific highest quintile of a composite score based on 11 questions. Logistic regression analysis with random effects was used to examine associations. In a pooled country analysis, living in a smaller urban settlement or village was associated with significantly higher odds for psychological distress compared to living in the country capital. Lower social support was a strong correlate of psychological distress in all locations except capital cities. The psychological distress measure has not been formally validated in the study countries. Lower levels of urbanicity are associated with greater psychological distress in the fSU countries. As many Western studies have linked greater urbanization to poorer mental health, this highlights the need for caution in extrapolating findings from one part of the world to others and the importance of undertaking research on the geographical correlates of mental health in different world regions. Copyright © 2015 Elsevier B.V. All rights reserved.

Capital in the Twenty-First Century

DEFF Research Database (Denmark)

Hansen, Per H.

2014-01-01

Review essay on: Capital in the Twenty-First Century. By Thomas Piketty . Translated by Arthur Goldhammer . Cambridge, Mass.: The Belknap Press of Harvard University Press, 2014. viii + 685 pp......Review essay on: Capital in the Twenty-First Century. By Thomas Piketty . Translated by Arthur Goldhammer . Cambridge, Mass.: The Belknap Press of Harvard University Press, 2014. viii + 685 pp...

Rural Revitalization in New Mexico: A Grass Roots Initiative Involving School and Community

Science.gov (United States)

Pitzel, Gerald R.; Benavidez, Alicia C.; Bianchi, Barbara C.; Croom, Linda L.; de la Riva, Brandy R.; Grein, Donna L.; Holloway, James E.; Rendon, Andrew T.

2007-01-01

The Rural Education Bureau of the New Mexico Public Education Department has established a program to address the special needs of schools and communities in the extensive rural areas of the state. High poverty rates, depopulation and a general lack of viable economic opportunity have marked rural New Mexico for decades. The program underway aims…

The Role of Rural Communities in the Postsecondary Preparation of Low-Income Students

Science.gov (United States)

Alleman, Nathan F.; Holly, L. Neal

2014-01-01

In the past decade, rural education has been critiqued for contributing to brain drain and social stratification that saps the human, social, and economic resources of rural communities. This article, based on an investigation of six small rural school districts in the same state, offers an alternative view of the role of community groups and…

Benefits of donkeys in rural and urban areas in northwest Nigeria

NARCIS (Netherlands)

Hassan, M.R.; Steenstra, F.A.; Udo, H.M.J.

2013-01-01

The objective of this study is to explore the benefits of donkeys for rural and urban smallholder farmers in northwest Nigeria. We visited 112 smallholder donkey farmers located in rural and urban areas from four states in northwest Nigeriathrough four focus group meetings, interviews with

Why American business demands twenty-first century skills: an industry perspective.

Science.gov (United States)

Bruett, Karen

2006-01-01

Public education is the key to individual and business prosperity. With a vested stake in education, educators, employers, parents, policymakers, and the public should question how this nation's public education system is faring. Knowing that recent international assessments have shown little or no gains in American students' achievement, the author asserts the clear need for change. As both a large American corporate employer and a provider of technology for schools, Dell is concerned with ensuring that youth will thrive in their adult lives. Changing workplace expectations lead to a new list of skills students will need to acquire before completing their schooling. Through technology, Dell supports schools in meeting educational goals, striving to supply students with the necessary skills, referred to as twenty-first century skills. The Partnership for 21st Century Skills, of which Dell is a member, has led an initiative to define what twenty-first century learning should entail. Through extensive research, the partnership has built a framework outlining twenty-first century skills: analytical thinking, communication, collaboration, global awareness, and technological and economic literacy. Dell and the partnership are working state by state to promote the integration of these skills into curricula, professional development for teachers, and classroom environments. The authors describe two current initiatives, one in Virginia, the other in Texas, which both use technology to help student learning. All stakeholders can take part in preparing young people to compete in the global economy. Educators and administrators, legislators, parents, and employers must play their role in helping students be ready for what the workforce and the world has in store for them.

Preliminary assessment of nine waste-form products/processes for immobilizing transuranic wastes

International Nuclear Information System (INIS)

Crisler, L.R.

1980-09-01

Nine waste-form processes for reduction of the present and projected Transuranic (TRU) waste inventory to an immobilized product have been evaluated. Product formulations, selected properties, preparation methods, technology status, problem areas needing resolution and location of current research development being pursued in the United States are discussed for each process. No definitive utility ranking is attempted due to the early stage of product/process development for TRU waste containing products and the uncertainties in the state of current knowledge of TRU waste feed compositional and quantitative makeup. Of the nine waste form products/processes included in this discussion, bitumen and cements (encapsulation agents) demonstrate the degree of flexibility necessary to immobilize the wide composition range present in the TRU waste inventory. A demonstrated process called Slagging Pyrolysis Incineration converts a varied compositional feed (municipal wastes) to a ''basalt'' like product. This process/product appears to have potential for TRU waste immobilization. The remaining waste forms (borosilicate glass, high-silica glass, glass ceramics, ''SYNROC B'' and cermets) have potential for immobilizing a smaller fraction of the TRU waste inventory than the above discussed waste forms

Rural anaesthetic audit 2006 to 2010.

Science.gov (United States)

Mills, P D; Newbury, J

2012-03-01

In order to review anaesthetic morbidity in our remote rural hospital, a retrospective audit of all anaesthetic records was undertaken for a five-year period between 2006 and 2010. Eight hundred and eighty-nine anaesthetic records were reviewed. The patients were all American Society of Anaesthesiologists physical status I to III. Ninety-eight percent of the anaesthetics were performed by general practitioner (non-specialist) anaesthetists. There were no anaesthetic deaths or serious adverse outcomes reported over this period. Sixteen intraoperative and seven postoperative problems were documented, but all were resolved uneventfully. The most common problems documented were difficult intubation (n=9) and respiratory depression (n=3). Within the limitations of this retrospective audit, these findings indicate that general practitioner anaesthetists provided safe anaesthesia in a remote rural hospital. It is our opinion that the case selection, prior experience of anaesthetic and theatre staff, stable nursing workforce and the use of protocols were important factors in determining the low rate of adverse events. However, we caution against over-interpretation of the data, given its retrospective nature, relatively small sample size, reliance on case records and the absence of agreed definitions for adverse events. We would also like to encourage all anaesthetic services, however remote, to audit their results as part of ongoing quality assurance.

Mobile bone densitometry service in rural South Australia

International Nuclear Information System (INIS)

Tucker, K.N.; Schultz, C.G.; Chatterton, B.E.

1997-01-01

Full text: Twenty per cent of South Australia's population live rurally, with limited access to modern medical services. The Mobile Bone Densitometry Unit was established to address this problem. The Unit began in 1994 with cooperation from private industry. In fostering the service, many issues were addressed, including choice of appropriate sites; selection of a liaison person at each site; towing of the Unit; transportation and accommodation of staff; education of local health professionals and community members; promotion of the service to the community: and timely reporting of results to referring doctors. The scanner is an Hologic ODR-1000+ densitometer, housed in a 5.9 1.8 metre, 2200 kg caravan. It is necessary to reduce vibration and motion during travel, control the internal environment, and have an electrically clean power supply. Addressing these parameters result in the critical value for quality control being 2500 patients, averaging 13 patients/working day. The mean age of the patients was 64 y (range 30-90 y), with 93 % of patients being >50 y. Results show a normally distributed Z score, suggesting that non-selected 'normal' population is being studied and the Hologic normal range matches that of the South Australian rural community. Local communities have utilised the service to full capacity resulting in future visits being extended. In conclusion, it is possible to provide a high quality, reliable bone densitometry service to rural communities

Self-help initiatives and rural development in Ibesikpo community of ...

African Journals Online (AJOL)

This study investigates the impact of self-help initiatives on rural development in Ibesikpo community of Akwa Ibom State, Nigeria. Self help initiatives were defined in terms of provision of employment, education and health-care. A sample size of 369 rural dwellers was drawn and data were analyzed using simple regression ...

SOCIAL INFRASTRUCTURE MODERNIZATION AS A PRIORITY REGARDING RURAL LIFE STANDARD IMPROVEMENT

Directory of Open Access Journals (Sweden)

L. A. Tretyakova

2010-06-01

Full Text Available At the present stage of socio-economic changes rural area economic activity conditions have changed in Russia, which has significantly worsened social facilities and engineering infrastructure effective functioning problem. The rural social infrastructure status has been recently deteriorating due to the lack of effective State support instruments and investments. In this paper, Russian rural social sphere development trends are considered, guidelines referred to the government control of rural area social sphere development are analyzed, methodology related to social facilities and engineering infrastructure efficient functioning is suggested as a determining factor for the agriculture labor market efficient development. A conceptual model of rural area social infrastructure strategic development and a mechanism of management control organization and rural area social infrastructure development based on a comprehensive analysis are suggested.

Free Access to Point of Care Resource Results in Increased Use and Satisfaction by Rural Healthcare Providers

Directory of Open Access Journals (Sweden)

Lindsay Alcock

2016-12-01

Full Text Available A Review of: Eldredge, J. D., Hall, L. J., McElfresh, K. R., Warner, T. D., Stromberg, T. L., Trost, J. T., & Jelinek, D. A. (2016. Rural providers’ access to online resources: A randomized controlled trial. Journal of the Medical Library Association, 104(1, 33-41. http://dx.doi.org/10.3163/1536-5050.104.1.005 Objective – To determine whether free access to the point of care (PoC resource Dynamed or the electronic book collection AccessMedicine was more useful to rural health care providers in answering clinical questions in terms of usage and satisfaction. Design – Randomized controlled trial. Setting – Rural New Mexico. Subjects – Twenty-eight health care providers (physicians, nurses, physician assistants, and pharmacists with no reported access to PoC resources, (specifically Dynamed and AccessMedicine or electronic textbook collections prior to enrollment.

Educational Barriers of Rural Youth: Relation of Individual and Contextual Difference Variables

Science.gov (United States)

Irvin, Matthew J.; Byun, Soo-yong; Meece, Judith L.; Farmer, Thomas W.

2014-01-01

The purpose of this study was to examine the relation of several individual and contextual difference factors to the perceived educational barriers of rural youth. Data were from a broader national investigation of students’ postsecondary aspirations and preparation in rural high schools across the United States. The sample involved more than 7,000 rural youth in 73 high schools across 34 states. Results indicated that some individual (e.g., African American race/ethnicity) and contextual (e.g., parent education) difference factors were predictive while others were not. Extensions to, similarities, and variations with previous research are discussed. Implications, limitations, and suggestions for future research are also discussed. PMID:24474843

Derivation of Nationally Consistent Indices Representing Urban Intensity Within and Across Nine Metropolitan Areas of the Conterminous United States

Science.gov (United States)

Cuffney, Thomas F.; Falcone, James A.

2009-01-01

Two nationally consistent multimetric indices of urban intensity were developed to support studies of the effects of urbanization on streams in nine metropolitan areas of the conterminous United States: Atlanta, Georgia; Birmingham, Alabama; Boston, Massachusetts; Dallas-Fort Worth, Texas; Denver, Colorado; Milwaukee-Green Bay, Wisconsin; Portland, Oregon; Raleigh, North Carolina; and Salt Lake City, Utah. These studies were conducted as a part of the U.S. Geological Survey's National Water-Quality Assessment Program. These urban intensity indices were used to define gradients of urbanization and to interpret biological, physical, and chemical changes along these gradients. Ninety census, land-cover, and infrastructure variables obtained from nationally available databases were evaluated. Only variables that exhibited a strong and consistent linear relation with 2000 population density were considered for use in the indices. Housing-unit density (HUDEN), percentage of basin area in developed land (P_NLCD1_2), and road density (ROADDEN) were selected as the best representatives of census, land-cover, and infrastructure variables. The metropolitan area national urban intensity index (MA-NUII) was scaled to represent urban intensity within each metropolitan area and ranged from 0 (little or no urban) to 100 (maximum urban) for sites within each metropolitan area. The national urban intensity index (NUII) was scaled to represent urban intensity across all nine metropolitan areas and ranged from 0 to 100 for all sites. The rates at which HUDEN, P_NLCD1_2, and ROADDEN changed with changes in population density varied among metropolitan areas. Therefore, these variables were adjusted to obtain a more uniform rate of response across metropolitan areas in the derivation of the NUII. The NUII indicated that maximum levels of urban intensity occurred in the West and Midwest rather than in the East primarily because small inner-city streams in eastern metropolitan areas are

Coconut processing technologies for rural transformation – Case study on coconut water vinegar

OpenAIRE

6. Seeja Thomachan, Deepu Mathew and Habeeburrahman P. V.

2010-01-01

The role of coconut based technologies in social development of rural India is described based on the influence of coconut vinegar technology in the rural women of Malappuram district, Kerala state, India

Differences Between Rural and Urban Areas in Mortality Rates for the Leading Causes of Infant Death: United States, 2013-2015.

Science.gov (United States)

Ely, Danielle M; Hoyert, Donna L

2018-02-01

The leading causes of infant death vary by age at death but were consistent from 2005 to 2015 (1-6). Previous research shows higher infant mortality rates in rural counties compared with urban counties and differences in cause of death for individuals aged 1 year and over by urbanization level (4,5,7,8). No research, however, has examined if mortality rates from the leading causes of infant death differ by urbanization level. This report describes the mortality rates for the five leading causes of infant, neonatal, and postneonatal death in the United States across rural, small and medium urban, and large urban counties defined by maternal residence, as reported on the birth certificate for combined years 2013-2015. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

Rural Hospital Wages and the Area Wage Index

Science.gov (United States)

Dalton, Kathleen; Slifkin, Rebecca T.; Howard, Hilda A.

2002-01-01

We examined data on hospital hourly wages and the prospective payment system (PPS) wage index from 1990 to 1997, to determine if incremental changes to the index have improved its precision and equity as a regional cost adjuster. The differential between average rural and urban PPS hourly wages has declined by almost one-fourth over the 8-year study period. Nearly one-half of the decrease is attributable to regulatory and reporting changes in the annual hospital wage survey. Patterns of within-market wage variation across rural-urban continuum codes identify three separate sub-markets within the State-level aggregates defining rural labor markets. Geographic reclassification decisions appear to eliminate one of the three. Remaining systematic within-market rural wage differences work to the reimbursement advantage of hospitals in the smaller and more isolated communities. PMID:12545604

Rural tourism – return to the farm perspective

DEFF Research Database (Denmark)

Nielsen, Niels Christian; Nissen, Kathrine Aae; Just, Flemming

2010-01-01

on innovation, i.e. development of new tourism products, preferably based on natural, human and social resources found within the rural district. However, in an ongoing study, carried out for the Danish Food Industry Agency, we shift focus (back) towards the development potential for farms wanting to diversify......Several studies have pointed to tourism as a tool for economic development and a means for keeping the population in rural areas. Typically areas suffering from decline in agriculture and general socio-economic trends. The general view seems to be that, many rural areas are inevitably moving...... towards a post-productive state, and that a possible adaption is diversification of economic activity and “multifunctional land use”, with tourism and recreation among the functions. In the tourism and rural (sociology) literature, the community perspective has been dominant, along with a focus...

Tobacco smoke exposure and impact of smoking legislation on rural and non-rural hospitality venues in North Dakota.

Science.gov (United States)

Buettner-Schmidt, Kelly; Lobo, Marie L; Travers, Mark J; Boursaw, Blake

2015-08-01

The purpose of this cross-sectional study in a stratified random sample of 135 bars and restaurants in North Dakota was to describe factors that influenced tobacco smoke pollution levels in the venues; to compare the quantity of tobacco smoke pollution by rurality and by presence of local ordinances; and to assess compliance with state and local laws. In data collection in 2012, we measured the indoor air quality indicator of particulate matter (2.5 microns aerodynamic diameter or smaller), calculated average smoking density and occupant density, and determined compliance with state and local smoking ordinances using observational methods. As rurality increased, tobacco smoke pollution in bars increased. A significant association was found between stringency of local laws and level of tobacco smoke pollution, but the strength of the association varied by venue type. Compliance was significantly lower in venues in communities without local ordinances. Controlling for venue type, 69.2% of smoke-free policy's impact on tobacco smoke pollution levels was mediated by observed smoking. This study advances scientific knowledge on the factors influencing tobacco smoke pollution and informs public health advocates and decision makers on policy needs, especially in rural areas. © 2015 Wiley Periodicals, Inc.

USING ANALYTIC HIERARCHY PROCESS (AHP METHOD IN RURAL DEVELOPMENT

Directory of Open Access Journals (Sweden)

Tülay Cengiz

2003-04-01

Full Text Available Rural development is a body of economical and social policies towards improving living conditions in rural areas through enabling rural population to utilize economical, social, cultural and technological blessing of city life in place, without migrating. As it is understood from this description, rural development is a very broad concept. Therefore, in development efforts problem should be stated clearly, analyzed and many criterias should be evaluated by experts. Analytic Hierarchy Process (AHP method can be utilized at there stages of development efforts. AHP methods is one of multi-criteria decision method. After degrading a problem in smaller pieces, relative importance and level of importance of two compared elements are determined. It allows evaluation of quality and quantity factors. At the same time, it permits utilization of ideas of many experts and use them in decision process. Because mentioned features of AHP method, it could be used in rural development works. In this article, cultural factors, one of the important components of rural development is often ignored in many studies, were evaluated as an example. As a result of these applications and evaluations, it is concluded that AHP method could be helpful in rural development efforts.

The coexistence of other micronutrient deficiencies in anaemic adolescent schoolgirls in rural Bangladesh.

Science.gov (United States)

Ahmed, F; Khan, M R; Banu, C P; Qazi, M R; Akhtaruzzaman, M

2008-03-01

To investigate the prevalence of selected micronutrient deficiencies amongst anaemic adolescent schoolgirls in rural Bangladesh and to examine their relationship with haemoglobin (Hb) levels. A cross-sectional study. Girls' high schools in rural areas of Dhaka District in Bangladesh. Three hundred and ten anaemic adolescent girls aged 14-18 years from eight schools participated in the study. Information on personal characteristics and food habits were collected by interview. Parents were asked about their socio-economic conditions. Anthropometric data and blood samples were collected following the interview. Twenty-eight per cent of the girls had depleted iron stores (serum ferritin or =1.4) and 7% had vitamin B(12) deficiencies (serum vitamin B(12) Bangladesh, although they do not suffer from energy deficiency. Of all micronutrients, only iron and vitamin B(2) concentrations were found to be related to the Hb concentration.

Soil erosion and sediment control laws. A review of state laws and their natural resource data requirements

Science.gov (United States)

Klein, S. B.

1980-01-01

Twenty states, the District of Columbia, and the Virgin Islands enacted erosion and sediment control legislation during the past decade to provide for the implementation or the strengthening of statewide erosion and sediment control plans for rural and/or urban lands. That legislation and the state programs developed to implement these laws are quoted and reviewed. The natural resource data requirements of each program are also extracted. The legislation includes amendments to conservation district laws, water quality laws, and erosion and sediment control laws. Laws which provides for legislative review of administrative regulations and LANDSAT applications and/or information systems that were involved in implementing or gathering data for a specific soil erosion and sediment control program are summarized as well as principal concerns affecting erosion and sediment control laws.

GROWTH IN INSTITUTIONAL AGRICULTURAL CREDIT IN THE PUNJAB STATE OF INDIA

Directory of Open Access Journals (Sweden)

Hanish Sharma

2014-12-01

Full Text Available The present study revealed that the scheduled commercial banks were actively participating to uplift the socio-economic development in the state. A significant increase was also observed in the number of branches for the commercial banks, cooperative banks, Primary Agricultural Development Banks (PADB, Regional Rural Banks (RRBs during the last few years. Also increasing trend in flow of total deposits and advances in the Punjab state for the last twenty two years was found at significant compound growth rate of 14.1 percent and 17.4 per cent per annum, respectively. The growth was also significant in the total agricultural credit advances at compound growth rate of 20.03 per cent per annum. Similar increase was found in the total micro credit advances at compound growth rate of 29.95 per cent per annum, in the total advances to weaker sections at compound growth rate of 29.70 per cent per annum and in the debt waiver scheme in the state. The KCC advances increased at compound growth rate of 22.40 per cent per annum.

The changing nature of nursing work in rural and small community hospitals.

Science.gov (United States)

Montour, Amy; Baumann, Andrea; Blythe, Jennifer; Hunsberger, Mabel

2009-01-01

The nursing literature includes descriptions of rural nursing workforces in Canada, the United States of America and Australia. However, inconsistent definitions of rural demography, diverse employment conditions and health care system reorganization make comparisons of these data difficult. In 2007, the Ministry of Health and Long-term Care in Ontario, Canada, transferred responsibility for decision-making and funding to 14 regional governing bodies known as Local Health Integration Networks (LHINs). Little is known about rural-urban variations in the nursing workforces in the LHINs because existing data repositories do not describe them. This study investigated the influence of demographic characteristics, provincial policies, organizational changes and emerging practice challenges on nursing work in a geographically unique rural region. The purpose was to describe the nature of nursing work from the perspective of rural nurse executives and frontline nurses. The study was conducted in 7 small rural and community hospitals in the Hamilton Niagara Haldimand Brant LHIN. Data collection occurred between August and November 2007. A qualitative descriptive study design was chosen to facilitate exploration of nursing in the rural setting. Study participants were identified through purposive snowball sampling. All nurses, nurse managers and nurse executives currently employed in the 7 study hospitals were eligible to participate. Data collection included the use of questionnaires and semi-structured interviews. Memos were also created to describe the relevance and applicability of concepts, categories and properties emerging from the data. Themes were compared across interviews to determine relevance and value. Twenty-one nurses from 7 different hospitals participated. The nurses reflect the aging trend in the provincial and regional workforces of Ontario. All study participants anticipate a substantial increase in retirements during the next decade, which will alter

Rural-Urban Differences in Alzheimer's Disease and Related Disorders Diagnostic Prevalence in Kentucky and West Virginia.

Science.gov (United States)

Abner, Erin L; Jicha, Gregory A; Christian, W Jay; Schreurs, Bernard G

2016-06-01

Older adults living in rural areas may face barriers to obtaining a diagnosis of Alzheimer's disease and related disorders (ADRD). We sought to examine rural-urban differences in prevalence of ADRD among Medicare beneficiaries in Kentucky and West Virginia, 2 contiguous, geographically similar states with large rural areas and aged populations. We used Centers for Medicare and Medicaid Services Public Use Files data from 2007 to 2013 to assess prevalence of ADRD at the county level among all Medicare beneficiaries in each state. Rural-Urban Continuum Codes were used to classify counties as rural or urban. We used Poisson regression to estimate unadjusted and adjusted prevalence ratios. Primary analyses focused on 2013 data and were repeated for 2007 to 2012. This study was completely ecologic. After adjusting for state, average beneficiary age, percent of female beneficiaries, percent of beneficiaries eligible for Medicaid in each county, Central Appalachian county, percent of age-eligible residents enrolled in Medicare, and percent of residents under age 65 enrolled in Medicare in our adjusted models, we found that 2013 ADRD diagnostic prevalence was 11% lower in rural counties (95% CI: 9%-13%). Medicare beneficiaries in rural counties in Kentucky and West Virginia may be underdiagnosed with respect to ADRD. However, due to the ecologic design, and evidence of a younger, more heavily male beneficiary population in some rural areas, further studies using individual-level data are needed to confirm the results. © 2015 National Rural Health Association.

Reasons for Schizophrenia Patients Remaining out of Treatment: Results from a Prospective Study in a Rural South Indian Community.

Science.gov (United States)

Kumar, Channaveerachari Naveen; Thirthalli, Jagadisha; Suresha, Kudumallige Krishnappa; Venkatesh, Basappa K; Kishorekumar, Kengeri V; Arunachala, Udupi; Gangadhar, Bangalore N

2016-01-01

A few studies have examined the factors associated with schizophrenia patients remaining untreated in India. We identified 184 schizophrenia patients in a rural community, offered the treatment with antipsychotics and followed them up in their Primary Health Centers for 1-year. Twenty-nine (15.8%) patients remained untreated at both the baseline and 1-year follow-up despite our best attempts to keep them under the treatment umbrella. They were interviewed in detail regarding the reasons for remaining untreated. This group was compared with another group of patients (n = 69) who had stopped the treatment at baseline but were successfully brought under the treatment umbrella throughout the 1-year follow-up period. The reasons for remaining untreated were (n; %): (a) Unsatisfactory improvement with previous treatment attempts (19; 65.5%), (b) poor bond between the patients and the families (6; 20.7%), (c) active symptoms not allowing any treatment efforts from the family members (6; 20.7%), (d) magico-religious beliefs about the illness and its treatment (4; 13.8%), (e) poor social support (3; 10.3%), (f) adverse effects of the medications (2; 6.9%), and (g) perception of recovery and cure (1; 3.4%). For many patients, a constellation of these reasons was responsible for them remaining untreated. In contrast, the common reasons for those who restarted medications to have stopped the treatment at some time were the lack of awareness, the need to continue medications (47; 68.1%), and the financial constraints (28; 40.6%). The predominant reason for schizophrenia patients not remaining on the treatment in this rural community was the families' lack of faith in antipsychotic treatment. Provision of comprehensive treatment package including medical, psychosocial and rehabilitative services, and sensitizing the community about benefits of the treatment may help in ensuring that all patients with psychosis receive the best care.

A Two-Stage Rural Household Demand Analysis: Microdata Evidence from Jiangsu Province, China

OpenAIRE

X.M. Gao; Eric J. Wailes; Gail L. Cramer

1996-01-01

In this paper we evaluate economic and demographic effects on China's rural household demand for nine food commodities: vegetables, pork, beef and lamb, poultry, eggs, fish, sugar, fruit, and grain; and five nonfood commodity groups: clothing, fuel, stimulants, housing, and durables. A two-stage budgeting allocation procedure is used to obtain an empirically tractable amalgamative demand system for food commodities which combine an upper-level AIDS model and a lower-level GLES as a modeling f...

Impact and management of dual relationships in metropolitan, regional and rural mental health practice.

Science.gov (United States)

Endacott, Ruth; Wood, Anita; Judd, Fiona; Hulbert, Carol; Thomas, Ben; Grigg, Margaret

2006-01-01

To explore the extent and impact of professional boundary crossings in metropolitan, regional and rural mental health practice in Victoria and identify strategies mental health clinicians use to manage dual relationships. Nine geographically located focus groups consisting of mental health clinicians: four focus groups in rural settings; three in a regional city and two in a metropolitan mental health service. A total of 52 participants were interviewed. Data revealed that professional boundaries were frequently breached in regional and rural settings and on occasions these breaches had a significantly negative impact. Factors influencing the impact were: longevity of the clinician's relationship with the community, expectations of the community, exposure to community 'gossip' and size of the community. Participants reported greater stress when the boundary crossing affected their partner and/or children. Clinicians used a range of proactive and reactive strategies, such as private telephone number, avoidance of social community activities, when faced with a potential boundary crossing. The feasibility of reactive strategies depended on the service configuration: availability of an alternative case manager, requirement for either patient or clinician to travel. The greater challenges faced by rural and regional clinicians were validated by metropolitan participants with rural experience and rural participants with metropolitan experience. No single strategy is used or appropriate for managing dual relationships in rural settings. Employers and professional bodies should provide clearer guidance for clinicians both in the management of dual relationships and the distinction between boundary crossings and boundary violation. Clinicians are clearly seeking to represent and protect the patients' interests; consideration should be given by consumer groups to steps that can be taken by patients to reciprocate.

An Educational Training on Cervical Cancer Screening Program for Rural Healthcare Providers in India

Directory of Open Access Journals (Sweden)

Rita Caroline Isaac

2014-03-01

Full Text Available Conventional, cytology based Cervical cancer screening programmes used in the developed world is often not practical in developing countries. Training of health care work force on a feasible, low-tech, screening methods is urgently needed in low resource settings. Twenty providers including doctors and nurses participated in a 2-days training workshop organized by a Community Health Center in rural South India. The pre-post-training assessment showed significant improvement in knowledge about cervical cancer, ‘low tech’ screening, treatment options and counseling among the participants.  Twenty volunteers screened at the workshop, 2 women (10% tested positive and one had CINIII lesion and the other had cervical cancer stage IIIB. After the training, the participants felt confident about their ability to counsel and screen women for cervical cancer.

METHODOLOGICAL ASPECTS OF RURAL DEVELOPMENT GOVERNANCE CASE STUDY

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Vitalina TSYBULYAK

2014-01-01

Full Text Available The article discusses current approaches to the process of assessing rural development governance, reveals its advantages and disadvantages. The article as well presents performance system indicators of governance process by means of two elements of dynamics assessment, rural development (economic, financial, and social sphere, ecology and population health and management process (assessment of strategic plan (concept of development, program of socioeconomic development of rural areas, current activity of local authorities, in particular. More over, it is suggested to use typology of approaches (objective (evolutionary, command and control, economic (infrastructural, complex, and qualitative to definition of process essence of rural development governance and correlation of traditional functions, performed by the subjects of the governance process of rural development (state authorities institutions, local authorities institutions, economic entities, and community. Adjusting traditional functions, performed by governance subjects of local development, their supplementing with new ones, relevant to the present-to-date model of «shared governance» is an important element of analysis of assessment tools for effectiveness of rural development governance. In addition, the author defines functioning of two forms of rural population involvement into the process of rural development governance: active and passive. Active one suggests that rural population participate in making and implementing governance decisions (public meetings, organization of social discussions, and development of territory community self-governance; passive one suggests that the emphasis is placed only on information distribution among population (meetings with parliament members, direct phone lines with territory governors, publication of normative and legal acts and reports on budget execution

Distribution of Iron in Rural Groundwater of Benue State, Nigeria ...

African Journals Online (AJOL)

... absence of any other alternative.Some form of treatment like filtering and or Reverse Osmosis if can be afforded may be required to reduce the risk to health over time. The study has demonstrated the need for groundwater quality monitoring and management in the rural areas to ensure the safety of water being provided.

Contributions of Rural Women Entrepreneurs in Non–Farm and Off ...

African Journals Online (AJOL)

User

The study assessed the contributions of rural women entrepreneurs in non–farm and off–farm enterprises to household poverty reduction in. Abia State .... It has been asserted that about 70 % of Nigerian's poor live in rural areas and are .... Percentage (%) n = 120. Age in Years. 20 - 30. 11.11. 31 - 40. 22.22. 41 - 50. 27.77.

Council-supported condom vending machines: are they acceptable to rural communities?

Science.gov (United States)

Tomnay, Jane E; Hatch, Beth

2013-11-01

Twenty-four hour access to condoms for young people living in rural Victoria is problematic for many reasons, including the fact that condom vending machines are often located in venues and places they cannot access. We partnered with three rural councils to install condom vending machines in locations that provided improved access to condoms for local young people. Councils regularly checked the machines, refilled the condoms and retrieved the money. They also managed the maintenance of the machine and provided monthly data. In total, 1153 condoms were purchased over 12 months, with 924 (80%) obtained from male toilets and 69% (801 out of 1153) purchased in the second half of the study. Revenue of $2626.10 (AUD) was generated and no negative feedback from residents was received by any council nor was there any negative reporting by local media. Vandalism, tampering or damage occurred at all sites; however, only two significant episodes of damage required a machine to be sent away for repairs. Condom vending machines installed in rural towns in north-east Victoria are accessible to young people after business hours, are cost-effective for councils and have not generated any complaints from residents. The machines have not suffered unrepairable damage and were used more frequently as the study progressed.

Divergent Urban-Rural Trends in College Attendance: State Policy Bias and Structural Exclusion in China

Science.gov (United States)

Tam, Tony; Jiang, Jin

2015-01-01

Despite the massive expansion of higher education in China since 1998, the cohort trends of urban and rural "hukou" holders in college attendance have widened sharply. Prevailing explanations emphasize the advantages of urban students over rural students in school quality and household financial resources. We propose the structural…

Rural electrification to low cost; Eletrificacao rural de baixo custo

Energy Technology Data Exchange (ETDEWEB)

Ribeiro, Fernando Selles

1993-07-01

Rural electrification is a political matter. Sometimes it is discussed as a social matter, sometimes as an economical matter, sometimes as a technical matter. The political aspect of the decisions is remarkable in all three fields.The present work relies on the concept that poorer producers will only be reached by a rural electrification program, if an alternative technology is used aiming to obtain low cost per connection. The ordinary distribution has a cost which doesn't reach those people. The work shows that target is denied in three moments by ideological reason. In a first moment it is denied by state economical politics, always neglecting giving assistance to poorer producers. In a second moment, it is denied by the utility which claims to have more urging problems to solve. Finally, it is denied by the engineer of distribution who, ideologically, turns to an engineering of primacy, and doesn't o think about the use of a more simplified technology. Actions to intended to interrupt these mechanisms are mentioned. One of the actions aims to introduce in the preparatory studies of engineers deeper discussions concerning the social function of energy. The other action is the proposition of a standard of rural electrification with leads to the solution of the problem, since there is political attention. (author)

Rural electrification to low cost; Eletrificacao rural de baixo custo

Energy Technology Data Exchange (ETDEWEB)

Ribeiro, Fernando Selles

1993-07-01

Rural electrification is a political matter. Sometimes it is discussed as a social matter, sometimes as an economical matter, sometimes as a technical matter. The political aspect of the decisions is remarkable in all three fields.The present work relies on the concept that poorer producers will only be reached by a rural electrification program, if an alternative technology is used aiming to obtain low cost per connection. The ordinary distribution has a cost which doesn't reach those people. The work shows that target is denied in three moments by ideological reason. In a first moment it is denied by state economical politics, always neglecting giving assistance to poorer producers. In a second moment, it is denied by the utility which claims to have more urging problems to solve. Finally, it is denied by the engineer of distribution who, ideologically, turns to an engineering of primacy, and doesn't o think about the use of a more simplified technology. Actions to intended to interrupt these mechanisms are mentioned. One of the actions aims to introduce in the preparatory studies of engineers deeper discussions concerning the social function of energy. The other action is the proposition of a standard of rural electrification with leads to the solution of the problem, since there is political attention. (author)

RURAL FARMERS’ PERCEPTION OF CLIMATE CHANGE IN CENTRAL AGRICULTURAL ZONE OF DELTA STATE, NIGERIA

Directory of Open Access Journals (Sweden)

A.U. Ofuoku

2011-10-01

Full Text Available Farmer perception of their environment is a factor of climate change. Adaptation to climate change requires farmers to realize that the climate has changed and they must identify useful adaptations and implement them. This study analyzed the per-ception of climate change among rural farmers in central agri-cultural zone of Delta State, Nigeria. Climate change studies often assume certain adaptations and minimal examination of how, when, why, and conditions under which adaptations usually take place in any economic and social systems. The study was conducted by survey method on 131 respondents using struc-tured interview schedule and questionnaire. Data were analyzed with descriptive statistics and linear regression model to test that education, gender, and farming experience influenced farmers’ perception of climate change. The results showed that the farmers were aware of climate change. The identified causes of climate change were ranging from intensified agriculture, population explosion, increased use of fossil fuel, loss of in-digenous know practice to gas flaring. The effects of climate change on crops and livestocks were also identified by the rural farmers. Many of the farmers adapted to climate change by planting trees, carrying out soil conservation practice, changing planting dates, using different crop varieties, installing fans in livestock pens, and applying irrigation. Almost half of them did not adapt to climate change. The linear regression analysis revealed that education, gender, and farming experience influ-enced farmers’ perception of climate change. The major barriers to adaptation to climate change included lack of information, lack of money, and inadequate land.

PERFORMANCES COMPARISON BETWEEN URBAN AND RURAL PIG FARMING SYSTEMS IN MANOKWARI, WEST PAPUA PROVINCE INDONESIA

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Desni Triana Ruli Saragih

2015-10-01

were no differences in household members, experience, average pig owned, working hours, selling period, litter size and number of farrowing. There are nine point of pig farming improvement that should be done to sustain pig farming systems in Manokwari Papua. Education may be improved by provide informal and skillful education. Pig ownership should be increased. Working hours must be increased. Pig keeping in the pens should be done by farmers. Managing pigs with additional time is important so that pigs will be maintained well. Litter sizes both in urban and rural are low, therefore further improvements are needed. Recording pig productivities must be done by every farmer. (Key words: Arfak pig farmers, Pig performance, Rural pig farming, Urban pig farming

State of Technological Development of Crop Production by Rural Territorial Economic Systems

Directory of Open Access Journals (Sweden)

Usenko Lyudmila N.

2014-01-01

Full Text Available Low level of distribution of innovations and technological development in the Russian agriculture exerts a negative influence upon the basic branch of the economy of rural territories – crop production, which, by production factors, possesses the highest potential in the world. Moreover, Russia’s joining WTO has an effect on the strategy of the branch development and disposes to another, innovative way of formation of the competitive agrarian sector of economy. The article uses retrospective analysis of main factors of production and many-sided indicators of financial and economic activity of agriculture in order to assess the state of technological development and innovation potential of the crop industry in Russia. The article draws conclusions about influence of these factors and indicators upon formation and development of the innovative basis of the agro-industrial complex of Russia and identifies potential of its further growth. The article also focuses on interdependence of groups of indicators that form the current picture of the study. The article reveals weaknesses and negative factors that interfere with establishment of the innovative agrarian sector of Russian economy.

An integrated low carbon energy solution to cooking fuel, tailored to Niger state's rural population

Science.gov (United States)

Carvell, Aaron; Price-Allison, Andrew; Birch, Calum; Green, Toby; Harijan, Khanji; Maihankuri, Sheidi; Raji, Abdulganiy; Uqaili, Mohammed; Dupont, Valerie

2017-11-01

Niger State (Nigeria) was selected as a case study of renewable, affordable and user friendly clean energy provision in remote areas of developing countries. Niger state has 80% of its 4.5 million population living in rural agrarian areas with low literacy rates, there is a lack of wind thus eliminating wind as widely available potential power source. Based on the assessment of the local large insolation, the type of agricultural, biomass and husbandry resources, this study selected the design of anaerobic digestion units processing mostly animal and human waste, and whose heating and power requirement would be entirely provided by solar photovoltaic/thermal to maintain optimum efficiency of the biogas production. The designs was carried out at the scale of up to 15 household demand (community scale). Volume and therefore the production of biogas maybe increased or decreased in the design considered, and local, low cost resilient material were proposed. The proposed system was costed for a community of 24 people, demonstrating the potential for clean and renewable gas production economically.

O movimento "vistoria zero" e a resistência do patronato rural às políticas de assentamentos no Rio Grande do Sul The "zero inspection" movement and the rural employers' opposition to the settlement policies in the state of Rio Grande do Sul, Brazil

Directory of Open Access Journals (Sweden)

César Augusto da Ros

2009-12-01

Full Text Available Neste artigo analisaremos o processo de constituição de um movimento de resistência do patronato rural às vistorias de imóveis rurais realizadas pelo Incra no estado do Rio Grande do Sul, buscando verificar os desdobramentos dessa ação na contraposição à implementação das políticas de assentamentos durante os anos de 1999 e 2002. Este movimento eclodiu em março de 1998, e foi protagonizado pelos grandes proprietários fundiários filiados ao Sindicato Rural do município de Bagé que o denominaram como "vistoria zero". Tal movimento, além de ter sido inédito, logo se irradiou pelo Estado, passando a integrar o repertório das ações de contraposição do patronato rural gaúcho à continuidade dos processos de desapropriação por interesse social para fins de reforma agrária. Argumenta-se ao longo do trabalho que o bloqueio imposto pelo patronato rural gaúcho às vistorias repercutiu diretamente numa redução drástica do número de famílias assentadas pelo Incra no quadriênio de 1999/2002, contribuindo para fortalecer ainda mais a opção do segundo governo de Fernando Henrique Cardoso pela reforma agrária de mercado.This article analyzes the formation process of the rural employers' resistance movement against the inspection of rural properties conducted by Instituto Nacional de Colonização e Reforma Agrária - INCRA (National Institute of Colonization and Land Reform in the state of Rio Grande do Sul, in order to understand the ramifications of this action as opposed to the implementation of settlement policies from 1999 to 2002. This movement broke out in March 1998, led by big landowners from the Rural Union of the Municipality of Bagé, who called it "zero inspection". This unprecedented movement soon spread all over the State, an addition to the rural employers' opposition to the process of expropriation for land reform purposes. Throughout the article, the author maintains that the blockade the rural employers

Climate Change Information Needs of Rural Farmers in Enugu State ...

African Journals Online (AJOL)

E M IGBOKWE

agents by government to teach farmers climate change adaptation and mitigation ... Keywords: Adaptation strategy, climate change, information needs, rural farmers, ..... 0.059 -0.035 0.059. Bad road network. 0.757. 0.294 -0.117 0.138. Poor electricity. 0.750. 0.231 -0.020 0.135. Poor use of local dialect. 0.191 -0.116 0.304.

Case studies in rural recycling. Public service report series

Energy Technology Data Exchange (ETDEWEB)

Cosper, S.D.; Hallenbeck, W.H.; Brenniman, G.R.

1994-02-01

Due to state planning requirements and federal landfill regulations, solid waste management in rural areas (particularly recycling) has received much attention in recent years. The growth of recycling during the 1980s occurred mainly in urban and suburban areas. Therefore, rural recycling is still a relatively new enterprise. This report presents several rural recycling case studies from Colorado, Illinois, Indiana, Iowa, Minnesota, Tennessee, and Ontario, Canada to provide examples of successes and problems. This report also discusses the current issues of cooperative marketing of recyclables and municipal solid waste flow control. With respect to recycling, a rural region does not have ready access to markets for collected materials and has difficulty in generating easily marketable quantities of recyclables. (Copyright (c) 1994 The Board of Trustees of the University of Illinois.)

Does Rurality Affect Quality of Life Following Treatment for Breast Cancer?

Science.gov (United States)

Reid-Arndt, Stephanie A.; Cox, Cathy R.

2010-01-01

Purpose: The present research examined the extent to which rural residence and social support seeking are associated with quality of life (QOL) among breast cancer patients following chemotherapy. Methods: Female breast cancer patients (n = 46) from communities of varying degrees of rurality in a Midwestern state completed psychological and QOL…

Instructional Leadership Challenges and Practices of Novice Principals in Rural Schools

Science.gov (United States)

Wiezorek, Douglas; Manard, Carolyn

2018-01-01

We report on a phenomenological study of the leadership experiences of six novice, rural public school principals in a midwestern U.S. state. We situated our analysis within existing research on leadership for learning, particularly how novice principals interpreted instructional leadership challenges in the context of rural school leadership. Our…

Design and Technical Validation of a Telemedicine Service for Rural Healthcare in Ecuador.

Science.gov (United States)

Vasquez-Cevallos, Leonel A; Bobokova, Jana; González-Granda, Patricia V; Iniesta, José M; Gómez, Enrique J; Hernando, M Elena

2017-12-12

Telemedicine is becoming increasingly important in Ecuador, especially in areas such as rural primary healthcare and medical education. Rural telemedicine programs in the country need to be strengthened by means of a technological platform adapted to local surroundings and offering advantages such as access to specialized care, continuing education, and so on, combined with modest investment requirements. This present article presents the design of a Telemedicine Platform (TMP) for rural healthcare services in Ecuador and a preliminary technical validation with medical students and teachers. An initial field study was designed to capture the requirements of the TMP. In a second phase, the TMP was validated in an academic environment along three consecutive academic courses. Assessment was by means of user polls and analyzing user interactions as registered automatically by the platform. The TMP was developed using Web-based technology and open code software. One hundred twenty-four students and 6 specialized faculty members participated in the study, conducting a total of 262 teleconsultations of clinical cases and 226 responses, respectively. The validation results show that the TMP is a useful communication tool for the documentation and discussion of clinical cases. Moreover, its usage may be recommended as a teaching methodology, to strengthen the skills of medical undergraduates. The results indicate that implementing the system in rural healthcare services in Ecuador would be feasible.

Participants' Reactions to and Suggestions for Conducting Intimate Partner Violence Research: A Study of Rural Young Adults.

Science.gov (United States)

Edwards, Katie M; Greaney, Kayleigh; Palmer, Kelly M

2016-01-01

To document rural young adults' reasons for emotional reactions to participating in intimate partner violence (IPV) research as well as to hear young adults' perspectives on how to most effectively conduct comprehensive IPV research in their rural communities. The data presented in this paper draw from 2 studies (ie, an online survey study and an in-person or telephone interview study) that included the same 16 US rural counties in New England and Appalachia. Participants, 47% of whom were in both studies, were young (age range 18-24), white (92%-94%), heterosexual (89%-90%), female (62%-68%), and mostly low to middle income. Nine percent of participants reported they were upset by the questions due to personal experiences with IPV or for other reasons not related to personal IPV experiences. Forty percent of participants reported they personally benefited from participating in the study, and they provided various reasons for this benefit. Regarding suggestions for conducting IPV research with rural young adults, participants believed that both online recruitment and online data collection methods were the best ways to engage young adults, although many participants suggested that more than 1 modality was ideal, which underscores the need for multimethod approaches when conducting research with rural young adults. These findings are reassuring to those committed to conducting research on sensitive topics with rural populations and also shed light on best practices for conducting this type of research from the voices of rural young adults themselves. © 2015 National Rural Health Association.

‘LET’S SEE IF IT WON’T GO AWAY BY ITSELF.’ LGBT MICROAGGRESSIONS AMONG TEACHERS IN SOUTH AFRICA

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Dennis A Francis

2016-12-01

Full Text Available We explored types and qualities of microaggressions or subtle forms of discrimination towards lesbian, gay, bisexual and transgender (LGBT people among teachers in South Africa. For data collection, we used in-depth interviews. Twenty-five Life Orientation teachers, nine men and 16 women, from both rural and urban schools throughout the Free State Province participated. Our findings suggest heterosexism as well as subtle and sometimes harder to pin down forms of bias – microaggressions ‒ are experienced in these contexts. Given the educational policy shifts on LGBT rights in South Africa, we argue that microaggressions need to be clearly located in the larger macro context of systemic heterosexism which pervades schools and the teaching of sexuality education in South Africa.  We conclude with implications for teaching and support interventions to make schools more LGBT inclusive.

Prevalence and factors associated with unintended pregnancy among married women in an urban and rural community, Khartoum state, Sudan

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Majdi Mohammed Sabahelzain

2014-01-01

Full Text Available Introduction: Unintended or unplanned pregnancy has been a distressing reality among females in the reproductive age group particularly in developing countries. The repercussions of such events range from illegal abortions to various health related problems associated with pregnancy in mothers. The current study aimed to determine the prevalence of unintended pregnancy among married women in an urban and rural community in Khartoum state, to determine the associated factors of unintended pregnancy and to verify the reasons behind unintended pregnancy as perceived by the married women in the area. Methodology: It was a community?based; cross sectional study conducted in Riyadh and Alshekh Elfadni areas in Khartoum state. The sample size was calculated as 341. The study population were married women of reproductive age (15?49 years, selected by multistage stratified sampling. Data was collected by a pre?tested questionnaire and analysed by SPSS software. Chi square test was used to test the association between the dependent and independent variables. Level of significance was determined at 95% (P value < 0.05 was considered as significant. Results: Prevalence of unintended pregnancy was high at 30.2% among the study sample. Significant association (95% CI, p<0.05 was seen between unintended pregnancy and education, household size, parity and use of modern contraceptives methods Conclusion: This study concluded that the prevalence of unintended pregnancy among married women in rural and urban communities in Khartoum state is high. The unintended pregnancy increases as the level of education increases. Women with big household size and high parity are more likely to have experienced unintended pregnancy. The most important reason behind unintended pregnancy is less spacing between one pregnancy and the other.

An Appraisal of the Institutional Structure of Rural Tourism in Malaysia: A Conceptual Framework

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Joo-Ee GAN

2016-11-01

Full Text Available This conceptual paper seeks to examine the institutional obstacles that affect rural tourism in Malaysia. Identifying the government institutions involved in the planning and development of rural tourism is itself problematic. The jurisdictions of federal agencies and state agencies may overlap, thus resulting in haphazard planning and mismatched objectives. Studies on this area are limited and have become outmoded due to the shifting governmental landscape in the country. The jurisdictional boundaries of various institutions continue to change, thus causing a gap in the identification of responsible government agencies and their corresponding portfolios. An institutional appraisal of rural tourism in Malaysia is therefore necessary. In this regard, the effectiveness of governmental institutions should be evaluated in terms of (a the promotion of environmentally sustainable rural tourism; (b the protection of host community interests; and (c facilitating the effective enforcement of laws and regulations pertaining to rural tourism. The conceptual framework facilitates the development of a responsible rural tourism institutional framework at local, state and national levels.

Information and training on radiation protection for trade union representatives from the nine Member States of the European Communities

International Nuclear Information System (INIS)

1979-01-01

As part of its training and information programme on radiation protection, the Directorate-General for Employment and Social Affairs (Health and Safety Directorate) organized for the third and fourth time (in October 1977 and 1978) seminars on radiation protection on behalf of trade union representatives from the nine Member States; the seminars served in particular as a forum for the exchange of ideas and experiences. The present volume reproduces the papers read on those occasions, covering the following topics: the independence of radiaton protection units; training and information in radiation protection; analysis of the main innovations in radiological protection concepts emerging from ICRP Publication No 26; the protection of occasionally exposed workers; the work of the United Nations Scientific Committee on the Effects of Atomic Radiation; the concept of optimization; future developments in dosimetry. Although the publication is destined mainly for the participants in the two meetings, the information it contains may also be of use to anyone interested in the problems of radiation protection and the spreading of knowledge in this field

Biomass, energy and economic and natural resource differentiation in rural southern India

International Nuclear Information System (INIS)

Bhagavan, M.R.; Giriappa, S.

1995-01-01

The rural economy in India is as yet only partially monetized and continues to retain its semi-subsistence character, while at the same time undergoing the process of becoming more monetized and market-orientated. A large field study was conducted in rural Karnataka, a state in southern India, which uncovers the relations between the energy situations of the rural social classes and their access to labour, land, cash and physical assets. Of equal significance are regional variations in ecology, rainfall and irrigation. The study's principal focus is the rural household, but it also includes some analysis of the energy dimensions in agricultural activities and small-scale rural services. Eight villages were covered by the survey, one in each district, carefully selected to reflect the geographic, climatic, biomass-resource and socio-economic features of Karnataka. In each village an average of 55 households were studied in depth, making up a total of 450 households. Clear and marked differentiations are uncovered between the rural social classes in various aspects of energy production, purchase, sale and consumption, as well as in labour and cash inputs into the energy flows. It is found that traditional forms of biomass are still the dominant type of energy for all rural strata, and that only the rural middle class can be said to have begun the transition towards modern fuels, although its consumption of modern fuels is still negligibly small in absolute terms. The study reveals that the rural middle class faces no energy crisis, while the 'intermediate' class of the small peasantry is just about managing to make ends meet in energy terms. In contrast to this, the rural wage labour class continues to remain in a state of energy crisis. (author)

Determinants of Welfare Dynamics in Rural Nicaragua

DEFF Research Database (Denmark)

Jakobsen, Kristian Thor

2011-01-01

This article explores the determinants of poverty movements in rural Nicaragua by introducing a bivariate probate model, making it possible to treat the initial state of poverty as endogenous and thus avoiding introducing selection bias. The results indicate that this is relevant when exploring...... welfare dynamics in rural Nicaragua, as initially poor households face a higher probability of being poor in the subsequent period compared with non-poor households. It is also found that household composition, access to non-agriculture wage income and ownership of productive assets are important factors...

User-owned utility models for rural electrification

Energy Technology Data Exchange (ETDEWEB)

Waddle, D.

1997-12-01

The author discusses the history of rural electric cooperatives (REC) in the United States, and the broader question of whether such organizations can serve as a model for rural electrification in other countries. The author points out the features of such cooperatives which have given them stability and strength, and emphasizes that for success of such programs, many of these same features must be present. He definitely feels the cooperative models are not outdated, but they need strong local support, and a governmental structure which is supportive, and in particular not negative.

[Yellow fever: reemerging in the state of Sao Paulo, Brazil, 2009].

Science.gov (United States)

Mascheretti, Melissa; Tengan, Ciléa H; Sato, Helena Keiko; Suzuki, Akemi; de Souza, Renato Pereira; Maeda, Marina; Brasil, Roosecelis; Pereira, Mariza; Tubaki, Rosa Maria; Wanderley, Dalva M V; Fortaleza, Carlos Magno Castelo Branco; Ribeiro, Ana Freitas

2013-10-01

To describe the investigation of a sylvatic yellow fever outbreak in the state of Sao Paulo and the main control measures undertaken. This is a descriptive study of a sylvatic yellow fever outbreak in the Southwestern region of the state from February to April 2009. Suspected and confirmed cases in humans and in non-human primates were evaluated. Entomological investigation in sylvatic environment involved capture at ground level and in the tree canopy to identify species and detect natural infections. Control measures were performed in urban areas to control Aedes aegypti . Vaccination was directed at residents living in areas with confirmed viral circulation and also at nearby cities according to national recommendation. Twenty-eight human cases were confirmed (39.3% case fatality rate) in rural areas of Sarutaiá, Piraju, Tejupá, Avaré and Buri. The deaths of 56 non-human primates were also reported, 91.4% were Allouatta sp. Epizootics was confirmed in two non-human primates in the cities of Itapetininga and Buri. A total of 1,782 mosquitoes were collected, including Haemagogus leucocelaenus , Hg. janthinomys/capricornii , and Sabethes chloropterus, Sa. purpureus and Sa. undosus . Yellow fever virus was isolated from a group of Hg. Leucocelaenus from Buri. Vaccination was carried out in 49 cities, with a total of 1,018,705 doses. Nine serious post-vaccination adverse events were reported. The cases occurred between February and April 2009 in areas with no recorded yellow fever virus circulation in over 60 years. The outbreak region occurred outside the original recommended vaccination area with a high percentage of susceptible population. The fast adoption of control measures interrupted the human transmission within a month and the confirmation of viral circulation in humans, monkeys and mosquitoes. The results allowed the identification of new areas of viral circulation but further studies are required to clarify the dynamics of the spread of this disease.

Determinants of pre-procedural state anxiety and negative affect in first-time colposcopy patients: implications for intervention.

Science.gov (United States)

Kola, S; Walsh, J C

2012-07-01

Women experience significant emotional distress in relation to further diagnostic evaluation of pre-cancerous cell changes of the cervix. However, less is known about the specific variables that contribute to elevated state anxiety and negative affect prior to colposcopy. The study aims to identify psychosocial factors that predict distress in this patient group, which can help in the development of more sophisticated interventions to reduce psychological distress. Socio-demographic variables, scores for state anxiety, negative affect, trait anxiety, fear of pain, coping style, pain-related expectancy and knowledge were assessed in 164 first-time colposcopy patients immediately before the colposcopy examination. Twenty-six per cent of variance in pre-colposcopy state anxiety was significantly explained by marital status, parity, trait anxiety, fear of minor pain and expectations of discomfort. Twenty-nine per cent of variance in pre-colposcopy negative affect was significantly explained by trait anxiety and expectations of pain. Women who are single, have children, are high trait anxious, and anticipate pain and discomfort appear to be at risk for pre-colposcopy distress. Interventions aimed at reducing pre-colposcopy psychological distress should include situation-specific variables that are amenable to change, and trait anxious women are likely to benefit from interventions to reduce distress. © 2011 Blackwell Publishing Ltd.

An investigation of bioecological influences associated with first use of methamphetamine in a rural state.

Science.gov (United States)

Bowen, Anne; Moring, John; Williams, Mark; Hopper, Glenna; Daniel, Candice

2012-01-01

Methamphetamine (MA) addiction is a significant problem in rural areas of the United States. Yet, little theoretically driven formative research has been conducted on the interactions of factors influencing initiation. The study was guided by Bronfenbrenner's bioecological model. Eighty-three MA users participated in an interview. Quantitative data included sociodemographic characteristics, drug use history, and psychosocial functioning. Semistructured interviews examined MA use histories with a focus on initiation. Transcripts of the interviews were coded for 5 themes related to Bronfenbrenner's influences including individual motivation, family, peers, work or school, or community as factors influencing initiation of MA use. Five dummy variables representing the presence or absence of a mention of Bronfenbrenner's 5 influences were created from the qualitative codes and entered into a hierarchical cluster analysis. The analyses revealed 4 distinct clusters: (1) predominantly female, influenced by peers and individual curiosity, (2) predominantly female, youngest age of first use, influenced by a family culture of drug use, (3) predominantly male, older age at first use, influenced by work settings and family co-workers, and (4) predominantly male, older age at first use, in the school context with a desire to increase intimacy. Bronfenbrenner's bioecological model was useful for classifying initiating influences and grouping individuals based on different combinations of influences. Identifying combinations of initiating factors such as work and community may facilitate tailoring of prevention programs, which may maximize efficacy and cost-effectiveness. © 2011 National Rural Health Association.

The Function Analysis of Informationization in New Rural Cooperatives Medical Service Management

Science.gov (United States)

Zhou, Yuefeng; Liu, Min

The establishment of new rural cooperative medical system is an important action for comprehensive affluent society. It is an important measure for Central Party Committee and State Council to solve "three rural" issue effectively and to overall urban and rural, regional, coordinated economic and social development, building a well-off society in the new situation. It has important role to alleviate farmers to see a doctor expensively, see a doctor difficultly, reduce the burden on farmers and improve their level of health protection and quality of life, solve the problem of poor because of illness and the problem of returning poor due to illness, promote the production and rural economic development and stability in the rural areas. This article will analyze the function of informationization in new rural cooperative medical service management selectively.

Reconceptualising risk: Perceptions of risk in rural and remote maternity service planning.

Science.gov (United States)

Barclay, Lesley; Kornelsen, Jude; Longman, Jo; Robin, Sarah; Kruske, Sue; Kildea, Sue; Pilcher, Jennifer; Martin, Tanya; Grzybowski, Stefan; Donoghue, Deborah; Rolfe, Margaret; Morgan, Geoff

2016-07-01

to explore perceptions and examples of risk related to pregnancy and childbirth in rural and remote Australia and how these influence the planning of maternity services. data collection in this qualitative component of a mixed methods study included 88 semi-structured individual and group interviews (n=102), three focus groups (n=22) and one group information session (n=17). Researchers identified two categories of risk for exploration: health services risk (including clinical and corporate risks) and social risk (including cultural, emotional and financial risks). Data were aggregated and thematically analysed to identify perceptions and examples of risk related to each category. fieldwork was conducted in four jurisdictions at nine sites in rural (n=3) and remote (n=6) Australia. 117 health service employees and 24 consumers. examples and perceptions relating to each category of risk were identified from the data. Most medical practitioners and health service managers perceived clinical risks related to rural birthing services without access to caesarean section. Consumer participants were more likely to emphasise social risks arising from a lack of local birthing services. our analysis demonstrated that the closure of services adds social risk, which exacerbates clinical risk. Analysis also highlighted that perceptions of clinical risk are privileged over social risk in decisions about rural and remote maternity service planning. a comprehensive analysis of risk that identifies how social and other forms of risk contribute to adverse clinical outcomes would benefit rural and remote people and their health services. Formal risk analyses should consider the risks associated with failure to provide birthing services in rural and remote communities as well as the risks of maintaining services. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

Cervical cancer, a disease of poverty: mortality differences between urban and rural areas in Mexico.

Science.gov (United States)

Palacio-Mejía, Lina Sofía; Rangel-Gómez, Gudelia; Hernández-Avila, Mauricio; Lazcano-Ponce, Eduardo

2003-01-01

To examine cervical cancer mortality rates in Mexican urban and rural communities, and their association with poverty-related factors, during 1990-2000. We analyzed data from national databases to obtain mortality trends and regional variations using a Poisson regression model based on location (urban-rural). During 1990-2000 a total of 48,761 cervical cancer (CC) deaths were reported in Mexico (1990 = 4,280 deaths/year; 2000 = 4,620 deaths/year). On average, 12 women died every 24 hours, with 0.76% yearly annual growth in CC deaths. Women living in rural areas had 3.07 higher CC mortality risks compared to women with urban residence. Comparison of state CC mortality rates (reference = Mexico City) found higher risk in states with lower socio-economic development (Chiapas, relative risk [RR] = 10.99; Nayarit, RR = 10.5). Predominantly rural states had higher CC mortality rates compared to Mexico City (lowest rural population). CC mortality is associated with poverty-related factors, including lack of formal education, unemployment, low socio-economic level, rural residence and insufficient access to healthcare. This indicates the need for eradication of regional differences in cancer detection. This paper is available too at: http://www.insp.mx/salud/index.html.

What community characteristics help or hinder rural communities in becoming age-friendly? Perspectives from a Canadian prairie province.

Science.gov (United States)

Spina, John; Menec, Verena H

2015-06-01

Age-friendly initiatives are increasingly promoted as a policy solution to healthy aging, The primary objective of this article was to examine older adults' and key stakeholders' perceptions of the factors that either help or hinder a community from becoming age-friendly in the context of rural Manitoba, a Canadian prairie province. Twenty-four older adults and 17 key informants completed a qualitative interview. The findings show that contextual factors including size, location, demographic composition, ability to secure investments, and leadership influence rural communities' ability to become age-friendly. Government must consider the challenges these communities face in becoming more age-friendly and develop strategies to support communities. © The Author(s) 2013.

There Are No Subways in Lickingville: Metropolitan Models Don't Work for Rural People.

Science.gov (United States)

Hillman, Arnold

This book presents an overview of the problems facing rural America and offers solutions at the national, state, and local levels. The combination of public lack of awareness and metropolitan-centered authority has created a view of rural America and its people that is contrary to both the data and actual living conditions. Rural education has…

Nine Things to Know About Stem Cell Treatments

Science.gov (United States)

... Search Toggle Nav Nine Things To Know About Stem Cell Treatments Home > Stem Cells and Medicine > Nine Things ... Know About Stem Cell Treatments Many clinics offering stem cell treatments make claims that are not supported by ...

Leading Education Innovations in Rural Schools: Reflections from i3 Grantees

Science.gov (United States)

Fox, Tom; Friedrich, Linda; Harmon, Hobart; McKithen, Clarissa; Phillips, Andie; Savell, Susan; Schaefer, Victoria; Silva, Mihiri

2017-01-01

The Investing in Innovation (i3) Improving Rural Achievement Community, a professional learning community of grantees under the US Department of Education's i3 program, created this document to share knowledge and experiences related to working in rural districts across the United States. Grounded in field-based experiences and lessons, it serves…

Twenty five years of fundamental theory

International Nuclear Information System (INIS)

Bell, J.S.

1980-01-01

In reviewing the last twenty five years in fundamental physics theory it is stated that there has been no revolution in this field. In the absence of gravitation, Lorentz invariance remains a requirement on fundamental laws. Einstein's theory of gravitation inspires increasing conviction on the astronomical scale. Quantum theory remains the framework for all serious effort in microphysics, and quantum electrodynamics remains the model of a fully articulated microphysical theory, completely successful in its domain. However,a number of ideas have appeared, of great theoretical interest and some phenomenological success, which may well contribute to the next decisive step. Recent work on the following topics is mentioned; gravitational radiation, singularites, black body radiation from black holes, gauge and hidden symmetry in quantum electrodynamics, the renormalization of electromagnetic and weak interaction theory, non-Abelian gauge theories, magnetic monopoles as the most striking example of solitons, and supersymmetry. (UK)

Has Rural Banking Developed Rural Nigeria? | Amadasu | African ...

African Journals Online (AJOL)

There is problem of rural development in Nigeria because of increasing poverty in the rural areas where about 70% of the people live. Reducing poverty means increasing income. Increasing income means increasing bank loans and advances for efficient application to agricultural and industrial activities in the rural Nigeria ...

La delimitación del ámbito rural: una cuestión clave en los programas de desarrollo rural

Directory of Open Access Journals (Sweden)

Sancho Comíns, José

2012-12-01

Full Text Available The delimitation of rural areas has traditionally been a topic of considerable scientific interest. The contrasts between urban and rural areas, which are easily distinguishable both in the landscape and in their social and economic characteristics, have raised the interest to define a limit that has not always been easily detectable. Quantitative and qualitative criteria, and even a mixture of both, have been used to label rural and urban territory, sometimes using terminology that shows more of the gradation between the two concepts rather than their dichotomy. International agencies have not been oblivious to this concern, and have proposed methodologies for cataloging these areas and the people in them according to criteria of rurality. Furthermore, the «territorial approach» is one of the bases of the Rural Development Programs that have been applied in the European Union over the last twenty five years, which has given a new impulse to the research in this field.

La delimitación del ámbito rural ha sido, tradicionalmente, un tema de notable preocupación científica. Los contrastes entre el mundo urbano y rural, bien visibles en el paisaje y no menos elocuentes en las características sociales y económicas de ambos, han despertado el interés por definir un límite que no siempre ha sido fácilmente detectable. Unas veces, mediante criterios cuantitativos y, otras, cualitativos, incluso una mezcla de ambos, se han etiquetado territorios con denominaciones no siempre dicotómicas que han dado a entender más bien la gradación que existe entre la ciudad y lo rural profundo. Los organismos internacionales no han sido ajenos a esta preocupación y, consiguientemente, han propuesto metodologías para catalogar los espacios y las gentes que los habitan según criterios de ruralidad. A ello se une el interés de los Programas de Desarrollo Rural que en el marco de la Unión Europea se vienen aplicando en los últimos veinticinco a

METHODOLOGICAL APPROACHES FOR MODELING THE RURAL SETTLEMENT DEVELOPMENT

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Gorbenkova Elena Vladimirovna

2017-10-01

Full Text Available Subject: the paper describes the research results on validation of a rural settlement developmental model. The basic methods and approaches for solving the problem of assessment of the urban and rural settlement development efficiency are considered. Research objectives: determination of methodological approaches to modeling and creating a model for the development of rural settlements. Materials and methods: domestic and foreign experience in modeling the territorial development of urban and rural settlements and settlement structures was generalized. The motivation for using the Pentagon-model for solving similar problems was demonstrated. Based on a systematic analysis of existing development models of urban and rural settlements as well as the authors-developed method for assessing the level of agro-towns development, the systems/factors that are necessary for a rural settlement sustainable development are identified. Results: we created the rural development model which consists of five major systems that include critical factors essential for achieving a sustainable development of a settlement system: ecological system, economic system, administrative system, anthropogenic (physical system and social system (supra-structure. The methodological approaches for creating an evaluation model of rural settlements development were revealed; the basic motivating factors that provide interrelations of systems were determined; the critical factors for each subsystem were identified and substantiated. Such an approach was justified by the composition of tasks for territorial planning of the local and state administration levels. The feasibility of applying the basic Pentagon-model, which was successfully used for solving the analogous problems of sustainable development, was shown. Conclusions: the resulting model can be used for identifying and substantiating the critical factors for rural sustainable development and also become the basis of

Regulatory strategies for high-level radioactive waste management in nine countries: Final report

International Nuclear Information System (INIS)

1987-12-01

This report provides information on the regulatory strategies being developed or implemented in nine countries for the management and disposal of spent nuclear fuel and high-level radioactive waste. The study was performed by International Energy Associates Limited on behalf of Pacific Northwest Laboratories and the US Department of Energy. IEAL obtained information for this report from the regulatory authorities in each country, who also later reviewed drafts of the respective country sections of the report. The nine countries surveyed were Belgium, Canada, the Federal Republic of Germany, France, Japan, Sweden, Switzerland, the United Kingdom and the United States. These countries were selected for study because they are among the largest producers of nuclear energy in the world today and have aggressive programs for spent fuel management and waste disposal

Relation of urbanization to stream habitat and geomorphic characteristics in nine metropolitan areas of the United States

Science.gov (United States)

Fitzpatrick, Faith A.; Peppler, Marie C.

2010-01-01

The relation of urbanization to stream habitat and geomorphic characteristics was examined collectively and individually for nine metropolitan areas of the United States?Portland, Oregon; Salt Lake City, Utah; Denver, Colorado; Dallas?Forth Worth, Texas; Milwaukee?Green Bay, Wisconsin; Birmingham, Alabama; Atlanta, Georgia; Raleigh, North Carolina; and Boston, Massachusetts. The study was part of a larger study conducted by the U.S. Geological Survey from 1999 to 2004 to examine the effects of urbanization on the physical, chemical, and biological components of stream ecosystems. The objectives of the current study were to determine how stream habitat and geomorphic characteristics relate to different aspects of urbanization across a variety of diverse environmental settings and spatial scales. A space-for-time rural-to-urban land-cover gradient approach was used. Reach-scale habitat data and geomorphic characteristic data were collected once during low flow and included indicators of potential habitat degradation such as measures of channel geometry and hydraulics, streambed substrate, low-flow reach volume (an estimate of base-flow conditions), habitat complexity, and riparian/bank conditions. Hydrologic metrics included in the analyses were those expected to be altered by increases in impervious surfaces, such as high-flow frequency and duration, flashiness, and low-flow duration. Other natural and human features, such as reach-scale channel engineering, geologic setting, and slope, were quantified to identify their possible confounding influences on habitat relations with watershed-scale urbanization indicators. Habitat and geomorphic characteristics were compared to several watershed-scale indicators of urbanization, natural landscape characteristics, and hydrologic metrics by use of correlation analyses and stepwise linear regression. Habitat and geomorphic characteristics were related to percentages of impervious surfaces only in some metropolitan areas and

Promoting implementation of sustainable development goals in rural ...

African Journals Online (AJOL)

Promoting implementation of sustainable development goals in rural Nigeria: II food security issues and their determinants among cassava-based farming households in Akpabuyo Local Government Area, Cross River State, Nigeria.

Income inequality and urban/rural migration.

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Slottje, D J; Hayes, K J

1987-01-01

"The purpose of this paper is to examine some of the consequences of [U.S.] migration trends from 1970-1980, focusing on the relationship of income inequality within a state with population shifts within and across states. Furthermore, we wish to determine if the movement of wealth and the changing employment opportunities [have] had any effect on the distribution of income within the four census regions and for urban and rural populations across all fifty states." Data are from the 1970 and 1980 censuses. excerpt

Comparison between motorcyclist’ violation behavior and accidents in urban and rural area in Indonesia: A comparative study

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Rahmawati, N.; Widyanti, A.

2017-12-01

Some studies stated that the main factor related to the accident was driving behavior. This study aims to explore the differences between motorcyclist” behaviour and repetitive violation behaviour in two different area, urban and rural area in Indonesia. Respondents were selected based on convenience sampling method in Bandung as a representative of urban area and Kulon Progo as a representative of rural area. They were asked to fill in a questionnaire about driving behaviour, consists of 10 dimensions or 51 questions with Likert scales ranging from 1 (very often) to 6 (never). The results of this study shows that the motorcyclists’ behavior differ significantly between rural and urban area. Motorcyclists in the urban area (Bandung) are more committed to violations than in rural area (Kulon Progo). This result is not in line with previous studies in Australia and United States which stated that motorcyclists in rural area more frequently speeding than in urban area. Implications of the result are discussed.

New York State urban and rural measurements of continuous PM2.5 mass by FDMS, TEOM, and BAM.

Science.gov (United States)

Schwab, James J; Felton, Henry D; Rattigan, Oliver V; Demerjian, Kenneth L

2006-04-01

Field evaluations and comparisons of continuous fine particulate matter (PM2,5) mass measurement technologies at an urban and a rural site in New York state are performed. The continuous measurement technologies include the filter dynamics measurement system (FDMS) tapered element oscillating microbalance (TEOM) monitor, the stand-alone TEOM monitor (without the FDMS), and the beta attenuation monitor (BAM). These continuous measurement methods are also compared with 24-hr integrated filters collected and analyzed under the Federal Reference Method (FRM) protocol. The measurement sites are New York City (the borough of Queens) and Addison, a rural area of southwestern New York state. New York City data comparisons between the FDMS TEOM, BAM, and FRM are examined for bias and seasonality during a 2-yr period. Data comparisons for the FDMS TEOM and FRM from the Addison location are examined for the same 2-yr period. The BAM and FDMS measurements at Queens are highly correlated with each other and the FRM. The BAM and FDMS are very similar to each other in magnitude, and both are approximately 25% higher than the FRM filter measurements at this site. The FDMS at Addison measures approximately 9% more mass than the FRM. Mass reconstructions using the speciation trends network filter data are examined to provide insight as to the contribution of volatile species of PM2.5 in the FDMS mass measurement and the fraction that is likely lost in the FRM mass measurement. The reconstructed mass at Queens is systematically lower than the FDMS by approximately 10%.

Permissive parental feeding behavior is associated with an increase in intake of low-nutrient-dense foods among American children living in rural communities

Science.gov (United States)

Parents play an important role in shaping children's eating habits. Few studies have evaluated the influence of both parenting style and parenting practices on child outcomes such as dietary intake. Ninety-nine parent–child dyads from four rural US areas participated in this cross-sectional study. C...

Rural providers’ access to online resources: a randomized controlled trial

Directory of Open Access Journals (Sweden)

Jonathan D. Eldredge

2016-01-01

Full Text Available Objective: The research determined the usage and satisfaction levels with one of two point-of-care (PoC resources among health care providers in a rural state. Methods: In this randomized controlled trial, twenty-eight health care providers in rural areas were stratified by occupation and region, then randomized into either the DynaMed or the AccessMedicine study arm. Study participants were physicians, physician assistants, and nurses. A pre- and post-study survey measured participants’ attitudes toward different information resources and their information-seeking activities. Medical student investigators provided training and technical support for participants. Data analyses consisted of analysis of variance (ANOVA, paired t tests, and Cohen’s d statistic to compare pre- and post-study effects sizes. Results: Participants in both the DynaMed and the AccessMedicine arms of the study reported increased satisfaction with their respective PoC resource, as expected. Participants in both arms also reported that they saved time in finding needed information. At baseline, both arms reported too little information available, which increased to ‘‘about right amounts of information’’ at the completion of the study. DynaMed users reported a Cohen’s d increase of þ1.50 compared to AccessMedicine users’ reported use of 0.82. DynaMed users reported d2 satisfaction increases of 9.48 versus AccessMedicine satisfaction increases of 0.59 using a Cohen’s d. Conclusion: Participants in the DynaMed arm of the study used this clinically oriented PoC more heavily than the users of the textbook-based AccessMedicine. In terms of user satisfaction, DynaMed users reported higher levels of satisfaction than the users of AccessMedicine.

The structure, regulation, and performance of pension funds in nine industrial countries

OpenAIRE

Davis, E.P.; DEC

1993-01-01

The author offers an overview of issues relating to the development of funded pension schemes in industrial countries. The analysis applies the economic theory of pension regulation to experience with the structure, regulation, and performance of funds in nine countries - Canada, Denmark, Germany, Japan, Netherlands, Sweden, Switzerland, the United Kingdom, and the United States - seeking to shed light on the finance of old age security in developing countries and the reform of pension funds ...

Cooking Healthy, Eating Smart (CHES): Evaluating the feasibility of using volunteers to deliver nutrition and food safety education to rural older adults

Science.gov (United States)

Getty, Morgan

Due to their limited resources, rural, older adults in the United States are at risk for poor diet-related health outcomes. Nutrition education is a key component in improving health outcomes in older adults. Cooking Healthy, Eating Smart (CHES) is a nine-lesson curriculum designed to teach rural, older adults culturally appropriate nutrition and food safety information. Funding to hire health professionals to deliver such a curriculum is limited, presenting the need to explore a less expensive mode of dissemination. In this community-based, participatory research study, a formative evaluation and feasibility study were conducted to examine the use of volunteers to deliver a nutrition and food safety curriculum to rural, older adults in South Carolina. Seven focus groups were conducted with members of the South Carolina Family and Community Leaders (SCFCL) and members of the American Association of Retired Persons (AARP) in the four regions of South Carolina to explore barriers and facilitators of volunteers delivering CHES (N=65 participants). The focus group findings informed the development of the volunteer training manual. A comparative case study method was used to examine the feasibility of a volunteer-based approach by observing and describing the delivery of CHES by two groups of volunteers in SC. The case study findings, including volunteer knowledge change, self-efficacy change, curriculum experience, program experience, and project team observations of volunteers indicated that using volunteers to deliver CHES is a plausible approach with the assistance of paid staff or project team members.

Annual Progress Report, 1976. Southern Rural Development Center, Mississippi State University. SRDC Series Publication No. 15.

Science.gov (United States)

Southern Rural Development Center, State College, MS.

Covering the 1976 activities of the Southern Rural Development Center (SRDC), this third annual report describes SRDC's: history; organization; regional workshops; functional networks; network bibliographies and other publications; Title V reports; grant received for training in rural development; orientation visits; consultants; information…

Cognitive and mood effects of phenobarbital treatment in people with epilepsy in rural China: a prospective study.

Science.gov (United States)

Ding, Ding; Zhang, Qing; Zhou, Dong; Lin, Weihong; Wu, Qingsheng; Sun, Jixin; Zhao, Qianhua; Yu, Peimin; Wang, Wenzhi; Wu, Jianzhong; Bell, Gail S; Kwan, Patrick; de Boer, Hanneke M; Li, Shichuo; Thompson, Pamela J; Hong, Zhen; Sander, Josemir W

2012-12-01

Phenobarbital is an effective treatment for epilepsy but concerns remain over its potential neurocognitive toxicity. This prospective study evaluated the effects of phenobarbital treatment on cognition and mood in people with epilepsy in rural China. We recruited 144 adults with convulsive seizures and 144 healthy controls from six sites in rural China. People with epilepsy were treated with phenobarbital monotherapy for 12 months. At baseline, and at 3, 6 and 12 months, cases and controls were evaluated with a battery of neuropsychological tests: the Mini-Mental State Examination, the Hamilton Depression Rating Scale, a digit span test, a verbal fluency test, an auditory verbal learning test and a digit cancellation test. Efficacy of phenobarbital treatment was evaluated at the end of follow-up for those with epilepsy. Cognitive test scores and mood ratings were available for 136 (94%) people with epilepsy and 137 (95%) controls at the 12 month follow-up. Both groups showed slightly improved performance on a number of neuropsychological measures. The people with epilepsy showed greater performance gains (p=0.012) in verbal fluency. Nine people with epilepsy complained of memory problems during the treatment period. In this study, phenobarbital was not found to have a major negative impact on cognitive function of people with convulsive seizures and some cognitive gains were observed, possibly due to improved seizure control.

Rural Communatcation: legitimizing digital inclusion in rural field

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Juliana Correa Bernardes

2016-03-01

Full Text Available Through contemporary analysis, it was noted that the countryside of São Paulo experienced drastic transformation and demanded rural family farmers to adapt themselves to technological innovations, where the most striking is the use of the internet in search of information to the sustainable development of rural property.  The research adopted a methodological way of exploratory, through the case study, which analyzed the general objective the dissemination and usability of information and communication technologies in rural areas in the interior of forms-based applied to farmers in the family farms belonging to theAssociation of banana growers of Tupã. In seeking to achieve this goal, reflected on the use of internet in rural areas and measured-factors that enhance digital communication barriers in rural addressing the digital divide becomes a limiting factor to access. In this sense, the rural communication emerges as relational link mediating solutions and incorporating the diffusion of innovations in the pursuit of digital literacy of farmers contributing to the democratization of society in the information age.

Reforming Victoria's primary health and community service sector: rural implications.

Science.gov (United States)

Alford, K

2000-01-01

In 1999 the Victorian primary care and community support system began a process of substantial reform, involving purchasing reforms and a contested selection process between providers in large catchment areas across the State. The Liberal Government's electoral defeat in September 1999 led to a review of these reforms. This paper questions the reforms from a rural perspective. They were based on a generic template that did not consider rural-urban differences in health needs or other differences including socio-economic status, and may have reinforced if not aggravated rural-urban differences in the quality of and access to primary health care in Victoria.

Early and Forced Child Marriages in Rural Western Nepal

OpenAIRE

Pitambar Acharya; Benjamin Welsh

2017-01-01

After reviewing the state of early and forced child marriage (ECM) globally and nationally within Nepal, this research assessed the determinants, consequences and preventive measures of ECM in rural municipalities in Nepal today. This mixed method surveyed 167 households taking 15 % sample from the clusters of three wards of Badhaiyatal Rural Municipality in Bardiya and Dullu Municipality in Dailekh of Western Nepal. Besides household survey, six Focus Group Discussions (FGDs), 16 Key Informa...

Anti-Microbial Resistance Profiles Of E. Coli Isolated From Free Range Chickens In Urban And Rural Environments Of Imo State, Nigeria

OpenAIRE

Okoli I, Dr. Charles

2006-01-01

Information on the resistance profiles of normal intestinal flora of extensively reared chickens that hardly receive antibiotics in the developing countries can serve as important means of understanding the human/animal pathogens drug resistance interactions in the zone. Three hundred and fifty E. coli isolates, comprising 133 from urban and 217 from rural sites in Imo state, Nigeria, were screened for anti-microbial resistance profile against 10 antibiotics using the disc diffusion method. O...