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Selected AbstractsEmergency medicine in India: Why are we unable to ,walk the talk'?EMERGENCY MEDICINE AUSTRALASIA, Issue 4 2007Suresh S David Abstract The largest democracy on earth, the second most populous country and one of the most progressive countries in the globe, India, has advanced tremendously in most conventional fields of Medicine. However, emergency medicine (EM) is a nascent specialty and is yet to receive an identity. Today, it is mostly practised by inadequately trained clinicians in poorly equipped emergency departments (EDs), with no networking. Multiple factors such as the size of the population, variation in standards of medical education, lack of pre-hospital medical systems and non-availability of health insurance schemes are some of the salient causes for this tardy response. The Indian medical system is governed by a central, regulatory body which is responsible for the introduction and monitoring of all specialties , the Medical Council of India (MCI). This organisation has not recognized EM as a distinct specialty, despite a decade of dogged attempts. Bright young clinicians who once demonstrated a keen interest in EM have eventually migrated to other conventional branches of medicine, due to the lack of MCI recognition and the lack of specialty status. The Government of India has launched a nationwide network of transport vehicles and first aid stations along the national highways to expedite the transfer of patients from a crash site. However, this system cannot be expected to decrease morbidity and mortality, unless there is a concurrent development of EDs. The present article intends to highlight factors that continue to challenge the handful of dedicated, full time emergency physicians who have tenaciously pursued the cause for the past decade. A three-pronged synchronous development strategy is recommended: (i) recognise the specialty of EM as a distinct and independent basic specialty; (ii) initiate postgraduate training in EM, thus enabling EDs in all hospitals to be staffed by trained Emergency physicians; and (iii) ensure that EMs are staffed by trained ambulance officers. The time is ripe for a paradigm shift, since the country is aware that emergency care is the felt need of the hour and it is the right of the citizen. [source] A cost-effective simulation curriculum for preclinical endodonticsEUROPEAN JOURNAL OF DENTAL EDUCATION, Issue 1 2004Roberta Pileggi A challenge in contemporary dental education is to achieve a smooth transition from preclinical teaching environments to patient-care clinics in a cost-effective manner. The preclinical endodontic courses at The University of Texas, Dental Branch at Houston provide a unique learning environment that enables the student to perform endodontic treatment on extracted teeth in a typodont, and be involved in diagnosis and treatment-planning discussions. The specially designed stone typodont used has built-in radiographic capability, and is mounted at each chair in the clinic. During each preclinical session, students are assigned clinical cubicles and proper aseptic protocol is followed. Students are required to wear gloves, masks and eyewear, and place a rubber dam during treatment. Written self-assessment evaluations based upon prescribed criteria are utilised; feedback is given by faculty composed of both full-time endodontists and graduate students who periodically rotate and are calibrated on a regular basis. In the lecture phase, clinical case scenarios are presented to reinforce concepts of diagnosis and emergency care and to help integrate endodontics with other disciplines; a Socratic-like teaching style is established by the faculty facilitator to create an environment for developing critical-thinking and problem-solving skills. The overall feedback from graduating students has been very positive. Advantages of this format are an easier transition to patient management, a more keen interest in specialsation and a perceived increase in levels of confidence. [source] Welfare transitions in the 1990s: The economy, welfare policy, and the EITCJOURNAL OF POLICY ANALYSIS AND MANAGEMENT, Issue 4 2004Jeffrey GroggerArticle first published online: 25 AUG 200 The rapid decline in the welfare caseload remains a subject of keen interest to both policymakers and researchers. In this paper, I use data from the Survey of Income and Program Participation spanning the period from 1986 to 1999 to analyze how the economy, welfare reform, the earned income tax credit (EITC), and other factors influence welfare entries and exits, which in turn affect the caseload. I find that the decline in the welfare caseload resulted from both increases in exits and decreases in entries. Entries were most significantly affected by the economy, the decline in the real value of welfare benefits, and the expansion of the EITC. Exits were most significantly affected by the economy and federal welfare reform. Federal reform had its greatest effects on longer-term spells of the type generally experienced by more disadvantaged recipients. Some out-of-sample predictions help explain the otherwise puzzling observation that, despite substantial increases in the unemployment rate since 2000, caseloads have remained roughly constant. © 2004 by the Association for Public Policy Analysis and Management [source] Work hard, play hard: selling Kelowna, BC, as year-round playgroundTHE CANADIAN GEOGRAPHER/LE GEOGRAPHE CANADIEN, Issue 2 2005Luis L.M. Aguiar A keen interest in place making and place selling is widespread in contemporary society. While the bulk of academic research has focused on studying the restructuring of large urban conglomerates, places beyond the exploding metropolis, by comparison, have received little attention, especially when it concerns Canadian landscapes. In an attempt to study the particularities of place making in contemporary smaller, more isolated communities,hinterlands,this work analyses the city of Kelowna, in British Columbia, Canada. We argue that historically Kelowna, a small rural community specialising in ranching, forestry and fruit production, since the early 1980s, has been re-imagined and re-designed, on the one hand as an all-year playground and as an innovative frontier for high-tech industries; on the other hand, this post-Fordist reinvention contains a discourse of ,whiteness', one that entices by packaging ,place' in terms of ,sameness' and ,familiarity'. In contrast to large cosmopolitan post-industrial cities, hinterland-type cities are invented, sought and lived as geographies cleared from the ,elements' that make cities ,unsafe'. L'étude de la fabrication et de la vente du lieu suscite beaucoup d'intérêt dans la société contemporaine. Alors que la plupart des travaux académiques se sont concentrés sur la restructuration des grandes agglomérations urbaines, leurs périphéries qui font parti du paysage canadien ont reçu peu d'attention. Afin de comprendre les processus qui entre en jeu dans la fabrication du lieu des communautés plus petites et plus isolées de l'arrière-pays, nous avons étudié la ville de Kelowna en Colombie Britannique au Canada. Notre argument est qu'une petite communauté avec un riche passé agricole et une économie basée sur l'exploitation de ressources naturelles, Kelowna s'est re-imaginée et re-définie, dans un premier temps comme site de villégiature toute saison, et aussi comme centre de recherche de haute technologie. Dans un deuxième temps, cette ré-invention post-fordiste contient un discours de ,whiteness, qui encourage la création d'un espace socialement homogène. En contrepartie au post-industrialisme des grands centres métropolitains, les villes de l'arrière-pays sont inventées, recherchées et vécus comme des lieus géographiques où il fait bon vivre, ou les dangers généralement associés aux grandes villes y sont absents. Notre but est donc de comprendre le caractère unique qui contribue à la fabrication du lieu dans les sociétés de l'arrière-pays. [source] Reproduction, early development and larviculture of the barber goby, Elacatinus figaro (Sazima, Moura & Rosa 1997)AQUACULTURE RESEARCH, Issue 1 2009Maria Eugenia Meirelles Abstract The barber goby, Elacatinus figaro, is a cleaner species of ecological importance and of keen interest to the aquarium trade. Endemic to Brazil, it is a threatened species and so aquaculture is a potential solution for reducing pressure on the natural stocks. This study describes the reproductive behaviour, the embryonic and larval development and the general breeding and rearing conditions. Ten wild fish initiated the formation of breeding pairs 20 days after acclimation to captivity. Spawning started 12 days after the first pair was formed, with one female from each pair spawning from 140 to 700 eggs (n=15 spawnings). The average period of incubation of the eggs was 6.8 days at 25 °C. The best hatching rate was 99.5% (n=10 spawnings). Larval rearing used Nannochloropsis oculata with rotifers (Brachionus rotundiformis) as the first food (day 0,25); nauplii and meta-nauplii of Artemia were fed from day 18 until larval metamorphosis with subsequent weaning using commercial marine fish diets. The transformation to juveniles started at around the 30th day post hatch. The best larval survival rate until complete metamorphosis was 30.6% (n=4 larvicultures). After this period, the mortality was insignificant. This study demonstrated that the cultivation of barber goby is feasible. [source] Australian teledermatology: The patient, the doctor and their governmentAUSTRALASIAN JOURNAL OF DERMATOLOGY, Issue 1 2000Adrian C Lim SUMMARY Telemedicine is an emerging technology within Australia. We review the historical development of telemedicine and discuss the clinical and non-clinical issues surrounding its practice in this country. Teledermatology is one application of telemedicine. We discuss the potential impact of teledermatology on patients, doctors and third parties such as government. So far, teledermatology has received little attention from Australian dermatologists. By contrast, the Government and other organizations are showing keen interest in establishing infrastructure within this country. We believe it is time for dermatologists to become more involved in the practice and politics of telemedicine within Australia. [source] The Department of External Affairs, the ABC & Reporting of the Indonesian Crisis 1965,1969AUSTRALIAN JOURNAL OF POLITICS AND HISTORY, Issue 1 2003Karim Najjarine The Department of External Affairs took a keen interest in the manner in which Radio Australia reported events in Indonesia throughout the 1950s and 1960s. Radio Australia's high signal strength gave it a massive listening audience in the region. The attempted coup in Indonesia of 1965, its immediate aftermath, and the protracted power struggle that followed, triggered a period of cooperation and conflict between the Department and the Australian Broadcasting Commission over Radio Australia's reporting of events in Indonesia. During this time the Department received and acted upon advice from the Australian ambassador to Indonesia, Keith Shann, and, via Shann, received advice from the Indonesian Army on how it wanted the situation in Indonesia reported. This period is characterised by the Department's efforts to take over Radio Australia, and by cooperation between major western powers to coordinate information policy towards Indonesia. The Department also attempted to influence reporting of events in Indonesia by the Australian press and succeeded in convincing newspaper editors to report and editorialise in a manner sensitive to the Department's concerns. [source] |