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https://www.readbyqxmd.com/read/27933256/explaining-bioenergy-representations-of-jatropha-in-kenya-before-and-after-disappointing-results
#1
Carol Hunsberger
Proponents of Jatropha curcas portrayed the crop as a 'sustainable biofuel' that was less threatening to food security and forests than other energy crops, creating a reputation that helped jatropha projects to multiply quickly throughout the global South. However, many jatropha initiatives failed to thrive and ultimately collapsed. This paper investigates how actors involved with jatropha in Kenya explained their visions of bioenergy at two points in time. In 2009, when many activities were beginning, I interviewed small-scale farmers, NGO staff, researchers, donors, government officials and members of the private sector about their expectations of jatropha as an energy crop...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27931270/a-powerful-protector-of-the-japanese-people-the-history-of-the-japanese-hospital-in-steveston-british-columbia-canada-18961942
#2
Helen Vandenberg
From 1896 to 1942, a Japanese hospital operated in the village of Steveston, British Columbia, Canada. For the first 4 years, Japanese Methodist missionaries utilized a small mission building as a makeshift hospital, until a larger institution was constructed by the local Japanese Fishermen's Association in 1900. The hospital operated until the Japanese internment, after the attack on Pearl Harbor during World War II. This study offers important commentary about the relationships between health, hospitals, and race in British Columbia during a period of increased immigration and economic upheaval...
January 2017: Nursing History Review: Official Journal of the American Association for the History of Nursing
https://www.readbyqxmd.com/read/27931242/achieving-good-outcomes-for-asthma-living-goal-mixed-methods-feasibility-and-pilot-cluster-randomised-controlled-trial-of-a-practical-intervention-for-eliciting-setting-and-achieving-goals-for-adults-with-asthma
#3
Gaylor Hoskins, Brian Williams, Purva Abhyankar, Peter Donnan, Edward Duncan, Hilary Pinnock, Marjon van der Pol, Petra Rauchhaus, Anne Taylor, Aziz Sheikh
BACKGROUND: Despite being a core component of self-management, goal setting is rarely used in routine care. We piloted a primary care, nurse-led intervention called Achieving Good Outcomes for Asthma Living (GOAL) for adults with asthma. Patients were invited to identify and prioritise their goals in preparation for discussing and negotiating an action/coping plan with the nurse at a routine asthma review. METHODS: The 18-month mixed methods feasibility cluster pilot trial stratified and then randomised practices to deliver usual care (UC) or a goal-setting intervention (GOAL)...
December 8, 2016: Trials
https://www.readbyqxmd.com/read/27930919/-not-there-yet-examining-community-support-from-the-perspective-of-people-with-dementia-and-their-partners-in-care
#4
R V Herron, M W Rosenberg
People with dementia can live meaningful and engaged lives with the appropriate social and physical supports in place. There has been relatively little research, however, on the experiences and desires of people with dementia themselves as they negotiate informal and formal support in rural and small town settings. In this article, we draw on semi-structured interviews with 46 community-dwelling people with dementia and 43 partners in care in rural Ontario, Canada to examine how people with dementia relate to and within their communities as well as their perceptions of community support services...
December 1, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27930304/emergent-oscillations-assist-obstacle-negotiation-during-ant-cooperative-transport
#5
Aviram Gelblum, Itai Pinkoviezky, Ehud Fonio, Nir S Gov, Ofer Feinerman
Collective motion by animal groups is affected by internal interactions, external constraints, and the influx of information. A quantitative understanding of how these different factors give rise to different modes of collective motion is, at present, lacking. Here, we study how ants that cooperatively transport a large food item react to an obstacle blocking their path. Combining experiments with a statistical physics model of mechanically coupled active agents, we show that the constraint induces a deterministic collective oscillatory mode that facilitates obstacle circumvention...
December 5, 2016: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/27927150/acute-coronary-syndrome-on-friday-the-13th-a-case-for-re-organising-services
#6
Majd B Protty, Mustafa Jaafar, Sahar Hannoodee, Phillip Freeman
BACKGROUND: Friday the 13th is described as an "unlucky" day that brings misfortune. There are few studies on the question, and none on its effect in cardiovascular patients. The recently misreported "weekend effect" has led to changes in the junior doctor contract in England, providing greater staffing levels on weekends. Should we make similar provisions for Friday the 13th? METHODS: A retrospective analysis of a large database for patients admitted to hospitals in South Wales with an acute coronary syndrome (ACS) during 1999-2014...
December 12, 2016: Medical Journal of Australia
https://www.readbyqxmd.com/read/27925116/truck-drivers-traffic-accidents-in-the-state-of-s%C3%A3-o-paulo-prevalence-and-predictors
#7
Lucio Garcia de Oliveira, Carlos Vinícius Dias de Almeida, Lucia Pereira Barroso, Marcela Julio Cesar Gouvea, Daniel Romero Muñoz, Vilma Leyton
Abstract The mortality rate of traffic accidents (TA) is high in Brazil. Trucks are the second category of motor vehicles most often involved in TA. However, few studies have addressed the issue of TA among these professionals. The study aimed to estimate the prevalence of TA and their predictors in a sample of 684 truck drivers recruited in the state of São Paulo during 2012 and 2013. We requested participants to answer a research instrument on their personal and occupational data and their involvement in TA and traffic violations...
December 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27923549/assessing-the-value-of-mepolizumab-for-severe-eosinophilic-asthma-a-cost-effectiveness-analysis
#8
Melanie D Whittington, R Brett McQueen, Daniel A Ollendorf, Jeffrey A Tice, Richard H Chapman, Steven D Pearson, Jonathan D Campbell
BACKGROUND: Adding mepolizumab to standard treatment with inhaled corticosteroids and controller medications could decrease asthma exacerbations and use of long-term oral steroids in patients with severe disease and increased eosinophils; however, mepolizumab is costly and its cost effectiveness is unknown. OBJECTIVE: To estimate the cost effectiveness of mepolizumab. METHODS: A Markov model was used to determine the incremental cost per quality-adjusted life year (QALY) gained for mepolizumab plus standard of care (SoC) and for SoC alone...
December 3, 2016: Annals of Allergy, Asthma & Immunology
https://www.readbyqxmd.com/read/27923494/competition-policy-for-health-care-provision-in-the-netherlands
#9
Frederik T Schut, Marco Varkevisser
In the Netherlands in 2006 a major health care reform was introduced, aimed at reinforcing regulated competition in the health care sector. Health insurers were provided with strong incentives to compete and more room to negotiate and selectively contract with health care providers. Nevertheless, the bargaining position of health insurers vis-à-vis both GPs and hospitals is still relatively weak. GPs are very well organized in a powerful national interest association (LHV) and effectively exploit the long-standing trust relationship with their patients...
November 14, 2016: Health Policy
https://www.readbyqxmd.com/read/27920239/the-regional-comprehensive-economic-partnership-intellectual-property-protection-and-access-to-medicines
#10
Belinda Townsend, Deborah Gleeson, Ruth Lopert
The inclusion of elevated standards of intellectual property (IP) protection in the recently negotiated Trans-Pacific Partnership (TPP) agreement has raised serious public health concerns regarding access to medicines. A lesser-known trade agreement under negotiation in the Asia-Pacific region is the Regional Comprehensive Economic Partnership (RCEP). Framed as an attempt to reassert ASEAN's position in response to the United States-led TPP, RCEP includes key players China and India as well as several low- and middle-income countries (LMICs)...
November 2016: Asia-Pacific Journal of Public Health
https://www.readbyqxmd.com/read/27917534/a-concept-analysis-of-compassionate-midwifery
#11
Diane Ménage, Elizabeth Bailey, Susan Lees, Jane Coad
AIM: To report a concept analysis of compassionate midwifery. BACKGROUND: Recently, compassion has been incorporated into United Kingdom nursing and midwifery language through strategy, policy, recruitment and education. Professional standards direct midwives to practise compassionately therefore the concept of compassionate midwifery exists, although this has yet to be explored as a concept in the UK or internationally. An understanding of what constitutes compassionate midwifery has the potential to increase midwifery knowledge and improve practice...
November 16, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27916917/a-routing-protocol-for-multisink-wireless-sensor-networks-in-underground-coalmine-tunnels
#12
Xu Xia, Zhigang Chen, Hui Liu, Huihui Wang, Feng Zeng
Traditional underground coalmine monitoring systems are mainly based on the use of wired transmission. However, when cables are damaged during an accident, it is difficult to obtain relevant data on environmental parameters and the emergency situation underground. To address this problem, the use of wireless sensor networks (WSNs) has been proposed. However, the shape of coalmine tunnels is not conducive to the deployment of WSNs as they are long and narrow. Therefore, issues with the network arise, such as extremely large energy consumption, very weak connectivity, long time delays, and a short lifetime...
November 30, 2016: Sensors
https://www.readbyqxmd.com/read/27916628/primary-care-visit-preparation-and-communication-for-patients-with-poorly-controlled-diabetes-a-qualitative-study-of-patients-and-physicians
#13
Richard William Grant, Andrea Altschuler, Connie Si Uratsu, Gabriela Sanchez, Julie Ann Schmittdiel, Alyce Sophia Adams, Michele Heisler
OBJECTIVE: The purpose of this study was to examine how patients with diabetes and their primary care physicians identify and discuss visit priorities prior to and during visits. METHODS: We conducted a qualitative study involving patients with diabetes (4 focus groups, n=29) and primary care physicians (6 provider practice meeting discussions, n=67). RESULTS: Four key themes related to prioritization were identified: 1) the value of identifying visit priorities before the visit; 2) challenges to negotiating priorities during the time-limited visit; 3) the importance of "non-medical" priorities; and 4) the need for strategies to help patients prepare for visits...
December 1, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27914313/requests-for-cesarean-deliveries-the-politics-of-labor-pain-and-pain-relief-in-shanghai-china
#14
Eileen Wang
Cesarean section rates have risen dramatically in China within the past 25 years, particularly driven by non-medical factors and maternal requests. One major reason women request cesareans is the fear of labor pain, in a country where a minority of women are given any form of pain relief during labor. Drawing upon ethnographic fieldwork and in-depth interviews with 26 postpartum women and 8 providers at a Shanghai district hospital in June and July of 2015, this article elucidates how perceptions of labor pain and the environment of pain relief constructs the cesarean on maternal request...
November 24, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27913560/cohort-profile-the-diabetes-tuberculosis-treatment-outcome-ditto-study-in-pakistan
#15
Fatima Mukhtar, Zahid A Butt
PURPOSE: Pakistan is faced with an increasing prevalence of diabetes in addition to its existing high burden of tuberculosis (TB). Diabetes has a detrimental effect on treatment outcomes of patients with TB, which may hinder achieving the goals of the End-TB strategy by 2030. We conducted a prospective cohort study to determine difference between treatment outcomes among patients with diabetes and new pulmonary tuberculosis (PTB) and patients without diabetes and new PTB. This would help generate contextual and valid scientific evidence from a developing country like Pakistan with its unique interplay of sociocultural, economic and health system factors to inform policy and practice...
December 2, 2016: BMJ Open
https://www.readbyqxmd.com/read/27912859/alienation-and-alterity-age-in-the-existentialist-discourse-on-others
#16
Harm-Peer Zimmermann
Aging Studies and Postcolonial Studies belong together in a rather fundamental way, given that they share profound theoretical roots and far-reaching critical perspectives. These derive not only from the more recent poststructuralist discourse on others but also, further back, from the existentialist discourse on others - particularly in issues relating to "The Look" as elaborated by Jean-Paul Sartre in his major philosophical treatise Being and Nothingness and in his reflections on racism, colonialism and humanism...
December 2016: Journal of Aging Studies
https://www.readbyqxmd.com/read/27912856/processes-of-developing-community-livability-in-older-age
#17
Kendra S Heatwole Shank, Malcolm P Cutchin
OBJECTIVE: 'Community livability' is a widely used term that is still under-conceptualized. The purpose of the project was to theorize key dynamics of livability for older adults who are aging in place in their homes and communities. METHODS: Twelve community-dwelling adults (70+) were recruited in a multiple-case study design. Interviews and naturalistic observations were used over the course of 6months. Global positioning system (GPS) devices were used to generate maps (routines, routes, type and duration of activities) to elicit additional insights through interviews...
December 2016: Journal of Aging Studies
https://www.readbyqxmd.com/read/27912854/immune-to-ageism-men-s-perceptions-of-age-based-discrimination-in-everyday-contexts
#18
Hanna Ojala, Ilkka Pietilä, Pirjo Nikander
Despite long-term, conceptually and theoretically refined discussions, the phenomenon of ageism still remains empirically under-developed. To better understand the diversity of ageism, its contextual variations and gender-specific dynamics in people's daily lives, this study focuses on how different interactional contexts shape men's perceptions of ageism. Using data from 67 thematic personal interviews with 23 middle and working class men aged 50-70, this study contributes to the sorely lacking, empirically based and nuanced understanding of how ageism is experienced, and adds to the research on the internalization of ageism which to date has primarily focused on older women's experiences...
December 2016: Journal of Aging Studies
https://www.readbyqxmd.com/read/27912853/-and-how-old-are-you-age-reference-as-an-interpretative-device-in-radio-counselling
#19
Nataliya Thell, Katarina Jacobsson
AIM OF STUDY: Negotiations about problem definitions are a crucial part of psychotherapeutic and counselling work. In a conversation with a psychotherapist or a counsellor, the client's initial description of his or her trouble is transformed into an expert-informed problem formulation. This study aims to explicate how reasoning about troubles and life difficulties in a dialogue with a psychotherapist may be grounded in cultural knowledge about ageing. METHOD AND DATA: We draw upon ethnomethodology, and particularly on conversation analysis and membership categorisation analysis, to describe how age identities can be invoked in reasoning about explanations and solutions of psychological problems...
December 2016: Journal of Aging Studies
https://www.readbyqxmd.com/read/27912849/the-othering-of-old-age-insights-from-postcolonial-studies
#20
Silke van Dyk
When it comes to old age, we are witnessing almost revolutionary changes at the present time. After decades of ignorance and lack of public interest, old age has fundamentally been re-negotiated. A diverse range of authors have diagnosed the growing bifurcation of old age into a rather independent and capable Third Age and a deep old Fourth Age that is characterized by sickness, frailty and dependency. Against this backdrop, many gerontologists claim that the so-called young-old are praised and valued for their (ongoing) "sameness" in terms of midlife-norms and capabilities, whereas the oldest old are increasingly excluded from humanity by radical "othering"...
December 2016: Journal of Aging Studies
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