Guía para el desarrollo de Programas de intercambio de Jeringuillas (PIJ) desde la consulta de triage de los Dispositivos de Cuidados Críticos y Urgencias (DCCU)

There are exceptional situations where emergency services are required Primary Care in the application of material used by drug-dependent patients, being the response to this demand is something that many of the cases, to individual discretion and the randomness and variability every situation leads to an answer. It calls for a response commensurate to public services and preventive health philosophy in most cases will be carried out by the nurse to perform assistance Devices Critical Care (DCCU), often this first contact these patients and slots at the supply of resources diminishes the possibilities of acquisition of such material to them. That is why, and in the absence in this area of patient safety and professional, a workflow model and according to the prevailing philosophy of working in primary care in terms of prevention policies and recruitment of patients concerned, this project raises guidance for the development of a needle exchange program from the triage consultations DCCU.

Estimating national-level syringe availability to injecting drug users and injection coverage: Switzerland, 1996-2006.

BACKGROUND: Measuring syringe availability and coverage is essential in the assessment of HIV/AIDS risk reduction policies. Estimates of syringe availability and coverage were produced for the years 1996 and 2006, based on all relevant available national-level aggregated data from published sources. METHODS: We defined availability as the total monthly number of syringes provided by harm reduction system divided by the estimated number of injecting drug users (IDU), and defined coverage as the proportion of injections performed with a new syringe, at national level (total supply over total demand). Estimates of supply of syringes were derived from the national monitoring system, including needle and syringe programmes (NSP), pharmacies, and medically prescribed heroin programmes. Estimates of syringe demand were based on the number of injections performed by IDU derived from surveys of low threshold facilities for drug users (LTF) with NSP combined with the number of IDU. This number was estimated by two methods combining estimates of heroin users (multiple estimation method) and (a) the number of IDU in methadone treatment (MT) (non-injectors) or (b) the proportion of injectors amongst LTF attendees. Central estimates and ranges were obtained for availability and coverage. RESULTS: The estimated number of IDU decreased markedly according to both methods. The MT-based method (from 14,818 to 4809) showed a much greater decrease and smaller size of the IDU population compared to the LTF-based method (from 24,510 to 12,320). Availability and coverage estimates are higher with the MT-based method. For 1996, central estimates of syringe availability were 30.5 and 18.4 per IDU per month; for 2006, they were 76.5 and 29.9. There were 4 central estimates of coverage. For 1996 they ranged from 24.3% to 43.3%, and for 2006, from 50.5% to 134.3%. CONCLUSION: Although 2006 estimates overlap 1996 estimates, the results suggest a shift to improved syringe availability and coverage over time.

Rôle des pharmacies dans la prise en charge des consommateurs de drogue: 3e vague d'enquête, 2011

Les enquêtes menées auprès des officines vaudoises en 1994 et 2003 avaient montré que les pharmacies étaient des partenaires importants dans le réseau de prise en charge des usagers de drogue par injection (UDI), en particulier en ce qui concerne la dispensation et le suivi des cures de méthadone. Elles avaient aussi mis en évidence les besoins de formation/information des pharmaciens et de leur personnel. La troisième vague de l'enquête pharmacie 2011 avait pour objectif : o de mesurer l'évolution de la remise de seringues par les pharmacies aux UDI o de repérer les lacunes éventuelles dans l'accès au matériel stérile du point de vue géographique o d'apprécier le rôle des pharmacies dans la remise de traitements de méthadone o d'identifier d'éventuels problèmes rencontrés dans ces deux activités (vente de seringues et dispensation de méthadone) o d'identifier les besoins en formation des pharmaciens et du personnel des pharmacies o d'identifier les actions qui favoriseraient une meilleure intégration des pharmacies dans le dispositif de prise en charge des personnes toxicodépendantes o de recueillir l'avis des pharmaciens sur la pose d'automates de distribution de seringues et sur la nécessité d'une extension de la remise de matériel stérile. Méthode L'enquête pharmacie 2011 comprend deux volets. Un premier volet quantitatif, sous la forme d'un questionnaire adressé à toutes les pharmacies du canton (n=248). Le taux de participation de 92% (n=227) est remarquable. Les analyses portent sur 220 questionnaires valides. Un second volet, qualitatif, permet de compléter les données statistiques. Parmi les pharmaciens disposés à s'exprimer dans le cadre d'un entretien (n=90), nous en avons échantillonné [...] [Auteurs, p. 5]

Prévention du sida chez les toxicomanes en Suisse: une évolution encourageante. [Prevention of AIDS in drug addicts in Switzerland: an encouraging development].

Switzerland has adopted a prevention strategy including the promotion of non-sharing injection material and use of condoms. The access to sterile equipment has been made easier, but regional differences still exist. Studies conducted between 1989 and 1992 among drug users in different Swiss regions are reviewed in order to examine if progress in prevention occurred. Syringe sharing diminished everywhere, but rather high sharing rates persist where sterile material is less accessible. Condom use increased, but the situation is still unsatisfactory considering the high HIV prevalence among i.v. drug users. Where several surveys have been conducted consecutively, a stabilization of HIV prevalence was observed. This suggests a slowing down of the progression of the epidemic among drug users. These results, obtained in few years, are encouraging in the light of the pessimism which prevailed at the beginning of the epidemic about the ability of drug users to adopt preventive behaviour.

Rotary Club of St. Catharines fonds, 1973-1985, n.d.

The first Rotary Club was created in February 1905, by Chicago lawyer Paul P. Harris. Harris envisioned a club which would bring members of the business community closer together. As his vision grew more members were acquired. In order to accommodate everyone, meetings were held at each of the member’s place of business; hence the name Rotary Club was adopted. A wagon wheel was chosen as an appropriate symbol to denote the club; which today has become the cogwheel. By the close of its first year the club had thirty members. Slowly Rotary Clubs began emerging across the country and by 1910 they had become International by moving North to Canada. By 1921 Rotary representation was present in every Continent and in 1922 the name Rotary International had been approved. The Rotary Club of St. Catharines came into existence on May 19, 1921 under the Charter President Canon Bill Broughall. The Club’s beginnings were humble with only twenty-five members; however, by their seventy-fifth anniversary the club had grown to one hundred and forty-four. The Rotary Club of St. Catharines is a non-profit charity, prescribing to the motto Service above Self. This motto is demonstrated through the Clubs numerous contributions to society both locally and internationally. The Club raises funds, supports exchange programs, and participates in community service work. Some of the organizations which have benefited from the Clubs donations; include, Easter Seals, the Niagara Peninsula Children’s Centre, and the Youth Exchange Program.

Academic advising, eh : a profile of undergraduate academic advising at Ontario universities

Despite its importance to postsecondary students' success, there is little known about academic advisement in Canada. Academic advising can be a very intensive and demanding job, yet it is not well understood what duties or student populations of advising make it so. On a practical level, this study sought to learn more about academic advisement in Ontario universities and provide a general overview of who advisors are and what they do. This study also investigated academic advising duties and time allocation for these responsibilities in an attempt to relate theory to practice incorporating Vilfredo Pareto's theoretical underpinnings to confirm or negate the applicability of the Pareto Principle in relationship to time utilization by advisors. Essentially this study sought to discover which students require the greatest advisement time and effort, and how advisors could apply these findings to their work. Academic advising professionals in Ontario universities were asked to complete a researcher-designed electronic survey. Quantitative data from the responses were analyzed to describe generalized features of academic advising at Ontario universities. Discussion and implications for practice will prompt advisors and institutions using the results of this study to measure themselves against a provincial assessment. Advisors' awareness of time allocation to different student groups can help focus attention where new strategies are needed to maximize time and efforts. This study found that caseload and time spent with student populations were proportional. Regular undergraduate students accounted for the greatest amount of caseload and time followed by working with students struggling academically. This study highlights the need for further evaluation, education, and research in academic advising in Canadian higher education.

Les cours de danse africaine à Montréal, émergence d’une production socioculturelle et esthétique

Ce mémoire traite de l’enseignement de la danse africaine en France et au Canada. Cette recherche a débuté en 2007, lorsque l’auteur a participé à un échange étudiant. À la fin de cette expérience, l’auteur en était arrivé à la conclusion que la danse africaine au Québec était abordée comme un bien de consommation et/ou une production socioculturelle relevant de l’imaginaire. La présente analyse explore les avantages et les limites de l’approche méthodologique adoptée par l’anthropologue (qui est, dans ce cas-ci, une ancienne danseuse classique), et les conditions de la rencontre entre les Africains et les occidentaux par la danse. Tandis qu’il reste à démontrer que les critiques postmodernes de l’art de masse s’appliquent dans ce cas-ci, l’analyse montre ici clairement que l’on trouve dans les cours de danse africaine au Québec une forme de conscience professionnelle. Les critiques de la danse et de d’autres formes de démocratisations artistiques tendent à se confondre dans la peur du discours populaire. L’objectif principal de cette recherche est par conséquent d’établir les limites du fétichisme par rapport à la danse africaine et d’explorer en détail les implications de la « hantise du Troisième Homme » communiquée par la recherche ethnographique et l’analyse anthropologique

L’association entre les divers types de services de santé et l’initiation du traitement de l’hépatite C chez les utilisateurs de drogues par injection.

Introduction: Malgré des taux d’efficacité comparable du traitement antiviral de l’hépatite C (VHC) entre utilisateurs de drogues par injection (UDIs) et non-UDIs, il y a encore d’importantes barrières à l’accessibilité au traitement pour cette population vulnérable. La méfiance des UDIs à l’égard des autorités médicales, ainsi que leur mode de vie souvent désorganisé ont un impact sur l’initiation du traitement. L’objectif de cette étude est d’examiner les liens entre l’initiation du traitement du VHC et l’utilisation des services de santé chez les UDIs actifs. Methode: 758 UDIs actifs et séropositifs aux anticorps anti-VHC ont été interrogés durant la période de novembre 2004 à mars 2011, dans la région de Montréal. Des questionnaires administrés par des intervieweurs ont fourni des informations sur les caractéristiques socio-économiques, ainsi que sur les variables relatives à l’usage de drogues et à l’utilisation des services de santé. Des échantillons sanguins ont été prélevés et testés pour les anticorps anti-VHC. Une régression logistique multivariée a permis de générer des associations entre les facteurs relatifs aux services de santé et l’initiation du traitement contre le VHC. Resultats: Parmi les 758 sujets, 55 (7,3%) avaient initié un traitement du VHC avant leur inclusion dans l’étude. Selon les analyses multivariées, les variables significativement associées à l’initiation du traitement sont les suivantes: avoir vu un médecin de famille dans les derniers 6 mois (Ratio de Cote ajusté (RCa): 1,96; Intervalle de Confiance à 95% (IC): 1,04-3,69); plus de 2 ans sous traitement de la dépendance à vie, sans usage actuel de méthadone (RCa: 2,25; IC: 1,12-4,51); plus de 2 ans sous traitement de la dépendance à vie, avec usage actuel de méthadone (RCa: 3,78; IC: 1,85-7,71); et avoir déjà séjourné en prison (RCa: 0,44; IC: 0,22-0,87). Conclusion: L’exposition à des services d’aide à la dépendance et aux services médicaux est associée à l’initiation du traitement du VHC. Ces résultats suggèrent que ces services jouent leur rôle de point d’entrée au traitement. Alternativement, les UDIs ayant initié un traitement du VHC, auraient possiblement adopté une attitude proactive quant à l'amélioration de leur santé globale. D’autre part, l’incarcération ressort comme un obstacle à la gestion de l’infection au VHC.

Pla d’actuació contra l’absentisme escolar a Palafrugell: Diagnosi de la realitat socioeducativa i protocol d’actuació contra l’absentisme escolar i la desescolarització

El treball té l’objectiu de dissenyar un protocol d’actuació que contempli aspectes sobre prevenció, detecció i intervenció contra l’absentisme escolar i la desescolarització al municipi. Per a això s’ha desenvolupat una diagnosi municipal d’anàlisi de la realitat sobre el tema, fent èmfasi en la intervenció socioeducativa que s’ha de realitzar per a tractar el fenomen des d’una perspectiva holística i global

O comportamento informacional de pós-graduandos da área de Educação

The study of information behavior of graduate students is important because it reveals aspects of the search and information use that will impact the performance of future researchers and other professionals. Earlier studies on the UNESP, campus of Marilia (São Paulo State, Brazil), indicated that the graduate students in the areas of Applied Social Sciences and Humanities little use information sources traditionally used for bibliographic and restricted to the sources indicated by their teachers, contrary to expectations for a student with this level of training. Continuing the theme, we investigate the information behavior of students in postgraduate programs in the field of Education with five and six notes in the latest assessment of the Coordination of Improvement of Higher Education Personnel (CAPES). This research aimed to characterize the information behavior of Brazilian post-graduate in Education; identify factors that may influence the information behavior of the participants; investigate whether there are significant differences in behavior between masters and doctoral students; check the influence of gender in information behavior of post-graduate students. Data collection was performed in two stages: the establishment of a focus group with group of 11 participants for raising subsidies for the next step, which consisted in the application of electronic questionnaire to 16 graduate regular student of programs of excellence in the Brazil. Participated in the survey 493 post-graduates, 54% doctoral students and 46% of masters students and 75% women and 25% of men. The results showed that most subjects did not participate in formal instruction to search in databases. They are open to new ideas and do not restrict your search only to information that confirms their view on the research topic. Respondents are concerned not to overlook details and have the habit of regularly seeking information on their research and were willing to...

Programas de intercâmbio/cooperação internacional em lazer no contexto dos grupos de pesquisa nacionais da área

Este estudo objetiva mapear e descrever programas de intercâmbio/cooperação internacional em lazer, desenvolvidos por grupos de pesquisa (GP) brasileiros. Realizou-se investigação descritiva exploratória, com abordagem quantiqualitativa, em duas fases: 1) mapeamento dos GP em lazer cadastrados no CNPq; 2) contato com os representantes destes GP. Participaram 54 representantes de 211 GP. Nove apontaram o desenvolvimento destes programas por meio de relações com diferentes países. Os trabalhos em colaboração e os intercâmbios são as ações mais frequentes dos programas. Apesar de haver disparidade regional na distribuição dos GP, curta duração e execução de ações isoladamente, acredita-se que estes programas tenham propostas promissoras para o lazer, suscitando novas investigações.

Developing Civil Society and a New Leadership Class in Iraq: A Comprehensive Analysis and Business Plan

Following De-Ba'athification, forming a new leadership class will be critical to the success of creating a strong civil society in modern-day Iraq. Implementation of youth educational exchange programs, specifically promoting leadership skills, is a significant part of the solution to stimulating a new generation of leaders. Using the reign of Saddam Hussein and his toppling as a frame of reference, a brief history of Iraq's civil society reveals a need for a new leadership class through the lens of democratic transition and consolidation. After exploring the leadership challenges of post-war nation building, the proposed business plan focuses on implementing a youth leadership program in Iraq, employing a wider participation model, and a lengthier, more involved learning model from existing programs.