To ensure that future apprentices address their applications to the right person, the CERN library would like to remind you that Jean-Marc Bouché is head of CERN's apprenticeship programme for apprentices qualifying as electronics technicians (cf. CERN Bulletin 49/2006) while Susanne Schaefer is head of CERN's apprenticeship programme for apprentices qualifying in documentation and information sciences (AID). Ingrid Picchioli is the pedagogic liaison officer. The Library will publish more details in January 2007.
On December 17, 1903, two brothers from Dayton, Ohio, named Wilbur and Orville Wright, were successful in flying an airplane they built. Their powered aircraft flew for 12 seconds above the sand dunes of Kitty Hawk, North Carolina, making them the first men to pilot a heavier-than-air machine that took off on its own power, remained under control, and sustained flight.
Every year CERN recruits and trains six technical and two administrative apprentices to the level of the Federal Certificate of Competence. This is performed in accordance with the laws and practice applicable in the Canton of Geneva.
Another CERN apprentice has received an award for the quality of his work. Stéphane Küng (centre), at the UIG ceremony last November, presided over by Geneva State Councillor Pierre-François Unger, Head of the Department of Economics and Health. Electronics technician Stéphane Küng was honoured in November by the Social Foundation of the Union Industrielle Genevoise (UIG) as one of Geneva’s eight best apprentices in the field of mechatronics. The 20-year-old Genevan obtained his Federal apprentice’s certificate (Certificat fédéral de capacité - CFC) in June 2007, achieving excellent marks in his written tests at the Centre d’Enseignement Professionnel Technique et Artisanal (CEPTA). Like more than 200 youngsters before him, Stéphane Küng spent part of his four-year sandwich course working at CERN, where he followed many practical training courses and gained valuable hands-on experience in various technical groups and labs. "It’ always very gr...
Carter-Veale, Wendy Y; Tull, Renetta G; Rutledge, Janet C; Joseph, Lenisa N
.... Building on Yeatman's master-apprentice model, which assumes mastering disciplinary writing in singular advisor-student contexts, and Burnett's collaborative cohort model, which introduced doctoral...
Full Text Available This paper investigates the residential architecture of Frank Lloyd Wright, especially the designs which were conceived from an idea of prefabricated, modular, low-cost, and high-scale construction. Wright's organic designs originated from a material-based grid, which at the same time organized and provided freedom to create spaces and forms. This study reviews Wright's work, from his first Midwest designs that relied on brick, through an intermediary phase in California when he made intense use of concrete blocks, until his last phase, the usonian houses, which featured wood paneling. During his early career, the concept and the methodology of Wright's ideas greatly contributed to a better understanding of his architecture, his apprentices and his followers. The economy and rationalization found in the projects reviewed are of great importance as the analysis of historical proposals helps us understand the topic in question.
Messmann, Gerhard; Mulder, Regina H.
The aim of this study was to investigate how apprentices' learning activities at work can be fostered. This is a crucial issue as learning at work enhances apprentices' competence development and prepares them for professional development on the job. Therefore, we conducted a study with 70 apprentices in the German dual system and examined the…
The wind tunnel test results have been published in the literature as summarized at the end of this report. As part of the education program, an introduction to engineering course module was designed and tested on 80 freshman engineering students at Old Dominion University. The five-week module required that five-person teams design, build and fly a radio-controlled airplane using only the wind tunnel data developed by the Wright brothers in 1902. That module is described in Sparks and Ash (2001). The Principal Investigator has co-authored one dozen publications resulting from this research, as listed at the end of this report. The Principal Investigator has given fourteen lectures on the Wright brother testing program and has appeared in two documentary television programs (summarized at the end of this report). Speaking invitations have continued since the completion of the project.
CERN starting training apprentices in 1966 at the request of the Geneva authorities. The programme was consolidated with the opening of the training centre in 1971. In recent years CERN has taken on seven new technical apprentices each year (four in electronics, three in physics laboratory work), plus one or two administrative apprentices, such that there always are around 30 apprentices in total at CERN. The programme is highly regarded in Geneva by the authorities, industry, schools and young people, and contributes very positively to CERN's local image. Since the beginning 160 young people have now successfully completed their apprenticeships at CERN. Unlike some other employers, as a general rule CERN does not take on its ex-apprentices as staff; on completing their years at CERN the apprentices usually go on to higher education or are sought after by other employers.
Bregnhøj, Anne; Søsted, Heidi; Menné, Torkil
Background. Hairdressers and hairdressing apprentices have a high incidence of occupational hand eczema, owing to excessive wet work and exposure to chemical substances. Hairdressing apprentices, in particular, seem to be at high risk of developing hand eczema. Previous hand eczema and atopic...... dermatitis are known risk factors for the development of hand eczema in wet work occupations. Objectives. To estimate the prevalence of hand eczema, eczema on wrists or forearms and atopic dermatitis in a cohort of hairdressing apprentices at the start of their education, and subsequently evaluate any...... potential healthy worker effect. Methods. During the first 2 weeks of training, 382 hairdressing apprentices were enrolled in this study. All apprentices completed a self-administered questionnaire, including previously validated questions regarding, for example, previous and present hand eczema, eczema...
"Stem cells and regenerative medicine. Living a longer life?" For the first time in history, human beings are in a position to modify their own biological fate. This is due to the past 20 years of basic research in life sciences, which have led to discoveries of great impact, not only on our scientific knowledge, but also on a variety of domains outside science itself. Our society is disconcerted by this biological revolution and the underlying instrumentalisation of human beings. Therefore, it is the right time to think about these extraordinary developments, to know where we stand and to try to imagine the future, in order to foresee both the benefits and the dangers of what will unavoidably occur. From 15 to 19 November, the XIth edition of the Colloquia Wright that are held every two years in Geneva with the aim of presenting the latest scientific findings to the general public, will deal with this new and difficult question for the society. Five world-famous scientists will present lectures every da...
"Stem cells and regenerative medicine. Living a longer life?" For the first time in history, human beings are in a position to modify their own biological fate. This is due to the past 20 years of basic research in life sciences, which have led to discoveries of great impact, not only on our scientific knowledge, but also on a variety of domains outside science itself. Our society is disconcerted by this biological revolution and the underlying instrumentalisation of human beings. Therefore, it is the right time to think about these extraordinary developments, to know where we stand and to try to imagine the future, in order to foresee both the benefits and the dangers of what will unavoidably occur. From 15 to 19 November, the XIth edition of the Colloquia Wright that are held every two years in Geneva with the aim of presenting the latest scientific findings to the general public, will deal with this new and difficult question for the society. Five world-famous scientists will present lectures every...
Richard Wright's literary career begins with a lynching and ends with a serial murderer. "Big Boy Leaves Home," the 1936 story that leads off Wright's first book, "Uncle Tom's Children" (1938), renders the vicious mob-execution of a young black man falsely accused of rape. "A Father's Law," Wright's last novel, left unfinished at his unexpected…
Although current capabilities of symbolic computation and artificial intelligence are not adequate to do all the types of thinking a physicist does in solving physics problems, much of what the human theorist does can be effectively imitated by a computer. This paper describes an early stage of implementation of an apprentice program for aiding plasma theorists in developing plasma physics theory, by performing some of those tasks which the theorist normally must do, but which are now amenable to machine imitation. The apprentice has a ''knowledge base'' containing its understanding of plasma theory, which can be accessed by the human user for pedagogic purposes, as well as by the apprentice itself, and some ability to do the kinds of qualitative or heuristic reasoning necessary to the human theorist in solving problems. These facilities enable the apprentice itself to do plasma calculations, informing the user of the progress of the calculation, and prompting him when a decision is needed which the apprentice is not equipped to handle. Some extensions planned for the future are discussed.
Air Univ., Gunter AFS, Ala. Extension Course Inst.
This two-volume student text is designed for use by Air Force personnel enrolled in a self-study extension course for apprentice food service specialists. Covered in the first volume are fundamentals of food preparation and service (careers in food service, food service sanitation, principles of food preparation and service, and baking…
Schimmel, Gordon; Hand, Jon; Ellis, Art
A little more than one hundred years ago, Wilbur and Orville Wright began building models of airfoils and testing them in wind tunnels in their search for an efficient wing. Models continue to be used today by aerospace engineers to prove concepts and launch dreams. To celebrate the centennial of the Wright brothers' historic flight, the authors…
This year CERN is once again hosting six electronics and physics lab apprentices. Over the coming four years they will learn the fundamentals of their trade under the expert eye of experienced CERN professionals. From left to right: Eugénie Gallay, Adrien Tambasco, Bastien Ray, Frederika De Jaegere, Luca Fazzone and Loïc Garcia, the six apprentices who have just left CERN, having passed their diplomas. Jean-Marc Bouché is pictured behind them. The selection process is long and arduous. Every year, up to 150 candidates between the ages of 15 and 21 apply for the specialised sandwich courses in mechatronics offered by Geneva's Office pour l’orientation, la formation professionnelle et continue in partnership with the Geneva Industrial Union. Only a handful of those specialising in electronics and physics laboratory techniques – with strong applications and even stronger motivation – will be fortunate enough to work...
Tipton, D A; Mohler, S R
Wilbur and Orville Wright were able, as a team, to develop the first heavier than air machine capable of sustained, controlled, powered flight while piloted by a man. This was due, very possibly, to the presence of a left hemispheric dominant personality in Wilbur Wright and a right hemispheric dominant personality in Orville Wright. They were thus able to complement each other's skills and creativity in such a way as to make this feat possible. This paper will examine this hypothesis by examining the features of cerebral dominance as now understood, and applying them to the personality profiles of these two brothers.
Grable, John E.
Innovation in doctoral degree program development and delivery provides an effective counterpoint to the expert-apprentice model established in the Middle Ages. The author outlines the importance of innovation in reaching adult learners and describes an innovative hybrid PhD program designed to allow aspiring doctoral adult-age students to pursue…
A case study of a program to give apprentices access to undergraduate business education at a British university in cooperation with a local chamber of commerce identified these success factors: recognition that modern apprentices are unlike traditional college students and focus on technology, outcome-based learning, personal development, and…
During the winter of 2011(September - November) baseline acoustical data were collected at Wright Brothers National Memorial (WRBR) at two sites deployed for approximately 30 days each. The baseline data collected during these periods will help park ...
Full Text Available This article describes how the craftsmen at the workroom at Handarbetets vänner, Stockholm, learned their craft skills during the years 1948‒2012. What this knowledge consisted of and how the apprentices’ knowledge grows into skillfulness. Interviews with 15 weavers and embroiderers who have worked during the time period form the empirical material. The period of time was chosen according to the informants´ times of employment.The strategies for learning are affected by dialogue between the craftsmen, both a verbal and a silent dialogue. The dialogue is an important part of the learning even though the making is central. The workroom forms its own way of making textile art, a way of doing that is learned from master to apprentice. In this situated knowledge, the different masters have their own ways of for instance mixing color and material, all corresponding with core values. The learning is also affected by the artistic leader and the artist.The learning within the workroom occurs in the making of objects, but never at the cost of the quality of the objects. The core values of the establishments, and the fact that there is a strive to be profitable, makes the circumstances. The collaboration with the artist in creating unique textile art is the primary goal; the learning is something that is taken for granted in order to withhold the competence in the establishment.Keywords: textile craft, master and apprentice, craftsmen, textile art, workroom
Foss-Skiftesvik, Majken H.; Winther, Lone; Johnsen, Claus R.
Background: Hairdressing is one of the professions with the highest risk of occupational skin and respiratory diseases. The incidence of these diseases in hairdressing apprentices has been studied only sparsely. Objective: To determine the incidence of skin and respiratory diseases in hairdressing.......8% of the hairdressing apprentices had left the trade, and 70.3% of these had left because of health complaints. The most frequently reported reasons for leaving were musculoskeletal pain (47.4%) and skin diseases (47.4%), followed by respiratory symptoms (23.7%). Conclusions: Hairdressing apprentices are at increased...
Hougaard, Majken G; Winther, Lone; Søsted, Heidi
and contact urticaria in Danish hairdressing apprentices as compared with controls, and to determine the occurrence of hand eczema and contact urticaria in hairdressing apprentices with different durations of exposure to the trade. METHODS: This was a cross-sectional, web-based questionnaire study conducted...... was 98 cases/1000 person-years. Contact urticaria was also more prevalent in the hairdressing apprentices (7.3% versus 4.2%, p = 0.006). Both diseases increased with increasing duration of exposure to the trade. CONCLUSION: Despite educational efforts to prevent occupational skin diseases...... in the hairdressing schools, Danish apprentices are still at increased risk for hand eczema and contact urticaria. Both diseases develop after only a few years of work in hairdressing. Further preventive strategies are warranted....
Wright, John W.
The death of John W. Wright in an automobile accident on November 20, 1978, came as a great shock to all who knew him. His family and friends lost a stimulating, compassionate human being whose many-faceted personality they greatly admired. The scientific community working on remote sensing of the air-water interface lost one of its pioneers and leaders. To dedicate this issue of the Journal of Geophysical Research to Dr. Wright seems a fitting tribute to his many scientific achievements.
Donahue, Kimberly; Gabor, Sharon
This lesson plan introduces seventh-ninth graders to Frank Lloyd Wright and shows how nature influenced and inspired the design of his home and studio. Students will: identify natural design elements from the house, apply their awareness of form to their own natural and built environment, and create designs based on natural forms they find…
Roč. 53, č. 4 (2017), s. 730-746 ISSN 0023-5954 Institutional support: RVO:67985556 Keywords : Intertwining of Markov processes * Wright-Fisher diffusion * pure birth process Subject RIV: BA - General Mathematics Impact factor: 0.379, year: 2016 http:// library .utia.cas.cz/separaty/2017/SI/hudec-0481495.pdf
National Aeronautics and Space Administration, Washington, DC.
This educator guide provides background information on Wilbur and Orville Wright and activities on aeronautics that provide templates for building the 1900, 1901, and 1902 Gliders and the 1903 Flyer. Activities include: (1) Early Aviation; (2) Your First Interview; (3) Your First Report; (4) Build a Model of the 1900 Glider; (5) Questions on the…
Home; Journals; Resonance – Journal of Science Education; Volume 8; Issue 12. The Wright Brothers and their First Flight. O N Ramesh. Article-in-a-Box Volume 8 Issue 12 December 2003 pp 3-4. Fulltext. Click here to view fulltext PDF. Permanent link: http://www.ias.ac.in/article/fulltext/reso/008/12/0003-0004 ...
... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Wright Brothers National... INTERIOR SPECIAL REGULATIONS, AREAS OF THE NATIONAL PARK SYSTEM § 7.76 Wright Brothers National Memorial. (a) Designated airstrip. Wright Brothers National Memorial Airstrip, located at Kill Devil Hills, N.C...
Eifan, Aarif Omar; Derman, Orhan; Kanbur, Nuray; Sekerel, Bulent Enis; Kutluk, Tezer
Occupational asthma (OA) is one of the leading causes of pulmonary diseases and has been extensively studied in adults. Childhood employment, a significant problem in many developing countries, should be studied to determine and evaluate its effects on psychosocial and lung health. In order to investigate the presence of work-related asthma-like symptoms and OA in apprentice adolescent car painters, 72 adolescents between the ages of 15-20 yr studying in Vocational Training Centres of Ankara were investigated using questionnaire, pulmonary function test (PFT), serial peak expiratory flow (PEF) measurements and methacholine inhalation tests. As a control group, 72 adolescents studying in Industrial and Commercial Training Centres located in the same environment were investigated with questionnaire and PFT. Almost 50% of the study group had work-related asthma-like symptoms for which occupational dermatitis history was predictive [odds ratio: 2.9 (1.026-8.13) (95% confidence interval)]. Seventeen of 22 with serial PEF measurements showed a variability of > or =20% and three (4.2%) of 12 tested with methacholine inhalation test had a PC20 car painters clearly indicates the need for routine follow-up of adolescent workers for lung health.
Beck, Klaus; Heinrichs, Karin; Minnameier, Gerhard; Parche-Kawik, Kirsten
In an ongoing longitudinal study that started in 1994, the moral development of business apprentices is being studied. The focal point of this project is a critical analysis of L. Kohlberg's thesis of homogeneity, according to which people should judge every moral issue from the point of view of their "modal" stage (the most frequently…
Kinnick, Katherine N.; Parton, Sabrena R.
This article reports the results of a content analysis of the debut season of the reality television show, "The Apprentice." All 15 episodes were examined to determine the role that communication competencies played in competitors' success or elimination. Results indicate that the ability to persuade effectively was most critical to winning tasks,…
Richardson, E.; Clayman, Linda
As a result of studies on fitting and machining apprentices attitudes toward employers, a study was conducted to obtain the attitudes of a sample of employers toward apprenticeship. Three hundred questionnaires were distributed to employers of fitting and machine students studying at a number of Sydney (Australia) Technical Colleges. An…
Federal Aviation Administration (DOT), Washington, DC.
This learning packet contains information about the Wright Brothers, Wilbur and Orville. The packet highlights certain facts that will help students understand the Wright Brothers' contributions in the field of manned flight in a heavier-than-air machine. It includes poster sheets (artwork) and task cards to be used by students and a booklet to…
Universities in the United States are producing about 25% more doctorates in science and engineering than the U.S. economy can absorb, according to a new study by the Rand Corporation and Stanford University's Institute for Higher Education Research. The study looked at 13 science and engineering fields, covering 210 doctorate-granting institutions and more than 1,000 educational institutions that employ people with doctorates. The study was done by Stanford Professor William Massy and Charles Goldman of Rand, with graduate students Marc Chun and Beryle Hsiao.The researchers found that supply and demand do not work in the usual way to regulate the employment market for doctoral candidates. In labor markets, when job opportunities decrease, fewer people usually seek to enter the field. In the case of Ph.D.s, however, the researchers found that neither departments nor prospective doctoral students take close accounting of the doctorate employment gap.
Full Text Available Hairdressing is one of the most developing branch of the service industry in Poland. Providing representatives of this occupational group with preventive health care services it should be remembered that they are at risk of skin and respiratory diseases, which occur due to a quite frequent exposure to harmful agents in the work environment of hairdressers and hairdressing apprentices. Interestingly, a much lower number of researches concentrate on respiratory symptoms than on skin disorders in hairdressers. The authors of this article have carried out the first Polish follow-up study focused not only on skin disorders but also on respiratory tract symptoms in hairdressing apprentices. The results of the study have been reported in other publications while this paper presents a literature review based on EBSCO and PubMed databases, Elsevier and contained articles (on the subject discussed in this paper. On the basis of information obtained from the authors’ own research evidence and from the literature review, the guidelines for the preventive health care of hairdressing apprentices were developed. It was confirmed that neither determination of allergen-specific immunoglobulin E (IgE nor performance of skin prick tests (SPTs and patch tests for hairdressing factors are necessary. They should be performed as a part of preventive medical examination only in those apprentice candidates and trainees in this profession who report work-related symptoms and it is suspected that they result from exposure to particular factor in the work environment. Med Pr 2017;68(5:677–687
Mohler, Stanley R
Orville and Wilbur Wright of Dayton, OH, not only were the first to fly a powered aircraft, but also pioneered many human factors considerations. While others tried to develop aircraft with a high degree of aerodynamic stability, the Wrights intentionally designed unstable aircraft with "cerebralized" control modeled on bird flight. During 1901-03, the brothers worked with large gliders at Kill Devil Hills, near Kitty Hawk, NC, to develop the first practical human-interactive controls for aircraft pitch, roll, and yaw. On December 17, 1903, they made four controlled, powered flights over the dunes at Kitty Hawk with their Wright Flyer. During the next 2 yr, the Wrights made numerous flights in the Wright Flyers II and III at Huffman Prairie near Dayton. They later developed practical in-flight control of engine power, plus an angle-of-attack sensor and stick-pusher that reduced pilot workload. The brothers' flight demonstrations in the U.S. and Europe during 1908-09 awakened the world to the new age of controlled flight. Orville was the first aviator to use a seat belt. He also introduced a rudder boost/trim control that gave the pilot greater control authority. The Wrights' flight training school in Dayton included a flight simulator of their own design. The Wrights patented their practical airplane and flight control concepts, many of which are still in use today.
lecturette, also, on such errors as: 4. Primacy / recency --rating candidates seen earlier in interviewing process differ- ently than those seen later, or...placement of apprentices? 5 8. How effective is the "job fair"? 9. Is there anything else we could be doing to better match people to the job? 10. What...additional sites had the effect of confirming the content validity of the dimensions 6 covered by the interview and the appropriateness of the
Doctors’ relationship with patients and their role in society is changing. Until the 1960s doctors concentrated on the welfare of patients with less emphasis placed on patients’ rights1. Over recent decades there has been increasing empowerment of the individual across all facets of society including health care. Doctors continue to be perceived as having expertise and authority over medical science. Patients, however, now hold sway over questions of values or preferences. We all must be aware of this change in the doctor- patient interaction. We need to be more aware of the outcomes that patients view as important. The concept of shared decision-making with the patient is now widely appreciated. The process involves a change in mind set particularly for doctors who trained in an earlier era.
It has become increasingly apparent that a reexamination of the flow characteristics in the low speed Wright Brothers Facility (WBF) is of some importance in view of recent improvements in the precision of the data acquisition system. In particular, the existence of local regions of separation, if any, in back portions of the circuit, and possible related unsteadiness, are of interest. Observations from that initial experiment did indicate some unsteady air flow problems in the cross leg, and thereafter the test region (Section A) was calibrated quantitatively. The intent was to learn something about the effect of upstream intermittent behavior flow on the test section flow, as well as to provide an extensive calibration as a standard for the effects induced by future alteration of the tunnel. Distributions of total pressure coefficients were measured first at one cross-section plane of the test section, namely the model station. Data were obtained for several tunnel speeds. The reduced data yielded an unexpected distribution involving larger pressures along the inside wall.
aerodynamics. They developed a wide range of experimental and production aircraft categorized by mission: attack, pursuit, transport, bombardment...Research and Development Center and added an electronic 26 Wright-Patterson work crews helped Xenia recover from the 1974 tornado ... tornado on April 3, 1974 hit Xenia, Ohio, leaving 34 people dead, 500 injured, and damaged or destroyed 1,500 homes. Wright-Patterson responded
Sansone, Lori A.
Doctor shopping is defined as seeing multiple treatment providers, either during a single illness episode or to procure prescription medications illicitly. According to the available literature, prevalence rates of doctor shopping vary widely, from 6.3 to 56 percent. However, this variability is partially attributable to research methodology, including the study definition of doctor shopping as well as the patient sample. The reasons for doctor shopping are varied. Some patient explanations for this phenomenon relate to clinician factors, such as inconvenient office hours or locations, long waiting times, personal characteristics or qualities of the provider, and/or insufficient communication time between the patient and clinician. Some patient explanations relate to personal factors and include both illness factors (e.g., symptom persistence, lack of understanding or nonacceptance of the diagnosis or treatment) as well as psychological factors (e.g., somatization, prescription drug-seeking). Importantly, not all doctor shopping is driven by suspect motivations. Being aware of these various patient justifications for doctor shopping is important in understanding and managing these challenging patients in the clinical setting, whether they emerge in psychiatric or primary care environments. PMID:23346518
..., student-learners, and handicapped workers. 50-201.1102 Section 50-201.1102 Public Contracts and Property... REGULATIONS § 50-201.1102 Tolerance for apprentices, student-learners, and handicapped workers. (a... standards and procedures as are prescribed for the employment of apprentices, student-learners, handicapped...
... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Learners, student learners, apprentices, and handicapped workers. 50-202.3 Section 50-202.3 Public Contracts and Property... handicapped workers. Learners, student learners, apprentices, and handicapped workers may be employed at less...
Eigenmann, Philipp; Geiss, Michael
In the history of vocational education and training, apprentices seldom feature as actors. They are also rarely mentioned among those affected by economic conditions and political measures. Studies of England and Scotland have shown that, over a period of decades, there was a widespread apprentice movement during the twentieth century. So far,…
SMIT, HA; VANRIJSSEN, A; VANDENBROUCKE, JP; COENRAADS, PJ
OBJECTIVES - The role of atopic constitution, contact sensitization, transepidermal water loss, and dry skin in the development of hand dermatitis was investigated in a prospective study of 74 apprentice hairdressers and 111 apprentice nurses. METHODS - Base-line measurements included a
Brown, Doug; And Others
The objective of this applied research project was to evaluate a formula by which young native Canadians would become teachers through in-service training coupled with academic upgrading. The experiment design paired apprentice and cooperating teachers, provided technical help, planned a schedule of activities for the apprentice, and assessed the…
Bregnhøj, Anne; Søsted, Heidi; Menné, Torkil
Hairdressing apprentices have a high incidence of hand eczema. Most studies use self-reported hand eczema as a cost-effective method to estimate the prevalence of hand eczema. No validation studies on self-reported hand eczema among hairdressing apprentices exist....
National Centre for Vocational Education Research (NCVER), 2011
This publication presents estimates of apprentice and trainee activity in Australia for the March quarter 2011. The figures in this publication are derived from the National Apprentice and Trainee Collection no. 68 (June 2011 estimates). The most recent figures in this publication are estimated (those for training activity from the September…
National Centre for Vocational Education Research (NCVER), 2017
This publication presents estimates of apprentice and trainee activity in Australia for the December quarter 2016. The figures in this publication are derived from the National Apprentice and Trainee Collection no.91 (March 2017 estimates). The most recent figures in this publication are estimated (that is, for training activity from the June…
National Centre for Vocational Education Research (NCVER), 2015
This publication presents estimates of apprentice and trainee activity in Australia for the December quarter 2014. The figures in this publication are derived from the National Apprentice and Trainee Collection no. 83 (March 2015 estimates). The most recent figures in this publication are estimated (those for training activity from the June…
Bregnhøj, Anne; Menné, Torkil; Johansen, Jeanne Duus
for this study and delivered by teachers specially trained in the prevention of hand eczema; the other half received normal training and served as a control group. All apprentices completed self-administered questionnaires including questions regarding hand eczema, use of gloves and degree of wet work, and were......ObjectivesTo investigate whether an evidence-based intervention could reduce the incidence of hand eczema in a cohort of Danish hairdressing apprentices during their training, as hairdressing apprentices are known to have a high risk of developing hand eczema.MethodsThis study was a clinically...... controlled, prospective intervention study. Within 2 weeks of starting their training, 502 hairdressing apprentices were enrolled in the study on occupational hand eczema. Approximately half of the apprentices were assigned to an intervention group and received an evidence-based training program developed...
Full Text Available Abstract Background Few studies have investigated exposure of hairdressing apprentices to airborne irritants. This study describes exposure levels of apprentices to chemical products used in hairdressing salons in relation with their activity. Methods Following a two stages study design, a group of 300 students completed a questionnaire on their work activities and environment. Among these, a group of 28 subjects volunteered to undergo personal exposure and workplace concentrations measurements over a work shift, during a cold and a hot season, with the agreement of the salon owners. Three chemical substances were studied (ammonia, hydrogen peroxide and persulfates because they are respiratory tract irritants and because their concentrations could be quantified within a 5 to 8 hour shift period. Results Personal exposure values for H2O2and NH3 (averages [standard deviations] are 0.05 [0.04] and 0.90 [0.76] mg.m-3, respectively were greater than workplace ambient air concentrations (corresponding values of 0.04 [0.03] and 0.68 [0.42] mg.m-3 for H2O2 and NH3, with no significant seasonal variation. By contrast, workplace concentrations of persulfates (0.019 [0.018] mg.m-3 were greater than personal exposure (0.016 [0.021] mg.m-3, a finding that is consistent with the fact that bleaching is more often undertaken by senior hairdressers. However, all exposure values were lower than the current TLV TWA values. This study also shows that over half of technical spaces where chemical substances used for dying, permanenting or bleaching are manipulated, have no ventilation system, and not even a door or a window opening outside. Conclusion The study hairdressing salons, on average, were small, the most probable reason why occupational hygiene measures such as appropriate ventilation were too seldom implemented. As a consequence, young apprentices and senior hairdressers experience substantial exposure to known airways irritants.
The National Aeronautics and Space Administration's Science and Engineering Apprentice Program for high school students is one of NASA's many efforts toward a goal of scientific literacy. It embraces science, mathematics, and technology as keys to purposeful and sustained progress and security for our nation and its people. It serves as a model for helping reform education by striving to address mechanisms to influence the knowledge, skills, and attitudes of our students. It focuses on what to do today to meet the challenges of tomorrow.
Full Text Available New Zealand government policy documents over the last decade have committed to supporting Maori and Pasifika learners, yet still today there is little real support in place for learners in apprenticeships. There is even less support in place that acknowledges the cultural dimension of learning in the workplace. This paper discusses the establishment and review of a development project which sets out to provide culturally supportive mentoring for Maori and Pasifika apprentices. The project sought to do this by engaging experienced Maori and Pasifika tradesmen who were located in the local communities of their learners.
Fullagar, Simone; Pavlidis, Adele; Stadler, Raphaela
Despite the proliferation of doctoral training courses within universities, little attention is paid to the complexity of supervision as a process of becoming for both students and super-visors. As post-qualitative researchers we explore how collaborative writing can be mobilised as a rhizomatic practice to open up engagements with supervision that counter hierarchical master/apprentice models of knowledge transmission. Researching-writing through our own knowledge practices and affective inv...
Full Text Available Frank Lloyd Wright is the greatest American architect and oneof the greatest architects the world. His career began at theend of the 19th century, during the great architectural boom inChicago, under the mentorship of Louis Henry Sullivan, fromwhom he adopted and then perfected the concepts of organicarchitecture and the Prairie house. During the Depressionyears, Wright developed a cheaper and simpler variant of thePrairie house: the Usonian house.Wright's architecture is characterised by an entirely newapproach to building design, particularly the design of houses.He reduced the number of rooms by combining their functionsin a large living space with a central fireplace. He used largeglazed areas to connect the external environment of the housewith the interior. The natural environment of the prairie wasthe inspiration for the horizontal lines that characterised hisarchitecture. His buildings are low in height, close to humanscale and with a great feeling for the natural setting in whichthey are built. He selected materials from the surroundingarea and the principal decoration of his architecture was thenatural structure of the material.The paper presents the ideas of organic architecture, thePrairie house, the Usonian house, along with the best examplesof Wright's architecture and the criteria he employed in theselection of materials and construction technologies. Theenvironmental aspect of his philosophy of the use of materialsis considered in the discussion section.Wright may be considered a pioneer of sustainable architecture.
DuBois, D; Binder, L; Nelson, B
A prospective study was conducted to determine if a Wright's stain of stool specimen to detect fecal leukocytes was accurate in predicting the presence of a bacterial pathogen on stool culture. Entry criteria were patient age greater than or equal to 3 months and diarrhea of greater than 1 day. The patient population was drawn from an urban county hospital emergency department on the Texas-Mexican border. A total of 69 patients were evaluated by both routine stool culture and stool Wright's stain. Twenty-three were evaluated for parasitic pathogens. There were seventeen cultures positive for bacterial pathogens and twenty-three positive Wright's stains. Bacterial isolates included Shigella, Salmonella and Campylobacter. Also detected were Giardia, Shistosoma, Blastocytis and Cryptosporidium. The sensitivity of a Wright's stain positive for fecal leukocytes for the presence of a bacterial pathogen by culture was 82%, with a specificity of 83%. These were significantly correlated with a positive culture for a bacterial pathogen (P less than .01). The predictive value of a positive result was 61%, and predictive value of a negative result was 94%, for bacterial pathogens. The Wright's stain is a useful tool for the early presumptive diagnosis of infectious bacterial diarrhea in the emergency department.
Mainardi, Francesco; Gorenflo, Rudolf; Vivoli, Alessandro
2000 MSC: 26A33, 33E12, 33E20, 44A10, 44A35, 60G50, 60J05, 60K05. After sketching the basic principles of renewal theory we discuss the classical Poisson process and offer two other processes, namely the renewal process of Mittag-Leffler type and the renewal process of Wright type, so named by us because special functions of Mittag-Leffler and of Wright type appear in the definition of the relevant waiting times. We compare these three processes with each other, furthermore ...
Yu, Yun; Wang, Yin-Ru; Dong, Zhen-Huan; Li, Wei; Li, Shu-Ming; Huang, Xue-Feng
Two new phenolic acids, ethyl pro-lithospermate (1), n-butyl pro-lithospermate (2) were isolated from Salvia yunnanensis C.H.Wright, along with nineteen known compounds (3-21). The structures of the isolated compounds were elucidated on the basis of extensive spectrometry and by comparing their physical and spectroscopic data to the literature. Among them, compounds 11, 12 and 14-16 were firstly isolated from S. yunnanensis C.H.Wright. Some of the isolated compounds were evaluated for their neuroprotection. Compounds 10-12 showed significant neuroprotective effects in PC12 cells and compounds 1, 4-7 displayed moderate neuroprotective effects.
Ridder, Hanne Mette Ochsner
Doctoral education covers the “third cycle” of degrees following the bachelor’s and the master’s degree. The education of researchers is necessary for developing music therapy as a scientific discipline and calls for a certain research culture that not only brings knowledge on research...... with an integration of science and practice. This leads to a description of the principles of problem-based learning as a social constructive approach, problematization, self-directed learning and learning community. The chapter is concluded with an example of a model of doctoral education, the Aalborg model, where...... the coursework, supervision, and curriculum is based on problem-based learning. About the book: 'International Perspectives in Music Therapy Education and Training: Adapting to a Changing World,' the first anthology of its kind, edited by Professor Karen Goodman, brings noted educators from Brazil, Canada...
Full Text Available ... Access Talking to Your Doctor Plain Language Talking to Your Doctor Part I: Preparing for Your Medical ... pharmacists are also good sources of information. How to Talk to your Doctor Talking With Your Doctor , ...
du Plessis, Karin; Corney, Tim; Burnside, Lewis
This study sought to understand the prevalence of harmful alcohol use in a sample of Australian male construction industry apprentices and also examine alcohol-related violence. Although previous Australian research indicated that 45% of construction industry apprentices had Alcohol Use Disorders Identification Test scores indicative of harmful drinking, the current study identified that 66% of construction industry apprentices were drinking at harmful levels. It also identified positive correlations between harmful drinking behavior and alcohol-related violence (and precursors of violence such as verbal abuse). The article notes the role of masculine identity in alcohol consumption, particularly as it relates to the male-dominated construction industry. The article concludes by making recommendations for implementation of preventative education campaigns in apprentices' workplaces (or in training colleges), as it provides opportune settings to focus on high-risk groups, which are otherwise often difficult to access.
Cezar-Vaz, Marta Regina; Bonow, Clarice Alves; Cezar Vaz, Joana
This study’s aim was to assess the perceptions of welding apprentices concerning welding fumes being associated with respiratory and cardiovascular disorders and assess the implementation of risk communication as a primary prevention tool in the welding training process. This quasi-experimental, non-randomized study with before-and-after design was conducted with 84 welding apprentices in Southern Brazil. Poisson Regression analysis was used. Relative Risk was the measure used with a 95% co...
Bregnhøj, Anne; Søsted, Heidi; Menné, Torkil
Early and extensive exposures to chemical substances such as are found in hair dyes, perfumes and nickel are known risk factors for allergic reactions. Hairdressing apprentices belong to a high-risk group, as they are exposed both occupationally and personally.......Early and extensive exposures to chemical substances such as are found in hair dyes, perfumes and nickel are known risk factors for allergic reactions. Hairdressing apprentices belong to a high-risk group, as they are exposed both occupationally and personally....
Mounier-Geyssant, Estelle; Barthélemy, Jean-François; Mouchot, Lory; Paris, Christophe; Zmirou-Navier, Denis
Background This study describes exposure levels of bakery and pastry apprentices to flour dust, a known risk factor of occupational asthma. Methods Questionnaires on work activity were completed by 286 students. Among them, 34 performed a series of two personal exposure measurements using a PM2.5 and PM10 personal sampler during a complete work shift, one during a cold ("winter") period, and the other during a hot ("summer") period. Results Bakery apprentices experience greater average PM2.5 and PM10 exposures than pastry apprentices (p bakery apprentices incur substantial exposure to known airways allergens, a situation that might elicit early induction of airways inflammation. PMID:17976230
Fjellström, Magnus; Kristmansson, Per
Purpose: The purpose of this paper is to compare, and identify both similarities and differences in, affordances for vocational learning in two contrasting education systems, for construction worker and shop salesperson apprentices, in Swedish contexts. Design/methodology/approach: Data were collected through interviews and observations in two…
Researchers and instructional designers are exploring the possibilities of using video games to support STEM education in the U.S., not only because they are a popular media form among youth, but also because well-designed games often leverage the best features of inquiry learning. Those interested in using games in an educational capacity may benefit from an examination of the work of video game designer Will Wright. Wright designs through a constructivist lens and his open-ended, sandbox games ( SimCity, The Sims, Spore) present wide "possibility spaces" that allow players to exercise their critical thinking and problem solving skills. His games invoke a delight in discovery that inspire creative acts and interest-driven learning both during and outside of the game. Finally, he reminds us that failure-based learning is a viable strategy for building expertise and understanding.
Culick, F. E. C.
Sir George Cayley invented the conventional configuration of the airplane at the turn of the 19th century. Otto Lilienthal realized that building a successful aircraft meant learning how to fly; he became the first hang glider pilot and also the first flight fatality in 1896. Beginning in the late 1890s, the Wright Brothers absorbed all that was known in aeronautics before them, then added their own discoveries and developed the first successful airplane. Technically, their greatest fundament...
Full Text Available This essay focuses on the influence of commercial book clubs in the United States. It will examine the country's oldest commercial book club, the Book-of-the-Month Club (BOMC, Oprah's Book Club (OBC, which bears the name of its founder, television personality Oprah Winfrey, and their roles in the careers of two African-American authors, Richard Wright and Toni Morrison.
Wang, Xiang-Yu; Ash, Robert L.; Bobbitt, Percy J.; Prior, Edwin (Technical Monitor)
Computational analysis of two 1911 Wright brothers 'Bent End' wooden propeller reproductions have been performed and compared with experimental test results from the Langley Full Scale Wind Tunnel. The purpose of the analysis was to check the consistency of the experimental results and to validate the reliability of the tests. This report is one part of the project on the propeller performance research of the Wright 'Bent End' propellers, intend to document the Wright brothers' pioneering propeller design contributions. Two computer codes were used in the computational predictions. The FLO-MG Navier-Stokes code is a CFD (Computational Fluid Dynamics) code based on the Navier-Stokes Equations. It is mainly used to compute the lift coefficient and the drag coefficient at specified angles of attack at different radii. Those calculated data are the intermediate results of the computation and a part of the necessary input for the Propeller Design Analysis Code (based on Adkins and Libeck method), which is a propeller design code used to compute the propeller thrust coefficient, the propeller power coefficient and the propeller propulsive efficiency.
Full Text Available ... communication. Remember that nurses and pharmacists are also good sources of information. How to Talk to your Doctor Talking With Your Doctor , NIH News in Health Español Talking to Your Doctor , National Eye Institute ( ...
In the late Qing Dynasty, following the appearance of the Chinese medicinal materials industry trade association of Kunming, the "master agreement" as a professional regulation, also implemented, marking the beginning of the contractualization and institutionalization of apprentice education in Yunnan. The contents and implementation of the "master agreement" was organized by the Chinese medicinal materials industry trade association of Kunming and its craft union. The apprentice education in Kunming traditional Chinese medicinal industry has the following characteristics: expanding the source of talent; adepting at agricultural production of the accorded apprentice; conforming to the conditions of human manipulation of Chinese traditional medicine; being in line with the characteristics and rules of Chinese medicine skills taught by oral narration and tacit understanding; unity of the medical and pharmaceutical professionals; and non-governmental organization. Apprentice training had trained a number of medical talents, and promoted the transformation of manual workshop to industrialization in Kunming. Apprentice education had catalyzed the establishment of specialized shops selling patent medicines exclusively to separated from those running both crude drugs and patent medicines, to form a set of effective teaching system, thus exerting profound influence on later generations.
General Motors Corp., Detroit, MI.
The document contains the General Motors Corporation-International Union United Automobile, Aerospace and Agricultural Implement Workers of America (GM-UAW) Standard Apprentice Plan. The elements and provisions of the plan described are: purpose, equal opportunity pledge, requirements for admission, number of apprentices, length of training…
Full Text Available Background: Hairdressers are occupationally exposed to many allergenic and irritating substances. Additionally, hairdressing apprentices are exposed to the same allergens as professional hairdressers, due to the fact that vocational training starts in the beginning of the education. This study was undertaken to investigate early occurrence of sensitization to occupational allergens in hairdressing apprentices before the onset of the vocational training. Material and Methods: Three hundred and seven hairdressing apprentices were assessed using a questionnaire and skin prick tests (SPTs to common and occupational allergens. The level of total and serum specific immunoglobulin E (IgE to occupational allergens was evaluated and spirometry was performed. Results: At least one skin and/or respiratory and/or conjunctival symptom was reported by 29.9% of subjects. Among subjects with at least one symptom, 28.2% of them were atopic whereas among 43.4% of them total IgE level was elevated. Atopy was found in 20% cases. In the case of one apprentice, positive SPT for paraphenylenediamine was found. Nearly 33% of apprentices had elevated total IgE level and 5 of them had specific IgE for occupational allergens. Conclusions: The study revealed that hairdressing apprentices might be sensitized to occupational allergens even before the beginning of vocational training, due to prior non-professional exposure to hairdressing agents. Furthermore, many of them report skin, respiratory and conjunctival symptoms, often connected with chronic disease diagnosis. Thus, candidates for hairdressers should be examined thoroughly before the start of the education and tests for allergy to hairdressing substances are indicated. Med Pr 2016;67(5:567–575
Full Text Available Orientation: South Africa currently has the twin challenges of worsening youth unemployment and scarce skills that threaten its economic and social stability. Artisanal trades are an occupation category that strongly reflects this current problem. Simtech Training Institute in Durban, the study setting, currently trains artisan apprentices and facilitates their internship work placements.Research purpose: The objective of this study was to identify some of the critical success factors that differentiated Simtech artisan apprentices who obtained permanent employment, compared to those who are currently unemployed.Motivation for the study: The main motivation of the study was to improve the conversion rate of artisan apprentices to permanently employed artisans.Research design, approach and method: The study was a cross-sectional study conducted among 51 artisan apprentices who had graduated over the past 3 years at Simtech and who were selected randomly. An online questionnaire comprising primarily Likert scale type questions was utilised to obtain the responses from the sample. Factor analysis was used to remove scale items from the independent variables that did not impact the variability sufficiently. Then the remaining scale items that impacted variability significantly were combined and categorised as new composite independent variables. Logistic regression analysis identified success factors for permanent employment of Simtech graduates.Main findings: Internship or workplace environment had a statistically significant impact on permanent employment. Youth work ethic had a minor impact on permanent employment status – albeit not a statistically significant one.Practical/managerial implications: These findings showed that improving the internship/ workplace environment can reduce youth unemployment and address skills scarcity.Contribution: Internship host companies and other stakeholders need to urgently focus on improving the quality of
Nanashima, Atsushi; Hidaka, Shigekazu; Nonaka, Takashi; Yamasaki, Naoya; Tsuchiya, Tomoshi; Matsumoto, Keitaro; Miyazaki, Takuro; Hatachi, Go; Sumida, Yorihisa; Sawai, Terumitsu; Yasutake, Toru; Nagayasu, Takeshi
The number of young surgeons in Japan has significantly decreased in recent years, which may lead to future problems in the medical field. Therefore, comprehensive training programs for young surgeons are needed. Retrospective study We developed a specific education program called the "Recruitment of Young Medical Apprentices" (RYOMA) project. We performed this project between January 2008 and August 2013 on fourth- to sixth-year medical students and internship doctors. The RYOMA project included step-by-step surgical education programs on open and scopic procedures as dry, wet, and animal laboratory training. Our goal was to increase the number of young and specialist surgeons. Based on an interview questionnaire answered by 90 medical students, most young students were interested in surgical training and several chose to become surgeons in the future. The most positive opinions regarding the field of surgery were the impressive results achieved with surgery, whereas negative opinions included the difficulty of the surgical skill, physical concerns related to difficult work environments, and the severity of surgical procedures. The present program has begun to resolve negative opinions through adequate training or simulations. Of the 19 medical students and internship doctors who attended the RYOMA project in 2008, 17 trainees (90%) were satisfied with this special surgical program and 16 (88%) showed interest in becoming surgeons. The number of participants considering the field of surgery increased between 2008 and 2013. Of 23 participants, 19 (83%) had a positive opinion of the program after the training. Gaining experience in surgical training from an early stage in medical school and step-by-step authorized education by teaching staff are important for recruiting students and increasing the number of young surgeons. Copyright © 2014 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
This article explores how carpentry apprentices learn to handle uncertain and potentially dangerous situations in the working environment at construction sites. The analysis focuses on how these situations are negotiated at the workplaces in relation to bodily sensations of pain, relations...... with their co-workers and the importance placed on ‘getting the work done’. It shows that instead of working to eliminate potentially dangerous situations through the use of precautionary measures such as lifting equipment or personal protection gear, the apprentices learn to understand risk and uncertainties...
Doctors from both non-democratic and democratic countries are involved in torture. The majority of doctors involved in torture are doctors at risk. Doctors at risk might compromise their ethical duty towards patients for the following possible reasons: individual factors (such as career, economic or ideological reasons), threats, orders from a higher ranking officer, political initiatives, working in atrocity-producing situations or dual loyalty. In dual loyalty conflicts, factors that might compromise doctors' ethical obligations towards detainees/patients are: ideological totalitarianism, moral disengagement, victim blame, patriotism, individual factors or threats. Another important reason why doctors are involved in torture is that not all doctors are trained in addressing human rights issues of detainees. Torture survivors report that they have experienced doctors' involvement in torture and doctors themselves report that they have been involved in torture. Testimonies from both torture survivors and doctors demonstrate that the most common way doctors are involved is in the diagnosis/medical examination of torture survivors/prisoners. And it is common before, during and after torture. Both torture survivors and doctors state that doctors are involved during torture by treatment and direct participation. Doctors also falsify journals, certificates and reports. When doctors are involved in torture it has devastating consequences for both torture survivors and doctors. The consequences for the survivors can be mistrust of doctors, avoidance of seeking doctors' help and nightmares involving doctors. Mistrust and avoidance of doctors could be especially fatal to the survivor, as it could mean a survivor who is ill may not seek medical attention. When the unambiguous role of the doctor as the protector and helper of people is questioned, it affects the medical profession all over the world.
Lawson, R. J.
A survey was conducted on 1,012 people in the Oxford Region to determine their general attitude to doctors' age, sex and colour and to various aspects of doctor/patient communication. Results indicate that whereas there were no prejudices about appearance there was a significant degree of dissatisfaction with information given by doctors in general and hospital doctors in particular.
Zhao, Lei; Lascoux, Martin; Waxman, David
Forward and backward simulations play an increasing role in population genetics, in particular when inferring the relative importance of evolutionary forces. It is therefore important to develop fast and accurate simulation methods for general population genetics models. Here we present an exact simulation method that generates trajectories of an allele׳s frequency in a finite population, as described by a general Wright-Fisher model. The method generates conditioned trajectories that start from a known frequency at a known time, and which achieve a specific final frequency at a known final time. The simulation method applies irrespective of the smallness of the probability of the transition between the initial and final states, because it is not based on rejection of trajectories. We illustrate the method on several different populations where a Wright-Fisher model (or related) applies, namely (i) a locus with 2 alleles, that is subject to selection and mutation; (ii) a locus with 3 alleles, that is subject to selection; (iii) a locus in a metapopulation consisting of two subpopulations of finite size, that are subject to selection and migration. The simulation method allows the generation of conditioned trajectories that can be used for the purposes of visualisation, the estimation of summary statistics, and the development/testing of new inferential methods. The simulated trajectories provide a very simple approach to estimating quantities that cannot easily be expressed in terms of the transition matrix, and can be applied to finite Markov chains other than the Wright-Fisher model. Copyright © 2014 Elsevier Ltd. All rights reserved.
Full Text Available We obtain a vector-valued subordination principle for gα,gβ-regularized resolvent families which unified and improves various previous results in the literature. As a consequence, we establish new relations between solutions of different fractional Cauchy problems. To do that, we consider scaled Wright functions which are related to Mittag-Leffler functions, the fractional calculus, and stable Lévy processes. We study some interesting properties of these functions such as subordination (in the sense of Bochner, convolution properties, and their Laplace transforms. Finally we present some examples where we apply these results.
Full Text Available Based on the analysis of shortcomings of existing algorithms for solving the problem conveying the developed method modification of the method of Clarke and Wright is based on the dynamic transformation of the payoff matrix. To verify the effectiveness of the modified algorithm, the data of real beneficiaries of a batch of goods in the central part of Kharkiv was used as a test example. The results of the comparison showed that the mileage of vehicles on routes built using the modified algo-rithm is by about 0,1–3,8 % less.
Jerome, P.; Emilio, D.
Since 1988, the professional staff of Architectural Preservation Studio (APS) has been involved with the conservation of Frank Lloyd Wright's Fallingwater in Mill Run, PA. Designed and erected from 1935 to 1939 as a weekend home for the Kauffman family, the complex consists of the main house and guest house. After five years of reports and prototype repairs, we produced a two-volume master plan. Using original Frank Lloyd Wright drawings from Avery Library as background drawings, we measured every surface and reproduced the drawings in CAD, also developing elevations of every room. Stone-by-stone drawings of every flagstone floor and terrace scheduled to be lifted were also created using overlapping film photography that was assembled into a photo mosaic. By 2005, we designed, administered and completed a four-phase exterior restoration, with the paint-stripping and repainting of interior rooms being performed during the brief winter period when the building is closed to the public on an ongoing basis. In 2016, we were invited back to the site to review conditions and advise on routine maintenance. At that time we proposed to re-document the buildings, this time using laser-scanning. Laser-scanning of the exterior was performed in May of 2016, and of the interior in March 2017, each over the course of four days. This paper will make a comparison between manual and digital techniques in terms of Fallingwater's documentation.
In 1965, Intel co-founder Gordon Moore made an astonishing prediction - that every two years processing power would double. This prediction has always proved accurate. Accordingly, the first Intel processor produced in 1975 was equipped with 2,300 transistors whereas the latest edition has 55 million. Today we have this extraordinary process of miniaturisation to thank for cell phones, computers and other, ever more compact electronic marvels. But where will the miniaturisation race end? What will happen when electronic etchings reach the size of an atom? These questions are on the programme of the 10th Wright Science Colloquia from 18 to 22 November. Five world-renowned specialists will explain to the general public the saga of miniaturisation. The Wright Colloquia take place every two years in Geneva and aim to inform the general public about the latest advances in science. Monday 18 November: 'Shaping the World at the Atomic Scale', by Donald Eigler, IBM, Almaden, USA. Tuesday 19...
Godskesen, Mirjam Irene; Kobayashi, Sofie
In this paper we focus on individual coaching carried out by an external coach as a new pedagogical element that can impact doctoral students’ sense of progress in doctoral education. The study used a mixed methods approach in that we draw on quantitative and qualitative data from the evaluation...... of a project on coaching doctoral students. We explore how coaching can contribute to the doctoral students’ development of a broad set of personal competences and suggest that coaching could work as a means to engender self-management and improve relational competences. The analysis of the participants’ self......-reported gains from coaching show that doctoral students experience coaching as an effective method to support the doctoral study process. This study also provides preliminary empirical evidence that coaching of doctoral students can facilitate the doctoral study process so that the doctoral students experience...
Marta Regina Cezar-Vaz
Full Text Available This study’s aim was to assess the perceptions of welding apprentices concerning welding fumes being associated with respiratory and cardiovascular disorders and assess the implementation of risk communication as a primary prevention tool in the welding training process. This quasi-experimental, non-randomized study with before-and-after design was conducted with 84 welding apprentices in Southern Brazil. Poisson Regression analysis was used. Relative Risk was the measure used with a 95% confidence interval and 5% (p ≤ 0.05 significance level. Significant association was found between perceptions of worsened symptoms of respiratory disorders caused by welding fumes and educational level (p = 0.049, the use of goggles to protect against ultraviolet rays (p = 0.023, and access to services in private health facilities without insurance coverage (p = 0.001. Apprentices younger than 25 years old were 4.9 times more likely to perceive worsened cardiovascular symptoms caused by welding fumes after risk communication (RR = 4.91; CI 95%: 1.09 to 22.2. The conclusion is that risk communication as a primary preventive measure in continuing education processes implemented among apprentices, who are future welders, was efficacious. Thus, this study confirms that risk communication can be implemented as a primary prevention tool in welding apprenticeships.
Cezar-Vaz, Marta Regina; Bonow, Clarice Alves; Vaz, Joana Cezar
This study's aim was to assess the perceptions of welding apprentices concerning welding fumes being associated with respiratory and cardiovascular disorders and assess the implementation of risk communication as a primary prevention tool in the welding training process. This quasi-experimental, non-randomized study with before-and-after design was conducted with 84 welding apprentices in Southern Brazil. Poisson Regression analysis was used. Relative Risk was the measure used with a 95% confidence interval and 5% (p ≤ 0.05) significance level. Significant association was found between perceptions of worsened symptoms of respiratory disorders caused by welding fumes and educational level (p = 0.049), the use of goggles to protect against ultraviolet rays (p = 0.023), and access to services in private health facilities without insurance coverage (p = 0.001). Apprentices younger than 25 years old were 4.9 times more likely to perceive worsened cardiovascular symptoms caused by welding fumes after risk communication (RR = 4.91; CI 95%: 1.09 to 22.2). The conclusion is that risk communication as a primary preventive measure in continuing education processes implemented among apprentices, who are future welders, was efficacious. Thus, this study confirms that risk communication can be implemented as a primary prevention tool in welding apprenticeships.
Clarice Alves Bonow
Full Text Available This research has aimed to identify the perceptions of women apprentice welders about physical, chemical, biological, and physiological risk factors to which they are exposed and evaluate the identification of health disorders self-reported for women apprentice welders before and after implementation of a nursing socioenvironmental intervention. A quantitative study was performed with 27 women apprentice welders (first phase and before and after an intervention with 18 women (second phase in Southern Brazil in 2011. The data were analysed using SPSS 19.0. The participants identified the following risk types: physical (96.2%, chemical (96.2%, physiological (88.8%, and biological (62.9%. The results show a significant difference of the pre- and posttest averages for the musculoskeletal system and a posttest average increase for the integumentary, respiratory, and auditory system. A correlation of the women apprentices’ ages and the identification of health disorders were made. It was understood that the perception of women apprentices regarding a particular set of occupational risks is essential for public health nursing to develop an effective risk communication as a positive tool for teaching and learning.
Campo, Paloma; Aranda, Ana; Rondon, Carmen; Doñia, Inmaculada; Díaz-Perales, Araceli; Canto, Gabriela; Lisbona, Francisco-Javier; Pineda, Fernando; Blanca, Miguel
Exposure to certain substances in the workplace may lead to sensitization and increased respiratory symptoms. To evaluate the frequency of work-related specific sensitization and respiratory symptoms in carpentry apprentices with occupational exposure to wood dust and diisocyanates. Apprentices (n=101) completed an occupational and symptoms questionnaire. Spirometry and skin prick tests to aeroallergens and to a battery of 14 different woods were performed in all the participants. Blood samples were collected for total IgE measurement and detection of specific IgE to diisocyanates. Half the participants (56%) had work-related respiratory symptoms: 54% due to wood dust, 15% due diisocyanates, and 9% to both. Participants with respiratory symptoms related to wood dust exposure had a significantly lower forced expiratory volume in 1 second compared with symptomatic individuals due to diisocyanates and asymptomatic individuals (P diisocyanates was detected in 2% of exposed participants. Work-related respiratory symptoms are common in carpentry apprentices and are more frequently related to exposure to wood dust than to diisocyanates. Symptomatic participants due to wood dust exposure had a lower forced expiratory volume in 1 second. Individuals with a history of rhinitis or asthma had an increased risk of respiratory symptoms. Sensitization to wood was more common in atopic apprentices with a history of rhinitis and a high total IgE level.
... 29 Labor 3 2010-07-01 2010-07-01 false Learners, apprentices, messengers, students, or handicapped... handicapped workers employed under special certificates as provided in section 14 of the Act. (a) With respect... education, or handicapped workers employed at special minimum hourly rates under Special Certificates...
National Centre for Vocational Education Research (NCVER), 2015
This publication presents completion and attrition rates for apprentices and trainees using three different methodologies: (1) contract completion and attrition rates: based on the outcomes of contracts of training; (2) individual completion rates: based on contract completion rates and adjusted for factors representing average recommencements by…
National Centre for Vocational Education Research (NCVER), 2011
By tracking the outcome of a contract of training over time, individuals can measure contract completion and attrition rates. This method requires enough time to pass to accurately report on outcomes for the majority of contracts. This publication presents completion and attrition rates for apprentices and trainees using three different…
Full Text Available Knowledge learning and diffusion have long been discussed in the literature on the dynamics of industrial clusters, but recent literature provides little evidence for how different actors serve as knowledge brokers in the upgrading process of apprentice-based clusters, and does not dynamically consider how to preserve the sustainability of these clusters. This paper uses empirical evidence from an antique furniture manufacturing cluster in Xianyou, Fujian Province, in southeastern China, to examine the growth trajectory of the knowledge learning system of an antique furniture manufacturing cluster. It appears that the apprentice-based learning system is crucial during early stages of the cluster evolution, but later becomes complemented and relatively substituted by the role of both local governments and focal outsiders. This finding addresses the context of economic transformation and provides empirical insights into knowledge acquisition in apprentice-based clusters to question the rationality based on European and North American cases, and to provide a broader perspective for policy makers to trigger and sustain the development of apprentice-based clusters.
Purpose: The purpose of this article is to evaluate the leadership skills and entrepreneur's or owner/manager's ability to motivate apprentices and other young employees. Specifically, the article investigates young employees' perceptions about leadership and motivational behaviour in small- and medium-sized hotels. Design/Methodology/Approach:…
National Centre for Vocational Education Research (NCVER), 2014
This annual publication provides a summary of training activity in apprenticeships and traineeships in Australia, including information on training rates and duration of training, from 2004 to 2014. The figures in this publication are derived from the National Apprentice and Trainee Collection no. 83 (March, 2015 estimates), which is compiled…
Bregnhøj, Anne; Søsted, Heidi; Menné, Torkil
Early and extensive exposures to chemical substances such as are found in hair dyes, perfumes and nickel are known risk factors for allergic reactions. Hairdressing apprentices belong to a high-risk group, as they are exposed both occupationally and personally....
Taylor, Alison; Hamm, Zane; Raykov, Milosh
This paper provides a view of the experiences of former high school apprentices in Canada. Conceptually, we draw on the work of Bourdieu with particular attention to vocational habitus, as well as feminist writers who discuss the gendered construction of skill and gender relations in the workplace and family. Empirically, we present our analysis…
Ohio State Univ., Columbus. National Center for Research in Vocational Education.
This military-developed text contains four volumes of materials for use in training apprentice still photography specialists. Covered in the individual volumes are the following topics: general subjects (safety and environmental protection); still photographic fundamentals (sensitized black and white film materials, photographic exposure, still…
The paper arises from my PhD thesis on the learner biographies of retail and motor vehicle maintenance apprentices in Germany and England which explores the interrelationship of social structures and individual agency in identity formation over time and in particular learning environments. The paper reports initial findings, focusing largely on…
Renstrom, Arthur George (Compiler)
During the year 2003, hundreds of events will mark the one-hundredth anniversary of the Wright brothers historic first flights at Kitty Hawk, North Carolina. The centennial year will witness exhibitions, lectures, television documentaries, films, air shows, flight recreations of Wright aircraft, the issuing of postage stamps and medals, the publication of dozens of new books and articles, and numerous other commemorative activities. One of these events, although not likely to make the evening news, is among the most important of all in terms of a lasting contribution to the observance of this ultimate aviation milestone: the reprinting of Arthur G. Renstrom WIlbur & Orville Wrght: A Chronology Commemorating the Hundredth Anniversary of the Birth of Orville Wright, August 19, 1871. Since its appearance in 1975, Wilbur end Orville Wright: A Chronology has become indispensable to students and authors concerned with the life and work of the famous brothers. No doubt every book on the subject published in the last quarter century, including three of my own, was written with this treasure close at hand. This volume is far more than a simple compilation of dates and facts. Renstrom was a master reference librarian and bibliographer with a passion for aviation and the Wright brothers. He brought his considerable research skills to bear on the topic, and the result is a richly detailed, ever-informative, often entertaining walk through the lives and achievements of these two extraordinary individuals. Renstrom was not content to offer a date with a one-line tidbit. His entries are brimming with information. This is a highly readable reference work that, believe it or not, can be enjoyably read from cover to cover. The project was clearly a labor of love by a talented professional. During most of the last twenty years, I have been privileged to be the curator of the 1903 Wright Flyer at the Smithsonian Institution s National Air and Space Museum. The position brings a steady
If doctors take the costs of treatment into account when prescribing medication, their objectives differ from their patients' objectives because the patients are insured. This misalignment of interests hampers communication between patient and doctor. Giving cost incentives to doctors increases...... welfare if (i) the doctor's examination technology is sufficiently good or (ii) (marginal) costs of treatment are high enough. If the planner can costlessly choose the extent to which doctors take costs into account, he will opt for less than 100%. Optimal health care systems should implement different...... degrees of cost incentives depending on type of disease and/or doctor....
Aitchison, Claire; Mowbray, Susan
This paper explores the experiences of women doctoral students and the role of emotion during doctoral candidature. The paper draws on the concept of emotional labour to examine the two sites of emotional investment students experienced and managed during their studies: writing and family relationships. Emotion is perceived by many dominant…
Dubois, Brigitte Emmanuelle
Inspired by the life of Marian Wright Edelman, a kindergarten class from Capitol Hill Day School conducted a demonstration for the needs and rights of children and marched across the brick paths of Lafayette Park in Washington, DC, directly across the street from the White House. Marian Wright Edelman was the subject of a school-wide Black History…
Bowers, Albion H.; Cole, Jennifer Hansen; Martin, John Campbell
Presentation showing glider experiments of the Wright Brothers from 1899-1908 are presented. The slides review the experiments that the Wright Brothers conducted prior to their first powered flight in 1903 to developing the first practical aircraft in 1905, Many pictures of the gliders and other devices are used to illustrate the gradual development and experimentation that preceeded the first powered flight.
report presents the results of work accomplished during the 8-week AFOSR summer research program at the AARA lab of Wright Patterson Air Force Base...during the 8-week AFOSR summer research pro- gram at the AARA lab of Wright Patterson Air Force Base. The goal of this work is a scheme for detecting
Frank Lloyd Wright was born and raised on the farmlands of Wisconsin. His mother had a vision that her son would become a great architect. Wright was raised with strong guiding principles, a love of nature, a belief in the unity of all things, and a respect for discipline and hard work. He created the philosophy of "organic architecture," which…
N T Wright's extensive research on the subject of the historical Jesus has led him to the conclusion that the office of eschatological prophet passionately bent on delivering an urgent eschatological message is best suited to describe the portrait of Jesus as it emanates from the sources at hand. Wright furthermore abstracts ...
Graczyk, Halshka; Lewinski, Nastassja; Zhao, Jiayuan; Concha-Lozano, Nicolas; Riediker, Michael
Tungsten inert gas welding (TIG) represents one of the most widely used metal joining processes in industry. Its propensity to generate a greater portion of welding fume particles at the nanoscale poses a potential occupational health hazard for workers. However, current literature lacks comprehensive characterization of TIG welding fume particles. Even less is known about welding fumes generated by welding apprentices with little experience in welding. We characterized TIG welding fume generated by apprentice welders (N = 20) in a ventilated exposure cabin. Exposure assessment was conducted for each apprentice welder at the breathing zone (BZ) inside of the welding helmet and at a near-field (NF) location, 60cm away from the welding task. We characterized particulate matter (PM4), particle number concentration and particle size, particle morphology, chemical composition, reactive oxygen species (ROS) production potential, and gaseous components. The mean particle number concentration at the BZ was 1.69E+06 particles cm(-3), with a mean geometric mean diameter of 45nm. On average across all subjects, 92% of the particle counts at the BZ were below 100nm. We observed elevated concentrations of tungsten, which was most likely due to electrode consumption. Mean ROS production potential of TIG welding fumes at the BZ exceeded average concentrations previously found in traffic-polluted air. Furthermore, ROS production potential was significantly higher for apprentices that burned their metal during their welding task. We recommend that future exposure assessments take into consideration welding performance as a potential exposure modifier for apprentice welders or welders with minimal training. © The Author 2015. Published by Oxford University Press on behalf of the British Occupational Hygiene Society.
The intension of this presentation is to encourage debate on auto-ethnography in medical systems. The empirical starting point will be my present study of how young doctors learn to make decisions about diagnosis and treatment of the individual patient. The study is an ethnographic field study......, among other doctors, at departments where I have worked. My parents, my sister and my grandfather are doctors. So reflections and experiences concerning medicine and being a doctor are integrated parts of my personal history and identity. Will I be capable of critical reflection on something...... that is a part of me? How can I represent the experience and learning of my informants without simply reproducing my own experience? This makes the project both anthropology-at-home and auto-ethnography. I will present an example from the field work to illustrate the many ways in which the auto- part...
... Aortic Aneurysm More Finding the Right Doctor Updated:Mar 6,2017 Choosing the right doctor for you ... health Answers by Heart Fact Sheets Learn and live with our downloadable patient information sheets . Dozens of ...
Bengtsen, Søren Smedegaard
During the recent years doctoral education has ultimately left its seclusion within the disciplines and become part of national and global policy agendas, claimed to ensure societal welfare and financial growth. As a consequence more resources have been allocated to the formalization and professi......, and discusses how institutions and doctoral programmes could use such sprawling spaces for learning to build doctoral ecologies and to strengthening existentially based pedagogies within doctoral education....
Full Text Available ... to Your Doctor , National Eye Institute (NEI) Español Aging Planning Your Doctor Visit , NIHSeniorHealth.gov Videos: Talking ... A Guide for Older People , National Institute on Aging (NIA) Talking With Your Doctor Presentation Toolkit , National ...
National Academy of Sciences-National Research Council, Washington, DC. Assembly of Mathematical and Physical Sciences.
The purpose of this report was to classify and count doctoral scientists in the United States trained in oceanography and/or working in oceanography. Existing data from three sources (National Research Council's "Survey of Earned Doctorates," and "Survey of Doctorate Recipients," and the Ocean Sciences Board's "U.S. Directory of Marine…
Englert, P. A. J.; Bishop, J. L.; Patel, S.; Gibson, E. K.; Koeberl, C.
The Antarctic Dry Valleys (ADV) may provide a unique terrestrial analog for current Martian surface processes. The Wright Valley located in the ADV contains streams, lakes and ponds that host highly saline, sedimentary environments. This project highlights comparisons of formation and salt accumulation processes at the Don Juan Pond (DJP) and Don Quixote Pond (DQP). These are located in the north and south forks of the Wright Valley, which are unique areas where unusual terrestrial processes can be studied. DQP is located in the western part of the north fork about 100 m above mean seawater level. The DQP Valley walls are up to 2500 m high and the brine is seasonally frozen. DJP from the south fork is located ~9 km west of Lake Vanda. The basin floor is 117 m above mean seawater level with activity to the north and south rising above 1000 m. The DJP brine does not freeze and may be a model environment for Ca and Cl weathering and distribution on Mars. Our findings indicate that DJP and DQP have formed in similar climatic and geological environments, but likely experienced different formation conditions. Samples were collected from surface, soil pits and depth profiles during the 1979/1980, the 1990/1991 and the 2005/2006 field seasons. Elemental abundances and mineralogy were evaluated for several sets of sediments. The DJP basin shows low surface abundances of halite and relatively high abundances of sulfates throughout with gypsum or anhydrite dominating at different locations. The DQP area has high surface abundances of halite with gypsum present as the major sulfate. Two models have been proposed to explain these differences: DQP may have formed through a combination of shallow and some deep groundwater influx, while deep groundwater upwelling likely played the dominant role of salt formation at DJP. Our study seeks to understand the formation of DQP and DJP as unique terrestrial processes and as models for Ca, Cl, and S weathering and distribution on Mars.
Wirth, Tanja; Kozak, Agnessa; Schedlbauer, Grita; Nienhaus, Albert
Apprentices in human service professions are exposed to emotional and physical stresses in their workplaces. Moreover, they are in the vulnerable phase of becoming an adult. Their lifestyle and health therefore seem to be particularly unstable. This study aims to evaluate and compare the health behaviour, health status and occupational prospects of apprentices in nursing and early childhood education and to identify factors associated with their physical and mental health. A cross-sectional study based on self-administered questionnaires was carried out at eight vocational schools in Hamburg, Germany. Four hundred two apprentice geriatric nurses, hospital nurses and kindergarten teachers/assistants participated (response rate: 99 %). Apprentices were compared in terms of their physical activity, dietary patterns, cigarette and alcohol consumption, body mass index, self-rated health, previous diseases, job satisfaction and occupational prospects. Factors associated with the participants' musculoskeletal or mental disorders were identified using logistic regression. Around 33 % of apprentice geriatric nurses and kindergarten teachers/assistants were overweight or obese. Fifty-five percent of geriatric nurses were smokers. Job satisfaction was lowest among hospital nurses. More than one third of the apprentices suffered from musculoskeletal or mental disorders. The ages of 23-26 years and mental disorder were associated with musculoskeletal disorders (OR 3.1, 95 % CI 1.4-6.7; OR 1.8, 95 % CI 1.1-3.1). Being an apprentice in early childhood education was associated with an increased chance of mental disorder (OR 2.9, 95 % CI 1.4-6.0). Additionally, musculoskeletal disorders, self-efficacy and irritation were associated with mental disorder. Differences between the occupational groups indicate the need for specific work-related health promotion for apprentices at an early stage in their careers. Future projects should focus on the implementation and evaluation of
O'Neill, Lotte; Norberg, Karen; Thomsen, Maria
, James D. Risk factors at medical school for subsequent professional misconduct: multicenter retrospective case-control study. BMJ 2010;340:c2040. Evans DE, Alstead EM, Brown J. Applying your clinical skills to students and trainees in academic difficulty. Clin Teach 2010;7(4):230-235. Yao DC, Wright SM....... The challenge of problem residents. J Gen Intern Med 2001;16:486-492. Papadakis MA, Hodgson CS, Theherani A, Kohatsu ND. Unprofessional behavior in medical school is associated with subsequent disciplinary action by a state medical board. Acad Med 2004;79:244-249. Ringsted C, Hodges B, Scherpbier A. ‘The...... seemed to predict struggling in postgraduate education if any. The study design is rooted in epidemiological methodology. Struggling doctors in specialist training: a case-control study. It has been reported in the international literature, that around 3-10% of doctors in post-garduate specialist...
Full Text Available At first glance, the movie by Jon Turteltaub entitled The Sorcerer’s Apprentice (2010 seems not to have any connections with Greco-Roman antiquity whatsoever. To find the hidden connection we have to go back to year 1797 when Johann Wolfgang Goethe published his famous ballad Der Zauberlehrling (The Sorcerer's Apprentice Almost a century later, this work inspired a French composer Paul Dukas to write his masterpiece, the symphonic scherzo L’apprenti sorcier. Dukas’ music became the leitmotif of both Disney’s movies: Fantasia (1940 and Fantasia 2000 (1999 whose action is based on Goethe’s ballad. Also, the basic elements of the plot were used in one of the episodes of the series Alfred Hitchcock Presents (1961. This is where we touch the ancient roots of the story. A good friend of J.W. Goethe, Christopher Martin Wieland, happened to have published in 1789 the first complete German translation of Lucian of Samosata’s (120-180 AD works, including a dialogue entitled Philopseudes (The Lover of Lies. The tenth story told in Philopseudes turned out to be very similar to the one written by J. W. Goethe and then adapted into Disney’s and Turteltaub’s movies. In my paper I try to show the transmission of the Lucianic text from antiquity to modern film adaptations. The original Lucian tale, rewritten by J.W. Goethe, becomes very influential. The so-called “sorcerer’s apprentice syndrome” can be found at the root of many fantastic stories in which humans could not curb their creations (i.e. robots which eventually would turn against their makers. The primary focus of this paper is on how the story of a young apprentice changed over centuries and how it was adopted by cinematography.
Sanderson, L L; Dukeshire, S R; Rangel, C; Garbes, R
A consistent message in the farm safety literature is the need to develop effective interventions to manage the unacceptably high rate of injury and death among farm children. To better understand the influence of childhood farm experiences on safety beliefs, attitudes, and practices, semi-structured interviews were conducted with 24 farm youth attending the Nova Scotia Agricultural College. The interviews were designed to elicit information pertaining to participants' earliest memories of involvement in farm activities, the decision-making processes that led them to assume work-related responsibilities, and the roles that their parents played in their safety training. A common theme of experiencing childhood as a "farm apprentice" emerged across all narratives whereby farm activities were learned primarily through observational learning and modeling of parents and then mastered through repetition. As "farm apprentices," the youths' involvement in dangerous activities such as tractor driving and livestock handling began at early ages, with very little formal training and supervision. Although participants clearly described themselves as being exposed to dangerous activities, they believed that they had the capacity to control the risks and farm safely. Based on our findings, the concept of the "farm apprentice" appears to be integral to the social context of the farming community and should be considered in the design of interventions to reduce child injury and death.
Conclusion: The use of Wright's formula overall results in superior correct placement of the UAC tip. It may be a more accurate and practical method than the conventional practice for measuring the UAC insertion length in newborns.
... Wright Brothers’ maiden flight possible. Self-taught and financed by the proceeds of their bicycle shop... the ageless dream of controlled flight, they persevered through great challenges. Early design...
In 1965, Intel co-founder Gordon Moore made an astonishing prediction - that every year processing power would double. Although it was corrected to a period of 18 to 24 months in 1975, this prediction has always proved accurate. Accordingly, the first Intel processor produced in 1975 was equipped with 2,300 transistors whereas the latest edition has 55 million. That means 55 million etched components crammed into an area of about a square centimetre! Today we have this extraordinary process of miniaturisation to thank for cell phones, computers and other, ever more compact electronic marvels. But where will the miniaturisation race end? What will happen when electronic etchings reach the nano-scale (a millionth of a millimetre), approaching the size of an atom? How can we even start to comprehend this nano-world, whose laws are so different from our own, human-sized world? These fascinating questions are on the programme of the 10th Wright Science Colloquia from 18 to 22 November. Five world-renowned specia...
Mohler, S R
The Wright brothers followed their invention of the first practical airplane (1903) with a second epochal invention, the angle of attack sensor and aircraft stabilizer (1908). Both inventions were patented and details of each are contained in the respective patents for these two aeronautical advances. This paper emphasizes how the angle of attack sensor actuated an "automatic stabilizer." This approach decreased pilot workload, and variations of the Wright's invention are incorporated today in many types of aircraft.
The period between the 1940s and 1960s saw the hardening of the modern synthesis in evolutionary biology. Gould and Provine argue that Wright's shifting balance theory of evolution hardened during this period. But their account does not do justice to Wright, who always regarded selection as acting together with drift. This paper presents a more adequate account of the development of Wright's shifting balance theory, paying particular attention to his application of the theory to the geographical distribution of flower color dimorphism in Linanthus parryae. The account shows that even in the heyday of the hardened synthesis, the balance or interaction of evolutionary factors, such as drift, selection, and migration, occupied pride of place in Wright's theory, and that between the 1940s and 1970s, Wright developed the theory of isolation by distance to quantitatively represent the structure of the Linanthus population, which he argued had the kind of structure posited by his shifting balance theory. In the end, Wright arrived at a sophisticated description of the structure of the Linanthus population, where the interaction between drift and selection varied spatially. Copyright © 2016 Elsevier Ltd. All rights reserved.
ABSTRACT. Background: Cardiopulmonary resuscitation (CPR), first described in 1960, is observed to be poorly applied in quality and quantum, hence, the need to ascertain its correct knowledge and practice among Nigerian doctors. Methods: Questionnaires were distributed randomly to doctors in a Nigerian University.
... history, and lifestyle. These help determine possible health risk factors.Research shows that people who have a family doctor have better overall health outcomes, lower death rates, and lower total costs of care.Things to considerFamily doctors know ...
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Effective medical consultations make an important contribution to positive outcomes for patients. For the large number of international doctors working in English speaking countries, deficits in language and communication skills can be a barrier to this effectiveness. This reflective report evaluates the effectiveness of 'Good practice' (McCullagh and Wright, 2008), a course book and related components, in addressing those deficits. The book filled a gap in the English for Medical Purposes li...
Woods, Jeffrey G.
Purpose: The purpose of this research is to provide an in-depth analysis of the labor market for apprentice training in the US construction industry. Also, the paper analyzes the learning process of apprentices and discusses the role of apprenticeships as a pathway to higher education. Design/methodology/approach: The interdisciplinary approach of…
The development of education options for nurses has been inexorable and it is increasingly the case that senior nurses are considering a doctorate as the logical next step in their educational career. Such individuals need to make important decisions as to whether they should embark on a taught doctorate, professional doctorate or a traditional PhD. Each of these options will necessitate a considerable investment in time and money as well as the sacrifice of quality time and spare time over a significant number of years. A doctorate is not for everyone. Those still reading this text may be asking 'could this possibly be for me'? This paper will try to help the reader decide which if any option to take. It is suggested that nurses will now turn to the doctoral degree as their next adventure in academic study. It is argued that this development is not being controlled by management forces and indeed cannot be controlled by them. This last is chiefly because the move towards doctoral education is led by individuals who choose to study for a doctorate simply because they can. The paper considers what choices are available to nurses who wish to pursue a doctoral programme of study. In particular, this paper considers what new developments in doctoral courses are becoming available and what advantage there may be in studying for one of the newer professional doctorates rather than a traditional PhD. The material here is the result of a review of the literature on recent developments in doctoral education for nurses. The existing provision by UK and other universities was also reviewed, the data being collected by an informal review of universities' advertising material. It is inevitable that some nurses who are already qualified to degree and masters degree will take advantage of the doctoral degree opportunities which now newly present themselves. For nurses in practice, the advantages of the professional doctorate is that it is more structured, enables more peer and
Wright, Ricardo Abraham
En el periodo se beca, se estudiaron 40 niños celiacos y 30 niños no celiacos. A los mismos, se le realizó una evaluación del consumo de alimentos a través de un Registro de 48 hs., una evaluación antropométrica de peso, talla y porcentaje de grasa corporal (a través de pliegues cutáneos) y análisis bioquímico de las reservas corporales de hierro, ácido fólico y zinc. Además, se realizó un análisis cuantitativo hierro y zinc de las harinas premezclas con mayor consumo por los celíac...
Full Text Available Many students worldwide engage in lessons on a music instrument; the most common format for this type of learning isthe one-to-one or studio lesson where the master guides the apprentice. At the same time, the one-to-one or studio lesson is an isolated area of practice, given that it takes place behind closed doors. In addition, while the literature for classroom music teachers is substantial with regard to investigating how they describe their own previous teaching experiences or the general characteristics of effective teachers, in comparison there are few studies that explore what music instrument teachers believe are effective characteristics and attributes of their previous teachers and lessons. In order to address this problem, this exploratory article focuses on the reflections of current higher education performing arts teachers; specifically music instrument teachers and their experiences of teachers and lessons. Survey data were obtained from 171 practitioners from nine nations. The respondents were asked to reflect on their initial, pre-tertiary and tertiary lesson experiences and teachers, and to identify the most significant influences on their learning. The data reveal a number of findings, such as the dominance of the master-apprentice social and learning relationship, the characteristics and attributes of inspiring teachers and/or learning experiences, and the fact that some respondents do not have any positive reflections on some periods of their learning. The data also point towards the cyclical nature of music instrument learning and teaching, with masters guiding apprentices who then become the masters.
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Whether you're new to After Effects and want to get up to speed quickly, or already a user who needs to become familiar with the new features, After Effects Apprentice was created for you. With 11 core lessons plus a final project that pulls it all together, you'll learn how to tap this program's vast potential - whether you create motion graphics for network television, corporate communications, or your own projects.Fully updated to cover the major new features introduced in After Effects CS6, CS5.5, and CS5, this edition of the book presents a professional perspective on the most important f
Renstrom, Arthur G. (Compiler); Goldblatt, Roberta W.; Minkus, Carl; Berube, Karen L.; Launius, Roger (Technical Monitor)
This annotated bibliography of material about Wilbur and Orville Wright and the first powered flight, commemorates the one hundredth anniversary of the event. This publication represents an updated version of the classic, "Wilbur and Orville Wright: A Bibliography Commemorating the Hundredth Anniversary of the Birth of Wilbur Wright, April 16, 1867" which was originally published in 1968. Aspects of the Wright brothers' lives covered include: their published writings, biographical references, airplanes used and flight records, airplane components, patents, court records, Wright companies and schools, the Wright-Smithsonian controversy, monuments and museums, memorials, medals and honors, memorabilia, art, poetry, music, motion pictures and juvenile publications. An index is included.
Medical thrillers have been a mainstay of popular fiction since the late 1970s and still attract a wide readership today. This article examines this specialized genre and its core conventions within the context of professionally-based fiction, i.e. the class of thrillers written by professionals or former professionals. The author maps this largely unchartered territory and analyzes the fictional representations of doctors and medicine provided in such novels. He argues that medical thrillers, which are not originally aimed at specialized readers and sometimes project a flawed image of medicine, may be used as a pedagogical tool with non-native learners of medical English.
Full Text Available Abstract Background This study describes exposure levels of bakery and pastry apprentices to flour dust, a known risk factor of occupational asthma. Methods Questionnaires on work activity were completed by 286 students. Among them, 34 performed a series of two personal exposure measurements using a PM2.5 and PM10 personal sampler during a complete work shift, one during a cold ("winter" period, and the other during a hot ("summer" period. Results Bakery apprentices experience greater average PM2.5 and PM10 exposures than pastry apprentices (p 10 values among bakers = 1.10 mg.m-3 [standard deviation: 0.83] than in summer (0.63 mg.m-3 [0.36]. While complying with current European occupational limit values, these exposures exceed the ACGIH recommendations set to prevent sensitization to flour dust (0.5 mg.m-3. Over half the facilities had no ventilation system. Conclusion Young bakery apprentices incur substantial exposure to known airways allergens, a situation that might elicit early induction of airways inflammation.
Mangan, John; Trendle, Bernard
There is widespread public concern at the high drop-out rates among apprentices in Australia. This paper argues that this concern may be misplaced as it fails to allow for eventual completion over time. We argue that a methodology that concentrates on a single training episode only is less appropriate to evaluating training outcomes in a regime…
Zoellner, Don; Brearley, Matt; Oppermann, Elspeth
Apprenticeship completion rates have remained persistently low for decades in spite of broad agreement over the causes of non-completions. A possible factor missing from these explanations is climate, particularly in northern Australia where traditional trade apprentices are exposed to extreme conditions and exert themselves. We hypothesize that:…
The transition to work through apprenticeship is one taken by many young people. A sense of belonging to a workplace is posited to be an important precursor for initial and on-going engagement with practice communities. This article details a study of beginning apprentices in ten trades. The project sought to identify factors influencing…
... wages become effective and what is the special minimum wage rate? 520.409 Section 520.409 Labor... apprentices special minimum wages become effective and what is the special minimum wage rate? (a) An... Division. (b) The wage rate specified by the apprenticeship program becomes the special minimum wage rate...
Lane Community Coll., Eugene, OR.
This third-year course for electrical power station wirer apprentices is a foundation for the study of all aspects of installation and maintenance of power station equipment. It also provides a good technical background as well as the general knowledge essential to power station operator trainees. The course is intended to be equivalent to a…
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Christian Eric Erbacher
Full Text Available The article draws a connection between three items preserved at the von Wright and Wittgenstein Archives at the University of Helsinki (WWA, namely a book by Wilhelm Busch and two copies of the photos of von Wright and Wittgenstein in Cambridge taken by Knut Erik Tranøy in 1950, by suggesting that the photos contain an allusion by Wittgenstein.
Scott P. Kerlin
Full Text Available This article probes the implications of neo-conservative public education policies for the future of the academic profession through a detailed examination of critical issues shaping contemporary doctoral education in U.S. and Canadian universities. Institutional and social factors such as financial retrenchment, declining support for affirmative action, downward economic mobility, a weak academic labor market for tenure-track faculty, professional ethics in graduate education, and backlash against women's progress form the backdrop for analysis of the author's survey of current doctoral students' opinions about funding, support, the job market, and quality of learning experiences.
Krunal B. Kachhia
Full Text Available Fractional kinetic equations play an important role in certain astrophysical problems. In this paper, authors have established further generalization of fractional kinetic equations involving generalized Lommel-Wright functions. Solutions of these generalized fractional kinetic equations were obtained in terms of Mittag–Leffler function using Laplace transform. Some special cases also contain the generalized Bessel function and Struve function.
As part of the "Learning, Media & Technology" series on "Key Thinkers and Theoretical Traditions", this paper explores the relevance of C. Wright Mills' much lauded book "The Sociological Imagination". The argument is made that we would do well to take heed of many of the central tenets of Mills' call to arms for…
When Orville and Wilbur Wright began their studies of aviation, they did not overlook the great experts on the subject the birds. The brothers became interested in flight as children, when their father brought home a little flying toy powered by a rubber band. Later, they corresponded with the Smithsonian Institution (Washington, DC) which sent…
This viewgraph presentation reviews the experiments that the Wright Brothers conducted prior to their first powered flight in 1903 to developing the first practical aircraft in 1905. Many pictures of the gliders and other devices are used to illustrate the gradual development and experimentation that proceeded the first powered flight.
Kevin Kochersberger, one of two Virginia Tech alumni who attempted to recreate the Wright brothers' first flight during the recent "100 Years of Flight Celebration," will speak about his experience at the university on Feb. 23 at 4 p.m. in Hancock Auditorium.
Olio, Brenda K.
Wilbur and Orville Wright undertook the first test airplane flight on December 17, 1903, at the Outer Banks of North Carolina. Their success represented the culmination of four years of painstaking research and trials in which they designed and improved their flying machines at home in Dayton, Ohio, and tested them each year near Kitty Hawk, North…
In "Black Boy," Richard Wright triumphs over an ugly, racist world by fashioning an inspiring, powerful, beautiful, and fictionalized autobiography. To help students understand and appreciate his story in the cultural, political, racial, social, and literary contexts of its time, this casebook provides primary historical documents,…
Oakes, Guy; Vidich, Arthur J.
Using the collaboration between sociologist C. Wright Mills and Hans H. Gerth and their studies of the work of Max Weber as a point of departure for a sustained discussion of academic ethics, this book explores how concealment, secrecy, and deception contribute to the building of academic reputation and how the balance of knowledge and power in a…
This note modifies Lagos â€“ Wright (2005) by adding subsidies to sellers. We show that this modification can result in a Pareto efficient allocation at the Friedman rule when buyers do not have all the bargaining power. We find that the optimal rate of subsidy is increasing in buyers' relative risk aversion coefficient.
This report presents information related to the sampling of ground water at the Wright-Patterson Air Force Base. It is part of an investigation into possible ground water contamination. Information concerns well drilling/construction; x-ray diffraction and sampling; soil boring logs; and chain-of-custody records.
Of particular interest is what he believes to be the origin of this subversive wisdom: “The most likely ... praxis and of certain other elements in their worldview among those who accepted it. Wright concluded that ... they did not, but merely used metaphor and cosmic imagery to portray to the full the theological significance of ...
Orr, Margaret Terry
The value of the doctorate in educational administration has been debated in recent years over its appropriateness as a qualification for superintendency. Underlying these debates are two overlapping trends. One is increasing program availability and shifts in institutional type, and the second is changes in program content and dissertation…
On 10 May, over 130 PhD students and their supervisors, from both CERN and partner universities, gathered for the 4th Doctoral Student Assembly in the Council Chamber. The assembly was followed by a poster session, at which eighteen doctoral students presented the outcome of their scientific work. The CERN Doctoral Student Programme currently hosts just over 200 students in applied physics, engineering, computing and science communication/education. The programme has been in place since 1985. It enables students to do their research at CERN for a maximum of three years and to work on a PhD thesis, which they defend at their University. The programme is steered by the TSC committee, which holds two selection committees per year, in June and December. The Doctoral Student Assembly was opened by the Director-General, Fabiola Gianotti, who stressed the importance of the programme in the scientific environment at CERN, emphasising that there is no more rewarding activity than lear...
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Full Text Available ... 4:37) Part II: Talking Openly with Your Medical Provider (3:51) Part III: Understanding Diagnosis and Treatment (3:57) More Resources from NIH You can play an active role in your health care by talking to your doctor. Clear and honest ...
Wisker, Gina; Robinson, Gill; Bengtsen, Søren Smedegaard
Much international doctoral learning research focuses on personal, institutional and learning support provided by supervisors, managed relationships,‘nudging’ robust, conceptual, critical, creative work. Other work focuses on stresses experienced in supervisor-student relationships and doctoral j...
Costa, R. F., E-mail: email@example.com [Universidade Estadual de Goias, Unidade Universitaria de Morrinhos, Rua 14, 625, Jardim das Americas, Cep 75650-000, Morrinhos, Goias (Brazil)
The good economic moment of our country has been providing an increase of courses in technical and technological area mainly in the field of radiology, which has raised the number of apprentices in the field of stage in clinics and hospitals. However, the shortage of placements and the fact that many of these students are workers, has forced the institutions of technical education to seek alternatives for the students to meet the workload of the stage in a time as short as possible. For this reason, often the students are obliged to comply with up to 10 hours of internship in a single day, in companies that often are not in accordance with the standards of radiological protection. What has worried the authorities of Goiania, because they believe that this exposure can raise the dose received. It is known that every person who works with X-ray diagnostics should use, during their work day and while stay in controlled area, individual dosimeter reading indirect, changed monthly. However, in practice these apprentices do not use the meter for monitoring of doses in probationary period. In This way, we measure the doses received us trainees using monitors TLDs in the thoracic region with and without plumbiferous apron on stage with total workload of 150 hours, performed daily from Monday to Friday for 6 hours per day during 5 weeks and performed to Saturday and Sunday for 10 hours daily in 7.5 weekends, with X-ray equipment conventional. The results reveal that in none of the cases the dose reached the value of 0.2 mSv, which is the minimum limit of reading dosimeter. We conclude then that the stages of weekends, taken the preventive measures of radiological protection are safe and can be performed without any prejudice with regard to the dose received, when compared to those of lower daily hourly load. (Author)
Dragos, M; Jones, M; Malo, J-L; Ghezzo, H; Gautrin, D
Isocyanates are the main cause of occupational asthma in most countries. Study of immunological markers of diisocyanate asthma may identify individuals at risk. (1) To study changes in specific antibodies to hexamethylene diisocyanates (HDI); (2) to describe the incidence of work-related respiratory symptoms in relation to changes in specific antibody levels. Prospective study in 385 apprentice car-painters during their 18 months of training. Participants were assessed on entering and completing their training using questionnaires, methacholine challenges and measurements of HDI-specific immunoglobulin E (IgE), immunoglobulin G (IgG) and subclass 4 of IgG (IgG4) antibodies. Complete data are available for 298 subjects. 13 subjects (4.4%) reported >or=1 new work-related lower respiratory symptoms and 19 (6.4%), >or=1 new work-related nasal symptoms. Increases in levels of specific IgE and IgG above the 97th and 95th percentiles were significantly associated with duration of exposure. Increase in specific IgG was inversely related to incidence of work-related lower respiratory symptoms (OR = 0.001, 95% CI 0.000 to 0.09) after adjusting for relevant covariates. The rise in specific IgG4 was significantly greater in those who did not develop work-related nasal symptoms (OR = 0.09, 95% CI 0.01 to 0.7). In this cohort of apprentice car-painters, a small proportion show increases in HDI-specific IgG and IgE after few months of exposure. Increases in specific IgG and IgG4 appear to have a protective effect on the incidence of work-related lower and upper respiratory symptoms, respectively. Assessment of specific antibodies to isocyanates may help identify subjects at risk of developing symptoms.
Full Text Available There has been a seismic shift in the lives of people because of technology. People are far better informed than they were in the 1980s and 1990s. Much of this information is available through the media but even more is available and archived on the internet. The forces pushing the internet into health and health care are strong and unstoppable, ensuring that the internet and the choices it offers must be part of the design of our future health care system. We are no longer content to wait in queues as we live at a faster pace than earlier generations — we don’t not have time to wait for appointments months, weeks or even days in advance. The internet offers the prospect of online consultations in the comfort of your own home. The physical examination will change as new devices are developed to allow the necessary sounds and signals emitted by our malfunctioning bodies to be recorded, interpreted and captured at a remote location. Meanwhile, for those who prefer to see a health care practitioner in person the options to consult practitioners other than doctors who can advise on our health is expanding. The reality is we can’t afford to train or pay for all the doctors we need under the current “doctor-knows-best” system of health care. Patients no longer believe the rhetoric and are already voting with their feet. Pharmacists, nurses and other allied health professionals are beginning to play a much greater role in offering relief from symptoms and monitoring of chronic diseases. Of course, the doctor of the future will still need to offer face-to-face consultations to some people most of the time or most people some of the time. The social role doctors play will continue to be important as humans will always need other humans to personally respond to their distress. As doctors reinvent themselves, the internet and the value of time with patients will be the driving forces that move us into a more sustainable future in health care.
... role in your child's health? The Doctor-Patient Relationship Today, doctors are pressured to see more patients in less time and to spend less time with each patient. Insurance issues, such as the need for referrals, complicate patient care for parents as well as doctors and their ...
Trafford, Vernon; Leshem, Shosh
Achieving a doctorate presents candidates with certain challenges--undertaking the research, writing the thesis and defending both at their viva. Throughout that doctoral journey, candidates are expected to display doctorateness in their thesis via the characteristics of high-quality scholarly research. The blockages that occur and prevent…
Lykke, Marianne; Price, Susan; Delcambre, Lois
Professional, workplace searching is different from general searching, because it is typically limited to specific facets and targeted to a single answer. We have developed the semantic component (SC) model, which is a search feature that allows searchers to structure and specify the search...... to context-specific aspects of the main topic of the documents. We have tested the model in an interactive searching study with family doctors with the purpose to explore doctors’ querying behaviour, how they applied the means for specifying a search, and how these features contributed to the search outcome....... In general, the doctors were capable of exploiting system features and search tactics during the searching. Most searchers produced well-structured queries that contained appropriate search facets. When searches failed it was not due to query structure or query length. Failures were mostly caused by the well...
Adolfo Benito Narváez Tijerina
Full Text Available This paper addresses the problem of urban imaginaries underlying the emerging large urban areas and development in different locations on the planet. It is hypothesized that the various urban forms watering of ideas that were present in the political and social agenda of the United States of America from its founding fathers thought, and crystallized in a major urban utopia of the twentieth century : Broadacre City FL Wright. El presente trabajo aborda el problema de los imaginarios urbanos que subyacen a las extensas áreas urbanas en surgimiento y desarrollo en diversas localizaciones del planeta. Se plantea la hipótesis de que las diversas formas urbanas abrevan de ideas que se hicieron presentes en el programa político y social de los Estados Unidos de América a partir del pensamiento de sus padres fundadores, y que cristalizaría en una utopía urbana muy importante del siglo XX: Broadacre City de F.L. Wright.
Full Text Available Frank Lloyd Wright is considered one of the most influential architects of modern architecture due to the spatial and aesthetic qualities of his work. However, the importance of Wright’s construction and environmental solutions has been usually overlooked. In order to evaluate these qualities, the first house that Wright designed for the Jacobs family (Wisconsin, USA, 1937 has been analyzed. This well-known building has been much studied, and its architectural value much celebrated, but without analysing the advantages of the bioclimatic principles over interior environment. But how can the influence of this bioclimatic architecture be measured in terms of thermal comfort? Does the selected orientation improve interior comfort? And what about the natural ventilation or the deep overhangs? In order to assess this, a digital model for energy simulation has been built using Revit and Design Builder.
Tran, Tat Dat; Hofrichter, Julian; Jost, Jürgen
We systematically investigate the Wright-Fisher model of population genetics with the free energy functional formalism of statistical mechanics and in the light of recent mathematical work on the connection between Fokker-Planck equations and free energy functionals. In statistical physics, entropy increases, or equivalently, free energy decreases, and the asymptotic state is given by a Gibbs-type distribution. This also works for the Wright-Fisher model when rewritten in divergence to identify the correct free energy functional. We not only recover the known results about the stationary distribution, that is, the asymptotic equilibrium state of the model, in the presence of positive mutation rates and possibly also selection, but can also provide detailed formulae for the rate of convergence towards that stationary distribution. In the present paper, the method is illustrated for the simplest case only, that of two alleles.
Tran, Tat Dat
My thesis addresses a systematic approach to stochastic models in population genetics; in particular, the Wright-Fisher models affected only by the random genetic drift. I used various mathematical methods such as Probability, PDE, and Geometry to answer an important question: \\"How do genetic change factors (random genetic drift, selection, mutation, migration, random environment, etc.) affect the behavior of gene frequencies or genotype frequencies in generations?”. In a Hardy-Weinberg ...
Storm, R.; Benson, T.; Galica, C.; McCredie, P.
This guide was produced by the NASA Glenn Research Center Office of Educational Programs in Cleveland, OH, and the NASA Aerospace Educational Coordinating Committee. It includes activity modules for students, including the history of the Wright Brothers and their family in Dayton, Ohio and flight experimentation in Kitty Hawk, North Carolina. Student activities such as building models of the Wright Brothers glider and writing press releases of the initial flight are included.
Full Text Available N T Wright’s extensive research on the subject of the historical Jesus has led him to the conclusion that the office of eschatological prophet passionately bent on delivering an urgent eschatological message is best suited to describe the portrait of Jesus as it emanates from the sources at hand. Wright furthermore abstracts from the sources the program of this prophet which involves extending a message of welcome and warning. Many a scholar would agree with these conclusions. When revealing how he arrived at the conclusions he refers to the “notorious” complexity of the problem of the literary relationship between the gospels. Can any scholar disagree? What does, however, seem to invite contention, are his statements that the gospels tell us far more about Jesus than scholarship has ever done, and that the two-source hypothesis which has been misleading scholars over the past two hundred years is not of any great importance in the study of Jesus. Wright believes that we are not in a position to answer the synoptic question and then bases a reconstruction of Jesus on this answer. What, then, are his sources and how does he apply them to arrive at these conclusions? This article presents the portrait Wright painted of the historical Jesus and investigates how it was arrived at.
Wang, Xiang-Ning; Qian, Jiang; Yuan, Yi-Fei; Zhang, Rui; Zhang, Yan-Qing
To investigate the application of Rose and Wright's algorithm in diagnosing lacrimal gland masses. Retrospective observational cases series. A total of 93 consecutive patients with primary masses within the orbital lobe of the lacrimal gland were reviewed. Before treatment, patients' detailed history was collected verbally and all patients underwent image examination (computed tomography and magnetic resonance imaging). The clinical and radiological features of every patient were evaluated by experienced orbital surgeons. Based on Rose and Wright's criteria, patients were scored and then treated using surgery with radiotherapy and/or chemotherapy. The final diagnoses were based on the histopathologic results. Based on the histopathologic diagnosis, the data from Rose and Wright's algorithm were evaluated. The accuracy of Rose and Wright's algorithm for benign and malignant tumour diagnoses was 75% and 50%, respectively. The diagnostic sensitivity, specificity, and accuracy of Rose and Wright's algorithm were 64%, 93%, and 86%, respectively. The algorithm demonstrated significant accuracy in the clinicoradiological criterion in differentiating between benign tumours and malignant tumours (p < 0.05). Rose and Wright's algorithm has great advantages in distinguishing benign from malignant tumours within the orbital lobe of the lacrimal gland. However, the algorithm should be used with great caution because of its low diagnostic sensitivity for malignant tumours. Copyright © 2017. Published by Elsevier Inc.
Katherine P. Dabney
Full Text Available The underrepresentation of women in physics doctorate programs and in tenured academic positions indicates a need to evaluate what may influence their career choice and persistence. This qualitative paper examines eleven females in physics doctoral programs and professional science positions in order to provide a more thorough understanding of why and how women make career choices based on aspects both inside and outside of school and their subsequent interaction. Results indicate that female physicists experience conflict in achieving balance within their graduate school experiences and personal lives and that this then influences their view of their future careers and possible career choices. Female physicists report both early and long-term support outside of school by family, and later departmental support, as being essential to their persistence within the field. A greater focus on informal and out-of-school science activities for females, especially those that involve family members, early in life may help influence their entrance into a physics career later in life. Departmental support, through advisers, mentors, peers, and women’s support groups, with a focus on work-life balance can help females to complete graduate school and persist into an academic career.
Gill, P.S.; Mäkelä, M.; Vermeulen, K.M.
The aim of this overview was to identify interventions that change doctor prescribing behaviour and to derive conclusions for practice and further research. Relevant studies (indicating prescribing as a behaviour change) were located from a database of studies maintained by the Cochrane Collabora......The aim of this overview was to identify interventions that change doctor prescribing behaviour and to derive conclusions for practice and further research. Relevant studies (indicating prescribing as a behaviour change) were located from a database of studies maintained by the Cochrane...... Collaboration on Effective Professional Practice. This register is kept up to date by searching the following databases for reports of relevant research: DHSS-DATA; EMBASE; MEDLINE; SIGLE; Resource Database in Continuing Medical Education (1975-1994), along with bibliographies of related topics, hand searching...... of key journals and personal contact with content area experts. Randomised controlled trials and non-equivalent group designs with pre- and post-intervention measures were included. Outcome measures were those used by the study authors. For each study we determined whether these were positive, negative...
McKee, Paul W.
Many contaminants can be introduced into the environment by urban and industrial activities. The drainage area of Wright Patman Lake is influenced by these activities. Among the contaminants associated with urban and industrial activities are trace metals such as arsenic, lead, mercury, and zinc. These contaminants are relatively insoluble in water and commonly are found in stream, lake, and reservoir bottom sediment, especially the clays and silts within the sediment.Wright Patman Lake serves as the major potable water supply for the city of Texarkana and surrounding communities. Texarkana, located in the northeastern corner of Texas and the southwestern corner of Arkansas, had a population of about 56,000 in 1998, which reflects an increase of about 3.4 percent from the 1990 census (Ramos, 1999). Texarkana Water Utilities, which manages the water-treatment facilities for Texarkana, proposes to dredge the lake bed near the water intake in the Elliot Creek arm of Wright Patman Lake. It is possible that arsenic, lead, mercury, and other trace metals might be released into the water if the bed sediment is disturbed. Bed sediment in the Elliot Creek arm of the lake, in particular, could contain trace metals because of its proximity to Red River Army Depot and because industrial land use is prevalent in the headwaters of Elliot Creek.The U.S. Geological Survey (USGS), in cooperation with Reconnaissance for Trace Metals in Bed Sediment, Wright Patman Lake, Near Texarkana, Texas In cooperation with the Texarkana Water Utilities conducted a reconnaissance of Wright Patman Lake to collect bed-sediment samples for analysis of trace metals. This report presents trace metal concentrations in bed-sediment samples collected at six sites along the Elliot Creek arm of the lake, one site each in two adjacent arms, and one site near the dam on June 16, 1999 (fig. 1). One bed-sediment sample was collected at each of the nine sites, and one sediment core was collected at each of two
Nylenna, Magne; Aasland, Olaf Gjerløw
Doctors' job satisfaction has been discussed internationally in recent years based on reports of increasing professional dissatisfaction. We have studied Norwegian doctors' job satisfaction and their general satisfaction with life. A survey was conducted among a representative sample of practicing Norwegian doctors in 2008. The validated 10-item Job Satisfaction Scale was used to assess job satisfaction. 1,072 (65 %) doctors responded. They reported a mean job satisfaction of 5.3 on a scale from 1 (very dissatisfied) to 7 (very satisfied). Job satisfaction increased with increasing age. Private practice specialists reported the highest level of job satisfaction (5.8), and general practitioners reported higher job satisfaction (5.5) than hospital doctors (5.1). Among specialty groups, community doctors scored highest (5.6) and doctors in surgical disciplines lowest (5.0). While long working hours was negatively correlated with job satisfaction, the perception of being professionally updated and having part-time affiliation(s) in addition to a regular job were positively correlated with job satisfaction. 52.9 % of doctors reported a very high general satisfaction. Norwegian doctors have a high level of job satisfaction. Satisfaction with life in general is also high and at least in line with that in the Norwegian population.
Langeveld, Cornelis H Kees
To investigate whether doctors novels give a realistic picture of medical practice. Descriptive, qualitative analysis. 6 items in total from two series of doctors novels (4 Dutch 'Doctors novels' and 2 'Dr. Anne Maas' publications) were examined. The series 'Doctors novels' was translated from English, the 'Dr. Anne' novels were written by Dutch authors. The medical situations were located mostly in hospital emergency departments and operation rooms. Medical specialisms were represented mainly by surgeons, emergency care doctors, orthopaedic specialists, cardiologists and gynaecologists. In the series 'Doctors novels' most of the patients described suffered a trauma. In the 'Dr. Anne' series the patients admitted to the emergency department had a greater range of medical conditions. In the series 'Doctors novels' 3 of the 4 main characters were pregnant. In one case, giving birth was described in detail. The doctors novels which were studied give an unbalanced and distorted view of medical practice. The medical information was sometimes incorrect, partly due to lack of knowledge by the author, partly due to incorrect translation from English. The reality of medical practice was not represented accurately in either of the series investigated, although the medical information in the 'Doctors novels' series appeared to be accurate more often than that in the 'Dr. Anne' series.
Communication is an important component of patient care. Traditionally, communication in medical school curricula was incorporated informally as part of rounds and faculty feedback, but without a specific or intense focus on skills of communicating per se. The reliability and consistency of this teaching method left gaps, which are currently getting increased attention from medical schools and accreditation organizations. There is also increased interest in researching patient-doctor communication and recognizing the need to teach and measure this specific clinical skill. In 1999, the Accreditation of Council for Graduate Medical Education implemented a requirement for accreditation for residency programs that focuses on "interpersonal and communications skills that result in effective information exchange and teaming with patients, their families, and other health professionals." The National Board of Medical Examiners, Federation of State Medical Boards. and the Educational Commission for Foreign Medical Graduates have proposed an examination between the. third and fourth year of medical school that "requires students to demonstrate they can gather information from patients, perform a physical examination, and communicate their findings to patients and colleagues" using standardized patients. One's efficiency and effectiveness in communication can be improved through training, but it is unlikely that any future advances will negate the need and value of compassionate and empathetic two-way communication between clinician and patient. The published literature also expresses belief in the essential role of communication. "It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care. Improvements in provider-patient communication can have beneficial effects on health outcomes". A systematic review of
In 2012, Dartmouth College renamed its medical school, founded in 1797, the Audrey and Theodor Geisel School of Medicine. Using the renaming of the medical school of Dartmouth College as a foil, I offer in this article a vision of what it might mean to align Theodor Geisel, better known as Dr. Seuss, with doctors by examining Geisel's You're Only Old Once! A Book for Obsolete Children. In this article, I derive four critiques of modern medicine from the book and offer four strategies as to how these critiques could be explored in medical education. If You're Only Old Once! is read as a pathography, I argue that it can be used as a resource for medical education.
Full Text Available The relationship between force and balance show controversy results and has directimplications in exercise prescription practice. The objective was to investigate the relationshipbetween maximum dynamic force (MDF of inferior limbs and the static and dynamic balances.Participated in the study 60 individuals, with 18 to 24 years old, strength training apprentices.The MDF was available by mean the One Maximum Repetition (1MR in “leg press” and “kneeextension” and motor testes to available of static and dynamic balances. The correlation testsand multiple linear regression were applied. The force and balance variables showed correlationin females (p=0.038. The corporal mass and static balance showed correlation for the males(p=0.045. The explication capacity at MDF and practices time were small: 13% for staticbalance in males, 18% and 17%, respectively, for static and dynamic balance in females. Inconclusion: the MDF of inferior limbs showed low predictive capacity for performance in staticand dynamic balances, especially for males.
Alfonso Diaz Segura, Ricardo Meri de la Maza, Bartolomé Serra Soriano
Full Text Available RESUMEN La estructura de la modernidad, en general, está al servicio de una nueva concepción espacial fluida y continua, condensada en torno al concepto de “planta libre”. Sin embargo, la riqueza y complejidad de articulación que adquieren las plantas, no se observa en la sección de los edificios, especialmente si se trata de rascacielos. El principio de crecimiento por superposición de plantas iguales y el carácter utilitario de la estructura en esta tipología, anularon su carácter iconográfico y su integración espacial. Frank Lloyd Wright, de modo natural, desarrolla una estructura para sus escasos rascacielos que integra espacio y forma, superando así tanto la simplificación funcional de la Escuela de Chicago, como el valor iconográfico de las experiencias europeas.SUMMARY In general, the structure of modernity serves a new, fluid and continuous, spatial conception, condensed around the “free floor” concept. However, the wealth and complexity of articulation that these floors acquire are not seen in the section of the buildings, especially in the case of skyscrapers. The principle of growth by superimposition of equal floors and the utilitarian character of the structure in this type of building, nullify the iconographic character of the structure and its spatial integration. Frank Lloyd Wright develops a structure for his few skyscrapers that integrates space and form in a natural way, thus surpassing both the functional simplification of the Chicago School, and the iconographic value of the European experiences.
This paper discusses the impact of medical technology on health care in light of the fact that doctors are becoming more reliant on technology for obtaining patient information, making diagnoses and in carrying out treatments. Evidence has shown that technology can negatively affect doctor-patient communications, physical examination skills, and…
Hartocollis, Lina; Cnaan, Ram A.; Ledwith, Kate
This article provides a systematic review of the emerging practice doctorate in social work. Based on the experience of the first such Doctor of Social Work (DSW) program, we provide information regarding the program origins and rationale, development, current structure, and future direction. Such information will enrich the discussion on the role…
Medical examination is a right for every person detained in police custody in France. Examination of detainees usually takes place in the police station so that the doctor can assess the conditions in which the detainee is being held. In some cases, such as type I diabetes care, detainees need to be examined and treated in a hospital. Doctors are subject to a duty of care and prevention. Description of recent traumatic injuries is part of the doctor's mission. They should prescribe any ongoing treatment which needs to be continued, as well as any emergency treatment required. Custody officers may monitor the detainee and administer medication. Doctor's opinion should be given in a national standard document. If the doctor considers that the custody conditions are disgraceful, they may refuse to express an opinion as to whether the detainee is fit for custody.
Lawrie, David S
Forward Wright-Fisher simulations are powerful in their ability to model complex demography and selection scenarios, but suffer from slow execution on the Central Processor Unit (CPU), thus limiting their usefulness. However, the single-locus Wright-Fisher forward algorithm is exceedingly parallelizable, with many steps that are so-called "embarrassingly parallel," consisting of a vast number of individual computations that are all independent of each other and thus capable of being performed concurrently. The rise of modern Graphics Processing Units (GPUs) and programming languages designed to leverage the inherent parallel nature of these processors have allowed researchers to dramatically speed up many programs that have such high arithmetic intensity and intrinsic concurrency. The presented GPU Optimized Wright-Fisher simulation, or "GO Fish" for short, can be used to simulate arbitrary selection and demographic scenarios while running over 250-fold faster than its serial counterpart on the CPU. Even modest GPU hardware can achieve an impressive speedup of over two orders of magnitude. With simulations so accelerated, one can not only do quick parametric bootstrapping of previously estimated parameters, but also use simulated results to calculate the likelihoods and summary statistics of demographic and selection models against real polymorphism data, all without restricting the demographic and selection scenarios that can be modeled or requiring approximations to the single-locus forward algorithm for efficiency. Further, as many of the parallel programming techniques used in this simulation can be applied to other computationally intensive algorithms important in population genetics, GO Fish serves as an exciting template for future research into accelerating computation in evolution. GO Fish is part of the Parallel PopGen Package available at: http://dl42.github.io/ParallelPopGen/. Copyright © 2017 Lawrie.
The Wright Brothers used wind tunnel data to refine their design for the first successful airplane back in 1903. Today, wind tunnels are still in use all over the world gathering data to improve the design of cars, trucks, airplanes, missiles and spacecraft. Ames Research Center is home to many wind tunnels, including the Unitary Plan Wind Tunnel complex. Built in the early 1950s, it is one of the premiere transonic and supersonic testing facilities in the country. Every manned spacecraft has been tested in the wind tunnels at Ames. This is a testing history from past to present.
This Health and Safety Plan (HSP) was developed for the Environmental Investigation of Ground-water Contamination Investigation at Wright-Patterson Air Force Base near Dayton, Ohio, based on the projected scope of work for the Phase 1, Task 4 Field Investigation. The HSP describes hazards that may be encountered during the investigation, assesses the hazards, and indicates what type of personal protective equipment is to be used for each task performed. The HSP also addresses the medical monitoring program, decontamination procedures, air monitoring, training, site control, accident prevention, and emergency response.
Dada, J O; Olaseha, I O; Ajuwon, A J
This exploratory study was carried out among unmarried female trade apprentices in Ikorodu, a Yoruba town in south-western Nigeria, to identify sexual risk behaviors, assess knowledge on HIV/AIDS, and recommend an appropriate AIDS education program. Four focus groups were conducted to gain insight into the social-cultural and economic factors influencing sexual risk behaviors, followed by a survey involving 280 randomly selected respondents. Findings showed that many group discussants approved of premarital sex and believed that sex with multiple partners occurred mainly because of the economic difficulties encountered by female apprentices. Most of the survey respondents (70.9%) were sexually experienced, with age of first sexual intercourse ranging from eleven to twenty-two years. One hundred and fifty-five (78.2%) were sexually active; of these, 37.4 percent said that their last sexual encounter occurred because they could not resist the pressure put on them by their male partners, were under the influence of alcohol, were in need of money, and raped. Sixty percent of the sexually active respondents did not take any action to prevent STD or pregnancy during their last sexual encounter. Of the fifty-eight who did, 37.9 percent used the condom. Of those sexually experienced (45.3%) have had at least one STD symptom in the year before, half of them did not do anything about their condition; 37 percent practiced self-medication or received injections from quacks. Although 70.9 percent had heard about AIDS, many had limited knowledge about the non-sexual routes of HIV transmission. Appropriate intervention strategies were recommended to educate the apprentices.
Full Text Available Background: Much of the contentious debate surrounding the Patient Protection and Affordable Care Act (“Obamacare” concerned its financing and its attempt to guarantee (near universal access to healthcare through the private insurance market. Aside from sensationalist stories of “death panels,” much less attention went to implications of the bill for the actual provision of healthcare. Methodology: This paper examines the "patient-centered medical home" (PCMH model which has been widely promoted as a means of reviving and improving primary care (i.e. general internal medicine, family medicine, and pediatrics. Argument: The PCMH and many of its components (e.g pay-for-performance, electronic medical records were interventions that were implemented on a massive basis without any evidence of benefit. Recent research has not generally supported clinical benefits with the PCMH model. Instead it seems to designed to de-professionalize (make proletarians of health care workers and enforce corporate models of health. The core values of professional work are undermined while the PCMH does nothing to address the structural marginalization of primary care within US health care. Conclusions: The development of alternative models will require political changes. Both doctors and teachers are in a position of advocate for more progressive systems of care and education.
Kaminski, A; Nauerth, A; Pfefferle, P I
Apprentices form the major subgroup in adolescents aged between 16 and 25 years in Germany. Prospectively today's apprentices will display an important role within the society by being the backbone of the future middle class, a socio-economic group of high significance. However, there is little knowledge about the health of apprentices, a major determinant of economic and social capacity. A number of surveys has focussed on the health of adolescents, but these studies failed to provide specific data regarding the subgroup of apprentices. The aims of this study were to survey the health status and the health behaviour of apprentices in a large range of qualified jobs and to point out possible differences be-tween the occupantional fields and gender-specific items. These differences could serve as a starting point for the development of specially-tailored prevention and health promoting strategies in the dual vocational education system. 528 vocational first-year scholars aged between 16 to 25 years were enrolled in the study. A standardised questionnaire concerning life-style attitudes, (physical activity, smoking, alcolhol consumption, drug-abuse, the amount of sleep and dietary habits) was provided in different vocational school settings. The survey was conducted as a pilot-study in vocational schools of Bielefeld in spring 2005. The response rate was 100%. Health risk behaviours were common in apprentices. The percentage of smokers was higher than 50%, exceeding the average rate found in contemporary students. Physiological activity and sleeping quantity was significantly reduced compared to the period of regular scholarship, while drug-abuse slightly decreased. Gender, graduation and the vocational choice had an influence on the health behaviour of the apprentices. Depending on gender and the vocational choice, apprentices differed in their health risk behaviour and therefore require specially-tailored prevention activities. Health promotion and physical
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What to ask your doctor about epilepsy - adult; Seizures - what to ask your doctor - adult; Seizure - what to ask your doctor ... call to find more information about driving and epilepsy? What should I discuss with my boss at ...
Himmelstein, Mary S; Sanchez, Diana T
Mortality and morbidity data suggest that men have shorter life expectancies than women and outrank women on several leading causes of death. These gendered disparities may be influenced by psychosocial factors like masculinity. Three studies (Total N=546) examined the role of masculinity in men's doctor choices and doctor-patient interactions. In Studies 1 and 2, men completed measures of masculinity, gender bias, and doctor preference. Using structural equation modeling, we tested the direct relationship between masculinity and male doctor preference and the indirect relationship of masculinity on male doctor preference through an association with gendered competence stereotypes. Participants in Study 3 disclosed symptoms in private followed by disclosure to a male or female interviewer in a clinical setting. Using repeated measures analysis of variance (ANOVA), we examined the interaction among symptom reporting, masculinity and doctor gender, controlling for participant comfort. In Study 1, results suggested that masculinity encouraged choice of a male doctor directly and indirectly via beliefs that men make more competent doctors than women; Study 2 directly replicated the results of Study 1. In Study 3, independent of participant comfort, an interaction between interviewer gender and masculinity emerged such that men scoring higher on masculinity reported symptoms less consistently to male interviewers (relative to higher scoring men reporting to female interviewers); the reverse was found for men scoring low on masculinity. Taken together these studies suggest that masculinity may affect men's health by encouraging choice of a male doctor with whom doctor-patient communication may be impaired. Copyright © 2015 Elsevier Inc. All rights reserved.
Mohd Ibrahim, Seri Dewi; Muda, Mazinah
Sekolah Menengah Sains Tengku Muhammad Faris Petra (SMSTMFP) and Sekolah Kebangsaan Kubang Kerian (3) (SKKK3) were selected by the Department of Neurosciences, Universiti Sains Malaysia (USM), in 2011 to be a 'school-based Neuroscience Club' via the 'Knowledge Transfer Programme (KTP) - Community' project. This community project was known as "The Brain Apprentice Project". The objectives of this project were to promote science and the neurosciences beyond conventional classroom teachings whilst guiding creativity and innovation as well as to assist in the delivery of neuroscience knowledge through graduate interns as part of the cultivation of neuroscience as a fruitful future career option. All of the planned club activities moulded the students to be knowledgeable individuals with admirable leadership skills, which will help the schools produce more scientists, technocrats and professionals who can fulfil the requirements of our religion, race and nation in the future. Some of the activities carried out over the years include the "My Brain Invention Competition", "Mini Brain Bee Contest", "Recycled Melody" and "Brain Dissection". These activities educated the students well and improved their confidence levels in their communication and soft skills. The participation of the students in international-level competition, such as the "International Brain Bee", was one of the ways future professionals were created for the nation. The implementation of Neuroscience Club as one of the organisations in the school's cocurriculum was an appropriate step in transferring science and neuroscience knowledge and skills from a higher education institution, namely USM, to both of the schools, SMSTMFP and SKKK3. The club members showed great interest in all of the club's activities and their performance on the Ujian Pencapaian Sekolah Rendah (UPSR) or Primary School Achievement Test and Sijil Pelajaran Malaysia (SPM) or Malaysian Certificate of Education examinations improved
Walter, Katrin; von Haaren, Birte; Löffler, Simone; Härtel, Sascha; Jansen, Carl-Philipp; Werner, Christian; Stumpp, Jürgen; Bös, Klaus; Hey, Stefan
Exercise and physical activity have proven benefits for physical and psychological well-being. However, it is not clear if healthy young adults can enhance mood in everyday life through regular exercise. Earlier studies mainly showed positive effects of acute exercise and exercise programs on psychological well-being in children, older people and in clinical populations. Few studies controlled participants' physical activity in daily life, performed besides the exercise program, which can impact results. In addition the transition from mood enhancement induced by acute exercise to medium or long-term effects due to regular exercise is not yet determined. The purpose of this pilot study was to examine the acute effects of an aerobic running training on mood and trends in medium term changes of mood in everyday life of young adults. We conducted a 10-week aerobic endurance training with frequent mood assessments and continuous activity monitoring. 23 apprentices, separated into experimental and control group, were monitored over 12 weeks. To control the effectiveness of the aerobic exercise program, participants completed a progressive treadmill test pre and post the intervention period. The three basic mood dimensions energetic arousal, valence and calmness were assessed via electronic diaries. Participants had to rate their mood state frequently on 3 days a week at five times of measurement within 12 weeks. Participants' physical activity was assessed with accelerometers. All mood dimensions increased immediately after acute endurance exercise but results were not significant. The highest acute mood change could be observed in valence (p = 0.07; η(2) = 0.27). However, no medium term effects in mood states could be observed after a few weeks of endurance training. Future studies should focus on the interaction between acute and medium term effects of exercise training on mood. The decreasing compliance over the course of the study requires the development of
Esteban Hernández Esteve
Full Text Available TESIS DOCTORALES Doctoral dissertations María Soledad Campos Lucena: El control de las arcas municipales a través de la rendición de cuentas. La transformación del proceso del Antiguo al Nuevo régimen y la consolidación del modelo liberal: 1745-1914 The control of municipal coffers by means of account rendering. The change from Ancien Régime to the New Regime and the consolidation of liberalism: 1745-1914 Candelaria Castro Pérez: La institución parroquial a través de los registros contables del Señorío episcopal de la Villa de Agüimes. (1500-1860 The parochial institution seen through the account books of the Episcopal domain of the city of Aguimes (1500-1860 José Julián Hernández Borreguero: El Cabildo Catedral de Sevilla: organización y sistema contable. (1625-1650 Administrative and accounting organization of the Seville Cathedral. (1625-1650 Juan Lanero Fernández: El esplendor de la teneduría de libros: la partida doble en los tratados contables ingleses de la dinastia Tudor (1543-1588 Bookkeeping splendor: double-entry in the English accounting treatises at the time of the Tudor dynasty (1543-1588 María Llompart Bibiloni: Un análisis histórico-contable de la Procuración del Real Patrimonio en el Reino de Mallorca, período 1310-1330 An accounting historical análisis of the Royal Exchequer of the Kingdom of Mallorca (1310-1330
We consider the Wright Fisher model for a finite population of diploid sexual organisms where selection acts at a locus with multiple alleles. The mathematical description of a such a model requires vectors and matrices of a multidimensional nature, and hence has a considerable level of complexity. In the present work we avoid this complexity by introducing a simple mathematical transformation. This yields a description of the model in terms of ordinary vectors and ordinary matrices, thereby allowing standard linear algebra techniques to be directly employed. The new description yields a common mathematical representation of the Wright Fisher model that applies for arbitrary numbers of alleles. Within this framework, it is shown how the dynamics decomposes into component parts that are responsible for the different possible transitions of segregating and fixed populations, thereby allowing a clearer understanding of the population dynamics. This decomposition allows expressions to be directly derived for the mean time of fixation, the mean time of segregation (i.e., the sojourn time) and the probability of fixation. Numerical methods are discussed for the evaluation of these quantities.
Shafiey, Hassan; Waxman, David
In this work we consider fixation of an allele in a population. Fixation is key to understanding the way long-term evolutionary change occurs at the gene and molecular levels. Two basic aspects of fixation are: (i) the chance it occurs and (ii) the way the gene frequency progresses to fixation. We present exact results for both aspects of fixation for the Wright-Fisher model. We give the exact fixation probability for some different schemes of frequency-dependent selection. We also give the corresponding exact stochastic difference equation that generates frequency trajectories which ultimately fix. Exactness of the results means selection need not be weak. There are possible applications of this work to data analysis, modelling, and tests of approximations. The methodology employed illustrates that knowledge of the fixation probability, for all initial frequencies, fully characterises the dynamics of the Wright-Fisher model. The stochastic equations for fixing trajectories allow insight into the way fixation occurs. They provide the alternative picture that fixation is driven by the injection of one carrier of the fixing allele into the population each generation. The stochastic equations allow explicit calculation of some properties of fixing trajectories and their efficient simulation. The results are illustrated and tested with simulations. Copyright © 2017 Elsevier Ltd. All rights reserved.
Mette, Mira; Dölken, Mechthild; Hinrichs, Jutta; Narciß, Elisabeth; Schüttpelz-Brauns, Katrin; Weihrauch, Ute; Fritz, Harald M
In order to better prepare future health care professionals for interprofessional cooperation, interprofessional learning sessions for medical students and physiotherapy apprentices were developed at the University Medical Centre Mannheim, Germany. The experience gained from designing, implementing and evaluating these learning sessions is presented and discussed. A total of 265 medical students and 43 physiotherapy apprentices attended five interprofessional learning sessions. Of these, 87-100% responded to closed and open-ended questions on a self-developed questionnaire (24 items). The responses regarding self-reported learning gains, benefit, motivation and satisfaction with the sessions were analyzed separately by professions. The learning sessions were well received by both groups. More than 75% of all participants were of the opinion that they could not have learned the new material in a better way. Significant differences between the medical students and the physiotherapy apprentices were mainly found with regard to perceived learning gains, which physiotherapy apprentices reported as being lower. Positive aspects of interprofessionalism were most often emphasized in the responses to the open-ended questions. Most frequently criticized were organizational aspects and a lack of perceived learning gains. The introduction of interprofessional learning entails great effort in terms of organizational and administrative challenges. However, the project is considered worthwhile because the interprofessional aspects of the learning sessions were indeed valued by the participants. Permanently including and expanding interprofessional learning in the curricula of both professions longitudinally is therefore something to strive for.
Mette, Mira; Dölken, Mechthild; Hinrichs, Jutta; Narciß, Elisabeth; Schüttpelz-Brauns, Katrin; Weihrauch, Ute; Fritz, Harald M.
Aim: In order to better prepare future health care professionals for interprofessional cooperation, interprofessional learning sessions for medical students and physiotherapy apprentices were developed at the University Medical Centre Mannheim, Germany. The experience gained from designing, implementing and evaluating these learning sessions is presented and discussed. Method: A total of 265 medical students and 43 physiotherapy apprentices attended five interprofessional learning sessions. Of these, 87-100% responded to closed and open-ended questions on a self-developed questionnaire (24 items). The responses regarding self-reported learning gains, benefit, motivation and satisfaction with the sessions were analyzed separately by professions. Results: The learning sessions were well received by both groups. More than 75% of all participants were of the opinion that they could not have learned the new material in a better way. Significant differences between the medical students and the physiotherapy apprentices were mainly found with regard to perceived learning gains, which physiotherapy apprentices reported as being lower. Positive aspects of interprofessionalism were most often emphasized in the responses to the open-ended questions. Most frequently criticized were organizational aspects and a lack of perceived learning gains. Conclusion: The introduction of interprofessional learning entails great effort in terms of organizational and administrative challenges. However, the project is considered worthwhile because the interprofessional aspects of the learning sessions were indeed valued by the participants. Permanently including and expanding interprofessional learning in the curricula of both professions longitudinally is therefore something to strive for. PMID:27280142
Slawsky, Melissa Maccarelli
While many music educators learn how to teach through teacher training programs, the standard mode of transmission in which piano teachers learn to teach applied piano is through proficiency of the instrument under the guidance of a master teacher. This tacit development of pedagogical knowledge occurs through the master-apprentice model of…
Bakkevig Dagsland, Åse Helene; Mykletun, Reidar Johan; Einarsen, Ståle
This study addresses the socialisation processes taking place during the apprenticeship period within the hospitality industry, searching for explanations of drop-out and early staff turnover in the personal, social and educational experiences of the apprentices during their organisational socialisation process and vocational training. Data were…
Visser, Maaike J.; Verberk, Maarten M.; Campbell, Linda E.; McLean, W. H. Irwin; Calkoen, Florentine; Bakker, Jan G.; van Dijk, Frank J. H.; Bos, Jan D.; Kezic, Sanja
Environmental exposure and personal susceptibility both contribute to the development of hand eczema. In this study, we investigated the effect of loss-of-function mutations in the filaggrin gene (FLG), atopic dermatitis and wet work exposure on the development of hand eczema in apprentice nurses.
Storm, Roger; Benson, Thomas; Galica, Carol; McCredie, Patty
This educator guide provides background information on Wilbur and Orville Wright. It also presents activities on aeronautics that provide templates for building the 1900, 1901, and 1902 Gliders and the 1903 Flyer. Activities include: (1) Early Aviation; (2) Your First Interview; (3) Your First Report; (4) Build a Model of the 1900 Glider; (5)…
Rothenberg, Alexis B; Berdon, Walter E; D'Angio, Giulio J; Yamashiro, Darrell J; Cowles, Robert A
Neuroblastoma is often widespread at the time of diagnosis. Three physicians between 1900 and 1910 played an important role in the pathologic definition of neuroblastoma and its route of spread in relation to the age of the patient. These findings eventually led to the advances in treatment and decreased morbidity of today. In 1910 James Homer Wright was the first to recognize the tumor as being of primitive neural cell origin, calling it neuroblastoma and emphasizing the bundle of cells termed rosettes. While Wright recognized the neural nature of the tumor, the authors of previous reports had described its two distinct patterns of spread. In 1901 William Pepper published a series of infants with massive hepatic infiltration associated with adrenal tumors without spread to bone, and in 1907 Robert Grieve Hutchison reported his experience with a similar pathologic process in older infants and children who had orbital and skull metastases. Wright's valuable unifying concept served to tie together the descriptions of Pepper and Hutchison. A century later the names of these physicians should be remembered-Wright, who defined the adrenal tumor as of primitive neural origin, Pepper for his clinically accurate report of massive liver involvement in the infant, and Hutchison for describing the propensity of the tumor to spread to bone in older children.
Rothenberg, Alexis B. [New York Medical College, Valhalla, NY (United States); Berdon, Walter E. [Columbia University Medical Center, Department of Radiology, Division of Pediatric Radiology, Morgan Stanley Children' s Hospital of New York-Presbyterian, New York, NY (United States); D' Angio, Giulio J. [Hospital of the University of Pennsylvania, Department of Radiation Oncology, Philadelphia, PA (United States); Yamashiro, Darrell J. [Columbia University Medical Center, Division of Pediatric Oncology, Morgan Stanley Children' s Hospital of New York-Presbyterian, New York, NY (United States); Cowles, Robert A. [Columbia University Medical Center, Department of Surgery, Division of Pediatric Surgery, Morgan Stanley Children' s Hospital of New York-Presbyterian, New York, NY (United States)
Neuroblastoma is often widespread at the time of diagnosis. Three physicians between 1900 and 1910 played an important role in the pathologic definition of neuroblastoma and its route of spread in relation to the age of the patient. These findings eventually led to the advances in treatment and decreased morbidity of today. In 1910 James Homer Wright was the first to recognize the tumor as being of primitive neural cell origin, calling it neuroblastoma and emphasizing the bundle of cells termed rosettes. While Wright recognized the neural nature of the tumor, the authors of previous reports had described its two distinct patterns of spread. In 1901 William Pepper published a series of infants with massive hepatic infiltration associated with adrenal tumors without spread to bone, and in 1907 Robert Grieve Hutchison reported his experience with a similar pathologic process in older infants and children who had orbital and skull metastases. Wright's valuable unifying concept served to tie together the descriptions of Pepper and Hutchison. A century later the names of these physicians should be remembered - Wright, who defined the adrenal tumor as of primitive neural origin, Pepper for his clinically accurate report of massive liver involvement in the infant, and Hutchison for describing the propensity of the tumor to spread to bone in older children. (orig.)
The subject of this essay is chosen for the purpose of obtaining a deeper insight into various methodological aspects related to my forthcoming doctoral work; an historical biographical study of the Norwegian nursing pioneer, Bergljot Larsson (1883 – 1968). In the essay I claim that it is of great importance that the interpreter is explicit on the assumptions underlying his interpretations, and is aware of their influence on the theory developed. I further discuss how the Finnish philoso...
IN URGENT NEED OF A DOCTOR GENEVA EMERGENCY SERVICES GENEVA AND VAUD 144 FIRE BRIGAD 118 POLICE 117 CERN FIREMEN 767-44-44 ANTI-POISONS CENTRE Open 24h/24h 01-251-51-51 Patient not fit to be moved, call family doctor, or: GP AT HOME, open 24h/24h 748-49-50 Association Of Geneva Doctors Emergency Doctors at home 07h-23h 322 20 20 Patient fit to be moved: HOPITAL CANTONAL CENTRAL 24 Micheli-du-Crest 372-33-11 ou 382-33-11 EMERGENCIES 382-33-11 ou 372-33-11 CHILDREN'S HOSPITAL 6 rue Willy-Donzé 372-33-11 MATERNITY 32 bvd.de la Cluse 382-68-16 ou 382-33-11 OPHTHALMOLOGY 22 Alcide Jentzer 382-33-11 ou 372-33-11 MEDICAL CENTRE CORNAVIN 1-3 rue du Jura 345 45 50 HOPITAL DE LA TOUR Meyrin EMERGENCIES 719-61-11 URGENCES PEDIATRIQUES 719-61-00 LA TOUR MEDICAL CENTRE 719-74-00 European EmergencyCall 112 FRANCE EMERGENCY SERVICES 15 FIRE BRIGADE 18 POLICE 17 CERN FIREMEN AT HOME 00-41-22-767-44-44 ANTI-POISONS CENTRE Open 24h/24h 04-72-11-69-11 All doctors will...
The American Psychological Foundation (APF) Gold Medal Awards recognize distinguished and enduring records of accomplishment in 4 areas of psychology. The 2016 recipient of Gold Medal Award for Life Achievement in Psychology in the Public Interest is Beatrice A. Wright. Dorothy W. Cantor, president of the APF, will present the APF Gold Medal Awards at the 124th Annual Convention of the American Psychological Association on August 5, 2016, at 4:00 p.m. Members of the 2016 APF Board of Trustees are: Dorothy W. Cantor, president; David H. Barlow, vice president; Melba J. T. Vasquez, secretary; Richard C. McCarty, treasurer; Elisabeth R. Straus, executive vice president/executive director; Cynthia Belar; Camilla Benbow; Rosie Phillips Bingham; Connie S. Chan; Anthony Jackson; Terence M. Keane; Archie L. Turner; W. Bruce Walsh; and Bonnie Markham and Rick McGraw, APA Board of Directors liaisons. (PsycINFO Database Record (c) 2016 APA, all rights reserved).
Hofrichter, Julian; Tran, Tat Dat
The present monograph develops a versatile and profound mathematical perspective of the Wright--Fisher model of population genetics. This well-known and intensively studied model carries a rich and beautiful mathematical structure, which is uncovered here in a systematic manner. In addition to approaches by means of analysis, combinatorics and PDE, a geometric perspective is brought in through Amari's and Chentsov's information geometry. This concept allows us to calculate many quantities of interest systematically; likewise, the employed global perspective elucidates the stratification of the model in an unprecedented manner. Furthermore, the links to statistical mechanics and large deviation theory are explored and developed into powerful tools. Altogether, the manuscript provides a solid and broad working basis for graduate students and researchers interested in this field.
Santos José Alcides Figueiredo
Full Text Available In a contribution to systematic empirical research, this discussion of Erik Wright's neo-Marxist class theory and typology constructs a class typology for contemporary capitalist society based on the appropriation of assets like means of production, skills or credentials, and domination within production. A micro-level conception of class locations is designed (seeking to capture the constraints acting on agents, where these locations are structurally interconnected within macrostructural class relations. Class typology addresses differentiations between the owners of capital and wage employees (middle-class positions within contemporary capitalist society but displays methodological limitations when it comes to the analytical exploration of extremes in class structure (big capital and underclass. Brazilian sociology should become more familiar with this move towards renewal within Marxist tradition, discussing it and making it part of empirical research.
Tackett, M Jan; Nash, Laurie; Stucky, Kirk Jeffrey; Nierenberg, Barry
Clinical supervision is of critical importance for training subsequent generations of psychologists. Specialty training in rehabilitation psychology requires exposure to specific knowledge, skills, and attitudes related to disability and specialized supervision and mentorship. In the literature to date, minimal guidance exists regarding supervision training and methods specifically for rehabilitation psychologists. This article aims to provoke discussion regarding supervision practice and dissemination of the values fundamental to our specialty. The foundational wisdom of Dr. Beatrice Wright (1983) is applied for the purposes of this endeavor. Examples of clinical supervision scenarios are presented as teaching vignettes to demonstrate ways in which supervisors and mentors can incorporate this content, promote discussion, and apply it to real-world practice. (c) 2016 APA, all rights reserved).
This doctoral research explores doctoral supervision within life science research in a Danish university. From one angle it investigates doctoral students’ experiences with strengthening the relationship with their supervisors through a structured meeting with the supervisor, prepared as part of ...... of different theoretical frameworks from the perspectives of learning as individual acquisition and a sociocultural perspective on learning contributed to a nuanced illustration of the otherwise implicit practices of supervision....... investigates learning opportunities in supervision with multiple supervisors. This was investigated through observations and recording of supervision, and subsequent analysis of transcripts. The analyses used different perspectives on learning; learning as participation, positioning theory and variation theory....... The research illuminates how learning opportunities are created in the interaction through the scientific discussions. It also shows how multiple supervisors can contribute to supervision by providing new perspectives and opinions that have a potential for creating new understandings. The combination...
Cooper, R J
This paper uses the case of solo doctors to explore whether working in relative isolation from one's peers may be detrimental to ethical decision-making. Drawing upon the relevance of communication and interaction for ethical decision-making in the ethical theories of Habermas, Mead and Gadamer, it is argued that doctors benefit from ethical discussion with their peers and that solo practice may make this more difficult. The paper identifies a paucity of empirical research related to solo practice and ethics but draws upon more general medical ethics research and a study that identified ethical isolation among community pharmacists to support the theoretical claims made. The paper concludes by using the literary analogy of Soderberg's Doctor Glas to illustrate the issues raised and how ethical decision-making in relative isolation may be problematical.
The doctor who attended the mother of Adolf Hitler in her terminal illness has been blamed as a cause of the Holocaust. The medical details recorded of this professional relationship are presented and discussed. Dr Bloch's medical care of Mrs Hitler was consistent with the prevailing medical practice of the management of fungating breast carcinoma. Indeed, the general practitioner's care and attention of the family appear to have been astute and supportive. There is nothing to suggest that Dr Bloch's medical care was other than competent. Doctors who have the (mis)fortune to professionally attend major figures of history may be unfairly viewed, despite their appropriate and adequate care.
Ohsaka, Hiromichi; Ishikawa, Kouhei; Omori, Kazuhiko; Jitsuiki, Kei; Yoshizawa, Toshihiko; Yanagawa, Youichi
At approximately 10 o'clock in September 2015, a minibus carrying 18 people accidentally slid backwards because of a malfunctioning brake system while climbing a steep incline on Togasayama Mountain, colliding with a van (Toyota HiAce wagon) carrying 11 people that was situated behind the minibus. Togasayama Mountain is located 1 hour by car and 10 minutes by helicopter from our hospital. The minibus slid off a roadside cliff at a height of 0.5 m and rolled over after colliding with the van. There were 7 victims with yellow tags and 22 with green tags. Two Doctor Helicopters and 1 Doctor Car cooperated with the fire departments by providing medical treatments, selection of medical facilities, and dispersion transportation. In this mass casualty event, there were no mortalities, and all of the victims recovered without sequelae. The coordinated and combined use of Doctor Helicopters and Doctor Cars in addition to the activities of the fire department in response to a mass casualty event resulted in appropriate triage, medical treatments, selection of medical facilities, and dispersion transportation. Copyright © 2017 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.
MacKay, R C; Matsuno, K; Mulligan, J
Communication difficulties between hospital doctors and nurses are well documented. A survey undertaken jointly by medical and nursing administration at Sir Charles Gairdner Hospital in Perth, Western Australia, verified difficulties in doctor-nurse communication as perceived by doctors and nurses, as well as by ward clerks as impartial observers. Questionnaire responses revealed some impediments in the flow of communication. Both nurses and doctors perceived less frequency of difficulties in communicating with members of their own professional group than with members of the other group. Nurses with university preparation and other special clinical qualifications perceived significantly fewer communication problems with doctors than nurses with less education. Interns perceived greater frequency in difficulty communicating with nurses than did more highly qualified doctors, and female doctors who were not interns claimed fewer problems than their male counterparts. Moreover, more highly qualified male doctors who had a previous occupation acknowledged fewer doctor-nurse communication problems.
Marcus, Bernd; Wagner, Uwe
In the present research, we investigated the joint impact of selected antecedents of counterproductive work behavior (CWB). A sample of German apprentices reported on their CWB and completed measures of situational evaluations (vocational preference, level and constructiveness of job satisfaction) believed to trigger CWB and of dispositional motivators (measured by integrity test subscales) and controls (self-control and another subset of integrity scales) of CWB. All predictors investigated showed the expected bivariate relationships with CWB. Multivariate analyses revealed that the triggering effect of an unfavorable vocational choice on CWB was fully mediated by job satisfaction. When predictors were aggregated, a composite of dispositional control variables had the largest effect on CWB and moderated the effects of motivational dispositions and situational evaluations. These results extend the knowledge on antecedents of CWB by investigating previously overlooked variables and samples and partially replicate recent findings on the joint impact of dispositions and work-related evaluations on CWB. Copyright (c) 2007 APA, all rights reserved.
This research briefing reports on some key findings from a study of doctors and patients relationships in general and family practice medicine. The study examined how patients, all parents with young children, and general practitioners (GPs) defined what personal care means to them, what importance and value it holds, and how this varies by patients’ health and their family and social circumstances.
Full Text Available Professor Emeritus Dr. Robert Paine was conferred the degree of Doctor Honoris Causa at the University of Tromsø on August 27 1998 as a recognition of his long lasting and continuing influence on the anthropological study of modern society, and in particular his many contributions to the understanding of Sami reindeer husbandry and the Sami culture in general.
Brookfield, Stephen D.
This chapter considers how doctoral education, particularly in applied settings such as education, social work, counseling, and health care, could be reimagined if it was organized around the idea and process of critical reflection: of helping students to better understand how power operates in educational environments and how students' sense of…
Costley, Carol; Pizzolato, Nicola
Doctoral programmes in which candidates research their own practice can be characterised as having transdisciplinary (TD) qualities. While most of the emphasis in the literature and in policy on TD is on research in teams, we argue for an expansion of the scope in the conception and understanding of TD research to include the way it can be…
Kleinman, Ronald L., Ed.
The International Planned Parenthood Federation (IPPF) believes that all people have the right to family planning information, including premarital and marital counseling, contraception information, and sex education. This physician's handbook is designed to provide all doctors with the necessary instructions on the latest family planning methods…
B. Serra Soriano
Full Text Available Within his large architectural production, Frank Lloyd Wright had the opportunity to experiment with the timber industrialization, linking a traditional material with the modern sense of architecture. Wood and Frank Lloyd Wright are inseparable from the balloon frame system, a system which he will use at his first housing and through which he will materialize the spatial decomposition concept. The research on the particular American System-Built Houses case will serve to show the earliest experiences of Wright with the industry, whose conclusions he would use for subsequent researches on prefabrication.
What to ask your doctor about epilepsy - child; Seizures - what to ask your doctor - child ... should I discuss with my child's teachers about epilepsy? Will my child need to take medicines during ...
Ostomy - what to ask your doctor; What to ask your doctor about ileostomy or colostomy; Colostomy - what ... the stoma? Does insurance cover the cost of ostomy supplies? What should I do if there is ...
... Almost 19,000 doctors were involved in the patients' care. Doctors were assigned patients based on work schedules ... better patient outcomes -- including lower mortality and higher patient satisfaction -- after taking into account differences in physician qualifications," ...
... your doctor; What to ask your doctor about newborn jaundice ... What causes jaundice in a newborn child? How common is newborn jaundice? Will the jaundice harm my child? What are the treatments for jaundice? How long does ...
Gardner, Susan K; Gopaul, Bryan
Although scholarly interest in doctoral education has increased dramatically over the last two decades, much of this attention has focused on the experiences of doctoral students who are enrolled full...
What to ask your doctor about concussion - child; Mild brain injury - what to ask your doctor - child ... school people I should tell about my child's concussion? Can my child stay for a full day? ...
Evers, Josef; Rausch, Tanja K
The purpose of this study was to evaluate the lifespan of physicians in North Rhine depending on the criterion if they had graduated with a Dr. med. thesis under German law or not. North Rhine is part of the German federal state North Rhine-Westphalia. The date of birth and date of death of 1133 deceased physicians from the journal of the medical association of North Rhine were recorded according to their doctoral degree from January 2013 until June 2016 inclusive. For the calculation of their length of life, the descriptive statistics and for further statistical analysis, the R program 1 was applied. Physicians with a doctoral degree under German law (Dr. med.) reached an average age of 80.9 ± 12.1 years whereas physicians without a dissertation reached an age of 67.6 ± 13.8 years, on average. After correction for year of birth no significant difference between the average lifespan of the two groups could be found. The analysis of the survival data of deceased physicians showed a much longer length of life if they had graduated with a doctoral thesis under German law, which was not significant after a year of birth correction. For every statistical analysis possible confounders need to be considered. © Georg Thieme Verlag KG Stuttgart · New York.
What to ask your doctor about dementia; Alzheimer disease - what to ask your doctor; Cognitive impairment - what to ask your doctor ... Alzheimer's Association. Dementia Care Practice Recommendations ... in a Home Setting. Updated 2009. Alz.org. www.alz.org/national/ ...
Bachman, Eva Burns; Grady, Marilyn L.
The purpose of this study was to investigate the roles of doctoral program specialists in Big Ten universities. Face-to-face interviews with 20 doctoral program specialists employed in institutions in the Big Ten were conducted. Participants were asked to describe their roles within their work place. The doctoral program specialists reported their…
Bengtsen, Søren Smedegaard
In doctoral education, the formal structures include the Graduate School system, PhD courses, and supervision contracts, etc. Doctoral education also takes place on informal and tacit levels, where doctoral students learn about the institutional regulations, the research field, academic craftsman...
On Wednesday 2 April, CERN hosted its third Doctoral Student Assembly in the Council Chamber. CERN PhD students show off their posters in CERN's Main Building. Speaking to a packed house, Director-General Rolf Heuer gave the assembly's opening speech and introduced the poster session that followed. Seventeen CERN PhD students presented posters on their work, and were greeted by their CERN and University supervisors. It was a very successful event!
Gassert, C. A.; Mills, M. E.; Heller, B.R.
A prototype program of doctoral study has been developed at the University of Maryland School of Nursing to prepare students with nursing expertise in the conceptualization and research of computer based information systems in hospitals, industry and other health care organizations. The graduate will be prepared to design effective nursing information systems; create innovative information technology; conduct research regarding integration of technology with nursing practice, administration, ...
After graduating from medical school, all doctors need to undertake some training activities lifelong to maintain, update or develop their knowledge, skills and attitudes towards their professional practice. Continuing professional development (CPD) refers to continuing development of medical and non- medical competencies including professionalism, and interpersonal, managerial and communication skills. There is no single correct way of doing CPD. Most learning in CPD is self-directed and based on one's own learning needs. Effective CPD is characterized by the presence of three factors: a clear reason why a particular CPD needs to be undertaken, learning activities appropriate to identified needs and follow- up on learning. There are several models for CPD. However, the onus is on doctors to show that they continue to maintain appropriate professional standards after training. Here, regulation becomes essential for revalidation, monitoring and to provide the necessary impetus to make CPD mandatory. In India, the credit point system is followed by some states, but the policy to link credit hours with renewal of registration thereafter is not uniform. While the present system is able to monitor time devoted to CPD, it encourages people to gather certificates of attendance at sessions without relevance to or real interest in the subject. The quality and relevance of CPD activities matter more than the quantity of hours. Eventually, we need to move away from credit point counting towards a process of self-accreditation and reflection. Each individual will have to find appropriate methods, learn, document and present evidence that learning has happened, and show that it has been applied in practice. As a profession, we need to encourage a culture where doctors do not view CPD and recertification as a threat. Doctors will need to understand that they are accountable to their patients, and should prioritize and build CPD into their practice.
Aug 14, 1971 ... Doctor Shortage and Health Services*. 883. C. J. H. BRINK, RA., M.D., B.CH., D.P.H., D.T.M. ... Matriculation Board should have altered the regulations to remove· the stumbling block of English Higher .... emergencies the sick Pantu must resort to r~e witchdoctor or sometimes to the nurse or midwife in the ...
Laurel D. Kincl; Anton, Dan; Hess, Jennifer A.; Weeks, Douglas L.
Background Masons have the highest rate of overexertion injuries among all construction trades and rank second for occupational back injuries in the United States. Identified ergonomic solutions are the primary method of reducing exposure to risk factors associated with musculoskeletal disorders. However, many construction workers lack knowledge about these solutions, as well as basic ergonomic principles. Construction apprentices, as they embark on their careers, are greatly in need of ergon...
While many beginning farmers may start their new business using only their own labor, they will generally need help for the farm to grow and become profitable. It is important to understand the legal requirements for hiring employees and working with apprentices and interns. Lecture 1 will familiarize students with employee protections— the federal and California state employment laws as they pertain to small farms. Most other states have employment laws administered through the stat...
Jeffrey M. Chusid
Full Text Available El artículo expone una breve descripción histórica ilustrativa del proceso de encargo, diseño y construcción de la casa con los bloques prefabricados característicos de la etapa californiana de Wright y de la vida posterior del edificio, centro neurálgico de la actividad de vanguardia artística de Los Ángeles, con sustanciales modificaciones llevadas a cabo por otros arquitectos afamados como Rudolph Schindler, Gregory Ain and John Lautner. En el texto se refleja no solo la tremenda complejidad técnica de restaurar esta casa erigida con un sistema constructivo sugerente pero tremendamente frágil y problemático y la dificultad añadida de su presencia en zona sísmica y los daños sufridos por el terremoto de Los Ángeles de 1994, sino también el dilema que surge a la hora de escoger eventualmente qué fase restaurar del edificio entre toda la estratificación de intervenciones de arquitectos estrella que caracteriza a este edificio.
Hill, William G
Although animal breeding was practiced long before the science of genetics and the relevant disciplines of population and quantitative genetics were known, breeding programs have mainly relied on simply selecting and mating the best individuals on their own or relatives' performance. This is based on sound quantitative genetic principles, developed and expounded by Lush, who attributed much of his understanding to Wright, and formalized in Fisher's infinitesimal model. Analysis at the level of individual loci and gene frequency distributions has had relatively little impact. Now with access to genomic data, a revolution in which molecular information is being used to enhance response with "genomic selection" is occurring. The predictions of breeding value still utilize multiple loci throughout the genome and, indeed, are largely compatible with additive and specifically infinitesimal model assumptions. I discuss some of the history and genetic issues as applied to the science of livestock improvement, which has had and continues to have major spin-offs into ideas and applications in other areas.
In April 1990, Wright-Patterson Air Force Base (WPAFB), initiated an investigation to evaluate a potential Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) removal action to prevent, to the extent practicable, the offsite migration of contaminated ground water from WPAFB. WPAFB retained the services of the Environmental Management Operations (EMO) and its principle subcontractor, International Technology Corporation (IT) to complete Phase 1 of the environmental investigation of ground-water contamination at WPAFB. Phase 1 of the investigation involves the short-term evaluation and potential design for a program to remove ground-water contamination that appears to be migrating across the western boundary of Area C, and across the northern boundary of Area B along Springfield Pike. Primarily, Task 4 of Phase 1 focuses on collection of information at the Area C and Springfield Pike boundaries of WPAFB. This Sampling and Analysis Plan (SAP) has been prepared to assist in completion of the Task 4 field investigation and is comprised of the Quality Assurance Project Plan (QAPP) and the Field Sampling Plan (FSP).
This Removal Action System Design has been prepared as a Phase I Volume for the implementation of the Phase II removal action at Wright-Patterson Air Force Base (WPAFB) near Dayton, Ohio. The objective of the removal action is to prevent, to the extent practicable, the migration of ground water contaminated with chlorinated volatile organic compounds (VOCS) across the southwest boundary of Area C. The Phase 1, Volume 9 Removal Action System Design compiles the design documents prepared for the Phase II Removal Action. These documents, which are presented in Appendices to Volume 9, include: Process Design, which presents the 30 percent design for the ground water treatment system (GWTS); Design Packages 1 and 2 for Earthwork and Road Construction, and the Discharge Pipeline, respectively; no drawings are included in the appendix; Design Package 3 for installation of the Ground Water Extraction Well(s); Design Package 4 for installation of the Monitoring Well Instrumentation; and Design Package 5 for installation of the Ground Water Treatment System; this Design Package is incorporated by reference because of its size.
Benjamin Aigbe Okonofua
Full Text Available In his immensely provocative work The Power Elite, Mills argued that the United States of America is controlled and manipulated by elite that constituted the leadership of three major institutions: business, government, and the military. These institutions and their leaders, over the years, have consolidated their hold on power while evading public opprobrium and chasm. Although Mills and those who support his thesis have been successful at applying the “power elite” model to the United States and, perhaps, developed countries in the Western hemisphere, it is debatable that his rigid classifications and their underlying assumptions apply to other countries, particularly in Africa with different socio-cultural, political, economic, and historical milieu. This article offers an opportunity to apply the “power elite” model to a non-Western, underdeveloped modern nation-state: Nigeria. Nigeria, the most populous Black nation on earth, is clearly under the control of a “power elite.” The question is which elite? Within relatively brief compass, I attempt to identify the Nigerian power elite as a way to validate or reject the “power elite” model of C. Wright Mills.
Hill, William G.
Although animal breeding was practiced long before the science of genetics and the relevant disciplines of population and quantitative genetics were known, breeding programs have mainly relied on simply selecting and mating the best individuals on their own or relatives’ performance. This is based on sound quantitative genetic principles, developed and expounded by Lush, who attributed much of his understanding to Wright, and formalized in Fisher’s infinitesimal model. Analysis at the level of individual loci and gene frequency distributions has had relatively little impact. Now with access to genomic data, a revolution in which molecular information is being used to enhance response with “genomic selection” is occurring. The predictions of breeding value still utilize multiple loci throughout the genome and, indeed, are largely compatible with additive and specifically infinitesimal model assumptions. I discuss some of the history and genetic issues as applied to the science of livestock improvement, which has had and continues to have major spin-offs into ideas and applications in other areas. PMID:24395822
In September 1993 DOE through Argonne National Laboratory awarded Wilbur Wright College a grant to develop an Environmental Technician training program. The primary goals included developing a comprehensive curriculum for the best possible training of environmental technicians as well as the building of a state-of-the-art facility to serve these students. The specific goal of the creation of the Environmental Technology Department was to train participants in identifying, auditing, sampling, and managing hazardous substances, handling in routine use, as well as responding to chemical emergencies, and in minimizing the generation of hazardous waste through pollution prevention. The development of the facilities included a state-of-the-art classroom with projection equipment and satellite connection, a computer lab, and a fully equipped wet science laboratory. The program was intended to make available a range of education options for students. Because of the accomplishments of the Environmental Technology Department, it must be considered a success that continues after the completion of the grant.
Ana Luísa Saraiva
Full Text Available O texto discute o sentido polémico do “regresso” a África que Richard Wright inscreve em Black Power e a forma como a narrativa da viagem subverte a “Middle Passage”. O sujeito narrativo orienta o leitor através de uma incursão pessoal nos muitos sentidos da modernidade e desdobra a noção de “destino comum”, já apontada em 12 Million Black Voices. Contudo, qualquer sentido de comunidade é aqui necessariamente ambíguo, por estar sempre relacionado com questões de raça e identidade. Black Power é uma narrativa importante para o conceito de modernidade e assinala uma mudança significativa na produção literária de Wright para uma vertente não-ficcional. Esta segunda fase da sua obra contém, no entanto, um paradoxo crucial: enquanto se volta para o exterior, para o mundo mais global, Wright tenta, simultaneamente, inscrever-se como referência sobre o locus do qual nunca poderia demarcar‑se: África. Em Black Power, a duboisiana “color line” desdobra‑se em múltiplas dimensões.
Historians of science have long been agreeing: what many textbooks of evolutionary biology say, about the histories of Darwinism and the New Synthesis, is just too simple to do justice to the complexities revealed to critical scholarship and historiography. There is no current consensus, however, on what grand narratives should replace those textbook histories. The present paper does not offer to contribute directly to any grand, consensual, narrational goals; but it does seek to do so indirectly by showing how, in just one individual case, details of intellectual biography connect with big picture issues. To this end, I examine here how very diverse scientific and metaphysical commitments were integrated in Sewall Wright's own personal synthesis of biology and philosophy. Taking as the decisive text the short final section of Wright's long 1931 paper on 'Evolution in Mendelian populations,' I examine how his shifting balance theory (SBT) related to his optimum breeding strategy research, his physiological genetics, his general theory of homogenising and heterogenesing causation and his panpsychist view of mind and matter; and I discuss how understanding these relations can clarify Wright's place in the longue durée of evolutionary thought. Copyright © 2010 Elsevier Ltd. All rights reserved.
Full Text Available Este ensayo intenta reconstruir el debate que suscitó el libro Listen, Yankee (1960, del sociólogo norteamericano C. Wright Mills, en la opinión pública de Estados Unidos. Elprofesor de la Universidad de Columbia fue uno de los primeros intelectuales en viajar a la isla, luego del triunfo de la Revolución Cubana, y en interesarse en esa experienciade cambio social. La solidaridad de Wright Mills no era, sin embargo, acrítica con ciertos elementos autoritarios que observaba en el socialismo cubano y estaba fundamentalmente dirigida a defender una política comprensiva y respetuosa hacia el nacionalismo revolucionario del Caribe desde Estados Unidos. Esa política y esa crítica, defendidas por Wright Mills en el contexto de la Guerra Fría, formaron parte del repertorio de valores yprácticas que él mismo identifico con el concepto de “Nueva Izquierda”.
In this article, the author examines the overlap between feminism and animal causes, particularly through the lives of two women, the sculptor, Alice Morgan Wright (1881-1975), and her friend, Edith Goode (1882-1970). Feminism and animal causes had connections in the late nineteenth century, particularly in campaigns to abolish vivisection. Wright and Goode held to these politics throughout their lives, and were "precursors of a generation yet to come" who would argue the connections - as many ecofeminists do today. Both women were involved in suffrage campaigns, and continued to be involved in women's organisations such as the National Woman's Party. They were, however, opposed to all injustice, including human mistreatment of animals. Feminism was, to Wright and Goode, part of a wider set of problems; animal cruelty reflected a greater barbarism leading to mistreatment of humans. Accordingly, they actively campaigned for legislation to protect animals and the environment, and lobbied the fledgling United Nations to include such measures. That challenge to the United Nations represented a unique attempt to bring animals into citizenship' a move being made again today, through initiatives such as the Great Ape Project.
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Graves, M; Schermer, V L
James Wright's work is multilayered. Taken as a whole, which Annie Wright's beautiful compilation, Above the River, allows one to do, Wright's poems (as well as his masterful "prose poems") have a pattern akin to a mythic cycle. "Mythemes" (Lévi-Strauss, 1979) recur as dialectic opposites from one poem to another, whether the abandoned male and mysterious woman, humankind and nature, blindness and seeing, secrets and revelation. Suggestive and symbolic forms such as birds, horses, earth, sky, the destitute, rivers, and adolescence weave themselves throughout in inner and outer "landscapes" of images and experiential moments. There is a frequent shift of "gestalts" between the inner world and external reality. Such a "blooming, buzzing confusion" of internal and external referents might appear to be psychotic and imply a loss of "reality testing." Chassaguet-Smirgel (1988), citing Oscar Wilde's The Picture of Dorian Gray as an example, contended that the artist narrowly averts psychosis by transforming it into a work of art. Surrealists, for whom the psychoanalyst Jacques Lacan was an important figure (cf. Sarup, 1992, pp. 17-27), elevated psychosis to the status of art, and Wright has been considered to be a surrealistic poet, although he himself denied such an affiliation. Hall (Wright, 1990, Introduction, pp. xxiii-xxxvii) suggests that Wright, in addition to an extensive history of alcoholism, from which he seemed to recover towards the end of his life, suffered from a major mental illness, which included episodes of severe depression, hospitalizations, and at least one suicide attempt. The severity of the asceticism and the extreme damage to the self in some Wright's work suggests their roots in early traumatic experiences. (A terribly damaged yet heroic personage, whose disfigurement perhaps symbolizes the poet's trauma, is "Hook" [ATR, pp. 315-316], about a man who gives his last few cents to the poet with a hook replacing his amputated hand.) Not enough is
Cappuccio, Francesco; Lockley, Steven B.
Interest, curiosity, or dismay—which feeling predominates when we learn from BBC Newsnight that our NHS employs doctors who commute from Poland to cover the out of hours duties that local GPs are unable to work because they are too tired at night? Is it interest in an innovative solution for modern pan-European healthcare provision, curiosity in discovering huge variations in the standard of living across the medical profession in an open Europe, or dismay that the government’s emphasis, that...
Cagdas, Volkan; Stubkjær, Erik
The multitude of rights in land and the recording of these rights are addressed by a number of studies, yet a recognized paradigm for such studies seems missing. Rights in land are recorded and managed through either cadastral systems or land administration systems depending on the legal system...... the main analysis, we invited the authors of the dissertations to comment upon our analysis of their work and the developed taxonomy. The responses corroborate the view that the taxonomy could be used for further analyses and provide for a framework for further doctoral research. The article concludes...
Carmi, Shai; Palamara, Pier Francesco; Vacic, Vladimir; Lencz, Todd; Darvasi, Ariel; Pe'er, Itsik
Widespread sharing of long, identical-by-descent (IBD) genetic segments is a hallmark of populations that have experienced recent genetic drift. Detection of these IBD segments has recently become feasible, enabling a wide range of applications from phasing and imputation to demographic inference. Here, we study the distribution of IBD sharing in the Wright-Fisher model. Specifically, using coalescent theory, we calculate the variance of the total sharing between random pairs of individuals. We then investigate the cohort-averaged sharing: the average total sharing between one individual and the rest of the cohort. We find that for large cohorts, the cohort-averaged sharing is distributed approximately normally. Surprisingly, the variance of this distribution does not vanish even for large cohorts, implying the existence of "hypersharing" individuals. The presence of such individuals has consequences for the design of sequencing studies, since, if they are selected for whole-genome sequencing, a larger fraction of the cohort can be subsequently imputed. We calculate the expected gain in power of imputation by IBD and subsequently in power to detect an association, when individuals are either randomly selected or specifically chosen to be the hypersharing individuals. Using our framework, we also compute the variance of an estimator of the population size that is based on the mean IBD sharing and the variance in the sharing between inbred siblings. Finally, we study IBD sharing in an admixture pulse model and show that in the Ashkenazi Jewish population the admixture fraction is correlated with the cohort-averaged sharing.
Édgar Orlay Valbuena Ussa (Página 2-15
Full Text Available Para la Revista Bio-grafía. Escritos sobre la Biología y su enseñanza, resulta trascendental abordar la discusión sobre los aspectos filosóficos, históricos y epistemológicos de la Biología; no solamente por la importancia de ello en la consolidación y desarrollo de esta ciencia, sino además, y muy especialmente, por los aportes de este debate en la enseñanza de la Biología. Consecuentemente, aprovechamos la estancia del doctor Caponi en Bogotá (con motivo de su participación en el evento “Darwin 200 años” para realizar esta entrevista. Dada su amplia trayectoria investigativa y reconocimiento mundial en el campo de la Filosofía de la Biología, representa un honor contar con la participación del doctor Caponi en este número.
GENEVA PATIENT NOT FIT TO BE MOVED: Call your family doctor Or SOS MEDECINS (24H/24H) Or ASSOC. MEDECINS DE GENEVE (7H-23H) 022 748-49-50 022 322-20-20 PATIENT CAN BE MOVED: HOPITAL CANTONAL 24 Micheli du Crest 022 372-33-11 / 022 382-33-11 URGENCES PEDIATRIQUES 30 Bd de la Cluse 022 382-45-55 MATERNITY 24 Micheli du Crest 022 382-68-16 / 022 382-33-11 CLINIQUE OPHTALMOLOGIQUE 22 Alcide Jentzer 022 382-84-00 HOPITAL DE LA TOUR Meyrin 022 719-61-11 URGENCES ADULTES Meyrin 022 719-66-80 URGENCES : AMBULANCE (GENEVE ET VAUD) : 144 FIRE BRIGADE CERN 767-44-44 FIRE BRIGADE 118 POLICE 117 CENTRE ANTI-POISON 24H/24H 01-251-51-510 APPEL D'URGENCE EUROPEEN 112 FRANCE PATIENT NOT FIT TO BE MOVED: Call your family doctor (ouor 15) PATIENT CAN BE MOVED: HOPITAL DE ST. JULIEN Rue Amédée VIII de Savoie&a...
GENEVE PATIENT NOT FIT TO BE MOVED: Call your family doctor Or : SOS MEDECINS (24H/24H) 022 748-49-50 Or : ASSOC. MEDECINS DE GENEVE (07H-23H) 022 322-20-20 PATIENT CAN BE MOVED: HOPITAL CANTONAL 24 Micheli du Crest 022 372-33-11 / 022 382-33-11 EMERGENCIES PEDIATRIQUES 30 Bd de la Cluse 022 382-45-55 MATERNITY 24 Micheli du Crest 022 382-68-16 / 022 382-33-11 CLINIQUE OPHTALMOLOGIQUE 22 Alcide Jentzer 022 382-84-00 HOPITAL DE LA TOUR Meyrin 022 719-61-11 EMERGENCIES ADULTS Meyrin 022 719-66-80 EMERGENCIES: AMBULANCES (GENEVE ET VAUD) 144 FIRE BRIGADE CERN 022 767-44-44 FIRE BRIGADE 118 POLICE 117 CENTRE ANTI-POISON 24H/24H: 01-251-51-51 EUROPEAN EMERGENCY CALL : 112 FRANCE PATIENT NOT FIT TO BE MOVED: Call your family doctor (or 15) PATIENT CAN BE MOVED: HOPITAL DE ST. JULIEN rue Amédée VIII de Savoie 04-50-49-65-65 EMERGENCIES rue Amédée VIII de Savoie 04-50-49-65-83 MATERNITY rue Amédée VIII de Savoie 04-50-49-66-07 HOPITAL D'ANNEMASSE 1...
GENEVE PATIENT NOT FIT TO BE MOVED: Call your family doctor Or : SOS MEDECINS (24H/24H) 022 748-49-50 Or : ASSOC. MEDECINS DE GENEVE (07H-23H) 022 322-20-20 PATIENT CAN BE MOVED: HOPITAL CANTONAL 24 Micheli du Crest 022 372-33-11 / 022 382-33-11 EMERGENCIES PEDIATRIQUES 30 Bd de la Cluse 022 382-45-55 MATERNITY 24 Micheli du Crest 022 382-68-16 / 022 382-33-11 CLINIQUE OPHTALMOLOGIQUE 22 Alcide Jentzer 022 382-84-00 HOPITAL DE LA TOUR Meyrin 022 719-61-11 EMERGENCIES ADULTES Meyrin 022 719-66-80 EMERGENCIES: AMBULANCES (GENEVE ET VAUD) 144 FIRE BRIGADE CERN 022 767-44-44 FIRE BRIGADE 118 POLICE 117 CENTRE ANTI-POISON: 24H/24H 01-251-51-51 EUROPEAN EMERGENCY CALL: 112 FRANCE PATIENT NOT FIT TO BE MOVED: Call your family doctor (or 15) PATIENT CAN BE MOVED: HOPITAL DE ST. JULIEN rue Amédée VIII de Savoie 04-50-49-65-65 EMERGENCIES rue Amédée VIII de Savoie 04-50-49-65-83 MATERNITY rue Amédée VIII de Savoie 04-50-49-66-07 HOPITAL D'ANNEMASSE 17 rue du Jura, Ambilly 04-50-87-47-47 EMERGENCIES 17 rue...
GENEVE PATIENT NOT FIT TO BE MOVED: Call your family doctor Or: SOS MEDECINS (24H/24H) 022 748-49-50 Or: ASSOC. MEDECINS DE GENEVE (07H-23H) 022 322-20-20 PATIENT CAN BE MOVED: HOPITAL CANTONAL 24 Micheli du Crest 022 372-33-11 / 022 382-33-11 URGENCES PEDIATRIQUES 30 Bd de la Cluse 022 382-45-55 MATERNITY 24 Micheli du Crest 022 382-68-16 / 022 382-33-11 CLINIQUE OPHTALMOLOGIQUE 22 Alcide Jentzer 022 382-84-00 HOPITAL DE LA TOUR Meyrin 022 719-61-11 EMERGENCIES ADULTES Meyrin 022 719-66-80 EMERGENCIES: AMBULANCES (GENEVE AND VAUD) 144 FIRE BRIGADE CERN 022 767-44-44 FIRE BRIGADE 118 POLICE 117 CENTRE ANTI-POISON (24H/24H): 01-251-51-51 EUROPEAN EMERGENCY CALL: 112 FRANCE PATIENT NOT FIT TO BE MOVED: Call your family doctor (or 15) PATIENT CAN BE MOVED: HOPITAL DE ST. JULIEN rue Amédée VIII de Savoie 04-50-49-65-65 EMERGENCIES rue Amédée VIII de Savoie 04-50-49-65-83 MATERNITY r...
GENEVE PATIENT NOT FIT TO BE MOVED: Call your family doctor Or: SOS MEDECINS (24H/24H) 022 748-49-50 Or: ASSOC. MEDECINS DE GENEVE (07H-23H) 022 322-20-20 PATIENT CAN BE MOVED: HOPITAL CANTONAL 24 Micheli du Crest 022 372-33-11 / 022 382-33-11 PAEDIATRIC EMERGENCIES 30 Bd de la Cluse 022 382-45-55 MATERNITY 24 Micheli du Crest 022 382-68-16 / 022 382-33-11 CLINIQUE OPHTALMOLOGY 22 Alcide Jentzer 022 382-84-00 HOPITAL DE LA TOUR Meyrin 022 719-61-11 EMERGENCIES ADULTS Meyrin 022 719-66-80 EMERGENCIES: AMBULANCE (GENEVE AND VAUD) 144 FIRE BRIGADE 118 FIRE BRIGADE CERN 022 767-44-44 POLICE 117 ANTI POISON CENTRE (24H/24H) 01-251-51-51 EUROPEAN EMERGENCY CALL 112 FRANCE PATIENT NOT FIT TO BE MOVED: Call your family doctor (or 15) PATIENT CAN BE MOVED: HOPITAL DE ST. JULIEN Rue Amédée VIII de Savoie 04-50-49-65-65 EMERGENCIES Rue Amédée VIII de Savoie 04.50-49-65-83 MATERNITY Rue Am...
GENEVE PATIENT NOT FIT TO BE MOVED: Call your family doctor Or: SOS MEDECINS (24H/24H) 022 748-49-50 Or: ASSOC. MEDECINS DE GENEVE (07H-23H) 022 322-20-20 PATIENT CAN BE MOVED: HOPITAL CANTONAL 24 Micheli du Crest 022 372-33-11 / 022 382-33-11 EMERGENCIES PEDIATRIQUES 30 Bd de la Cluse 022 382-45-55 MATERNITY 24 Micheli du Crest 022 382-68-16 / 022 382-33-11 CLINIQUE OPHTALMOLOGIQUE 22 Alcide Jentzer 022 382-84-00 HOPITAL DE LA TOUR Meyrin 022 719-61-11 EMERGENCIES ADULTES Meyrin 022 719-66-80 EMERGENCIES: AMBULANCES (GENEVE ET VAUD) 144 FIRE BRIGADE CERN 022 767-44-44 FIRE BRIGADE 118 POLICE 117 CENTRE ANTI-POISON: 24H/24H 01-251-51-51 EUROPEAN EMERGENCY CALL: 112 FRANCE PATIENT NOT FIT TO BE MOVED: Call your family doctor (or 15) PATIENT CAN BE MOVED: HOPITAL DE ST. JULIEN rue Amédée VIII de Savoie 04-50-49-65-65 EMERGENCIES rue Amédée VIII de Savoie 04-50-49-65-83 MATERNITY rue Amédée VIII de Savoie 04-50-49-66-07 HOPITAL D'ANNEMASSE 17 r...
GENEVE PATIENT NOT FIT TO BE MOVED: Call your family doctor Or: SOS MEDECINS (24H/24H) 022 748-49-50 Or: ASSOC. MEDECINS DE GENEVE (07H-23H) 022 322-20-20 PATIENT CAN BE MOVED: HOPITAL CANTONAL 24 Micheli du Crest 022 372-33-11 / 022 382-33-11 PAEDIATRIC EMERGENCIES 30 Bd de la Cluse 022 382-45-55 MATERNITY 24 Micheli du Crest 022 382-68-16 / 022 382-33-11 CLINIQUE OPHTALMOLOGY 22 Alcide Jentzer 022 382-84-00 HOPITAL DE LA TOUR Meyrin 022 719-61-11 EMERGENCIES ADULTS Meyrin 022 719-66-80 EMERGENCIES: AMBULANCE (GENEVE AND VAUD) 144 FIRE BRIGADE 118 FIRE BRIGADE CERN 022 767-44-44 POLICE 117 ANTI POISON CENTRE (24H/24H) 01-251-51-51 EUROPEAN EMERGENCY CALL 112 FRANCE PATIENT NOT FIT TO BE MOVED: Call your family doctor (or 15) PATIENT CAN BE MOVED: HOPITAL DE ST. JULIEN Rue Amédée VIII de Savoie 04-50-49-65-65 EMERGENCIES Rue Amédée VIII de Savoie 04.50-49-65-83 MATERNITY Rue Am&...
da Luz, Andréa Aparecida; da Silva, Miryam Cristina Mazieiro Vergueiro; Turte, Samantha Lemos; Lopes, Marildo de Oliveira; Fischer, Frida Marina
This research aims to assess apprentices' and trainees' work conditions, psychosocial factors at work, as well as health symptoms after joining the labor force. Despite the fact that there are over 3.5 million young working students in Brazil,this increasing rate brings with it difficult working conditions such as work pressure, heavy workloads,and lack of safety training. This study was carried out in a nongovernmental organization (NGO) with 40 young members of a first job program in the city of São Paulo, Brazil. They filled out a comprehensive questionnaire focused on sociodemographic variables, working conditions,and health symptoms. Individual and collective semi-structured interviews were conducted. Empirical data analysis was performed using analysis of content. The majority of participants mentioned difficulties in dealing with the pressure and their share of responsibilities at work. Body pains, headaches, sleep deprivation during the workweek, and frequent colds were mentioned. Lack of appropriate task and safety training contributed to the occurrence of work injuries. Having a full-time job during the day coupled with evening high school attendance may jeopardize these people's health and future. This study can make a contribution to the revision and implementation of work training programs for adolescents. It can also help in the creation of more sensible policies regarding youth employment.
Worley, Julie; Thomas, Sandra P
Doctor shopping is a term used to describe a form of diversion of prescription drugs when patients visit numerous prescribers to obtain controlled drugs for illicit use. Gender differences exist in regard to prescription drug abuse and methods of diversion. The purpose of this phenomenological study guided by the existential philosophy of Merleau-Ponty was to understand the lived experience of female doctor shoppers. Interviews were conducted with 14 women, which were recorded, transcribed, and analyzed. Included in the findings are figural aspects of the participants' experience of doctor shopping related to the existential grounds of world, time, body, and others. Four themes emerged from the data: (a) feeding the addiction, (b) networking with addicts, (c) playing the system, and (d) baiting the doctors. The findings suggest several measures that nurses can take to reduce the incidence of doctor shopping and to provide better care for female doctor shoppers.
Uvais, N. A.
Background: The belief that jinn can cause mental illness in human through afflictions or possession is widely accepted among Muslims. Belief about jinn in Muslim medical professionals, especially medical doctors has not been studied till date. Aim: To explore the belief among Muslim doctors regarding jinn and psychiatry. Materials and Methods: We conducted a cross-sectional study among Muslim doctors using a study questionnaire. Results: Majority of the participants believed in the existence...
Charlton, B. G.
The holistic doctor is sometimes proposed as an ideal. However, holism involves an expansion of medical categories to encompass most of 'normal' life as well as sickness. The humane doctor is suggested as a better ideal. He or she is wise, compassionate and liberally educated; and knows that there is more to life than medicine-both for doctors and their patients. Humane practice is promoted by a broad and rigorous education but inhibited by excessive busyness and pressurized conditions of wor...
Xie, Zheng; Qiu, Ze-qi; Zhang, Tuo-hong
To describe the doctors' satisfaction of the doctor-patient relationship and find out the influencing factors of the patients, gathering evidence to improve the doctor-patient relationship. This study was a cross-sectional study, in which doctors and nurses in 10 hospitals of Beijing, Shandong and Chongqing were surveyed with structured questionnaires and in-depth interviews. The mean score of the doctors' satisfaction of the doctor-patient relationship was 59.97, which was much lower than the patients'. The patients' socio-demographic characteristics, social economic status (SES) and behavior characteristics influence the interaction of the doctors and the patients. The doctors' satisfaction of the doctor-patient relationship was influenced by the patients' trust. The doctors' perspective is helpful to define the tension and the cause of the doctor-patient relationship. The patients' characteristics have important influence on the doctor-patient relationship. It's necessary to take action on the patients to improve the doctor-patient relationship.
Nash, David B; Malcolm, Laurence; Wright, Lyn; Barnett, Pauline; Hendry, Chris; Crosson, Francis J; Atun, Rifat A; Thomas, Hilary
The problem with doctor-manager relationships is well studied. The potential for these relationships to harm the working environment and affect organisational performance is acknowledged and understood...
patient interactions.[5,6] It is the typical doctors' orientation ..... The Kano doctors practice orientation mean scores to the power and decision making (“sharing” scores), and their attention to emotion and lifestyle (“caring” scores).
Juan Antonio Cortés
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El artículo consiste en una descripción comparada de dos edificios: Monticello ‐la casa que Thomas Jefferson construyó para sí mismo en Virginia‐ y Taliesin ‐la casa y estudio de Frank Lloyd Wright en Wisconsin‐. El texto estudia en primer lugar las fuentes arquitectónicas y la evolución del proyecto de Monticello, para centrarse después en la explicación de Taliesin. Hay una cierta similitud en el modo en que Monticello y las casas de Wright ‐en concreto la Ward Willitts‐ se extienden horizontalmente en el terreno y, volviendo a Taliesin, la tesis principal del texto es que tanto la residencia de Jefferson como la de Wright se asientan sobre una colina, pero Monticello ‘corona’ su cima, mientras que Taliesin la bordea, se sitúa como una ‘ceja’ respecto a la misma. En definitiva, de este último edificio se puede afirmar que es una ‘casa natural’, que logra una plena integración entre arquitectura y naturaleza.
casa, proyecto, evolución, corona, natural
This article consists of a comparative description of two buildings: Monticello, Thomas Jefferson’s residence which he built for himself in Virginia, and Taliesin, the studio and home of Frank Lloyd Wright in Wisconsin. First, the text studies the architectural references and evolution of the project for Monticello, in order to later focus on explaining Taliesin. There is a certain similarity in the way that Monticello and Wright’s houses (especially the Ward Willits House extend horizontally across the land. The thesis of this article is that both Jefferson’s and Wright’s residences rest upon a hill, but Monticello crowns the top while Taliesin borders it like an eyebrow. In conclusion, we can say that Taliesin is a “natural house”, which manages to fully integrate its architecture with nature
La recuperación de la Escuela de Wright en Tokyo supone una apuesta por la pervivencia del único edificio íntegro que se conserva de la estancia del arquitecto en la ciudad. Su rehabilitación, que ha contemplado la sustitución de gran parte de los entramados de listones de madera de paredes y techos, ha sido realizada con una atención exquisita a la configuración y mobiliario original del conjunto. El edificio restaurado ha abierto sus puertas al público en virtud de su reciente declaración c...
Full Text Available There is a growing awareness that research in primary care is needed to provide excellent clinical and population-based care, to develop effective health systems and policies, and to educate future primary care professionals and researchers. The relevance of research undertaken in primary care is unquestionable: the results of researches conducted in other settings has limited relevance because primary care encounters health problems rarely managed in other sectors of health care (i.e. low probability of major acute disease and high prevalence of comorbidity. From legislative aspects to limits and difficulties of application, the article underlines the importance of research in primary care in the Italian context, where this kind of activity is almost absent. An example, concerning the Genova ASL 3, is reported to suggest strategies to promote and improve research as an integral component of family doctors skills.
While studies have examined a myriad of issues in doctoral study, much of this research has not employed the tools of major social and cultural thinkers to the dynamics of doctoral education. This paper explores the use of Bourdieu's notion of field to render visible the practices and contexts of doctoral education that produce inequalities across…
This contribution presents a concise and up-to-date report of doctoral studies in Romania, with a special emphasis on legal and social aspects. The author also argues that in order to be sustainable, the reform of doctoral studies should be substantiated by the differentiation of universities, reliable post-doctoral programmes, and a substantive…
Bireda, Asamenew Demessie
This study aimed to investigate some challenges female doctoral students experience in their doctoral journey. The study used a qualitative design and structured interviews. The theoretical framework that guided the study was that of Urie Bronfenbrenner's ecosystemic theory. A purposely selected sample of five female doctoral students from the…
The main purpose of the study was to investigate the challenges faced by students in completion of an online doctoral program at the University of Liverpool, Online Doctoral Business Administration program. We analyse the responses of 91 doctoral students in an online DBA program. Based on the exploratory qualitative study themes were developed…
Lahenius, Katja; Martinsuo, Miia
Becoming a doctor can be viewed as a highly personal and unique experience, which is why many factors influence the completion or non-completion of the doctoral degree. The attention in previous research has been on the students' characteristics, and the university faculty role in promoting degree progress. Therefore, more research is needed on…
European Commission, 2012
European industrial doctorates are joint doctoral training projects funded by the European Union (EU) and open to all research fields. The project brings together an academic participant (university, research institution, etc.) and a company. They have to be established in two different EU Member States or associated countries. Associated partners…
Southern, Stephen; Cade, Rochelle; Locke, Don W.
Professional doctorates have been established in the allied health professions by clinicians seeking the highest levels of independent practice. Allied health professional doctorates include nursing practice (DNP), occupational therapy (OTD), psychology (PsyD), social work (DSW), and marriage and family therapy (DMFT). Lessons learned from the…
McWilliam, Erica; Sanderson, Don; Evans, Terry; Lawson, Alan; Taylor, Peter G.
Universities are under no less pressure to adopt risk management strategies than other public and private organisations. The risk management of doctoral education is a particularly important issue given that a doctorate is the highest academic qualification a university offers and stakes are high in terms of assuring its quality. However, intense…
What to ask your doctor about diarrhea - child; Loose stools - what to ask your doctor - child ... FOODS What foods can make my child's diarrhea worse? How should I prepare the foods for my child? If my child is still breastfeeding or bottle feeding, do I ...
Nylenna, Magne; Aasland, Olaf Gjerløw
The cultural and musical activity of Norwegian doctors was studied in 1993. We wished to re-examine their cultural and musical activity, analyse the development and study the correlation with satisfaction, health and other leisure activities. In the autumn of 2010, a survey was undertaken among a representative sample of economically active Norwegian doctors. The survey asked the same questions as in 1993, and the responses were also compared to the population studies conducted by Statistics Norway. We also used a cultural index that we have developed ourselves. Altogether 1,019 doctors (70%) responded to the survey. They reported a higher level of cultural activity in 2010 than in 1993, measured in terms of reading of non-medical literature and visits to the cinema, theatre and concerts. The doctors engaged in musical activity of their own especially frequently: 58% reported to be able to play an instrument, and 21% reported to play on a regular basis, which is more than among other academic professions. We found a significant correlation between the doctors' level of cultural activity and their job satisfaction, general satisfaction, self-reported health and physical activity. The doctors who engage most frequently in cultural activities are thus most satisfied with their work and with life in general. Furthermore, they also have better self-reported health. Norwegian doctors give priority to cultural and musical activities. The assertion that doctors are particularly fond of music is more than just a myth.
Inappropriate Intensive Care Unit admissions: Nigerian doctors' perception and attitude. ... In addition, each of the 4 possible actions in the setting of a full ICU was graded from 0 (least likely) to 5 (most likely). The result was analyzed as appropriate. Results: Sixty‑four doctors participated in the survey. Inappropriate ...
The purpose of doctoral programs in social work is to prepare research-scientists who contribute to knowledge that guides professional practice and educators competent to teach new cohorts of social work practitioners. In grooming stewards of the profession, doctoral programs also must prepare their graduates to support the larger contemporary…
Kincl, Laurel D; Anton, Dan; Hess, Jennifer A; Weeks, Douglas L
Masons have the highest rate of overexertion injuries among all construction trades and rank second for occupational back injuries in the United States. Identified ergonomic solutions are the primary method of reducing exposure to risk factors associated with musculoskeletal disorders. However, many construction workers lack knowledge about these solutions, as well as basic ergonomic principles. Construction apprentices, as they embark on their careers, are greatly in need of ergonomics training to minimize the cumulative exposure that leads to musculoskeletal disorders. Apprentices receive safety training; however, ergonomics training is often limited or non-existent. In addition, apprenticeship programs often lack "soft skills" training on how to appropriately respond to work environments and practices that are unsafe. The SAVE program - SAfety Voice for Ergonomics - strives to integrate evidence-based health and safety training strategies into masonry apprenticeship skills training to teach ergonomics, problem solving, and speaking up to communicate solutions that reduce musculoskeletal injury risk. The central hypothesis is that the combination of ergonomics training and safety voice promotion will be more effective than no training or either ergonomics training alone or safety voice training alone. Following the development and pilot testing of the SAVE intervention, SAVE will be evaluated in a cluster-randomized controlled trial at 12 masonry training centers across the U.S. Clusters of apprentices within centers will be assigned at random to one of four intervention groups (n = 24 per group): (1) ergonomics training only, (2) safety voice training only, (3) combined ergonomics and safety voice training, or (4) control group with no additional training intervention. Outcomes assessed at baseline, at the conclusion of training, and then at six and 12 months post training will include: musculoskeletal symptoms, general health perceptions, knowledge of
Laurel D. Kincl
Full Text Available Abstract Background Masons have the highest rate of overexertion injuries among all construction trades and rank second for occupational back injuries in the United States. Identified ergonomic solutions are the primary method of reducing exposure to risk factors associated with musculoskeletal disorders. However, many construction workers lack knowledge about these solutions, as well as basic ergonomic principles. Construction apprentices, as they embark on their careers, are greatly in need of ergonomics training to minimize the cumulative exposure that leads to musculoskeletal disorders. Apprentices receive safety training; however, ergonomics training is often limited or non-existent. In addition, apprenticeship programs often lack “soft skills” training on how to appropriately respond to work environments and practices that are unsafe. The SAVE program – SAfety Voice for Ergonomics – strives to integrate evidence-based health and safety training strategies into masonry apprenticeship skills training to teach ergonomics, problem solving, and speaking up to communicate solutions that reduce musculoskeletal injury risk. The central hypothesis is that the combination of ergonomics training and safety voice promotion will be more effective than no training or either ergonomics training alone or safety voice training alone. Methods/design Following the development and pilot testing of the SAVE intervention, SAVE will be evaluated in a cluster-randomized controlled trial at 12 masonry training centers across the U.S. Clusters of apprentices within centers will be assigned at random to one of four intervention groups (n = 24 per group: (1 ergonomics training only, (2 safety voice training only, (3 combined ergonomics and safety voice training, or (4 control group with no additional training intervention. Outcomes assessed at baseline, at the conclusion of training, and then at six and 12 months post training will include
Full Text Available Doctors are exposed to high levels of stress in the course of their profession and are particularly susceptible to experiencing burnout. Burnout has far-reaching implications on doctors; patients and the healthcare system. Doctors experiencing burnout are reported to be at a higher risk of making poor decisions; display hostile attitude toward patients; make more medical errors; and have difficult relationships with co-workers. Burnout among doctors also increases risk of depression; anxiety; sleep disturbances; fatigue; alcohol and drug misuse; marital dysfunction; premature retirement and perhaps most seriously suicide. Sources of stress in medical practice may range from the emotions arising in the context of patient care to the environment in which doctors practice. The extent of burnout may vary depending on the practice setting; speciality and changing work environment. Understanding dynamic risk factors associated with burnout may help us develop strategies for preventing and treating burnout. Some of these strategies will be reviewed in this paper.
Doctors are exposed to high levels of stress in the course of their profession and are particularly susceptible to experiencing burnout. Burnout has far-reaching implications on doctors; patients and the healthcare system. Doctors experiencing burnout are reported to be at a higher risk of making poor decisions; display hostile attitude toward patients; make more medical errors; and have difficult relationships with co-workers. Burnout among doctors also increases risk of depression; anxiety; sleep disturbances; fatigue; alcohol and drug misuse; marital dysfunction; premature retirement and perhaps most seriously suicide. Sources of stress in medical practice may range from the emotions arising in the context of patient care to the environment in which doctors practice. The extent of burnout may vary depending on the practice setting; speciality and changing work environment. Understanding dynamic risk factors associated with burnout may help us develop strategies for preventing and treating burnout. Some of these strategies will be reviewed in this paper. PMID:27417625
Christensen, Mette Krogh; Lund, Ole
explore the microclimate in an ecological niche of doctoral education. Based on a theoretical definition of microclimate as the emotional atmosphere that ties group members together and affects their actions, we conducted a case study that aimed to describe the key features of the microclimate...... in a successful ecological niche of doctoral education, and the ways in which the microclimate support the doctoral students’ learning. The methods we applied in the case study were based on short-term ethnographic fieldwork. The results reveal four key features of the emotional atmosphere in the microclimate......Scholarly communities are dependent on and often measured by their ability to attract and develop doctoral students. Recent literature suggests that most scholarly communities entail ecological niches in which the doctoral students learn the codes and practices of research. In this article, we...
Samborska-Sablik, Anna; Sablik, Zbigniew
S Burnout syndrome reveals high prevalence among family doctor in many countries. Its universality in outpatient practice is influenced by numerous relationships with demanding patients. The authors of this work described chosen interpersonal games in patient - doctor relationships on the base of transactional analysis. These games, bearing significant emotional burden, predispose doctors to burnout. In the authors' opinion a diminishing of the prevalence of burnout syndrome in family doctors may be achieved with creating a friendly work environment for them and developing their skills in managing with difficult patient - doctor relationships.
Full Text Available Exercise and physical activity have proven benefits for physical and psychological well-being. However, it is not clear if healthy young adults can enhance mood in everyday life through regular exercise. Earlier studies mainly showed positive effects of acute exercise and exercise programs on psychological well-being in children, older people and in clinical populations. Few studies controlled participants´ physical activity in daily life, performed besides the exercise program, which can impact results. In addition the transition from mood enhancement induced by acute exercise to medium or long-term effects due to regular exercise is not yet determined.The purpose of this pilot study was to examine the acute effects of an aerobic running training on mood and trends in medium term changes of mood in everyday life of young adults. We conducted a 10-week aerobic endurance training with frequent mood assessments and continuous activity monitoring. 23 apprentices, separated into experimental and control group, were monitored over 12 weeks.To control the effectiveness of the aerobic exercise program, participants completed a progressive treadmill test pre and post the intervention period. The three basic mood dimensions energetic arousal, valence and calmness were assessed via electronic diaries. Participants had to rate their mood state frequently on three days a week at five times of measurement within twelve weeks. Participants´ physical activity was assessed with accelerometers. All mood dimensions increased immediately after acute endurance exercise but results were not significant. The highest acute mood change could be observed in valence (p=.07; η2=.27. However, no medium term effects in mood states could be observed after a few weeks of endurance training.Future studies should focus on the interaction between acute and medium term effects of exercise training on mood. The decreasing compliance over the course of the study requires the
Wright-Patterson Air Force Base, in southwestern Ohio, has operated three well fields--Area B, Skeel Road, and the East Well Fields--to supply potable water for consumption and use for base activities. To protect these well fields from contamination and to comply with the Ohio Wellhead Protection Plan, the Base is developing a wellhead-protection program for the well fields. A three-dimensional, steady-state ground-water-flow model was developed in 1993 to simulate heads in (1) the buried-valley aquifer system that is tapped by the two active well fields, and in (2) an upland bedrock aquifer that may supply water to the wells. An advective particle-tracking algorithm that requires estimated porosities and simulated heads was used to estimate ground-water-flow pathlines and traveltimes to the active well fields. Contributing recharge areas (CRA's)--areas on the water table that contribute water to a well or well field--were generated for 1-, 5-, and 10-year traveltimes. Results from the simulation and subsequent particle tracking indicate that the CRA's for the Skeel Road Well Fields are oval and extend north- ward, toward the Mad River, as pumping at the well field increases. The sizes of the 1-, 5-, and 10-year CRA's of Skeel Road Well Field, under maximum pumping conditions, are approximately 0.5, 1.5 and 3.2 square miles, respectively. The CRA's for the Area B Well Field extend to the north, up the Mad River Valley; as pumping increases at the well field, the CRA's extend up the Mad River Valley under Huffman Dam. The sizes of the 1-, 5-, and 10-year CRA's of Area B Well Field, under maximum pumping conditions, are approximately 0.1, 0.5, and 0.9 square miles, respectively. The CRA's for the East Well Field are affected by nearby streams under average pumping conditions. The sizes of the 1-, 5-, and 10-year CRA's of the East Well Field, under maximum pumping conditions, are approximately 0.2, 1.2, and 2.4 square miles, respectively. However, as pumping increases
Full Text Available Dear editor Clinical environments encounter is an important part of studying medicine (1. Patient contact as an integral part of medical education occurs in various formats in the clinical settings (2, 3. During clinical training, medical students may experience high levels of stress, and some may not deal with it well. The abruptness of students’ transition to the clinical setting generated positive and negative emotions. Due to being a novice, they did not receive adequate training on how to get emotionally prepared for meeting seriously ill people. In such circumstances, the shortage of training will have predictably crucial consequences. Early clinical contact has been suggested to reduce these stresses and help the students adapt effectively to changes in the hospital climate (2. Patient contact creates an environment where each student appreciates cultural diversity and reinforces the development of clinical professional interpersonal skills through social, emotional and cognitive experiences (4, 5. It encourages validating of the relationship between patients and doctors and allows students to experience a more personal relationship with patients and nurture the ability to empathize with them, providing considerable benefits for trainees and patients. In this way, the social emotions that students experience when empathizing with a patient represent a uniquely human achievement. By internalizing their subjective interpretations of patient’s beliefs and feelings, the student’s body, brain and mind come together to produce cognition and emotion . They construct culturally relevant knowledge and make decisions about how to act and think about the patient’s problems as if they were their own. On the other hand, patient interaction in undergraduate education offers students a valuable early insight into the day-to-day role of a doctor and the patients’ perspective on specific conditions. Early experience provides a greater knowledge
Judie L. Brill
Full Text Available The aim of this critical literature review is to outline best practices in doctoral retention and the successful approach of one university to improve graduation success by providing effective mentorship for faculty and students alike. The focus of this literature review is on distance learning relationships between faculty and doctoral students, regarding retention, persistence, and mentoring models. Key phrases and words used in the search and focusing on mentoring resulted in over 20,000 sources. The search was narrowed to include only doctoral study and mentoring. Research questions of interest were: Why do high attrition rates exist for doctoral students? What are the barriers to retention? What are the benefits of doctoral mentoring? What programs do institutions have in place to reduce attrition? The researchers found a key factor influencing doctoral student retention and success is effective faculty mentorship. In particular, the design of a mentoring and faculty training program to increase retention and provide for success after graduation is important. This research represents a key area of interest in the retention literature, as institutions continue to search for ways to better support students during their doctoral programs and post-graduation. DOI: 10.18870/hlrc.v4i2.186
In recent years, there exists a world-wide tendency to stress patient's autonomy instead of doctor's paternalism in daily medical practice. This tendency must be appreciated as "every human being of adult years and sound mind has a right to determine what shall be done with his own body". But this autonomy sometimes conflicts with the doctor's personal integrity which is essentially a pro-life one. In some western countries, this autonomy is legally admitted even in life-shortening procedures such as an abortion or euthanasia in the terminally ill patients. In 1994 a Japanese scientific council made a report concerning "death with dignity" and declared that the withdrawal of foods from PVS patients should be proceeded under his or his supposed will, and in a criminal case decision in 1995, criteria for the active euthanasia in the terminal patients are proposed. In both situations, the actor should be a doctor. These life-shortening procedures might be appreciated for the autonomy of patient and be legally permitted. But conscientious refusal of doctor against proceeding these acts must be also admitted, as the philosophy of each doctor about the sanctity of terminal life is different from doctor to doctor as in lay persons.
Steiner-Hofbauer, Verena; Schrank, Beate; Holzinger, Anita
Changes in medical curricula have led to a shift of focus in medical education. The goal was to implement a more practical approach to teaching and thereby create better doctors. However, the question of what makes a good doctor is not easy to answer. This article gives an overview on the literature about this topic. A systematized review and narrative synthesis were conducted including 20 articles about the features of good doctors. Qualitative and quantitative studies as well as questionnaires were included. These studies reported research involving students, doctors, patients, and nurses. The resulting characteristics of good doctors fell into six categories: (1) General interpersonal qualities, (2) Communication and patient involvement, (3) Medical competence, (4) Ethics, (5) Medical management, (6) Teaching, research, and continuous education. The different stakeholders showed different ideas of the concept of a good doctor. Interestingly, patients had a stronger focus on communication skills, whereas doctors put more emphasis on medical skills. Balancing this discrepancy will be a challenge for future medical education.
Smith, H E
This paper presents findings from a survey together with other observations to characterize the medical profession in Northern Thailand. Data were obtained in early 1976 using a self-administered questionnaire which was completed by 132 physicians in three Northern Thai provinces. Officially approved Thai medicine is 'Western' in nature and is predominantly an urban phenomenon. Practitioners of indigenous medicine are widespread and although illegal, they are tolerated. Training of doctors conforms very largely to Western standards. This plus the limited demand for private medical care results in a high proportion of the graduates of Thai medical schools migrating abroad. Results of the survey indicate that doctors in Northern Thailand were predominantly government employees or staff of a private hospital. Less than 5% were solely in self-employment. However, most 'employee' doctors had a private 'after hours' practice. Two types of medical professionals were identified: the 'cosmopolitan' and the 'local' doctor. Difficulties in communicating with patients were indicated by about 30% of the respondent doctors. The level of dissatisfaction expressed by the doctors surveyed was relatively high--43%. Items most often mentioned were: over-work, low compensation and lack of cooperation of patients. Satisfaction most often mentioned were: service to others, independent occupation and prestige with which doctors are regarded. In the analysis, the influence of several independent variables on type of professionalism and on satisfaction-dissatisfaction was determined.
Judie L. Brill
Full Text Available The aim of this critical literature review is to outline best practices in doctoral retention and the successful approach of one university to improve graduation success by providing effective mentorship for faculty and students alike. The focus of this literature review is on distance learning relationships between faculty and doctoral students, regarding retention, persistence, and mentoring models. Key phrases and words used in the search and focusing on mentoring resulted in over 20,000 sources. The search was narrowed to include only doctoral study and mentoring. Research questions of interest were: Why do high attrition rates exist for doctoral students? What are the barriers to retention? What are the benefits of doctoral mentoring? What programs do institutions have in place to reduce attrition? The researchers found a key factor influencing doctoral student retention and success is effective faculty mentorship. In particular, the design of a mentoring and faculty training program to increase retention and provide for success after graduation is important. This research represents a key area of interest in the retention literature, as institutions continue to search for ways to better support students during their doctoral programs and post-graduation. DOI: 10.18870/hlrc.v4i2.186
Ong, Yong Lock; Trafford, Penny; Paice, Elisabeth; Jackson, Neil
Medically qualified refugees seek to build a new life and return to clinical medicine. The National Health Service (NHS) in the UK needs to develop a workforce to meet the needs of the communities it serves, and refugee doctors have the potential to contribute to the NHS, using their experience and skills to benefit patients. Fifty-four per cent of refugee doctors in the UK live in London, so in response, the London Deanery (Postgraduate Department of Medical and Dental Education, London University) has undertaken a series of initiatives over the past 8 years assisting refugee doctors back into medical employment. Clinical attachments, supernumerary 6-month posts and general practitioner (GP) training rotations have been offered. The projects, doctors involved, educational provision and outcomes are reported. The obstacles and barriers to returning to substantive posts in medicine are also discussed. Fifty-six per cent of the refugee doctors were known to be working after the schemes, 52 per cent gained substantive posts and 39 per cent entered training grades. Investing in innovative and creative work-based training programmes for refugee doctors is worthwhile, but needs to be adequately resourced if refugee doctors are to bring ultimate benefit to the NHS. © Blackwell Publishing Ltd 2010.
Haug, S; Bitter, G; Hanke, M; Ulbricht, S; Meyer, C; John, U
The aim of this study is to test the acceptance and efficacy of an individualised text messaging (SMS)-based intervention to support smoking cessation in apprentices of vocational schools. The SMS program MyWay, which generated individualised text messages to support smoking cessation based on an online assessment and a weekly SMS assessment, was developed. The text messages were based on the Transtheoretical Model of Behavior Change and sent to the programme participants over a period of 3 months. The programme was tested in 62 school classes at 6 vocational schools in Bremen, Germany, where 1 086 apprentices participated in an online assessment addressing demographic and smoking related variables. A total of 415 persons (38%) fulfilled the inclusion criteria "daily cigarette smoking", "ownership of a cell phone" and "regular use of text messaging". Of these, 210 persons (51%) participated in the programme. A 6-month follow-up telephone interview for the evaluation of the SMS programme and the assessment of smoking-related variables could be conducted in 125 (60%) of the 210 programme participants. Compared to the baseline assessment, the smoking prevalence (7-day-point prevalence abstinence, 11%) and the intention to stop smoking (psmoked at this point in time (psmoking cessation services, this intervention approach allows us to reach a substantial part of smokers in vocational schools. The text messaging programme is promising for the support of smoking cessation in young adults. © Georg Thieme Verlag KG Stuttgart · New York.
Guillermo Rueda Montaña
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(Palabras del doctor Guillermo Rueda Montaña, durante el entierro del doctor Jorge Cavelier, el 25 de junio de 1978.
Cuentan viejos relatos indígenas, de la "Tierra de los árboles inmensos", que en los grandes bosques se produce un silencio total de muchas horas, cuando cae uno de esos titanes. Varias veces centenario. Como si la tierra y todas sus criaturas recibieran el impacto y el profundo dolor de la caída de un ser aparentemente inmortal. Así nosotros, absortos y asombrados, presenciamos el derrumbe de este otro gigante que proyectó su sombra sobre el Territorio Nacional, y se constituyó por sus ejecutorias, en figura casi mística en la Medicina Colombiana.
Pues fue JORGE CAVELIER el hombre - acción. Si hubiera vivido en el Egipto clásico, habría construído una pirámide, si en los tiempos medioevales, habría emprendido una cruzada o levantado una Catedral.
Tenía una visión muy clara y era capaz de traducirla a fuerza de mandobles si fuere necesario, en una obra de interés común.
La hercúlea conformación de su raza, mezcla de celtas y vikingos, creadora de marinos, de hombres de acción, de grandes capitanes, lo impulsaba a la ejecución.
Cuando se fijaba una meta, siempre orientada hacia el progreso de la comunidad, se lanzaba en procura sin que ningún obstáculo pudiera detener el impulso emocional de su voluntad ejecutiva. Así también, con esa misma garra, se enfrentó a la muerte, a rompe y rasga, sin cuartel, sin concesiones, porque quería vivir, para continuar haciendo.
Esos ojos profundamente azules, que en tantas ocasiones reflejaron la ira, cuando algo o alguien se interponía en el camino de su férrea voluntad, eran también capaces de brillar emocionados cuando se tocaba sus más íntimas fibras de aguda sensibilidad social y
completa solidaridad humana.
Fué intemperante y fue soberbio, pero fue grande en sus prop
Strauman, Elena C; Goodier, Bethany C
The medical drama and its central character, the doctor-hero have been a mainstay of popular television. House M.D. offers a new (and problematic) iteration of the doctor-hero. House eschews the generic conventions of the "television doctor" by being neither the idealized television doctor of the past, nor the more recent competent but often fallible physicians in entertainment texts. Instead, his character is a fragmented text which privileges the biomedical over the personal or emotional with the ultimate goal of scientifically uncovering and resolving instances of disease. This article examines the implicit and explicit messages in House M.D. and critically analyzes both the show and its lead character in relation to the traditional medical drama genre that highlights the "doctor-hero" as the central character. While at first House seems to completely violate narrative and generic norms, ultimately the program provides a new form that reinforces the presence of the doctor-hero, but highlights House's character as the central figure who is personally and interpersonally problematic but biomedically effective.
... Plus, if you're still in your early teens, parents may feel more inclined to oversee your medical ... cases, the doctor is obligated to inform the teen's parents. Some schools offer health clinics to students during ...
... fat in your liver is a sign of alcoholic liver disease or NAFLD. Your doctor will ask if ... tests to find out whether you have simple fatty liver or NASH. If you have cirrhosis , imaging tests ...
... Peripheral Artery Disease Venous Thromboembolism Aortic Aneurysm More Heart Failure Questions to Ask Your Doctor Updated:May 9, ... you? This content was last reviewed May 2017. Heart Failure • Home • About Heart Failure • Causes and Risks for ...
What to ask your doctor about radiation therapy ... National Cancer Institute. Radiation therapy and you: support for people with cancer. Cancer.gov. Updated May 2007. www.cancer.gov/publications/patient-education/radiationttherapy. ...
N A Uvais
Full Text Available Background: The belief that jinn can cause mental illness in human through afflictions or possession is widely accepted among Muslims. Belief about jinn in Muslim medical professionals, especially medical doctors has not been studied till date. Aim: To explore the belief among Muslim doctors regarding jinn and psychiatry. Materials and Methods: We conducted a cross-sectional study among Muslim doctors using a study questionnaire. Results: Majority of the participants believed in the existence of jinn and a significant proportion of the sample believed in jinn possessing humans and jinn causing mental illness in humans and recommended treatment by doctor and religious figures together for jinn afflictions. Conclusion: The belief in jinn and jinn causing mental illness are common among Muslims and remain intact even after medical education. It deserves attention from practitioners in the field of mental health care and demand strengthening of liaison between religious leaders and mental health services.
Sritharan, Gaya; Mills, Amber C; Levinson, Michele R; Gellie, Anthea L
Objectives The aims of the present study were to investigate doctors' attitudes regarding the discussion and writing of not for resuscitation (NFR) orders and to identify potential barriers to the completion of these orders. Methods A questionnaire-based convenience study was undertaken at a tertiary hospital. Likert scales and open-ended questions were directed to issues surrounding the discussion, timing, understanding and writing of NFR orders, including legal and personal considerations. Results Doctors thought the presence of an NFR order both should and does alter care delivered by nursing staff, particularly delivery of pain relief, nursing observations and contacting the medical emergency team. Eighty-five per cent of doctors believed they needed somebody else's consent to write an NFR order (seeking of consent is not a requirement in most Australian jurisdictions). Conclusion There are complex barriers to the writing and implementation of NFR orders, including doctors' knowledge around the need for consent when cardiopulmonary resuscitation is likely to be futile or excessively burdensome. Doctors also believed that NFR orders result in changes to goals-of-care, suggesting a confounding of NFR orders with palliative care. Furthermore, doctors are willing to write NFR orders where there is clear medical indication and the patient is imminently dying, but are otherwise reliant on patients and family to initiate discussion. What is known about the topic? Hospitalised elderly patients, in the absence of an NFR order, are known to have poor survival and outcomes following resuscitation. Further, Australian data on the prevalence of NFR forms show that only a minority of older in-patients have a written NFR order in their history. In Australian hospitals, NFR orders are completed by doctors. What does this paper add? To our knowledge, the present study is the first in Australia to qualitatively analyse doctors' reasons to writing NFR orders. The open-text nature
Padilla, Brenda Lisa
This study highlights the development of a graduate training program at The Wright Institute in Berkeley, CA, which provides assessment services for undocumented immigrants seeking asylum. This program focuses on the needs of a general asylum seeking population, with a specific relevance to some of the populations that may be served in the…
studying Wright Laboratory used differing methodo - logies. Prince chose a sample of ten people each from the Avionics, Aero Propul- sion & Power, Flight...whole, great gulfs abide in technique application. For example, Materials Directo - 78 rate’s formal technique usage far outstrips either Armament or
This report presents information related to the sampling of ground water at the Wright-Patterson Air Force Base. It is part of an investigation into possible ground water contamination. Information concerns well drilling/construction; x-ray diffraction and sampling; soil boring logs; and chain-of-custody records.
Crossman, Molly K.; Kazdin, Alan E.
Caregivers of children with autism spectrum disorder are vulnerable to overstated benefits of interventions, and such overstatements are common with interventions involving animals. This response to Wright, Hall, Hames, Hardmin, Mills, the Paws Team, and Mills' (2015) article, "Acquiring a Pet Dog Significantly Reduces Stress of Primary…
Locke, Rachel; Alexander, Gail; Mann, Richard; Kibble, Sharon; Scallan, Samantha
Looking beyond dyslexia as an individual doctor's issue requires adjusting a working environment to better serve the needs of doctors with dyslexia. With an increasing number of doctors disclosing dyslexia at medical school, how can educators best provide this support? Our research looks at the impact of dyslexia on clinical practice and the coping strategies used by doctors to minimise the effect. Qualitative data were collected from 14 doctors with dyslexia using semi-structured interviews and by survey. 'In situ' demonstration interviews were conducted in order to understand how dyslexia is managed in the workplace from first-hand experience. Employers and educators who have responsibility for meeting the needs of this group were also consulted. Even in cases of doctors who had a diagnosis, they often did not disclose their dyslexia to their employer. Study participants reported having developed individual ways of coping and devised useful 'workarounds'. Support from employers comes in the form of 'reasonable adjustments', although from our data we cannot be sure that such adjustments contribute to an 'enabling' work environment. Supportive characteristics included the opportunity to shadow others and the time and space to complete paperwork on a busy ward. How can educators best provide support [for doctors with dyslexia]? Doctors with dyslexia need to be helped to feel comfortable enough to disclose. Educators need to challenge any negative assumptions that exist as well as promote understanding about the elements that contribute to a positive working environment. As a result of the research there is now practice available for educators to identify evidence-based strategies and resources. © 2016 John Wiley & Sons Ltd and The Association for the Study of Medical Education.
Peirce, Gretchen L; Smith, Michael J; Abate, Marie A; Halverson, Joel
Prescription drug abuse is a major health concern nationwide, with West Virginia having one of the highest prescription drug death rates in the United States. Studies are lacking that compare living subjects with persons who died from drug overdose for evidence of doctor and pharmacy shopping for controlled substances. The study objectives were to compare deceased and living subjects in West Virginia for evidence of prior doctor and pharmacy shopping for controlled substances and to identify factors associated with drug-related death. A secondary data study was conducted using controlled substance, Schedule II-IV, prescription data from the West Virginia Controlled Substance Monitoring Program and drug-related death data compiled by the Forensic Drug Database between July 2005 and December 2007. A case-control design compared deceased subjects 18 years and older whose death was drug related with living subjects for prior doctor and pharmacy shopping. Logistic regression identified factors related to the odds of drug-related death. A significantly greater proportion of deceased subjects were doctor shoppers (25.21% vs. 3.58%) and pharmacy shoppers (17.48% vs. 1.30%) than living subjects. Approximately 20.23% of doctor shoppers were also pharmacy shoppers, and 55.60% of pharmacy shoppers were doctor shoppers. Younger age, greater number of prescriptions dispensed, exposure to opioids and benzodiazepines, and doctor and pharmacy shopping were factors with greater odds of drug-related death. Doctor and pharmacy shopping involving controlled substances were identified, and shopping behavior was associated with drug-related death. Prescription monitoring programs may be useful in identifying potential shoppers at the point of care.
Rolfe, Gary; Davies, Ruth
This paper traces the increase in number and diversity of professional doctorates over the last two decades and discusses the evolution from first to second generation doctorates as a response to the rise of the knowledge economy and new understandings of knowledge-production. Distinctions between first and second generation doctorates are interpreted in the light of Gibbons et al. [Gibbons, M., Limoges, C., Nowotny, H., Schwartzman, S., Scott, P., Trow, M., 1994. The New Production of Knowledge: The Dynamics of Science and Research in Contemporary Societies. Sage, London] taxonomy of knowledge-production, and it is argued that second generation doctorates, based on Mode 2 knowledge-production, are not only relevant to the economy but also have the potential to transform practice. However, as this paper highlights, this reconceptualisation of the professional doctorate presents particular challenges to academia and the discipline of nursing, which centre upon the threats posed to the power and authority of the University by the radical nature of Mode 2 knowledge generation and application in the workplace. Implications of these threats are discussed in relation to the current debate about the rigour of professional doctorates and the call by some for a return to the traditional doctorate or PhD. We conclude that the discipline of nursing has much to gain from embracing, rather than retreating from, the challenges posed by second generation professional doctorates, and that these offer an alternative but no less academically sound education in preparing nurses to pay a full and active role at the theory-practice interface.
Ceesay, Ebrima K
Abstract The paper examined the salary difference among science Doctorates for 2004 and 2006.The variation of certain factors such as experience, gender, marital status, Publication, Presentation, hiring and difference in sciences faculties (like natural sciences, social sciences etc.) leads to differences in salary at the end of the doctorate program. The model found out that male and female have different salary due factors such as early marriage, child bearing and household responsibil...
Norman L Jones
George Bernard Shaw's famous play, Doctor's Dilemma (1), is one of the attractions at the Shaw Festival this year, and recently we went to see it on a beautiful Niagara summer day, followed by a picnic beside Ball's Falls. Several weeks earlier, I had decided to read the play, with its 80-page "Preface on Doctors", and was prepared for an anticlimactic experience on the day. However, the production was a delight and I gained additional insights from the live performance.
Ren, Yao; Chen, Yu; Hu, Bohan; Wu, Hui; Lai, Furao; Li, Xiaofeng
An efficient microwave-assisted extraction (MAE) technique was applied to isolate total steroid saponins from Dioscorea zingiberensis C.H. Wright (DZW). The optimal extracting conditions were established as 75% ethanol as solvent, ratio of solid/liquid 1:20 (g/ml), temperature 75 °C, irradiation power 600 W and three extraction cycles of 6 min each. Scanning electron microscopy (SEM) images of DZW processed by four different extractions provided visual evidence of the disruption effect on DZW. Diosgenin was quantified by HPLC and examined further by LC-ESI/MS after acid hydrolysis. Total steroid saponins were calculated using diosgenin from total steroid saponins. The MAE procedure was optimized, validated and compared with other conventional extraction processes. This report provides a convenient technology for the extraction and quantification of total saponins of DZW combining MAE with HPLC and LC-ESI/MS for the first time. Copyright © 2015 Elsevier Inc. All rights reserved.
Full Text Available La recuperación de la Escuela de Wright en Tokyo supone una apuesta por la pervivencia del único edificio íntegro que se conserva de la estancia del arquitecto en la ciudad. Su rehabilitación, que ha contemplado la sustitución de gran parte de los entramados de listones de madera de paredes y techos, ha sido realizada con una atención exquisita a la configuración y mobiliario original del conjunto. El edificio restaurado ha abierto sus puertas al público en virtud de su reciente declaración como Bien de Interés Cultural.
Full Text Available Reducing costs forces of companies to look for reserves also in field of management, support and implementation of material flow. This is connected with the optimization of costs for product distribution, which forms a significant part of the total cost of the company. In practice, it happens that making plans for distribution of materials within a distribution space is left solely to the implementers of distribution and it drivers of vehicles. As a result is uneconomic material distribution and unnecessary cost increases to his distribution. The objective of the paper is to propose a methodology for optimization of transport planning from DC Prešov to the individual Tesco units within the region that comes under this distribution centre. The methodology is based on the Clarke and Wright saving algorithm.
Fischer, Frida Marina; Wey, Daniela; Valente, Daniel; Luz, Andréa Aparecida da; Pinheiro, Fernando; Fonseca, Barbara Cristina; Silva-Costa, Aline; Moreno, Claudia Roberta; Menna-Barreto, Luiz; Teixeira, Liliane Reis
In developing countries, youngsters start to work during the high school years. Several studies have shown the difficulties associated with double shift, i.e. to work and study concomitantly, and its negative health consequences. Work and study time, as social synchronizers, have significant effects on the sleep-wake cycle (SWC). The purpose of this study was to evaluate sleep patterns and sleepiness in young students before and after entering the workforce as apprentices or trainees. Participants were 40 adolescents (26 males), 15-18 years old (mean = 15.8 years old) engaged in a first-job program at a non-governmental organization (NGO) while attending evening high school in the outskirts of the city of São Paulo, Brazil. The participants wore actigraphs (Ambulatory Monitoring, Inc.) and registered subjective sleepiness on KSS (Karolinska Sleepiness Scale) along 7 consecutive days, before and after admission to the job. Descriptive analyses were performed, and the variables were tested by means of the t-test and repeated measures ANOVA taking factors day of the week and time of the day into consideration. The participants' sleep duration on weekdays exhibited significant difference before and after starting work (F = 4.55; p = 0.04); the mean sleep duration was 492 min (SD = 44 min) before admission to the job to decrease to 405 min (SD = 58 min) after starting work. The mid-sleep time exhibited significant difference on weekdays before and after starting work (04:57 h; SD = 45 min versus 03:30 h; SD = 54 min; F = 4.91; p = 0.03). Finally, also sleepiness on weekdays (F = 6.41; p = 0.04) and at the waking time (F = 10.75; p sleep restriction. Brazilian governmental incentives notwithstanding, simultaneous performance of several activities by young workers should be considered as an occupational health hazard. Employment policies targeting young workers should take the dual shift - study and work
Sansone, Randy A; Sansone, Lori A
Doctor shopping is defined as seeing multiple treatment providers, either during a single illness episode or to procure prescription medications illicitly. According to the available literature, prevalence rates of doctor shopping vary widely, from 6.3 to 56 percent. However, this variability is partially attributable to research methodology, including the study definition of doctor shopping as well as the patient sample. The reasons for doctor shopping are varied. Some patient explanations for this phenomenon relate to clinician factors, such as inconvenient office hours or locations, long waiting times, personal characteristics or qualities of the provider, and/or insufficient communication time between the patient and clinician. Some patient explanations relate to personal factors and include both illness factors (e.g., symptom persistence, lack of understanding or nonacceptance of the diagnosis or treatment) as well as psychological factors (e.g., somatization, prescription drug-seeking). Importantly, not all doctor shopping is driven by suspect motivations. Being aware of these various patient justifications for doctor shopping is important in understanding and managing these challenging patients in the clinical setting, whether they emerge in psychiatric or primary care environments.
This article gives an overview of the history and current system of licensing doctors in China. It first reviews the progress of medical legislation since 1949 and then explains reforms in the regulation of the medical practice of licensed doctors and their registration for entrance into the profession. In order to explore a way to adapt the system of licensing doctors presently in use in China to an international standard, the author proposes five strategies to reform policy, including internationalization based on the Chinese situation. Equal importance is to be placed on general practitioners and specialists, optimizing administration at different levels and in different categories, improving the quality of countryside doctors, and establishing a promotion system based on accreditation. The author concludes that for reference China should introduce the international standard of medical education and experience in medical training to raise the quality of doctors, regularize medical administration, develop a balanced professional force of general practitioners and specialists, and involve China in the global system of recognition of doctors.
Hamilton, D G
Since Europeans first settled in Australia their doctors have been interested in the visual arts. Some have been hobby painters and sculptors, a few with great distinction. Some have been gallery supporters and administrators. A few have written art books. Some have been outstanding photographers. Of the larger number of doctors who have collected art, only those are mentioned who have made their collections public or have made important donations to galleries. The subject of Australian doctors and the visual arts will be discussed in six articles in this and following issues of the journal. The first deals with doctor-artists in New South Wales.
Doctoral aducation is a major priority for European universities. In the context of the Bologna Process the importance of doctoral education as the third cycle of higher education and the first stage of a young researchers career, and thus in linking the European Higher Education and Research Areas, was first highlighted in the 2003 Berlin Report. The core component of doctoral training is the advancement of knowledge through original research. considering the need for structured doctoral programs and the need for transparent supervision and assessment, we note that the normal workload of the third cycle in most countries would correspond 3-4 years full time. This is spirit of the new Spanish Doctoral Law. Then, universities should ensure that their doctoral programmes promote interdisciplinary training and the development of transferable skills, thus meeting the needs of the wider employment market. We need to achieve and overall increase in the numbers of doctoral candidates taking up research careers as early stage researchers and also increase the employability as a normal way as it is the case of other advance countries. In Spain, universities with doctoral nuclear programmes and the CIEMAT, with the sponsorship of the nuclear sector, a doctoral school in nuclear science and engineering should be created to enhance the research careers of Young students for the future of nuclear activities in Spain. (Author)
Pfeiffer, M; Dimitriadis, K; Holzer, M; Reincke, M; Fischer, M R
Weight and quality of medical doctoral theses have been discussed in Germany for years. Doctoral study programs in various graduate schools offer opportunities to improve quality of medical doctoral theses. The purpose of this study was to demonstrate distinctions and differences concerning motivation, choice of subject and the dissertation process between doctoral candidates completing the doctoral seminar for doctoral students in the Ludwig-Maximilians-University (LMU) Munich and doctoral candidates doing their doctorate individually. All 4000 medical students of the LMU obtained an online-questionnaire which was completed by 767 students (19 % response rate). The theoretical framework of this study was based upon the Self-Determination-Theory by Deci and Ryan. Doctoral candidates completing the doctoral study program were more intrinsically motivated than doctoral candidates doing their doctorate individually; no difference was found in their extrinsic motivation. In regard to choice of subject and dissertation process the doctoral students in the seminar were distinguished from the individual group by having chosen a more challenging project. They anticipated a demanding dissertation process including conference participation, publishing of papers, etc. Intrinsic motivation correlates positively with choosing a challenging project and a demanding dissertation process. High intrinsic motivation seems to be very important for autonomous scholarly practice. Our results suggest that doctoral study programs have a positive impact on intrinsic motivation and interest in research. © Georg Thieme Verlag KG Stuttgart · New York.
Full Text Available Georgina Kerry,1 Shyam Gokani,2 Dara Rasasingam,2 Alexander Zargaran,3 Javier Ash,2 Aaina Mittal2 1College of Medical and Dental Sciences, University of Birmingham, Birmingham, 2Faculty of Medicine, Imperial College London, London, 3Faculty of Medicine, St George’s University of London, London, UK Abstract: Technological advancements have revolutionized modern medicine and smartphones are now ubiquitous among health care professionals. The ability to look up information promptly is invaluable to doctors and medical students alike, but there is an additional contiguous benefit to patients. Queries can be answered more accurately through fingertip access to evidence-based medicine, and physicians have instant access to emergency care protocols. However, is consideration always extended to the patient’s perception of the use of smartphones by doctors? Do patients know why we use smartphones to assist us in their care? What do they think when they see a doctor using a smartphone?An independent question, conducted within a wider service evaluation (ethical approval not required, full verbal and written electronic consent provided by all patients at St. Mary’s Hospital, London, indicated that although the majority (91.0% of patients owned a smartphone, many (61.6% did not agree that the use of smartphones at work by doctors is professional. This highlights the potential for damage to the doctor–patient relationship. There is a risk that these patients will disconnect with care services with possible detriment to their health. Additionally, it is notable that a larger proportion of those patients aged >70 years found the use of smartphones by doctors at work unprofessional, compared with patients aged <70 years.Adequate communication between the doctor and patient is critical in ensuring that doctors can make use of modern technology to provide the best possible care and that patients are comfortable with this and do not feel isolated or
Kenny, David A; Veldhuijzen, Wemke; Weijden, Trudy van der; Leblanc, Annie; Lockyer, Jocelyn; Légaré, France; Campbell, Craig
Doctor-patient communication is an interpersonal process and essential to relationship-centered care. However, in many studies, doctors and patients are studied as if living in separate worlds. This study assessed whether: 1) doctors' perception of their communication skills is congruent with their patients' perception; and 2) patients of a specific doctor agree with each other about their doctor's communication skills. A cross-sectional study was conducted in three provinces in Canada with 91 doctors and their 1749 patients. Doctors and patients independently completed questions on the doctor's communication skills (content and process) after a consultation. Multilevel modeling provided an estimate of the patient and doctor variance components at both the dyad-level and the doctor-level. We computed correlations between patients' and doctors' perceptions at both levels to assess how congruent they were. Consensus among patients of a specific doctor was assessed using intraclass correlation coefficient (ICC). The mean score of the rating of doctor's skills according to patients was 4.58, and according to doctors was 4.37. The dyad-level variance for the patient was .38 and for the doctor was .06. The doctor-level variance for the patient ratings was .01 and for the doctor ratings, .18. The correlation between both the patients' and the doctors' skills' ratings scores at the dyad-level was weak. At the doctor-level, the correlation was not statistically significant. The ICC for patients' ratings was .03 and for the doctors' ratings .76. Overall, this study suggests that doctors and their patients have a very different perspective of the doctors' communication skills occurring during routine clinical encounters. 2009 Elsevier Ltd. All rights reserved.
Obstacles to success – Doctoral student attrition in South Africa. C Herman. Abstract. The article explores doctoral attrition in South Africa, investigating and comparing the attributions of attrition of doctoral students and PhD programme leaders. The article is based on secondary data analysis of two large studies on doctoral ...
Arguments for significantly improving doctoral programs have long been made, both nationally and internationally. The nature and variety of doctoral programs makes it difficult to single out specific changes that would be equally applicable to every discipline-specific doctoral program. Therefore, this commentary will focus on doctoral programs…
Brodin, Eva M.
Critical and creative thinking constitute important learning outcomes at doctoral level across the world. While the literature on doctoral education illuminates this matter through the lens of experienced senior researchers, the doctoral students' own perspective is missing. Based upon interviews with 14 doctoral students from four disciplines at…
Åkerlind, Gerlese; McAlpine, Lynn
International policy changes that have prioritised increasing growth in the numbers of doctoral students have led to wide-ranging debate about the changing purpose of the doctorate. However, there has been little research aimed at investigating doctoral supervisors' views of the purpose of the doctorate, despite the significant role supervisors…
Leung, S; Logiudice, D; Schwarz, J; Brand, C
Ageism among health professionals is increasingly recognized, but few studies investigated hospital doctors' attitudes towards older people. The aims of this study were to investigate hospital doctors' attitudes towards older people and to determine whether factors, which were identified in studies on other health professionals, influence hospital doctors' attitudes. Hospital doctors who worked in General Medicine or Aged Care units in two tertiary public hospitals in metropolitan Victoria, Australia, in 2008 were surveyed with Fraboni's Scale of Ageism (FSA), a validated instrument used to investigate attitudes towards older people. Demographic data from participants were collected. Of the 235 questionnaires distributed, 122 were returned (overall response rate 51.9%). Response rate was highest among consultants (80.4%), followed by registrars (64.1%) and lowest among interns and residents (35.2%). The mean FSA score attained by the respondents was 61.5 (SD 11.0), representing a point between a neutral and a positive disposition. Doctors' characteristics that were associated with more positive attitudes towards older people included age of 30years or older (P < 0.001), female gender (P= 0.003), more senior in position (P < 0.001), postgraduate years of 10 or more (P < 0.001), previous working experience in Aged Care (P < 0.001), interest in Aged Care (P < 0.001) and more frequent social contacts with healthy older people (P < 0.001). Hospital doctors of different demographic features and background characteristics display different attitudes towards older people. These findings can be used to inform future development of undergraduate and postgraduate medical curricula and form a basis for future studies on the effectiveness of these interventions in improving doctors' attitudes. © 2011 The Authors. Internal Medicine Journal © 2011 Royal Australasian College of Physicians.
Considers how Hemingway's "The Doctor and the Doctor's Wife" is a model of Edgar Allan Poe's aesthetic of the short story. Examines this work on many levels. Concludes that great writers, such as Ernest Hemingway, challenge readers to find the clues, to connect the dots, to pay attention to the "little details." (SG)
This conceptual article uses the tools of Pierre Bourdieu (1977, 1986, 1990) to examine the socialization of doctoral students by suggesting that the processes of doctoral study highlight inequities among students. Using Young's (1990) social justice approach as a framework to complement the ideas of Bourdieu, I demonstrate how aspects of academic…
Doyle, Stephanie; Manathunga, Catherine; Prinsen, Gerard; Tallon, Rachel; Cornforth, Sue
While the experiences of international doctoral students, especially those from Asian countries, have been well researched, fewer studies have explored the experiences of African students in Southern countries like Australia and Aotearoa/New Zealand. This article reports on doctoral writing and student and supervisor perspectives on English…
Westerband, Yamissette Milagros
Latinas are underrepresented within the professorate and within doctoral programs, particularly within Research Intensive Institutions. This dissertation explores how the doctoral socialization process impacts the pipeline from the Ph.D. to scholarly careers for Latinas in Research universities. Given the low numbers of representation and…
Wildy, Helen; Peden, Sanna; Chan, Karyn
Doctoral education is going through a period of transition. This transition is evident in the many varieties of doctoral degrees currently offered in higher education institutions worldwide, from the traditional research-based Doctor of Philosophy (PhD) to the Professional Doctorate and the New Route PhD. This article reports on a study which…
IN URGENT NEED OF A DOCTOR GENEVA EMERGENCY SERVICES GENEVA AND VAUD 144 FIRE BRIGADE 118 POLICE 117 CERN FIREMEN 767-44-44 ANTI-POISONS CENTRE Open 24h/24h 01-251-51-51 Patient not fit to be moved, call family doctor, or: GP AT HOME, open 24h/24h 748-49-50 Association Of Geneva Doctors Emergency Doctors at home 07h-23h 322 20 20 Patient fit to be moved: HOPITAL CANTONAL CENTRAL 24 Micheli-du-Crest 372-33-11 ou 382-33-11 EMERGENCIES 382-33-11 ou 372-33-11 CHILDREN'S HOSPITAL 6 rue Willy-Donzé 372-33-11 MATERNITY 32 bvd.de la Cluse 382-68-16 ou 382-33-11 OPHTHALMOLOGY 22 Alcide Jentzer 382-33-11 ou 372-33-11 MEDICAL CENTRE CORNAVIN 1-3 rue du Jura 345 45 50 HOPITAL DE LA TOUR Meyrin EMERGENCIES 719-61-11 URGENCES PEDIATRIQUES 719-61-00 LA TOUR MEDICAL CENTRE 719-74-00 European Emergency Call 112 FRANCE EMERGENCY SERVICES 15 FIRE BRIGADE 18 POLICE 17 CERN FIREMEN AT HOME 00-41-22-767-44-44 ANTI-POISONS CENTRE Open 24h/24h 04-72-11-69-11 All doctors ...
Asamenew Demessie Bireda
Full Text Available This study aimed to investigate some challenges female doctoral students experience in their doctoral journey. The study used a qualitative design and structured interviews. The theoretical framework that guided the study was that of Urie Bronfenbrenner’s ecosystemic theory. A purposely selected sample of five female doctoral students from the University of South Africa Ethiopia campus participated in the study. The results identified three major areas of concern such as: academic, psychosocial and home/work related. Specifically, female doctoral students reported concerns surrounding quality of supervision support, inadequate academic skill, nature or system of education, stress, motivation, isolation, balancing personal and professional life, relationship problems, home and work related concerns. Hence, universities must provide opportunities and resourceful strategies to meet the challenges posed by women scholars in the doctoral journey.
The Internet has become a major health information source for many patients, and they might discuss the information they get from the Internet with their doctors. I explored how the Internet as an information source influences cancer patients' communication with their doctors in Taiwan, where the doctor-patient relationship is traditionally doctor dominated. Forty-six cancer patients or families participated in seven focus group discussions. I conducted inductive analysis to examine themes emerging from discussions. Participants searched for information on the Internet to probe and verify their doctors' competence. Participants took responsibility for understanding the doctors' jargon, and the Internet helped them to do that. The Internet also helped participants spur doctors to think further about their condition, but these patients did so cautiously, with an effort not to offend doctors. The Internet as an information source did help participants talk to doctors, but the effect on changing the doctor-dominant nature of the relationship was limited.
Blaginin, A A; Lizogub, I N
Authors consider the trends of training doctors in the specialty "physician in aerospace medicine". First level is initial training for faculty training of doctors. The higher level is vocational retraining and advanced training in the departments of postgraduate and further education. It solved the issues of preparation of specialists in various areas of aviation medicine: medical-chairman of the Flight Commission, an expert medical doctor-flight expert committee, a specialist laboratory (Cabinet) of Aviation Medicine, the Medical Director of Aviation (enterprise, organization), etc. The highest level of training is residency. The necessity of legislative consolidation of an independent direction for the organization of training and medical support of aviation operations is proved.
Alberto José Figueras
Full Text Available Recuerdo del Profesor Doctor Fernando Sonnet, destacado docente e investigador, en las áreas de economía agraria, economía de empresas y microeconomía, en el Instituto de Economía y Finanzas de la Facultad de Ciencias Económicas, Universidad Nacional de Córdoba.Palabras Clave: Fernando H. Sonnet; Recuerdo; Universidad Nacional de Córdoba.Código JEL: B32. Professor Doctor Fernando Sonnet: In MemoriamAbstractRemembrance of Professor Doctor Fernando Sonnet, a senior lecturer and researcher in the areas of agricultural economics, business economics and microeconomics at the Institute of Economics and Finance at the Faculty of Economics, Universidad Nacional de Córdoba.Keywords: Fernando H. Sonnet; Memory; Universidad Nacional de CórdobaJEL Classification: B32.
Stanley, Adrian G; Khan, Khalid M; Hussain, Walayat; Tweed, Michael
Career progression during undergraduate and early postgraduate years is currently determined by successfully passing examinations. Both academic factors (secondary school examination results, learning style and training opportunities) and non-academic factors (maturity, ethnic origin, gender and motivation) have been identified as predicting examination outcome. Few studies have examined organization skills. Disorganized medical students are more likely to perform poorly in end-of-year examinations but this observation has not been examined in junior doctors. This study asked whether organization skills relate to examination outcome amongst junior doctors taking the clinical Part II examination for the Membership of the Royal College of Physicians (Practical Assessment of Clinical Examination Skills). The study was conducted prospectively at four consecutive clinical courses that provided clinical teaching and practice to prepare trainees for the examination. Arrival time at registration for the course was the chosen surrogate for organization skills. Trainees were advised that they should arrive promptly at 8.00 a.m. for registration and it was explained that the course would start at 8.30 a.m. Recorded arrival times were compared with the pass lists published by the Royal College of Physicians. The mean arrival time was 8.17 a.m. A total of 81 doctors (53.3%) passed the examination with a mean arrival time of 8.14 a.m. However, 71 doctors failed the exam and arrived, on average, six minutes later than doctors who passed (p?=?0.006). Better-prepared junior doctors were more likely to pass the final examination. Arriving on time represents a composite of several skills involved in the planning of appropriate travel arrangements and is therefore a valid marker of organization skills and preparation. This novel study has shown that good time-keeping skills are positively associated with examination outcome.
Kim, Eric S.; Park, Nansook; Sun, Jennifer K.; Smith, Jacqui; Peterson, Christopher
Objective Identifying positive psychological factors that reduce health care use may lead to innovative efforts that help build a more sustainable and high quality health care system. Prospective studies indicate that life satisfaction is associated with good health behaviors, enhanced health, and longer life, but little information is available about the association between life satisfaction and health care use. We tested whether higher life satisfaction was prospectively associated with fewer doctor visits. We also examined potential interactions between life satisfaction and health behaviors. Methods Participants were 6,379 adults from the Health and Retirement Study, a prospective and nationally representative panel study of American adults over the age of 50. Participants were tracked for four years. We analyzed the data using a generalized linear model with a gamma distribution and log link. Results Higher life satisfaction was associated with fewer doctor visits. On a six-point life satisfaction scale, each unit increase in life satisfaction was associated with an 11% decrease in doctor visits—after adjusting for sociodemographic factors (RR = 0.89, 95% CI = 0.86 to 0.93). The most satisfied respondents (N=1,121; 17.58%) made 44% fewer doctor visits than the least satisfied (N=182; 2.85%). The association between higher life satisfaction and reduced doctor visits remained even after adjusting for baseline health and a wide range of sociodemographic, psychosocial, and health-related covariates (RR = 0.96, 95% CI = 0.93 to 0.99). Conclusions Higher life satisfaction is associated with fewer doctor visits, which may have important implications for reducing health care costs. PMID:24336427
Aida Isabel Tavares
Nurses have been gaining expertise over time and it is common that they work together in a team with doctors to treat patients. Using a model based on contract theory, the aim of this article is to analyze the effects of an improvement in nurses’ productivity on the incentives paid and on the behavior of doctors and nurses, in particular when the budgets are limited. The results show that following an improvement in nurse productivity, nurses’ incentives are lower but the overall budget of in...
Doctoral supervision has been described through a number of models useful for understanding different aspects of supervision. None of these are all-encompassing, but each emphasizes a particular perspective, like the relationship, personal vs. structural support, process vs. product orientation....... In running courses for doctoral supervisors, one aspect that escapes attention when using these mental models is assessment, and such model can support new supervisors in reflecting on how to build autonomy. There is a body of research into the PhD examination, but this has not been translated into formative...
Norman L Jones
Full Text Available George Bernard Shaw's famous play, Doctor's Dilemma (1, is one of the attractions at the Shaw Festival this year, and recently we went to see it on a beautiful Niagara summer day, followed by a picnic beside Ball's Falls. Several weeks earlier, I had decided to read the play, with its 80-page "Preface on Doctors", and was prepared for an anticlimactic experience on the day. However, the production was a delight and I gained additional insights from the live performance.
Pitel, M; Vian, J
In an American Nurses' Foundation survey of the 1973 population of nurses with doctoral degrees (N = 1,020) general trends in doctoral education of nurses were elicited. Specific unique characteristics were highlighted, including: a continuing trend for nurses to earn the Ph.D. rather than the Ed.D., a divergence between field of doctoral study and the current field of research interest, and a slight number of these qualified nurses actually participating in research of any kind. The majority of subjects were single; most were employed in a university or college where they held either full or associate professorships; most considered themselves still to be in the field of nursing, although their doctoral studies frequently took them out of the discipline; their work responsibilities were heavily loaded with administrative duties. As compared with the holders of doctoral degrees in other fields, nurses earned their degrees later, but took no longer to complete them. While universities in the Mid-Atlantic states were the largest producers of nurse-doctorates, universities in the Midwest were found to be the most frequent employers. Questions regarding the future direction of nurse-doctorates were raised.
Abiola, T; Udofia, O; Abdullahi, A T
Attitude and orientation of doctors to the doctor-patient relationship has a direct influence on delivery of high quality health- care. No study to the knowledge of these researchers has so far examined the practice orientation of doctors in Nigeria to this phenomenon. The aims of this study were to determine the orientation of Kano doctors to the practice of doctor-patient relationship and physicians' related-factors. Participants were doctors working in four major hospitals (i.e., two federal-owned and two state-owned) servicing Kano State and its environs. The Patient-Practitioner Orientation Scale (PPOS) and a socio-demographic questionnaire were completed by the 214 participants. The PPOS has 18 items and measures three parameters of a total score and two dimension of "sharing" and "caring". The mean age of participants was 31.72 years (standard deviation = 0.87), with 22% being females, 40.7% have been practicing for ≥ 6 years and about two-third working in federal-owned health institution. The Cronbach's alpha of total PPOS scores was 0.733 and that of two sub-scale scores of "sharing" and "caring" were 0.659 and 0.546 respectively. Most of the doctors' orientation (92.5%) was towards doctor-centered (i.e., paternalistic) care, majority (75.2%) upheld the view of not sharing much information and control with patients, and showing little interest in psychosocial concerns of patients (i.e., 'caring'=93.0%). Respondents' characteristics that were significantly associated with high doctor 'caring' relationship orientation were being ≥ 30-year-old and practicing for ≥ 6 years. Working in State-owned hospitals was also significantly associated with high doctor "sharing" orientation. This paper demonstrated why patient-centered medical interviewing should be given top priority in medical training in Nigeria, and particularly for federal health institutions saddled with production of new doctors and further training for practicing doctors.
Bengtsen, Søren Smedegaard; Robinson, Gill; Wisker, Gina
This paper presents our cross-national research into what we term the ‘doctoral learning penumbra’, which covers the diverse, unnoticed, and often unrecognised forms of help and support that doctoral students draw from during their PhD, and which are vital for completion. Our aim is to better...... understand the range of different actors, support systems, and meaningful others, which to a high degree shape and influence doctoral education, but without receiving acknowledgement, and sometimes without awareness even, of the Graduate Schools and research programmes that educate present and future...
Doctors in South Africa are esteemed for the high ... Only 50% of the respondents said that better schooling opportunities for their children played a role in their decision to leave the .... “brain drain” as a one-way movement of highly skilled people from ... the depletion or loss of intellectual and technical human capacity by.
SA Fam Pract 2009. Abstract. Background: Healthcare workers at primary healthcare (PHC) clinics are frustrated by the fact that they do not receive replies to their referral letters to doctors. Referral letters act as ... Correspondence to: Prof Selma Smith, e-mail: firstname.lastname@example.org. Keywords: referral and communication; ...
Kobayashi, Sofie; Berge, Maria; Grout, Brian W. W.; Rump, Camilla Østerberg
This study contributes towards a better understanding of learning dynamics in doctoral supervision by analysing how learning opportunities are created in the interaction between supervisors and PhD students, using the notion of experiencing variation as a key to learning. Empirically, we have based the study on four video-recorded sessions, with…
Suleiman, Mahmoud; Whetton, Danny
Doctoral programs can serve as an optimal opportunity for candidates to engage in tasks and activities to transform them and their schools. The paradigm shifts in such preparation involve moving from sitting and getting to making and taking. Most importantly, it requires building leadership skills and styles necessary to bring about desired change…
Zayapragassarazan, Zayabalaradjane; Menon, Vikas; Kar, Sitanshu Sekhar; Batmanabane, Gitanjali
Medical students master an enormous body of knowledge, but lack systematic problem solving ability and effective clinical decision making. High profile reports have called for reforms in medical education to create a better generation of doctors who can cope with the system based problems they would encounter in an interdisciplinary and…
Kurzman, Paul A.
Doctoral education in social work is evolving as a major enterprise in American higher education, with more than 80 programs now in place. Committed to providing stewards of the profession, these PhD and DSW programs also are a major impetus for research and are the primary faculty pipeline for the 735 CSWE-accredited professional social work…
Creswell, John W.; Miller, Gary A.
Doctoral students often select one of four common research methodologies that are popular in the social sciences and education today: positivist; interpretive; ideological; and pragmatic. But choice of methodology also influences the student's choice of course work, membership of dissertation committee, and the form and structure of the…
Harding-DeKam, Jenni L.; Hamilton, Boni; Loyd, Stacy
We examined the hidden curriculum of doctoral advising by conceptualizing the advisor as a teacher. Using autoethnographic methods in this case study, we simultaneously explored both sides of the advisor-student relationship. The constructivist paradigm permeated all aspects of the research: data collection, analysis, and interpretation. The…
Boletín Cultural y Bibliográfico Banco de la República
Full Text Available En el documento se realiza la nota de conmemoración del fallecimiento del Doctor Luis Ángel Arango Esta nota tiene como fin realizar un homenaje a tan reputado ciudadano colombiano y mienbro de la comunidad de funcionarios del Banco de la República.
The number of doctorates in Nigerian universities is grossly below the bench mark. Among the obvious reasons for this unhealthy situation in the universities is about holders of the apex degree. They are in short supply. This study fundamentally examined mentoring experience as antecedent of academic programme ...
poses ofthe study I have used Pines and Maslach's' def- inition: 'a syndrome of emotional exhaustion involving the development of a negative self-concept, negative job attitudes and loss of concern and feeling for clients'. Doctors may experience stress as a result of their own personal characteristics and the characteristics ...
This article explores pleasure in terms of the values of independent judgement, writerly authority, originality and singularity associated with doctoral study. It also considers how pleasure can be understood as a mode of experience that acts as a force for change. Here, the article takes a broad Deleuzian approach that is concerned with our…
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Six Sigma methodology was used in a District General Hospital to assess the effect of the introduction of an educational programme to limit unnecessary admissions. The performance of the doctors involved in the programme was assessed. Ishikawa Fishbone and 5 S's were initially used and Pareto analysis of their findings was performed. The results…
This article examines why and how transformative consumer research (TCR) can become a relevant perspective in doctoral programs. The article draws selectively from studies published in consumer behavior, marketing, and marketing education that theoretically or empirically address this topic. It discusses the meaning and background of TCR together…
Dec 4, 2015 ... therefore assessed the perception and attitude of Nigerian doctors working in the ICU about inappropriate admissions and request for ... In addition, each of the 4 possible actions in the setting of a full ICU was graded from 0 ... Key words: Intensive care, patient admission, perception, resource allocation.
Pearn, John H
Botanical taxonomy is a repository of medical biographical information. Such botanical memorials include the names of some indigenous orchids of Australia. By searching reference texts and journals relating to Australian botany and Australian orchidology, as well as Australian and international medical and botanical biographical texts, I identified 30 orchids indigenous to Australia whose names commemorate doctors and other medical professionals. Of these, 24 have names that commemorate a total of 16 doctors who worked in Australia. The doctors and orchids I identified include: doctor-soldiers Richard Sanders Rogers (1862-1942), after whom the Rogers' Greenhood (Pterostylis rogersii) is named, and Robert Brown (1773-1858), after whom the Purple Enamel Orchid (Elythranthera brunonis) is named; navy surgeon Archibald Menzies (1754-1842), after whom the Hare Orchid (Leptoceras menziesii) is named; radiologist Hugo Flecker (1884-1957) after whom the Slender Sphinx Orchid (Cestichis fleckeri) is named; and general medical practitioner Hereward Leighton Kesteven (1881-1964), after whom the Kesteven's Orchid (Dendrobium kestevenii) is named. Biographic references in scientific names of plants comprise a select but important library of Australian medical history. Such botanical taxonomy commemorates, in an enduring manner, clinicians who have contributed to biology outside clinical practice.
scenarios in the rural hospital situation: one where doctors felt that they were coping and learning from the work under the supervision of peers or senior colleagues, and the other where they felt stressed by being alone and having to deal with emergencies, especially when short-staffed. Conclusions. The broad range of ...
Full Text Available Abstract: Genre analyses and contrastive rhetoric studies have dealt with quite a number of genres of writing. However, genre analysts and contrastive rhetoric researchers have not carried out adequate analyses of doctoral prospectuses. This paper will, subsequently, address this issue by analyzing a genre of texts of doctoral prospectuses. The analysis will be focused on the sub-genre of â€œBackground of the Studyâ€ of the prospectuses. Limitations of accessibility, however, have led this study to only focus on analyzing fourteen doctoral prospectuses written in English by Indonesian students of EFL accessible from the Graduate Program, State University of Malang, Indonesia. This situation suggests that the present study is preliminary. Preliminary, notwithstanding, the study will contribute to filling the gap of the under-researched issue of doctoral studies in Indonesia, particularly, those pertinent to the area of ELT. The analysis shows a tendency that the texts of Background of the Study do not show research spaces. Relevant to this, the article provides an interpretive explanation of the possible factors attributable to this issue.
Cousland, Zoe; Shelton, Clifford; O'Mahony, Fidelma
The reduction in the length of hospital stay for surgical patients at a time of expanding medical student numbers has created challenges in the provision of adequate exposure to surgical patients. This has required the use of surgical learning opportunities in the ambulatory setting, including the preoperative assessment clinic. At Keele University, fourth-year medical students follow patient journeys through the preoperative assessment process, gaining experience of history taking, examination, prescribing and practical skills. This is followed by group discussion with a clinical teaching fellow, focusing on management and clinical reasoning. We audited the experience our students gained in the preoperative assessment clinic against the relevant Tomorrow's Doctors outcomes. An audit tool was created by reviewing the patient journey to identify potential learning opportunities. These were then mapped to the relevant Tomorrow's Doctors outcomes. Audit pro formas were completed for each student at the end of the clinic by the clinical educator, with a total of 42 sessions audited. Our findings show that it is possible for students to gain experience in all nine of the identified Tomorrow's Doctors outcomes in the preoperative assessment clinic. Practical procedure experience was gained by 92 per cent of students, and 70 per cent demonstrated clinical judgment and decision skills. This study shows that students can gain experience in multiple Tomorrow's Doctors outcomes in the preoperative assessment clinic. In particular, it is a useful environment to learn and teach practical procedures, clinical reasoning and decision-making skills. © 2013 John Wiley & Sons Ltd.
... There may be a way to meet your caregiver’s needs and your needs. Where can you find more information about your illness or condition? You can ask another doctor for their opinion. Visit your local library. Ask the people who work at the library for help. If you use ...
Pestle, Ruth E.; Wall, Vera J.
This paper reviews the literature on integration of home economics at the graduate level; presents a rationale for a core curriculum; describes objectives and delivery of the curriculum; and proposes research needs to evaluate approaches to training doctoral students in an integrated view of home economics. (JOW)
Background: The objective was to elicit families' experience of the death of a family member at the Elsies River Community Health Centre, their feelings towards the staff involved in the resuscitation and their opinions about how things could be improved. The study also elicited the doctors' experiences of communicating ...
Journal of the College and University Personnel Association, 1980
Data on current retrenchment policies and practices of doctorate-granting institutions are reported and analyzed, including information on the existence of a retrenchment policy, retrenchment between 1974-75 and 1977-78, the retrenchment process, and the impact of retrenchment on affirmative action and employment rights and benefits. (MLW)
Bruce, Christine; Stoodley, Ian; Pham, Binh
As part of their journey of learning to research, doctoral candidates need to become members of their research community. In part, this involves coming to be aware of their field in ways that are shared amongst longer-term members of the research community. One aspect of candidates' experience we need to understand, therefore, involves how they…
Oona, Marje; Kalda, Ruth; Lember, Margus; Maaroos, Heidi-Ingrid
Family doctors should care for individuals in the context of their family. Family has a powerful influence on health and illness and family interventions have been shown to improve health outcomes for a variety of health problems. The aim of the study was to investigate the Estonian family doctors' (FD) attitudes to the patients' family-related issues in their work: to explore the degree of FDs involvement in family matters, their preparedness for management of family-related issues and their self-assessment of the ability to manage different family-related problems. A random sample (n = 236) of all FDs in Estonia was investigated using a postal questionnaire. Altogether 151 FDs responded to the questionnaire (response rate 64%), while five of them were excluded as they did not actually work as FDs. Of the respondents, 90% thought that in managing the health problems of patients FDs should communicate and cooperate with family members. Although most of the family doctors agreed that modifying of the health damaging risk factors (smoking, alcohol and drug abuse) of their patients and families is their task, one third of them felt that dealing with these problems is ineffective, or perceived themselves as poorly prepared or having too little time for such activities. Of the respondents, 58% (n = 83) were of the opinion that they could modify also relationship problems. Estonian family doctors are favourably disposed to involvement in family-related problems, however, they need some additional training, especially in the field of relationship management.
NIELSEN, LENE ROSTGAARD
Vanilla claviculata (W. Wright) Sw. and V. barbellata Rchb.f. grow sympatrically in the southwestern part of herto Rico. At three localities in the range of the two species, individuals with flowers that appeared different from previously known species were found. To test whether these were hybri...... the hypothesis that the individuals are hybrids, which is further augmented by interspecific pollination experiments between the putative parental species. This is the first case of natural hybridization reported in the genus Vanilla....
Full Text Available En el presente estudio se determinaron las características anatómicas y las propiedades físicas y mecánicas de la madera de Andira inermis (W. Wright DC. (Leguminosae. El material de estudio se obtuvo de un sólo árbol colectado en el municipio de Arteaga, Michoacán, México. La descripción anatómica se basó en las recomendaciones de IAWA. Las propiedades físicas y mecánicas se efectuaron de acuerdo a la norma D 143-94 de la ASTM. La madera de A. inermis presenta brillo mediano, vetado pronunciado, textura media, hilo entrecruzado, porosidad difusa y pared celular muy gruesa. La densidad básica es muy alta y la contracción media. El ELP, MOR y MOE es alto, extremadamente alto y medio, respectivamente, en flexión estática. En compresión paralela a la fibra su ELP es alto, MOR extremadamente alto. ELP muy alto en compresión perpendicular a la fibra. Dureza Janka muy alta.
This Removal Action System Design has been prepared as a Phase I Volume for the implementation of the Phase II removal action at Wright-Patterson Air Force Base (WPAFB) near Dayton, Ohio. The objective of the removal action is to prevent, to the extent practicable, the migration of ground water contaminated with chlorinated volatile organic compounds (VOCS) across the southwest boundary of Area C. The Phase 1, Volume 9 Removal Action System Design compiles the design documents prepared for the Phase II Removal Action. These documents, which are presented in Appendices to Volume 9, include: Process Design, which presents the 30 percent design for the ground water treatment system (GWTS); Design Packages 1 and 2 for Earthwork and Road Construction, and the Discharge Pipeline, respectively; no drawings are included in the appendix; Design Package 3 for installation of the Ground Water Extraction Well(s); Design Package 4 for installation of the Monitoring Well Instrumentation; and Design Package 5 for installation of the Ground Water Treatment System; this Design Package is incorporated by reference because of its size.
Full Text Available The taxonomy of the primnoid genus Amphilaphis Studer and Wright in Studer, 1887 has been in a confused state for a long time and a revision of the species included in that genus has become a necessity. We have revised and redescribed the species previously included in the genus using up-to-date technology, such as polyp and sclerite images obtained with scanning electron microscopy (SEM. As a result of this study, because the type species of Amphilaphis is actually a Thouarella species, we consider the genus Amphilaphis to be no longer valid. One of the species previously considered in Amphilaphis has a set of morphological characters that are not recognizable in any of the current primnoid genera. Primnocapsa n. gen. has a dichotomous branching pattern, polyps placed singly, in spirals around the branchlets, 8 opercular scales with the inner surface keeled and with 2 mounds basally and 8 marginal scales offset from the operculars. The new genus is described and illustrated. Moreover, one of the re-examined species has been included in a new subgenus, Faxiella n. subgen. of Plumarella Gray, 1870 because it has polyps placed in pairs. Finally, the remaining re-examined species have been included in the genus Thouarella Gray, 1870, one of the most specious primnoid genera.
Gualberto Buela Casal
Full Text Available The validation of the Salkind and Wrights (1977 system for the classification of reflexivityimpulsivity was carried out. The Spanish adaptation of the Matching Familiar Figures Test-20 for the evaluation of reflexivity-impulsivity (Buela-Casal, Carretero-Dios, De los Santos-Roig & Bermudez 2000b was applied to a total of 304 participants, 8 to 11 years old. In order to classify a child as impulsive or as reflexive, traditionally a division system by the medium level had been used: a child is classified in relation to hislher position aboye or below the midium level of the reference group, in errors and latencies. In this way four groups were obtained: reflexive (above in latency and below in errors, impulsive (above in errors and below in latency and low-unaccurate and fast-accurate. The Salkind and Wrights system allows to give acontinuous score in style (reflexivity-impulsivity and competence (efficiency-inefficiency, without having to classify the children in oppossing categories. A series of suppositions concernig the correspondence of both classificatory systems are presented. If they are accomplished, the conclusion support the Salking and Wrights system. The present study presented confirms these suppositions.
Christian Eric Erbacher
Full Text Available The National Library of Finland (NLF and the Von Wright and Wittgenstein Archives at the University of Helsinki (WWA keep the collected correspondence of Georg Henrik von Wright, Wittgenstein’s friend and successor at Cambridge and one of the three literary executors of Wittgenstein’s Nachlass. Among von Wright’s correspondence partners, Elizabeth Anscombe and Rush Rhees are of special interest to Wittgenstein scholars as the two other trustees of the Wittgenstein papers. Thus, von Wright’s collections held in Finland promise to shed light on the context of decades of editorial work that made Wittgenstein’s later philosophy available to all interested readers. In this text, we present the letters which von Wright received from Anscombe and Rhees during the first nine months after Wittgenstein’s death. This correspondence provides a vivid picture of the literary executors as persons and of their developing relationships. The presented letters are beautiful examples of what the correspondence as a whole has to offer; it depicts – besides facts of editing – the story of three philosophers, whose conversing voices unfold the human aspects of inheriting Wittgenstein’s Nachlass. Their story does not only deal with editing the papers of an eminent philosopher, but with the attempt to do justice to the man they knew, to his philosophy and to his wishes for publication.
Sung Uk Chae
Full Text Available Purpose Although there have been studies emphasizing the re-education of North Korean (NK doctors for post-unification of the Korean Peninsula, study on the content and scope of such re-education has yet to be conducted. Researchers intended to set the content and scope of re-education by a comparative analysis for the scores of the preliminary examination, which is comparable to the Korean Medical Licensing Examination (KMLE. Methods The scores of the first and second preliminary exams were analyzed by subject using the Wilcoxon signed rank test. The passing status of the group of NK doctors for KMLE in recent 3 years were investigated. The multiple-choice-question (MCQ items of which difficulty indexes of NK doctors were lower than those of South Korean (SK medical students by two times of the standard deviation of the scores of SK medical students were selected to investigate the relevant reasons. Results The average scores of nearly all subjects were improved in the second exam compared with the first exam. The passing rate of the group of NK doctors was 75%. The number of MCQ items of which difficulty indexes of NK doctors were lower than those of SK medical students was 51 (6.38%. NK doctors’ lack of understandings for Diagnostic Techniques and Procedures, Therapeutics, Prenatal Care, and Managed Care Programs was suggested as the possible reason. Conclusion The education of integrated courses focusing on Diagnostic Techniques and Procedures and Therapeutics, and apprenticeship-style training for clinical practice of core subjects are needed. Special lectures on the Preventive Medicine are likely to be required also.
Full Text Available Aim: Recombinant DNA and with similar technical changes made on genes or transferred isolated gene the living organisms have been named genetically modified organisms (GMOs. Thanks to advances in genetic technology, the advancement of enzyme and fermentation techniques result obtained by the use of GMOs in food industry products of genetically modified (GM foods are named. In this study, GM foods about the possible harmful effects have information and community advice on this matter to be medical doctors on this issue perceptions, knowledge, attitudes and behaviors aimed to measure.Material and Method: The study was made on including 200 medical doctors aged 23-65, 118 men (59%, 82 women (41%. In the statistical analysis based on the responses of medical doctors, against GM food risk perception, knowledge, attitudes and behaviors were assessed. Results: 80.5% of the participants’ think that GM foods are harmful. 22% of the participants were expressed that their knowledge are ‘’good’’ and ‘’very good’’ about GM food. While 38% of the participants use internet and 23.5% of the participants use media, only 4.5% of the participants use medical schools as a source of sufficient information about GM foods. Discussion: While the risk perception of medical doctors about GM foods is high, the knowledge on this issue is observed low. Though the consumption and the prevelance of GM foods are increasing, medical doctors should have more information about this issue to enlighten and guide the community.
McGowan, Yvonne; Humphries, Niamh; Burke, Helen; Conry, Mary; Morgan, Karen
BACKGROUND: Hospital doctors face significant challenges in the current health care environment, working with staff shortages and cutbacks to health care expenditure, alongside increased demand for health care and increased public expectations. OBJECTIVE: This article analyses challenges faced by junior hospital doctors, providing insight into the experiences of these frontline staff in delivering health services in recessionary times. DESIGN: A qualitative methodology was chosen. METHODS: Se...
BACKGROUND: Hospital doctors face significant challenges in the current health care environment, working with staff shortages and cutbacks to health care expenditure, alongside increased demand for health care and increased public expectations. OBJECTIVE: This article analyses challenges faced by junior hospital doctors, providing insight into the experiences of these frontline staff in delivering health services in recessionary times. DESIGN: A qualitative methodology was chosen. METHODS: Semi-structured in-depth interviews were conducted with 20 doctors from urban Irish hospitals. Interviews were recorded via note taking. Full transcripts were analysed thematically using NVivo software. RESULTS: Dominant themes included the following: (1) unrealistic workloads: characterised by staff shortages, extended working hours, irregular and frequently interrupted breaks; (2) fatigue and its impact: the quality of care provided to patients while doctors were sleep-deprived was questioned; however, little reflection was given to any impact this may have had on junior doctors own health; (3) undervalued and disillusioned: insufficient training, intensive workloads and a perceived lack of power to influence change resulted in a sense of detachment among junior doctors. They appeared immune to their surroundings. CONCLUSION: Respondents ascribed little importance to the impact of current working conditions on their own health. They felt their roles were underappreciated and undervalued by policy makers and hospital management. Respondents were concerned with the lack of time and opportunity for training. This study highlighted several \\'red flags\\
What to ask your doctor about high blood pressure; Hypertension - what to ask your doctor ... problems? What medicines am I taking to treat high blood pressure? Do they have any side effects? What should ...
... gov/news/fullstory_167589.html Doctors Who 'Fat-Shame' Patients Can Cause Real Harm Many patients respond ... Aug. 3, 2017 (HealthDay News) -- Doctors who "fat shame" patients do more harm than good, new research ...
... medlineplus.gov/news/fullstory_166746.html Why Patients Leave the Hospital Against Doctor's Orders It's a growing ... are much more likely than older patients to leave the hospital against the advice of their doctor. ...
... How to Find a Doctor For People With Osteoporosis: How to Find a Doctor Isabel Johnson, age ... and your special needs. Medical Specialists Who Treat Osteoporosis After an initial assessment, it may be necessary ...
... SUBSCRIBE Be Prepared Share this! Home » Be Prepared Communication With Your Family And Your Doctor About Your ... and address these difficult questions: 1. Why is communication with your family and doctor so important? Talking ...
Zhao, Lei; Gossmann, Toni I; Waxman, David
The Wright-Fisher model is an important model in evolutionary biology and population genetics. It has been applied in numerous analyses of finite populations with discrete generations. It is recognised that real populations can behave, in some key aspects, as though their size that is not the census size, N, but rather a smaller size, namely the effective population size, Ne. However, in the Wright-Fisher model, there is no distinction between the effective and census population sizes. Equivalently, we can say that in this model, Ne coincides with N. The Wright-Fisher model therefore lacks an important aspect of biological realism. Here, we present a method that allows Ne to be directly incorporated into the Wright-Fisher model. The modified model involves matrices whose size is determined by Ne. Thus apart from increased biological realism, the modified model also has reduced computational complexity, particularly so when Ne⪡N. For complex problems, it may be hard or impossible to numerically analyse the most commonly-used approximation of the Wright-Fisher model that incorporates Ne, namely the diffusion approximation. An alternative approach is simulation. However, the simulations need to be sufficiently detailed that they yield an effective size that is different to the census size. Simulations may also be time consuming and have attendant statistical errors. The method presented in this work may then be the only alternative to simulations, when Ne differs from N. We illustrate the straightforward application of the method to some problems involving allele fixation and the determination of the equilibrium site frequency spectrum. We then apply the method to the problem of fixation when three alleles are segregating in a population. This latter problem is significantly more complex than a two allele problem and since the diffusion equation cannot be numerically solved, the only other way Ne can be incorporated into the analysis is by simulation. We have
Doctoral education is based on a pedagogical model of apprenticeship where the expert, the more experienced academic, advises or mentors the student. Scholars have recognized the challenges of doctoral supervision due to the intense and individualized nature of the relationship. Based on the author’s personal experiences as a doctoral student and a student advocate at a university in New Zealand, this article highlights the challenges that international doctoral students face with regard to n...
A range of important themes emerged from the interviews, relating to the intended function of the clinics and their resources, the operationalisation of doctors' visits, the varied roles that doctors play in clinics and the importance of teamwork and support. Doctors working full time in the clinics shared a more positive view.
This paper examines language use in a doctor-patient context (situation) with specific focus on the doctors' use of language to achieve a wide range of purposes, from empathy, egotism, to concealing the true state of their patient's health status and many others. In any doctor-patient situation, the context leading to the ...
(See Table 1). 1. Benefits of visiting doctors. The respondents were of the opinion that doctors play a significant role at the clinics and their visits benefit the .... team spirit.” Doctors' visits to clinics are also seen to bring benefits to the hospital, in that they reduce referral of patients to the hospital, and they follow up patients.
Although those doctors who saw more than forty patients a day reported more burnout, the difference was not statistically significant. The highest incidence of burnout was among doctors working in day hospitals and clinics, followed by those in hospital posts. Doctors working in their own practices experienced least burnout ...
This article provides a quantitative picture of doctoral education in South Africa up to 2010, from the time the first doctorate was awarded in 1899. It identifies the different institutional profiles and emphases of doctoral graduation in South African universities at various periods of time in the context of economic, political and social…
The aim of this article is to survey the international literature on doctoral education from a South African perspective. A colossal amount of published research on doctoral education abroad has accumulated in recent years, dwarfing the minuscule number of publications on doctoral education in South Africa. Three major ...
Hay, John; Laguerre, Fabrice; Moore, Eric; Reedy, Katherine; Rose, Scott; Vickers, Jerome
The Carnegie Project on the Education Doctorate (CPED) encourages doctoral candidates volunteering in order to give back and continue their relationship with the university after completing their dissertation. Volunteering can take on many forms, from acting as doctoral assistants to performing the role of critical friends on future doctoral…
Introduction. Stress and burnout are common among healthcare professionals, including doctors and nurses. Work-related stress rates among the general working population average 18%, while among doctors the rate is reported to be around 28%. Stress in doctors can result in multiple negative consequences. Detecting ...
Begun, Audrey L.; Carter, James R.
Although research has been conducted in other professional disciplines, social work has yet to explore how doctoral student debt load influences career development. This exploratory study surveyed 281 social work doctoral students and recent graduates, 75 BSW and MSW program leaders, and 24 doctoral program leaders about debt load, career choices,…
'Covering doctors' standing in for unavailable colleagues: What is the legal position? D.J. McQuoid-Mason. Abstract. Covering doctors are those who stand in for colleagues when the latter are unable to deal with their patients. Covering doctors who begin to issue telephonic instructions to nurses or other healthcare ...
van der Heide, Arjen; Rufas, Alix; Supper, Alexandra
Dissertation defenses are ambiguous affairs, which mark both the end of a long process of doctoral education and the inauguration of a doctoral candidate into a body of experts. At Maastricht University (and other Dutch universities), the decision to award a doctoral degree is made on the basis of
Bitzer, E. M.
The challenges involving doctoral non-completion and a lack of academic or scholarly quality are not restricted to putting the blame on doctoral candidates themselves, their supervisors or the institutions where they enrol. As candidates carry huge responsibilities when entering doctoral studies, success can be associated with an array of factors…
Background: Over the past few years the number of doctors choosing to work abroad or in non-medical professions has been growing. Among those doctors who have remained in the workforce, there is a similar dissatisfaction, reflected in part by a general strike in 2010 by Nigerian doctors especially Association of ...
Background In South Africa, the distribution of doctors is skewed in favour of the urban areas, but it is not uncommon to find many peri-urban facilities in short supply of doctors. In 1997, the South African government introduced compulsory community service (CS) to address this uneven distribution of doctors in the country.
Background: There has been conflicting reports of the level of hazardous alcohol use among doctors despite the significant occurrences in the general population. Hence, the need to study the drinking habits of doctors, being supposedly role models in terms of behavior and lifestyle. Methods: All the consenting doctors in ...
Vekkaila, Jenna; Pyhältö, Kirsi; Lonka, Kirsti
Little is known about what inspires students to be involved in their doctoral process and stay persistent when facing challenges. This study explored the nature of students' engagement in the doctoral work. Altogether, 21 behavioural sciences doctoral students from one top-level research community were interviewed. The interview data were…
Salter, Daniel W.
The changing market for doctorally prepared workers led one institution to examine its overall approach to defining and supporting professional doctorates. After a review of existing scholarship and internal practices, a white paper was created to capture the various ways that these degrees can be distinguished from the academic doctorate (PhD) at…
The article explores doctoral attrition in South Africa, investigating and comparing the attributions of attrition of doctoral students and PhD programme leaders. The article is based on secondary data analysis of two large studies on doctoral education in South Africa. The main point of the article is that the different understandings of the…
This article considers how and what doctoral students learn through teaching, student journal editing and academic career mentoring. It provides a grounded account of doctoral experience as a counter-narrative to prevailing policy discourses that focus on products and overlook the doctorate as a personal and social learning experience.…
Fitzgerald, P D
Ethically conducted medical treatment puts the healthcare needs of patients first, ahead of profit, but corporations may pressure GPs to act as their agents instead of the patient's agent. The medical profession requires an industrial code outlining the specific conditions needed to maintain high standards of medical practice. Health professional organisations also need a code of conduct. Recent legislation should limit the influence of corporations on doctors: non-medical directors of medical corporations can now be fined or disqualified if they are party to professional misconduct by medical practitioners, and GPs can be prosecuted for offering or accepting pecuniary benefits for referrals. Doctors need to act now to implement systems which protect the public interest and professional standards before the influence of corporatisation becomes pervasive, and leads to increased legislation and regulation of medical practice.
Rade R. Babić
Full Text Available Laza K. Lazarevic was born on the 13th of May in 1851. He died on the 11th of January in 1891 in Belgrade. Laza K. Lazarevic was a Serb, jurist, warrior, doctor and writer. He studied medicine in Berlin and law in Belgrade. He took part in the Serbian-Turkish war and the Serbian-Bulgarian war. He published seventy-two professional and scientific papers on medicine. He gave some explanations on the appearance of pain in sciatica. He wrote nine short stories. He is an Associate Member of the Serbian Royal Academy. He spoke Russian, German and French. He was a personal doctor of King Milan.
Three Hippocratic physicians played critical roles in the prosecution of 23 Nazi doctors charged with murder and torture for conducting lethal medical experiments on concentration camp prisoners. Two of the physicians, Leopold Alexander and Andrew C. Ivy, were Americans, and the other, Werner Leibbrandt, was German. At the 70th anniversary of the Doctors' Trial it is fitting to recall the three's influences and contributions to the formulation of strict research ethics rules, known as the Nuremberg Code. Their contributions help us better understand why they insisted on strict research rules and yet ultimately were unable to apply these rules to their own research. Exploring their contributions at Nuremberg may help us appreciate the continuing difficulty physician-researchers have with accepting public regulation of research.
The barrage of competitive examinations, overwork, sleep deprivation, and the pressure of expectations all combine to destroy the dreams that resident doctors have when they start medical school. The empathy they had before entering this field fades away, and they eventually become insensitive to their patients. Medical humanities may be the means to halt this trend. Sensitising young minds, using the arts, literature, history and lessons on social issues, may bring about a paradigm shift in these doctors' outlook towards their patients. However, for the humanities to be integrated into medical education, the current curriculum must be modified and made more clinically and socially relevant. Further, the humanities cannot be taught in lecture halls; they need to be integrated into all aspects of medical school. For this, the medical school faculty should be sensitised to, and trained in, humanities education.
Wojtuszek, Magdalena; Kachnic, Justyna; Krysta, Krzysztof; Wutke, Joanna
Telepsychiatry is a new method of medical care, using modern communication technologies and electronic informations. It consists of web pages, containing data about diseases and their treatment in the form of multimedia libraries with video- and audiobooks. This research concerns verification of knowledge and attitude to telepsychiatry amongst patients and psychiatrists. An anonymous survey was conducted amongst 105 psychiatrists aged 26-74, including 74 women and 31 men and 102 patients aged 21-79, including 61 women and 41 men. Research reveals that majority of patients never met with the concept of 'telepsychiatry' and do not know what it means. However, more than 50% of respondents answered positively to every question considering the utility of telepsychiatry. Furthermore according to 18% it is possible to replace eye-to-eye conversation by videoconferencing. Only 15% of doctors claim to have an extensive knowledge on telepsychiatry, and 10% do not know what it means. The vast majority of physicians perceive positive aspects of this method of medical care, but 63% would not want general insertion of telepsychiatry. Doctors are apprehensive of losing personal data and medical confidentiality, and of the necessity of legal changes as well. The obtained results allow us to conclude that Polish patients and doctors, regardless of their knowledge, age, gender or disease, perceive advantages of telepsychiatry. In connection with this, implementing this method into the Polish medical market makes sense and is in accordance with both patients' and doctors' opinion. Based on our research, we confirmed that there is a necessity of wider popularization of telepsychiatry in Polish therapeutics.
Glied, Sherry A; Ashwin Prabhu; Edelman, Norman H.
This study uses a human capital model to estimate the societal cost of producing a physician service. Physician human capital consists of the underlying human capital (productivity) of those who become physicians and the job-specific investments (physician training) added to this underlying capital. The value of physicians' underlying human capital is estimated by forecasting an age-earnings profile for doctors based on the characteristics in youth of NLSY cohort participants who subsequently...
Wattis, John; Curran, Stephen
How can you survive and thrive as a medical manager in the ever-changing world of healthcare? \\ud \\ud Practical Management and Leadership for Doctors is a hands-on introduction to developing the knowledge, skills, attitudes and behaviour required to succeed in a modern healthcare setting. \\ud \\ud Combining their own vast experience with insights from management literature, the authors reflect on key strategies and competencies for successful and enjoyable medical management and leadership. Fo...
1/ Noel CARUANA - Editorial : Why does primary health care matter? -- 2/ Mario R SAMMUT - MCFD-RCGP International course for teachers of general practice 2004 -- 3/ Noel CARUANA - Continued medical education : hypertension and systolic dysfunction (day case) -- 4/ Jean Karl SOLER - The official recognition of family medicine as a speciality -- 5/ Malta College of Family Doctors forthcoming events -- 6/ Noel CARUANA - Secretary's report of the college's main activities in 2003-2...
Deborah S. Garson
Full Text Available Creating a quality literature review is fundamental to doctoral student professionalization, yet research into how the literature review is taught, learned, or experienced is limited. Responding to this under-addressed but critical key to doctoral education, the focus of this mixed methods study is on students’ perceptions of a year-long course, co-taught by a faculty member and embedded librarian, devoted specifically to addressing the literature review. Analysis of students’ course evaluations and written reflections/feedback over an eight year period revealed four primary themes: 1 Entering students’ technological know-how does not guarantee effective information literacy skill and without the requisite skills one-shot library workshops are insufficient for making learning whole; 2 Rather than conceiving of the literature review as a product, constructing a literature review represents a pivotal process in doctoral students’ research and literacy skill development; 3 Creating a literature review, and the process it entails, signals in students the development of their professional researcher identity, involving movement beyond “how to” to address questions of “why” and “for whom”; 4 The literature review course was experienced as a substantively different course than is typical in the doctoral experience, mirroring the course’s foundational assumption that librarians, instructors, and learners share agency in creating the literature review process. The course curriculum is framed by two simultaneous learning streams: information literacy competencies and student research agenda. The course curriculum aligns information literacy competencies and research methodology with the goal of exploring and purposefully integrating creativity and curiosity in the search and research construction process.
Full Text Available Abstract Background Family doctors should care for individuals in the context of their family. Family has a powerful influence on health and illness and family interventions have been shown to improve health outcomes for a variety of health problems. The aim of the study was to investigate the Estonian family doctors' (FD attitudes to the patients' family-related issues in their work: to explore the degree of FDs involvement in family matters, their preparedness for management of family-related issues and their self-assessment of the ability to manage different family-related problems. Methods A random sample (n = 236 of all FDs in Estonia was investigated using a postal questionnaire. Altogether 151 FDs responded to the questionnaire (response rate 64%, while five of them were excluded as they did not actually work as FDs. Results Of the respondents, 90% thought that in managing the health problems of patients FDs should communicate and cooperate with family members. Although most of the family doctors agreed that modifying of the health damaging risk factors (smoking, alcohol and drug abuse of their patients and families is their task, one third of them felt that dealing with these problems is ineffective, or perceived themselves as poorly prepared or having too little time for such activities. Of the respondents, 58% (n = 83 were of the opinion that they could modify also relationship problems. Conclusions Estonian family doctors are favourably disposed to involvement in family-related problems, however, they need some additional training, especially in the field of relationship management.
Marcel Proust (1875-1922), the son and brother of famous physicians, had close and continuous contact with medicine and doctors in connection with chronic asthma, neurasthenia, medical 'tourism', and self-medication. This proximity to medical issues is obvious in his work, particularly his novel In Search of Lost Time, which today is still considered one of the most important literary works ever. In this novel, medicine, patients, and doctors are everywhere, and it can be claimed that while it is often considered to be the great novel of memory, medicine in itself also can be seen as a true character of the story, in which Proust displays surprisingly extensive knowledge. Neurasthenia and asthma (i.e. Proust's diseases), as well as specific neurological disorders, such as stroke, migraine, epilepsy, and dementia, appear in the novel. The disease of the narrator's grandmother remains a piece of anthology, and probably remains the best literary report of a progressive stroke leading to death. Proust also quoted neurological conditions which were virtually unreported in his time, such as phantom limb syndrome and poststroke depression associated with aphasia in Baron Charlus. Doctors are nearly systematically depicted as incompetent and superficial, characteristics which appear to increase with academic titles and glory. The main physician of the novel, Professor Cottard, even ends up writing fake certificates for his rich friend Mrs. Verdurin during World War I so that she can obtain fresh croissants for breakfast, while poor people around her are starving. When called to examine a dying patient, one of the real doctors of the novel, Professor Dieulafoy, says and does nothing except ask for his fees. This defiance and criticism of physicians were indeed those of Proust in real life. Copyright © 2013 S. Karger AG, Basel.
Pickles W. EpidemJoIogy in a Coonuy PriKoce. Bristol: Wright. 1939. 7. Van Casteren V.lnvert/ory of Sentinel HeaJr1IlnfrJnrlcl.Doi1 Systems WIth GPs in ri¥. European CommunItY. Brussels: IllSlrtUte of Hygleoe and epidemiology. 1991. 8. Green lA. Wood M, Becker L er al. The Ambulatory 5efltirlel PractiCe Networ1c.
Punzo, F. (Univ. of Tampa, FL (United States))
Previous investigations have indicated that heavy metals such as copper, cadmium, lead and mercury can act as systemic toxicants in many species of wildlife. Although numerous studies have emphasized the effects of metals and pesticides on metabolism, growth, survivorship, neural processes and reproduction in a number of taxa, little information is available on the effects of sublethal concentrations of metals on the reproductive physiology of amphibians. Industrial processes and mining activities can release substantial concentrations of heavy metals such as mercury into aquatic habitats. Since most amphibians have obligate aquatic larval stages, they are exposed to pollutants discharged into the aquatic environment. Amphibians can act as accumulators of heavy metals and their larval stages are useful indicators of pollution levels in the field. What little data are available, indicate that metals can significantly reduce viability in amphibians through their actions on metabolism, development and gametogenesis. The recent concerns over worldwide declines in amphibian populations and the susceptibility of amphibian populations to environmental toxicants, led me to assess the effect of mercuric chloride, one of the most common and persistent toxicants in aquatic environments, on fertilization and larval development in the river frog, Rana heckscheri (Wright). Although there is some information on fish, very little data are available on the effects of mercury on fertilization in amphibians generally, and no published data exist for R. heckscheri. This species is a conspicuous component of the aquatic fauna of parts of the southeastern United States where mercury levels have increased significantly over the last two decades. 22 refs., 2 tabs.
Toner, J. D.; Catling, D. C.; Sletten, R. S.
Don Juan Pond (DJP), Antarctica, is one of the most unusual surface waters on Earth because of its CaCl2-rich composition. To investigate the evolution of pond waters during closed-basin evaporation and to understand the source of brines responsible for the chemistry of DJP, we apply a newly developed low-temperature aqueous model in the Na-K-Ca-Mg-Cl system to DJP. By modeling the closed-basin evaporation of DJP and comparing ionic ratios between DJP surface water, deep groundwater, shallow groundwater, and other surface chemistries in Wright Valley, we find that DJP is best explained by upwelling deep groundwater, as opposed to recent hypotheses proposing shallow groundwater sources. The early closed-basin evolution of brines in our model accurately predicts observed chemistries in DJP; however, late-stage closed-basin evaporation produces Mg-K-rich brines and salts that do not match the CaCl2-rich brine in DJP. Based on groundwater inflow rates to DJP, we estimate that even the most concentrated brines in DJP have undergone closed-basin evaporation for less than a year. To explain the observed lack of Mg2+ and K+ accumulation in DJP over time, and the surprisingly young age for the brines, we deduce that DJP is a localized upwelling from a regional groundwater flow-through system in which evaporated DJP brines are recycled back into the subsurface over yearly timescales. The existence of a regional groundwater flow system beneath DJP has implications for water and solute budgets in cold desert ecosystems, and may provide clues for the formation of groundwater and aqueous flows on Mars.
Burges, S H
Much has been written by many distinguished persons about the philosophical, religious and ethical considerations of doctors and their involvement with torture. What follows will not have the erudition or authority of the likes of St Augustine, Mahatma Gandi, Schopenhauer or Thomas Paine. It represents the views of a very ordinary person; a presumption defended by the submission that many very ordinary persons have been, and will be, instruments for effecting, assisting or condoning the physical or mental anguish of others. As practitioners of medicine, we are particularly vulnerable, since our particular knowledge and our privileged position may be so easily abused--to the detriment of others. Those of us who practice clinical forensic medicine have even greater responsibility by virtue of our daily contact with the enforcement of law, criminal procedure, and the machinations of the judiciary. We are thus particularly well placed to monitor, encourage or discourage the occurrence of evil practices within the community. It is imperative, therefore, that the ordinary doctor should be cognisant of, and be party to, a code of conduct formulated by his peers and having reference to his obligations as a citizen, and doctor, and to his ability to manipulate human activity. Forensic physicians have further discretionary powers as arbiters in the marriage of the art and ethics of healing with the principles and practice of justice.
Sørensen, Signe Maj
Acute infectious diarrhoea is common in travellers. The aim of this study was to examine the incidence of travellers' diarrhoea in a group of Danish doctors and to identify exposures that may confer protective benefits. A total of 19 Danish infectious disease doctors, pediatricians and clinical microbiologists received a questionnaire regarding symptoms of infectious diarrhoea after a journey to Myanmar. The association between exposure and outcome was calculated as a relative risk. The occurence of travellers' diarrhoea was independent of medical specialty and age. Doxycycline prophylaxis was a significant protective factor and high intake of yogurt seemed also to confer protection, albeit not significantly. No protective benefits were found from avoidance of ice cubes, raw salad or the use of hand sanitizer. Self-medication with antibiotics was associated with female sex, high age, previous travel experience, employment in the eastern part of Denmark and medical specialty other than infectious diseases, although not significant. Infectious disease doctors have a similar incidence of travellers' diarrhoea as others. Only a few intended to use common travel advice regarding food and drinks and no effect was shown. The reduced risk conferred by yogurt can be caused by the effect of live probiotics on diarrhoea pathogenesis. The reasons why the use of antibiotics was associated with sex, employment region and medical specialty are unaccounted for and should be interpreted with caution because of lack of statistical significance. not relevant. not relevant.
Conti, A A; Gensini, G F
Doctor-patient communication is an issue that is attracting more and more attention within the international scientific community, stimulating an interest involving many different health contexts, from academic to medico-legal ones. In the academic setting, the insertion of health communication courses into the curriculum has been a recent renovation, given that in the past such training was not considered a necessary formative step. In the medico-legal scenario, among the main causes of legal action is an incorrect, incomplete or non-existent transmission of information. Doctor-patient communication is therefore an extremely up-to-date topic, the problematic of which may already be discerned in Western medicine in the so-called Hippocratic Oath. In this paper the historical roots and the evolution through time of doctor-patient communication are discussed, together with the description of the predominant models of communication of the past (the physician-centred and the disease-centred approaches) and of the present (the patient-centred and the person-centred paradigms). Nowadays complete, correct and comprehensible communication is a primary exigency for the physician, for the patient/person and for all the organizational levels of the sanitary system. Every physician and, more in general, every health operator, must therefore learn to communicate effectively in the course of his/her medical training, and must continually refine this capacity during his/her professional career.
Godskesen, Mirjam; Kobayashi, Sofie
In this paper we focus on individual coaching carried out by an external coach as a new pedagogical element that can impact doctoral students' sense of progress in doctoral education. The study used a mixed-methods approach in that we draw on quantitative and qualitative data from the evaluation of a project on coaching doctoral students. We…
Background Since the time of Web 2.0, more and more consumers have used online doctor reviews to rate their doctors or to look for a doctor. This phenomenon has received health care researchers’ attention worldwide, and many studies have been conducted on online doctor reviews in the United States and Europe. But no study has yet been done in China. Also, in China, without a mature primary care physician recommendation system, more and more Chinese consumers seek online doctor reviews to look for a good doctor for their health care concerns. Objective This study sought to examine the online doctor review practice in China, including addressing the following questions: (1) How many doctors and specialty areas are available for online review? (2) How many online reviews are there on those doctors? (3) What specialty area doctors are more likely to be reviewed or receive more reviews? (4) Are those reviews positive or negative? Methods This study explores an empirical dataset from Good Doctor website, haodf.com—the earliest and largest online doctor review and online health care community website in China—from 2006 to 2014, to examine the stated research questions by using descriptive statistics, binary logistic regression, and multivariate linear regression. Results The dataset from the Good Doctor website contained 314,624 doctors across China and among them, 112,873 doctors received 731,543 quantitative reviews and 772,979 qualitative reviews as of April 11, 2014. On average, 37% of the doctors had been reviewed on the Good Doctor website. Gynecology-obstetrics-pediatrics doctors were most likely to be reviewed, with an odds ratio (OR) of 1.497 (95% CI 1.461-1.535), and internal medicine doctors were less likely to be reviewed, with an OR of 0.94 (95% CI 0.921-0.960), relative to the combined small specialty areas. Both traditional Chinese medicine doctors and surgeons were more likely to be reviewed than the combined small specialty areas, with an OR of 1
Kanwar, R S
Doctoral and post-doctoral training programs at leading research universities in the USA are highly important in generating the much needed knowledge in science, technology, engineering, and mathematics for keeping rural and urban economies strong and societies healthy and prosperous. In addition, innovative graduate and post doctoral research programs are the driving engines of the success of U.S. economy and have made the U.S. the most successful model of generating new knowledge in the broader areas of life sciences (and agricultural education, research, and extension). We need to do everything in our power to make these training programs innovative, collaborative, independent, and resourceful so that students are trained in different disciplines making them more flexible within a range of challenges and opportunities. The training programs must empower students to solve complex and interdisciplinary problems of the society in 21st century and make our students competitive within a global economic system, to improve the health of the nation's economy. If our land grant schools and institutions of higher learning are not preparing doctoral students to be globally competitive scientists to create new knowledge and technologies to solve complex and interdisciplinary problems of the 21st century, then either we need to redefine the mission of our land grant system or we risk losing our role to serve the public and industry effectively. Doctoral and post doctoral students should be given the needed skills and experiences to prepare them for tenure track faculty jobs at leading US Universities in the 21st century as well as prepare them for the world outside of academia. I would say minimum competency skills are needed as "bare survival skills" for all doctoral students to become successful after obtaining PhD degrees. Today's PhD students will be working in a global but highly competitive, rapidly changing, and complex world. It is no longer enough to be a good
Haney, Carol Sue; Weeks, William B; Sirovich, Brenda E; Anthony, Denise L
Background Social networking sites such as Facebook have become immensely popular in recent years and present a unique opportunity for researchers to eavesdrop on the collective conversation of current societal issues. Objective We sought to explore doctor-related humor by examining doctor jokes posted on Facebook. Methods We performed a cross-sectional study of 33,326 monitored Facebook users, 263 (0.79%) of whom posted a joke that referenced doctors on their Facebook wall during a 6-month observation period (December 15, 2010 to June 16, 2011). We compared characteristics of so-called jokers to nonjokers and identified the characteristics of jokes that predicted joke success measured by having elicited at least one electronic laugh (eg, an LOL or “laughing out loud”) as well as the total number of Facebook “likes” the joke received. Results Jokers told 156 unique doctor jokes and were the same age as nonjokers but had larger social networks (median Facebook friends 227 vs 132, Pnetworking sites for research pertaining to health and medicine, including the world of doctor-related humor. PMID:24550095
Full Text Available This article examines the efforts and achievements of Oen Boen Ing, a Tionghoa doctor, to improve the quality of health of the poorer inhabitants of Surakarta. Dr Oen played an important role in five different periods: Dutch colonialism, the Japanese occupation, the Indonesian revolution, Soekarno’s regime, and Suharto’s New Order. Known for being a benevolent doctor, activist, and patriot of the revolution during his life-time, Dr Oen also gave medical assistance to the needy, which famously earned him the accolade of “doctor of the poor”. During the Indonesian revolution, Dr Oen assisted the Student Soldiers (Tentara Pelajar and afterwards was appointed the member of Supreme Advisory Council (Dewan Pertimbangan Agung/DPA by Soekarno in 1949. As a benevolent doctor and activist, Dr Oen is remembered for founding the Panti Kosala Hospital which was renamed to perpetuate his name on 30 October 1983, exactly a year after his passing. When he died, thousands of peoples gathered to pay their final respects to the doctor. He was honoured with a ceremony conducted in the Mangkunegaran Palace. Dr Oen’s name will be eternally respected, especially in Surakarta.
Davis, Matthew A; Haney, Carol Sue; Weeks, William B; Sirovich, Brenda E; Anthony, Denise L
Social networking sites such as Facebook have become immensely popular in recent years and present a unique opportunity for researchers to eavesdrop on the collective conversation of current societal issues. We sought to explore doctor-related humor by examining doctor jokes posted on Facebook. We performed a cross-sectional study of 33,326 monitored Facebook users, 263 (0.79%) of whom posted a joke that referenced doctors on their Facebook wall during a 6-month observation period (December 15, 2010 to June 16, 2011). We compared characteristics of so-called jokers to nonjokers and identified the characteristics of jokes that predicted joke success measured by having elicited at least one electronic laugh (eg, an LOL or "laughing out loud") as well as the total number of Facebook "likes" the joke received. Jokers told 156 unique doctor jokes and were the same age as nonjokers but had larger social networks (median Facebook friends 227 vs 132, Plikely to be divorced, separated, or widowed (PFacebook likes (rate ratio [RR] 2.36, 95% CI 0.97-5.74). This study provides insight into the use of social networking sites for research pertaining to health and medicine, including the world of doctor-related humor.
Bylund, Carma L; Gueguen, Jennifer A; D'Agostino, Thomas A; Li, Yuelin; Sonet, Ellen
This article explores the effect of doctor-patient communication about cancer-related Internet information on self-reported outcomes. Two hundred and thirty cancer patients and caregivers completed an online survey regarding their experiences searching for and discussing with their doctors cancer-related Internet information. Participants who assertively introduced the Internet information in a consultation were more likely to have their doctor agree with the information. When doctors showed interest and involvement and took the information seriously, participants were less likely to report a desire to change the doctor's response. Taking the information seriously was also associated with greater satisfaction. This preliminary evidence that the doctor's response is associated with patient outcomes indicates the potential for improving patient-centered communication. In an effort to maximize patient-centered communication, doctors should be encouraged to take their patients and the information they present seriously, as well as show their patients that they are interested and involved.
How To Talk to Your Doctor (and Get Your Doctor To Talk to You!). An Educational Workshop on Doctor Patient Communication = Como Hablarle a su Doctor (iY que su doctor le hable a usted!). Un seminario educativo sobre la comunicacion entre el doctor y el paciente.
Baylor Coll. of Medicine, Houston, TX.
This workshop, written in both English and Spanish, focuses on improving communication between physician and patient. In the workshop, the trainers will talk about "building bridges" between patient and doctor by understanding the doctor's role and his/her duty to the patient. According to the workshop, a person's doctor should…
Abbas, R; Carnet, D; D'Athis, P; Fiet, C; Le Breton, G; Romestaing, M; Quantin, C
Migration of medical practitioners is rarely studied despite its importance in medical demography: the objective of this study was to analyze the characteristics and motivations of the French doctors settled in the United Kingdom and of the British doctors settled in France. This cross-sectional study was conducted using a self-completed questionnaire sent to all French doctors practicing in the United Kingdom (in 2005) and all British medicine doctors practicing in France (in 2009). The doctors were identified with official data from the National Medical Councils: 244 French doctors practicing in the United Kingdom and 86 British doctors practicing in France. The questionnaire was specifically developed to determine the reasons of moving to the other country, and the level of satisfaction after expatriation. A total of 98 French doctors (out of 244) and 40 British doctors (out of 86) returned the questionnaire. Respondents were mainly general practitioners with a professional experience of 8 to 9 years. The sex ratio was near 1 for both groups with a majority of women among physicians under 50 years. The motivations were different between groups: French doctors were attracted by the conditions offered at the National Health Service, whereas British doctors were more interested in opportunities for career advancement, joining husband or wife, or favourable environmental conditions. Overall, the respondents considered expatriation as satisfactory: 84% of French doctors, compared with only 58% of British doctors, were satisfied with their new professional situation. This study, the first in its kind, leads to a clearer understanding of the migration of doctors between France and the United Kingdom. Copyright © 2014 Elsevier Masson SAS. All rights reserved.
Rolfe, Alix; Cash-Gibson, Lucinda; Car, Josip; Sheikh, Aziz; McKinstry, Brian
Trust is a fundamental component of the patient-doctor relationship and is associated with increased satisfaction, adherence to treatment, and continuity of care. Our 2006 review found little evidence that interventions improve patients' trust in their doctor; therefore an updated search was required to find out if there is further evidence of the effects of interventions that may improve trust in doctors or groups of doctors. To update our earlier review assessing the effects of interventions intended to improve patients' trust in doctors or a group of doctors. In 2003 we searched the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library), MEDLINE, EMBASE, Health Star, PsycINFO, CINAHL, LILACS, African Trials Register, African Health Anthology, Dissertation Abstracts International and the bibliographies of studies selected for inclusion. We also contacted researchers active in the field. We updated and re-ran the searches on available original databases (Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library issue 2, 2013), MEDLINE (OvidSP), EMBASE (OvidSP), PsycINFO (OvidSP), CINAHL (Ebsco)) as well as Proquest Dissertations and Current Contents for the period 2003 to 18 March 2013. Randomised controlled trials (RCTs), quasi-randomised controlled trials, controlled before and after studies, and interrupted time series of interventions (informative, educational, behavioural, organisational) directed at doctors or patients (or carers) where trust was assessed as a primary or secondary outcome. Two review authors independently extracted data and assessed the risk of bias of included studies. Where mentioned, we extracted data on adverse effects. We synthesised data narratively. We included 10 randomised controlled trials (including 7 new trials) involving 11,063 patients. These studies were all undertaken in North America, and all but two involved primary care. As expected, there was considerable heterogeneity between
Michaud, P A
Since 1983 apprentices and students 16-19 years of the Canton of Vaud (Switzerland) have been offered various activities in the frame of a school-based health promotion program called "Jeunesse et Santé" (screening, health education...). This paper focuses on the description and the evaluation of emergency care and counseling activities ran by nurses in each school. During one and a half year, 969 adolescents have presented themselves for medical reasons (40%), or for problems of psychosomatic (30%) or psycho-social (30%) nature. Most of the pupils have consulted either spontaneously (40%) or after a screening procedure (40%). 297 youngsters have been sent to another institution for further evaluation and treatment (personal physician, outpatient clinic, social services). Three months after the first consultation, the nurses have contacted both the adolescents an the institutions for an evaluation: A large part of the pupils is satisfied with the help they have received (greater than 90%). However the follow-up seems more difficult to organize and less effective for the adolescents that have presented themselves with psychosocial problems. The paper ends with the advantages and the limitations of ambulatory research performed in the frame of school health activities.
8 May 2014 - W. Watson-Wright, Assistant Director General and Executive Secretary UNESCO Intergovernmental Oceanographic Commission Assistant Director-General for the Natural Sciences Sector ad interim visiting the CMS cavern with CMS Collaboration Deputy Spkokesperson K. Borras. Adviser to the Director-General, in charge of Relations with International Organisations M. Bona present throughout.
Ms Wendy Watson-Wright Assistant Director General and Executive Secretary UNESCO Intergovernmental Oceanographic Commission Assistant Director-General for the Natural Sciences Sector ad interim UNESCO
José Manuel Fernandes
Full Text Available El texto hace un análisis comparativo de las obras de Raul Lino (1879-1974, portugués, y Frank Lloyd Wright (1867-1959, de Estados Unidos- dos arquitectos (casi contemporáneos, cada uno exponente de la cultura y la sociedad de su tiempo y de su espacio de vida y de trabajo.El artículo se refiere al contexto histórico y cultural del primer periodo creativo de estos autores. En este contexto trata de las obras de John Ruskin y William Morris, creadores del Arts & Crafts, así como de las características de este movimiento artístico, de las peculiaridades del Deutscher Werkbund y de los trabajos de Sullivan y Berlage. Acerca de Lino y Wright, este artículo presenta la “comprensión del mundo” que tenían: sus temas conceptuales y arquitectónicos, así como los movimientos estéticos y culturales asociados a sus trabajos - “Casa Portuguesa” y “Arquitectura Orgánica”. Se exponen y analizan los “seis principios” de Wright y los “seis principios” de Lino -destacando los aspectos comunes de las concepciones de ambos autores. Se describen y ejemplifican, también, algunos de los temas y materiales arquitectónicos comunes en la primera fase de las obras los arquitectos. Así mismo, se estudia con mayor profundidad el diseño de obras concretas, casas, de su autoría, en sus similitudes y contrastes.
Prim-Espada, María Pilar; De Diego-Sastre, Juan Ignacio; Pérez-Fernández, Elia
In last decades women in Spain have a greater access to postgraduate education. The objective of this study was to perform a gender analysis on the Otolaryngology doctoral theses presented in a 25 year-period. The TESEO data base on doctoral theses was searched for theses on Otorhinolaryngology written between 1981 and 2005. As strategy for the research we employed the terms: 1) Otorrinolaringología (Otorhinolaryngology); 2) Cirugía de garganta, nariz y oídos (Ear, nose and throat surgery); 3) Fisiología de la audición (Physiology of hearing); 4) Fisiología del equilibrio (Physiology of balance); 5) Física de la audición (Physics of hearing); and 6) Bioacústica (Bioacoustics). A total of 450 theses (18.0±8.3 theses/year) were found, of which 129 were written by females (28.6%). There was a gender imbalance among authors, with 5.2±3.4 theses/year for women vs. 12.9±6.6 theses/year for men (p=0.0002). Nevertheless, there was a tendency toward equality in the last 10 years (p=0.001). On the other hand, the PhD student's gender was clearly related to the supervisor's gender (p=0.0001). With respect to the main topics in our area (otology, audiology/vestibular diseases, rhinology and pathology of paranasal sinuses and neck diseases), there were no significant differences between males and females (p=0.231). These results indicate a tendency towards equality in the number of men and women successfully completing doctoral studies in Otolaryngology. However, the PhD student's gender is clearly related to the supervisor's gender. Copyright © 2010 Elsevier España, S.L. All rights reserved.
This Health and Safety Plan (HSP) was developed for the Environmental Investigation of Ground-water Contamination Investigation at Wright-Patterson Air Force Base near Dayton, Ohio, based on the projected scope of work for the Phase 1, Task 4 Field Investigation. The HSP describes hazards that may be encountered during the investigation, assesses the hazards, and indicates what type of personal protective equipment is to be used for each task performed. The HSP also addresses the medical monitoring program, decontamination procedures, air monitoring, training, site control, accident prevention, and emergency response.
Beltrán-Fernández, M.; García-Muñoz, J.; Dufrasnes, E.
Frank Lloyd Wright es considerado uno de los arquitectos más influyentes de la historia de la arquitectura moderna por la calidad espacial y estética de su obra. Sin embargo, la importancia de sus soluciones constructivas y medioambientales ha quedado en un segundo plano. Con el fin de destacar dichas cualidades se ha analizado la primera casa que diseñó para la familia Jacobs (Wisconsin, EE.UU., 1937), cuyo valor arquitectónico ha sido resaltado en varias ocasiones, sin que existan análisis ...
Serrano Leiva, Alicia
Se analiza la relación entre la novela más famosa de Jane Austen, “Orgullo y Prejuicio”, y su última adaptación al cine de la mano del director Joe Wright en 2005. El objetivo es determinar el grado de fidelidad literaria y la importancia que puede tener en el éxito de la película. Se aborda el contexto político, económico, social y cultural de la novela y de su autora
Daly, Moira; Groes, Fane
We document the degree to which Danish mothers are responsible for handling their children’s medical services. Using unique administration data on detailed medical services that were performed on all Danish children from 1992 to 1995, we find that, on average, more than 90% of all children’s...... as a consequence of motherhood. Furthermore, the economic variables that should affect a household’s assignment of a task like taking the child to the doctor are shown to explain very little, suggesting that other factors, such as societal norms, are at play....
Full Text Available Aim/Purpose: This article offers a conceptual summary and critique of existing literature on doctoral writing and emotion. The article seeks to intervene in current debates about doctoral writing by re-positioning it as an affective-political practice Background: Over recent decades public interest in the doctorate has expanded as it has become re-framed as a key component of national success in the global knowledge economy. It is within this context that the practice of doctoral writing has crystallised as an object of interest. While researchers have examined the increased regulation, surveillance, and intensification of doctoral writing, often this work is motivated to develop pedagogies that support students to meet these new expectations. At this point, there has been limited attention to what broad changes to the meanings and practices of doctoral writing feel like for students. Methodology: The paper offers a conceptual review that examines the ways in which doctoral writing tends to be understood. A review of literature in the areas of doctoral writing, doctoral emotion, and critical studies of academic labour was undertaken in order to produce a more comprehensive understanding of the political and emotional dynamics of doctoral writing. Contribution: It is intended that this conceptual research paper help researchers attend to the emotional context of doctoral writing in the current university context. Critical studies of academic work and life are identified as a possible platform for the development of future doctoral education research, and the conceptual tool of “affective-politics” is advanced as a novel frame for approaching doctoral writing research.
Federal Emergency Management Agency, Department of Homeland Security — Terrain data, as defined in FEMA Guidelines and Specifications, Appendix M: Data Capture Standards, describes the digital topographic data that was used to create...
Lorenzetti, R.C.; Dull, P.P.
The considered investigation was conducted as part of an effort to reduce aircraft fuel costs. Turboprops are very fuel efficient at speeds below Mach 0.6. One of the most promising approaches to reduce fuel consumption in the speed range from Mach 0.6 to 0.8 is related to an employment of the swept eight to ten blade propeller (propfan) being developed by NASA. All studies to date indicate that turboshaft engines with propfans might save 15% or more of the fuel used by a turbofan engine of comparable technology. Attention is given to a turboprop status review, contractor studies, the NASA propfan program, an in-house performance study, specific problems which have to be solved to make a twin-turboprop, 100-150 passenger transport a viable possibility for the early 1990s, and turboprop dilemmas.
Lim, T O; Soraya, A; Ding, L M; Morad, Z
Quality assurance of medical practice requires assessment of doctors' performance, whether informally via a system such as peer review or more formally via one such as credentialing. Current methods of assessment are, however, subjective or implicit. More objective methods of assessment based on statistical process control technique such as cumulative sum (CUSUM) procedure may be helpful. To determine the usefulness and acceptability of CUSUM charting for assessing doctors' performance. We applied CUSUM charting to assess doctors' performance of endoscopic retrograde pancreatography, renal and breast biopsies, thyroidectomy, and instrumental deliver. A CUSUM chart is a graphical representation of the trend in the outcome of a series of consecutive procedures. At acceptable levels of performance, the CUSUM curve is flat, while at unacceptable levels of performance, the curve slopes upward and eventually crosses a decision interval. When this occurs, the CUSUM chart indicates unsatisfactory performance. Thus, it provides an early warning of an adverse trend. All participating doctors found the technique useful to objectively measure their proficiency. CUSUM charts showed the progress of trainees in acquiring new skills. As they become more skillful with training, their CUSUM curves flatten. Among consultants, level CUSUM curves demonstrated ongoing maintenance of competence. All participants found the technique acceptable as a self-assessment tool. They were, however, less certain of its acceptability as a basis for credentialing. We recommend the use of CUSUM charting as a tool for personal audit at an individual level. It may also be used to show proof of technical competence for the purpose of credentialing.
Aug 3, 2013 ... 9. Develop distant learning and consultation networking for health professionals across the country. The funding of Doctors On Move comes in the following ways: •. Members and wellwishers contribute both in kind and cash. i.e hiring a vehicle for the outreach trips, taking time out to travel with the team to ...
Aug 3, 2013 ... time out to travel with the team to work free for a short time. •. 2% from monthly income of Gudele Medical and Surgical Home. The future plan for Doctors on Move is to become one of the leading NGOs in providing and filling the gap in secondary healthcare to the people and the health facilities in the South ...
Overeem, K.; Faber, M.J.; Arah, O.A.; Elwyn, G.; Lombarts, K.M.; Wollersheim, H.C.H.; Grol, R.P.T.M.
CONTEXT: Continuous assessment of individual performance of doctors is crucial for life-long learning and quality of care. Policy-makers and health educators should have good insights into the strengths and weaknesses of the methods available. The aim of this study was to systematically evaluate the
Overeem, Karlijn; Faber, Marjan J.; Arah, Onvebuchi A.; Elwyn, Glyn; Lombarts, Kiki M. J. M. H.; Wollersheim, Hub C.; Grol, Richard P. T. M.
CONTEXT Continuous assessment of individual performance of doctors is crucial for life-long learning and quality of care. Policy makers and health educators should have good insights into the strengths and weaknesses of the methods available. The aim of this study was to systematically evaluate the
Romem, Y; Benor, D E
An unprecedented wave of immigration of doctors to Israel, mainly from the former Soviet Union, posed for Israeli health leaders the problem of bringing them to a common and accepted Western level of performance. Stemming from the deep commitment which Israel has towards the immigrants, the state offers them a training opportunity to enhance their chances of being licensed and finding jobs in their profession. A 6-month programme was launched by Ben-Gurion University, later adopted by other medical schools and supported by the Government of Israel. The programme was designed to provide effective responses to the specific problems of the immigrant population, which are: lack of knowledge of local language, both everyday and professional; overspecialization in too narrow specialties; possession of clinical specialties which do not exist in the new country; insufficient updating in medical sciences and technology; unawareness of economic implications of health care; difficulty in originating new solutions to clinical problems, and lack of skill in answering objective test items. The programme is characterized by a protective environment, problem-oriented learning, small-group activities and emphasis on learning languages. The clinical problems are designed to emphasize the general practitioner's point of view of both common and emergency situations. The programme has achieved its goals, as judged by the success rate of its graduates in the National Licensing Examination as compared with the success of immigrant doctors who chose not to participate in the training.(ABSTRACT TRUNCATED AT 250 WORDS)
Sakalys, J A; Stember, M L; Magilvy, J K
Meaningful examination of program outcomes is one of the most challenging tasks facing faculty and administrators involved in the design and delivery of educational programs. This article reports the outcomes for one doctoral program in nursing and elucidates salient conceptual and methodologic issues in educational outcomes research for this discipline. Career development, scholarly productivity, and professional leadership were the foci of this outcomes study. Three instruments were used; data were provided by alumni, graduate faculty, and alumni supervisors. Data analysis techniques included content analysis and descriptive and correlational statistics. Results showed that graduates embarked on diverse career paths with the majority employed in academic institutions. Most graduates reported active involvement in research, publications, presentations, and professional leadership. Employment pattern differences were noted between academic year and summer-only program graduates with associated divergence in career emphasis, research productivity, and job satisfaction. A positive correlation of time since degree conferral with scholarly productivity and professional leadership was noted. Recommendations for future research include refining outcomes, linking process to outcome, using longitudinal designs, and attending to unique nursing student and doctoral program characteristics.
Nilas, L; Løkkegaard, E C; Laursen, J B; Kling, J; Cortes, D
From 2012-2015, the Departments of Obstetrics and Gynecology and of Pediatrics at the University of Copenhagen conducted a project, "Internationalization at Home ", offering clinical teaching in English. The project allowed international students to work with Danish speaking students in a clinical setting. Using semi-quantitative questionnaires to 89 clinicians about use of English and need for training, this paper considers if Danish clinical doctors are prepared to teach in English. The majority self-assessed their English proficiency between seven and eight on a 10 unit visual analogue scale, with 10 equivalent to working in Danish, while 15 % rated five or less. However, one-fourth found teaching and writing in English to be twice as difficult than in Danish, and 12 % rated all teaching tasks in English at four or less compared to Danish. The self-assessed need for additional English skills was perceived low. Teaching in English was rated as 30 % more difficult than in Danish, and a significant subgroup of doctors had difficulties in all forms of communication in English, resulting in challenges when introducing international students in non-native English speaking medical departments.
Guo, Li; Jin, Bo; Yao, Cuili; Yang, Haoyu; Huang, Degen; Wang, Fei
Key opinion leaders (KOLs) are people who can influence public opinion on a certain subject matter. In the field of medical and health informatics, it is critical to identify KOLs on various disease conditions. However, there have been very few studies on this topic. We aimed to develop a recommender system for identifying KOLs for any specific disease with health care data mining. We exploited an unsupervised aggregation approach for integrating various ranking features to identify doctors who have the potential to be KOLs on a range of diseases. We introduce the design, implementation, and deployment details of the recommender system. This system collects the professional footprints of doctors, such as papers in scientific journals, presentation activities, patient advocacy, and media exposure, and uses them as ranking features to identify KOLs. We collected the information of 2,381,750 doctors in China from 3,657,797 medical journal papers they published, together with their profiles, academic publications, and funding. The empirical results demonstrated that our system outperformed several benchmark systems by a significant margin. Moreover, we conducted a case study in a real-world system to verify the applicability of our proposed method. Our results show that doctors' profiles and their academic publications are key data sources for identifying KOLs in the field of medical and health informatics. Moreover, we deployed the recommender system and applied the data service to a recommender system of the China-based Internet technology company NetEase. Patients can obtain authority ranking lists of doctors with this system on any given disease.
Wegwarth, Odette; Gaissmaier, Wolfgang; Gigerenzer, Gerd
How do doctors make sound decisions when confronted with probabilistic data, time pressures and a heavy workload? One theory that has been embraced by many researchers is based on optimisation, which emphasises the need to integrate all information in order to arrive at sound decisions. This notion makes heuristics, which use less than complete information, appear as second-best strategies. In this article, we challenge this pessimistic view of heuristics. We introduce two medical problems that involve decision making to the reader: one concerns coronary care issues and the other macrolide prescriptions. In both settings, decision-making tools grounded in the principles of optimisation and heuristics, respectively, have been developed to assist doctors in making decisions. We explain the structure of each of these tools and compare their performance in terms of their facilitation of correct predictions. For decisions concerning both the coronary care unit and the prescribing of macrolides, we demonstrate that sacrificing information does not necessarily imply a forfeiting of predictive accuracy, but can sometimes even lead to better decisions. Subsequently, we discuss common misconceptions about heuristics and explain when and why ignoring parts of the available information can lead to the making of more robust predictions. Heuristics are neither good nor bad per se, but, if applied in situations to which they have been adapted, can be helpful companions for doctors and doctors-in-training. This, however, requires that heuristics in medicine be openly discussed, criticised, refined and then taught to doctors-in-training rather than being simply dismissed as harmful or irrelevant. A more uniform use of explicit and accepted heuristics has the potential to reduce variations in diagnoses and to improve medical care for patients.
Farley, S; Coyne, I.; Sprigg, C.; Axtell, C.; Subramanian, G
Objectives: Workplace bullying is an occupational hazard for trainee doctors. However, little is known about their experiences of cyberbullying at work. This study examines the impact of cyberbullying among trainee doctors, and how attributions of blame for cyberbullying influence individual and work-related outcomes.\\ud \\ud Methods: Doctors at over 6 months into training were asked to complete an online survey that included measures of cyberbullying, blame attribution, negative emotion, job ...
Ketefian, Shaké; Davidson, Patricia; Daly, John; Chang, Esther; Srisuphan, Wichit
Education is a driving force in improving the health and welfare of communities globally. Doctoral education of nurses has been identified as a critical factor for provision of leadership in practice, scholarship, research, policy and education. Since the genesis of doctoral education in nursing in the USA in the 1930s, this movement has burgeoned to over 273 doctoral programs in over 30 countries globally. The present article seeks to identify the issues and challenges in nursing doctoral education globally, and those encountered by doctoral program graduates in meeting the challenges of contemporary health care systems. Information was derived from a comprehensive literature review. Electronic databases and the Internet, using the Google search engine, were searched using the key words "doctoral education"; "nursing"; "International Network for Doctoral Education in Nursing"; "global health"; "international research collaboration". Doctoral education has been a critical force in developing nurse leaders in education, management, policy and research domains. An absence of consensus in terminology and of accurate minimum data sets precludes comparison and debate across programs. The complexity and dynamism of contemporary globalized communities render significant challenges in the conduct of doctoral programs. Addressing funding issues and faculty shortages are key issues for doctoral programs, especially those in developing countries, to achieve an identity uniquely their own. These challenges can also afford considerable opportunities for discussion, debate and the formulation of innovative and collaborative solutions to advance nursing knowledge and scholarship. In spite of discrete differences between countries and regions, the similarities in the issues facing the development of doctoral programs internationally are more striking than the differences. The harnessing of a global collective to address these issues will likely serve to not only forge the future
Beyra Matos, Ángela
Full Text Available A monograph of the monotypic genus Herpyza C. Wright (Leguminosae- Papilionoideae, endemic from Cuba, is presented. The species is restricted to the white sand habitats in Pinar del Río and Isla de la Juventud provinces, and threatened by human pressure over its habitats. According to the IUCN criteria the species is proposed as "Endangered" (EN. Its taxonomic isolation justifies a phylogenetic study using molecular markers that sheds light on the relationships of Herpyza with the remainder taxa in the Leguminosae, so far unknown.Se presenta una monografía taxonómica del género monotípico endémico cubano Herpyza C. Wright (Leguminosae-Papilionoideae. Esta especie está restringida a los ecótipos de arenas blancas de las provincias de Pinar del Río e Isla de la Juventud, y amenazada a causa de la destrucción humana de estos hábitat en dichas localidades. Se detallan las alteraciones de los hábitat y se propone la categoría "En Peligro Crítico" (CR para la única especie del género, de acuerdo con los criterios de la UICN. Su aislamiento justifica un estudio filogenético mediante marcadores moleculares para establecer las relaciones de Repisa con el resto de las Leguminosae, hasta ahora desconocidas.
Corina Anamaria IOAN
Full Text Available More than ever doctors are beginning to recognize that beyond impeccable professionalism shown to the patient, equally imports became part of communication, and in one century of the Internet, the most effective communication process moves online, in the social networks. It is important for doctors to develop a personal brand because a reputation, passed with internet speed can only have a positive effect. In a century in which patients make the decision to see a particular doctor, largely based on recommendations and research the forums online discussions, doctors are beginning realize the importance of a strong presence, constant and reliable environment through online networks social priority.
The death of the well-known black leader, Steve Biko, in detention in South Africa in 1977 has continued to generate debate in the international medical literature. The three doctors who examined him during his terminal illness made a diagnosis of malingering in spite of overwhelming evidence suggesting that he had suffered extensive traumatic brain injury while in detention. The inquest into his death provided a rare insight into the manner in which state doctors function in relation to the police of a repressive regime. This article documents the relevant testimony from the inquest and explores the reasons for the doctor's mismanagement of Biko. It is suggested that failures in the doctors' judgement were a result of complex influences including the effects of their own social conditioning, the risk of habituation by state doctors to degrading prison conditions, the inroads that Apartheid has made into medical practice, the possibility of reprisal if state doctors oppose the wishes of the police, and, more speculatively, the possibility that the doctors' obedience and passivity were exploited by the Security Police who wished to absolve themselves from responsibility of Biko's injuries. Most importantly, it is argued that the repeated failure of the major medical organizations in South Africa to provide clear guidance and leadership to state-employed doctors increases the risk that individual doctors will continue to succumb to hierarchical pressures to condone acts of state-sanctioned violence against detainees.
Carr, E R M; Chatrath, P; Palan, P
The aim of this study was to audit doctors' knowledge of their hospital's major incident policy. Pre- and post-intervention interviews were conducted with doctors selected at random in a central London teaching hospital on where to report to in a major incident. Doctors working in hospitals with accident and emergency departments within the M25 motorway were asked if they had read or received training on their hospital's major incident policy. Pre-intervention, 4.4% of doctors knew where to report to in a major incident. A 1-sided information sheet on the major incident policy was distributed to doctors and posted in areas frequented by doctors. Following this intervention, 78% of doctors knew where to report to in a major incident. Doctors in only 2 out of 38 hospitals with accident and emergency departments within the M25 corridor had read or received training on their major incident policy. More needs to be done by hospitals to ensure that doctors have a better awareness of their hospital major incident policy.
Siedine K. Coetzee
Full Text Available Background: The number of doctoral programmes in nursing has multiplied rapidly throughout the world. This has led to widespread concern about nursing doctoral education, specifically with regard to the quality of curricula and faculty, as well as to the availability of appropriate institutional resources. In South Africa, no study of these issues has been conducted at a national level.Objective: To explore and describe the quality of nursing doctoral education in South Africa from the perspectives of deans, faculty, doctoral graduates and students.Method: A cross-sectional survey design was used. All deans (N = 15; n = 12, faculty (N = 50; n = 26, doctoral graduates (N = 43; n = 26 and students (N = 106; n = 63 at South African nursing schools that offer a nursing doctoral programme (N = 16; n = 15 were invited to participate. Data were collected by means of structured email-mediated Quality of Nursing Doctoral Education surveys.Results: Overall, the graduate participants scored their programme quality most positively of all the groups and faculty scored it most negatively. All of the groups rated the quality of their doctoral programmes as good, but certain problems related to the quality of resources, students and faculty were identified.Conclusion: These evaluations, by the people directly involved in the programmes, demonstrated significant differences amongst the groups and thus provide valuable baseline data for building strategies to improve the quality of doctoral nursing education in South Africa.
The virtuous doctor has subscribed an oath and by subscribing to this solemn promise, he is committed to live in accordance with the purposes, obligations and virtues established in the medical profession. Cinematic art has shown only a superficial interest in complex aspects of medical profession. An exception is Ingmar Bergman's film "Wild Strawberries", where Professor Isak Borg, a widowed 76-year-old physician, is to be awarded the Doctor Jubilaris degree, 50 years after he received his doctorate at Lund University. During the trip, Isak is forced by a nightmare to reevaluate his professional life as not being a virtuous doctor.
Park, H W
: giving up his prospective career as a doctor, professor, and hospital administrator. He no longer remained as an ordinary clinician who treats only diseased persons, but transformed himself to the Great Doctor, a time-old ideal type of doctor in the East Asian countries who treats and cures the diseased nation, by dedicating himself to the independence movement.
Moore, Philippa; Gómez, Gricelda; Kurtz, Suzanne; Vargas, Alex
Effective Communication Skills form part of what is being a good doctor. There is a solid evidence base that defines the components of effective communication. This article offers a practical conceptual framework to improve physician patient communication to a professional level of competence. There are six goals that physicians and patients work to achieve through their communication with each other. These are to construct a relationship, structure an interview, start the interview, gather information, explain, plan and close the interview. The outcomes that can be improved with an effective communication and the "first principles" of communication are described. A brief look at the historical context that has influenced our thinking about communication in health care is carried out. Finally, the Calgary Cambridge Guide, an approach for delineating and organizing the specific skills required of an effective communication with patients is described. It is clear from the literature that better communication skills improve patient satisfaction and clinical outcomes.
Animal cruelty is a significant problem for society, and there are good reasons why doctors should be particularly concerned by it. Increasing evidence for links between animal cruelty and child or spousal abuse is an area of growing concern internationally and of real importance to health professionals. This article aims to raise awareness of the relevance of animal cruelty to medical practice. The links between animal cruelty and human health are discussed broadly and some wider ethical issues raised. Animal cruelty impacts on human health in disparate ways: intentional and unintentional acts of cruelty may reflect underlying mental health problems that need to be addressed. Cruelty within the family setting is an important sentinel for domestic violence and should prompt an assessment for possible child abuse. Furthermore, animal cruelty raises important questions about the nature of empathy, and the type of society that we wish to live in.
Anderson, Patricia F; Wescom, Elise; Carlos, Ruth C
Effective doctor-patient communication facilitates the therapeutic relationship, promotes patient physical and mental health, and improves physician satisfaction. Methods of teaching effective communication use a range of techniques, typically combining didactic instruction with simulated communication encounters and reflective discussion. Rarely are patients and physicians exposed to these instructions as colearners. The evidence for the utility of graphic stories, comics, and cartoons to improve patient comprehension and self-regulation is small but encouraging. The authors describe the use of graphic medicine as a teaching tool for engendering empathy from both the physician and the patient for the other during a shared clinical encounter. This use of educational comics in a colearning experience represents a new use of the medium as a teaching tool. Copyright Â© 2016. Published by Elsevier Inc.
Andreassen, Leif; Di Tommaso, Maria Laura; Strøm, Steinar
A longitudinal analysis of married physicians labor supply is carried out on Norwegian data from 1997 to 1999. The model utilized for estimation implies that physicians can choose among 10 different job packages which are a combination of part time/full time, hospital/primary care, private/public sector, and not working. Their current choice is influenced by past available options due to a habit persistence parameter in the utility function. In the estimation we take into account the budget constraint, including all features of the tax system. Our results imply that an overall wage increase or less progressive taxation moves married physicians toward full time job packages, in particular to full time jobs in the private sector. But the overall and aggregate labor supply elasticities in the population of employed doctors are rather low compared to previous estimates. Copyright © 2012 Elsevier B.V. All rights reserved.
Celeste Caruso Bavisotto
Full Text Available With this invited commentary we want to draw the attention of young medical doctors, the main readers of this journal, towards the existence and importance of a group of nanovesicles released by human cells: the exosomes. These vesicles are incontinently secreted as a mean of cell-to-cell communication. They are involved in a number of physiologic processes as well as in the pathogenesis of, virtually, all human diseases. They can be isolated from all biological fluids, like blood, urine, sweat, sperm, crevicular fluid, bile, etc., and their composition in terms of proteins, RNA and lipids is different in pathology that in physiologic conditions. It is therefore possible to predict that they will become an important diagnostic and therapeutic tool in medicine.
Miller, Anthony A; Coplan, Bettie
As the physician assistant (PA) profession celebrates 5 decades of practice, questions about the future direction of PA education and practice persist. Conversations regarding prescribing privileges have given way to debate about PA certification and the necessary level of PA education. Most PA programs already confer master's degrees, but there has been at times vigorous debate on whether or not the PA profession should join pharmacy (PharmD), physical therapy (DPT), and advanced practice nursing (DNP) and standardize education at the clinical doctorate level. The primary aim of this article is to provide historical perspective on the evolution of the PA educational degree and to discuss the potential association between credential and PA practice autonomy.
Full Text Available Con esta página deseamos rendir homenaje a Ramón Ferreyra, profesor Emérito de nuestra Facultad que recientemente ha cumplido 60 años como Doctor en Ciencias Biológicas; momento desde el cual se ha venido dedicando a consolidar el conocimiento botánico en el Perú. Ramón Ferreyra fue el iniciador del Herbario San Marcos, centro de referencia que la actualidad es el más importante del país, él ha venido organizándolo de manera sostenida desde 1948, año en que lo fundó.