Help-seeking for 'memory loss' by older adults in India : patient, caregiver and health providers' perspectives

ABSTRACT: Background. In India, prevalence rates of dementia and prodromal amnestic Mild Cognitive Impairment (MCI) are 3.1% and 4.3% respectively. Most Indians refer to the full spectrum of cognitive disorders simply as ‘memory loss.’ Barring prevention or cure, these conditions will rise rapidly with population aging. Evidence-based policies and practices can improve the lives of affected individuals and their caregivers, but will require timely and sustained uptake. Objectives. Framed by social cognitive theories of health behavior, this study explores the knowledge, attitudes and practices concerning cognitive impairment and related service use by older adults who screen positive for MCI, their primary caregivers, and health providers. Methods. I used the Montreal Cognitive Assessment to screen for cognitive impairment in memory camps in Mumbai. To achieve sampling diversity, I used maximum variation sampling. Ten adults aged 60+ who had no significant functional impairment but screened positive for MCI and their caregivers participated in separate focus groups. Four other such dyads and six doctors/ traditional healers completed in-depth interviews. Data were translated from Hindi or Marathi to English and analyzed in Atlas.ti using Framework Analysis. Findings. Knowledge and awareness of cognitive impairment and available resources were very low. Physicians attributed the condition to disease-induced pathology while lay persons blamed brain malfunction due to normal aging. Main attitudes were that this condition is not a disease, is not serious and/or is not treatable, and that it evokes stigma toward and among impaired persons, their families and providers. Low knowledge and poor attitudes impeded help-seeking. Conclusions. Cognitive disorders of aging will take a heavy toll on private lives and public resources in developing countries. Early detection, accurate diagnosis, systematic monitoring and quality care are needed to compress the period of morbidity and promote quality of life. Key stakeholders provide essential insights into how scientific and indigenous knowledge and sociocultural attitudes affect use and provision of resources.

Vers une poétique de la narration : films populaires et romance au cinéma bollywoodien des années 1990

Dans ce mémoire, nous étudions les productions bollywoodiennes issues de la foisonnante industrie du film de Mumbai. Nous explorons la forme populaire que ce cinéma propose et la nouvelle tendance qui émerge dans les années 1990, à travers laquelle se développent des représentations liées à la nouvelle classe moyenne indienne. Cette étude cherche à interroger les films les plus populaires des années 1990 afin de comprendre comment ils déploient leurs narratifs et leur narration. En procédant à des analyses descriptives et poétiques des récits, l’étude est principalement préoccupée par le traitement de la romance, un thème majeur de cette décennie. À travers ce thème, nous analysons les motifs narratifs, les procédés stylistiques, les détours de l’expression des sentiments ainsi que les dynamiques entre les sphères privée, publique et familiale. Essentiellement, nous mettons en lumière comment la distribution des informations narratives place le spectateur dans une position privilégiée organisant les plaisirs de sa participation aux films bollywoodiens.

Sustainable Solid Waste Management Through Ecological Footprint Analysis – A Solution To Kochi City, India

Kochi, the commercial capital of Kerala, South India and second most important city next to Mumbai on the Western coast is a land having a wide variety of residential environments. Due to rapid population growth, changing lifestyles, food habits and living standards, institutional weaknesses, improper choice of technology and public apathy, the present pattern of the city can be classified as that of haphazard growth with typical problems characteristics of unplanned urban development especially in the case of solid waste management. To have a better living condition for us and our future generations, we must know where we are now and how far we need to go. We, each individual must calculate how much nature we use and compare it to how much nature we have available. This can be achieved by applying the concept of ecological footprint. Ecological footprint analysis (EFA) is a quantitative tool that represents the ecological load imposed on earth by humans in spatial terms. The aim of applying EFA to Kochi city is to quantify the consumption and waste generation of a population and to compare it with the existing biocapacity. By quantifying the ecological footprint we can formulate strategies to reduce the footprint and there by having a sustainable living. The paper discusses the various footprint components of Kochi city and in detail analyses the waste footprint of the residential areas using waste footprint analyzer. An attempt is also made to suggest some waste foot print reduction strategies thereby making the city sustainable as far as solid waste management is concerned.

Ecological Foot Print Analysis-A Sustainable Environmental Management Tool for Kochi City

Kochi, the commercial capital of Kerala and the second most important city next to Mumbai on the Western coast of India, is a land having a wide variety of residential environments. The present pattern of the city can be classified as that of haphazard growth with typical problems characteristics of unplanned urban development. This trend can be ascribed to rapid population growth, our changing lifestyles, food habits, and change in living standards, institutional weaknesses, improper choice of technology and public apathy. Ecological footprint analysis (EFA) is a quantitative tool that represents the ecological load imposed on the earth by humans in spatial terms. This paper analyses the scope of EFA as a sustainable environmental management tool for Kochi City

Sustainable Development through the Environment Management Tool Ecological Footprint Analysis – A Study in Kochi City, India

In the past, natural resources were plentiful and people were scarce. But the situation is rapidly reversing. Our challenge is to find a way to balance human consumption and nature’s limited productivity in order to ensure that our communities are sustainable locally, regionally and globally. Kochi, the commercial capital of Kerala, South India and the second most important city next to Mumbai on the Western coast is a land having a wide variety of residential environments. Due to rapid population growth, changing lifestyles, food habits and living standards, institutional weaknesses, improper choice of technology and public apathy, the present pattern of the city can be classified as that of haphazard growth with typical problems characteristics of unplanned urban development. Ecological Footprint Analysis (EFA) is physical accounting method, developed by William Rees and M. Wackernagel, focusing on land appropriation using land as its “currency”. It provides a means for measuring and communicating human induced environmental impacts upon the planet. The aim of applying EFA to Kochi city is to quantify the consumption and waste generation of a population and to compare it with the existing biocapacity. By quantifying the ecological footprint we can formulate strategies to reduce the footprint and there by having a sustainable living. In this paper, an attempt is made to explore the tool Ecological Footprint Analysis and calculate and analyse the ecological footprint of the residential areas of Kochi city. The paper also discusses and analyses the waste footprint of the city. An attempt is also made to suggest strategies to reduce the footprint thereby making the city sustainable

Identifying the factors governing attitude towards the e-Agriservice among dairy farmers in Maharashtra, India

Information and communication technology (ICT) projects have a great potential to revolutionise the information delivery system by bridging the gap between farmers and extension personnel. aAQUA (Almost All Questions Answered) portal was launched by the Developmental Informatics Laboratory (DIL) at Indian Institute of Technology (IIT) Mumbai, Maharashtra, India in 2003 as an information providing system to deliver technology options and tailored information for the problems and queries raised by Indian dairy farmers. To measure the effectiveness of this service the attitudinal dimensions of the users of aAQUA e-Agriservice were investigated using a 22 item scale. A simple random sampling technique was used to select 120 dairy farmers from which data were collected and subjected to factor analysis to identify the underlying constructs in this research. From the attitude items, four components were extracted and named as the pessimistic, utility, technical and efficacy perspective, which influenced the development of varied level of attitudinal inclination towards the e-Agriservice. These components explained 64.40 per cent of variation in the attitude of the users towards the aAQUA e-Agriservice. This study provides a framework for technically efficient service provision that might help to reduce the pessimistic attitude of target population to adopt e-Agriservice in their farming system. The results should also be helpful for researchers, academics, ICT based service providers and policy makers to consider these perspectives while planning and implementing ICT projects.

Análisis estratégico y financiero de las Dinámicas Comerciales del Canal Moderno en Unilever

El presente trabajo “Análisis estratégico y financiero de las Dinámicas Comerciales del Canal Moderno en Unilever”, comprendiendo los aspectos del Trade Marketing y el mercado de consumo masivo, tiene como propósito el análisis de la ejecución de las estrategias utilizadas por Unilever actualmente en sus dinámicas comerciales, para identificar debilidades y oportunidades de mejora. Así mismo, será acompañado por un estudio financiero de las mismas, buscando reforzar y apoyar el estudio desde una perspectiva diferente a la estratégica para un análisis más completo y resultados puntualizados que lleven a una propuesta más acertada. El estudio y propuestas se hacen aplicables a las diferentes dinámicas comerciales realizadas en los otros países pertenecientes al clúster de Unilever Middle Americas y sus respectivos clientes, dando una mayor utilidad y visibilidad al estudio a nivel internacional.

Calidad de atención percibida y calidad de vida relacionada con la salud en pacientes participantes de estudios clínicos de la ips idearg sas.

La presente investigación surge en el programa de Bienestar y Calidad de Vida suscrito a la Línea de Liderazgo en la Escuela de Administración de la Universidad del Rosario, con el objetivo de describir si las subdimensiones de la calidad de la atención percibida guardan relación con la calidad de vida relacionada con la salud en los pacientes participantes en Estudios Clínicos en la Institución Prestadora de Servicios de Salud IDEARG SAS, considerando si los factores sociodemográficos se constituyen en mediadores de esta relación. Esta investigación plantea un estudio descriptivo correlacional, en el que a partir de la utilización de los cuestionarios PECASUSS, Percepción de la Calidad según Usuarios del Servicio de Salud, y SF36 de Calidad de Vida Relacionada con la Salud, se lleve a cabo un procesamiento estadístico descriptivo en el software SPSS 21, y con ello se evidencie la correlación entre la calidad de atención percibida y la calidad de vida en salud. Para su desarrollo se abordaran cinco capítulos. El primero engloba el proyecto de trabajo de grado propuesto, el segundo capítulo refiere a la descripción de las subdimensiones que componen la Calidad de la Atención Percibida y de los índices y dominios que a la Calidad de Vida relacionada con la Salud atañen; en el tercer capítulo se evidencia la relación entre los datos sociodemográficos de los participantes y, por un lado, la Calidad de la Atención Percibida y, por otro lado, la Calidad de Vida Relacionada con la Salud; enseguida en el cuarto capítulo se describen las relaciones emergentes entre los dominios de la calidad de vida relacionados con la salud y las subdimensiones de la calidad de la atención en salud percibida; en un quinto capítulo se discuten las correlaciones que describen la existencia de relación entre la Calidad de la Atención Percibida y la Calidad de Vida Relacionada con la Salud; y finalmente se da cierre al trabajo con las conclusiones y recomendaciones.

Visual surveillance for moving vehicles

An overview is given of a novel vision system for locating, recognising and tracking multiple vehicles.

Clusters, connectivity and catch-up: Bollywood and Bangalore in the Global Economy

In this article, we make two important contributions to the literature on clusters. First, we provide a broader theory of cluster connectivity that has hitherto focused on organization-based pipelines and MNE subsidiaries, by including linkages in the form of personal relationships. Second, we use the lens of social network theory to derive a number of testable propositions. We propose that global linkages with decentralized network structures have the highest potential for local spillovers. In the emerging economy context, our theory implies that clusters linked to the global economy by decentralized pipelines have potential for in-depth catch-up, focused in industry and technology scope. In contrast, clusters linked through decentralized personal relationships have potential for in-breadth catch-up over a range of related industries and technologies. We illustrate our theoretical propositions by contrasting two emerging economy case studies: Bollywood, the Indian filmed entertainment cluster in Mumbai and the Indian software cluster in Bangalore.

Total reaction cross-sections for light weakly bound systems

We have measured the elastic scattering cross-section for (8)Li + (9)Be and (8)Li + (51)V systems at 19.6 MeV and 18.5 MeV, respectively. We have also extracted total reaction cross sections from the elastic scattering analysis for several light weakly bound systems using the optical model with Woods-Saxon and double-folding-type potentials. Different reduction methods for the total reaction cross-sections have been applied to analyze and compare simultaneously all the systems.

A trajetória do ambiente jurídico-institucional do setor de software no Brasil e na Índia: identidades, diferenças e repercussões

Há mais de 30 anos o Brasil tem desenvolvido políticas específicas para o setor de informática, desde a Política Nacional de Informática da década de 70, passando pelo Período de Reserva de Mercado dos anos 80 e, nos dias de hoje, em que as Tecnologias de Informação e Comunicação (TIC) são tidas como uma das áreas prioritárias na Política Industrial. Dentre as metas atuais, destaca-se o foco na ampliação do volume de exportações de software e serviços. Contudo, apesar dessas pretensões, o país não tem tido destaque internacional expressivo para o setor. Por outro lado, a Índia, também considerada como um país emergente, figurando na lista dos BRIC, foi responsável pela exportação de cerca de US$47 bilhões em software e serviços de Tecnologia da Informação (TI) em 2009, se destacando como um país protagonista no mercado internacional do setor. A implementação de uma indústria tecnicamente sofisticada como a do software, que exige um ambiente propício à inovação, em um país em desenvolvimento como a Índia chama a atenção. De certo existiram arranjos jurídico-institucionais que foram utilizados naquele país. Quais? Em que medida tais arranjos ajudaram no desenvolvimento indiano do setor? E no Brasil? Este trabalho parte da hipótese de que o ambiente jurídico-institucional desses países definiu fluxos de conhecimento distintos, influenciando o tipo de desenvolvimento do setor de software de cada um. Averiguar como, entre outros fatores sócio-econômicos, esses arranjos jurídico-institucionais influenciaram na conformação diversa de fluxos de conhecimento é o objetivo específico desta pesquisa. Entende-se aqui como ambiente jurídico-institucional todas as regulamentações que estabelecem instituições, diretrizes e condições comuns para determinado tema. Partindo do pressuposto de que o setor de software desenvolve atividades intensivas em conhecimento, para cada país em questão, serão analisados apenas arranjos jurídico-institucionais que tiveram, ou têm, poder de delimitar o fluxo de conhecimento referente ao setor, sejam eles provenientes de políticas comerciais (de exportação e importação, ou de propriedade intelectual) ou de políticas de investimento para inovação. A questão fundamental ultrapassa o debate se o Estado deve ou não intervir, para focar-se na análise sobre os diferentes tipos de envolvimento observados e quais os seus efeitos. Para tal, além de revisão bibliográfica, foi feita uma pesquisa de campo na Índia (Delhi, Mumbai, Bangalore) e no Brasil (São Paulo, Brasília e Rio de Janeiro), onde foram conduzidas entrevistas com empresas e associações de software, gestores públicos e acadêmicos que estudam o setor.

Fraction of work-related accidents attributable to occupational noise in the city of Botucatu, São Paulo, Brazil

Background: Noise is the most common agent of occupational exposure. It may induce both auditory and extraauditory dysfunction and increase the risk of work accidents. The purpose of this study was to estimate the fraction of accidents attributable to noise occupational exposure in a mid-size city located in southeastern Brazil. Materials and Methods: In this population case-control study, which included 108 cases and 324 controls, the incidence rate ratio of work accidents controlled for several covariables was obtained by classifying occupational noise exposure into three levels, as well as determining the prevalence in each level. Results: Based on these data, the attributable fraction was estimated as 0.6391 (95 CI = 0.2341-0.3676), i.e., 63 of the work accidents that took place in the study site were statistically associated with occupational noise exposure. Discussion: The causes of this association as well as its implications in the prevention of work accidents are discussed.