FAMILY MEDICINE RESIDENT SURVEY ON HEALTH PROMOTION (PERSONAL EXPECTATIONS, BEHAVIORS, PERCEIVED SELF-EFFICACY, COGNITIVE ASSESSMENT, OUTCOME EXPECTANCY)

This study was designed to test the theoretical predictors of personal efficacy expectations among family medicine resident physicians for helping their patients change thirteen high risk health behaviors. A survey questionnaire was sent to 781 family medicine residents in the six state south central region. The response rate was 60 percent. The hypothesized relationship between lower levels of difficulty and higher personal efficacy expectations was supported by the data. Effort was a significant predictor of perceived self efficacy for health behaviors considered less difficult to change. Situational support did not prove to be a significant predictor for many of the health behaviors. Rate and pattern of success were consistent and significant predictors of perceived self efficacy for helping patients change all thirteen of the health behaviors. Modeling of effective methods by faculty was a significant predictor of efficacy expectations for several but not all of the behaviors. Personal modeling was a significant predictor of perceived efficacy for helping patients change behaviors related to alcohol misuse and exercise. The respondents personally modeled positive health behaviors more consistently than their older colleagues or the general population.^ The results of this study lend substantially to the usefulness of the cognitive-behavioral theory of perceived self efficacy and provide a mechanism for assessing the predictors of personal efficacy expectations of family medicine resident physicians. The findings are expected to have direct implications for faculty to institute systematic programs of interventions designed to increase residents' perceptions of efficacy in facilitating more positive health behaviors among their patients. ^

Practice and attitude differences in physician cigarette use: A study of prevalence, physicians' role, and smoking policy awareness in Dubai, UAE

The use of tobacco products ruins the health of millions of people around the world. On average, tobacco users die nearly seven years earlier than non-tobacco users. n1 Cigarette smoking is a particular concern in the developing countries of the Middle East and Gulf Cooperation Council (GCC) region where smoking prevalence is expected to increase. This is due to the tobacco industry's vigorous commercial and marketing activities. n3 Smoking prevalence among physicians is considered to be an effective indicator of a society's readiness to identify the smoking epidemic and its related health diseases. n4 There is a lack of detailed data on the smoking prevalence among healthcare professionals, particularly physicians, in the United Arab Emirates (UAE). This cross sectional study is the first to address smoking practices among physicians working at the Department of Health and Medical Services (DOHMS); in Dubai, UAE. ^ This study describes the cigarette smoking prevalence among DOHMS Physicians, physician attitudes towards tobacco use and tobacco bans; physician attitudes towards smoking cessation techniques (among smokers and non-smokers); and physician awareness of official anti-smoking policies. Data for the study was collected through the use of an adapted WHO standardized questionnaire, the Global Health Professionals Survey. The questionnaire was administered by the researcher to physicians (n=288) at their work place. Date was analyzed using the SPSS analytic software program. ^ Twelve percent of DOHMS physicians smoked cigarettes. Regardless of smoking status, the majority supported a tobacco ban in hospitals and public places, and a ban on tobacco advertising. There is a significant relationship between physician smoking status and discussing risks of tobacco use (p < 0.05). Non-smoking physicians reported spending more time with patients discussing hazards of smoking (p < 0.01). Non-smokers reported providing more counseling than their smoking colleagues. The majority of DOHMS physicians (63%) reported a lack of knowledge about 5As/ 5Rs. The majority of physicians also reported they are aware of hospital smoking policies that restrict smoking. Regardless of physician smoking status, DOHMS physicians are not very actively involved in smoking cessation activities. This cross sectional study is the first to address smoking programs, policies, and practices among physicians in Dubai, UAE. Findings support the need for increased physical smoking cessation training as well as the development of smoking cessation programs for tobacco control, and programs with a focus on physician participation in reducing tobacco and cigarette use among the general population.^

Comparative Disciplinary Rates as a Tool for Reducing Exclusionary Discipline and Eliminating the School to Prison Pipeline

Invited Commentary on "Comparing Campus Discipline Rates: A Multivariate Approach for Identifying Schools with Significantly Different than Expected Exclusionary Discipline Rates" by Eric Booth and colleagues.

Formalizing a Conceptual Framework of Work Domain Knowledge

Background: The failure rate of health information systems is high, partially due to fragmented, incomplete, or incorrect identification and description of specific and critical domain requirements. In order to systematically transform the requirements of work into real information system, an explicit conceptual framework is essential to summarize the work requirements and guide system design. Recently, Butler, Zhang, and colleagues proposed a conceptual framework called Work Domain Ontology (WDO) to formally represent users’ work. This WDO approach has been successfully demonstrated in a real world design project on aircraft scheduling. However, as a top level conceptual framework, this WDO has not defined an explicit and well specified schema (WDOS) , and it does not have a generalizable and operationalized procedure that can be easily applied to develop WDO. Moreover, WDO has not been developed for any concrete healthcare domain. These limitations hinder the utility of WDO in real world information system in general and in health information system in particular. Objective: The objective of this research is to formalize the WDOS, operationalize a procedure to develop WDO, and evaluate WDO approach using Self-Nutrition Management (SNM) work domain. Method: Concept analysis was implemented to formalize WDOS. Focus group interview was conducted to capture concepts in SNM work domain. Ontology engineering methods were adopted to model SNM WDO. Part of the concepts under the primary goal “staying healthy” for SNM were selected and transformed into a semi-structured survey to evaluate the acceptance, explicitness, completeness, consistency, experience dependency of SNM WDO. Result: Four concepts, “goal, operation, object and constraint”, were identified and formally modeled in WDOS with definitions and attributes. 72 SNM WDO concepts under primary goal were selected and transformed into semi-structured survey questions. The evaluation indicated that the major concepts of SNM WDO were accepted by 41 overweight subjects. SNM WDO is generally independent of user domain experience but partially dependent on SNM application experience. 23 of 41 paired concepts had significant correlations. Two concepts were identified as ambiguous concepts. 8 extra concepts were recommended towards the completeness of SNM WDO. Conclusion: The preliminary WDOS is ready with an operationalized procedure. SNM WDO has been developed to guide future SNM application design. This research is an essential step towards Work-Centered Design (WCD).

Proceedings of the Twenty-Fifth Annual Biochemical Engineering Symposium

The Annual Biochemical Engineering Symposium Series started in 1970 when Professors Larry E. Erickson (Kansas State University) and Peter J. Reilly (then with University of Nebraska-Lincoln) got together in Manhattan, KS along with their students for a half-day powwow and technical presentation by their students. Ever since then, it has been a forum for Biochemical Engineering students in the heartland of USA to present their research to their colleagues in the form of talks and posters. The institutions actively involved with this annual symposium include Colorado State University, Kansas State University, Iowa State University, University of Colorado, University of Kansas, University of Missouri-Columbia, and University of Oklahoma. The University of lowa and University of Nebraska-Lincoln have also participated in the conference in recent years. The host institutions for the different symposia have been: Kansas State University (1, 3, 5, 9, 12, 16, 20), Iowa State University (6, 7, 10, 13, 17, 22), University of Missouri-Columbia (8, 14, 19, 25), Colorado State University (II, 15, 21), University of Colorado (18, 24), University of Nebraska-Lincoln (2, 4), University of Oklahoma (23). The next symposium will be held at Kansas State University. Proceedings of the Symposium are edited by faculty of the host institution and include manuscripts written and submitted by the presenters (students). These often include works-in-progress and final publication usually takes place in refereed journals. ContentsPatrick C. Gilcrease and Vincent G. Murphy, Colorado State University. Use of 2,4,6-Trinitrotoluene (TNT) As A Nitrogen Source By A Pseudomonas florescens Species Under Aerobic Conditions. Marulidharan Narayanan, Lawrence C. Davis, and Larry E. Erickson, Kansas State University. Biodegradation Studies of Chlorinated Organic Pollutants in a Chamber in the Presence of Alfalfa Plants. S.K. Santharam, L.E. Erickson, and L.T. Fan, Kansas State University.Surfactant-Enhanced Remediation of a Non-Aqueous Phase Contaminant in Soil. Barry Vant-Hull, Larry Gold, and Robert H. Davis, University of Colorado.The Binding of T7 RNA Polymerase to Double-Stranded RNA. Jeffrey A. Kern and Robert H. Davis, University of Colorado.Improvement of RNA Transcription Yield Using a Fed-Batch Enzyme Reactor. G. Szakacs, M. Pecs, J. Sipocz, I. Kaszas, S.R. Deecker, J.C. Linden, R.P. Tengerdy, Colorado State University.Bioprocessing of Sweet Sorghum With In Situ Produced Enzymes. Brad Forlow and Matthias Nollert, University of Oklahoma.The Effect of Shear Stress ad P-selectin Site Density on the Rolling Velocity of White Blood Cells. Martin C. Heller and Theodore W. Randolph, University of Colorado.The Effects of Plyethylene Glycol and Dextran on the Lyophilization of Human Hemoglobin. LaToya S. Jones and Theodore W. Randolph, University of Colorado.Purification of Recombinant Hepatitis B Vaccine: Effect of Virus/Surfactant Interactions. Ching-Yuan Lee, Michael G. Sportiello, Stephen Cape, Sean Ferree, Paul Todd, Craig E. Kundrot, and Cindy Barnes, University of Colorado.Application of Osmotic Dewatering to the Crystallization of Oligonucleotides for Crystallography. Xueou Deng, L.E. Erickson, and D.Y.C. Fung, Kansas State University.Production of Protein-Rich Beverages from Cheese Whey and Soybean by rapid Hydration Hydrothermal Cooking. Pedro M. Coutinho, Michael K. Dowd, and Peter J. Reilly, Iowa State University.Automated Docking of Glucoamylase Substrates and Inhibitors. J. Johansson and R.K. Bajpai, University of Missouri.Adsorption of Albumin on Polymeric Microporous Membranes.

SIRGAS reference frame realization SIR11P01

To estimate the kinematics of the SIRGAS reference frame, the Deutsches Geodätisches Forschungsinstitut (DGFI) as the IGS Regional Network Associate Analysis Centre for SIRGAS (IGS RNNAC SIR), yearly computes a cumulative (multi-year) solution containing all available weekly solutions delivered by the SIRGAS analysis centres. These cumulative solutions include those models, standards, and strategies widely applied at the time in which they were computed and cover different time spans depending on the availability of the weekly solutions. This data set corresponds to the multi-year solution SIR11P01. It is based on the combination of the weekly normal equations covering the time span from 2000-01-02 (GPS week 1043) to 2011-04-16 (GPS week 1631), when the IGS08 reference frame was introduced. It refers to ITRF2008, epoch 2005.0 and contains 230 stations with 269 occupations. Its precision was estimated to be ±1.0 mm (horizontal) and ±2.4 mm (vertical) for the station positions, and ±0.7 mm/a (horizontal) and ±1.1 mm/a (vertical) for the constant velocities. Computation strategy and results are in detail described in Sánchez and Seitz (2011). The IGS RNAAC SIR computation of the SIRGAS reference frame is possible thanks to the active participation of many Latin American and Caribbean colleagues, who not only make the measurements of the stations available, but also operate SIRGAS analysis centres processing the observational data on a routine basis (more details in http://www.sirgas.org). The achievements of SIRGAS are a consequence of a successful international geodetic cooperation not only following and meeting concrete objectives, but also becoming a permanent and self-sustaining geodetic community to guarantee quality, reliability, and long-term stability of the SIRGAS reference frame. The SIRGAS activities are strongly supported by the International Association of Geodesy (IAG) and the Pan-American Institute for Geography and History (PAIGH). The IGS RNAAC SIR highly appreciates all this support.

Ordenamiento territorial y desarrollo local : provincia Cercado, Tarija, Bolivia

El proceso de ordenamiento territorial en Bolivia es relativamente nuevo y por tal razón el avance es mínimo si se piensa en los objetivos alcanzados hasta ahora. El presente trabajo pretende mostrar el avance logrado en uno de los departamentos de Bolivia, Tarija, donde en 5 años, se ha logrado elaborar un plan departamental de ordenamiento territorial y mediante la coordinación interinstitucional (prefectura y gobiernos municipales) se ha iniciado el mismo proceso de a nivel municipal. A partir de estos planes municipales se induce a municipios predominantemente urbanos a trabajar planes de ordenamiento territorial a partir de lineamientos planteados desde la prefectura, con el fin de iniciar los procesos de planificación urbana, actualizar la normativa y elaborar proyectos de desarrollo local. El objetivo del presente trabajo, es mostrar los avances a los que se pretende arribar gracias a un proceso metodológico de ordenamiento territorial incorporado a una dinámica urbana que interactúa constantemente con su área de influencia que en el caso boliviano es normalmente rural; pero además demostrar que el componente interdisciplinario en el caso de la planificación urbana es imprescindible considerando que hasta hace unos años este era un trabajo especifico de los colegas urbanistas y que en una realidad como la latinoamericana casi siempre quedaba en planos y en un viejo anaquel. Por lo tanto a partir de una interdisciplinariedad se puede lograr desarrollo local articulando y optimizando relaciones urbano-rurales que basan su desarrollo en un proceso metodológico como es el caso del ordenamiento territorial. El trabajo, se apoya en la guía metodológica para la elaboración de planes elaboradas por el Ministerio de Desarrollo Sostenible del gobierno boliviano, pero como tal cual su nombre expresa es una guía susceptible a ser adecuada a las exigencias del área de estudio, en este sentido sobre esa base es que se incorporan algunas variables de estudio que permitirán mejorar el producto a nivel de propuesta una vez concluido el trabajo. Contempla varias etapas donde la incorporación de los diferentes actores sociales será una clave para lograr resultados exitosos en la etapa de implementación. Actualmente el plan municipal de la provincia Cercado, es un proyecto a encarar en los próximos meses una vez cumplidos con los requisitos administrativos para iniciar el trabajo técnico que comprenderá un trabajo de campo, para el relevamiento de datos, la elaboración de un diagnóstico integral con dos ámbitos territoriales rural y urbano, para luego proceder al análisis territorial y el planteamiento de propuesta que incluirán políticas, estrategias, acciones y proyectos, pero no solo generará bases para el uso de suelo y la ocupación del territorio, a escala urbana se plantearan los lineamientos para el diseño y la normativa urbana. A partir del cual se definirán proyectos de desarrollo local que nos permita orientarnos hacia la imagen objetivo planteada en la visión del proyecto, este trabajo incluye el aspecto institucional para fortalecer al proceso que hasta esta ahora se encuentra desarticulado; se pretende consolidar el proceso de ordenamiento y dar inicio a otros en escalas de mayor detalle permitiendo la optimización de recursos y el aprovechamiento de las potencialidades y recursos naturales para mejorar la calidad de vida.

Sexualidad en el personal de Salud

La práctica de profesiones relacionadas con la salud se asocia a agotamiento físico y psicológico capaz de producir alteraciones en el plano de la sexualidad. Mediante una encuesta estructurada y anónima se valoró el grado de satisfacción respecto a la calidad de vida sexual y los factores relacionados con esta en médicos, residentes y enfermeros. El 62% afirmó que desde el inicio de la actividad laboral disminuyó la frecuencia y calidad de las relaciones sexuales, primordialmente en residentes (69.3%) (p<0.05) y mujeres (61%), el 33.1% refirió mayor atracción por otras personas y 15% infidelidad. El 71.8% consideró que la frecuencia no era óptima, el 48.6% no estaba satisfecho y el 37.3% que la pareja no estaba conforme con su desempeño sexual. Las mujeres utilizan más pretextos para evitar la relación sexual (22.6 vs. 6.1%), consideran que satisfacen menos a sus parejas (45 vs. 22%) y tienen orgasmos menos frecuentemente (22 vs. 8%) que los hombres (p< 0.05) y estos son más infieles (24.5 vs. 9.7%) (p< 0.05). Los residentes refieren que la frecuencia y calidad sexual disminuyó más con el inicio del trabajo (71.8 vs. 46.7%) (p<0.05), atribuido principalmente al cansancio extremo y se sienten más atraídos por compañeros de trabajo que los médicos de planta (24 vs. 2%) (p<0.05). El cuidado de la salud es un determinante de riesgo de disfunción sexual causado por las demandas y condiciones laborales, que genera un alto grado de estrés y desgaste psicofísico, que conducen a un deterioro de la salud sexual.

Francisco Romero : América en el diálogo epistolar

El epistolario del filósofo argentino Francisco Romero (Sevilla, 1891 – Buenos Aires, 1962) con colegas y discípulos de Chile y con extranjeros afincados voluntariamente o no en ese país, constituyó una notable red intelectual en torno al conocimiento de América, entre 1934 y 1962. La construcción del americanismo filosófico fue una de las preocupaciones aglutinantes, y las reflexiones que se produjeron se entroncaron con las circunstancias políticas, ideológicas, sociales, culturales y económicas de cada uno de sus miembros.

Historia de un joven músico belga : anécdotas y testimonios sobre Julio Perceval en Bruselas y en Buenos Aires

Este artículo está dedicado a Julio Perceval (1903-1963) músico de origen belga que se radicó en la Argentina en 1926. Se ha enfocado en las etapas de su formación en Bruselas y su desarrollo profesional en Buenos Aires por medio de testimonios aportados por quienes compartieron el periodo de búsquedas juveniles del compositor. Para reconstruir el ambiente musical en la etapa belga han sido consultados trabajos de Robert Wangermée, en tanto que para conocer sus relaciones con colegas e intérpretes en Buenos Aires se ha contado con material del Archivo donado por la familia del músico a la Facultad de Artes y Diseño de la UNCuyo.

Ice loss in the Canadian Arctic Archipelago

Though much attention has been focused in recent years on the melting of ice from Greenland and Antarctica, nearly half of the ice volume currently being lost to the ocean is actually coming from other mountain glaciers and ice caps. Ice loss from a group of islands in northern Canada accounts for much of that volume. In a study published in April 2011 in the journal Nature, a team of researchers led by Alex Gardner of the University of Michigan found that land ice in both the northern and southern Canadian Arctic Archipelago has declined sharply. The maps above show ice loss from surface melting for the northern portion of the archipelago from 2004-2006 (left) and 2007-2009 (right). Blue indicates ice gain, and red indicates ice loss. In the six years studied, the Canadian Arctic Archipelago lost an average of approximately 61 gigatons of ice per year. (A gigaton is a billion tons of ice.) The research team also found the rate of ice loss was accelerating. From 2004 to 2006, the average mass loss was roughly 31 gigatons per year; from 2007 to 2009, the loss increased to 92 gigatons per year. Gardner and colleagues used three independent methods to assess ice mass, all of which showed the same trends. The team used a model to estimate the surface mass balance of ice and the amount of ice discharged. They also compiled and analyzed measurements from NASA's Ice, Cloud and Land Elevation Satellite (ICESat) to assess changes in the surface height of ice. Finally, they gathered observations from NASA's Gravity Recovery and Climate Experiment (GRACE) to determine changes in the gravity field in the region, an indicator of the amount of ice gained or lost. The Canadian Arctic Archipelago generally receives little precipitation, and the amount of snowfall changes little from year to year. But the rate of snow and ice melting varies considerably, so changes in ice mass come largely from changes in summertime melt. During the 2004 to 2009 study period, the Canadian Arctic Archipelago experienced four of its five warmest years since 1960, likely fueling the melting. Gardner notes that from 2001 to 2004, the sum of melting from all mountain glaciers and ice caps around the world (but not the Greenland and Antarctic ice sheets) contributed an estimated 1 millimeter per year to global sea level rise. Recent estimates suggest the Greenland and Antarctic ice sheets add another 1.3 millimeters per year to sea level. "This means 1 percent of the land ice volume-mountain glaciers and ice caps-account for about half of all ice loss to the world's oceans," Gardner said. "Most of the ice loss is coming from the Canadian Arctic Archipelago, Alaska, Patagonia, the Himalayas, and the smaller ice masses surrounding the main Greenland and Antarctic ice sheets."

Geochemical composition and granulometry of ODP Hole 167-1017E sediments

Intensification of North Pacific Intermediate Water during the Younger Dryas and stadials of the last glacial episode has been advocated by Kennett and his colleagues based on studies of ventilation history in Santa Barbara Basin. Because Santa Barbara Basin is a semi-isolated marginal basin, this hypothesis requires testing in sequences on the upper continental margin facing the open-ocean of the Pacific. Ocean Drilling Program Site 1017 is located on the upper slope of southern California off Point Conception close to the entrance of Santa Barbara Basin, an ideal location to test the hypothesis of late Quaternary switching in intermediate waters. We examined chemical and mineral composition, sedimentary structures, and grain size of hemipelagic sediments representing the last 80 k.y. at this site to detect changes in behavior of intermediate waters. We describe distinct compositional and textual variations that appear to reflect changes in grain size in response to flow velocity fluctuations of bottom waters. Qualitative estimates of changes in degree of pyritization indicate better ventilation of bottom water during intervals of stronger bottom-water flow. Comparison between variations in the sediment parameters and the planktonic d18O record indicates intensified bottom-current activity during the Younger Dryas and stadials of marine isotope Stage 3. This result strongly supports the hypothesis of Kennett and his colleagues. Our investigation also suggests strong grain-size control on organic carbon content (and to less extent carbonate carbon content). This, in turn, suggests the possibility that organic carbon content of sediments, which is commonly used as an indicator of surface productivity, can be influenced by bottom currents.

Un estudio sistémico-funcional de la relación participante-proceso de resúmenes en español a partir de noticias periodísticas en inglés

El objetivo de este trabajo es analizar la interpretación léxico-gramatical de la relación participante-proceso en textos en inglés y evaluar su incidencia en la efectividad de los resúmenes de dichos textos en español. Utilizando el marco de la Lingüística Sistémico-Funcional (Halliday, 1985, 1994, 2004), se realizó un análisis tripartito de diez resúmenes en español de una noticia periodística en inglés sobre deportes, escritos por alumnos de la carrera de Profesorado de Educación Física de la Universidad Nacional de La Plata en una instancia de evaluación final de la asignatura Capacitación en Inglés-Nivel II. En base a la Teoría del Registro y el Género (Martin y Eggins, 1997), se evaluó la incidencia de las relaciones lingüísticas a nivel de Contexto de Situación (Registro) y Contexto de Cultura (Género). También se solicitó la colaboración de un grupo de colegas para que dieran una opinión adicional sobre la efectividad de los resúmenes. A partir del análisis de los textos meta se pudo observar que aquellos escritores que muestran más dificultades para identificar la relación participante-proceso construyen resúmenes menos efectivos. Este menor grado de efectividad aparece como consecuencia de determinadas selecciones léxico-gramaticales. Por otro lado, la identificación de la relación participante proceso en el texto fuente parece incidir directamente en la construcción de la adecuada estructura genérica del texto meta. En conclusión, la identificación de la relación participante-proceso en textos en inglés puede considerarse central para la construcción de resúmenes efectivos en español

La lógica social del boxeo en el Chicago negro. Hacia una sociología del boxeo

Este artículo es dedicado a la memoria de Aaron, jovencito español y amigo del gimnasio, a quien el ring no lo salvó de los peligros de la calle. Este trabajo se benefició de las respuestas, los comentarios críticos y el aliento de una serie de colegas, entre los cuales se encuentran Pierre Bourdieu, Rogers Brubaker, Dan Chambliss, S. Lynn Chancer, Rick Fantasia, Harvey Molotch, Bill Wilson, y los miembros del Centro de Sociología Europea en París. También agradezco a mis colegas de la "la dulce ciencia", que me enseñaron mucho más que a lanzar gancho de izquierda, y a mi familia y amigos que me apoyaron moralmente durante este extenuante proyecto (con mención especial para Elizabeth Bonamour du Tartre, una importante asistente en el lugar). Esta investigación fue posible en parte por el apoyo financiero de la Maison des sciences de l'homme, un Lavoisier Fellowship del Gobierno Francés y la Fundación Milton de la Universidad de Harvard.

La vigencia de un clásico. Enrique Mariano Barba y sus preguntas en torno a la formación del estado nacional

El objetivo de este texto es, a modo de celebración de la vida del Dr. Enrique M. Barba, tratar de detectar la impronta de sus trabajos y de su modo de trabajar en mi labor y en la de los colegas con los que trabajo en el Instituto de Historia Argentina de la Facultad de Humanidades de la UNLP. Enrique Mariano Barba no se dedicó primero a la historia colonial y luego al federalismo rosista. Siempre hizo 'historia argentina'. Al reunir en una sola mirada sus trabajos más representativos se advierte que el problema que le interesaba era, desde su tesis de doctorado, el de la formación del estado-nación.